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PageWriter Trim I, II, III, Rx
SERVICE MANUAL

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Table of Contents

   Summary of Contents for Philips PageWriter Trim I

  • Page 1 PageWriter Trim I, II, III, Rx SERVICE MANUAL...
  • Page 2 Intended Use of this Service Manual Hewlett Packard Str. 2 Edition 2, June 2005 71034 Böblingen Software Revision A.00.02 and This Philips product is intended to Germany higher be operated only in accordance with the safety procedures and operating Edition 3, May 2006 instructions provided in this Service Software Revision A.01.01 and...
  • Page 3: Table Of Contents

    Philips 12-Lead ECG XML Information and Tools ....... . 1-26...
  • Page 4 Contents Chapter 2 Theory of Operation Overview ..............2-1 Hardware Logical View .
  • Page 5 PageWriter Trim I ........
  • Page 6 PageWriter Trim I Power Sequence ........
  • Page 7 Obtaining Software ............A-2 Downloading Software Files from Philips InCenter......A-2 Installing the Software Upgrade .
  • Page 8 Obtaining Software ............B-4 Downloading Software Files from Philips InCenter Site ......B-4 Installing the Software Upgrade .
  • Page 9 PageWriter Trim I ........
  • Page 10: Pagewriter Trim Cardiograph Service Manual

    Contents Contents-8 PageWriter Trim Cardiograph Service Manual...
  • Page 11: Chapter 1 Introduction

    Introduction Chapter 1 This PageWriter Trim I, II, III, Rx Cardiograph Service Manual provides the information you need to successfully service the PageWriter Trim cardiographs with software version A.01.03 and higher. The PageWriter Trim Cardiograph product family includes the following four product models as described in Table 1-1.
  • Page 12: Who Should Use This Manual

    Introduction Who Should Use this Manual Who Should Use this Manual This manual is intended for users who handle preventive maintenance, periodic operational checks, and basic troubleshooting for PageWriter Trim cardiographs. Before attempting to service the cardiographs, you must review the following documentation and training materials: PageWriter Trim Instructions for Use PageWriter Trim Cardiograph Interactive Training Program...
  • Page 13: Safety Summary

    Introduction Safety Summary Safety Summary Safety Symbols Marked on the Cardiograph Symbol Name Description Attention See PageWriter Trim Instructions for Use for information. Type CF ECG physio isolation is type CF, defibrillator proof. Electrical leakage current is suitable for all patient applications including direct cardiac application.
  • Page 14: Safety Symbols Marked On The Cardiograph Packaging

    Introduction Safety Summary Safety Symbols Marked on the Cardiograph (continued) Symbol Name Description Global Medical Device Global Medical Device Nomenclature Code is a 5-digit Nomenclature Code code providing a brief description of the device, as defined by EN ISO 15225. Safety Symbols Marked on the Cardiograph Packaging Symbol Description...
  • Page 15: Safety And Regulatory Symbols Marked On The Cart

    Introduction Important Patient and Safety Information Safety Symbols Marked on the Cardiograph Packaging (continued) Symbol Description Dispose of in accordance with the requirements of your country. This product consists of devices that may contain mercury, which must be recycled or disposed of in accordance with local, state, or federal laws.
  • Page 16 IEC 60601-2-25 for defibrillation recovery time, and cannot be reliably used for immediate patient diagnosis following defibrillation. The PageWriter Trim I cardiograph is not recommended for diagnostic cardiograph use WARNING during defibrillation. It does not provide real-time data in less than 10 seconds. Reusable electrodes should not be used during defibrillation for diagnostic purposes as ECG recovery will be greater than ten seconds.
  • Page 17 Always use electrode gel with reusable electrodes during defibrillation as ECG recovery will be greater than 10 seconds. Philips Medical Systems recommends the use of disposable electrodes at all times. Ensure that the electrodes or lead wires do not come in contact with any other conductive materials (including earth-grounded materials) especially when connecting or disconnecting electrodes to or from a patient.
  • Page 18 ECG reports only. Do not make manual measurements of ECG intervals and magnitudes on the R/T ECG display since these ECG representations are scaled. Only use patient electrodes that are approved by Philips Medical Systems. The use of non- approved patient electrodes may degrade cardiograph performance.
  • Page 19: The Pagewriter Trim Cardiograph

    For information on the standard IEC 60601-2-51, please see the document on the PageWriter Trim Cardiograph User Documentation CD, or go to the Philips InCenter web site ( ). For information on using the Philips InCenter site, see incenter.medical.philips.com...
  • Page 20: Indications For Use

    ECG interpretation. Indications for Use The Philips 12-Lead Algorithm is to be used where the clinician decides to evaluate the electrocardiogram of adult and pediatric patients as part of decisions regarding possible diagnosis, potential treatment, effectiveness of treatment, or to rule out causes for symptoms.
  • Page 21: Capabilities

    Color or monochrome display as described in Table 1-2: Table 1-2 PageWriter Trim Cardiograph Display by model Model Display PageWriter Trim I 40 x 2 character LCD PageWriter Trim II 640 x 480 monochrome LCD PageWriter Trim III 640 x 480 color LCD...
  • Page 22: Tour Of Pagewriter Trim Cardiographs

    Interface Module (PIM). For more information, see the PageWriter Trim Instructions for Use. PageWriter Trim I Cardiograph The following section shows front and rear views of the PageWriter Trim I cardiograph. Figure 1-1 PageWriter Trim I Cardiograph and Cart (Front View)
  • Page 23 Always lock the wheel brake (J) when the cart is not in use. Press down on the wheel brake to set or CAUTION to release the wheel brake. Figure 1-2 PageWriter Trim I Cardiograph (Rear View) Reset button Battery door AC power cord connector...
  • Page 24: Pagewriter Trim Ii, Iii, And Rx Cardiographs

    Introduction Tour of PageWriter Trim Cardiographs PageWriter Trim II, III, and Rx Cardiographs The following section shows front and rear views of the PageWriter Trim II, III, and Rx cardiographs. Figure 1-3 PageWriter Trim II, III, and Rx Cardiograph and Cart (Front View) A Keyboard G Wheel positioners B Printer paper drawer...
  • Page 25: Using The Cart Wheel Positioners And Brake

    Introduction Tour of PageWriter Trim Cardiographs Always lock the wheel brake (K) when the cart is not in use. Press down on the wheel brake to set or CAUTION to release the wheel brake. Figure 1-4 PageWriter Trim II, III, and Rx Cardiograph (Rear View) Reset button Battery door PC card eject button...
  • Page 26 Introduction Tour of PageWriter Trim Cardiographs To use the cart wheel positioners and brake: Align the front wheels so that they are straight. Step on both wheel positioners. Move the cart forward until the wheels lock into position. The cart will move forward or backward in a straight line.
  • Page 27: Patient Interface Module (pim)

    Keep the following points in mind when servicing this product. Installation The PageWriter Trim cardiographs do not require installation by Philips field personnel. The cardiograph can be installed by the customer. See Chapter 1 “Getting Started” and 2 “Configuration” of the PageWriter Trim Instructions for Use or the PageWriter Trim Rx...
  • Page 28: Upgrades And Accessories

    Instructions for Use for information on the proper setup and configuration of the cardiograph and cart system. N O T E There are no configurable features for the PageWriter Trim I cardiograph. Upgrades and Accessories Upgrades and cardiograph accessories are available to add specific functionality to the device.
  • Page 29: Pagewriter Trim Ii, Iii And Rx Token Label

    For information on obtaining a token number in order to complete a software upgrade procedure, contact the nearest Philips Response Center. See “Contacting a Philips Response Center” on page 1-32 for a listing of contact telephone numbers.
  • Page 30: Managing Token Labels

    For information on enabling and installing an optional upgrade, see “Upgrade Kit Installation” on page E-2. Supplies and Ordering Information The part numbers for all supplies for the PageWriter Trim I/II/III/Rx cardiographs are listed in this section. You can order all supplies on the World Wide Web at http://shop.medical.philips.com...
  • Page 31: Special Note About Welsh Bulb Electrodes

    Trim cardiograph. Special care is necessary when using these electrodes. Pay special attention to all warnings associated with these electrodes. For information on cleaning the reusable Welsh Bulb electrodes, see “Reusable Electrode Cleaning” on page 3-3. Philips Medical Systems recommends the use of disposable electrodes with all models of the PageWriter Trim cardiograph.
  • Page 32 Introduction Supplies and Ordering Information Table 1-7 Replacement Lead Sets and Accessories (continued) Part Number Description 989803129201 Long Limb Lead Set, 137 cm/54 in (IEC) 989803129211 Long Chest Lead Set, 99 cm/39 in (IEC) 989803129221 Long Complete Lead Set (IEC) 989803129231 Alligator Clips for Disposable Tab Electrodes (AAMI) 989803129241...
  • Page 33: Preventive Maintenance

