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ESeries Service Manual Rev A.book

1. terminal of power supply using a second red lead 3 4 Set voltage scale if DVM is not autoranging to 220 mV is q Battery Well Le Do this Observe this Pass Fail NA 4 7 System Current Test Set power supply to 10 3V 4 8 Turn the selector switch to MONITOR For AED units turn the selector switch to ON and select Manual mode Voltage across resistor should be 116 mV or less lt 1 16 A of ON current 4 9 Turn unit off Record your results on the Maintenance Tests Checklist 9650 1450 01 Rev A E Series Service Manual Test Setup for Off Current Test 1 Remove 0 1Q resistor and replace with 1KQ 2 Connect DMM across resistor 3 Set voltage scale to DCV 4 Measure voltage across resistor Do this Observe this Pass Fail 4 10 Off Current Test Voltage should be less than 450 mV lt 450 uA of current o o Measure across resistor with unit turned off Record your results on the Maintenance Tests Checklist 9650 1450 01 Rev A E Series Service Manual 5 0 Leakage Current Test Tools Needed See the manufacturer s instructions or supplied specifications for the leakage tester you use Test Setup See the manufacturer s instructions or supplied specifications for the leakage tester you use Repeat leakage test with accessories MFC external paddles and anterior posterior paddles M
2. 14 2 Set selector switch to DEFIB Select 200J using the ENERGY SELECT button and press the CHARGE button When charged press the SHOCK button to discharge into the defibrillator analyzer The unit successfully discharges and prints a strip chart 14 3 Wait 18 seconds then press the Code Marker softkey Press the CPR softkey The Code Markers display 14 4 Turn the unit off Wait 10 seconds and then turn the unit on Press the SUMMARY softkey then press the PRINT CHART softkey Summary report prints The report displays the correct date time the shock delivered and Code Marker event Record your results on the Maintenance Tests Checklist 1 26 9650 1450 01 Rev A E Series Service Manual 15 0 Advisory Message Test Tools Needed None Test Setup 1 Connect the universal cable via the adapter D N I 3010 0378 2 Attach the E Series to the defibrillator analyzer Do this Observe this Pass Fail 15 1 Connect universal cable to the simulator Turn the selector switch to DEFIB mode For AED units turn the selector switch to ON 15 2 Select VF ventricular fibrillation on the ANALYZING ECG message displays o o simulator then press the ANALYZE button STAND CLEAR message displays SHOCK ADVISED message displays PRESS SHOCK message displays AED s audio prompts are standard Advisory audio prompts are user configurable lf configured for
3. 18 7 Breath normally into the airway adapter A capnogram waveform appears o o Record your results on the Maintenance Tests Checklist 9650 1450 01 Rev A 1 33 E Series Service Manual 19 0Barometric Pressure Calibration Check Tools Needed None Test Setup None Do this Observe this Pass Fail NA 19 1 Connect the CAPNOSTAT 5 CO2 Sensor to the yellow connector at the back of the E Series unit and connect an airway adapter to the sensor 19 2 While pressing and holding the second softkey The unit displays EtCO gt Calibration screen from the left turn the selector switch to Monitor ON for AED units 19 3 Wait for the sensor to warm up The message WARM UP is displayed for approximately one minute 19 4 Obtain the local barometric pressure in mmHg 19 5 Press the Baro Pr softkey to enter the Barometric Pressure Calibration screen 19 6 Use the Inc gt and Dec lt softkeys to set the second value on the pressure display line equal to your local barometric pressure 19 7 Press the Return softkey to store the offset and o o o return to the main EtCO Calibration screen Record your results on the Maintenance Test Checklist The barometric pressure can be obtained from a calibrated barometer or from the National Weather Service at www nws noaa gov enter your local zip code to get the local barometric pressure Note that the barometric
4. terminal of the power supply 4 Connect the red lead to terminal socket of the battery well Use the middle pin with the plastic guard around it Connect the other end of the red lead to the terminal of the power supply 5 Set the power supply voltage to 7V Caution Be sure to connect the power supply properly to the E Series battery well terminals or damage to the unit may result Do NOT raise the power supply voltage above 12V 1 10 9650 1450 01 Rev A E Series Service Manual Do this Observe this Pass Fail 4 1 Turn the selector switch to MONITOR The unit should not turn on o o For AED units turn the selector switch to ON and select Manual mode 4 2 Turn the unit off 4 3 Adjust the power supply voltage to 10 3V and The unit should turn on o o turn the selector switch to MONITOR for AED units turn the selector switch to ON 4 4 Low Battery Test No LOW BATTERY message displays o o Set voltage to 9 9V 4 5 Set voltage to 9 4V LOW BATTERY message displays within 30 seconds o o 4 6 Shut Down Voltage Test Unit should shut off within 30 seconds o o Set voltage to 8 5V Record your results on the Maintenance Tests Checklist 9650 1450 01 Rev A 1 11 E Series Service Manual Test Setup Connect multimeter across the resistor 1 Remove red lead from power supply and connect to 0 1Q resistor 2 Connect other end of resistor to
5. Reduce or eliminate ECG artifact due to electrode or patient cable movement Route cables so that they don t pull on electrodes or swing excessively Ensure patient is motionless Check for possible excessive radio frequency interference Verify a good connection of electrodes to the patient Prepare the patient s skin prior to the electrode attachment Move patient cables away from other electrical equipment especially any RFI source Ensure ECG cable fits snugly in unit Change ECG cable Replace reposition ECG electrodes Disable Enable Pacer Detection to reduce the effect of artifact e Check for contamination on snaps Ensure springs are intact e Check for intermittent ECG patient cable or connector wiring e Replace ECG input connector e Replace ECG connector to the system board cable e Replace system board False Pacer Pulses Seen The patient does not have an internal pacemaker but pacer pulses are displayed Disable Enable Pacer Detection to reduce high frequency artifact Wandering baseline See Displayed HR not accurate above Same as above example Electronic interference Check for possible excessive radio frequency interference Move patient cables away from other electrical equipment e Turn off sources of excessive RFI e Move E Series unit away from RFI source 9650 1450 01 Rev A E Series Service Manual ZOLL E Series
6. Be 5 and 12 Leads TeStaiecs EE 1 9 Power Supply Test Optional 1 10 Feakage Current Testasin iatan inaua aaa a aea a aaa aa eee et ELE A a aa Saara e atna 1 14 Paddles Lest lt applicable ecg cca siviecqecsis ocacexctanues ti 1 15 Hear Rate Display Tostadas aia dE eeh SEENEN aria es 1 16 Calibrating Pulses on Strip Chart Test 1 17 Noteh Filler Testa tea seltiel dat EE 1 18 Heart Rate Alani RR EE 1 19 Defibrilator Sell EE 1 21 Synchronized Cardioversion Test 1 23 Shock EE 1 24 Summary Report ES r a a eseu a a a E chants a a Ea Aaa a a sud a alta e a AA ARINA 1 26 Advisory Message TEE 1 27 PAGO Eelere ee D ebe es 1 28 SpO2 Monitor Testor SpO2 Option tccheieidoadieleiesscieee irlanda Hearts 1 31 EtCO2 Monitor Test for EtCO2 Option 1 33 Barometric Pressure Calibration Check 1 34 9650 1450 01 Rev A EE ee e 1 35 NIBE Monitor E 1 37 NIBP Volume Leak Test with Bio Tek NIBP Analyzer conan nono nnnnno cnn nc nana n nn rr naar 1 39 NIBP Volume Leak Test with Fluke Biomedical Cufflink NIBP Analyzer ooooocinnncccnncccnnnoccconccnnnncnnnnnaccnanannnnnnoo 1 41 NIBP Transducer Calibration Test 1 43 Chapter 2 TrOUDISSHOOUING eegen dEeeeeee ee ia AE A Eege 2 1 Ree eege E A EAE A EENS seces E 2 1 TROUBISSINO OU PAARE eege 2 2 ZOLL E Series Error Messages a a araa a ae oes ch lead a a aa araa aaea a Aa apa a aA eaa idad eet 2 5 Chapter 3 Replacement Parts iia A AAA A 3 1 Replacement Parts stees ee 3 2 Field Replacement
7. e E Series Operator s Guide Option Insert Non Invasive Blood Pressure NIBP Describes using the NIBP option with the E Series unit e E Series Operator s Guide Option Insert Pulse Oximetry SpO Describes using the SpO option with the E Series unit e E Series Operator s Guide Option Insert Non Interpretive 12 Lead ECG Monitoring Describes using the non interpretive 12 lead ECG monitoring option with the E Series unit e E Series Operator s Guide Option Insert 12 Lead Reperfusion Therapy Algorithm Describes the reperfusion therapy algorithm option for the E Series unit Conventions WARNING Warning statements describe conditions or actions that can result in personal injury or death vi 9650 1450 01 Rev A E Series Service Manual Caution Caution statements describe conditions or actions that can result in damage to the unit Note Notes contain additional information on using the defibrillator Service Policy Warranty In North America Consult your purchasing agreement for terms and conditions associated with your warranty Outside of North America consult ZOLL authorized representative In order to maintain this warranty the instructions and procedures contained in this manual must be strictly followed For additional information please call the ZOLL Technical Service Department 1 800 348 9011 in North America Technical Service If the ZOLL E Series unit requires service contact the ZOLL Technical
8. until ENABLE displays ENABLE displays o o o 10 7 Set LOW limit to 30 HIGH limit to 150 then MONITOR displays o o o press the RETURN softkey 10 8 Press ALARM SUSPEND button No alarm sounds o o o 10 9 Remove a lead wire from the Fluke Biomedical The alarm symbol flashes and the heart symbol stops flashing The ECG LEAD o o o Impulse 4000 OFF alarm tone sounds Recorder prints a stripchart showing a low heart rate if enabled 10 10 Reattach ECG Lead wire to Fluke Biomedical The alarm symbol has an X through it o o o Impulse 4000 and hold the ALARM SUSPEND The heart symbol flashes with each QRS wave button on unit for 4 seconds 10 11 Press the ALARM SUSPEND button Alarm is enabled Alarm symbol without X displays o o o 10 12 Set simulator to 160 BPM or higher Heart Rate Value is highlighted alarm tone sounds the alarm and the heart o o o symbol both flash 10 13 Press the ALARM SUSPEND button in the unit Alarm is suspended for 90 seconds The alarm symbol has an X through it o o o The heart symbol flashes with each QRS wave 9650 1450 01 Rev A 1 19 E Series Service Manual Do this Observe this Pass Fail NA 10 14 Press and hold ALARM SUSPEND for 4 o o o seconds to disable alarms Record your results on the Maintenance Tests Checklist 1 20 9650 1450 01 Rev A E Series Service Manual Caution 1 0 Defibrillator Self Test SHOCK HAZARD TAKE THE NEC
9. 01 Rev A E Series Service Manual Preface ZOLL Medical Corporation s E Series Service Manual is intended for the service technician whose responsibility is to identify malfunctions and or make repairs at the subassembly level The ZOLL E Series Service Manual has five main sections and one appendix Preface Contains safety warnings and an overview of the manual s contents Be sure to review this section thoroughly before attempting to use or service the E Series unit Chapter 1 Maintenance Tests explains how to check the defibrillator s performance using a series of recommended checkout procedures to be conducted every six months Chapter 2 Troubleshooting provides a listing of the procedures and error messages to help the service technician detect faults and repair them Chapter 3 Replacement Parts List displays a complete list of ZOLL part numbers for field replaceable parts available for the E Series unit allowing the service person to identify and order replacement parts from ZOLL Chapter 4 Functional Description provides technical descriptions for the E Series major subassembly modules Appendix A E Series interconnect diagrams and maintenance checklists Safety Considerations The following section describes general warnings and safety considerations for operators and patients Service technicians should review the safety considerations prior to servicing any equipment and read the manual carefully before
10. 0450 1005 0001 9301 0381 01 9301 0380 01 3 5 E Series Service Manual 3 6 9650 1450 01 Rev A E Series Service Manual Chapter 4 Functional Description This chapter provides functional descriptions of the components contained in the ZOLL E Series and the E Series options Refer to the interconnect diagram that delineates the different components of the defibrillator This chapter includes e Main System Board e Main System Board Functions e Power Supply e User Interface e Audio I O Module e ECG Front End e Multifunction MFE Paddles e Main CPU and EPU e High Voltage Modules e Defibrillator Charging and Discharging e High Voltage Capacitor Module e Pacer and Defibrillator Control Signals e Internal Discharge Resistor Module e AC DC Charger e AC DC Charger Module e System Interconnect Board e Stripchart Recorder 9650 1450 01 Rev A 4 1 E Series Service Manual e PCMCIA Slots e Front Panel and Display e E Series Options e 12 Lead Monitoring e Pulse Oximetry SpO gt e End Tidal Carbon Dioxide ECO e Noninvasive Blood Pressure Main System Board The E Series electrical circuitry consists of several functional modules Each module is physically located on one or more of the printed wiring board assemblies PWBA In some cases a functional module is distributed across several assemblies within the unit The main components of the E Series include e Display e Main System Boa
11. Cable Control to System I O 9500 0713 Cable Control to System Video 9500 0313 Cable ECG Input 9500 0727 Cable Flex System to Isolated PS 20 POS 9500 0728 Cable Ground Wire Assembly 9500 0302 Cable Isolated Power Supply to ETCO2 20 POS 9500 0731 Cable MFC Signal to HV Module 9500 0734 Cable MS 11 PCB to SPO2 Connector 9500 0732 Cable MS 11 to Isolated Power Supply 9500 0730 Cable Paddle Harness 9500 0737 Cable Ribbon Chart Card to Interconnect 9500 0736 Cable Sensor to Printer Interconnect 9500 0729 Cable Speaker 9500 0735 3 2 9650 1450 01 Rev A E Series Service Manual Description Cable SPO2 Module Assembly Cable System Interconnect to Communications Carrier Cable System Interconnect to NIBP Cable System Interconnect to PCMCIA Cable System Interconnect to Printer Interconnect Cable System to Battery Interconnect 51 POS Cable System to Biphasic DAC 20 POS Cable System to System Interconnect 51 POS Cable System to System Interconnect USB Interface Connector Panel Connector Panel Assembly No Options Connector Panel Assembly with SPO2 ETCO2 Connector Panel Assembly with SPO2 ETCO2 NIBP Data Entry Membrane Switch Display Assembly Color LCD ECG Connector Assembly Handle EMS HV Capacitor Knob Main Knob Pacer Left Rail Lower Housing EMS NIBP Fitting 9650 1450 01 Rev A Part Number 1005 0160 9500 0724 9500 0723 9500 0710 9500 0725 9500 0716 9500 0733 9500 0715 9500 0722 9310 090
12. Error Messages The following is a list of ZOLL E Series error messages that may appear on your display The User Advisory column informs you about an action in progress or provides feedback on a user correctable situation that typically does not require further technical support The Technical Action column describes what you as a technician can do to correct the situation Note that these messages will sometimes overlap part of the waveform display First attempt to clear the message by turning the Selector Switch to OFF for ten seconds then back to the desired operating mode If the fault persists call ZOLL Technical Service Error Message Explanation User Technical Action Advisory 200J MAX BIPHASIC User attempted to set defibrillation energy gt 200J on Y Biphasic Unit No higher energy is available ANALYSIS HALTED Y e ECG analysis halted due to user interaction such as e Lead size change e Analyze button was pressed again e Impedance fault e Charging error detected in auto defib mode AUDIO FAULT 136 Audio DSP hardware error Replace audio board Replace system board Turn unit off and back on again AUDIO NOT RECORDING Audio is not recording Install PCMCIA card Replace system board AUDIO QUEUE FULL Indicates that the audio output queue is full Additional voice prompts can t be queued at this time None BATT HIGH CURRENT Battery is charged and battery current is g
