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HeartStart XL+ Service Library
Service Manual
HeartStart XL+
861290
Edition 3

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Table of Contents

   Also See for Philips HeartStart XL+

   Summary of Contents for Philips HeartStart XL+

  • Page 1 HeartStart XL+ Service Library Service Manual HeartStart XL+ 861290 Edition 3...
  • Page 3 Instructions for Use. The expected useful life of the HeartStart XL+ Philips shall not be liable for errors contained herein or for defibrillator/monitor will depend on the actual operating conditions incidental or consequential damages in connection with the and the degree of adherence to the maintenance schedule described furnishing, performance, or use of this material.
  • Page 4: Conventions Used In This Manual

    Conventions Used in This Manual This book contains the following conventions: WARNING: Warning statements alert you to a potential serious outcome, adverse event or safety hazard. Failure to observe a warning may result in death or serious injury to the user or patient. CAUTION: Caution statements alert you to where special care is necessary for the safe and effective use of the product.
  • Page 5: Table Of Contents

    Contents Chapter 1 Introduction Who Should Use this Manual How to Obtain Training Overview Features and Capabilities Tour of the Device General Service Information Installation Display Menus Passwords Upgrades Preventive Maintenance Repair Philosophy Accessing Service Mode Navigating in Service Mode Service Mode Functions Device Information Primary Label...
  • Page 6 Table of Content Chapter 3 Troubleshooting Overview _ 29 Troubleshooting Tools and Equipment _ 29 Obtaining Replacement Parts Ready For Use Indicator _ 30 Automated Tests _ 31 Automated Test Summary Shift Check and Weekly Shock Test _ 33 Shift Check Weekly Shock Test Operational Check _ 33...
  • Page 7 Table of Content Chapter 4 Repair Overview Who Should Perform Repairs Repair Philosophy Calling for Service Key Components Repair Notes External Assemblies Battery Compartment Cover and Latch Bedrail / Roll Stand Mount Labels Handle Assembly RFU-and-USB PCA Paddle Tray and Plates Paddle Tray, Blank Paddle Tray Load Resistor Printer Assembly...
  • Page 8 Table of Content Chapter 4 Repair (continued) Internal Assemblies — Front Chassis Front Chassis Overview Battery PCA Clock Battery Therapy Port Therapy Switch Pivoting Rear Chassis Upward Printer PCA Measurement Module and the Ports Front Chassis and Case Access Processor PCA Front Chassis Removal and Replacement Inverter PCA and Front Chassis Speaker Assembly...
  • Page 9 Table of Content Appendix A Parts and Accessories Overview Parts and Accessories Notes Ordering Replacement Parts . 175 Ordering Supplies and Accessories . 175 Key Component Tracking . 176 Electrical Assemblies Software Support Tool . 176 Replacement PCAs and Assemblies .
  • Page 10 Table of Content Appendix B Theory of Operation (continued) Functional Descriptions ECG Monitoring Functions Patient Impedance Functions Defibrillation Transcutaneous Pacing Audio Data Storage Appendix C Repair Record I: Incoming II: Diagnosis III: Repair Index viii...
  • Page 11: Chapter 1 Introduction

    The intended users of this manual are technical personnel who have been trained in the safe and proper servicing of the HeartStart XL+. How to Obtain Training To assist in training, the Service Training course is available through Philips Online Learning Center at https://www.theonlinelearningcenter.com/Default.aspx Overview In this chapter, you will find general information that you should know before servicing the HeartStart XL+.
  • Page 12: Features And Capabilities

    Voice prompts are reinforced by messages that appear on the display. The AED Mode incorporates the Philips’ SMART Analysis algorithm for ECG analysis and SMART Biphasic waveform for defibrillation. Optional Pacer Mode offers non-invasive transcutaneous pacing therapy. Pace pulses are delivered through multifunction electrode pads using a monophasic waveform in Demand or Fixed modes.
  • Page 13: Tour Of The Device

    Tour of the Device 1: Introduction Tour of the Device This section gives an overview of the outside of the device. Front of the Device If you have a non-English version of the device, then no Alarms, Mark Event, Reports, or Print text labels are present at the functional buttons below the screen.
  • Page 14 1: Introduction Tour of the Device Right (Therapy) Side Figure 2 Right Side View Handle Therapy port label Paddle tray (optional) Therapy port Left (Monitoring) Side Figure 3 Left Side View Handle Measurement Module ECG Port Paddle Port tray (optional) (optional) NBP Port (optional)
  • Page 15 Tour of the Device 1: Introduction Rear Side Figure 4 Rear Side View LAN Port AC Mains (factory use only) 100 - 240 V 50 - 60 Hz 1- 0.46 A Battery Battery Battery latch compartment Top Side Figure 5 Top Side View Paddle Tray (optional)
  • Page 16: General Service Information

    To obtain a copy of the HeartStart XL+ Instructions for Use and other HeartStart XL+ documentation in your local language visit: and follow links to Product Downloads http://www.philips.com/ProductDocs —> Resuscitation / Defibrillation Products —> 861290 – HeartStart XL+ —> Instructions for Use. Display Menus To display a menu, press the Menu Select button.
  • Page 17: Preventive Maintenance

    General Service Information 1: Introduction Preventive Maintenance Preventive maintenance and periodic operational checks are intended to be performed by the user. These topics are respectively covered in the “Maintenance” and “Operational and Shift Checks” chapters of the Instructions for Use. The Maintenance chapter of this manual provides Battery and NBP calibration and testing procedures.
  • Page 18: Accessing Service Mode

    1: Introduction Accessing Service Mode Accessing Service Mode CAUTION: Be sure that the defibrillator/monitor is not connected to a patient when performing any function in Service Mode. NOTE: Make sure that you insert a sufficiently charged battery (at least two LEDs light up) into the device or connect to AC power when you are performing functions in Service Mode.
  • Page 19: Navigating In Service Mode

    Navigating in Service Mode 1: Introduction Navigating in Service Mode Service Mode uses the same navigation controls as normal operating mode: • To select a menu item, use the Navigation buttons to highlight your choice, then select that choice by pressing the Menu Select button. •...
  • Page 20: Device Information

    For additional information on the HeartStart XL+, refer to the following Learning Products: • HeartStart XL+ Instructions for Use • HeartStart XL+ Service Web-based Training • HeartStart XL+ Lithium-Ion Battery Characteristics and Care Application Note Other documents can be found on the Philips website at: http://www.philips.com/ProductDocs...
  • Page 21: Chapter 2 Maintenance

    – Replacing Processor or Therapy PCA. – Instructed by Philips Customer Support or a Service Bulletin. You may download software from the InCenter. Upload the software on a USB 2.0-compatible flash drive, no more than 32 Gb capacity. NOTE: The RFU indicator may display a red at some point during Software Upgrade.
  • Page 22 2: Maintenance Software Upgrades Figure 8 Software Upgrade, Sample Selection Screen          Use the Up/Down buttons to select the desired software release and language. Press the Select button to begin the upgrade. Press the Main Service soft key to exit the upgrade screen.
  • Page 23 Software Upgrades 2: Maintenance Figure 9 Software Upgrade, Sample Progress Screen            10 In a multi-stage upgrade, the Upgrade Completed message may appear. This message indicates a stage completion. Do not remove the USB drive or power source, or turn the Therapy Knob. Press the Menu Selection key to acknowledge the restart of the upgrade at the next stage, see Figure 10 below.
  • Page 24 2: Maintenance Software Upgrades 11 When the software or language installation process is complete, press the Menu Selection key to acknowledge the restart the device, see Figure Do not remove the USB flash drive yet. Figure 11 Software Upgrade, Completion ...
  • Page 25 Software Upgrades 2: Maintenance Table 2 Software Upgrade Errors Symptom or Possible Causes Suggested Solutions Error ID 1 or 2 • USB drive removed during upgrade Make sure the USB drive is securely inserted and retry the upgrade. • Intermittent USB drive contact Use a 2.0-compatible, ≤...
  • Page 26: Battery Maintenance

    2: Maintenance Battery Maintenance Battery Maintenance When you receive a new battery: • “Wake it up” • Charge it and start rotating • Familiarize yourself and the user with the HeartStart XL+ Lithium-Ion Battery: Characteristics and Care Application Note (available in various languages). “Waking Up”...
  • Page 27 Battery Maintenance 2: Maintenance Figure 12 Battery Calibration Main Screen               The Battery Capacity value of the most recent calibration is displayed. If a Battery Calibration Not Required message appears on the screen, then remove the battery or press the Exit Calibration soft key.
  • Page 28 2: Maintenance Battery Maintenance The Battery Capacity indicator disappears, but the Charge Level is monitored during the entire calibration cycle. Do not disconnect the AC power during calibration. CAUTION: The Battery Calibration progresses in three or four phases: – Preparation: This short phase may or may not be present. It takes only a few minutes to complete and presents no progress bar.
  • Page 29: Nbp Module Calibration

    NBP Module Calibration 2: Maintenance NBP Module Calibration This section describes how to calibrate the HeartStart XL+ NBP module. Perform calibration when prompted by the NBP Calibration Overdue message. If a calibration is overdue, then the HeartStart XL+ Operational Check fails with the code Fail/D. ...
  • Page 30: Nbp Safety Features

