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HeartStart XL+ Service Library
Service Manual
HeartStart XL+
861290

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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...
  • 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 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 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 Other Resources...
  • Page 6: Table Of Contents

    Table of Content Chapter 3 Troubleshooting Overview Troubleshooting Tools and Equipment Obtaining Replacement Parts Ready For Use Indicator Automated Tests Automated Test Summary Shift Check and Weekly Shock Test Shift Check Weekly Shock Test Operational Check Operational Check Setup Operational Check Flow Operational Check Report Operational Check Summary Additional Notes about the Operational Check...
  • 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 Assembly 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 System-on-Module (SOM) PCA Measurement Module and the Ports Rear Chassis Removal Processor PCA Front Chassis Removal Inverter PCA and Front Chassis...
  • Page 9 Table of Content Appendix A Parts and Accessories Overview . 163 Parts and Accessories Notes . 163 Ordering Replacement Parts . 163 Ordering Supplies and Accessories . 163 Key Component Tracking . 163 Electrical Assemblies . 164 Software Support Tool .
  • Page 10 NOTES...
  • Page 11 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 Paddle ECG Port tray (optional) Port (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 —> 989803160581 – Philips HeartStart XL+ —> Instructions for Use. Display Menus To display a menu, press the Menu Select button. Then use the up...
  • Page 17 At the end of the battery’s useful life, it should be recycled or discarded according to local regulations and replaced. Refer to the HeartStart XL+ Instructions for Use for additional information. For the USA users only, Philips Healthcare offers a free-of-charge Battery Recycling Program. See the battery package for the postal label and instructions.
  • 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 – Replacing Processor, SOM, 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 X” at some point during Software Upgrade. This is normal behavior, as long as an “hourglass”...
  • Page 22 2: Maintenance Software Upgrades Figure 8 Software Upgrade Selection Screen 02 Feb 2011 12:34 PM Service – Software Upgrade                Use Up/Down to Scroll Upgrade Selection Use Select to Begin Upgrade Main Menu...
  • Page 23 Software Upgrades 2: Maintenance Figure 9 Software Upgrade Progress Screen 02 Feb 2011 12:34 PM Service – Software Upgrade   Software Upgrade in Progress Do Not Remove USB Flash Drive Do Not Turn Off Device or Remove Power  Main Menu Service...
  • Page 24 2: Maintenance Software Upgrades Software Upgrade Errors If your software upgrade is terminated with the Upgrade Failed: Error nn message, then see Table 2 solutions: Table 2 Software Upgrade Errors Error Possible Causes Suggested Solutions 1 or 2 • USB drive removed during upgrade Make sure the USB drive is securely inserted and retry the upgrade.
  • Page 25 Battery Maintenance 2: 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 your local language). “Waking Up”...
  • Page 26 2: Maintenance Battery Maintenance From the Service Mode Main menu, select Battery Calibration and press the Menu Select button. The Battery Calibration main screen is displayed: Figure 10 Battery Calibration Main Screen 02 Aug 2011 12:34 PM Service – Battery Calibration ...
  • Page 27 Battery Maintenance 2: Maintenance The Battery Capacity indicator disappears, but the Charge Level is monitored during the entire calibration cycle. 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 28 2: Maintenance NBP Module Calibration 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 29 NBP Module Calibration 2: Maintenance Figure 14 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 30 2: Maintenance NBP Module Calibration NBP Calibration Procedure Complete the calibration within three minutes to avoid the NBP module timeout.  To calibrate NBP: Press the Calibrate soft key. The message Apply 0 mmHg. Select "Next" when ready is displayed (see Figure 15).
  • Page 31 NBP Module Calibration 2: Maintenance Take time to allow the pressure in the unit to equalize and stabilize. One way to do this is to pressurize the cuff up to about 260 mmHg and wait for 30 seconds, then gently adjust the pressure with the pump and valve.
  • Page 32 2: Maintenance NBP Module Tests NBP Module Tests Perform NBP module tests only if there is an uncertainty about the module performance. Each of the procedures assumes the device, the manometer, and the cuff assembly are still set up as they were at the end of the previous test.
  • Page 33: Chapter 3 Troubleshooting

    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. 23  Ready For Use Indicator p. 24  Automated Tests p. 25  Shift Check and Weekly Shock Test p.
  • Page 34: 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 35: 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 36 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 6 on page 26.
  • Page 37: 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 38: 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 39: 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 18 Operational Check Screen —...
  • Page 40 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 41 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 42: 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 43: 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 44: Additional Notes About The Operational Check