13. Service Department Telephone 1 978 421 9655 1 800 348 9011 US only Fax 1 978 421 0010 Have the following information available for the Technical Service representative e Unit serial number e Description of the problem e Department where equipment is used e Sample chart recorder strips documenting the problem if applicable e Purchase Order to allow tracking of loan equipment e Purchase Order for a unit with an expired warranty If the unit needs to be sent to ZOLL Medical Corporation obtain a Service Request number from the Technical Service representative Return the unit in its original container to ZOLL Medical Corporation 269 Mill Road Chelmsford Massachusetts 01824 4105 Attn Technical Service Department SR 9650 1450 01 Rev A vii E Series Service Manual Technical Service for International Customers International customers should return the unit in its original container to the nearest authorized ZOLL Medical Corporation Service Center To locate an authorized service center contact the International Sales Department at ZOLL Medical See back cover of this manual viii 9650 1450 01 Rev A E Series Service Manual Chapter 1 Maintenance Tests Overview The E Series has two checkout procedures the operator s shift checklist and the extensive six month maintenance tests checkout procedures Because the E Series units must be maintained ready for immediate use it is important for users to
14. SpO reading of 98 1 appears on the E Series monitor Note o o until the SpO output is at 98 that you may need to wait up to 2 minutes for the information to appear on the ZOLL display 17 4 Using the Index SpO Simulator press the The SpO rate 230 BPM displays on the simulator screen o o SE BPM sofikey until the heart rate is Note that you may need to wait up to 2 minutes for the information to appear on the ZOLL display The SpOs saturation of 96 100 appears on the E Series display The heart rate of 226 234 BPM displays on the E Series monitor 9650 1450 01 Rev A 1 31 E Series Service Manual Do this Observe this Pass Fail 17 5 Using the Index SpO Simulator press the The SpO saturation of 96 100 displays on the unit o o BPM softkey until the heart rate is 50 BPM The heart rate of 46 54 BPM displays on the E Series monitor o o 17 6 Using the Index SpOz Simulator press the 02 The SpO saturation of 70 74 displays on the unit o o softkey until the SpOz output is at 72 The heart rate of 46 54 BPM displays on the E Series monitor o o 17 7 Press Wave 2 softkey Plethysmographic waveform appears on the ZOLL display o o Select the SpOp waveform 17 8 Press RECORDER The plethysmographic waveform prints on the strip chart paper o o 17 9 Using the Index SpO Simulator press the The SpO saturation rate of 70 74 displays on the unit o o BPM softkey until
15. accessory connection to the E Series 7 Format and updating of the front panel display 8 Primary power supplies for the unit 9 Audio output generation and control e g alarms voice prompts warning tones 10 Audio signal processing data compression and storage of voice recording data 11 Real time clock and other time keeping functions 12 Summary Report 12 Lead ECG Reports data storage 13 Monitoring of battery status and control over Battery Charging functions performed by the AC or DC Charger PWBA 14 Data transmission to and control over the System Interconnect PCB functions including the stripchart recorder and the PCMCIA slot functions 4 4 9650 1450 01 Rev A E Series Service Manual Power Supply The power supply converts DC power from a removable battery or the AC DC Battery Charger module to voltages required by the E Series hardware The power supply circuit converts the raw battery or the Charger PWBA output voltages of 8 5 VDC to 16 VDC into the voltages shown in the table below including load and line regulation VOLTAGE DESCRIPTION VOLTAGE VDC COMMENTS Nominal FUSE_PWR Fused Input Power from Battery Charger 12 SW_PWR Switched Input Power after Power Switch 12 3VDD 3 3 VDC Power for Digital circuits 3 3 Switching 300 kHz 5VDD 5 0 VDC Power for Digital circuits 5 0 Switching 300 kHz 5VSS 5 0 VDC Power for Analog circuits 5 0 Linear 1
16. adult pediatric and neonatal E Series units equipped with software revision 2 00 000 or higher support two End Tidal Carbon Dioxide EtCO monitoring options for the continuous measurement of respiratory carbon dioxide CO and respiration rate These options use the same connector on the E Series unit and may be used interchangeably The first option uses a unique mainstream solid state infrared sensor called the CAPNOSTAT 5 Mainstream CO Sensor The CAPNOSTAT 5 CO sensor is attached to an airway adapter that connects to an endotracheal ET tube or other airway and measures gases flowing through these breathing circuit components A disposable mouthpiece may be connected to the adapter for monitoring non intubated patients A CAPNO mask is also available for use with non intubated patients This option provides for O delivery while monitoring expired CO The second option is a sidestream sampling system called the LoFlo CO Module The LoFlo module contains a gas sampling pump which draws small samples of gas from the patient s airway via a nasal oral cannula or airway adapter and passes these gases through a solid state infrared sensor located away from the patient s airway that measures CO While the sidestream system is typically used on non intubated patients it can also be used for EtCO measurement on intubated infant pediatric and adult patients The sidestream system should not be used however on patients who cannot
17. auto charge 15 3 Press the SHOCK button Unit discharges o o 15 4 Select the NSR normal sinus rhythm on the ANALYZING ECG message o o simulator then press the ANALYZE button STAND CLEAR message NO SHOCK ADVISED message AED s audio prompts are standard Record your results on the Maintenance Tests Checklist 9650 1450 01 Rev A 1 27 E Series Service Manual 16 0 Pacer Test Tools Needed Fluke Biomedical Impulse 4000 Analyzer software 1 06 or higher with optional external plug in pacing module TQA 17 or equivalent U UU Note The following tests are to be performed only on E Series units equipped with the optional pacing function The pacer output can be measured using an oscilloscope set to DC coupling connected across a load resistor See diagram in column for universal cable connector polarity The load resistor is a 100 ohm 5 watt or greater The pacer output is a positive going pulse 40 2 ms duration with an amplitude of 0 1 volt per milliamp of selected output e g 40 milliamps of selected output has an amplitude of 4 0 5 volts the specified tolerance displayed on the oscilloscope If an external non invasive pacer analyzer is being used then follow the manufacturer s guidelines for measuring the frequency ppm output mA and the pulse width measured in milliseconds Note that the analyzer pace load resistor must be less than 250 ohms Test Setup 1 Connect th
18. checklists and use the copies to record the results of the maintenance tests performed on the E Series equipment keep them for your records 9650 1450 01 Rev A A 1 E Series Service Manual AC Receptacle 9500 0716 9301 0388 01 AC Charger 9500 0718 9301 0389 01 a o Battery Interconnect SE Earth ground post z HV Module 9500 0734 l MFE Connector Patient 9301 0370 0 Biphasic Bridge DAC ETCO2 9301 0380 01 Connector 9500 0731 A 9301 0383 0 1 MS 11 0730 Isolated Power Supply 9500 Assembly 1005 0160 9500 072 SPO2 Ge PCMCIA Cage 9500 0710 9301 0381 01 System Interconnect 9500 9301 0390 01 Speaker Displa P 9500 0712 pray 1005 0002 9500 0312 9500 0713 50 9301 0384 01 1001 0345 Microphone Controls 1001 XXXX 9500 0519 Membrane Keypad 9500 0727 50 ECG Input Connector Access Detect ECG Out RS232 Connector 9500 0726 9500 0715 50 9500 0725 9301 0387 01 Printer Interconnect Communications integrated assembly assembly integration planned Figure 1 Interconnect Diagram for E Series Unit A 2 Printer Motor 9500 0729 9301 0385 01 Paper Recorder Sensors Rev 0 01 9500 0736 9650 1450 01 Rev A ZOLL E Series Serial No Location Maintenance Test Checklist Tester Signature 1
19. displays 16 21 Turn off Fluke Biomedical Set Pacer Rate to Observe the pace stimulus markers every 15mm 1mm o o 100ppm Press the RECORDER ON button 16 22 Press and hold 4 1 button Observe the pace stimulus markers every 60 mm 1 5 mm o o Record your results on the Maintenance Tests Checklist 1 30 9650 1450 01 Rev A E Series Service Manual 17 0 SpO Monitor Test for SpO Option Tools Needed e Masimo Reusable Sensor e Masimo Patient Cable e Fluke Biomedical Index 2PFE SpO Simulator or equivalent Test Setup 1 Connect the universal cable to the MFC test plug 2 DO NOT connect the ECG cable to the simulator 3 Install the Masimo Patient Cable and attach the Masimo sensor to the patient cable 4 Connect the Masimo sensor to the finger simulation post 5 Place a fully charged battery into the battery well or connect to ac power dc power if equipped 6 Ensure that the SpO Simulator is off Do this Observe this Pass Fail 17 1 Turn the selector switch to MONITOR The SpO saturation percentage appears as a dashed line on the monitor o o For AED units turn the selector switch to ON and select Manual mode 17 2 Wait ten seconds The SpO2 PULSE SEARCH message displays o o Turn on the SpO gt simulator Press the SIM softkey on the Index SpO Simulator Press the MAN softkey 17 3 Press the 02 or 02 softkey of the simulator The E Series
20. is approximately 1100 volts below ground at 200J setting The voltage at the patient electrodes is set by the divider RN1 and RN2 These networks are each 5X 25 M 125 M total whose total resistance is specified to be 125 M 1 As a result the patient is nominally at ground and the hot switch bank is split into a positive side and a negative side Discharging Initiating a discharge provides voltage to the patient relay and notification to the Main System Board through the PADMON signal The Main System Board then controls activation of the patient relay Energy delivered to the patient goes through the biphasic bridge DAC assembly to create a defibrillation waveform When the patient discharge SCRs are deactivated the safety relay closes to internally dissipate any remaining energy If the E Series is in the self test mode the energy is delivered internally The microprocessor calculates the actual delivered energy from the current waveform and displays a TEST OK message on the display if the self test meets the appropriate criteria If the criteria are not met a TEST FAILED message displays High Voltage Capacitor Monitor Before charging the defibrillator the High Voltage Capacitor monitor runs a self test to check the pace relay The pace relay controls the high voltage circuitry configuration either for generating pace pulses or for charging the high voltage defibrillation capacitor The defibrillator capacitor is shunted
21. not properly attached to patient Y Reattach V lead Check cable ECG V5 LEAD OFF Chest lead V5 is not properly attached to patient Y Reattach V lead Check cable ECG V6 LEAD OFF Chest lead V6 is not properly attached to patient Y Reattach V lead Check cable ENTER ACCESS CODE Manual mode access code needed Y Enter access code to enter manual mode with AED ERASING REPORT Summary report being erased Y FAX BUSY FAX line at receiving FAX is busy Y FAX DIALING Preparation for sending fax Y FAX DONE Transmission complete Y FAX PREPARING Preparing fax for transmission Y FAX SENDING Transmitting fax Y 9650 1450 01 Rev A 2 9 E Series Service Manual Error Message Explanation User Technical Action Advisory INSERT CARD No card installed in unit during manual or semi automated Y Check memory card modes LOW BATTERY Low battery Y Replace battery or plug into AC power Replace charger NO QRS DETECT Unit is in sync mode and heart rate is lt 20 BPM or QRS Y Increase ECG size and or change lead amplitude is too low for proper synchronization NO SHOCK ADV No shock advised Advisory message when analysis finds Y non shockable rhythm NOISY ECG Number of noisy analysis intervals exceeds threshold Y Stop all patient movement Check connections Press Analyze button again OPEN AIR DISCHARGE Cap voltage too high after discharge attempt e g full energy discharge did not occur Replace p
22. port to be non functional Replace system board high voltage module or capacitor DEFIB FAULT 95 Safe or shutdown line is not functional Replace high voltage module DEFIB FAULT 108 VMON voltage is less than the target energy during charging Replace high voltage module or capacitor 9650 1450 01 Rev A 2 7 E Series Service Manual Error Message Explanation User Technical Action Advisory DEFIB FAULT 109 Defib capacitor voltage is greater than selected energy Replace high voltage module or capacitor when defibrillator is charging or ready DEFIB FAULT 111 Defib capacitor voltage has exceeded the absolute Replace high voltage module capacitor and or maximum acceptable voltage system board DEFIB FAULT 195 Current higher than expected was detected during the Ensure pads paddles are used properly Biphasic bridge test or immediately following a discharge Attempt to clear the message by turning the Selector switch to off then back to the desired operating modes Replace bridge or high voltage module DEFIB FAULT 196 Biphasic module not operating properly while charging Charge again Attempt to clear the message by turning the Selector switch to OFF then back to the desired operating mode Replace bridge or high voltage module DEFIB NOT CHARGED Discharge button is pressed but the unit is not charged Y DEFIB PAD SHORT Measured impedance between high voltage leads of M
23. pressure is in inches of mercury multiply it by 25 4 to convert to mmHg 1 34 9650 1450 01 Rev A E Series Service Manual 20 0C0O5 Accuracy Check Tools Needed None Test Setup None Do this Observe this Pass Fail NA 20 1 Connect the CAPNOSTAT 5 CO2 Sensor to the NOTE Make sure the airway adapter for Mainstream or the cannula for yellow connector at the back of the E Series Sidestream is installed in the CO cable unit and connect an airway adapter to the sensor 20 2 While pressing and holding the second softkey The unit displays EtCO gt Calibration screen from the left turn the selector switch to Monitor ON for AED units 20 3 Wait for the sensor to warm up The message WARM UP is displayed for approximately one minute 20 4 Obtain current room temperature in Centigrade C 20 5 Press the Select Gas Temp softkey to enter the CO Accuracy screen 20 6 Use the Prev Next Inc and Dec softkeys to set each digit of the gas temperature parameter in the CAPNOSTAT 5 CO Sensor until Gas Degrees C is equal to the room temperature 20 7 Press the Return softkey to store the o o o temperature and return to the main EtCO Calibration screen 20 8 Press the Zero softkey to zero the mainstream o o o CAPNOSTAT 5 COs Sensor Airway Adapter 20 9 Attach a regulated flowing gas mixture of 5 The gas flow rate should already be preset to 2 to 5 liters per minute CO