    2: Maintenance NBP Module Calibration Figure 16 NBP Calibration Setup Container Loosely fitted NBP cuff Manometer Pump NBP Safety Features The NBP module is equipped with the Timeout and Overpressure safety features that prevent injury to the patient and damage to the device. NBP Time-Out The NBP module times out when the pressure remains greater than 10 mmHg for 3 minutes.
  • Page 31 NBP Module Calibration 2: Maintenance Figure 17 NBP Calibration Screen                   Increase the pressure so that the manometer reads 250 mmHg. Regardless of your configuration settings, millimeters of mercury are the unit of measure for pressure in the HeartStart XL+ calibration.
  • Page 32: Nbp Module Tests

    2: Maintenance NBP Module Tests NBP Calibration Failure If the error message “NBP Calibration failed: <reason for the failure>. Check that the pressure applied is correct. Please restart calibration.” appears at any moment during NBP calibration, then: Recheck the manometer and cuff assembly connections. Loosen the cuff.
  • Page 33 EtCO Maintenance 2: Maintenance If the pressure decreases by more than 6 mmHg, there is a leak. Replace the tubing and cuff assembly and try the leakage test again. If the pressure still decreases by more than 6 mmHg, begin troubleshooting and repairing the device as needed.
  • Page 34: Servicing Etco 2

    2: Maintenance EtCO Maintenance The EtCO maintenance procedures depend on the sensor series and consists of: • Setting Ambient Pressure (for the Mainstream and Sidestream sensors only), • Flow Rate Check (for the Mainstream and Sidestream sensors only), • Calibration Check, and •...
  • Page 35: Servicing The Mainstream And Sidestream Sensors

    EtCO Maintenance 2: Maintenance Servicing the Mainstream and Sidestream Sensors Setting Ambient Pressure Ambient pressure depends on your facility’s altitude above the sea level. If your healthcare facility is located in a tall building, then you may consider the floor altitude influence on the ambient pressure. The ambient pressure variations due to the weather and air temperature changes usually are not significant enough and may be ignored.
  • Page 36 2: Maintenance EtCO Maintenance  To set the Ambient Pressure: Table 4 or obtain a reliable measurement of local atmospheric pressure by using a barometer or by getting the local atmospheric pressure data from the Internet, local airport, or weather station located at the same altitude as your facility.
  • Page 37 EtCO Maintenance 2: Maintenance Figure 20 Calibration Setup, the Micropod and LoFlo Sensors Sensor (the Micropod sensor is shown; the LoFlo sensor is cylinder also connected this way) to the HeartStart XL+ open to the T-shaped joint atmosphere Figure 21 Calibration Setup, the Capnostat Sensor modified Capnostat...
  • Page 38: Servicing The Microstream Sensors

    2: Maintenance EtCO Maintenance Servicing the Microstream Sensors You may hear a soft, low-pitch tone, this is normal EtCO pump operation. Figure 22 EtCO Service Screen (Microstream sensors)             ...
  • Page 39: Overview

    Troubleshooting This chapter describes how to troubleshoot the HeartStart XL+ monitor/defibrillator. Overview The topics covered in this chapter are:  Troubleshooting Tools and Equipment p. 29  Ready For Use Indicator p. 30  Automated Tests p. 31  Shift Check and Weekly Shock Test p.
  • Page 40: Ready For Use Indicator

    3: Troubleshooting Ready For Use Indicator Ready For Use Indicator The Ready For Use (RFU) indicator, located in the right side of the device handle, reports the status of critical functions of the device as determined by the Automated Tests and Op Check. These Automated Tests run periodically while the device is turned off (but has a power source) and check the following critical functions of the device: •...
  • Page 41: Automated Tests

    Automated Tests 3: Troubleshooting Automated Tests The HeartStart XL+ performs many maintenance activities independently, including three tests that run automatically at regularly scheduled intervals while the device is off to assess operational performance and alert you if a problem exists. Results of tests associated with critical functionality of the device are reported through the RFU indicator and the Automated Test Summary report.
  • Page 42 3: Troubleshooting Automated Tests The report shows the results of the most recent hourly test, the daily tests that have run since the last weekly test, and the last 53 weekly tests. Test results are reported, as described in Table 7 on page 32.
  • Page 43: Shift Check And Weekly Shock Test

    Shift Check and Weekly Shock Test 3: Troubleshooting Shift Check and Weekly Shock Test In addition to the hourly, daily, and weekly Automated Tests, there are three manual tests that help ensure your HeartStart XL+ readiness: • Shift Check • Weekly Shock Test, and •...
  • Page 44: Operational Check Setup

    3: Troubleshooting Operational Check NOTE: If testing paddles, make sure that they are secured in their pockets. If the patient contact indicator (PCI) LEDs light, adjust the paddles in the pockets to improve the electrical contact. If the LEDs continue to light, clean the paddle electrode surfaces.
  • Page 45: Operational Check Flow

    Operational Check 3: Troubleshooting Operational Check Flow Follow the screen instructions and respond to the prompts. Once you have answered the last prompt (Sync button), you can leave the HeartStart XL+ unattended, and the Op Check will complete. Figure 25 Operational Check Screen —...
  • Page 46 3: Troubleshooting Operational Check Charge Button: Tests the Charge button function. If no cable is attached, the test is skipped. If the Pads cable is attached, you are prompted to Verify Test Load is Attached and Press the Charge Button. Follow the prompt. If external paddles are attached, you are prompted to Verify Paddles are in Holders and Press the Charge Button.
  • Page 47 Operational Check 3: Troubleshooting Leads ECG Test: Depending on your configuration and attached cables, the test may display: • Pass/ECG Cable • Pass/No Cable • Fail/ECG Cable • Fail/No Cable • Fail If a possible reason of the test failure might be a faulty cable connection, then the following prompt is displayed at the end of all remaining tests: Leads ECG Test Failed With Cable.
  • Page 48: Operational Check Report

    3: Troubleshooting Operational Check Operational Check Completion At completion of the Op Check:   • The message is displayed if all of the tests pass. Operational Check Passed  • If any test fails, the message Operational Check Failed is displayed along with one or more of the following messages, depending upon the nature of the failed functionality: •...
  • Page 49: Operational Check Summary

    Operational Check 3: Troubleshooting Operational Check Summary The Op Check summary lists the results from the last 60 operational checks. Test results are reported as described in Table Operational Check Summary Report  To access the Op Check summary report: From the service Main Menu, navigate Other >...
  • Page 50: Additional Notes About The Operational Check

    3: Troubleshooting Service Mode Tests Table 8 Operational Check Summary Results Result RFU Indicator Definition Required Action Pass Hourglass All tests passed None Fail/DX Solid red X, A critical device failure has Exit Op Check Summary. A Technical chirp been detected. The failure may Alarm indicating the problem is prevent the delivery of a displayed.
  • Page 51: Error Log Messages

    Press the Menu Select button again to print, export, or clear the log. Software Error Log The Software Error Log is used by the Philips Healthcare software development team. There are no field service actions related to the Software Error Log messages, but the Response Center may ask you to provide the Software Error Log content if you call for help.
  • Page 52: Hardware Error Log

    3: Troubleshooting Error Log Messages Hardware Error Log Figure 29 shows the layout of the Hardware Error Log. Figure 29 Hardware Error Log Screen                 ...
  • Page 53: Troubleshooting Process

    Troubleshooting Process 3: Troubleshooting Troubleshooting Process Use the process described here to isolate problems and repair your HeartStart XL+.  To troubleshoot HeartStart XL+: Decontaminate the device using your local decontamination guidelines. Check the Ready for Use (RFU) indicator. See “Ready For Use Indicator”...
  • Page 54: Troubleshooting Flowcharts

    3: Troubleshooting Troubleshooting Flowcharts 10 Examine the device’s repair history. Some intermittent problems cannot be reproduced. If the device was returned before for the same problem, replace the most likely subassembly. 11 Run the Service Mode tests, if needed. Use the tests available in Service Mode to focus in on possible causes. See “Service Mode Tests”...
  • Page 55 Troubleshooting Flowcharts 3: Troubleshooting Figure 32 RFU Indicator: Red No, solid Does the Is the Red X Red X device chirp? blinking? Op Check ECG test Insert charged battery or passes? allow the battery to charge RFU displays Figure 31 Hourglass? Run ECG test on page 44...
  • Page 56: Components Troubleshooting