    3: Troubleshooting Service Mode Tests Table 7 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 45: 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.
  • Page 46: Hardware Error Log

    3: Troubleshooting Error Log Messages Hardware Error Log Figure 22 shows the layout of the Hardware Error Log. Figure 22 Hardware Error Log Screen 02 Feb 2011 12:34 PM Service – Hardware Error Log Date and Time Severity Mode Info ...
  • Page 47: 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 local decontamination procedures. Refer to the HeartStart XL+ Instructions for Use. Check the Ready for Use (RFU) indicator. See “Ready For Use Indicator”...
  • Page 48 3: Troubleshooting Troubleshooting Process Interview the user. Gather the external components. If possible, talk directly with the user who reported the problem. Identify what they were doing when the problem occurred, and exactly what happened. What was on the display? Were any sounds noticed? Were there operational problems? If possible, obtain the cables, paddles, battery, etc., that were in use when the problem occurred and use them in your evaluation.
  • Page 49: Troubleshooting Flowcharts

    Troubleshooting Flowcharts 3: Troubleshooting Troubleshooting Flowcharts Figure 24 Figure 25 show the troubleshooting steps for different states of the RFU Indicator. Figure 24 RFU Indicator: Hourglass Turn Therapy Knob to Hourglass Monitor Turn Therapy Knob to Is screen blank? Voice prompt Technical Alarm heard? displayed?
  • Page 50 3: Troubleshooting Troubleshooting Flowcharts Figure 25 RFU Indicator: Red X 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 24 Hourglass? Run ECG test on page 39...
  • Page 51: Components Troubleshooting

    Components Troubleshooting 3: 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 52 3: Troubleshooting Components 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 53 Components Troubleshooting 3: Troubleshooting Table 9 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 54 3: Troubleshooting Components Troubleshooting Figure 26 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 55: 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 56: Startup Messages

    3: Troubleshooting Components Troubleshooting Startup Messages Table 12 lists the messages that can occur at startup or Operational Check. Table 12 Startup Messages Message Possible Causes Suggested Solution  Critical failure.  The device cannot deliver  therapy; service immediately. ...
  • Page 57: General Problems

    Components Troubleshooting 3: Troubleshooting General Problems Table 13 discusses general problems that can occur. Table 14 discusses the Hardware Error Log entries related to the general problems. Table 13 General Monitoring Problems Symptom Possible Causes Suggested Solution  message The clock battery on the Replace clock battery on the Processor PCA Processor PCA failure One or more buttons (Charge, Shock,...
  • Page 58: Pacing Problems

    3: Troubleshooting Components Troubleshooting Table 14 General Problem Diagnostic with the Hardware Error Log Numeric ID Info String Possible Cause Suggested Solutions   Test is not completed in • Reinstall software time. • Replace SOM PCA • Replace Processor PCA •...
  • Page 59: Ecg Monitoring Problems

    Excessive motion artifact Ensure that the user reduces patient  message movement  Wrong pads or paddles type Use only Philips-approved pads or paddles message Pads or paddles failure Replace pads or paddles...
  • Page 60 3: Troubleshooting Components Troubleshooting Table 17 “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 17 ECG Diagnostic with the Hardware Error Log Numeric ID Info String Possible Cause Suggested Solution...
  • Page 61: Defibrillation Problems

    Components Troubleshooting 3: Troubleshooting Defibrillation Problems Table 18 Defibrillation Charging Problems Symptom Possible Cause Suggested Solution   During Op Check, the user • Run Op Check and be sure to press the button   Op Check pressed the •...
  • Page 62 3: Troubleshooting Components Troubleshooting Table 19 Defibrillation Discharging Problems Symptom Possible Cause Suggested Solution   Op Check During Op Check the • Run Op Check and be sure to press the message menu pressed instead of the Shock button Shock button •...
  • Page 63 Components Troubleshooting 3: Troubleshooting Table 20 Defibrillation Diagnostic with the Hardware Error Log Numeric ID Info String Possible Cause Suggested Solution   Test passed after a failure None, not an error   Test is not completed in time Run Op Check and be sure to press the Charge button ...
  • Page 64: Spo 2 Monitoring Problems

    3: Troubleshooting Components Troubleshooting Table 20 Defibrillation Diagnostic with the Hardware Error Log (Continued) Numeric ID Info String Possible Cause Suggested Solution    • Run Op Check Shock test failed    • Replace Test Plug/Load  ...
  • Page 65: Nbp Monitoring Problems