24. results on the Maintenance Tests Checklist 9650 1450 01 Rev A E Series Service Manual 7 0 Heart Rate Display Test Tools Needed e Calibrated ECG simulator with 60Hz sine wave output capability e Mini phone plug for measuring output signal from 1 Volt ECG OUT jack optional e ECG Cable 3 or 5 leads Test Setup 1 Turn the selector switch to MONITOR Press LEAD button until I displays 2 Connect the ECG leads to the Fluke Biomedical Impulse 4000 or equivalent 3 Connect the ECG cable to the unit Do this Observe this Pass Fail NA 7 1 Set the ECG Simulator to 120BPM The Heart Rate displays as 120 2 bom o Oo oO Record your results on the Maintenance Tests Checklist 1 16 9650 1450 01 Rev A E Series Service Manual 8 0 Calibrating Pulses on Strip Chart Test Tools Needed None Test Setup None Do this Observe this Pass Fail NA 8 1 Press the RECORDER button 8 2 Press and hold SIZE button to activate the The strip chart displays a signal of 300 ppm with an amplitude of 10 mm 1 o o o calibration signal mm The signal also appears on the video display Record your results on the Maintenance Tests Checklist 9650 1450 01 Rev A 1 17 E Series Service Manual 9 0 Notch Filter Test Tools Needed Fluke Biomedical Impulse 4000 or equivalent Test Setup 1 Connect the ECG cable to the Fluke Biome
25. signal from the GA that operates the solid state patient relay when 0 true XPAT_ENABLE Logic signal from the processor controlled by the monitor that grants operation of the solid state patient relay It is false during pacing XPACE_SEL Hardware only signal from the front panel switch that is at 0 during pace Used as an additional safety interlock on the solid state patient relay so that operation of the relay during pacing is additionally disabled Internal Discharge Resistor Module The Internal Discharge Resistor Module contains the internal discharge resistor and a means for dissipating the heat generated by the internal discharge AC DC Charger Module The AC DC Power Battery Charger provides a universal IEC 320 connection to the AC mains or to a DC source input line filtering and double pole fusing for a mains input AC DC and DC DC conversion and isolation barrier between the E Series and power sources This module also provides the power necessary to run the E Series in any mode of operation as well as providing additional charging current to the battery When the E Series is turned off but connected to an external AC or DC source the charger module controls battery charging currents and voltages needed to charge the E Series battery These voltages and currents are controlled in response to the main CPU signals that manage the battery charging process 4 10 9650 1450 01 Rev A E Series Servic
26. the ANALYZE button and the SHOCK button The five softkeys underneath the display provide specific operations depending on the unit s configuration The other push buttons from left to right are used for volume control monitor illumination summary report and code markers The CHARGER ON indicator displays the status of the unit s power supply This input module on the front panel and the Main System Board provides a beeper for the AC DC Power Battery Charger The Controls PWBA is physically located in the front panel assembly Units that are equipped for voice recording include a microphone and audio signal conditioning circuitry on the Controls PWBA Isolated Power Supply Module The Isolated Power Supply Module provides electrically isolated power to the EtCO and SpO modules It also provides the electrically isolated serial communications and isolated control signals between the EtCO and SpO modules and the main system PWBA 9650 1450 01 Rev A 4 11 E Series Service Manual E Series Options The following sections describe the E Series options 12 Lead Option The ZOLL E Series 12 lead option is used to acquire ECG data needed to assist in the diagnosis of myocardial infarction heart attack often caused by a coronary artery occlusion The 12 lead ECG can be viewed on the display one lead at a time in monitoring and diagnostic bandwidths and printed in the standard 4x3 format with 12 simultaneously acquired leads
27. the CONTRAST button Contrast menu displays o o 2 13 Press the CONTRAST button Background light and characters display o o o To increase the contrast of the display press The contrast increases on the monitor display o o the Inc softkey The bar graph increases on the display indicating an increase in contrast o o o 2 14 To decrease the contrast of the display press The bar graph decreases on the display indicating a decrease in contrast The o o the Dec softkey display contrast changes 2 15 Press the SUMMARY button Summary menu displays on the monitor showing the summary report options o o o 2 16 Press the CODEMARKER button Code marker menu displays o o o 2 17 Connect a c current and install the battery Turn The CHARGER ON indicator lights o o o the unit off The amber or green lights illuminate Note If both lights flash ON OFF the unit is defective or no battery is installed 9650 1450 01 Rev A 1 7 E Series Service Manual Do this Observe this Pass Fail NA 2 18 If applicable connect d c current and install the The CHARGER ON indicator lights o o o battery Turn the unit off The amber or green lights illuminate The yellow light indicates the battery is being charged The green light indicates the battery is fully charged to present capacity If both lights flash ON OFF the unit is defective or no battery is installed 2 19 Remove the battery Note that both charge lights green an
28. tolerate the 50ml min removal of the sample gases from their breathing circuit The sidestream module uses specially designed cannulas and airway adapters for sampling airway gases and passing them through an integrated sample cell which connects to the LoFlo module s CO sensor These cannulas incorporate a filter and sample cell providing maximum filtration of fluids and contaminants and protecting the system from aspiration of these fluids In both systems the CO sensor generates infrared light and beams it through the airway adapter or sample cell to a detector on the opposite side CO from the patient flowing through the mainstream airway adapter or sample cell absorbs some of this infrared energy The E Series unit determines CO concentration in the breathing gases by measuring the amount of light absorbed by gases flowing through the airway or sample cell 9650 1450 01 Rev A 4 13 E Series Service Manual The E Series unit displays EtCO2 the concentration of carbon dioxide detected at the end of each exhalation as a numerical value in millimeters of mercury mmHg percent or kilopascals kPa In addition the unit can display a capnogram This capnogram is a valuable clinical tool that can be used to assess patient airway integrity and proper endotracheal ET tube placement The unit calculates respiration rate by measuring the time interval between detected peaks of the CO2 waveform The technology differentiates between wav
29. 0 Physical Inspection 2 0 Front Panel Button 2 o o 7 0 Heart Rate Display 11 0 Defibrillator Result of Check Pass Fail N A Test Test Self Test i 1 1 o o o Pass Fail N A 3 0 Leads Test Pass Fail N A Pass Fail N A o No action required i 21 Pass Fail N A 71 o m 0 Wi o o 0 o Minor problems corrected OOTO j T Ee eee S O 0 1 2 o o o o Disposable supplies E o oO O 3 2 8 0 Pulse Calibration replaced 14 EK 238 oo o oO Test 1 3 o o o o Major problems identified ne 2A O o o 33 o o o Pass Fail N A H o unit out of service 0 0 0 8 2 Tee Cees 25 o o o SO O 0 SES 15 o o o Additional Remarks E O O o 2 6 O O O 4 0 Power Supply Test 9 0 Notch Filter Test 11 6 0 O O 18 E 2 7 o o o Pass Fail N A Pass Fail N A 17 o o o E 2 w O oe e Ee 923 o o o DO oO 43 12 0 Synchronized iO ao O O E i O 10 0 Heart Rate Alarm Cardioversion Test 210 o o o AA O O O Test Pass Fail N A I o Pass Fail N A 12 2 2 11 4 5 o o o o o oO 1 12 O Toe S O O O 10 1 O O O 2 12 4 6 124 0 0 o 1 13 NO Ao ee E o o o e 102 o o o EE nee 213 o o o S o 0 0 103 o o o 130 Shock Test 2 13a 410 0 o o Pass Fail N A iE o E Wi 213b o o o 52 5 0 Leakage Current 10 5 o o o 13 3 E o O Test 3 o o o e 10 6 o o o 215 0 o o Pass Fail N A 13 4 0 o o 5 1 10 7 one a o o o O Q 135 o o o 217 o o o 6 0 Paddles Test E A 109 oo o 2 18 o o o Pass Fail N A 137 o o o 10 10 219 oo o EE ee 38 oo o 10 11 220 o o o E EE 139 oo
30. 2VEE 12 0 VDC Power for Analog circuits 12 0 Linear 15VDD 15 0 VDC Power for VPP and 12VEE 15 0 Switching 300 kHz LCD_BS LCD BIAS Power for LCD display 18 Switching 100 kHz 2 3REF 3 3 VDC Reference 3 3 Linear 9650 1450 01 Rev A 4 5 E Series Service Manual ECG Front End The ECG front end provides an electrically isolated serial interface between the main system board functions and patient interface ECG connectors It performs the following e Analog ECG amplification and signal conditioning e Pacemaker pulse detection e ECG signals acquisition and analog to digital conversion e ECG 3 5 12 lead detection e ECG leads off detection e Front end defibrillator protection e Isolated power conditioning e Patient impedance measurement via MFE or paddles Multifunction Electrode MFE PADS System Board and High Voltage Module Selected for optimal performance for the application a dedicated ECG amplifier with a limited bandwidth processes the signal It is then chopper modulated and coupled to the system side via an isolation transformer On the system side the signal is synchronously demodulated converted by a 10 bit A D at 250 samples per second and digitally processed by the main control unit of the system board To measure thoracic impedance a high frequency HF measuring current passes through the patient s chest and measures the resulting voltage across the electrodes After amplification the i
31. 450 01 Rev A E Series Service Manual 23 0NIBP Volume Leak Test with Fluke Biomedical Cufflink NIBP Analyzer The volume leak test verifies the integrity of the pneumatic system on the NIBP module This test is optional at 6 months but should be performed annually or every 10 000 readings whichever comes first Tools Needed Fluke Biomedical Fluke Biomedical Cufflink NIBP Analyzer Test Setup 1 Connect the Analyzer s simulator hose to the NIBP connector on the E Series unit 2 Connect the Analyzer to the E Series unit as described in the manufacturer s instructions 3 Configure the NIBP Analyzer for the volume leak test by selecting Leak Test Note that you can also consider using the internal Digital Manometer and stopwatch 4 Make sure the ECG cable is not connected to the E Series unit 5 If the SpO2 option is installed make sure that the Masimo cable is NOT connected to the E Series unit Do this Observe this Pass Fail 23 1 Turn the Selector Switch to OFF The E Series powers on in the NIBP Service Mode After 10 seconds press and hold the fourth softkey from the left and turn the Selector Switch to MONITOR 23 2 Press the Leak Test softkey The E Series displays the NIBP Leak Test Screen 23 3 On the NIBP Analyzer set the pressure The NIBP Analyzer displays a pressure reading of 200 mmHg parameter to 200 mmHg 23 4 On the E Series unit press the Close Valves The Valves status changes f
32. 5 1005 0013 01 1005 0013 02 1005 0013 03 9170 0500 1005 0009 9301 0318 9310 0915 9126 0006 9310 0521 9310 0520 9310 0908 9310 0900 90 9330 0517 3 3 E Series Service Manual 3 4 Description Output ESD PCB Assembly Paper Tray Out Sensor PCMCIA Connector Assembly Printer Frame Printer Interconnect Printer Leafspring Printhead Printhead Brush Recorder Motor Assembly Recorder Roller Right Rail Speaker Assembly Upper Housing Part Number 9301 0354 9301 0385 01 3001 0300 9310 0918 9301 0387 01 9320 0300 0350 0350 9340 0102 3000 0100 9330 0300 9310 0907 1005 0002 9310 0902 90 9650 1450 01 Rev A E Series Service Manual Field Replacement Parts Description AC Charger PCB AED Control Board with Pace AED Control Board without Pace Battery Interconnect Bi phasic Bridge Bluetooth Module Communications PCB with GPS Communications PCB with GPS And Bluetooth Control Board with Audio with Pace Control Board with Audio without Pace Control Board with Pace Control Board without Pace HV Module Assembly Isolated Power Supply Masimo SPO2 MS 11 PCB NIBP Suntech Advantage 2 Assembly Neonatal Printer Assembly System Interconnect System PCB 9650 1450 01 Rev A Part Number 9301 0388 01 9301 0384 03 9301 0384 04 9301 0389 01 9301 0370 02 3001 0104 9301 0390 01 9301 0390 02 9301 0384 07 9301 0384 08 9301 0384 01 9301 0384 02 1001 0278 02 9301 0383 01 3005 0001 1001
33. ESSARY PRECAUTIONS TO GUARD AGAINST SHOCK OR INJURY BEFORE YOU START CONDUCTING THE DEFIBRILLATOR TESTS Keep hands and all other objects clear of the multi function cable connections and defibrillator analyzer when discharging the defibrillator Before you discharge the defibrillator warn everyone near the equipment to STAND CLEAR 30 Joules may damage the unit Do NOT internally discharge the unit more than 3 times in 1 minute Note that multiple rapidly repeating internal discharges at more than Tools Needed MFC Test Port Connector 1004 0053 99 with universal cable MFC Test Adaptor Connector Fluke Biomedical Part Number 3010 0378 or equivalent Fluke Biomedical Impulse 4000 or equivalent defibrillator analyzer ECG Cable Stop watch Test Setup 1 Ensure the unit is turned off 2 Ensure the ECG cable is connected to the unit and analyzer Note The universal cable should not be connected to any equipment at the beginning of this test Do this Observe this Pass Fail 11 1 Turn the selector switch to DEFIB mode CHECK PADS POOR PAD CONTACT message displays o o For AED units turn the selector switch to ON and select Manual mode Set leads to PADS 9650 1450 01 Rev A 1 21 E Series Service Manual Do this Observe this Pass Fail 11 2 Connect the universal cable to the MFC test DEFIB PAD SHORT message displays o o port 11 3 Sele
34. FC Y Ensure pads are coupled to patient Check replace pads or universal cable Replace system board DISABLE SYNC Sync mode active when analyze pressed in defib Y DISCHARGE FAULT Defib capacitor voltage is not decreasing Replace high voltage module capacitor and or system board ECG FAULT 4 Communication fault between ECG processor and main Turn off unit and then turn on to reset If fault processor persists replace system board ECG FAULT 5 ECU RAM test failure or ROM checksum test failure Turn off unit and then turn on to reset If fault persists replace system board 9650 1450 01 Rev A E Series Service Manual Error Message Explanation User Technical Action Advisory ECG LEAD OFF One or more ECG leads are not properly connected when v Check cable and patient connection Change leads are selected as input electrodes Prepare patient s skin ECG TOO LARGE ECG signal too large for accurate shockable rhythm Y Reduce ECG size analysis ECG V LEAD OFF V LEAD cable is not properly attached Y Attach V LEAD cable ECG V1 LEAD OFF Chest lead V1 is not properly attached to patient Y Reattach V lead Check cable ECG V2 LEAD OFF Chest lead V2 is not properly attached to patient Y Reattach V lead Check cable ECG V3 LEAD OFF Chest lead V3 is not properly attached to patient Y Reattach V lead Check cable ECG V4 LEAD OFF Chest lead V4 is
35. Hg Heart pressure 80 bpm Note If you are using the Fluke Biomedical CuffLink you must change the shift value of the Blood Pressure Envelope to 3 on the Pressure Curve Adjust Menu 3 Make sure the ECG cable is not connected to the E Series unit 4 Ifthe SpO2 option is installed make sure that the Masimo cable is NOT connected to the E Series unit Do this Observe this Pass Fail 21 1 Turn the selector switch to MONITOR mode For AED units turn the selector switch to ON and select Manual mode The E Series powers on in MONITOR mode 21 2 Ensure that the LEADS parameters is set to PADS default If necessary press the LEADS button to cycle through the values to select PADS The E Series displays PADS in the Lead selection field on the monitor 21 3 Press the NIBP button on the E Series front panel Verify that the values displayed are accurate within 5 mmHg of the pressure parameters set on the NIBP Analyzer The E Series initiates the blood pressure measurement cycle and displays the following measurements e systolic pressure 115 125 mmHg e diastolic pressure 75 85 mmHg e mean pressure 88 98 mmHg 9650 1450 01 Rev A 1 37 E Series Service Manual Do this Observe this Pass Fail 21 4 Press the SUMMARY button on the E Series front panel 21 5 Select the Trend softkey then select the NIBP The E Series displ