    3: Troubleshooting Components Troubleshooting Components Troubleshooting The Troubleshooting tables provide information on messages and common troubleshooting issues. NOTE: Before replacing any components, always run an Operational Check and check the Error Logs for messages. Before replacing any parts, check to see if all the cables and flex circuits are properly connected “Repair Notes”...
  • Page 57 Components Troubleshooting 3: Troubleshooting Battery Testing and Troubleshooting A HeartStart XL+ battery is suspect if you do not know when it was last checked.  To test a suspect battery: Check the battery's fuel gauge. If fewer than two battery fuel gauge LEDs are on, then partially recharge the battery: Insert the suspect battery into the HeartStart XL+.
  • Page 58 3: Troubleshooting Components Troubleshooting Table 10 Battery Troubleshooting Symptom Possible Causes Possible Solutions • Battery power indicator displayed in the Battery • Charge the Battery. The battery charge is Status area shows less than 90% capacity. • Calibrate the Battery. Replace if calibration •...
  • Page 59 Components Troubleshooting 3: Troubleshooting Figure 33 Power and Battery Troubleshooting Flowchart HeartStart XL+ does not turn on, shuts down or restarts Plug the device into a working power outlet Is the AC Check / replace: light on the front • 40-pin Processor-Therapy ribbon cable panel lit? •...
  • Page 60: Audio Tones

    Generated while at least one low priority alarm and Alarm repeated every no high or medium priority alarm is occurring. 2 seconds Philips’ Technical Repeats every two seconds, lower pitch then yellow Alarm Tone alarm tone. Generated while at least one Technical Cyan indicator message Alarm condition is occurring.
  • Page 61: Startup Messages

    Components Troubleshooting 3: Troubleshooting Startup Messages Table 13 lists the messages that can occur at startup or Operational Check. Table 13 Startup Messages Message Possible Causes Suggested Solution Critical Device Failure Detected. Critical failure. Service Required The device cannot deliver Critical Component Test Failure therapy;...
  • Page 62: General Problems

    3: Troubleshooting Components Troubleshooting General Problems Table 14 discusses general problems that can occur. Table 15 discusses the Hardware Error Log entries related to the general problems. Table 14 General Monitoring Problems Symptom Possible Causes Suggested Solution Replace Clock Battery tech. alarm The clock battery on the Replace clock battery on the Processor PCA.
  • Page 63: Pacing Problems

    Components Troubleshooting 3: Troubleshooting Table 15 General Problem Diagnostic with the Hardware Error Log Numeric ID Info String Possible Cause Suggested Solutions Test is not completed in • Reinstall software (1:1) RFU Test Timed Out • Replace Processor PCA time. •...
  • Page 64: Ecg Monitoring Problems

    Excessive motion artifact Ensure that the user reduces patient connected. movement Cannot Analyze ECG message Wrong pads or paddles type Use only Philips-approved pads or paddles Pads/Paddles Type Undetermined message Pads or paddles failure Replace pads or paddles...
  • Page 65 Components Troubleshooting 3: Troubleshooting Table 18 “ECG Diagnostic with the Hardware Error Log”, the Numeric IDs of the (9:nn) format indicate problems with Leads ECG, and the ones of the (10:nn) format indicate problems with Pads ECG. Table 18 ECG Diagnostic with the Hardware Error Log Numeric ID Error Log Message Possible Cause...
  • Page 66: Defibrillation Problems

    3: Troubleshooting Components Troubleshooting Defibrillation Problems Table 19 Defibrillation Charging Problems Symptom Possible Cause Suggested Solution Charge Button During Op Check, the user • Run Op Check and be sure to press the Charge button  • Run Controls test to confirm Op Check pressed the No Button Response Failure...
  • Page 67 Components Troubleshooting 3: Troubleshooting Table 20 Defibrillation Discharging Problems Symptom Possible Cause Suggested Solution  Shock Button Failure Op Check During Op Check the No Button • Run Op Check and be sure to press the message Response menu pressed instead of the Shock button Shock button •...
  • Page 68 3: Troubleshooting Components Troubleshooting Table 21 Defibrillation Diagnostic with the Hardware Error Log Numeric ID Error Log Message Possible Cause Suggested Solution Test passed after a failure None, not an error (7:0) Therapy RFU Test Passed (7:1) RFU Test Timed Out Test is not completed in time Run Op Check and be sure to press the Charge button (7:2)
  • Page 69: Spo 2 Monitoring Problems

    Components Troubleshooting 3: Troubleshooting Table 21 Defibrillation Diagnostic with the Hardware Error Log (Continued) Numeric ID Error Log Message Possible Cause Suggested Solution • Replace Ther. Capacitor (7:31:24) HV Inhibit Test: leakage value HIGH • Replace Therapy PCA Failure to fully discharge (7:31:25) Final Capacitor Voltage after HV Inhibit RFU High...
  • Page 70: Co 2 Monitoring Problems

    • Replace the sensor if persists. CO2 Zero In Progress message The sensor is being zeroed. Wait until completion. EtCO2 Error tech. alarm Unexpected module behavior. Philips asks 1. Disconnect sensor and reboot. you to report this unexpected software 2. Reconnect sensor. problem.
  • Page 71: Nbp Monitoring Problems

    Components Troubleshooting 3: Troubleshooting NBP Monitoring Problems Table 24 NBP Monitoring Problems Symptom Possible Causes Suggested Solution NBP Calibration Overdue message The NBP module should be Calibrate the NBP module. See “NBP calibrated once a year Module Calibration” on page 19. NBP Measurement Failed message •...
  • Page 72: Controls Problems

    3: Troubleshooting Components Troubleshooting Controls Problems If the controls performance becomes a suspect, run the controls tests as described in “Controls Test” page 162. Table 25 discusses control problems that can occur. Table 25 Controls Problems Symptom Possible Cause Suggested Solution Therapy Knob Failure message During Operational •...
  • Page 73: Usb Problems

    Components Troubleshooting 3: Troubleshooting USB Problems If necessary, test the USB flash drive as described in “USB Test” on page 165. The USB test is safe for the data on the USB drive. Table 26 USB Messages Screen Message Possible Cause Suggested Solution Configuration Item Name An imported configuration item is not...
  • Page 74: Printing Problems

    Door improperly latched Check door latch Dirty printhead Clean printhead according to the procedures in the Instructions for Use Wrong paper Use Philips-approved paper Paper moves, but printing is faint or Paper loaded backwards Check paper position absent Operating temperature is beyond •...
  • Page 75: Audio Problems

    Components Troubleshooting 3: Troubleshooting Table 29 Printer Diagnostic with the Hardware Error Log # ID Error Log Message Possible Cause Suggested Solution (14:1) RFU Test Timed Out Test is not completed in Run Op Check time (14:2) CMx: Printer Comm Error Printer communication •...
  • Page 76 NOTES...
  • Page 77: Repair

    HeartStart XL+ should open the defibrillator/monitor case, remove and replace components, or make adjustments. If your medical facility does not have qualified technical personnel, contact the Response Center or your local Philips representative. WARNING: HeartStart XL+ service should only be performed by qualified service personnel, in accordance with this document, the HeartStart XL+ Service Manual.
  • Page 78: Calling For Service

    Calling for Service Download the latest documentation from http://www.philips.com/ProductDocs. Our InCenter, the eSupport solution for Philips Medical Systems customers is located at http://www.healthcare.philips.com/main/support/InCenter/. For telephone assistance, call the Response Center nearest to you, or visit our web site at: http://www.healthcare.philips.com/main/support/response_center/ http://www.healthcare.philips.com/main/about/officelocator/...
  • Page 79: Key Components

    Overview 4: Repair Key Components Replacement assemblies marked with an asterisk (*) in the Replacement Parts tables contain one or more Key Components. Key Components require detailed tracking, by recording the key component part number and the key component’s date code, its serial number, or both. Record this information on the Customer Service Order (CSO) for both the failed assembly and the replacement assembly.
  • Page 80 4: Repair Overview Cable and Assembly Placement How the wires and cables are routed and dressed inside the chassis plays an important role in two areas: in preventing long-term wear and potential pinching problems, and in reducing electromagnetic and radio frequency interference emitted by the defibrillator/monitor. •...
  • Page 81 Overview 4: Repair Disposal Prior to disposal, remove the external and internal batteries. Then dispose of the device in accordance with your country’s regulations for equipment containing electronic parts. WARNING: To avoid contaminating or infecting personnel, the environment, or other equipment, make sure you disinfect and decontaminate the defibrillator/monitor appropriately prior to disposal.
  • Page 82 4: Repair External Assemblies External Assemblies This section describes how to remove and replace assemblies that are external to the case. You do not need to open the case for any of these procedures. CAUTION: There are electrical components in the Handle Assembly. Wear ESD protection and follow electrical safety precautions during the Handle and RFU-and-USB assemblies replacement.
  • Page 83: External Assemblies

    External Assemblies 4: Repair Battery Compartment Cover and Latch  Preparation Turn the device off and remove the battery and the AC power. Position the device. Lay the device on a work surface with the display facing down and the bottom facing you. ...
  • Page 84: Bedrail / Roll Stand Mount

    4: Repair External Assemblies Bedrail / Roll Stand Mount  Preparation Turn the device off and remove the battery and the AC power. Position rear of the device facing you.  Removal Loosen and remove the four T15 screws. Remove the bedrail / roll stand mount. Figure 35 Bedrail / Roll Stand Mount ...
  • Page 85: Labels