    LCD, the main Processor Circuit Assembly (PCA), the power supply board, the power module, the PIM PCA sets, and the printer drawer. Only Philips authorized personnel can repair this product. Repairs by users that involve replacing CAUTION subassemblies and components are not supported or authorized, and attempting to perform internal repairs on the cardiograph may void conditions of the product warranty.
  • Page 34 Introduction Country/Region Options Table 1-11 PageWriter Trim I, II, III and Rx Country and Region Options (continued) Option Country/ User Lead Keyboard PIM/ Power Default Code Region Interface Standard Lead Cord Paper Version Opt. Size USA/ English English AAMI 8120-...
  • Page 35 Introduction Country/Region Options Table 1-11 PageWriter Trim I, II, III and Rx Country and Region Options (continued) Option Country/ User Lead Keyboard PIM/ Power Default Code Region Interface Standard Lead Cord Paper Version Opt. Size South English Korean AAMI Korea...
  • Page 36: Philips 12-lead Ecg Xml Information And Tools

    XML utilities and tools are available for download from the Philips InCenter web site. An XML Utility Suite Instructions for Use is also available for download. This Instructions for Use describes how to install and configure the XML utilities.
  • Page 37: Pagewriter Trim Cardiograph Learning Product Part Numbers

    N O T E The PageWriter Trim Interactive Training Program is only available in English for the PageWriter Trim I, II, and III model cardiographs, and is only available for download from the Philips InCenter site. Table 1-12 English Learning Product Part Numbers...
  • Page 38 English Table 1-13 Czech Learning Product Part Numbers Part Number Title Language M4992-91182 PageWriter Trim I, II, III Quick Help Card Czech M4992-91172 PageWriter Trim I, II, III User’s Guide Czech Table 1-14 Danish Learning Product Part Numbers Part Number...
  • Page 39 PageWriter Trim Cardiograph Learning Product Part Numbers Table 1-17 French Learning Product Part Numbers Part Number Title Language 453564087191 PageWriter Trim I, II, III Quick Help Card French M4992-91166 Getting Started Guide French M5000-91001 Philips 12-Lead Algorithm Physician’s Guide French...
  • Page 40 PageWriter Trim Cardiograph Learning Product Part Numbers Table 1-22 Norwegian Learning Product Part Numbers (continued) Part Number Title Language M4992-91965 PageWriter Trim I, II, III Instructions for Use Norwegian Table 1-23 Polish Learning Product Part Numbers Part Number Title Language M4992-91192...
  • Page 41 PageWriter Trim I, II, III User’s Guide Slovak Table 1-29 Spanish Learning Product Part Numbers Part Number Title Language 453564083051 PageWriter Trim I, II, III Quick Help Card Spanish M4992-91158 Getting Started Guide Spanish M5000-91004 Philips 12-Lead Algorithm Physician’s Guide Spanish...
  • Page 42: Contacting A Philips Response Center

    Introduction Contacting a Philips Response Center Contacting a Philips Response Center The Philips Response Center can assist with product troubleshooting and provide technical expertise to help with any issue with the PageWriter Trim cardiograph or any of its accessories. For more information on the Philips Response Center go to: www.medical.philips.com/main/services/response_center...
  • Page 43: Asia Response Centers

    Introduction Contacting a Philips Response Center Europe Response Centers (continued) Country Telephone Number France 0 810 835 624 Germany 0180 5 47 5000 Greece 31 40 2781619 MCR Response Center (located in The Netherlands) Hungary 31 40 2781619 MCR Response Center (located in The Netherlands)
  • Page 44: Africa And Middle East

    Introduction Contacting a Philips Response Center Asia Response Centers (continued) Country Telephone Number Korea 82 (0)2 3445 9010 Malaysia 1800 886 188 New Zealand 0800 251 400 Philippines 63 2 8162617 ext. 875 Singapore 1800 Philips Taiwan 0800 005 616...
  • Page 45: Chapter 2 Theory Of Operation

    The main control board contains loader software and the Windows CE kernel image in its internal flash memory (32 MB for PageWriter Trim II, III, Rx; 16 MB for PageWriter Trim I). At system boot, a system RAM test is performed by the loader (onboard RAM is 64 MB), and then the Windows CE kernel loads.
  • Page 46 CompactFlash (CF) card installed on the main control board. The number of ECGs that can be stored to this internal memory varies by cardiograph model as shown in the following table. N O T E The PageWriter Trim I cardiograph does not provide internal storage. Table 2-1 ECG Storage Capacity Model...
  • Page 47 Hardware Logical View Theory of Operation Figure 2-1 Devices and Interfaces for the Main Control Board The board presents a backplane through the rear of the PageWriter Trim case. This allows the user to access interfaces shown as external in Figure 2-1. Other external interfaces include the PCMCIA slot, USB connector, and the PS/2 connection for a barcode reader device.
  • Page 48: Display

    TFT LCD with backlight. All display functions are handled by the main control board using the S1D13506 (EPSON) graphics accelerator chip. The PageWriter Trim I display is a 40 x 2 line character LCD with cursor. Its function is driven directly by SA1110.
  • Page 49: Barcode Reader (ps/2)

    A PCMCIA Storage Card is available as an option for all product models except the PageWriter Trim I. It connects through the PCMCIA slot located on the rear of the cardiograph. The PCMCIA storage card can be used to store and transfer ECGs and orders between the cardiograph and a TraceMaster or TraceMasterVue ECG Management System, or can be used to store custom configured cardiograph settings.
  • Page 50: Pcmcia Wireless Lan Card

    A PCMCIA modem card is available as an option for all product models except the PageWriter Trim I. It connects through the PCMCIA slot and provides standard modem capability. The PageWriter Trim cardiograph faxes ECG data to remote receivers or communicates with a TraceMaster or TraceMasterVue ECG Management System through the PCMCIA modem card.
  • Page 51 High Level ECG Data Flow and Storage Theory of Operation Figure 2-2 ECG Flow and Storage PageWriter Trim Cardiograph Service Manual...
  • Page 52: Internal Main Archive

    Currently, the internal remote archive is limited to a maximum of 100 ECGs. N O T E The PageWriter Trim I cardiograph does not provide an internal remote archive. External PC Card Archives The external PC card archives reside on a compatible PC card inserted into the PC card slot.
  • Page 53: External Usb Flash Memory Stick Archives

    The PageWriter Trim cardiograph only supports the USB memory stick that is shipped with the cardiograph, or that is available for purchase as an optional accessory from Philips Medical Systems. Philips does not guarantee that other USB memory sticks are compatible with the PageWriter Trim cardiograph.
  • Page 54: Fax-rendered Ecg Report Print

    Theory of Operation High Level ECG Data Flow and Storage Figure 2-3 Rendered ECG Report Print Sample Fax-Rendered ECG Report Print A fax-rendered ECG report print is equivalent to the rendered ECG report print, as described in the previous section, except it has been adjusted to comply with fax transmission and resolution device requirements.
  • Page 55: Power System Overview

    However, if print demand is too high, the current limiter will not print the output, resulting in a faded page. For more information on configuring power saving options on the cardiograph, see Chapter 2 “Configuration” of the PageWriter Trim Cardiograph Instructions for Use, available for download from the Philips InCenter site ( incenter.medical.philips.com Battery The 12V recharged sealed lead-acid battery provides power to the PageWriter Trim cardiograph.
  • Page 56: Power Labels

    Theory of Operation Power System Overview Figure 2-4 Power System Block Diagram Main Board Battery Pack monitor Power Supply Con +5VP Charger Charger +3.3V Status +3.3 Power Board VB_P Vcore (+1.86v) (+26V) Power Labels The following represent the various power labels used on the PageWriter Trim cardiograph. The DC voltage direct from the AC power.
  • Page 57: +3.3vb_p

    Power System Overview Theory of Operation +3.3V Output from the U113 (power board) regulator. This switching regulator will supply 3.3V at up to 4.25A of current. This voltage is monitored. +3.3VB_P Output from U111 (power board) regulator, an MIC5233, for the real timer and power sequence circuit.
  • Page 58: Power Management

    The battery gauge on the PageWriter Trim II, III and Rx cardiographs consists of four segments. When the battery is fully charged, all four segments are displayed. The battery gauge on the PageWriter Trim I LCD display consists of two icons. It appears in the upper right corner of the LCD.
  • Page 59 Power Management Theory of Operation Table 2-5 PageWriter Trim I Battery Status Indicator Battery Level Status Indicator Fully Charged Battery 50% power capacity Low Battery Power Low Battery Alert No or Dead Battery Battery is charging Table 2-6 Trim II/III/Rx Battery Status Readings...
  • Page 60: Battery Discharging

    Theory of Operation Power Management Table 2-6 Trim II/III/Rx Battery Status Readings (continued) Battery Level Status Indicator Battery is charging (moving bars) Battery Discharging When the battery is discharged to the 30% level, the PageWriter Trim cardiograph disables high-demand printing, and continues to allow the battery to be discharged to a 20% level. When the 20% level is reached, the PageWriter Trim cardiograph disables printing, and warns the user to plug in the AC power cord.
  • Page 61: Chapter 3 Cardiograph Care And Maintenance