36. Parts cccccccssecccc cirio id 3 5 Chapter 4 Functional Deep zees esckeut eegenen irradia eebe oaaae nahani 4 1 Main System Board DE 4 2 EIERE lte Ree e 4 4 Se le CIE 4 5 ECG Front End ker eebe aida 4 6 Multifunction Electrode MFE PADS System Board and High Voltage Module cccceeeceeeeeeeseeeeeeeeeaeetees 4 6 CPU andiEP WU wanes aia i ia a is decent etn eens Ate ee ol ele i 4 6 High Voltage Module cia Eege 4 7 Defibrillator Charging and Discharging ccccccccesecceeeeeeeeeeeeeeeaeeeeeeeeecaaaeseeeeeecaaaeeeeeeeecaaeeeseaeeeseaeeesaaeseneeeessiaeeseaes 4 7 CORONA a 4 7 DISC ii As Aia 4 8 High Voltage Capacitor Monttor viii dd A bb 4 8 Pacer Defibrillator Control Signals ooonnccccnnnnninnnncnncnnnnacccnccccnnnarnn cnn nora 4 9 Internal Discharge Resistor Module oooccoooococcccconnnconccccnnononn conan non cnn eee eeeaaeeeseceaaeeeeeeeaaaeeeseeeaaaeeeseaaaeeeeeeenaaeeeeeeeaaes 4 10 AC DC Charger Module r aer e e ea r are r e ar aa a araa r e aaa ae Aaa aa aaa Aaa Ea a PAEH SE Erna an arei Einn 4 10 System Interconnect Module 200 de 4 11 ii 9650 1450 01 Rev A Stripchart Recorder PEMCIA SOIS iia da deeg A Eet degen die e ees Front Panel and Controls PWBA Isolated Power Supply Module E Series Options 12 Lead Option cic attics nen eid deen Soe A ad eet Me eed ee i aaa Pulse Oximetry SPO2 isa End Tidal Carbon Dioxide EtCO2 Noninvasive Blood Pressure Appendix A Overview 9650 1450
37. Release shock button Discharge button pressed before defib reached ready state Check paddles Replace controls board 9650 1450 01 Rev A E Series Service Manual Error Message Explanation User Technical Action Advisory REPLACE BATTERY Battery voltage is less than absolute minimum Shutdown Y Replace with charged battery imminent REPLACE CARD Write errors during manual or semi automated modes Y May have configuration card installed or write protection on REPORT FULL Summary report memory full Y Erase summary report REPORT HALTED Summary report stops printing unexpectedly Turn unit off and then back on again Print Summary again If fault persists replace system board SELECT 30J FOR TEST Attempt to run a self test at an energy other than 30J Y SELECT DEFIB MODE Analyze button pressed in pace or monitor mode Y SELECT LEADS 12 Lead monitor determined the user selected MFE SELECT LIMB LEADS Paddles or augmented ECG leads selected when Y Select limb leads II III or MFE continuous analysis active or started SELECT PADS Lead I Il or Ill selected when analyze pressed Y SET CLOCK Real time clock failure invalid date or time Set date and time and or replace system board SET PACE mA Multiple copy errors are the product of intended software Y Set pace current If broken replace system board or memory errors If error reoccurs other than on entering pace
38. TTERY 2 10 NO QRS DETECT 2 10 EtCO2 Isolated Power Supply Assembly 4 11 EtCO2 Isolated Power Supply Assembly 4 3 F FAX DIALING message 2 9 FAX DONE message 2 9 FAX PREPARING message 2 9 FAX SENDING message 2 9 Front End Protection Circuitry High Voltage Module 4 7 G Gel droop 2 3 H High Voltage Capacitor monitor 4 8 High Voltage Module Assembly 4 7 IN 2 INSERT CARD message 2 10 Interference radio and cell phone vi Internal Discharge Resistor Module 4 10 Components of Charge 4 10 Isolated Power Supply function 4 11 L Logic Control Signal 4 10 LOW BATTERY message 2 10 Main System Board 4 3 Maintenance Tests equipment 1 3 Messages 2 3 Monitoring User interface module 4 11 N NO QRS DETECT message 2 10 NO SHOCK AD message 2 10 NOISY ECG message 2 10 Notch filter test 1 18 O Ordering Replacement Parts part numbers 3 5 P Pacer Defibrillator function 4 9 PACER OUTPUT knob pacing 4 9 PCMCIA Interface 4 3 Power Supply MCU 4 5 Power supply function 4 5 R Radio frequency emissions vi Radio Frequency Interference vi S Safety Consideration v Safety Relay 4 7 Safety Warnings v SELECT 30J FOR TEST message 2 12 SELECT DEFIB MODE message 2 12 SELECT LIMB LEADS message 2 12 SELECT PADS message 2 12 Service Address vii Service Policy Warranty vii United States Outsideof the United States vii SET CLOCK message 2 12 SET PACE RATE message 2 12 SHOCK ADVISED message 2 12 Sol
39. The 12 lead option provides for the recording printing and automated analysis of 12 lead ECG using GE Marquette 12SL Analysis and supports the transmission of these reports by fax to a remote location such as a hospital In the pre hospital environment the 12 lead reports can be faxed to a physician as the patient is en route to the Emergency Department As a result the physician can initiate hospital accommodations immediately such as activating the staff of the cardiac catheterization lab prior to the patient s arrival and subsequent treatment Or the patient may be treated in the pre hospital environment with thrombolytic agents The 12 lead cable is required to produce 12 lead reports E Series unit must have the 12 lead option installed All limb leads and V leads must be connected to initiate a 12 lead acquisition Printed 12 Lead bandwidth is user configurable to be either 0 05 150 Hz per AAMI EC11 or 0 05 40 Hz The 0 05 40 Hz bandwidth selection is used to reduce noise artifact in the high end of the diagnostic frequency range Reports can be printed in a standard 4x3 or Cabrera format Faxed reports can be configured in a 2x6 format in addition to 4x3 and Cabrera formats The GE Marquette 12SL Analysis algorithm provides measurements of the 12 lead waveforms along with interpretive statements The algorithm is interpretive not diagnostic A physician should always confirm interpretive statements A diagnosis requires a complete cli
40. VOLTAGE message 2 5 BATT OVERCHARGE message 2 5 DEFIB FAULT 109 2 8 DEFIB FAULT 111 2 8 DEFIB FAULT 71 2 7 charging and discharging 4 7 energy levels 4 7 Defibrillator Choke 4 7 Battery Pack 4 3 Defibrillator self test 1 21 DEFIB FAULT 72 2 7 DISABLE SYNC message 2 8 DEFIB FAULT 76 2 7 CG DISCHARGE FAULT message 2 8 DEFIB FAULT 77 2 7 Discharging 4 8 DEFIB FAULT 78 2 7 CABLE FAULT message 2 6 CHECK PADS POOR PAD CONTACT message 2 3 E CHECK PULSE message 2 6 CHECK RECORDER message 2 6 E Series CHECK SPO2 SENSOR message 2 6 CLOCK FAULT 11 message 2 6 CLOCK FAULT 12 message 2 6 CLOCK FAULT 13 message 2 6 DEFIB FAULT 79 2 7 DEFIB FAULT 80 2 7 DEFIB FAULT 81 2 7 DEFIB FAULT 84 2 7 description 4 1 DEFIB FAULT 85 2 7 main components 4 2 DEFIB FAULT 86 2 7 ECG FAULT 4 message 2 8 DEFIB FAULT 87 2 7 ECG FAULT 5 message 2 8 DEFIB FAULT 94 2 7 CONFIRM MANUAL MODE message 2 7 ECG Front End 4 6 DEFIB FAULT 95 2 7 Contacting Technical Service vii ECG Front End Signal Acquisition 4 3 DEFIB NOT CHARGED 2 8 Conventions vi ECG LEAD OFF message 2 9 DEFIB PAD SHORT 2 8 ECG LEADS OFF message 2 2 DISABLE SYNC 2 8 IN 1 E Series Service Manual DISCHARGE FAULT 2 8 ECG FAULT 5 2 8 ECG LEAD OFF 2 9 ECG TOO LARGE 2 9 ECG V2 LEAD OFF 2 9 ECG V3 LEAD OFF 2 9 ECG V4 LEAD OFF 2 9 ECG V6 LEAD OFF 2 9 ENTER ACCESS CODE 2 9 ERASING REPORT 2 9 FAX DIALING 2 9 FAX DONE 2 9 FAX PREPARING 2 9 FAX SENDING 2 9 INSERT CARD 2 10 LOW BA
41. ZOLL ons SERVICE MANUAL ZOLL MEDICAL CORPORATION 9650 1450 01 Rev A October 2008 ZOLL E Series and RescueNet are registered trademarks and SurePower Charger Station is a trademark of ZOLL Medical Corporation All other trademarks and registered trademarks are property of their respective owners Copyright 2008 ZOLL Medical Corporation All rights reserved 9650 1450 01 Rev A TABLE OF CONTENTS ai CC Lei E v Safety Considerations a e a a a EEN EENS v Additional Reference Material ccccsseeeceessseeeeeeensseeeeeeensneceeeeensaneeeeeensaneeseeensaueesesensaueeseeensneeesesesaeeeseeensseeeeenenses vi CONVONTIONS eiii vi Service Policy Warranty iii A ia vii Technical S rviCe i vii Technical Service for International CUSTOMEES ccsseeceseeeeseeeeeeeeeeeeneneeeneneeesaaeeenseeeeasaaeeeeeeesesnaeseneeeesseeseneeeees viii Chapter Maintenance Tests cocina 1 1 ANA gt ces ebeuuineneey E A 1 1 Before You Begin the Maintenance TeSts ccceseeencseeseeeeeeseeneeeseseeeeeeeseseeeneeseeseeeeeeseseeeeeeseeseeenaeeaeeeneeeeeseeeneneets 1 2 Equipment You Need to Perform the Maintenance TeSts ccccseseeceeeseeeeeeeeseeeeeeseesaeeeeeesesneeeeeeeasnesenenneeeeenenes 1 2 Equipment You Need for the E Series Options Maintenance Tests cccceseeeeeeseeeeceeeesenseeeeesnessceeeeeneeeeeness 1 3 Physical Inspection en EE 1 4 Front Panel Button TesStuacnintiiat ria Sa a aa AE Eege ae 1 6
42. able s V lead connector e IfaV1 lead wire metal snap comes in contact with the patient s skin then the system will show all V leads as OFF e Remove V1 leads and others away from the patient Turn off the unit and wait ten seconds before turning it back on 2 2 9650 1450 01 Rev A E Series Service Manual Reported Problem Recommended User Action Recommended Technical Action CHECK PADS POOR PAD CONTACT message displays e Remove and reinsert PADS connector into the universal cable e Check for damaged defibrillator pads wires and or connector e Check for dried out or expired defibrillator pads e Clip not shave the patient s hair and wipe pad contact area dry e Connect the cable to the test plug The DEFIB PAD SHORT message displays to indicate that the cable is functioning properly e Ifthe DEFIB PAD SHORT message displays then check the connections of the pads to the patient and to the defibrillator cable e Ifthe DEFIB PAD SHORT message does not display remove the defibrillator from service e Connect universal cable to the shorting plug The DEFIB PAD SHORT message should display when you SELECT PADS If the message does not display then e Try another universal cable e Check the cable from the universal cable connector to the High Voltage Module e Check the cable from the High Voltage Module to the system board e Remove and replace the High Voltage Module e Remove and r
43. addles and or high voltage module and system board PACER DISABLED User prompt issued simultaneously with other pace faults if pacing is disabled Replace high voltage module or system board PACER FAULT 115 Flyback pulse width control circuit is not under proper control of the processor and gate array Replace high voltage module capacitor or system board PACER FAULT 116 Failure to detect XPACE_ON Replace high voltage module capacitor and or system board PACER FAULT 117 Pace relay is stuck closed Replace high voltage module capacitor and or system board PACER FAULT 121 During pace the pace pulse width lt 30ms or gt 50ms Replace high voltage module or system board PACER FAULT 122 Pace current is more than 15mA above and below selected value Replace high voltage module or system board PACER FAULT 123 Measured pace rate is too fast compared to selected rate Replace high voltage module or system board PACER FAULT 126 Issued in conjunction with message 122 Pace current is more than 15mA and below selected value Replace high voltage module 2 10 9650 1450 01 Rev A E Series Service Manual Error Message Explanation User Technical Action Advisory PADDLE FAULT Cannot detect type of accessory attached to the universal Replace paddles internal paddles system board cable high
44. alyzer arrow over the ECG R wave peaks on strip chart and display 12 3 Select 200J 12 4 Press the CHARGE button When the SHOCK Observe that the R wave to shock delay sync delay is less than 60 o o button lights press and hold the SHOCK milliseconds on the analyzer display button Defibrillator discharges Record your results on the Maintenance Tests Checklist 9650 1450 01 Rev A 1 23 E Series Service Manual 13 0 Shock Test Tools Needed Fluke Biomedical Impulse 4000 or equivalent defibrillator analyzer Test Setup 1 Stop watch 2 Connect the universal cable via the adapter D N I 3010 0378 to the defibrillator analyzer 3 Ensure that a fully charged battery is installed in the unit Note If your E Series AED does not have manual override capability do not perform this test Do this Observe this Pass Fail NA 13 1 Turn the selector switch to DEFIB mode For AED units turn the selector switch to ON and select Manual mode 13 2 Press the ENERGY SELECT down arrow until DEFIB 1J SEL displays o o o 1J displays 13 3 Press the CHARGE button Wait for the SHOCK DEFIB 1J RDY displays o o o button to illuminate 13 4 Press the SHOCK button Unit discharges 0J 2J into the simulator Note The displayed rhythm may o o o change shape for 30 seconds before it returns to an original rhythm This is caused by the operation of the adaptive bandwidth defibrillato
45. attempting to disassemble the unit Only qualified personnel should service the E Series unit Federal U S A law restricts this unit for use by or on the order of a physician Safety and effectiveness data submitted by ZOLL Medical Corporation to the Food and Drug Administration FDA under section 510 K of the Medical Device Act to obtain approval to market is based upon the use of ZOLL accessories such as disposable electrodes patient cables and batteries The use of external pacing defibrillation electrodes and adapter units from sources other than ZOLL is not recommended ZOLL makes no representations or warranties regarding the performance or effectiveness of its products when used in conjunction with pacing defibrillation electrodes and adapter units from other sources If unit failure is attributable to pacing defibrillation electrodes or adapter units not manufactured by ZOLL this may void ZOLL s warranty Only qualified personnel should disassemble the E Series unit WARNING This unit can generate up to 2250 volts with sufficient current to cause lethal shocks 9650 1450 01 Rev A v E Series Service Manual All persons near the equipment must be warned to STAND CLEAR prior to discharging the defibrillator Do not discharge the unit s internal energy more than three times in one minute or damage to the unit may result Do not discharge a battery pack except in a ZOLL SurePower Charger Station or compatible ZOLL Battery C
46. aximum Leakage Acceptance Limits Normal Condition Single Fault Condition ECG 10uA 50uA MFC 100uA 100uA Earth 500uA 1000A Single fault considered AC mains on applied part 1 14 9650 1450 01 Rev A E Series Service Manual 6 0 Paddles Test If applicable Tools Needed None Test Setup If applicable connect the universal cable to the paddles and place the paddles in paddle wells off The recorder runs Do this Observe this Pass Fail NA 6 1 Turn the selector switch to DEFIB Press and The energy selection decreases to 1J o o hold the ENERGY DOWN button on the sternum paddle 6 2 Press and release the ENERGY UP button on 1 10 15 20 30 50 70 85 100 120 150 200J o o the sternum paddle for each setting 6 3 Press and release the RECORDER button on The recorder turns on Press and release again to turn off o o o the sternum paddle 6 4 Select 30J using the paddle ENERGY button The unit charges to 30J then the red LED charge indicator illuminates and the o o Press the CHARGE button on the Apex paddle charge tone sounds Note that the front panel shock button does not illuminate 6 5 Press and release the APEX SHOCK button No discharge o o 6 6 Press and release the STERNUM SHOCK No discharge o o button 6 7 Press and hold both paddles SHOCK buttons The unit discharges The TEST OK message displays and the red LED turns o o Record your