    External Assemblies 4: Repair Labels There are four groups of labels for the HeartStart XL+: • the Instruction label set • the Branding (Nameplate) label • the Primary label, and • the Option Key labels (optional) Instruction Label Sets Each Instruction Label set includes labels for devices with and without pacing. It also includes three different Measurement Module labels for different option sets.
  • Page 86 4: Repair External Assemblies There is one instruction label set for each language (see “Instruction Label Sets” on page 180 for part numbers). This set includes die-cut labels for: • Battery Compartment label • six Measurement Module label (marked Connector Block) for different options •...
  • Page 87 External Assemblies 4: Repair Apply the label: For the Control Panel label, align around the Buttons and Switch first. Align one edge of the label with the recess on the case, then roll the label slowly into position. Press firmly all over the label, especially the edges, to ensure it adheres to the case. ...
  • Page 88: Handle Assembly

    4: Repair External Assemblies Handle Assembly  Preparation Turn the device off and remove the battery and the AC power. Position the device on the work surface with the rear side facing you.  Removal Completely loosen but do not remove the four T15 screws in the handle. See Figure Figure 37 Handle Screws...
  • Page 89 External Assemblies 4: Repair Figure 39 Handle Replacement rubber mount guides  Replacement Position the device on the work surface with the rear side facing you. Use the guides inside the handle to insert the RFU-and-USB Assembly into the new Handle. See Figure Make sure that both the mount and PCA are fully seated and flush with the Handle’s bottom.
  • Page 90: Rfu-and-usb Pca

    4: Repair External Assemblies RFU-and-USB PCA  Preparation Turn the device off and remove the battery and the AC power. Position the device on the work surface with the rear side facing you.  Removal Follow the Handle removal steps up to Step 6.
  • Page 91: Paddle Tray And Plates

    External Assemblies 4: Repair Paddle Tray and Plates There is a 50-ohm load resistor pre-assembled inside the tray, which is used to test the paddles.  You need a T20 Torx screwdriver for this repair.  Preparation Turn the device off and remove the battery and the AC power. Remove the Handle Assembly, see “Handle Assembly”...
  • Page 92 4: Repair External Assemblies  Replacement If you are replacing the plates only, then install the tray plates into the tray. Position the paddle tray up side down and front facing you. See Figure Holding the tray plate at an angle, place the plates into the left and right pockets, inserting the tabs through the holes ➌...
  • Page 93: Paddle Tray, Blank

    External Assemblies 4: Repair Paddle Tray, Blank  Preparation Turn the device off and remove the battery and the AC power. Remove the Handle Assembly, see “Handle Assembly” on page 78.  Removal Remove the old Paddle Tray: If you are replacing a Blank Paddle Tray, then remove and discard the four round screw cover stickers from the tray: –...
  • Page 94: Paddle Tray Load Resistor

    4: Repair External Assemblies Paddle Tray Load Resistor The 50-ohm load resistor comes pre-assembled in the paddle tray. However, if it fails, you can replace it using the following procedures.  Preparation Turn the device off and remove the battery and the AC power. Remove the Handle Assembly, see “Handle Assembly”...
  • Page 95: Printer Assembly

    External Assemblies 4: Repair Printer Assembly  Preparation  Turn the device off and remove the battery and the AC power.  Removal Push in the printer door latch and open the printer door. Remove the paper roll. Loosen the two captive T10 screws at the back of the printer, see Figure Remove the printer by grasping the inside and pulling it straight out of the printer well.
  • Page 96: Therapy Knob

    4: Repair External Assemblies Therapy Knob  Preparation Turn the device off. If the Knob is broken or lost, use pliers to turn the device off. The shaft should be positioned as shown in Figure 47. If the Shutting Down in ... seconds message is displayed, then the Therapy Switch is in the Off position.
  • Page 97: Internal Assemblies - Introduction

    Internal Assemblies — Introduction 4: Repair Internal Assemblies — Introduction This section is organized into the following topics:  Opening the Case p. 87  Overview of the Internal Assemblies p. 90  Positioning of the Box p. 90  Tilting Rear Chassis p.
  • Page 98 4: Repair Internal Assemblies — Introduction Figure 48 Case Screws ➊ ➊ ➊ ➋ ➋ ➋ ➋ ➊ ➊ ➊ Carefully lift the Rear Case cover no more than 2 inches (5 cm). Put your right hand fingers through the AC mains and LAN openings and hold the Rear Case cover while pressing the latch behind the paddle connector with your left hand to separate, see Figure Be careful not to bend or damage the pins in front of the paddle connector.
  • Page 99 Internal Assemblies — Introduction 4: Repair Discharging the Therapy Capacitor WARNING: Use extreme caution in the following steps. Dangerous voltages may be present on components and connections. Do not touch any components or connections until you are sure the Therapy Capacitor is discharged.
  • Page 100: Overview Of The Internal Assemblies

    4: Repair Internal Assemblies — Introduction Overview of the Internal Assemblies The Internal Assemblies are organized in the following groups (see Figure 51): • Assemblies mounted on the Rear Chassis and Rear Chassis Shelf • Assemblies mounted on the Front Chassis •...
  • Page 101: Tilting Rear Chassis

    Internal Assemblies — Introduction 4: Repair Tilting Rear Chassis Some repair procedures require you to tilt the Rear Chassis. Other repair procedures may require you to pivot the Rear Chassis upward or downward or remove it altogether; these procedures are discussed in corresponding sections.
  • Page 102 4: Repair Internal Assemblies — Introduction Figure 53 Rear Chassis Tilted  To bring the Rear Chassis into the upright position: Loosen but not remove the screws ➊ and ➐ . Hold the Capacitor Tray to prevent the Rear Chassis from falling. Straighten up the Rear Chassis to align with screw holes ➋...
  • Page 103: Rear Chassis Shelf

    Internal Assemblies — Introduction 4: Repair Rear Chassis Shelf Some repair procedures require you to remove the Rear Chassis Shelf.  To remove the Rear Chassis Shelf: Open the HeartStart XL+ Case. See “Opening the Case” on page 87. Position the box display side down, shelf side toward you. Remove the T10 screws ➊...
  • Page 104 4: Repair Internal Assemblies — Introduction Figure 55 NBP Air Tube Route and Connection Rear Chassis cut-out Battery PCA screw Pull the Shelf handle toward yourself, see Figure Support the shelf to prevent it from falling down. Detach two Internal Resistor spade connectors from the Therapy PCA. Pull straight from the Therapy PCA.
  • Page 105 Internal Assemblies — Introduction 4: Repair  To install the Rear Chassis Shelf: Position the box display side down, shelf side toward you. Position the Rear Chassis Shelf: Reconnect the two Internal Resistor spade connectors in any order to the Therapy PCA positions J18 and J19, see Figure If your device has the NBP Module, then:...
  • Page 106: Tubing Gasket Replacement

    4: Repair Internal Assemblies — Introduction Tubing Gasket Replacement The Tubing Gasket protects the internal assemblies of the HeartStart XL+ from moisture and dust. There are two Tubing Gaskets inside the HeartStart XL+: • on the perimeter of the Front Case •...
  • Page 107: Internal Assemblies - Rear Chassis

    Internal Assemblies — Rear Chassis 4: Repair Internal Assemblies — Rear Chassis This section is organized into the following topics:  Rear Chassis Overview p. 97 Shelf Assemblies:  NBP Module p. 98  Internal Resistors Module p. 99 Bottom Assemblies: ...
  • Page 108: Nbp Module

    4: Repair Internal Assemblies — Rear Chassis NBP Module  Preparation Open the Case. See “Opening the Case” on page 87. Position the HeartStart XL+ display side down and shelf side toward you. Remove the Rear Chassis Shelf. See “Rear Chassis Shelf ” on page 93.
  • Page 109: Internal Resistors Module

    Internal Assemblies — Rear Chassis 4: Repair Internal Resistors Module  Preparation Open the Case. See “Opening the Case” on page 87. Position the HeartStart XL+ bottom side down, rear side toward you. Remove the Rear Chassis Shelf. See “Rear Chassis Shelf ” on page 93.
  • Page 110: Rear I/o Assembly

    4: Repair Internal Assemblies — Rear Chassis Rear I/O Assembly  Preparation Open the Case. See “Opening the Case” on page 87. Tilt the Rear Chassis, see “Tilting Rear Chassis” on page 91. Position the open HeartStart XL+ display side down, Capacitor to your left. ...
  • Page 111 Internal Assemblies — Rear Chassis 4: Repair  Replacement: Connect the Network cable to the Rear I/O Assembly. Install the AC ferrite core into the AC ferrite clamp. Make sure the bulge on the AC ferrite faces you and out of the clamp. Install, but do not tighten the two M3x8 (T10) screws to position the Rear I/O Assembly ( ➏...
  • Page 112: Fans

    4: Repair Internal Assemblies — Rear Chassis Fans This procedure replaces both Fans.  Preparation Open the Case. See “Opening the Case” on page 87. Position the open HeartStart XL+ display side down, Capacitor to your left. Remove the Rear Chassis Shelf. See “Rear Chassis Shelf ”...
  • Page 113 Internal Assemblies — Rear Chassis 4: Repair Peel the adhesive off of the sheet metal. Make sure that all of the adhesive is removed.  Replacement: Clean the Fans and Power Supply aluminum plates. Do not touch the surfaces once you have cleaned them.
  • Page 114: Power Supply Assembly