    Components Troubleshooting 3: Troubleshooting NBP Monitoring Problems Table 22 NBP Monitoring Problems Symptom Possible Causes Suggested Solution  message The NBP module should be Calibrate the NBP module. See “NBP calibrated once a year Module Calibration” on page 18.  message •...
  • Page 66: 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 152. Table 23 discusses control problems that can occur. Table 23 Controls Problems Symptom Possible Cause Suggested Solution ...
  • Page 67: Usb Problems

    Components Troubleshooting 3: Troubleshooting USB Problems Test the USB if indicated by the troubleshooting. 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 HeartStart XL+ devices or different USB flash drives on the suspect device.
  • Page 68: Display Problems

    3: Troubleshooting Components Troubleshooting Display Problems Run the Display Test (see “Display Test” on page 153) to inspect the screen for defective pixels, random lines or dots, visible permanent patterns, or flickering. Table 25 Display Problems Symptom Possible Cause Suggested Solution Display is all dark, no response to controls.
  • Page 69: 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 70 3: Troubleshooting Components Troubleshooting Table 28 Printer Diagnostic with the Hardware Error Log # ID Info String Possible Cause Suggested Solution   error log message Test is not completed Run Op Check in time   error log message Printer •...
  • Page 71: 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 72: 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 73: 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 74 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. For the USA users only, Philips Healthcare offers a free-of-charge Battery Recycling Program. See the battery package for the postal label and instructions.
  • Page 75: External Assemblies

    External Assemblies 4: Repair Repair Tools and Equipment  The following tools are needed to perform the procedures in this chapter: • Torx T-8, T-10, T-15, and T-20 drivers (or Torx driver kit). T-15 driver shaft should be less than 0.4-inches (10 mm) in diameter to reach down to recessed handle screws.
  • Page 76: Battery Compartment Cover And Latch

    4: Repair External Assemblies Battery Compartment Cover and Latch  Preparation Turn the device off and remove the battery and the AC. Position the device. Lay the device on a work surface with the display facing down and the bottom facing you. ...
  • Page 77: Bedrail / Roll Stand Mount

    External Assemblies 4: Repair Bedrail / Roll Stand Mount  Preparation Turn the device off. Position rear of the device facing you.  Removal Loosen and remove the four T-15 screws. Remove the bedrail / roll stand mount. Figure 28 Bedrail / Roll Stand Mount ...
  • Page 78: Labels

    4: Repair External Assemblies Labels There are four groups of labels for the HeartStart XL+: • the Instruction label set • the Branding (Nameplate) label, and • the Primary label • 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 79 External Assemblies 4: Repair Primary Label Primary label is not included in the label kit and shipped with the device. It lists the Serial Number and the Options Key, and is affixed to the bottom of the device. See “Primary Label” on page 10.
  • Page 80: Handle Assembly

    4: Repair External Assemblies Handle Assembly  Preparation Turn the device off and remove the battery and the AC. Position the device on the work surface with the rear side facing you.  Removal Completely loosen but do not remove the four T-15 screws in the handle. See Figure Figure 30 Handle Screws...
  • Page 81 External Assemblies 4: Repair Figure 32 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 82: Rfu-and-usb Pca Assembly

    4: Repair External Assemblies RFU-and-USB PCA Assembly  Preparation Turn the device off and remove the battery and the AC. Position the device on the work surface with the rear side facing you.  Removal Follow the Handle removal steps up to Step 6.
  • Page 83: 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 T-20 Torx screwdriver for this repair.  Preparation Turn the device off. Disconnect AC power and remove the battery.
  • Page 84 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 85: Paddle Tray, Blank

    External Assemblies 4: Repair Paddle Tray, Blank  Preparation Turn the device off. Disconnect AC power and remove the battery. Remove the Handle Assembly, see “Handle Assembly” on page 70.  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 86: 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. Disconnect AC power and remove the battery. Remove the Handle Assembly, see “Handle Assembly”...
  • Page 87: Printer Assembly

    External Assemblies 4: Repair Printer Assembly  Preparation Turn the device off. Disconnect AC power and remove the battery.  Removal Push in the printer door latch and open the printer door. Remove the paper roll. Loosen the two captive T-10 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 88: Therapy Knob