47. ays a summary of the NIBP measurements including the o o Trend softkey pulse rate reading in the range of 77 83 bpm Record your results on the Maintenance Tests Checklist 1 38 9650 1450 01 Rev A E Series Service Manual 22 0NIBP Volume Leak Test with Fluke Biomedical NIBP Analyzer The volume leak test verifies the integrity of the pneumatic system on the NIBP module This test is optional at 6 months but should be performed annually or every 10 000 readings whichever comes first Tools Needed Fluke Biomedical BP Pump NIBP Monitor Analyzer Test Setup 1 Connect the Analyzer s simulator hose to the NIBP connector on the E Series unit 2 Configure the NIBP Analyzer for the volume leak test For example on the Fluke Biomedical BP Pump e Press the MODE button three times to go into Tests mode e Press the SELECT button twice to access the volume leak test 3 Make sure the ECG cable is not connected to the E Series unit 4 If the SpO2 option is installed make sure that the Masimo cable is NOT connected to the E Series unit Do this Observe this Pass Fail 22 1 Turn the Selector Switch to OFF The E Series powers on in the NIBP Service Mode After 10 seconds press and hold the fourth softkey from the left and turn the Selector Switch to MONITOR 22 2 Press the Leak Test softkey The E Series displays the NIBP Leak Test Screen 22 3 On the NIBP Analyzer set the pressure The NIBP Analy
48. balance Nitrogen N gt to the airway adapter for Mainstream or cannula for Sidestream 9650 1450 01 Rev A 1 35 E Series Service Manual Do this Observe this Pass Fail NA 20 10 Set the Gas Balance settings of the CAPNOSTAT 5 CO Sensor to that of the calibration gas mixture No N O or He The default gas balance is No 20 11 Allow a few seconds for the gas mixture to stabilize and observe the CO2 Percent value The expected value is 5 0 26 20 12 1 Press the Return softkey to return to the main EtCO Calibration screen Record your results on the Maintenance Test Checklist The calibration gas mixture and regulator are available from Respironics Novametrix Equivalent alternatives are available from other suppliers e Gas Regulator PN 6081 00 e Calibration Gas carton of 4 tanks PN 8964 00 1 36 9650 1450 01 Rev A E Series Service Manual 21 0NIBP Monitor Test The NIBP monitor test verifies the accuracy of the systolic diastolic and mean blood pressure measurements as well as the patient pulse rate calculation Tools Needed Fluke Biomedical BP Pump NIBP Monitor Analyzer Test Setup 1 Connect the Analyzer s simulator hose to the NIBP connector on the E Series unit 2 Set the following parameters on the NIBP Analyzer Parameter Systolic pressure 120 mmHg Diastolic pressure 80 mmHg Mean pressure 93 mm
49. ce system board condition exits SYSTEM FAULT 37 Disable pace defib and MFE monitoring Replace system board SYSTEM FAULT 38 Failure to shutdown after shutdown order is written to the Replace system board RTC TEST FAILED MCU performed ipeak test defib peak current and unit Y Replace universal cable paddles or high voltage failed during 30J self test module capacitor or system board TEST OK MCU performed ipeak test defib peak current and unit Y passed 30J self test USE PADDLE DISCHG Front Panel discharge button is pressed when either Y external paddles or internal spoons with discharge buttons are connected USE PADS AUTO DEFIB MODE ONLY Y Attempt to defib with paddles in auto defib AED mode Defib only allowed using PADS in AED modes USE PADS TO PACE External paddles detected in pace mode Y 9650 1450 01 Rev A 2 13 E Series Service Manual Error Message Explanation User Technical Action Advisory USER SETUP REQ Both copies of stored cal config data are bad or have Y Perform configuration setup never been programmed VF ALARMS OFF VF alarms disabled in pace mode or when paddles are Y selected as leads VX LEADS OFF V lead not properly attached to patient X denotes lead Y Reattach V lead number ZERO CO ADAPTER New EtCO gt airway adapter needs to be zero calibrated Y Zero EtCO gt adapter 2 14 9650 1450 01 Rev A E Series Service Manual Cha
50. conduct the Operator s Shift Checklist procedure at the beginning of every shift This procedure can be completed in a few minutes and requires no additional test equipment See the ZOLL E Series Operator s Guide for the Operator s Shift Checklist A qualified biomedical technician must perform a more thorough maintenance test checkout every six months to ensure that the functions of the E Series unit work properly This chapter describes the step by step procedures for performing the six month maintenance test checkout Use the checklist at the back of this document ZOLL E Series Maintenance Tests Checklist to record your results of the maintenance tests This chapter describes the following maintenance tests Physical Inspection of the Unit Front Panel Button Test 3 5 and 12 Leads Test Power Supply Test Paddles Test Heart Rate Display Test Calibrating Pulses on Strip Chart Test Notch Filter Test 10 Heart Rate Alarm Test 11 Defibrillator Self Test e 12 Synchronized Cardioversion Test e 13 Shock Test 14 Summary Report Test 1 2 3 4 5 Leakage Current Test 6 7 8 9 9650 1450 01 Rev A 1 1 E Series Service Manual 15 Advisory Message Test e 16 Pacer Test e 17 SpO Monitor Test e 18 EtCO Monitor Test e 19 Barometric Pressure Calibration Check e 20 CO2 Accuracy Check 21 NIBP Monitor Test e 22 NIBP Volume Leak Test with Fluke Biomedical NIBP Analyzer
51. ct energy level of 100J and press the The charge time is gt 2 second and lt 10 seconds and SELECT 30J FOR TEST o o CHARGE button is displayed 11 4 Press the SHOCK button Unit does not discharge DEFIB PAD SHORT message displays o o 11 5 Set energy level to 30J Unit internally discharges o o 11 6 Press the CHARGE button Unit charges to 30J and displays DEFIB 30J READY The charge ready tone o o sounds 11 7 Press and hold SHOCK button Unit discharges TEST OK message and number of joules delivered message o o displays For example using the message at the top of the printed strip chart would read as follows 30 JOULES TEST OK TEST_CUR 10 14A DEFIB_IMPED 0 The impedance value may range from 0 to 5Q Record your results on the Maintenance Tests Checklist 1 22 9650 1450 01 Rev A E Series Service Manual 12 0 Synchronized Cardioversion Test Tools Needed Fluke Biomedical Impulse 4000 or equivalent defibrillator analyzer Test Setup 1 Connect the universal cable via the adapter D N I 3010 0378 to the defibrillator analyzer 2 Select cardioversion on analyzer Input 1mV ECG signal at 60 120 BPM Do this Observe this Pass Fail 12 1 Press LEAD button to select PADS and Size AT 12 2 Press the SYNC softkey on the defibrillator Sync appears on display o o Enter synchronized cardioversion timing test Sync markers display on the monitor The sync marker appears as a down mode on the defibrillator an
52. d amber flash alternately o o 2 20 Replace the battery and the turn unit on Note that the yellow charge light illuminates o o 2 21 Press the ANALYZE button The SELECT DEFIB MODE message appears on the monitor For manual o o o devices 2 22 Move the selector switch to DEFIB Select 2J The display shows that the unit is charging The SHOCK button lights when the o o o Press the CHARGE button unit is charged Ready tone for DEFIB sounds 2 23 Press and hold the ENERGY SELECT down Unit discharges internally and selected energy decrements to 1J o o o arrow 2 24 Press and release the ENERGY SELECT up 1 10 15 20 30 50 70 85 100 120 150 200J o o o arrow 19 times 2 25 Press the CHARGE button Note the display shows the unit charged up to 200J and the SHOCK button o o o lights 2 26 Press the SHOCK button The unit discharges and the SHOCK button is no longer lit A 15 second strip o o o chart automatically prints displaying the number of joules delivered if equipped with recorder and configured to print event Record your results on the Maintenance Test Checklist 1 8 9650 1450 01 Rev A E Series Service Manual 3 0 3 5 and 12 Leads Test Tools Needed 3 lead 5 lead and 12 lead cables Test each cable separately Test Setup 1 The E Series unit must be configured to display ECG LEAD OFF message 2 Connect the lead wires appropriate to each test to the Fluke Biomedical Impulse 4000 or equivale
53. dical Impulse 4000 or equivalent 2 Connect the ECG cable to the unit Do this Observe this Pass Fail NA 9 1 Turn the selector switch to MONITOR mode For AED units turn the selector switch to ON and select Manual mode 9 2 Select lead I size 3x Select 60Hz or 50 Hz for a 50Hz unit on the Fluke Biomedical Impulse 4000 9 3 Press RECORDER button Verify that the waveform amplitude on the strip chart is less than 1 5 mm 9 4 Turn the ECG simulator off Record your results on the Maintenance Tests Checklist 1 18 9650 1450 01 Rev A E Series Service Manual 10 0 Heart Rate Alarm Test Tools Needed Fluke Biomedical Impulse 4000 Do this Observe this Pass Fail NA 10 1 Turn the selector switch to MONITOR mode Lead Il message displays o o o For AED units turn the selector switch to ON NSR ECG at 120 BPM 2 displayed and select Manual mode Connect the ECG leads to the Fluke Biomedical Impulse 4000 Set the simulator to 120 BPM and the defibrillator to lead Il 10 2 Press ALARMS The alarm menu displays o o o 10 3 Press SELECT PARAM softkey until ECG HR Cursor scrolls through parameters o o o displays 10 4 Press INC gt for state Cursor scrolls through ENABLE AUTO and DISABLE o o o 10 5 Press DEC gt for state Cursor scrolls through ENABLE DISABLE AND AUTO o o o 10 6 Press INC gt
54. e 23 NIBP Volume Leak Test with Fluke Biomedical Cufflink NIBP Analyzer e 24 NIBP Transducer Calibration Test Before You Begin the Maintenance Tests e Assemble the tools or specialized testing equipment listed in the Equipment You Need to Perform the Maintenance Tests section shown below e Keep an extra fully charged ZOLL E Series compatible battery available e Schedule an hour to conduct the entire maintenance test e Photocopy the checklist at the back of this document and use the copy to record your results As you conduct each step of a procedure mark the Pass Fail NA check boxes on your checklist and then save it for your maintenance file e Perform the tests in the order presented e Perform all the steps of each test procedure e Complete all the steps of the procedure before evaluating the test results Equipment You Need to Perform the Maintenance Tests For testing purposes you can substitute an equivalent device e ZOLL Medical Electrode Adapter from Fluke Biomedical part number 3010 0378 e Fluke Biomedical Impulse 4000 Defibrillator Analyzer with 1 06 software or higher e Fluke Biomedical 601 Pro Series International Safety Analyzer e ECG Simulator 12 Lead Simulator for 12 Lead test e g Symbio CS1201 e Stop watch 1 2 9650 1450 01 Rev A E Series Service Manual Standard series II PC flash memory cards PCMCIA card reader and PC RescueNet Code Review V3 31 or higher from ZOLL Data Systems Ph
55. e Manual System Interconnect Module The system interconnect PWBA receives signals from the Main System Board and in turn controls operation of the stripchart recorder and PCMCIA functions Stripchart Recorder The Stripchart Recorder module includes a microprocessor serial interface to the main system board and circuitry which drive the stripchart recorder s motor and printhead in response to the main CPU signals Based upon signals sent by the main CPU the recorder s main processor drives the recorder stripchart motor formats data for printing on the chart and drives the printhead It also detects when the sensor drawer is not properly fitted into the unit when the paper supply is out and needs to be refilled and the print head temperature PCMCIA Slots The PCMCIA interface module supports two PCMCIA slots which accept Type I and or Type II PCMCIA cards These cards may be read or written to Data sent by the main CPU is passed to the installed PCMCIA card via the system interconnect PWBA Front Panel and Controls PWBA The User Interface Module provides several functions that enable the user to operate the unit The user interface has a display monitor and three rotary selector switches One selector switch is for three modes pacer monitor and defibrillation The two other knobs are for pacer output and pacer rate The unit interface also has specific buttons for defibrillation including the ENERGY SELECT button the CHARGE button
56. e handle work properly o o 1 4 Does the recorder door open and close properly o o 1 5 Are input connectors clean and undamaged o o 1 6 Are there any cracks in the housing o o 1 7 Do the front panel or selector switches have any damage or cracks o o 1 8 Are there any loose housing parts o o 1 9 Paddles 000 Do the adult and pedi plates have major scratches or show signs of damage 1 10 Do the adult shoes slide on and off easily to expose the covered pedi plates 000 1 11 Are the paddles clean e g free of gel and undamaged if applicable 000 1 12 Cables o oO Are all cables free of cracks cuts exposed or broken wires 1 13 Are all bend strain reliefs undamaged and free of excessive cable wear o o 1 14 Battery o o Is the ZOLL battery fully charged 1 4 9650 1450 01 Rev A E Series Service Manual Pass Fail NA 1 15 Is the battery seated in the battery well correctly o o Record your results on the Maintenance Test Checklist 9650 1450 01 Rev A E Series Service Manual 2 0 Front Panel Button Test Tools Needed None Test Setup 1 Install strip chart paper into the recorder tray 2 Install the battery in the unit or connect the A C power cord to the unit and then plug the cord into an electrical outlet 3 Connect the universal cable and ECG cable 3 lead 5 lead or 12 lead to the ZOLL simulator or Fluke Biomedical Im
57. e universal cable from the E Series to the External Pacer Load TQA 17 of the Impulse 4000 2 Turn the Main Selector knob of the E Series to the Pacer mode Do this Observe this Pass Fail 16 1 Set the PACER OUTPUT to 14 mA and CHECK PADS and POOR PAD CONTACT message displays The pace alarm o o disconnect MFC connector from the Fluke is active Biomedical Impulse 4000 16 2 Reconnect the universal cable to the Fluke CHECK PADS and POOR PAD CONTACT message disappears The pace o o Biomedical Impulse 4000 Press Clear Pace alarm is cleared Alarm softkey 16 3 Set rate to 180 ppm output to OmA No output appears on the Fluke Biomedical Impulse 4000 o o 16 4 Increase the output to 20mA Output on the Fluke Biomedical Impulse 4000 is 20mA 5mA Pulse width is o o 40mS 2mS 1 28 9650 1450 01 Rev A E Series Service Manual Do this Observe this Pass Fail 16 5 Increase the output to 40mA Output on the Fluke Biomedical Impulse 4000 is 40mA 5 mA Pulse width is o o 40mS 2mS 16 6 Increase the output to 60mA Output on the Fluke Biomedical Impulse 4000 is 60mA or 5mA Pulse width o o is 40mS 2mS 16 7 Increase the output to 80mA Output on the Fluke Biomedical Impulse 4000 is 80mA or 5mA Pulse width o o is 40mS 2mS 16 8 Increase the output to 100mA Output on the Fluke Biomedical Impulse 4000 is 100mA or 5mA Pulse
58. efib monitor VSNS Pace duty cycle voltage scaled as 0 2 5 V for 0 100 duty cycle When multiplied by the pulse width as read from PW_READ battery voltage is proportional to the actual pace current VCTL Analog control voltage scaled 0 2 5 V for pace current of 0 140 ma Only active in pace mode FET MON Analog voltage monitors the condition of the discharge transistors Provides a signature voltage in case of a fault PAT_CUR Bound on the range of 0 2 5 V and accommodates defib currents of Analog signal representing the patient current during a defib 50 to 100 A discharge 9650 1450 01 Rev A 4 9 E Series Service Manual Logic Control Signal Operation XPWR_ENABLE This logic signal from the gate array enables the charging circuit when true and inhibits the charging circuit when false SAFE This logic control signal is generated by the Main System Board to halt the pace defib function in the event of a detected fault SHUTDOWN This logic signal is true during reset and fault conditions VCC error watchdog error etc and halts operation of the PD generator XPACE_ON This logic signal is generated by an optocoupler and indicates that the pace output circuit is active It is 0 true when pace current is flowing XSAFREL Logic signal from the GA that operates the safety relay when 0 true XPACEREL Logic signal from the GA that operates the pace relay when 0 true XPATREL Logic