    Chapter 3 This chapter contains information on basic cardiograph care and periodic maintenance. If further technical assistance is required, contact the nearest Philips Response Center. For more information, see “Contacting a Philips Response Center” on page 1-32. The PageWriter Trim cardiograph does not require scheduled preventive maintenance.
  • Page 62: Cleaning The Pim, Patient Data Cable, And Lead Wires

    Cardiograph Care and Maintenance Cleaning the PIM, Patient Data Cable, and Lead Wires Cleaning the PIM, Patient Data Cable, and Lead Wires Do not: CAUTION Use isopropyl alcohol Autoclave the patient data cable or lead wires or use ultrasonic cleaners Immerse Use abrasive materials Wet the connectors...
  • Page 63: Reusable Electrode Cleaning

    Replacing Printer Paper Replace the printer paper when a red stripe appears on the printed ECG report. Only use Philips Medical Systems replacement printer paper. For part number and ordering information, see page 1-20. Always load less than 100 sheets of printer paper into the paper tray...
  • Page 64 Cardiograph Care and Maintenance Replacing Printer Paper Insert a new pack of printer paper with the printed side facing up. Ensure that no more than 100 sheets are being inserted into the paper tray. Ensure that the paper sensor hole ( ) is positioned as shown.
  • Page 65 Cardiograph Care and Maintenance Replacing Printer Paper Drape the entire first sheet over the roller. Lower the paper bar. Ensure that the perforated edge of the paper aligns with the edge of the paper drawer, and that the paper bar is pulled down completely.
  • Page 66: Battery Maintenance And Care

    Repeated undercharging of the battery will damage the battery and reduce overall battery life. CAUTION N O T E Philips recommends that the cardiograph be plugged into AC power whenever possible to maximize battery life. Battery life varies depending on frequency of use and maintenance, and environmental conditions when the battery is used or stored.
  • Page 67: Storing The Battery

    Cardiograph Care and Maintenance Battery Maintenance and Care If the battery has been fully charged and requires recharging after a few ECGs, consider replacing it. The use of cardiograph accessories (barcode reader, magnetic card reader, PC card, modem) will deplete battery power at a faster rate. The battery will require more frequent charging if these accessories are used with the cardiograph.
  • Page 68: Replacing The Lead Wires In The Pim

    Cardiograph Care and Maintenance Replacing the Lead Wires in the PIM Replacing the Lead Wires in the PIM To replace the lead wires: Disconnect the PIM from the RJ-11 receptacle (rear of cardiograph). Remove the lead wire(s) by pulling the connector up. Match the lead wire labeling (on lead) with the same lead wire connector on the PIM.
  • Page 69: Cardiograph And Accessory Disposal

    Cardiograph Care and Maintenance Cardiograph and Accessory Disposal Reattach the patient data cable to the RJ-11 receptacle (rear of cardiograph). To ensure safety and prevent damage to the system, only connect the patient data cable WARNING to the correct PIM connector on the rear of the cardiograph. Cardiograph and Accessory Disposal When the cardiograph has reached the end of its product life, dispose of it according to local ordinances.
  • Page 70: Pagewriter Trim I

    ) to save the new date and time settings. The new date and time appears on the Command Toolbar. PageWriter Trim I To change the date and time: Turn the Trim Knob until the date on the LCD display is highlighted.
  • Page 71: Calibrating The Barcode Reader

    Cardiograph Care and Maintenance Calibrating the Barcode Reader Calibrating the Barcode Reader The optional barcode reader is shipped with configured settings that provide optimal use with the cardiograph. If the barcode reader operates with errors or missed data, follow the procedure below.
  • Page 72 Cardiograph Care and Maintenance Calibrating the Barcode Reader Figure 3-2 Barcode Calibration Sequence 3-12 PageWriter Trim Cardiograph Service Manual...
  • Page 73: Removing The Carriage Return

    Cardiograph Care and Maintenance Calibrating the Barcode Reader Removing the Carriage Return Scan the following barcode when the barcode reader incorrectly scans data in any field on the Patient ID screen. The following procedure removes a carriage return from the end of a data scan that can cause errors when entering Patient ID information.
  • Page 74: Maintenance Tests For Trim Ii, Iii And Rx

    Utility requires a full restart of the cardiograph. For further assistance with any of the maintenance tests described in this section, contact the nearest Philips Response Center. See "Contacting a Philips Response Center" on page 1-32. To open the Diagnostics/Maintenance Test screen:...
  • Page 75 II/III/Rx cardiograph from the normal cardiograph operating mode, and includes instructions for using the Biomed Service Utility. Using the Biomed Service Utility requires a full restart of the cardiograph. This appendix also includes instructions on using the PageWriter Trim I cardiograph Biomed Service Utility.
  • Page 76: Chapter 4 Maintenance Tests

    Please Check the Patient Interface Module patient data cable is securely attached to the PIM connector on the rear of the cardiograph. If the error message persists, contact Philips Medical Systems for assistance, see “Contacting a Philips Response Center” on page 1-32.
  • Page 77: Magnetic Card Reader Test

    Maintenance Tests Maintenance Tests (Trim II/III/Rx only) Magnetic Card Reader Test N O T E You must attach the magnetic card reader to the port on the rear of the cardiograph before powering on the unit. The Magnetic Card Reader Test is used with the optional magnetic card reader. This test can be used to confirm that the magnetic card reader is correctly reading data from a magnetic card.
  • Page 78 Maintenance Tests Maintenance Tests (Trim II/III/Rx only) Table 4-35 Printer Test Page Description (continued) Test Description Point The diagonal lines should be straight and printed cleanly without distortion or breaks in the lines The character set is printed cleanly without distortion or missing characters, and all characters are clearly legible PageWriter Trim Cardiograph Service Manual...
  • Page 79 Maintenance Tests Maintenance Tests (Trim II/III/Rx only) Figure 4-4 Printer Test Page If the printer test page matches the printer test points as described in Table 4-35, “Printer Test Page Description,” on page 4-3, the cardiograph has passed the printer test. If the printer test page does not match the printer test points, the cardiograph has failed the print test.
  • Page 80: Network Test

    LAN cable is fully inserted into the cable connector on the card. Only use the shielded LAN cable provided with the PageWriter Trim cardiograph (Philips part number CAUTION 989803138021). Do not use LAN cables with the cardiograph that have not been approved by Philips Medical Systems. To perform the network test:...
  • Page 81: Using The Biomed Service Utility For Trim Ii, Iii, Rx

    Confirm DC voltages Examine battery statistics Run diagnostic tests Extract system log files for analysis by Philips personnel Print a cardiograph status report Using the Biomed Service Utility for Trim II, III, Rx Ensure that the AC power cord is plugged into the rear of the cardiograph and into a grounded CAUTION electrical outlet before using the Biomed Service Utility.
  • Page 82: Diagnostic Tests In The Biomed Service Utility

    Maintenance Tests Trim II/III/Rx Diagnostic and Performance Verification Tests N O T E The software identification screen disappears after five seconds. If you miss it, you must restart the cardiograph again. An Access Code window appears. If the Access Code window does not appear, try the left CTRL-SHIFT-TrimKnob sequence again.
  • Page 83: Working With The Diagnostic Tests

    Maintenance Tests Trim II/III/Rx Diagnostic and Performance Verification Tests Table 4-36 Diagnostic Tests in Biomed Service Utility (continued) Test Page Fax/Modem 4-12 Keyboard 4-12 Onboard Flash 4-13 PC Card (PCMCIA Storage) 4-14 Printer 4-14 Network Ping 4-14 Screen 4-14 Serial Loopback (not supported) Suspend Button 4-16...
  • Page 84: Audio Test

    Maintenance Tests Trim II/III/Rx Diagnostic and Performance Verification Tests Clear Results Clears the Test Results. Figure 4-7 Trim II/III/Rx Service Diagnostics: Test Results Audio Test Tests whether the cardiograph is emitting sounds. To test audio: From within the Biomed Service Utility, select from the list, and select Audio Start...
  • Page 85: Magnetic Card Reader Test

    Maintenance Tests Trim II/III/Rx Diagnostic and Performance Verification Tests If the Smart Card reader fails the test, try the test again. The result is printed on the Test Results report. Magnetic Card Reader Test N O T E You must attach the magnetic card reader to the port on the rear of the cardiograph before powering on the cardiograph.
  • Page 86: Compact Flash (archive) Test

    Maintenance Tests Trim II/III/Rx Diagnostic and Performance Verification Tests If the barcode reader fails the test, perform a barcode reader calibration and try the test again. See "Calibrating the Barcode Reader" on page 3-11. Compact Flash (Archive) Test Verifies that the Compact Flash is working properly. To test the Compact Flash: From within the Biomed Service Utility, select from the list,...
  • Page 87: Onboard Flash Test