    4: Repair Internal Assemblies — Rear Chassis Power Supply Assembly NOTE: Philips recommends replacing Fans during this repair. Purchase the 453564206371 kit and follow the instructions below.  Preparation Open the Case. See “Opening the Case” on page 87. Remove the Rear Chassis Shelf. See “Rear Chassis Shelf ”...
  • Page 115 Internal Assemblies — Rear Chassis 4: Repair  Replacement: Align the two plastic shields with the screw holes. Install the Power Supply Assembly. 65, ➋ ). Position the ground spade connector to your left (see Figure Secure to the Rear Chassis with the four M3x8 (T10) screws ( ➍ ). Tighten the screws to 6 inch-lb (0.7 N m).
  • Page 116: Therapy Capacitor And Therapy Capacitor Tray

    4: Repair Internal Assemblies — Rear Chassis Therapy Capacitor and Therapy Capacitor Tray  Preparation Open the Case. See “Opening the Case” on page 87. Remove the Rear Chassis Shelf. See “Rear Chassis Shelf ” on page 93. Position the open HeartStart XL+ display side down, Capacitor to your left. ...
  • Page 117 Internal Assemblies — Rear Chassis 4: Repair Remove the remaining three T10 screws from the Therapy Capacitor Tray. Remove the Therapy Capacitor with the Tray. Push the Capacitor out of the Tray.  Replacement: Install the Capacitor into the Tray. Position the Tray as shown in Figure Position the Capacitor over the Tray compartment on the Power Supply side, with the red wire...
  • Page 118: Pivoting Rear Chassis Downward

    4: Repair Internal Assemblies — Rear Chassis Pivoting Rear Chassis Downward Pivot the Rear Chassis downward to access assemblies on the top of the Rear and Front Cases.  Preparation Open the Case. See “Opening the Case” on page 87. Remove the Rear Chassis Shelf.
  • Page 119 Internal Assemblies — Rear Chassis 4: Repair Pivot the Rear Chassis downward: Remove the T10 screws ➊ , ➎ , and ➐ , see Figure 52 on page 91. Loosen but not remove the screws ➌ and ➍ . Pivot the Rear Chassis around the axis formed by the screws ➌ and ➍ . Place the device Handle under the Capacitor Tray for support, see Figure TIP:...
  • Page 120: Therapy Pca

    4: Repair Internal Assemblies — Rear Chassis Therapy PCA Removing the Therapy PCA involves disconnecting many cables and removing many screws. Take your time and be methodical. CAUTION: Never touch the Therapy PCA surface with your fingers. Keep the replacement Therapy PCA in the antistatic pouch until ready to install. ...
  • Page 121 Internal Assemblies — Rear Chassis 4: Repair Figure 71 Therapy PCA Connectors and Screws ➋ ➌ ➄ ➅ ➊ ➆ ➇ ➃ ➐ ➀ ➁ ➏ ➂ ➎ ➈ ➍ ➉ ➒ ➑ ➓ 71, ➊ – ➓ , from the Therapy PCA. Remove the ten T10 screws, see Figure Move all the wires aside.
  • Page 122 4: Repair Internal Assemblies — Rear Chassis Figure 72 Therapy PCA Removal handle  Replacement: Position the Therapy PCA in the Rear Chassis: Move all the wires aside. Align both plastic shields with the screw holes. Carefully but firmly grasp the positions K1 and T1 of the new Therapy PCA (see Figure and lower the Therapy PCA onto the Rear Chassis.
  • Page 123 Internal Assemblies — Rear Chassis 4: Repair Figure 73 Therapy PCA Power Supply Connection Therapy-PCA-side connector Power-Supply-side connector Bring the Rear Chassis into the upright position. See “Pivoting Rear Chassis Downward” page 108. Close the device. See “Closing the Case” on page 151.
  • Page 124: Internal Assemblies - Front Chassis

    4: Repair Internal Assemblies — Front Chassis Internal Assemblies — Front Chassis This section is organized into the following topics:  Front Chassis Overview p. 115  Battery PCA p. 116  Clock Battery p. 118  Therapy Port p. 119 ...
  • Page 125: Front Chassis Overview

    Internal Assemblies — Front Chassis 4: Repair Front Chassis Overview Figure 74 for the major repair units of the Front Chassis. The Display Assembly, Human Interface (HIF) PCA, and Therapy Buttons are not visible behind the Processor PCA. The SpO Port is not visible behind the SpO Assembly shield.
  • Page 126: Battery Pca

    4: Repair Internal Assemblies — Front Chassis Battery PCA Battery PCA is accessible with the Rear Chassis tilted on top of the Front Chassis.  Preparation Open and separate the Case. See “Opening the Case” on page 87. Tilt the Rear Chassis. See “Tilting Rear Chassis”...
  • Page 127 Internal Assemblies — Front Chassis 4: Repair Reconnect the battery power and battery data connectors.  Make sure no wires are threaded in the area marked to avoid pinching between the lower Fan and Battery PCA support pad. Ensure the connectors are fully seated. Bring the Rear Chassis into the upright position.
  • Page 128: Clock Battery

    4: Repair Internal Assemblies — Front Chassis Clock Battery The rechargeable lithium Clock Battery resides on the Processor PCA, next to the Therapy Knob connector. A cable tie wrap and a package of ProGold wipes are included in the replacement kit. Make sure you clean the contact clips and the new battery terminals with a ProGold wipe and replace the cable tie wrap that holds the battery in place.
  • Page 129: Therapy Port

    Internal Assemblies — Front Chassis 4: Repair Therapy Port  Therapy Port nut socket, part # 453564556231 is the preferred tool for this repair.  Preparation Position the device with the display facing down and the Measurement Module to your left. Pivot the Rear Chassis downward.
  • Page 130 4: Repair Internal Assemblies — Front Chassis  Replacement Replace the Therapy port. See Figure Install the washer into the guides inside the Front Case wall next to the Therapy Port opening. Install the O-ring onto the Therapy port. Slide the Therapy port into its hole in the case. Guide the wires and connectors through the hole and the washer.
  • Page 131: Therapy Switch

    Internal Assemblies — Front Chassis 4: Repair Therapy Switch  Preparation Remove the Therapy Knob. See “Therapy Knob” on page 86. Loosen and remove the 9/16-inch nut and washer, see Figure Open and separate the case. See “Opening the Case” on page 87.
  • Page 132: Pivoting Rear Chassis Upward

    4: Repair Internal Assemblies — Front Chassis Pivoting Rear Chassis Upward Pivot the Rear Chassis upward to access these Front Case assemblies: • Printer PCA • Measurement Module and the Ports and the ECG, SpO , and NBP Ports • SpO2 PCA ...
  • Page 133 Internal Assemblies — Front Chassis 4: Repair Figure 79 Rear Chassis Feet Protection ➊ ¼" ¾" Remove the Battery PCA, see “Battery PCA” on page 116.  To bring the Rear Chassis into the upright position: Install the Battery PCA screw, see “Battery PCA”...
  • Page 134: Printer Pca

    4: Repair Internal Assemblies — Front Chassis Printer PCA  Preparation Remove the Printer Assembly. See “Printer Assembly” on page 85. Pivot the Rear Chassis upward. See “Pivoting Rear Chassis Upward” on page 122. Position the device with the display facing down and the printer compartment to your left. ...
  • Page 135 Internal Assemblies — Front Chassis 4: Repair  Replacement Connect the new Printer PCA to the Processor PCA with the Printer ribbon cable. Ensure the connector is fully seated. Install the Printer PCA on the plastic pegs. Install the Therapy Port Extension assembly on the plastic pegs. Install the plastic shield on the plastic pegs, folds on top and both sides facing the Processor PCA, see Figure Install the two M3x8 (T10) screws, tighten to 6 inch-lb (0.7 N m).
  • Page 136: Spo 2 Pca

    4: Repair Internal Assemblies — Front Chassis  Preparation Open and separate the case. See “Opening the Case” on page 87. Position the device with the display facing down and the printer compartment to your left. Pivot the Rear Chassis upward. See “Pivoting Rear Chassis Upward”...
  • Page 137 Internal Assemblies — Front Chassis 4: Repair  Replacement Secure the 18-pin stacking connector to the Processor PCA. If the stacking connector is sitting on the Processor PCA, leave it in place, but make sure it is firmly engaged in the socket. If the stacking connector is sitting on the SpO PCA, remove it and insert the short plug into the J1004 socket on the Processor PCA.
  • Page 138: Measurement Module And The Ports