    4: Repair External Assemblies Therapy Knob  Preparation Turn the device off. Disconnect all external power and remove the battery.  Removal and Replacement Pull the Knob off its shaft. Grasp the Knob and pull straight out from the front of the device. Use pliers if necessary, however be careful not to damage the Knob if you are going to reuse it.
  • Page 89: Internal Assemblies - Introduction

    Internal Assemblies — Introduction 4: Repair Internal Assemblies — Introduction This section is organized into the following topics:  Opening the Case p. 79  Overview of the Internal Assemblies p. 82  Positioning of the Box p. 82  Tilting Rear Chassis p.
  • Page 90 4: Repair Internal Assemblies — Introduction Figure 41 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 91 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 92: 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 44): • Assemblies mounted on the Rear Chassis and Rear Chassis Shelf • Assemblies mounted on the Front Chassis •...
  • Page 93: 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 94 4: Repair Internal Assemblies — Introduction Figure 46 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 95: 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 79. Position the box display side down, shelf side toward you. Remove the T-10 screws ➊...
  • Page 96 4: Repair Internal Assemblies — Introduction Figure 48 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 97 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 98: 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 99: 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. 89 Shelf Assemblies:  NBP Module p. 90  Internal Resistors Module p. 91 Bottom Assemblies: ...
  • Page 100: Nbp Module

    4: Repair Internal Assemblies — Rear Chassis NBP Module  Preparation Open the Case. See “Opening the Case” on page 79. Position the HeartStart XL+ display side down and shelf side toward you. Remove the Rear Chassis Shelf. See “Rear Chassis Shelf ” on page 85.
  • Page 101: Internal Resistors Module

    Internal Assemblies — Rear Chassis 4: Repair Internal Resistors Module  Preparation Open the Case. See “Opening the Case” on page 79. Position the HeartStart XL+ bottom side down, rear side toward you. Remove the Rear Chassis Shelf. See “Rear Chassis Shelf ” on page 85.
  • Page 102: Rear I/o Assembly

    4: Repair Internal Assemblies — Rear Chassis Rear I/O Assembly  Preparation Open the Case. See “Opening the Case” on page 79. Tilt the Rear Chassis, see “Tilting Rear Chassis” on page 83. Position the open HeartStart XL+ display side down, Capacitor to your left. ...
  • Page 103 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 T-10 screws to position the Rear I/O Assembly ( ➏...
  • Page 104: Fans

    4: Repair Internal Assemblies — Rear Chassis Fans This procedure replaces both fans. You may need to replace one of the fans.  Preparation Open the Case. See “Opening the Case” on page 79. Position the open HeartStart XL+ display side down, Capacitor to your left. Remove the Rear Chassis Shelf.
  • Page 105 Internal Assemblies — Rear Chassis 4: Repair  Replacement: Clean the Fans and Power Supply aluminum plates. Do not touch the surfaces once you have cleaned them. If you are replacing the Power Supply Assembly and reusing the old Fans, then peel the remaining adhesive off of the Fan sides.
  • Page 106: Power Supply Assembly

    4: Repair Internal Assemblies — Rear Chassis Power Supply Assembly  Preparation Open the Case. See “Opening the Case” on page 79. Remove the Rear Chassis Shelf. See “Rear Chassis Shelf ” on page 85.  Removal Disconnect both braided Fan bundles from the Therapy PCA, see Figure 55 on page 94.
  • Page 107 Internal Assemblies — Rear Chassis 4: Repair  Replacement: Install the two plastic shields and align them with the screw holes. Install the Power Supply Assembly. 58, ➋ ). Position the ground spade connector to your left (see Figure Secure to the Rear Chassis with the four T-10 screws ( ➍ ). Connect Power Supply Assembly (see Figure 58):...
  • Page 108: 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 79. Remove the Rear Chassis Shelf. See “Rear Chassis Shelf ” on page 85. Position the open HeartStart XL+ display side down, Capacitor to your left. ...
  • Page 109 Internal Assemblies — Rear Chassis 4: Repair Remove the remaining three T-10 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 110: 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 79. Remove the Rear Chassis Shelf.
  • Page 111 Internal Assemblies — Rear Chassis 4: Repair Pivot the Rear Chassis downward: Remove the T-10 screws ➊ , ➎ , and ➐ , see Figure 45 on page 83. Loosen but not remove the screws ➌ and ➍ . Pivot the Rear Chassis around the axis formed by the screws ➌ and ➍ . TIP: Place the device Handle under the Capacitor Tray for support, see Figure...
  • Page 112: 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 113 Internal Assemblies — Rear Chassis 4: Repair Figure 64 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 64, ➊ – ➓ , from the Therapy PCA. Remove the ten T-10 screws, see Figure Move all the wires aside.
  • Page 114 4: Repair Internal Assemblies — Rear Chassis Figure 65 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 115 Internal Assemblies — Rear Chassis 4: Repair Figure 66 Therapy PCA Power Supply Connection Therapy-PCA-side connector Power-Supply-side connector Disconnect the ribbon cable ➄ from the Processor PCA and connect to the Therapy PCA. Bring the Rear Chassis into the upright position. See “Pivoting Rear Chassis Downward”...
  • Page 116: 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. 107  Battery PCA p. 108  Clock Battery p. 109  Therapy Port p. 110 ...
  • Page 117: Front Chassis Overview