    Maintenance Tests Trim II/III/Rx Diagnostic and Performance Verification Tests Figure 4-8 Keyboard Test window Press each key on the keyboard. If a key is highlighted, the key is registered. Figure 4-9 Keyboard Test window with highlighted keys After all the keys are highlighted, the check box is automatically selected.
  • Page 88: Pc Card (pcmcia Storage) Test

    Maintenance Tests Trim II/III/Rx Diagnostic and Performance Verification Tests PC Card (PCMCIA Storage) Test Reports the external PC card or PCMCIA card size in bytes (if installed), and whether any error was reported when the media was polled. To perform the PC Card Test: Insert a blank PCMCIA card with PCMCIA adapter in the PCMCIA slot located in the back of the cardiograph.
  • Page 89: Serial Loopback Test

    Maintenance Tests Trim II/III/Rx Diagnostic and Performance Verification Tests Figure 4-10 Screen Test Image Look for the following details in the image appearing on the screen: – The progression of shading (from light to dark) in the red, green, and blue bars should be smooth and without breaks.
  • Page 90: Trim Knob Test

    Maintenance Tests Trim II/III/Rx Diagnostic and Performance Verification Tests Suspend Button Test With this test, you can test the button functionality independently of the software Standby application. To test the Suspend Button: From within the Biomed Service Utility, select from the list, and select Suspend Button Start Press the On/Standby button.
  • Page 91: Trim I Diagnostic And Performance Verification Tests

    Entering the Service Utility requires a full restart of the cardiograph. Any unsaved patient data will be lost. Press the button to power on the unit. After approximately 20 seconds, the On/Off PageWriter Trim I screen appears, followed by a screen showing five triangles. PageWriter Trim Cardiograph Service Manual 4-17...
  • Page 92: Diagnostic Tests In The Trim I Biomed Service Program

    Maintenance Tests Trim I Diagnostic and Performance Verification Tests Quickly, while the screen showing five triangles is displayed, press the Patient ID buttons at the same time. Auto N O T E The screen showing five triangles disappears after five seconds. If you miss it, you must restart the cardiograph again.
  • Page 93: Battery Test

    Maintenance Tests Trim I Diagnostic and Performance Verification Tests Battery Test This test analyzes if the battery voltage is below or above the voltage limits. To perform the keyboard test: From the Biomed Service Program, turn the Trim Knob to highlight and push to Test select it.
  • Page 94: Onboard Flash Test

    Maintenance Tests Trim I Diagnostic and Performance Verification Tests If you pressed to pass the test, now press to print a report or Patient ID Patient ID Stop return to the previous screen. If the screen test fails, try it again. Onboard Flash Test Verifies that the Onboard Flash is working properly.
  • Page 95: Printer Test

    If the printer Patient ID Stop fails the test, try the test again. If the failure persists, contact the nearest Philips Response Center for further assistance, see “Contacting a Philips Response Center” on page 1-32. RAM Test The RAM Test verifies that the internal storage is operational and is not corrupt.
  • Page 96: Self-test

    Maintenance Tests Trim I Diagnostic and Performance Verification Tests Self-Test The Self-Test option will run all of the tests listed in Table 4-37. For information on any specific test, see the page number referenced in the table. To run the self-test: Select from the Main Menu.
  • Page 97: Voltage Test

    Maintenance Tests Trim I Diagnostic and Performance Verification Tests The test results display on the screen. Press to print a report or to return Patient ID Stop to the previous screen. N O T E The Version Test will fail if the PIM is not connected to the cardiograph. Voltage Test The Voltage Test verifies that the cardiograph is operating within acceptable voltage limits.
  • Page 98 Maintenance Tests Trim I Diagnostic and Performance Verification Tests 4-24 PageWriter Trim Cardiograph Service Manual...
  • Page 99: Chapter 5 Troubleshooting

    The Philips Response Center can assist with product troubleshooting and provide technical expertise to help with any issue with the PageWriter Trim cardiograph or any of its accessories. For a full listing of contact phone numbers, see “Contacting a Philips Response Center” on page 1-32.
  • Page 100 Troubleshooting Power On and Power Off Sequence Figure 5-14 Trim I Power On Sequence PageWriter Trim Cardiograph Service Manual...
  • Page 101 Troubleshooting Power On and Power Off Sequence Figure 5-15 Trim II/III/Rx Power On Sequence PageWriter Trim Cardiograph Service Manual...
  • Page 102 Troubleshooting Power On and Power Off Sequence Figure 5-16 Trim I Power Off Sequence Figure 5-17 Trim II/III/Rx Power Off Sequence PageWriter Trim Cardiograph Service Manual...
  • Page 103: Special Note About Software Version A.01.03

    Always ensure that the Patient Interface Module (PIM) is connected to the cardiograph before pressing the On/Off button and returning the cardiograph to active use. PageWriter Trim I Power Sequence To return the cardiograph to active use if the PIM is not connected or a defective PIM is...
  • Page 104: Troubleshooting Cardiograph Issues

    Several failure mode symptoms may actually be hardware induced or triggered, and may require board replacement or opening of the cardiograph for inspection, please contact the Philips Response Center for further assistance. See "Contacting a Philips Response Center" on page 1-32.
  • Page 105 Screen is dark and LCD panel failure Replace with a new LCD Replace with a new LCD shows no image panel to see if it functions panel. Contact Philips normally. Medical Systems (see page 1-32). LCD backlight board Replace with a new Replace the LCD failure.
  • Page 106: Keyboard/trim Knob/dedicated Key Issues

    Action: unresponsive. the keyboard, cabling, using rear button (see page or main controller 5-33) and launch the board. Contact Philips Service Utility. Perform Medical Systems for the Keyboard Test. assistance (see page 1- 32). Keyboard is typing Keyboard controller...
  • Page 107 Service Utility (see serviced to inspect and page 4-7). Run the possibly replace Keyboard Test. keyboard, cabling, or controller board. Contact Philips Medical Systems for assistance (see page 1- 32). During a software Try to upgrade the Reinstall the software...
  • Page 108: Signal Acquisition Issues

    Troubleshooting Troubleshooting Cardiograph Issues Signal Acquisition Issues Before attempting to troubleshoot a signal acquisition error as a mechanical issue, ensure that the following patient preparation and basic troubleshooting techniques have first been followed. Always follow good skin and patient preparation techniques prior to taking an ECG. Proper skin preparation helps to ensure a good quality ECG.
  • Page 109 If the PIM Test continues to fail with a new patient data cable attached, replace the entire PIM PCA Set. Contact Philips Medical Systems for further assistance (see page 1-32). If the PIM test passes, ensure that all lead wires are fully seated in the PIM lead connectors.
  • Page 110 Observe Action: the cardiograph should be serviced to inspect and frequency and recovery possibly replace the PIM or lead cables. Contact behavior. Philips Medical Systems for further assistance (see page 1-32). 5-12 PageWriter Trim Cardiograph Service Manual...
  • Page 111 If the PIM Test continues to fail with a new patient data cable attached, replace the entire PIM PCA Set. Contact Philips Medical Systems for further assistance (see page 1-32). If the PIM test passes, ensure that all lead wires are fully seated in the PIM lead connectors.
  • Page 112: Real Time Screen Issues

    G.001 the cardiograph software to version A.01.03. If the signal quality issues persist with software version A.01.03 installed, replace the PIM PCA sets. Contact Philips Medical Systems for further assistance (see page 1-32). – If the PIM Kernel version is , and the D.008...
  • Page 113: Archive Screen Issues

    Troubleshooting Troubleshooting Cardiograph Issues Archive Screen Issues Table 5-5 Archive Screen Issues Possible Cause & Symptom Confirmation Solution Investigation Step After attempting The TraceMaster ECG Operation succeeds on Transfer operations use an Archive screen Management system is subsequent try. network and server operation, an error busy.
  • Page 114 Troubleshooting Troubleshooting Cardiograph Issues Table 5-5 Archive Screen Issues (continued) Possible Cause & Symptom Confirmation Solution Investigation Step When an error Application limitation Current system The current PageWriter occurs during limitation. Trim operations fail in a None. Action: transfer of multiple known safe manner when ECGs to a multiple ECG transfer...
  • Page 115: Configuration Screen Issues

    Xli ECG settings. Configuration Screen Issues Table 5-6 Configuration Screen Issues Possible Cause & Symptom Confirmation Solution Investigation Step Can not enter the Forgot password. Contact Philips Medical configuration Systems for further window assistance (page 1-32). PageWriter Trim Cardiograph Service Manual 5-17...
  • Page 116: Printer Issues