    4: Repair Internal Assemblies — Front Chassis Measurement Module and the Ports The Measurement Module assembly consists of the measurement ports: ECG Port, SpO Port (optional), NBP Port (optional), and CO Port (optional). Depending on the installed options, the Measurement Module face plate may look different, and the removal and replacement procedures are different.
  • Page 139 Internal Assemblies — Front Chassis 4: Repair If present, disconnect the NBP airtube from the NBP Port. If present, remove the SpO PCA, but do not move the Rear Chassis. Follow the instructions for “SpO2 PCA” on page 126 starting from the “Removal”...
  • Page 140 4: Repair Internal Assemblies — Front Chassis Figure 85 Measurement Module Assembly (with CO ) Removal fork fork rib fork screw fork rib lock ECG Port NBP Port Port (optional) (optional) Port  Replacement Inspect the tubing gasket on the perimeter of the face plate, see Figure 89 on page 133.
  • Page 141 Internal Assemblies — Front Chassis 4: Repair Position the fork in your left hand, so that the rib faces the slot in the Front Chassis, and the longer prong is closer to you. Starting with the longer prong of the fork, install the fork between the Front Chassis and Front Case so that it locks the Measurement Module, see Figure Engage the fork rib with the slot in the Front Chassis and secure with the M3x8 (T10) screw,...
  • Page 142: Measurement Module Without The Co2 Port

    4: Repair Internal Assemblies — Front Chassis Measurement Module without the CO Port If your HeartStart XL+ has the EtCO option installed, then refer to “Measurement Module with the CO2 Port” on page 128. For Measurement Module without the CO port, all replacement procedures involve the Measurement Module disassembly.
  • Page 143 Internal Assemblies — Front Chassis 4: Repair  Replacement Slide the measurement port or ports into the bracket. Make sure: – the ports are positioned in the order shown in Figure – the flex circuits and NBP Port airway pegs are facing upward, –...
  • Page 144: Front Chassis And Case Access

    4: Repair Internal Assemblies — Front Chassis Front Chassis and Case Access Remove the Rear Chassis completely to access Front Chassis and Front Case assemblies.  To remove the Rear Chassis: Open the device. See “Opening the Case” on page 87. Disconnect the Rear Chassis: Follow the Pivoting Rear Chassis Upward...
  • Page 145: Processor Pca

    • Give the user the README document that contains instructions for downloading the most recent HeartStart XL+ Instructions for Use from the Philips’ Documentation and Download web site http://www.philips.com/ProductDocs CAUTION: Never touch the Processor PCA surface with your fingers, always use gloves.
  • Page 146 4: Repair Internal Assemblies — Front Chassis Figure 91 Processor PCA Connectors ➃ ➄ ➂ ➁ ➀ ➅ ➉ ➆ ➈ ➇ Remove the Measurement Module. See “Measurement Module and the Ports” on page 128. Loosen and remove the seven T10 screws ➊ – ➐ . See Figure Lift the Processor PCA out of the case.
  • Page 147 Internal Assemblies — Front Chassis 4: Repair Figure 92 Processor PCA Screws ➊ ➌ ➋ ➐ ➍ ➏ ➎ Battery PCA standoff  Replacement Install the Clock Battery to the new Processor PCA, see “Clock Battery” on page 118. Place the Processor PCA in position, see Figure 91 on page 136 and Figure 92...
  • Page 148 4: Repair Internal Assemblies — Front Chassis Replace the Printer PCA, the Therapy Port Extension assembly, and the Printer ribbon cable. See “Printer PCA” on page 124. Ensure the connectors are fully seated. If present, replace the SpO PCA. See “SpO2 PCA”...
  • Page 149 Internal Assemblies — Front Chassis 4: Repair Scroll through the list and select Done when you have finished entering the serial number. CAUTION: Once you have entered the correct serial number, do not change it. If you clear or change the serial number, the options are cleared and you must re-enter the correct serial number and the options key.
  • Page 150 4: Repair Internal Assemblies — Front Chassis Enabling Options Once you enter the serial number and install software, you need to enable the options. If you enter the options key incorrectly, the device’s options will not function.  To enable options: From the Device Info menu, select Options Key.
  • Page 151 140. Give the user the README document that contains instructions for downloading the most recent HeartStart XL+ Instructions for Use from the Philips’ Documentation and Download web site http://www.philips.com/ProductDocs Affix the appropriate Hardware Version label to the bottom of the device.
  • Page 152: Front Chassis Removal And Replacement

    4: Repair Internal Assemblies — Front Chassis Front Chassis Removal and Replacement Remove the Front Chassis with the Processor PCA to access these Front Case assemblies: • Human Interface PCA • Therapy Buttons • Display Assembly • Speaker Assembly  Preparation Remove the Printer Assembly.
  • Page 153 Internal Assemblies — Front Chassis 4: Repair Use tweezers to gently disconnect the Inverter PCA cable ➉ . Remove the screws and the chassis: Loosen and remove the six T15 screws ➊ – ➏ as shown in Figure Loosen the screws ➐ and ➑ and remove them with tweezers or leave them in the Front Chassis’ screw holes.
  • Page 154: Inverter Pca And Front Chassis

    4: Repair Internal Assemblies — Front Chassis Inverter PCA and Front Chassis  Preparation Remove the Printer Assembly. See “Printer Assembly” on page 85. Open and separate the case. See “Opening the Case” on page 87. Remove the Rear Chassis. See “Front Chassis and Case Access”...
  • Page 155 Internal Assemblies — Front Chassis 4: Repair  Replacement Replace the chassis and the screws. See “Front Chassis Removal and Replacement” on page 142. Replace the Processor PCA. See “Processor PCA” on page 135. Replace the Rear Chassis. See “Front Chassis and Case Access” on page 134.
  • Page 156: Speaker Assembly

    4: Repair Internal Assemblies — Front Chassis Speaker Assembly  Preparation Remove the Printer Assembly. See “Printer Assembly” on page 85. Open and separate the case. See “Opening the Case” on page 87. Remove the Rear Chassis. See “Front Chassis and Case Access” on page 134.
  • Page 157: Human Interface Pca

    Internal Assemblies — Front Chassis 4: Repair Human Interface PCA  Preparation Remove the Printer Assembly. See “Printer Assembly” on page 85. Open and separate the case. See “Opening the Case” on page 87. Remove the Rear Chassis. See “Front Chassis and Case Access” on page 134.
  • Page 158: Therapy Buttons

    4: Repair Internal Assemblies — Front Chassis Therapy Buttons  Preparation Remove the Printer Assembly. See “Printer Assembly” on page 85. Open and separate the case. See “Opening the Case” on page 87. Remove the Rear Chassis. See “Front Chassis and Case Access” on page 134.
  • Page 159: Display Assembly

    Internal Assemblies — Front Chassis 4: Repair Display Assembly  Preparation Remove the Printer Assembly. See “Printer Assembly” on page 85. Open and separate the case. See “Opening the Case” on page 87. Remove the Rear Chassis. See “Front Chassis and Case Access” on page 134.
  • Page 160: Front Case Assembly

    4: Repair Internal Assemblies — Front Chassis Front Case Assembly The front case replacement involves moving existing parts from the old case to the new.  Preparation Remove the Printer Assembly. See “Printer Assembly” on page 85. Open and separate the case. See “Opening the Case”...
  • Page 161: Closing The Case

    Closing the Case 4: Repair Closing the Case  To close the Case: Recheck the connections. Make sure all connections are fully seated and latched. Any connections that are not seated and latched properly during the device assembly may become WARNING: loose over time, causing devices to fail when in clinical use.
  • Page 162 4: Repair Closing the Case Inspect the tubing gasket on the perimeter of the Front Case. If the gasket is cracked, frayed, damaged, or there is a gap between the gasket ends, then replace the gasket. See “Tubing Gasket Replacement” on page 96.
  • Page 163 Closing the Case 4: Repair Figure 104 Case Screws ➋ ➋ ➋ ➊ ➊ ➊ ➊ ➋ ➋ ➋ 13 Install the Handle Assembly, see “Handle Assembly” on page 78. 14 If removed, install the Printer Assembly, see “Printer Assembly” on page 85.
  • Page 164 NOTES...
  • Page 165: Performance Verification

    Performance Verification Overview This chapter describes how to verify the performance of the HeartStart XL+ monitor/defibrillator after repairs are complete. This chapter is organized into the following sections:  Required Testing Levels . p. 155  Verification Test Equipment . p. 156 ...
  • Page 166: Internal Repairs

    5: Performance Verification Verification Test Equipment Internal Repairs If the case was opened (regardless of what else the repair involved), perform all the Performance Verification and Safety tests:  Run the Performance Verification and Safety tests (see “Test and Inspection Matrix” on page 157 “Performance Verification Procedures”...
  • Page 167 Test and Inspection Matrix 5: Performance Verification Test and Inspection Matrix Table 37 summarizes Performance Verification tests and inspections for the HeartStart XL+. Table 37 Test and Inspection Matrix Test Group Test or Inspection to Perform Expected Test Results Data to Record Name x = p (pass) or f (fail)
  • Page 168 5: Performance Verification Test and Inspection Matrix Table 37 Test and Inspection Matrix (Continued) Test Group Test or Inspection to Perform Expected Test Results Data to Record Name x = p (pass) or f (fail) Take a blood pressure measurement on If you are able to complete a measurement, NM:x Measurement...
  • Page 169 Test and Inspection Matrix 5: Performance Verification Table 37 Test and Inspection Matrix (Continued) Test Group Test or Inspection to Perform Expected Test Results Data to Record Name x = p (pass) or f (fail) Defibrillator Run the “Defibrillator Disarm Test” Verify that the device is disarmed Disarm Test page 169.
  • Page 170: Test And Inspection Matrix