    Internal Assemblies — Front Chassis 4: Repair Front Chassis Overview Figure 67 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 118: 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 the Case. See “Opening the Case” on page 79. Tilt the Rear Chassis. See “Tilting Rear Chassis”...
  • Page 119: Clock Battery

    Internal Assemblies — Front Chassis 4: Repair 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 120: Therapy Port

    4: Repair Internal Assemblies — Front Chassis Therapy Port  You need a narrow open-jaw adjustable wrench or pliers to fit a 1" nut.  Preparation Position the device with the display facing down and the Measurement Module to your left. Pivot the Rear Chassis downward.
  • Page 121 Internal Assemblies — Front Chassis 4: Repair  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 122: Therapy Switch

    4: Repair Internal Assemblies — Front Chassis Therapy Switch  Preparation Remove the Therapy Knob. See “Therapy Knob” on page 78. Loosen and remove the 9/16-inch nut and washer, see Figure Open and separate the case. See “Opening the Case” on page 79.
  • Page 123: Pivoting Rear Chassis Upward

    Internal Assemblies — Front Chassis 4: Repair Pivoting Rear Chassis Upward Pivot the Rear Chassis upward to access these Front Case assemblies: • Printer PCA • System-on-Module (SOM) PCA • Measurement Module and the Ports and the ECG, SpO , and NBP Ports •...
  • Page 124 4: Repair Internal Assemblies — Front Chassis Figure 72 Rear Chassis Feet Protection ➊ ¼" ¾" Remove the Battery PCA, see “Battery PCA” on page 108.  To bring the Rear Chassis into the upright position: Install the Battery PCA screw, see “Battery PCA”...
  • Page 125: Printer Pca

    Internal Assemblies — Front Chassis 4: Repair Printer PCA  Preparation Remove the Printer Assembly. See “Printer Assembly” on page 77. Pivot the Rear Chassis upward. See “Pivoting Rear Chassis Upward” on page 113. Position the device with the display facing down and the printer compartment to your left. ...
  • Page 126: System-on-module (som) Pca

    164 for part numbers. • 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  You need a T-8 screwdriver to detach or attach the SOM PCA.
  • Page 127 Internal Assemblies — Front Chassis 4: Repair  Replacement Note the keys on the rectangular connectors. Position the new SOM PCA so that the keys match, see Figure Figure 75 Processor PCA’s Keyed Connectors keys keys Position your thumbs in the locations between the screw holes marked by the arrows, so that the pressure will be distributed evenly, see Figure Figure 76...
  • Page 128 4: Repair Internal Assemblies — Front Chassis Entering the Serial Number After you have replaced the SOM PCA and reassembled the device, you must enter the device’s serial number to make the HeartStart XL+ operational. If the serial number is not entered, the device powers up with the message Equipment Disabled: Therapy.
  • Page 129 Internal Assemblies — Front Chassis 4: Repair Installing Software “Software Upgrades” on page 11 for details on software installation.  To install software onto the device or to change the device’s language: Be sure both an AC power module and battery charged to at least 20% are in place. Turn the Therapy Knob to Monitor.
  • Page 130 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 131 If you are upgrading the device’s software, it is essential that the customer gets the latest Instructions for Use. Make sure the customer gets the README document, which provides instructions for downloading the latest HeartStart XL+ Instructions for Use from the Philips Documentation and Downloads web site at: http://www.philips.com/ProductDocs.
  • Page 132: Spo 2 Pca