    Troubleshooting Troubleshooting Cardiograph Issues Printer Issues Table 5-7 PageWriter Trim I Printer Issues Software Version A.00.03 and lower Error Code Possible Cause & Investigation Step Solution No battery or dead battery. Replace battery. 0201 Replace motherboard, contact Philips Medical Systems for further assistance (page 1-32).
  • Page 117 Troubleshooting Troubleshooting Cardiograph Issues Table 5-7 PageWriter Trim I Printer Issues Software Version A.00.03 and lower (continued) Error Code Possible Cause & Investigation Step Solution Temperature shutdown: the Shut down cardiograph and wait 20 0206 temperature of the print head is too minutes.
  • Page 118 Troubleshooting Troubleshooting Cardiograph Issues Table 5-8 PageWriter Trim I Printer Issues Software Version A.01.00 and higher (continued) Error Code Possible Cause & Investigation Step Solution USB printer - paper jam or out of Open and firmly close the printer 0204 paper drawer.
  • Page 119 Troubleshooting Troubleshooting Cardiograph Issues Table 5-9 PageWriter Trim II/III/Rx Printer Issues (continued) Possible Cause & Symptom Confirmation Solution Investigation Step After the paper Printer controller error The cardiograph Occasional printer controller drawer was opened restarts and boots status errors can occur when Press the rear Action: during printing, the...
  • Page 120 Open paper drawer and paper loaded check to make sure paper incorrectly is aligned correctly. Defective TOF Replace TOF sensor sensor assembly assembly, contact Philips Medical Systems for Defective paper further assistance (page 1- tray assembly 32). Replace paper tray assembly.
  • Page 121: Pc Card/usb Memory Stick Issues

    Install All Chinese characters option cardiograph. reinstalled. page B-1). All other errors Unknown error Contact Philips Medical Systems for further assistance (see page 1-32). PC Card/USB Memory Stick Issues Table 5-10 PC Card / USB Memory Stick Issues Possible Cause &...
  • Page 122: Software Installation Issues

    All wireless LAN troubleshooting topics are included in this section. For further assistance with configuring the cardiograph for wireless transmission to a TraceMasterVue ECG Management System, see the Installing TraceMasterVue and Configuring Communication Guide available for download from the Philips InCenter web site ( incenter.medical.philips.com 5-24...
  • Page 123 Troubleshooting Wireless Troubleshooting Table 5-12 Aironet Client Utility (ACU) Error Messages Error Message Possible Cause Recommended Solution Cisco The Aironet Client Utility was Select to close the error message. Wireless LAN launched without the wireless Adapter Not adapter being inserted into the Press the On/Standby button Found! cardiograph...
  • Page 124 Troubleshooting Wireless Troubleshooting Table 5-13 PageWriter Trim Cardiograph Wireless Error Messages Error Message Possible Cause Recommended Solution Unidentified PC The wireless adapter is Press the Esc key to close card Adapter: the dialog. inserted incorrectly into the PC Enter the name of card slot on the cardiograph Press the On/Standby button the PC card...
  • Page 125: Checking The Remote Site Server Connection

    Standby. Push the On/Standby button again. Check the status LEDs on the wireless adapter. If the LEDs are still not illuminated, contact the Philips Response Center for further assistance. Red LED: blinking The wireless adapter is associated to an access point. Go to quickly Step 2 in this procedure.
  • Page 126 Troubleshooting Wireless Troubleshooting When the software identification screen appears, press the Ctrl ( ) + Shift ( + 6 ( ) keys at the same time. Figure 5-18 PageWriter Trim Software Identification Screen The PageWriter Trim Wireless LAN Installation screen appears. Click on the Configure button.
  • Page 127 Troubleshooting Wireless Troubleshooting Ping the TraceMasterVue server from the cardiograph. Follow the procedure in Table 5- Table 5-16 Pinging the TraceMasterVue server from the cardiograph To ping the TraceMasterVue server from the PageWriter Trim cardiograph: If the cardiograph is in active use, press the On/Standby button for three seconds, then release it to shut down the cardiograph.
  • Page 128: Resolving An Unexplained Reply Received From The Remote Site

    Troubleshooting Wireless Troubleshooting Table 5-16 Pinging the TraceMasterVue server from the cardiograph To ping the cardiograph from the server: Before proceeding, have available the IP address of the target cardiograph. On the TraceMasterVue server, select , and type in the Start >...
  • Page 129: Checking The Wireless Adapter Association To An Access Point

    Press the On/Standby button again. Check the status LEDs on the wireless adapter. If the LEDs are still not illuminated, contact the Philips Response Center for further assistance. Red LED: blinking quickly The wireless adapter is associated to an access point.
  • Page 130 Troubleshooting Wireless Troubleshooting Figure 5-21 PageWriter Trim Software Identification Screen The PageWriter Trim Wireless LAN Installation screen appears. Click on the Configure button. Wireless LAN Card Figure 5-22 PageWriter Trim Wireless LAN Installation screen The Aironet Client Utility (ACU) window appears. Ensure that the correct profile is selected in the drop-down list.
  • Page 131: Restarting The Cardiograph

    If steps 1 and 2 do not work, press the restart button (rear of cardiograph). See Figure 5-1 and Figure 5-2. After approximately 20 seconds, the PageWriter Trim II/III/Rx software identification screen appears, followed by an audible beep. For the PageWriter Trim I, the screen with five triangles appears. Figure 5-1...
  • Page 132 Troubleshooting Restarting the Cardiograph 5-34 PageWriter Trim Cardiograph Service Manual...
  • Page 133: Chapter 6 Performance Verification And Safety Tests

    Performance Verification and Chapter 6 Safety Tests This chapter describes the tests and inspections required to verify performance of the PageWriter Trim cardiograph following a service event. Required Testing Levels The Performance Verification Tests verify proper operation of the PageWriter Trim cardiograph following a service event.
  • Page 134: Internal Repairs

    Performance Verification and Safety Tests Internal Repairs Barcode reader (For Trim II/III/Rx only) Smart Card reader (For Trim II/III/Rx only) Magnetic card reader (For Trim II/III/Rx only) Modem card (For Trim II/III/Rx only) USB memory stick (For Trim II/III/Rx only) Shielded LAN cable Cart External cables...
  • Page 135: Test And Inspection Matrix

    Performance Verification and Safety Tests Test and Inspection Matrix Table 6-1 Tests Required (continued) Service Event Test Blocks Required PIM Repair Internal repairs where the PIM Perform Visual Inspection, Power case is opened. On test, ECG simulation test, and safety test S3. Upgrades Software upgrades (via external Perform Power On test.
  • Page 136: Test Equipment

    ECG Simulator Electrical Safety Tester Software Support Kit (CF Card with PCMCIA Adapter). Order part number 453563479701 through your Philips authorized service parts supplier. Performance Verification Tests Visual Inspection (V) Before beginning the inspection, press the On/Standby button to put the cardiograph in Off mode, and unplug the power cord from the wall outlet.
  • Page 137: Performance Verification Tests

    Reset button located next to the serial port on the back of the cardiograph. See Figure 6-1 and Figure 6-2. After approximately 20 seconds, the PageWriter Trim II/III/Rx software identification screen appears, followed by an audible beep. For the PageWriter Trim I, the screen with five triangles appears. Figure 6-1...
  • Page 138: Ecg Simulation (ecg)

    Performance Verification and Safety Tests Performance Verification Tests Figure 6-2 Rebooting the Cardiograph (Trim I) Reset button (Gentle pressure only) The following self-tests are automatically performed during reboot: Software CRC Test Flash Memory: onboard CompactFlash (CF) PIM Status Battery Voltage Test Printer Status ECG Simulation (ECG) Taking an ECG using a 12-lead ECG simulator allows you to verify areas of operation that the...
  • Page 139: Safety Tests

    Performance Verification and Safety Tests Performance Verification Tests If the ECG does not automatically print, press the Enter key ( ) to start printing. Verify the following when printing is complete: – Trace activity for all 12 leads. Confirms integrity for all patient electrodes and leadwires.
  • Page 140 Performance Verification and Safety Tests Performance Verification Tests – Normal Condition with both AC line connections and earth ground intact: < 10 μA – Single Fault Condition with separate open neutral and open earth, each in turn: < 50 μA Sink Single Fault Condition with AC Mains voltage on Applied Parts (both AC line connections and earth ground intact).
  • Page 141: Chapter 7 Removing And Replacing Cardiograph Components

    This chapter contains information on removing and replacing the PageWriter Trim cardiograph battery, fuses, and paper tray. If you require further technical assistance, contact the nearest Philips Response Center. See “Contacting a Philips Response Center” on page 1-32. About the Cardiograph Components The cardiograph includes the following customer-installable components.
  • Page 142: Removing And Replacing The Battery

    Removing and Replacing Cardiograph Components Removing and Replacing the Battery Removing and Replacing the Battery All of the PageWriter Trim cardiograph models use the same single battery (part number 989803130051). Removal and replacement procedures are the same for all models. Removing the Battery To remove the battery: Unplug the AC power cord.
  • Page 143: Replacing The Battery

    AC power indicator light on the front of the cardiograph does not illuminate. Only use replacement AC fuses with Philips part number 453564000371 or use a 1.5 amp (250V) time-delay fuse the same size and configuration as the original fuse.
  • Page 144: Removing And Replacing The Paper Tray

    Removing and Replacing Cardiograph Components Removing and Replacing the Paper Tray Removing and Replacing the Paper Tray The paper tray is the same for all PageWriter Trim models. Removing the Paper Tray To remove the paper tray: Pull out the paper tray until it stops. Remove any unused paper.
  • Page 145: Chapter 8 Parts And Accessories