59. eforms caused by breathing and those caused by cardiogenic oscillations and artifact Noninvasive Blood Pressure The Non Invasive Blood Pressure NIBP option on the E Series unit allows you to take a single blood pressure measurement STAT measurements automatically repeated measurements over a 5 minute period or automatic measurements at repeating pre selected intervals The ZOLL E Series NIBP option is indicated for the non invasive measurement of arterial blood pressure for resting patients in critical care and transport The NIBP option is designed to measure blood pressure for adult and pediatric patients The patient blood pressure cuff and hose connect to the E Series unit through the NIBP connector on the rear panel of the unit The NIBP button on the front panel of the E Series allows you to initiate and terminate blood pressure measurements You can also initiate and terminate measurements using the softkeys on the NIBP menu The NIBP module measures the oscillometric pulses transmitted through the blood pressure cuff and hose and calculates the blood pressure measurements accordingly The blood pressure information including the patient s systolic diastolic and mean blood pressure values is shown on the E Series monitor 4 14 9650 1450 01 Rev A E Series Service Manual Appendix A Overview This appendix includes e Interconnect Diagram for the E Series Unit e ZOLL E Series Maintenance Tests Checklist Photocopy the
60. eplace the system board e Call ZOLL Technical Support for assistance Flash or arcing under defibrillator pad e Avoiding using alcohol and betadine in and around the treatment area because these skin preparations may lead to increased conductivity and or bonding between the electrode s adhesive and skin e Check for gel droop If the gel has leaked out of the gel treatment area replace the electrode e Ensure pads are coupling to the patient s skin and connected to the universal cable e Check for dried out gel on the defibrillator pad e Clip patient s excessive hair Do not shave hair e Check expiration date Replace pad if date has expired e Do not conduct chest compression through the pads because the pads could be damaged leading to the possibility of arcing and skin burns e Apply the back electrode first If the front electrode is already in place when the patient is being maneuvered for placement on the back the front may become partially lifted possibly causing arching and skin burns e Ensure that wet gel pads are stored flat Displayed HR not accurate No artifact present Verify heart rate flashes with each QRS on display e Change lead selection e Change ECG size e Reposition ECG electrodes 9650 1450 01 Rev A 2 3 E Series Service Manual Reported Problem Recommended User Action Recommended Technical Action Displayed HR not accurate artifact present
61. for safety reasons with a resistor and relay to internally dissipate any energy remaining When the Main System Board initiates a charge this relay opens by providing a low level on signal XSAFREL The safety relay is a biased reed switch The relay is driven by Q318 The pace relay driver is a grounded source switch Q308 that is biased on by R593 It is held off by Q330 when XPACEREL is 1 false When XPACEREL comes true Q330 is turned off and Q308 is no longer clamped off The high voltage capacitor is charged by converting the system battery voltage to a pulsed high voltage by way of transformer T1 The basic operating frequency signal that is used to switch transistor Q1 providing current in the primary windings of the transformer T1 originates in the system board s gate array When the high voltage capacitor is charging the Main System Board independently monitors the capacitor voltage through signal VMON If the Main System Board detects an improper level it halts operation by setting SAFE high This disables the SCR discharge circuitry and flyback transformer drive 4 8 9650 1450 01 Rev A E Series Service Manual The patient relay discharges via the signal PATREL_DRV generated by XPATREL and Q304 Q323 and Q322 PATREL_DRV is disabled when XPACE_SEL is at a logic low When the patient relay activation completes the Main System Board releases the XPATREL signal Several hundred milliseconds later the safety relay closes to ensu
62. harging Testing unit Do not use the E Series in the presence of flammable agents such as gasoline oxygen rich atmospheres or flammable anesthetics Using the unit near the site of a gasoline spill may cause an explosion Do not use the unit near or within puddles of water Note The E Series is protected against interference from radio frequency emissions typical of two way radios and cellular phones digital and analog used in emergency service public safety activities Users of the E Series should assess the unit s performance in their typical environment of use for the possibility of radio frequency interference from high power sources Radio Frequency Interference RFI may be observed as shifts in monitor baseline trace compression or transient spikes on the display Additional Reference Material In addition to this guide there are several other components to the ZOLL E Series documentation They include e E Series Operator s Guide A comprehensive reference work that describes all the user tasks needed to operate the E Series e E Series Configuration Guide Describes the E Series features and functions whose operation can be customized by authorized users e E Series Operator s Guide Option Insert 12 Lead ECG Monitoring Describes using the 12 lead ECG monitoring option with the E Series unit e E Series Operator s Guide Option Insert End Tidal Carbon Dioxide EtCO Describes using the EtCO option with the E Series unit
63. id State Patient Relay High Voltage Module 4 7 SpO2 Isolated Power Supply Assembly 4 3 STAND CLEAR 2 13 Storing pads 2 3 Strip Chart Recorder 4 3 SYSTEM FAULT 2 message 2 13 SYSTEM FAULT 6 message 2 13 SYSTEM FAULT 7 message 2 13 E Series Service Manual T Technical Service Department Address 3 1 Test 3 5 and 12 Leads 1 9 Advisory Message 1 27 Calibrating Pulses on Strip Chart 1 17 Check Summary Report 1 26 Defibrillator Self Test 1 21 EtCO2 Monitor 1 33 Front Panel Button 1 6 Heart Rate Alarm 1 19 Heart Rate Display 1 16 Leakage Current 1 14 Notch Filter 1 18 Pacer 1 28 Paddles 1 15 Power Supply 1 10 Shock 1 24 SpO2 Monitor 1 31 Synchronized Cardioversion 1 23 Troubleshooting Displayed HR not accurate 2 4 Electronic interference 2 4 Wandering baseline 2 4 U User Interface Module 4 11 Vv V LEADS OFF Messages 2 2 Voltage Power supply 4 5 W Warnings v Z ZERO CO2 ADAPTER message 2 14 ZOLL E Series Text Messages 2 2 ZOLL Medical Corporation Address Ordering parts for E Series 3 1 Service request number vii ZOLL Technical Service Department vii Fax number vii Telephone number vii IN 3 E Series Service Manual IN 4
64. illips 1 screwdriver Phillips 2 screwdriver Flatblade screwdriver Needle nose pliers without teeth Wooden cuticle sticks with beveled edges or similar non conducting implements Equipment You Need for the E Series Options Maintenance Tests Fluke Biomedical Index 2PFE SpO Simulator or equivalent For SpO units only SpO cable and sensor if option is installed EtCO cable and CAPNOSTAT 5 Mainstream cable with airway adapter or CAPNOSTAT 5 Sidestream cable with cannula if option is installed Paddles if used Printer Paper Battery AC line cord 3 lead 5 lead and 12 lead ECG cables 12 lead cable needed if 12 lead option is installed Fluke Biomedical BP Pump NIBP Monitor Analyzer For NIBP units only with NIBP cable and cuff if NIBP option is installed or Fluke Biomedical Cufflink Analyzer if NIBP option is installed Note The Fluke Biomedical BP Pump NIBP Monitor Analyzer and the Fluke Biomedical BP Pump NIBP Analyzer use different technologies for testing NIBP monitors and therefore the manual provides two different procedures for performing the NIBP Volume Leak test with each of these types of test equipment 9650 1450 01 Rev A 1 3 E Series Service Manual 1 0 Physical Inspection of the Unit Tools Needed None Test Setup None A i 1 1 Housing o o Is the unit clean and undamaged 1 2 Does the unit show signs of excessive wear o o 1 3 Does th
65. ischarge resistor when defibrillator is not in use Defibrillator Capacitor Stores energy for therapy Defibrillator Choke Conditions waveform delivered to the patient DSW Front End Protection Circuitry for Protects ECG front end against defibrillator pulses the MFC ECG Defibrillator Charging and Discharging The defibrillator charges and discharges high voltage capacitor energy A user can initiate a charge in three ways by 1 pressing the charge button on the front panel or 2 pressing the charge button on the paddles or 3 configuring unit to charge automatically when it detects a shockable rhythm following an ECG analysis To initiate a discharge a user depresses both shock buttons on the paddles or depresses a single shock button on the front panel The defibrillator circuit charges the high voltage capacitor to the energy level the user specifies This circuit also provides feedback to the main system board on the high voltage capacitor s voltage level and discharges the high voltage capacitor energy through paddles or the universal cable The defibrillator portion of the high voltage circuitry is active only when the front panel selector switch is set to DEFIB or set to ON for AED units Charging The charging process starts when the Main System Board detects a charge request The defibrillator circuits begin charging the high voltage capacitor to the target voltage or energy that the user selects on the front panel di
66. l Troubleshooting The following tables show the most common troubleshooting issues and their solutions First attempt to solve the problem with Recommended User Action If these steps do not solve the problem follow the steps listed in the Recommended Technical Action column Reported Problem Recommended User Action Recommended Technical Action ECG LEAD OFF message displays 3 5 12 lead cable e Check preparation of ECG electrode site by cleaning the site lightly abrading the patient s skin and or clipping the patient s hair at the electrode site e f electrode gels are dry replace electrodes with new ones from a freshly opened package e Verify that all leads are attached e Set monitor to another lead e Verify that the electrodes have not exceeded their expiration date e Try to reproduce the problem using a simulator e Inspect the ECG cables looking for corrosion or broken connector pins e Check the cable for intermittent connections by flexing the cable at the yoke and snap connectors e Check the cable connection to the defibrillator e Inspect the ECG input connector and its pins Replace it if necessary e Inspect the ECG cable connection to the system board e Inspect the system board ECG shielding e Remove and replace the system board V LEADS OFF message displays e Ifthe user is not using V leads attach V lead connector terminator plug to the c
67. mpedance signal is synchronously demodulated It is then converted to a stream of pulses with frequency proportional to the measured impedance CPU and EPU The Main System Board contains two microprocessors A Motorola HC 11 single chip microprocessor is used to acquire convert and process ECG signals ECU A Hitachi SH 3 RISC microprocessor acts as the system s main CPU The SH 3 CPU has an integrated on chip multiplier a cache memory a memory management unit as well as data protection and virtual memory functions It also has a timer a real time clock an interrupt controller a serial communication interface SCI and other peripheral functions necessary for the system operation The memory circuitry includes Flash ROM internal flash non volatile memory and DRAM The EPU acquires ECG data and runs the A D convertor that sends data in the form of a serial stream to the CPU 4 6 9650 1450 01 Rev A E Series Service Manual High Voltage Module The High Voltage HV module includes the high voltage circuitry required for pacing and defibrillation including the defib charge circuitry patient relay safety relay defib capacitor defib choke and front end protection circuitry for the MFC ECG The following table describes the high voltage board components Component Function Solid State Patient Relay Controls the delivery of therapeutic energy to patient Safety Relay Discharges Defib capacitor into the internal d
68. nical assessment including other modalities such as a physical examination 12SL produces global waveform measurements as well as a measurement matrix containing measurements on each lead Both the interpretive statements and measurement matrix are configurable to be printed or not printed The acquired 12 lead with 12SL may be faxed to a remote location using landline or cellular phone technology Specific PCMCIA fax modems are supported and the modem determines the specific phone compatibility The E Series supports Group 3 facsimile Class 1 Class 2 and Class 2 0 12 lead reports may be re printed or re transmitted using the Patient Records capability Individual patient records may be selected based on patient ID date and time Pulse Oximetry SPO gt The ZOLL E Series pulse oximetry option enables the user to continuously noninvasively and painlessly monitor the percentage of oxygen saturation of arterial hemoglobin at a peripheral measurement site i e foot toe or finger The oximetry sensor contains two light emitting diodes or LEDs that transmit red and infrared light through the body s extremities A photodetector receives the transmitted light Oxygen saturated blood absorbs light differently than unsaturated blood Thus the amount of red and infrared light absorbed 4 12 9650 1450 01 Rev A E Series Service Manual by the blood flowing through a suitable peripheral area of the body such as the finger in adults and the foo
69. nt Symbio CS1201 Do this Observe this Pass Fail NA 3 1 Turn the selector switch to MONITOR Select NO ECG LEADS OFF message displayed o o o leads 3 2 Disconnect one lead from the simulator The ECG LEAD OFF message displays within 3 seconds if configured o o o 3 3 Reconnect the lead Repeat step 3 2 with the Wait for ECG LEAD OFF message to clear from the display if configured o o o remaining leads 3 4 Repeat 3 2 and 3 3 for 5 lead and 12 lead NOTE If heart rate alarm sounds press and hold the ALARM SUSPEND o o o cables button for 4 seconds to disable the alarms NOTE When testing the 12 lead cable the ECG LEAD OFF message displays when you pull off a limb lead When you pull off a V lead the ECG VX LEAD OFF message displays where X is the number between 1 and 6 Record your results on the Maintenance Tests Checklist 9650 1450 01 Rev A 1 9 E Series Service Manual 4 0 Power Supply Test Optional Tools Needed e 2red miniature alligator to miniature alligator leads e 1 black miniature alligator to miniature alligator test lead e DC power supply 15 Amp minimum e OI 1 resistor AW or greater e 1000Q 1 YW resistor Fluke 75 multimeter or equivalent Test Setup 1 Make sure the unit and power supply are turned off 2 Connect one end of the black lead to the terminal in the battery well 3 Connect the other end of the black lead to the