    4: Repair Internal Assemblies — Front Chassis  Preparation Open and separate the case. See “Opening the Case” on page 79. 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 133 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 134: 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), and NBP Port (optional). All measurement ports replacement procedures involve the Measurement Module disassembly. Depending on the installed options, the Measurement Module face plate may look different.
  • Page 135 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 136 4: Repair Internal Assemblies — Front Chassis Figure 83 Measurement Module Installation Engage the fork rib with the slot in the Front Chassis, see Figure 10 Secure the Measurement Module fork with the T-10 screw. 11 Reassemble and close the device. See “Closing the Case”...
  • Page 137: Rear Chassis Removal

    Internal Assemblies — Front Chassis 4: Repair Rear Chassis Removal 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 79. Disconnect the Rear Chassis: Follow the Front Chassis Access instructions up to Step 4.
  • Page 138: 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 139 Internal Assemblies — Front Chassis 4: Repair Figure 84 Processor PCA Connectors ➃ ➁ ➂ ➄ ➀ ➈ ➆ ➅ ➇ Remove the Measurement Module. See “Measurement Module and the Ports” on page 124. Loosen and remove the seven T-10 screws ➊ – ➐ . See Figure...
  • Page 140 4: Repair Internal Assemblies — Front Chassis Figure 85 Processor PCA Screws ➊ ➌ ➋ ➐ ➍ ➏ ➎ Battery PCA standoff Lift the Processor PCA out of the case. Be careful to guide the many cables out of the way so the Processor PCA can be lifted clear. First, lift the lower side holding at the screw positions ➎...
  • Page 141 120. 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 142: Front Chassis Removal

    4: Repair Internal Assemblies — Front Chassis Front Chassis Removal Remove the Front Chassis with the Processor PCA to access these Front Case assemblies: • Human Interface PCA • Therapy Buttons • Display Assembly • Speaker Assembly • Front Buttons ...
  • Page 143 Internal Assemblies — Front Chassis 4: Repair Use tweezers gently to disconnect the Inverter PCA cable ➉ . Remove the screws and the chassis: Loosen and remove the six T-15 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 144: 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 77. Open and separate the case. See “Opening the Case” on page 79. Remove the Rear Chassis. See “Rear Chassis Removal”...
  • Page 145 Internal Assemblies — Front Chassis 4: Repair  Replacement Replace the chassis and the screws: Move the wires out of the way. Place the screws ➐ and ➑ into the screw holes. Position the Front Chassis in the box and start the screws ➐ and ➑ . Make sure no cables are pinched under the Front Chassis, see Figure Manually start the screws ➊...
  • Page 146: Speaker Assembly

    4: Repair Internal Assemblies — Front Chassis Speaker Assembly  Preparation Remove the Printer Assembly. See “Printer Assembly” on page 77. Open and separate the case. See “Opening the Case” on page 79. Remove the Rear Chassis. See “Rear Chassis Removal” on page 127.
  • Page 147: Human Interface Pca

    Internal Assemblies — Front Chassis 4: Repair Human Interface PCA  Preparation Remove the Printer Assembly. See “Printer Assembly” on page 77. Open and separate the case. See “Opening the Case” on page 79. Remove the Rear Chassis. See “Rear Chassis Removal” on page 127.
  • Page 148: Therapy Buttons

    4: Repair Internal Assemblies — Front Chassis Therapy Buttons  Preparation Remove the Printer Assembly. See “Printer Assembly” on page 77. Open and separate the case. See “Opening the Case” on page 79. Remove the Rear Chassis. See “Rear Chassis Removal” on page 127.
  • Page 149: Display Assembly

    Internal Assemblies — Front Chassis 4: Repair Display Assembly  Preparation Remove the Printer Assembly. See “Printer Assembly” on page 77. Open and separate the case. See “Opening the Case” on page 79. Remove the Rear Chassis. See “Rear Chassis Removal” on page 127.
  • Page 150: 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 77. Open and separate the case. See “Opening the Case”...
  • Page 151: Closing The Case

    Closing the Case 4: Repair Closing the Case  To close the Case: If the Measurement Module is disassembled, then: Inspect the tubing gasket on the Measurement Module face plate, see Figure 82 on page 125. If the gasket is cracked, frayed, damaged, or there is a gap between the gasket ends, then replace the gasket.
  • Page 152 4: Repair Closing the Case Figure 93 Connecting the Rear Case Cover factory access plug tubing gasket 10 Align the cases and carefully lower the Rear Case on the Front Case. Make sure no wires are pinched between the Battery PCA and the Rear Case. Confirm that the entire perimeter of the Front and Rear Cases have mated properly.
  • Page 153: 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. 143  Verification Test Equipment . p. 144 ...
  • Page 154: 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 145 “Performance Verification Procedures”...
  • Page 155: Test And Inspection Matrix