    An undamaged, sufficiently charged Philips battery. – A new, dry roll of Philips printer paper. The Printer may jam if the paper is wet. Also, the Printer may be damaged if wet paper is allowed to dry while in contact with the printhead elements.
  • Page 171: Service Mode Tests

    Performance Verification Procedures 5: Performance Verification Check the Device Inspect the device on all sides, looking for: • Signs of mechanical damage to the case, controls, display, or printer. • Loose or missing hardware. • Evidence of liquid spill, mechanical damage, pin corrosion, or debris: –...
  • Page 172 5: Performance Verification Performance Verification Procedures  To run Op Check: Insert a a sufficiently charged battery (at least two LEDs light up). Access Service Mode (see “Accessing Service Mode” on page 8). From the Service Mode Main menu, select Operational Check and press the Menu Select button. NOTE: You can run Op Check from the Other menu in Monitor Mode or from the Service Mode Main menu —...
  • Page 173 Performance Verification Procedures 5: Performance Verification Figure 105 Controls Test Screen                           Display Test These instructions tell you how to run the Display test. If all results pass, the device passes that portion of the test.
  • Page 174 5: Performance Verification Performance Verification Procedures Fan Test Use the Fan On/Off soft key to verify both fans can rotate and stop. Printer Test The printer test checks printer parameters, and prints test patterns to check the print head and the paper drive mechanism.
  • Page 175: Functional Checks

    Performance Verification Procedures 5: Performance Verification USB Test Test the USB if indicated by the troubleshooting outcome. The USB test is safe for the data on the USB drive. The USB test verifies both the USB flash drive and HeartStart XL+ USB port performance. If in doubt, test the suspect USB flash drive on different devices or different USB flash drives on the suspect device.
  • Page 176: Ecg Check

    5: Performance Verification Performance Verification Procedures ECG Check This section describes how to check the operation of the ECG functions. Each of the ECG checks assumes the device and the simulator are still set up as they were at the end of the previous ECG check. Setup Set up the simulator: Connect a Therapy cable and ECG cable to the HeartStart XL+.
  • Page 177: Spo2 Check

    Performance Verification Procedures 5: Performance Verification Check ECG Printing Reconnect the simulator to the device as described in the Setup section above. Press the Print button to print a strip. Verify that it shows a normal ECG with a clean baseline. Verify that the date, time, and configuration information printed at the top of the strip are correct.
  • Page 178: Defibrillator Test (ac Power At 200 J)

    5: Performance Verification Performance Verification Procedures Defibrillator Test (AC Power at 200 J) These instructions describe how to test the defibrillation function when powered only by AC power (no battery installed). Setup Configure the defibrillator analyzer for a 50-ohm load. Turn the HeartStart XL+ off and remove the battery.
  • Page 179: Defibrillator Disarm Test

    Performance Verification Procedures 5: Performance Verification Check the printed strip from the HeartStart XL+. The energy setting should be 200 J. The delivered energy should be 200 J + 10% and will be printed on the strip if the device is configured to print on shock. Repeat the test using paddles, pressing the Shock button on the paddles in Step Defibrillator Disarm Test...
  • Page 180: Synchronized Cardioversion Test

    Synchronized Cardioversion Test This section describes how to check the synchronized cardioversion function. NOTE: Whenever possible, Philips Healthcare recommends that clinicians perform synchronized cardioversion procedures while directly monitoring the patient through the HeartStart XL+’s electrodes or lead inputs. If clinicians use an external monitor as the ECG source, you must verify that the external monitor and the HeartStart XL+ combination will deliver a synchronized shock within 60 ms of the peak of the R-wave.
  • Page 181: Safety Tests

    Be sure the paddles are clean and are making good contact with one another. Verify that all LEDs on the PCI are lit. Safety Tests This section discusses tests of the HeartStart XL+’s electrical safety. The Philips Safety Test designation for each test is provided for reference of Philips service personnel. Test Notes HeartStart XL+ complies with the international electrical safety standards: –...
  • Page 182 Test Cables Safety Test Cables can provide a convenient way to perform electrical safety tests. You may order these cables via the Philips SPS organization, see Table Table 38...
  • Page 183 Performance Verification Procedures 5: Performance Verification Chassis (Enclosure) Leakage Use ECG Out (Sync) jack to measure enclosure leakage current. (This is not earth ground.) • Normal Condition Should be < 100 μA. Record as “cc”. – • Single Fault condition (Open neutral) Should be <...
  • Page 184 5: Performance Verification Performance Verification Procedures Internal Paddles (IEC type CF) NOTE: Test internal paddles only if the device is used in internal defibrillation. • Source (out of leads into HeartStart XL+) – Normal Condition (both AC line connections and earth ground intact) Should be <...
  • Page 185: Appendix A Parts And Accessories

    Ordering Supplies and Accessories To order accessories and supplies: • Visit Philips Healthcare web site at: http://www.healthcare.philips.com/main/products/resuscitation/products/als/index.wpd. • In the US, call 800-225-0230. • Outside the US, contact your local Philips Healthcare Sales Office or your authorized Philips Healthcare Dealer or Distributor.
  • Page 186: Key Component Tracking

    Components require detailed tracking, by recording the Key Component part number and either the Key Component’s date code or its serial number. This data must be recorded for both the failed assembly and the replacement assembly. Philips Healthcare service personnel must record this information on the Customer Service Order (CSO).
  • Page 187: Replacement Pcas And Assemblies

    Electrical Assemblies A: Parts and Accessories Replacement PCAs and Assemblies These PCAs come with specific parts, as noted. Table 40 Replacement PCAs Description 12NC Processor PCA 453564570781 Therapy PCA 453564570771 HIF PCA 453564206071 RFU-and-USB PCA Assembly 453564206081 Battery PCA 453564570761 Printer PCA 453564206101 Inverter PCA...
  • Page 188: Internal Cables

    A: Parts and Accessories Electrical Assemblies External components are visible outside of the case, and the user interacts with them. Table 43 External Electrical Components Description 12NC Comment Therapy Port * 453564570661 Including the Therapy Port Extender assembly. Measurement Modules: ECG only 453564206201 If required, order the SpO...
  • Page 189: Paddles

    For the convenience of Philips field personnel, the 453563476991 water-resistant paddle assembly including labels is available through normal parts-ordering channels. This number is for the use of Philips personnel only. Users and non-Philips repair personnel should refer “Supplies and Accessories”...
  • Page 190: Labels

    A: Parts and Accessories Mechanical Assemblies Labels There are two groups of labels that are available to order for the HeartStart XL+: the Branding (or Nameplate) label 453564280551 and the Instruction Labels set. The Primary Label is only available as part of field replacement kits or SPKs.
  • Page 191: Supplies And Accessories

    To order: • In the USA, call 1-800-225-0230 (pads, electrodes, cables, paper, etc.). • Outside the USA, contact your authorized Philips Healthcare Dealer, Distributor or Sales Office, or visit our website at and follow the Medical Supplies link. http://philips.com/healthcarestore NOTE: The list of supplies and accessories is subject to change without notice.
  • Page 192: Ecg Cables

    A: Parts and Accessories Supplies and Accessories Table 49 Defibrillation Paddles Part Number Description External Paddles M3543A * Water-resistant External Paddles M4759A * Rectangular paddle electrode replacement (clip-on) Internal Switched Paddles M4741A * 7.5-cm Switched Internal Paddles M4742A * 6.0-cm Switched Internal Paddles M4743A * 4.5-cm Switched Internal Paddles M4744A *...
  • Page 193 Supplies and Accessories A: Parts and Accessories Table 51 5-Lead ECG Cables Part Number Description M1668A 5-Lead ECG Trunk Cable (AAMI/IEC) M1520A 5-Lead ECG Trunk Cable (AAMI) M1625A 5-Lead ECG set with Snaps (AAMI) M1530A 5-Lead ECG Trunk Cable (IEC) M1635A 5-Lead ECG set with Snaps (IEC) M1968A...
  • Page 194: Blood Pressure Accessories

    A: Parts and Accessories Supplies and Accessories Blood Pressure Accessories Table 53 Reusable Blood Pressure Cuffs and Tubes Part Number Description 40400A Reusable Cuff set, 3 sizes (Pediatric, Adult, Large adult) 40400B Reusable Cuff set, 5 sizes (Infant, Pediatric, Adult, Large adult, Thigh) 40401A Traditional Reusable Cuff —...
  • Page 195: Capnometry Accessories