70. o 10 12 Ae hee eer s3 1310 o o 6 4 10130 o o 2 22 DIS Ge o O OO 223 o o o K o O O 224 o o o 25 O O O 2235 o o o 9650 1450 01 Rev A E ZO L L E Se ri es Serial No Location Maintenance Test Checklist i ii 14 0 Summary Report 16 0 Pacer Test 17 0 SpO Monitor Test 21 0 NIBP Monitor Test Test Pass Fail N A Pass Fail N A Pass Fail N A Pass Fail N A 161 6 o o 171 o o o 22 o o O 14 1 A 1682 o o o 17 2 o o o 213 o o o 14 2 SE E E Ee 173 o o o ads 16 4 17 4 Maso SN O 22 0 NIBP Volume Leak 165 oo o 175 o o o Test with Bio Tek A NIBP Analyzer 15 0 Advisory Message 166 o o o 176 9 o o Day ep e Test 16 7 O O O U Pass Fail N A VE E 24 o o o 152 o o o E OS SO 25 0 o o 16 183 o o o EE e cs 26 oo o AO AO O 10 17100 o o 16 11 o 5 23 0 NIBP Volume Leak 18 0 EtCO Monitor Test Test with Fluke 16 12 oo o eee Biomedical Cufflink 16 13 NIBP Analyzer SE K EE Pass Fail N A 16 14 o o 184 o o o 234 o o o 1615 o o o 18 6 o o o 235 o o o 1618 o o o 187 E 233 6 o o o 16 17 o o LEO o 19 0 Barometric 24 0 NIBP Transducer Pressure Calibration 16 20 o o o Pass Fail N A 24 4 o o o 16 21 E 24 6 20 0 o 6 0 o o 1622 9 o 20 0 CO Accuracy Test 248 o o o Pass Fail N A 249 o o o SEN 2410 o o was O O 0 2011 o o o 9650 1450 01 Rev A A 4 E Series Service Manual Index Numerics 200J MAX BIPHASIC message 2 5 2PFE SpO2 Simulator 1 3 A AC or DC Powe
71. o o width is 40mS 2mS 16 9 Increase the output to 120mA Output on the Fluke Biomedical Impulse 4000 is 120mA or 6mA Pulse o o width is 40mS 2mS 16 10 Increase the output to 140mA Output on the Fluke Biomedical Impulse 4000 is 140mA or 7mA Pulse o o width is 40mS 2mS 16 11 Decrease the output to 60mA Pacer rate on Fluke Biomedical is 29 31 ppm o o Decrease the rate to 30 ppm 16 12 Increase the rate to 40ppm Pacer rate on Fluke Biomedical is 39 41 ppm o o 16 13 Increase the rate to 60ppm Pacer rate on is Fluke Biomedical is 59 61 ppm o o 16 14 Increase the rate to 80ppm Pacer rate on Fluke Biomedical is 78 82 ppm o o 16 15 Increase the rate to 100ppm Pacer rate on Fluke Biomedical is 98 102 ppm o o 16 16 Increase the rate to 120ppm Pacer rate on Fluke Biomedical is 118 122 ppm o o 16 17 Increase the rate to 180ppm Pacer rate on Fluke Biomedical is 177 183 ppm o o 16 18 Decrease the rate to 50 ppm Pacer rate on Fluke Biomedical is 49 51 ppm o o 16 19 Connect the ECG cable to the E Series and ECG at 60 BPM is seen on the display and no stimulus markers o o Fluke Biomedical Impulse 4000 Select the ECG at 60 BPM on the Fluke Biomedical Impulse 4000 9650 1450 01 Rev A 1 29 E Series Service Manual Do this Observe this Pass Fail 16 20 Press the Async Pace softkey ECG at 60 BPM seen on the display with the pace stimulus markers displayed o o Async pace message
72. oard Functions The Main System Board contains the major computing and control elements for the E Series unit The printed wiring board assembly PWBA receives signals from the front panel control switches ECG input connectors and functional modules such as the AC DC charger pacer defibrillator modules stripchart recorder and PCMCIA card interfaces and if applicable the SpO EtCO and NIBP modules The Main System Board monitors and processes these input signals to produce other signals that 1 control the operation of other modules within the system 2 drive the unit s front panel display and audio outputs and 3 store data for retrieval via Summary Reports PCMCIA cards and or a modem The electronic circuitry and software contained on the main system board performs the following major E Series functions 1 Main CPU and memory 2 ECG signal acquisition and processing for ECG leads including e A D conversion e ECG signal filtering e QRS detection e Implanted pacemaker detection e Heart Rate counting e Shockable ECG rhythm analysis Data communications with and control over the SpO EtCO and NIBP modules Control over and safety monitoring of pacer and defibrillator functions performed by the High Voltage module and Biphasic Bridge module Physiological alarm processing DES 8 Control switch monitoring for the front panel accessory connection monitoring and control over the system response to switch activation or
73. pter 3 Replacement Parts This section contains a listing of the replacement parts available for the ZOLL E Series devices Replacement parts may be ordered through an authorized ZOLL distributor or directly from ZOLL Medical Corporation The prices for parts are available from ZOLL Medical Corporation s Technical Service Department When ordering parts please provide the following information e ZOLL E Series device model and serial number e Field Replaceable unit part number e Description of the replacement part e Description of problem To order by mail from ZOLL Medical Corporation address your request to ZOLL Medical Corporation 269 Mill Road Chelmsford MA 01824 4105 Attention Technical Service Department 1 978 421 9655 1 800 348 9011 Fax 1 978 421 0010 Note ZOLL reserves the right to substitute different parts to reflect modifications and improvements in ZOLL E Series circuitry and design 9650 1450 01 Rev A 3 1 E Series Service Manual Replacement Parts Description Part Number 12 Lead Connector 1001 0232 Cable AC Receptacle to AC Charger 9500 0739 Cable Access Detect to ECG Out 7 POS 9500 0726 Cable Battery Interconnect to AC Charger 9500 0717 Cable Battery Interconnect to HV Module 9500 0718 Cable Battery Interconnect to HV Module Defib 9500 0720 Cable Battery Interconnect to HV Module Pace 9500 0719 Cable Battery Interconnect to System Interconnect 9500 0721 Cable Control to Display 9500 0712
74. pulse 4000 Analyzer or equivalent Do this Observe this Pass Fail NA 2 1 Turn the selector switch to MONITOR Listen for 4 beep tones PADS and MONITOR display on the monitor o o For AED units turn the selector switch to ON NOTE PADS is a factory default setting and select Manual mode 2 2 Press the LEAD button three times for the 3 Each time you press the LEAD button a different lead number appears under o o lead cable and seven times for the 5 lead cable the LEAD heading on the display PADS I Il III will display a 3 lead ECG cable if connected or no ECG cable is connected PADS I Il Ill AVR AVL AVF V1 will display a 5 lead ECG cable 2 3 Connect the 12 lead cable to unit and simulator A 12 Lead cable will display PADS I II Ill AVR AVL AVF VI V2 V3 V4 V4 000 Press the LEAD button and select the lead for V5 V6 each of the 12 lead settings 2 4 Set the simulator to NSR of 120 BPM To check As you press the SIZE button five times 0 5 1 0 1 5 2 0 3 0 note that the 000 the size of the ECG waveform press the SIZE size of the ECG waveform appropriately changes on the display button 2 5 Press the ALARM SUSPEND button Alarm symbol changes from disabled to enabled If the alarm sounds press o o o the ALARM SUSPEND button to turn it off The alarm will only be suspended for 90 seconds at this point Press and hold the ALARM SUSPEND button for 3 seconds to disable alarms 2 6 Pres
75. r Supply 4 3 AC DC Charger module 4 10 Advisory message test 1 27 ANALYSIS HALTED message 2 5 AUDIO FAULT 136 message 2 5 Audio I O 4 3 AUDIO NOT RECORDING message 2 5 AUDIO QUEUE FULL message 2 5 D Defib Capacitor 4 7 DEFIB DISABLED message 2 7 DEFIB FAULT 108 message 2 7 DEFIB FAULT 109 message 2 8 DEFIB FAULT 111 message 2 8 DEFIB FAULT 71 message 2 7 DEFIB FAULT 72 message 2 7 DEFIB FAULT 76 message 2 7 DEFIB FAULT 77 message 2 7 DEFIB FAULT 78 message 2 7 DEFIB FAULT 79 message 2 7 DEFIB FAULT 80 message 2 7 DEFIB FAULT 81 message 2 7 DEFIB FAULT 84 message 2 7 DEFIB FAULT 85 message 2 7 DEFIB FAULT 86 message 2 7 DEFIB FAULT 87 message 2 7 DEFIB FAULT 94 message 2 7 ECG TOO LARGE message 2 9 ECG V LEADS OFF message 2 9 ECG V2 LEAD OFF message 2 9 ECG V3 LEAD OFF message 2 9 ECG V4 LEAD OFF message 2 9 ECG V5 LEAD OFF message 2 9 ECG V6 LEAD OFF message 2 9 ENTER ACCESS CODE message 2 9 Equipment You Need for the Maintenance Tests Testing Equipment 1 2 ERASING REPORT message 2 9 Error Message ANALYSIS HALTED 2 5 AUDIO FAULT 136 2 5 AUDIO NOT RECORDING 2 5 BATT HIGH CURRENT 2 5 BATT OVERCHARGE 2 5 CABLE FAULT 2 6 CHECK RECORDER 2 6 CLOCK FAULT 12 2 6 DEFIB NOT CHARGED message 2 8 CLOCK FAULT 13 2 6 B DEFIB PAD SHORT 2 3 CONFIRM MANUAL MODE 2 7 DEFIB PAD SHORT message 2 8 DEFIB DISABLED 2 7 BATT HIGH CURRENT message 2 5 Defibrillator DEFIB FAULT 108 2 7 BATT LOW CURRENT message 2 5 BATT LOW
76. r recovery circuit 13 5 Repeat for all settings 1 200J Energy delivered is within 15 or 2J of setting which ever is greater o o o 13 6 Press the ENERGY SELECT up arrow until DEFIB 200J SEL displays o o o 200J displays 13 7 Press the CHARGE button and start timing with Observe and record the value of the charge time on the stop watch o o o a stopwatch Stop timing when the SHOCK Charge time 3 0 6 0 sec button illuminates 13 8 Press the SHOCK button 200J discharge energy 170 230J o o o Record the value of the discharge energy that is displayed on the analyzer 1 24 9650 1450 01 Rev A E Series Service Manual analyzer Do this Observe this Pass Fail NA 13 9 Note the Patient Current and Defib Impedance Patient Current 20 24A o o o on the strip chart Defib Impedance 46 54 Ohms 13 10 AED unit only Disconnect the cable from the CHECK PADS audio prompt o o o Record your results on the Maintenance Tests Checklist 9650 1450 01 Rev A 1 25 E Series Service Manual 14 0 Summary Report Test Tools Needed None Test Setup 1 Connect the universal cable to the defibrillator analyzer 2 If you are using paddles place the paddles on the analyzer s discharge plates Do this Observe this Pass Fail 14 1 Press and hold the SUMMARY softkey for 4 to 8 seconds to erase any previously stored data ERASING REPORT displays o 0
77. rameter set on the NIBP Analyzer 24 9 On the E Series unit press the EXIT softkey The E Series returns to the main NIBP Service Mode screen then to normal o o twice Monitor mode operation 24 10 Perform the NIBP Monitor Test see NIBP The E Series passes all the criteria for the NIBP Monitor Test o o Monitor Test on page 37 to verify functional operation of the NIBP option Record your results on the Maintenance Tests Checklist Warning NIBP transducer calibration can affect clinical readings of the NIBP parameter Ensure that the NIBP Transducer Calibration procedure is performed correctly followed by an NIBP Monitor Test for verify proper operation 1 44 9650 1450 01 Rev A E Series Service Manual Chapter 2 Troubleshooting Overview This chapter describes the most common technical problems that biomedical technicians experience when checking the E Series during routine maintenance or when there is a malfunction of the unit It also contains a list of error messages that users may see if the unit is not operating properly This chapter contains the following e Troubleshooting tables for ECG Leads Off Messages and Monitor Displays e ZOLL E Series Error Messages If the problems you encounter are not listed below call ZOLL Medical Corporation s Technical Service Department for further assistance See page vii for contact information 9650 1450 01 Rev A 2 1 E Series Service Manua
78. rd e High Voltage Module e AC DC Charger e Battery Interconnect Module e System Interconnect Module e High Voltage Capacitor Some units are equipped with E Series options These options include e 12 Lead ECG e Pulse Oximetry SpO gt e End Tidal Carbon Dioxide EtCO e Noninvasive Blood Pressure 4 2 9650 1450 01 Rev A E Series Service Manual Refer to the E Series Interconnect diagram to identify unit components described in this manual Module Location Main Central Processing Unit CPU and ECU Main System PWBA Pacer Defib Charging and High Voltage Control Defib Pace High Voltage Module Biphasic Bridge Module Internal Discharge Resistor HV Module AC or DC Power Supply Battery Charger AC Charger PWBA DC Charger PWBA Main System PWBA ECG Front End Signal Acquisition Main System PWBA Battery Pack or Smart Battery Battery Interconnect PWBA User Interface and Controls Controls PWBA PCMCIA Interface System Interconnect Main System Stripchart Recorder System Interconnect Main System Audio UO optional Main System PWBA Audio Display PWBA Controls PWBA SpO optional Pulse Oximetry PWBA Isolated Power Supply PWBA EtCOz optional Isolated Power Supply PWBA 12 Lead optional Main System PWBA NIBP optional NIBP PWBA 9650 1450 01 Rev A 4 3 E Series Service Manual Main System B
79. re the high voltage capacitor energy is completely dissipated The Pacer circuit produces and delivers user controllable pace pulses to the pacing electrodes To initiate pacing the front panel switch is turned to PACER and the OUTPUT and RATE controls are set Pacing current amplitude is constant during the pulse and is determined by the position of the front panel PACER OUTPUT dial Pacing pulse rate is determined by the position of the front panel PACER RATE dial The pacing pulse duration is fixed at 40 milliseconds Pacer Defibrillator Control Signals The Pacer Defibrillator Control charges the high voltage capacitor to a voltage requested by the main system board in response to user energy selections It delivers defibrillator energy to the patient through the patient connector to the paddles and pacer electrodes or multi function electrodes PADS This control also generates pacing pulses at rates and amplitudes requested by the main system board in response to user selections controls biphasic waveform defibrillation and measures pace current and high voltage capacitor voltage by two independent channels The following signals control the operation of the Pacer Defibrillator subsystem Analog Voltage Operation Comment VCAP Analog voltage spanning 0 2 5 V for 0 5000V capacitor voltage Used by the defib charging controller VMON Analog voltage spanning 0 2 5 V for 0 5000V capacitor voltage Used by the d
80. replace pads and universal cable Replace system board CHECK PATIENT Background ECG analysis detects shockable rhythm Y CHECK PULSE Alternate message for NO SHOCK ADVISED Y message Message also shown after delivering third shock when auto analyze 3 times option is enabled CHECK RECORDER Produced when paper tray is empty paper jams or Y Replace paper sensor board system interconnect recorder door is opened board and or system board CHECK SPO SENSOR Reposition SpO sensor on patient CLOCK FAULT 11 Real time clock oscillator failure Replace system board CLOCK FAULT 12 Real time clock back up power supply failure Found oscillator stopped at power up but oscillator now running when the system is running Oscillator only runs when main power is applied Replace system board CLOCK FAULT 13 One of the set time units seconds minutes year etc is out of range Replace system board 9650 1450 01 Rev A E Series Service Manual Error Message Explanation User Technical Action Advisory CONFIRM MANUAL MODE Displayed when manual mode is entered Alerts user to Y confirm that manual mode is desired DEFIB DISABLED User prompt issued simultaneously with other faults if defib is disabled Possible configuration problem Replace high voltage module Call ZOLL Technical Support DEFIB FAULT 71 More than 50 internal dumps occurred in less than 20 min
81. rom OPEN to CLOSED o o softkey 9650 1450 01 Rev A 1 41 E Series Service Manual Do this Observe this Pass Fail 23 5 On the NIBP Analyzer press the START TEST After approximately 1 minutes a number appears in the upper middle area of o o softkey the NIBP Analyzer display Note You must press the START TEST If the Analyzer softkey within 30 seconds of closing the displays a Volume Leak reading lt 10 then the E Series unit has passed the valves on the E Series unit test e displays a Volume Leak reading gt 10 then the E Series unit has failed the test e displays no Volume Leak reading but maintains a stable pressure reading at or above 200 mmHg then the E Series unit has passed the test there is no volume leak In addition the E Series displays the Analyzer s pressure reading in the Cuff Pressure field After approximately 3 minutes the valves on the E Series unit open 23 6 On the NIBP Analyzer press the F3 softkey The NIBP Analyzer terminates the Volume Leak Test o o 23 7 On the E Series unit press the EXIT softkey The E Series returns to the main NIBP Service Mode screen then to normal twice Monitor mode operation Record your results on the Maintenance Tests Checklist 1 42 9650 1450 01 Rev A E Series Service Manual 24 0NIBP Transducer Calibration Test The NIBP module s pressure transducers are factory calibrated prior to