    Test and Inspection Matrix 5: Performance Verification Test and Inspection Matrix Table 34 summarizes Performance Verification tests and inspections for the HeartStart XL+. Table 34 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 156 5: Performance Verification Test and Inspection Matrix Table 34 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) Synchronized Using an ECG simulator and defibrillator If all checks pass, and all data within limits: SC:x Cardioversion...
  • Page 157 Test and Inspection Matrix 5: Performance Verification Table 34 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) Safety Tests Using a Safety Analyzer NOTE: All leakage current tests include both Normal and Reverse Polarity Conditions.
  • Page 158: Performance Verification Procedures

    5: Performance Verification Performance Verification Procedures NOTE: When recording test results, separate results within a test by slashes (/); separate tests by semicolons (;); and use no empty spaces. V:x;OC:x;EL:x;C:x;DP:x;Pr:x;NC:x;E:x;SP:x;NM:x;SC:x;P:x;DA:x;DB:x;D:x;Pa:x; S1:x/aaa/bbbb;S2:x/cc/ddd;S3:x/ee/ff/gg/hh/ii/jj/kk/ll/mm/nnn/ooo/ppp For example: V:p;OC:p;EL:p;C:p;DP:p;Pr:p;NC:p;E:p;SP:p;NM:p;SC:p;P:p;DA:p;DB:p;D:p;Pa:p; S1:p/9/49/49/9/49/49/9/49/49/99/499/499 Performance Verification Procedures This section gives instructions for performing inspections and running Performance Verification and Safety tests on the HeartStart XL+.
  • Page 159: Visual Inspection

    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 160: Service Mode Tests

    5: Performance Verification Performance Verification Procedures Service Mode Tests The following tests are available from Service Mode:  Operational Check p. 150 Battery test is a part of the battery calibration procedure, see “Battery Calibration” on page 15.  Printer Test p.
  • Page 161 Performance Verification Procedures 5: Performance Verification Battery Test “Battery Maintenance” on page 15. Printer Test The printer test checks printer parameters, and prints test patterns to check the print head and the paper drive mechanism.  To start the Printer Test: Select Printer Test from the Service Mode Main menu and press the Menu Select button.
  • Page 162 5: Performance Verification Performance Verification Procedures Controls Test Run these tests when the controls performance becomes a suspect.  To perform controls test: Access Service Mode Select Controls Test from the Service Mode menu. The controls test screen appears (Figure 96).
  • Page 163 Performance Verification Procedures 5: Performance Verification If there is a mismatch, then: • If there is a mismatch in Therapy Knob, then check the Therapy Knob connections and replace the Therapy Knob or Therapy Switch as necessary. • If there is a mismatch in the Paddles group, then check the Paddles connections and test the Paddles.
  • Page 164: Functional Checks

    5: Performance Verification Performance Verification Procedures USB Test Test the USB if indicated by the troubleshooting. 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 165: Ecg Check

    Performance Verification Procedures 5: Performance Verification 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 166: Spo 2 Check

    5: Performance Verification Performance Verification Procedures Check NOTE: A functional tester (i.e. simulator or safety analyzer) can not be used to assess the accuracy of an SpO probe or an SpO monitor. Connect the sensor. Attach the SpO sensor to your finger and to the HeartStart XL+. Turn the Therapy Knob to Monitor.
  • Page 167: Defibrillator Test (battery Power At 200 J)

    Performance Verification Procedures 5: Performance Verification Test the Charge/Shock Functions Charge and deliver a 200 J shock: Turn the HeartStart XL+’s Therapy Knob to 200 J. Press the Charge button to charge the HeartStart XL+. Press the Shock button to deliver the shock to the defibrillator analyzer. If the device is not configured to print on the Charge command, press the Print button.
  • Page 168: Defibrillator Disarm Test

    5: Performance Verification Performance Verification Procedures Defibrillator Disarm Test These instructions describe how to test the disarm function. Setup Insert a sufficiently charged battery (at least two LEDs light up) and disconnect the AC power cord. Connect the Pads cable to the HeartStart XL+. Connect the defibrillator analyzer to the Pads cable.
  • Page 169: Synchronized Cardioversion Test