    Supplies and Accessories A: Parts and Accessories Table 54 Disposable Blood Pressure Cuffs and Tubes Part Number Description M1874A Disposable NBP Cuff — Infant M1875A Disposable NBP Cuff — Pediatric M1876A Disposable NBP Cuff — Small Adult M1877A Disposable NBP Cuff — Adult M1878A Disposable NBP Cuff —...
  • Page 196 A: Parts and Accessories Supplies and Accessories Table 56 Sensors and Tubes — Microstream Part Number Description M1920A Intubated FilterLine Set — Adult M1921A Intubated Filter H Set — Adult/Pediatric M1923A Intubated Filter H Set — Infant/Neonatal (yellow, 25 sets/case) M2520A Non-intubated dual purpose circuit (CO and O...
  • Page 197 Supplies and Accessories A: Parts and Accessories Table 57 Sensors and Tubes — Sidestream Part Number Description M2741A LoFlo Sensor, includes mounting bracket M2741-60000 LoFlo mounting bracket only M2744A LoFlo CO Nasal Cannula — Adult (10/box) M2745A LoFlo CO Nasal Cannula — Pediatric (10/box) M2746A LoFlo CO Nasal Cannula —...
  • Page 198: Oximetry Accessories

    A: Parts and Accessories Supplies and Accessories Oximetry Accessories Table 58 Sensors and Cables Part Number Description M1191A Reusable SpO Sensor — Adult finger M1191AL Reusable SpO Sensor — Adult finger (3 m) M1191B Reusable SpO Sensor — Adult finger M1191BL Reusable SpO Sensor —...
  • Page 199: Key Components

    Supplies and Accessories A: Parts and Accessories Key Components Key Components require tracking, as indicated in Table 60. Record the part number and tracking method (the date code, serial number, or lot/batch#) for both the failed and replacement components. Table 60 Key Components Replacement Assembly Kit or SPK Key Component...
  • Page 200 A: Parts and Accessories Supplies and Accessories Table 60 Key Components (Continued) Replacement Assembly Kit or SPK Key Component Description Part Number Description Part Number Tracking Method Defibrillation Pads M3713A Adult Plus Lot/Batch# M3716A Adult Radiolucent M3717A Infant Plus M3718A Adult Radiotransparent, Date Code Reduced Skin Irritation...
  • Page 201: Appendix B Theory Of Operation

    Appendix B Theory of Operation Appendix1 This chapter provides waveforms, system level interconnection schematics, and functional descriptions of the components contained in the HeartStart XL+. Waveforms The following diagrams show the waveforms of a 200-J shock and of a pacing pulse. Figure 108 Waveforms of a 200-J Shock 2500 Volt...
  • Page 202: System Level Interconnections

    B: Theory of Operation System Level Interconnections System Level Interconnections Figure 110 System Interconnection Schematic...
  • Page 203: Assemblies Descriptions

    Assemblies Descriptions B: Theory of Operation Assemblies Descriptions The electrical core of HeartStart XL+ consists of custom-designed Processor and Therapy PCAs and several smaller PCAs such as the Printer PCA, Battery PCA, Inverter PCA, and Human Interface (HIF) PCA. The Processor PCA includes the System-on-Module (SOM) PCA. These PCAs functions are described below.
  • Page 204: Therapy Pca

    B: Theory of Operation Assemblies Descriptions • Control of pacing functions on the Therapy PCA, including: – Monitoring pacing current delivered. – Controlling enabling of pacing and pacing isolation relays. • All ECG processing including filtering, beat detection, and rhythm analysis. •...
  • Page 205: Power And Battery

    Assemblies Descriptions B: Theory of Operation Power and Battery The HeartStart XL+ can be powered by the Battery alone, AC supply alone, or by the Battery and AC supply together (this configuration is used to charge batteries). The device transitions between power sources as sources are added and removed without interrupting any operation as long as at least one source of power is always present.
  • Page 206: Display Assembly

    B: Theory of Operation Assemblies Descriptions Display Assembly The Display assembly contains: • the 6.5" color TFT VGA LCD display, 640 by 480 pixel, 18-bit color flat panel display illuminated by cold cathode fluorescent lamps • the Backlight Inverter; the power for the display backlight is provided by a Backlight Inverter PCA. LCD Display All display functions are handled by the Processor PCA.
  • Page 207: Printer Assembly And Pca

    Assemblies Descriptions B: Theory of Operation Therapy Switch The Therapy Switch selects operation in either AED Mode, Pacer Mode, or Manual Mode. In Manual Defibrillation Mode, energy selection is made by rotating the Therapy Switch to the appropriate position. The Therapy Switch operates an optical rotary switch. The signals pass through the switch’s ribbon cable and then on to the Processor PCA.
  • Page 208: Nbp Module

    B: Theory of Operation Assemblies Descriptions NBP Module The NBP module handles the following functions: • Inflation and deflation of the NBP cuff. • Measurement of pressure in cuff. • Detection of pressure waveform, and extraction of the systolic and diastolic values from that waveform.
  • Page 209: Functional Descriptions

    Functional Descriptions B: Theory of Operation Functional Descriptions This section is organized into the following sections:  ECG Monitoring Functions . p. 199  Patient Impedance Functions . p. 200  Defibrillation . p. 200  Transcutaneous Pacing . p. 201 ...
  • Page 210: Patient Impedance Functions

    B: Theory of Operation Functional Descriptions Patient Impedance Functions The HeartStart XL+ measures patient impedance in two ways: an impedance measurement before the shock, and a impedance measurement during the shock. Before the Shock The HeartStart XL+ makes a small-signal AC impedance measurement (at 32 kHz) in the steady state situation before a shock is delivered.
  • Page 211: Transcutaneous Pacing

    Functional Descriptions B: Theory of Operation Shock Delivery The discharging cycle (shock delivery) is initiated by any of the following three events: • Pressing the front panel Shock button when using pads or switchless internal paddles. (The button is disabled when using external paddles or switched internal paddles). This button press is then detected and processed by the Processor PCA.
  • Page 212: Audio

    B: Theory of Operation Functional Descriptions The HeartStart XL+ supplies 5 V DC power to an external CO module which performs all measurement functions and communicates the results via a serial interface to the HeartStart XL+. Several types of external CO measurement modules are supported.
  • Page 213: Appendix C Repair Record

    Appendix C Repair Record Appendix1 This is a sample repair record. Make copies of these pages and fill out after each repair. I: Incoming Customer (name of facility): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Customer Issue (describe): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _...
  • Page 214: Iii: Repair

    C: Repair Record III: Repair Other Test Data:    Op Check: PASS FAIL    Shock: PASS FAIL    Pace: PASS FAIL    Pads/Paddles ECG: PASS FAIL    Leads ECG Test: PASS FAIL Other Test Data comments: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _...
  • Page 215: Index

    Index airway adapters Bad number of channels from DSP error log Capnostat message LoFlo 10-lead ECG cables, ordering barometric pressure See ambient pressure modified 12NC numbers barrel connector Alarms button pads adapter 12-pin alcohol, isopropyl pads cable, hands-free connector Fans test load 3-lead ECG labels...
  • Page 216 Index Battery Communication Failure message Capnostat configuration airway adapter data, storage Battery is at end of life error log message carbon dioxide accessories Configuration Error message Battery is not working error log message cardioversion See synchronized cardioversion Configuration Mode password Battery low error log message cardioversion, asynch.
  • Page 217 Index defibrillator driver electrodes AC power ordering performance verification Torx visual inspection test group DSP File CRC Check Failure error log electrostatic discharge analyzer message enclosure leakage battery DSP POST failure, test data unavailable English performance verification error log message label set power, test group DSP POST missing at start of test error log...
  • Page 218 Index external Front Chassis HIF cable assemblies overview HIF PCA paddles removal functional description key components replacement ordering leakage front panel buttons replacement water-resistant functional description high voltage pads leakage ordering high-tack foam electrodes repairs, testing levels fuel gauge, battery history of repairs, in troubleshooting External Pacing upgrade functional...
  • Page 219 Index interrupt, battery calibration leakage Microstream sensor chassis, safety tests calibration interview, troubleshooting current tests mode, error log introduction enclosure safety tests moisture damage Invalid ADC Data error log message ground safety tests Monitor mode Inverter cable NBP module Op Check Inverter PCA patient safety tests multifunction pads...
  • Page 220 Op Check ordering, for Philips personnel only Op Check Shock Impedance Out Of Range error log message safety check Op Check Shock test aborted error log test group message visual inspection...
  • Page 221 Service Mode tests shelf replacement visual inspection tilt print Philips Rear I/O button data management solution Assembly, replacement Device info Online Learning Center label error log Rear Ports, ordering Printed Circuit Assembly See PCA...
  • Page 222 Index report, Op Check sensor soft EtCO cuff Reports button Nellcor adapter cable keys reproduce the problem, troubleshooting printer, optical single-patient disposable cuff requirements, USB drive visual inspection software reset, NBP module Serial Number error log resources entering installing Response Center error log message upgrade errors...
  • Page 223 Index SVHC therapy cable traditional Chinese paddles leakage label set Swedish pads leakage software label set software Therapy Capacitor training discharging service personnel switched paddles ordering transcutaneous pacing Switched supply error log message replacement trend data Switched to Battery message Tray troubleshooting switchless paddles...
  • Page 224 Index User Interface Error message user interview, troubleshooting utility knife, tool verification test, equipment VH0: Printer Voltage High error log message viewing, online visual inspection accessories, passing criteria HeartStart XL+, passing criteria liquid spill procedure test group troubleshooting VitaLine VL1: Printer Voltage Low error log message voltage, deadly wake up, battery...

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