82. s the RECORDER button The strip chart paper moves out of the unit from the paper tray Check that the o o o correct time date ECG lead annotation and waveform are recorded on the paper Set Time and Date if necessary 2 7 Open the paper compartment door CHECK RECORDER message appears on the monitor o o o Press RECORDER button 1 6 9650 1450 01 Rev A E Series Service Manual Do this Observe this Pass Fail NA 2 8 Close the paper compartment door Strip chart paper flows out of paper tray Verify that the CHECK RECORDER o o o Press RECORDER button message no longer displays 2 9 Press RECORDER button Strip chart paper stops flowing out of paper tray o o o 2 10 Press the VOLUME softkey The volume bar graph displays o o Audible beep when the QRS wave displays The bar graph increases on the To increase the volume of the beep press the display indicating an increase in volume This action does not increase the Inc softkey volume which is normal Note The QRS tone is on or off There is no gradual change in volume If equipped voice prompts are gradual Note The voice volume has 5 settings Setting 3 is in the mid range 2 11 To decrease the volume of the beep press the The bar graph decreases on the display indicating a decrease in volume The o o Dec softkey volume shuts off at the last bar otherwise the volume is the same as originally set 2 12 Press
83. shipment However you can perform a two point calibration procedure periodically to ensure accurate pressure measurements This procedure is optional at 6 months but should be performed annually or every 10 000 readings whichever comes first Tools Needed Fluke Biomedical BP Pump NIBP Monitor Analyzer or equivalent Test Setup 1 Connect the Analyzer s simulator hose to the NIBP connector on the E Series unit 2 Configure the NIBP Analyzer to simulate cuff pressure For example on the Fluke Biomedical BP Pump e Press the MODE button three 3 times to go into Tests mode e Press the SELECT button once to access the Pressure Simulator screen Note These instructions apply to the Fluke Biomedical BP Pump for equivalent devices follow the manufacturer s instructions 3 Make sure the ECG cable is not connected to the E Series unit 4 If the SpO2 option is installed make sure that the Masimo cable is NOT connected to the E Series unit Do this Observe this Pass Fail 24 1 Turn the Selector Switch to OFF The E Series powers on in the NIBP Service Mode After 10 seconds press and hold the fourth softkey from the left and turn the Selector Switch to MONITOR 24 2 Press the NIBP Calib softkey The E Series displays the NIBP Transducer Calibration Screen 24 3 On the NIBP Analyzer set the pressure The NIBP Analyzer displays a pressure reading of 0 mmHg parameter to 0 mmHg 24 4 On the E Series unit pre
84. splay The Main System Board continuously monitors the capacitor voltage signal to ensure that the high voltage capacitor charges at the proper rate When the target voltage is reached the Main System Board initiates a continuous beeper tone to indicate that defibrillator is ready to discharge The target energy level displays on the display screen The defibrillator holds the energy for 60 seconds for manual units and 15 seconds for AED units refreshing the energy level as necessary An intermittent beep tone sounds during the last ten seconds five seconds for AED unit of the hold period After the 60 second period if the defibrillator has not been 9650 1450 01 Rev A 4 7 E Series Service Manual discharged the energy is dissipated into the internal discharge resistor by closing the safety relay XSAFREL The unit discharges internally and displays a warning message if it is not functioning properly Unlike previous ZOLL designs that isolated the patient from defib circuitry via an electromechanical patient relay the E Series utilizes a bank of silicon controlled rectifiers SCRs As the defibrillator capacitor is charged the voltage is monitored via R1 R4 which drive differential amplifiers referred to the system ground These resistor dividers split the capacitor voltage more or less equally above and below ground in order that the positive capacitor terminal is approximately 1100 volts above ground and the negative capacitor terminal
85. ss the Set Low softkey The NIBP pressure transducer registers its voltage output at a known pressure o o to calibrate the transducer to a 0 mmHg of 0 mmHg The field adjacent to the 0 mmHg value changes to PASS pressure reading Note If the E Series displays a FAIL reading verify the NIBP Analyzer s pressure setting and connection to the E Series and repeat the step 24 5 On the NIBP Analyzer set the pressure The NIBP Analyzer displays a pressure reading of 250 mmHg parameter to 250 mmHg 9650 1450 01 Rev A 1 43 E Series Service Manual Do this Observe this Pass Fail 24 6 On the E Series unit press the Set High The NIBP pressure transducer registers its voltage output at a known pressure o o softkey to calibrate the transducer to a of 250 mmHg The field adjacent to the 250 mmHg value changes to PASS 250 mmHg pressure reading Note If the E Series displays a FAIL reading verify the NIBP Analyzer s pressure setting and connection to the E Series and repeat the step 24 7 On the NIBP Analyzer set the pressure The NIBP Analyzer displays the specified pressure reading parameter to stimulate a different cuff pressure for example 205 mmHg 24 8 On the E Series unit press the Read Cuff The NIBP module measures the pressure from the NIBP Analyzer and displays o o softkey the value in the Cuff Pressure field Verify that the value displayed is accurate within 5 mmHg of the pressure pa
86. t 1 A or Battery is not charged and battery current is gt 1 6 A Unplug from A C Remove the battery for 20 seconds Reconnect all above If the problem persists replace battery and or charger BATT HIGH VOLTAGE Battery voltage gt 15 5 v Replace battery and or charger BATT LOW CURRENT Battery is not charged and battery current is lt 35 A Replace battery and or charger BATT LOW VOLTAGE Battery voltage lt 9 5 v Replace battery and or charger BATT OVERCHARGE Charger on for gt 4 hours Replace battery and or charger 9650 1450 01 Rev A 2 5 E Series Service Manual Error Message Explanation User Technical Action Advisory CABLE FAULT Auto defib mode only Y Replace paddle set universal cable and or Incorrect A D reading for paddle ID similar to PADDLE system board FAULT CARD FULL Memory Card Full Y CHECK COs SENSOR EtCO gt Sensor is unplugged or defective Y Check that sensor cable is plugged in and seated properly Check that sensor is not exposed to excessive heat If problem persists replace the sensor CHECK CO ADAPTER Airway adapter is removed occluded or adapter zeroing Y Replace Clean airway adapter Zeroing performed needs to be performed or was performed incorrectly automatically CHECK PADS Message displayed in conjunction with either POOR PAD Y Ensure pads are coupled to patient Check CONTACT or DEFIB PAD SHORT
87. t in neonates can be used to calculate the ratio of oxygenated hemoglobin to total hemoglobin in the arterial blood The monitor displays this ratio as percent SpO Normal values typically range from 95 to 100 at sea level The E Series uses a Masimo Pulse Oximetry Circuit Board which features a fundamentally distinct method of acquiring processing and reporting arterial oxygen saturation and pulse rate The E Series SpO module Masimo Circuit Board connects to the Masimo sensors and reports monitoring results oxygen saturation pulse rate pulse waveform etc via a serial digital interface to the E Series system board The E Series system provides isolated DC power and serial communication to the SpO Board via the Isolated Power Supply board End Tidal Carbon Dioxide EtCO gt The ZOLL E Series EtCO option continually and noninvasively monitors the patient s carbon dioxide in respiratory gases and from these measurements computes End Tidal CO and respiration rate The unit can display and print a recording of EtCO readings respiration rates and capnograph waveforms In addition the unit can configure an alarm to sound when the unit detects EtCO values and respiration rates that are above or below acceptable ranges as set by the user This option is intended for use in all critical monitoring environments including ventilator support patient transport and anesthesia and is intended for monitoring all patient types including
88. the first time or after more than 10 minutes in other mode the unit could be broken SET PACE RATE Multiple copy errors are the product of intended software Y Set pace rate If broken replace system board or memory errors Multiple copies of pace rate don t match If error persists unit could be broken SHOCK ADVISED Advisory message when analysis finds a shockable Y rhythm SpO AMBIENT LIGHT Ambient light is too bright Shield sensor from ambient light Replace Sp0 gt sensor Replace Sp0 module 2 12 9650 1450 01 Rev A E Series Service Manual Error Message Explanation User Technical Action Advisory SpO gt 2 COMM ERR No transmissions from SpOsunit received Communication Replace Sp0 module and or system board error or no communication from Sp0 module SpO gt PULSE SEARCH Pulse search in progress Y STAND CLEAR Auto defib mode only Single analysis mode just turned Y on and defib idle Patient rhythm is being analyzed SYSTEM FAULT 1 No Watchdog Turn off unit and then turn on to reset If fault persists replace system board SYSTEM FAULT 6 No communications received from ECU for 4 seconds Turn off unit and then turn on to reset If fault persists replace system board SYSTEM FAULT 7 The A D converter is not performing conversions in a Replace system board timely manner SYSTEM FAULT 36 PS_MON is out of range Pace defib is disabled as long as Repla
89. the heart rate is at 230 BPM The heart rate in the heart position of 226 234 BPM displays on the monitor 17 10 Select Wave 2 SpOo Verify that the waveform is displayed at the correct rate o o Print the waveform 17 11 Remove the Masimo patient cable Record your results on the Maintenance Tests Checklist 1 32 9650 1450 01 Rev A E Series Service Manual 18 0 EtCO Monitor Test for EtCO gt Option Tools Needed CAPNOSTAT 5 Mainstream cable with airway adapter or CAPNOSTAT 5 Sidestream cable with cannula Test Setup 1 Install the battery Do this Observe this Pass Fail 18 1 Connect the CAPNOSTAT 5 CO2 Mainstream NOTE Make sure the airway adapter for Mainstream or the cannula for cable with airway adapter attached or the Sidestream is installed in the CO cable CAPNOSTAT 5 Sidestream cable with the cannula attached to the yellow connector at the back of the E Series 18 2 Set the front panel switch to MONITOR or ON WARM UP message appears on the display o o For AED units enter Manual Mode NOTE Warming up may take about 1 minute 18 3 When the WARM UP message disappears press the Param softkey then select EtCO2 and press Enter 18 4 Press the ZERO softkey then wait for the The ZERO DONE message appears o o ZERO DONE message 18 5 Press the Return softkey 18 6 Press the Wave 2 softkey until the CO A flat baseline CO waveform appears o o waveform appears
90. utes Turn the unit to OFF and back on If fault persists replace high voltage module DEFIB FAULT 72 Charging inhibited voltage out of range Turn the unit to OFF and back on If fault persists replace high voltage module DEFIB FAULT 76 Capacitor voltage too high for selected energy Replace high voltage module or capacitor DEFIB FAULT 77 Capacitor voltage gt than absolute rated max Replace high voltage module or capacitor DEFIB FAULT 78 Unable to charge defib cap Replace high voltage module or capacitor DEFIB FAULT 79 Defibrillator charging too slowly Replace high voltage module or capacitor DEFIB FAULT 80 4 defibrillator faults detected within 20 second period Replace high voltage module or capacitor DEFIB FAULT 81 Discharge switch in undefined state Replace high voltage module or capacitor DEFIB FAULT 84 Upper discharge transistor shorted measured via applicable A D channel Replace high voltage module DEFIB FAULT 85 Lower discharge transistor shorted measured via applicable A D channel Replace high voltage module DEFIB FAULT 86 One discharge switch closed during power up test Replace paddles control board or system board DEFIB FAULT 87 Both discharge switches closed during power up test Replace paddles control board or system board DEFIB FAULT 94 Processor fault causing safety monitor
91. voltage module and or universal cable PERFORM CPR Advisory message in AED auto defib mode Y POOR LEAD CONTACT One or more ECG leads are poorly connected or not Y Check electrode attachment to patient cable connected to patient User configurable connector to electrode cable to unit connector Broken unit POOR PAD CONTACT Electrode impedance exceeds threshold Y Ensure pads are coupled to patient Check replace pads or universal cable Check impedance circuit calibration Replace system board PRESS ANALYZE Alternate message for check patient prompt Y PRESS CHARGE Advisory message in conjunction with shock advised Y PRESS SHOCK Prompt issued in AED auto defib mode when defib is Y charged ready RECORDER FAULT 142 Strip chart system error Check paper tray and paper path Replace the print head system interconnect board and or the system board RECORDER FAULT 143 Strip chart failed power up echo test Communications Check paper tray and paper path Replace the error system interconnect board and or the system board Turn unit off and back on again RECORDER FAULT 147 Strip chart printhead over temperature Check paper tray and paper path Replace the print head system interconnect board and or the system board RELEASE BUTTONS Simultaneous external paddle button presses detected Y Release buttons before unit reached full defib charge ready state RELEASE SHOCK Discharge switch es closed when pressing charge button Y
92. zer displays a pressure reading of 200 mmHg parameter to 200 mmHg 22 4 On the E Series unit press the Close Valves The Valves status changes from OPEN to CLOSED o o softkey 9650 1450 01 Rev A 1 39 E Series Service Manual Do this Observe this Pass Fail 22 5 On the NIBP Analyzer press the START TEST After approximately 1 minutes a number appears in the upper middle area of o o softkey the NIBP Analyzer display Note You must press the START TEST If the Analyzer softkey within 30 seconds of closing the displays a Volume Leak reading lt 5 then the E Series unit has passed the valves on the E Series unit test e displays a Volume Leak reading gt 5 then the E Series unit has failed the test e displays no Volume Leak reading but maintains a stable pressure reading at or above 200 mmHg then the E Series unit has passed the test there is no volume leak In addition the E Series displays the Analyzer s pressure reading in the Cuff Pressure field After approximately 3 minutes the valves on the E Series unit open 22 6 On the NIBP Analyzer press the STOP TEST The NIBP Analyzer terminates the Volume Leak Test o o softkey 22 7 On the E Series unit press the EXIT softkey The E Series returns to the main NIBP Service Mode screen then to normal twice Monitor mode operation Record your results on the Maintenance Tests Checklist 1 40 9650 1

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