    To order medical supplies for the cardiograph, see “Supplies and Ordering Information” on page 1-20. In the US, call 1-800-225-0230. Outside the US, contact your local Philips Medical Systems Sales Office, or your authorized Philips Medical Systems Dealer or Distributor. You can also visit our web site at:...
  • Page 146: Patient Interface Module (pim) Assembly And Parts

    Parts and Accessories Patient Interface Module (PIM) Assembly and Parts Patient Interface Module (PIM) Assembly and Parts Figure 8-1 Patient Interface Module (PIM) Assembly Parts Table 8-1 Patient Interface Module (PIM) Assembly Parts Reference Number Description Part Number Patient Data Cable Replacement Kit 453564034571 Patient Interface Module (PIM) PCA Set 453564044081...
  • Page 147: Cart Assembly And Parts

    Parts and Accessories Cart Assembly and Parts Cart Assembly and Parts Figure 8-2 Cart Assembly Table 8-2 Cart Assembly Parts List Reference Number Description Part Number Rear Handle Kit 453564054341 Swivel Caster Kit 453564050721 Locking Caster Kit 453564054301 Directional Locking Caster Kit 453564054291 Cart Base Kit (includes all four casters shown) 453564054311...
  • Page 148 Parts and Accessories Cart Assembly and Parts PageWriter Trim Cardiograph Service Manual...
  • Page 149: Appendix A Installing Pagewriter Trim I Software

    A.00.02 *. See “Upgrading Legacy Software” below for important information on upgrading from legacy software version A.00.02 to software version A.01.01 or higher. Philips recommends upgrading all PageWriter Trim I cardiographs to software version A.01.03 for optimal performance. Upgrading Legacy Software Legacy software is defined as any PageWriter Trim I software version that is lower than A.01.01.
  • Page 150: Software Revision Information

    A-5. Downloading Software Files from Philips InCenter All software upgrade files may be downloaded from the Philips InCenter web site found at: . The InCenter site requires an active login and password.
  • Page 151 ) and enter your login information. incenter.medical.philips.com N O T E For information on registering for the InCenter site, see “Using the Philips InCenter Site” on page 1-26. On the top menu bar (top of screen), click on . From the drop-down menu, select...
  • Page 152 Installing PageWriter Trim I Software Obtaining Software The InCenter software download license agreement appears. If you agree to the terms of the agreement, click I agree N O T E A message may appear that the Download Manager application needs to be installed. Click as indicated to install the ActiveX control in order to continue with the software download.
  • Page 153: Installing The Software Upgrade

    Installing PageWriter Trim I Software Installing the Software Upgrade Installing the Software Upgrade To install the software upgrade: Peel off the protective covering from the rear panel of the cardiograph to expose the PC card slot. Figure A-5 Removing the protective cover To protect against static discharge, touch the PC card (with memory card inserted into the adapter) to the grounding post on the rear of the cardiograph.
  • Page 154 Installing PageWriter Trim I Software Installing the Software Upgrade Ensure that the Patient Interface Module (PIM) is securely attached to the connector on the rear of the cardiograph. Figure A-7 Connecting the PIM to the cardiograph Insert the PC card into the PC card slot.
  • Page 155 Installing PageWriter Trim I Software Installing the Software Upgrade appearing on the screen. If the buttons are not pressed in time, press the On/Off button to turn off the cardiograph. Press the On/Off button again and repeat the procedure. A prompt appears to enter a password. Press the following keys in sequence: Patient ID .
  • Page 156 Installing PageWriter Trim I Software Installing the Software Upgrade Table A-3 Software Localization Options (continued) Localization Paper Option Code Description Language Lead Standard Size United Kingdom English English Finland English English European Italian Italian Brazil Portuguese Portuguese AAMI South Korea...
  • Page 157: Verifying The Software Installation

    Installing PageWriter Trim I Software Verifying the Software Installation Turn the Trim Knob to highlight and then press the Trim Knob to select this Upgrade All installation option. Turn the Trim Knob to highlight , then press the Trim Knob to select it. Information Start on the status of the upgrade installation appears on the screen.
  • Page 158 Installing PageWriter Trim I Software Verifying the Software Installation cardiograph has passed the printer test. If the printer test page does not match the printer test points, the cardiograph has failed the print test. Table A-3 Printer Test Page Description...
  • Page 159 Installing PageWriter Trim I Software Verifying the Software Installation Figure A-9 Printer Test Page Press the button if the cardiograph passed the printer test. Patient ID When the Self Test is complete, press the button on the cardiograph to print out Patient ID a report of the test results.
  • Page 160 Installing PageWriter Trim I Software Verifying the Software Installation On the printed test report, check the software revision level next to Release Version (lower right side of report). The revision level should read (Figure A-10 on A.01.01 page A-12) or (Figure A-11 on page A-13).
  • Page 161: Software Version A.01.03 Pim Kernel Revision

    Report, reinstall the software following the same procedure. If an incorrect revision level or localization option appears again on the report, or if the cardiograph fails any portion of the Self Test, contact the nearest Philips Response Center for further assistance. See "Contacting a Philips Response Center" on page 1-32.
  • Page 162: Special Note For Software Version A.01.01

    Self Test and the information in Table A-4 are identical, the A.01.01 software installation is complete. If the information is not identical, reinstall the software and run the test again. For further assistance, contact the Philips Response Center, see page 1-32. Table A-4 PageWriter Trim I Cardiograph A.01.01 Valid Software Revision...
  • Page 163: Special Note For Software Version A.01.03

    The cardiograph will operate normally and requires no further intervention. Special Note about PIM Repairs If a Patient Interface Module (PIM) used with a PageWriter Trim I cardiograph with installed software version A.01.03 requires repair or replacement, ensure that following the repair or replacement that the cardiograph has installed PIM software version .
  • Page 164 Installing PageWriter Trim I Software Special Note about PIM Repairs A-16 PageWriter Trim Cardiograph Service Manual...
  • Page 165: Software Upgrades

    A.00.02 *. See “Upgrading Legacy Software” below for important information on upgrading from legacy software version A.00.02 to software version A.01.01 or higher. Philips recommends upgrading all PageWriter Trim II/III/Rx cardiographs to software version A.01.03 for optimal performance. Upgrading Legacy Software Legacy software is defined as any PageWriter Trim II/III/Rx software version that is lower than A.01.01.
  • Page 166: Special Note About Japanese Localization Option

    Installing PageWriter Trim II, III, and Rx Software Saving Custom Settings (Software version A.00.03 and lower only) Special Note about Japanese Localization Option The Japanese AR0 option for the PageWriter Trim II and III model cardiographs is no longer available. The supported software revision level for all Japanese option cardiographs is legacy software version A.00.03.
  • Page 167 Installing PageWriter Trim II, III, and Rx Software Saving Custom Settings (Software version A.00.03 and lower only) Press and hold the Alt key on the keyboard, and then press the N key to select the tab. Network All configured cardiograph Network settings appear on the screen. Record all network settings as indicated in the following steps.
  • Page 168: Obtaining Software

    Instructions for obtaining a login and password are located on the right side of the main InCenter home page. N O T E For more information on registering for the InCenter site, see “Using the Philips InCenter Site” on page 1-26. To load the software upgrade files to the PC card: Insert the CompactFlash (CF) card into the PC card adapter.
  • Page 169 InCenter main page for more information on installing and using ActiveX controls with the InCenter site. Select a file destination and then click . The Philips Download Manager dialog Save appears. The software files are saved to the specified destination. After the files are saved, click .
  • Page 170: Installing The Software Upgrade

    Installing PageWriter Trim II, III, and Rx Software Installing the Software Upgrade Installing the Software Upgrade For ease of navigation on the installation screens, connect a USB mouse to the USB connector on the rear of the cardiograph. If a USB mouse is not available, use the Tab key and the Enter key on the keyboard to navigate on the software installation screens.
  • Page 171 Installing PageWriter Trim II, III, and Rx Software Installing the Software Upgrade Connect the cardiograph to AC power. Ensure that the green AC power indicator light is lit. Always connect the cardiograph to AC power when performing the software upgrade. If WARNING the cardiograph is not connected to AC power when performing the software upgrade it may be damaged.
  • Page 172 Installing PageWriter Trim II, III, and Rx Software Installing the Software Upgrade The Software Installation Utility screen appears. Figure B-19 Software Installation Utility screen Ensure that the correct localization option is selected next to the field on the Option Software Installation Utility screen. See Table B-7, “Software Localization Options,” on page B-8 for a complete listing of all available localization options.
  • Page 173 Installing PageWriter Trim II, III, and Rx Software Installing the Software Upgrade Table B-7 Software Localization Options (continued) Localization Description Language Lead Standard Paper Size Option Code Australia English AAMI Netherlands Dutch Latin American Spanish AAMI Norway Norwegian Sweden Swedish English Finland Finnish...
  • Page 174: Verifying The Software Upgrade

    Installing PageWriter Trim II, III, and Rx Software Verifying the Software Upgrade Press the Tab key to highlight the menu, or click on the menu with the Install Operations mouse. For software version A.01.01 only: press the down arrow key to select Kernel.
  • Page 175 Installing PageWriter Trim II, III, and Rx Software Verifying the Software Upgrade Figure B-20 The Software Identification Screen As soon as the software identification screen appears, press the left Ctrl + Shift+ Trim Knob at the same time. The Access Code window appears. If it does not appear, press the left Ctrl + Shift+ Trim Knob sequence again.
  • Page 176 Installing PageWriter Trim II, III, and Rx Software Verifying the Software Upgrade For the Screen Test, a blank screen appears with the buttons at the Color Pattern bottom of the screen. Click both buttons to display the test image. N O T E The color gradations in the image on the cardiograph display will be more gradual and smoother than those shown in Figure B-22.
  • Page 177 Installing PageWriter Trim II, III, and Rx Software Verifying the Software Upgrade the printer test. If the printer test page does not match the printer test points, the cardiograph has failed the print test. Table B-4 Printer Test Page Description Test Point Description The stepped bars are sharp edged and printed cleanly without distortion...
  • Page 178 Installing PageWriter Trim II, III, and Rx Software Verifying the Software Upgrade Figure B-23 Printer Test Page Click the button if the cardiograph passed the printer test. When the Self Test is complete, the cardiograph prints out a Self Test Report. On the printed test report, check the software revision level next to (lower right Release Version...
  • Page 179 Installing PageWriter Trim II, III, and Rx Software Verifying the Software Upgrade Figure B-24 Software Version A.01.01 Self Test Report A Software Revision Level and Localization Option Information PageWriter Trim Cardiograph Service Manual B-15...
  • Page 180: Software Version A.01.03 Pim Kernel Revision

    Report, reinstall the software following the same procedure. If an incorrect revision level or localization option appears again on the report, or if the cardiograph fails any portion of the Self Test, contact the nearest Philips Response Center for further assistance. See "Contacting a Philips Response Center" on page 1-32.
  • Page 181: Special Note For Software Version A.01.01

    Installing PageWriter Trim II, III, and Rx Software Special Note for Software Version A.01.01 Special Note for Software Version A.01.01 The following section provides additional information about software version A.01.01. Special Note about Software Version A.01.01 Self Test Report Figure B-26 Self Test Report with Failed Software Version A Failed Software Version Field B Failed Self Test Information If the cardiograph fails the Self Test, check the...
  • Page 182: Special Note For Software Version A.01.03

    A.01.03 requires repair or replacement, ensure that following the repair or replacement that the cardiograph has installed PIM software version . For G.003 further assistance, contact the nearest Philips Response Center. See "Contacting a Philips Response Center" on page 1-32. B-18 PageWriter Trim Cardiograph Service Manual...
  • Page 183: Appendix C Wireless Lan Installation Instructions

    Wireless LAN Installation Instructions Appendix A Overview The PageWriter Trim cardiograph supports the Cisco Aironet Wireless LAN card and is compatible with the 802.11b wireless standard. This Appendix describes how to install and configure the Cisco Aironet Wireless LAN card with the PageWriter Trim cardiograph running software version A.01.00 or higher.
  • Page 184: Wireless Lan Faqs

    Wireless LAN Installation Instructions Wireless LAN FAQs Wireless LAN FAQs Question Answer Does the cardiograph always need Yes, the cardiograph must always be reset in order to to be reset after making changes permanently save changes to the Aironet Client to the Aironet Client Utility? Utility.
  • Page 185: Installing The Wireless Lan Card

    Wireless LAN Installation Instructions Installing the Wireless LAN Card Installing the Wireless LAN Card Figure C-1 The Wireless LAN Card Red Activity indicator Green Status indicator For ease of navigation on the wireless LAN installation screens, connect a USB mouse to the USB port on the rear of the cardiograph.
  • Page 186 Wireless LAN Installation Instructions Installing the Wireless LAN Card Insert the wireless LAN card into the PC card slot on the rear of the cardiograph. Ensure that the card is fully inserted into the slot. N O T E Only insert the wireless LAN card into the PC card slot when the cardiograph is shut down or the card will not be recognized by the cardiograph.
  • Page 187 Wireless LAN Installation Instructions Installing the Wireless LAN Card When the software identification screen appears, press the Ctrl ( ) + Shift ( + 6 ( ) keys at the same time. Figure C-2 PageWriter Trim Software Identification Screen The Cisco License Agreement appears. Review the license agreement information. To agree to the terms of the license agreement, click on I agree to all terms of this agreement...
  • Page 188 Table C-2 describes the available settings. Table C-2 Wireless LAN Card Settings Setting Description Philips Recommended Default Setting SSID The Service Set Identifier Consult your network administrator for more information on this setting. Note: If the SSID field is left blank, the...
  • Page 189 Wireless LAN Installation Instructions Installing the Wireless LAN Card Table C-2 Wireless LAN Card Settings (continued) Setting Description Philips Recommended Default Setting Network This setting specifies the None LEAP Security Type type of 802.11b Consult your network administrator for authentication that the more information on this setting.
  • Page 190 Wireless LAN Installation Instructions Installing the Wireless LAN Card Table C-2 Wireless LAN Card Settings (continued) Setting Description Philips Recommended Default Setting PAC Authority This setting is only used with EAP-FAST and is not supported on the PageWriter Trim cardiograph.
  • Page 191 Wireless LAN Installation Instructions Installing the Wireless LAN Card Click the button (upper right corner of screen) to close the Aironet Client Utility. The PageWriter Trim Wireless LAN Installation screen appears. Click the Reset Cardiograph button. The cardiograph automatically restarts. When the R/T (real-time) ECG screen appears, press the Tab key ( ) to highlight the button on the Command Toolbar.
  • Page 192: Enabling Leap Credentials

    For more comprehensive information on configuring the PageWriter Trim cardiograph with a TraceMasterVue ECG Management System, see the Installing TraceMasterVue and Configuring Communication Guide available for download from the Philips InCenter web site ). Registration is required to access materials on the site. For incenter.medical.philips.com...
  • Page 193 Configuring a TraceMasterVue Remote Site information on registering to use the InCenter site, see “Using the Philips InCenter Site” on page 1-26. The guide is updated on a regular basis, check for updates at the Philips InCenter web site. To configure a Remote Site with the wireless network connection:...
  • Page 194 Management System, see Chapter 4 “Orders and Archive” of the PageWriter Trim Cardiograph Instructions for Use available on the User Documentation CD, or download the file from the Philips InCenter web site ( incenter.medical.philips.com For information on troubleshooting wireless connectivity, see “Wireless Troubleshooting”...
  • Page 195: Appendix D Assembling The Cardiograph Cart And Patient Cable Arm

    Assembling the Cardiograph Cart and Appendix A Patient Cable Arm This Appendix includes information on how to assemble the optional cardiograph cart, and optional patient cable arm for the cardiograph cart. For information on ordering the cardiograph cart or patient cable arm, see “Upgrades and Accessories” on page 1-18. Figure D-1 The PageWriter Trim Cardiograph Cart...
  • Page 196: Assembling The Cart

    Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Cart Assembling the Cart Follow this procedure to assemble the cardiograph cart. To assemble the cart: Insert the beam into the cart base. Hold the beam steadily. Turn the cart onto the side to expose the bottom of the cart. Place the ground strap onto the screw end.
  • Page 197 Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Cart Attach the bolt screws and tighten using the provided wrench. Turn the cart upright. Attach the bin to the cart beam. Insert the bin dividers. PageWriter Trim Cardiograph Service Manual...
  • Page 198: Attaching The Cardiograph To The Cart

    Assembling the Cardiograph Cart and Patient Cable Arm Attaching the Cardiograph to the Cart Pull the tray out from the top shelf. Attach the top shelf to the beam using the provided bolts. Tighten the bolts. Attaching the Cardiograph to the Cart Follow the procedure below to ensure that the cardiograph is securely fastened to the cart before use.
  • Page 199: Using The Cart Wheel Positioners And Brake

    Assembling the Cardiograph Cart and Patient Cable Arm Using the Cart Wheel Positioners and Brake Insert the screws through the bottom of the cart and through the screw holes. Tighten the screws with a Phillips head screwdriver. Using the Cart Wheel Positioners and Brake The cart includes one wheel brake and two wheel positioners.
  • Page 200: Connecting The Patient Data Cable Bracket

    To connect the patient data cable bracket: Insert patient data cable into the bracket. Attach the patient data cable bracket to the mounting hole located on the rear of the cardiograph as shown. Tighten the screw with a Philips head screwdriver. PageWriter Trim Cardiograph Service Manual...
  • Page 201: Connecting The Pim The Cardiograph

    Assembling the Cardiograph Cart and Patient Cable Arm Connecting the PIM the Cardiograph Connecting the PIM the Cardiograph Connect the patient data cable on the PIM to the PIM connector port ( ) on the rear panel of the cardiograph. To connect the PIM to the cardiograph: Connect the patient data cable to the PIM connector port on the rear of the cardiograph.
  • Page 202: Assembling The Patient Cable Arm

    Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Patient Cable Arm Assembling the Patient Cable Arm Follow this procedure to assemble the optional patient cable arm that attaches to the cardiograph cart. For information on ordering the optional patient cable arm, see “Upgrades and Accessories”...
  • Page 203 Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Patient Cable Arm Place a protective cloth on the floor and turn over the cart. Remove the bolt screws, grounding strap, and counterweight as shown using the tools provided in the kit. PageWriter Trim Cardiograph Service Manual...
  • Page 204 Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Patient Cable Arm Remove the cart base. Remove the caster base from the bottom base as shown using a Philips head screwdriver. D-10 PageWriter Trim Cardiograph Service Manual...
  • Page 205 Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Patient Cable Arm Remove the front casters from the base as shown. Insert the replacement front casters from the kit as shown. Tighten the screws as shown. PageWriter Trim Cardiograph Service Manual D-11...
  • Page 206 Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Patient Cable Arm Attach the caster base to the cart base as shown. Tighten the screws with a Philips head screw driver. Attach the cart base counterweight and grounding strap as shown.
  • Page 207 Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Patient Cable Arm Reattach the bottom base to the cart beam as shown. Flip the cart upright. PageWriter Trim Cardiograph Service Manual D-13...
  • Page 208 Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Patient Cable Arm Connect the patient cable arm holder onto the rear of the beam as shown. Ensure that the bolt holes are properly aligned. Tighten the screws. Insert the patient cable arm into the holder and insert the mounting screw. Tighten the screw.
  • Page 209 Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Patient Cable Arm Remove the screws from the Patient Interface Module (PIM) holder. Insert the PIM into the holder and connect the bottom housing. PageWriter Trim Cardiograph Service Manual D-15...
  • Page 210 Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Patient Cable Arm Secure the PIM holder housing as shown. Tighten the screws. Attach the cable holders to the arm as shown. D-16 PageWriter Trim Cardiograph Service Manual...
  • Page 211 Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Patient Cable Arm Loosen the elbow hinge after fully assembling the patient cable arm. Loosen hinge carefully. Patient cable arm will open suddenly. CAUTION PageWriter Trim Cardiograph Service Manual D-17...
  • Page 212 Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Patient Cable Arm D-18 PageWriter Trim Cardiograph Service Manual...
  • Page 213: Appendix E Upgrade Kits

    For more information on ordering the upgrade kits, see “Upgrades and Accessories” on page 1-18. N O T E There are no upgrades available for the PageWriter Trim I cardiograph. Upgrade Kit Contents Each upgrade kit includes the following items as described in Table E-1.
  • Page 214: Upgrade Kit Installation

    Upgrade Kits Upgrade Kit Installation Figure E-1 The Upgrade Kit Contents User Documentation CD Wireless LAN Card Ethernet LAN Card and Cable Token Information and Token label Upgrade Kit Installation Each upgrade kit is provided with a set of instructions that describe how to enter the token number information.
  • Page 215 Ethernet LAN or interpretation option, see Chapter 2 “Configuration” of the PageWriter Trim Cardiograph Instructions for Use, this document may be downloaded from the Philips InCenter site. See “Using the Philips InCenter Site” on page 1-26. PageWriter Trim Cardiograph Repair Manual...
  • Page 216 Upgrade Kits Upgrade Kit Installation PageWriter Trim Cardiograph Repair Manual...
  • Page 217: Appendix F Specifications

    Specifications Appendix A Technical Specifications ECG Acquisition PageWriter Trim I Auto (12 leads) Rhythm (3 or 6 leads) PageWriter Trim II/III/Rx Auto (12 leads) Rhythm (up to 12 leads) Disclose (1 lead) Keyboard PageWriter Trim II/III/Rx Full alphanumeric capability Screen Display...
  • Page 218: Cardiograph Cart

    Specifications Technical Specifications Cardiograph Cart The cardiograph cart (optional accessory) has been tested for stability using the IEC 60601-1 test protocol. The IEC 60601-1 protocol calls for the cardiograph cart to not tip over using a 10 degree angle of incline in any direction. It is possible to exceed this amount of incline when the cardiograph and cart are moved over a roadside curb or some other small but steep incline.
  • Page 219: Report Formats

    Specifications Technical Specifications Report Formats PageWriter Trim I 3x4, 1R 6x2 (Cabrera lead sequence only) 3 and 6 lead Rhythm report PageWriter Trim II/III/Rx 3x4 1R, 3R (Standard, Cabrera) 6x2 (Standard, Cabrera) Panoramic 12 (Cabrera) 12x1(Standard, Cabrera) Rhythm (up to 12 selected leads)
  • Page 220: Modem (optional For Usa And Canada

    Specifications Technical Specifications Modem (optional for USA and Canada) PageWriter Trim II/III/Rx V.90, K56flex, enhanced V.34, V.32bis, V.32, V.22 bis and below Barcode Reader (optional) PageWriter Trim II/III/Rx Reads Code 39 (standard and full ASCII) Symbology Magnetic Card Reader (optional) PageWriter Trim II/III/Rx Reads cards adhering to ISO 7810, 7811-1, -2, -3, -4, -5, and JIS X 6301 and X6302 ECG Storage...
  • Page 221: Environmental Operating Conditions

    15% to 90% relative humidity (non-condensing) Up to 4,550 m (15,000 ft.) altitude Cardiograph Dimensions PageWriter Trim I 310 mm width x 388 mm depth x 106 mm height (12.2 x 15.3 x 4.2 inches) PageWriter Trim II/III/Rx 310 mm width x 388 mm depth x 176 mm height (12.2 x 15.3 x 6.9 inches)
  • Page 222: Cardiograph Cart Weight

    Specifications Safety and Performance Cardiograph Cart Weight 20.32 kilograms (44.8 pounds) with single bin and counterweight installed Fully Assembled Cardiograph Cart Shipping Container Dimensions 547 mm (height) x 827 mm (width) x 1107 mm (length) (21.5 x 32.5 x 43.5 inches) Partially Assembled Cardiograph Cart Shipping Container Dimensions 229 mm (height) x 534 mm (width) x 1234 mm (length) (9 x 21 x 48.5 inches) Fully...
  • Page 223: Reducing Electromagnetic Interference

    Once the source of the interference is located, attempt to attenuate the EMC coupling path by distancing the cardiograph from the source of the interference as much as possible. If further assistance is needed, contact the Philips Response Center nearest you. Table F-1 Guidance and Manufacturer’s Declaration: Electromagentic Emissions...
  • Page 224 Specifications Electromagnetic Compatibility (EMC) Table F-1 Guidance and Manufacturer’s Declaration: Electromagentic Emissions The PageWriter Trim cardiograph is intended for use in the electromagnetic environment specified in the table below. The customer or the user of the PageWriter Trim cardiograph should assure that it is used in such an environment.
  • Page 225 Specifications Electromagnetic Compatibility (EMC) Table F-2 Guidance and Manufacturer’s Declaration: Electromagnetic Immunity (continued) The PageWriter Trim cardiograph is intended for use in the electromagnetic environment specified below. The customer or the user of the PageWriter Trim cardiograph should assure that it is used in such an environment.
  • Page 226 Specifications Electromagnetic Compatibility (EMC) Table F-3 Guidance and Manufacturer’s Declaration: Electromagentic Immunity The PageWriter Trim cardiograph is intended for use in the electromagnetic environment specified below. The customer or the user of the PageWriter Trim cardiograph should assure that it is used in such an environment. IEC 60601 Compliance Emissions Test...
  • Page 227 Specifications Electromagnetic Compatibility (EMC) a. Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, am- ateur radios, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the elec- tromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered.
  • Page 228 Specifications Electromagnetic Compatibility (EMC) Table F-4 Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the PageWriter Trim Cardiograph: for equipment and systems that are not life-supporting The PageWriter Trim cardiograph is intended for use in the electromagnetic environment in which radiated RF disturbances are controlled.
  • Page 229 Index cart assembly and replacement parts 8-3 AC fuses overview 1-12 remove and replace 7-3 diagnostic test 4-12 using wheel positioners and brake 1-15 troubleshooting 5-15 accessories enabling E-1 cart assembly D-1 features and capabilities 1-10 attaching cardiograph to cart D-4 Action button attaching the patient data cable location on Patient Interface Module...
  • Page 230 2-11 Trim I parts 1-12 preventative maintenance 1-23 Trim II/III/Rx parts 1-14 print controller 2-1 trim knob printed report PageWriter Trim I diagnostic test 4-16 red stripe appears 3-3 Biomed Service Program 4-17 troubleshooting 5-8 front view 1-12 printer troubleshooting...
  • Page 231 Philips Medical Systems 3000 Minuteman Road Andover, MA 01810 USA PageWriter Trim I/II/III/Rx Cardiograph Service Manual 453564007071 Edition 4 *453564007071*...

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