    Performance Verification Procedures 5: Performance Verification Test the maximum output by generating a fixed pacing waveform on the HeartStart XL+ for 180 ppm @ 140 mA. Press the Pacer Rate soft key and use the Navigation buttons to increase the rate to 180 ppm. Press the Pacer Output soft key and use the Navigation buttons to increase the output to 140 mA.
  • Page 170: Safety Tests

    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. This section is organized into the following topics: ...
  • Page 171 Performance Verification Procedures 5: Performance Verification Test Method The HeartStart XL+ does not have an earth ground node that could be used for protective earth continuity testing purposes. The only accessible earth ground node is at the AC inlet on the AC power module.
  • Page 172 5: Performance Verification Performance Verification Procedures Patient Lead Leakage Leakage out of (Source) or into (Sink) patient-connected inputs (Applied Parts). ECG leads (IEC Type CF) • Source (out of leads into HeartStart XL+) – Normal Condition (both AC line connections and earth ground intact) Should be <...
  • Page 173: Appendix A Parts And Accessories

    • 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. Key Component Tracking Replacement assemblies marked with an asterisk (*) contain one or more Key Components. Key Components require detailed tracking, by recording the Key Component part number and either the Key Component’s date code or its serial number.
  • Page 174: Electrical Assemblies

    A: Parts and Accessories Electrical Assemblies Electrical Assemblies The following tables list all the electrical field-replaceable assemblies. NOTE: Items marked with an asterisk (*) are Key Components that require tracking. See Table 45 on page 173. Software Support Tool Install the most recent software in the appropriate language using the Software Support tool whenever you replace the SOM PCA (replacement kit 453564206061), see Table 36 on page 165.
  • Page 175: Replacement Pcas And Assemblies

    Electrical Assemblies A: Parts and Accessories Replacement PCAs and Assemblies These PCAs come with specific parts, as noted. Table 36 Replacement PCAs Description 12NC Processor PCA 453564274651 Therapy PCA 453564274661 SOM PCA 453564206061 HIF PCA 453564206071 RFU-and-USB PCA Assembly 453564206081 Battery PCA 453564206091 Printer PCA...
  • Page 176: Internal Cables

    A: Parts and Accessories Electrical Assemblies External components are visible outside of the case, and the user interacts with them. Table 39 External Electrical Components Description 12NC Comment Therapy Port * 453564280581 Measurement Modules: ECG only 453564206201 If needed, order the required Ports below. Also order the Label Set, see “Instruction Label ECG and SpO...
  • Page 177: 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 178: 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.
  • Page 179: Supplies And Accessories

    Supplies and Accessories A: Parts and Accessories Supplies and Accessories HeartStart XL+ upgrades are listed in the section “Upgrades” on page 6. Approved supplies and accessories for the HeartStart XL+ are listed in Table 44 Table Table 44 Supplies and Accessories Part Number Description Defibrillation Pads, Pad Cables, and Test Load...
  • Page 180 A: Parts and Accessories Supplies and Accessories Table 44 Supplies and Accessories (Continued) Part Number Description Internal Switchless Paddles M1741A * 7.5-cm Switchless Internal Paddles M1742A * 6.0-cm Switchless Internal Paddles M1743A * 4.5-cm Switchless Internal Paddles M1744A * 2.8-cm Switchless Internal Paddles M4740A * Internal Paddles Adapter Cable ECG Cables, 3-lead...
  • Page 181 Supplies and Accessories A: Parts and Accessories Table 44 Supplies and Accessories (Continued) Part Number Description Sync Cables and Electrodes M1783A 12-pin Sync Cable (8 feet) M2202A High-Tack Foam ECG Electrodes — 5 electrodes/pack (60 packs/case) M5526A 12-pin Sync Cable (25 feet) Blood Pressure Cuffs (reusable and disposable) 40400A Reusable Cuff Kit, 3 sizes (Pediatric, Adult, Large adult)
  • Page 182 A: Parts and Accessories Supplies and Accessories Table 44 Supplies and Accessories (Continued) Part Number Description NBP Interconnect Tubing M1598B Adult Pressure Interconnect Cable 1.5 M (5 ft.) M1599B Adult Pressure Interconnect Cable 3 M (10 ft.) Sensors and Cables M1191A Reusable SpO Sensor —...
  • Page 183: Key Components

    Key Components A: Parts and Accessories Key Components Key Components require tracking, as indicated in Table 45. Record the part number and tracking method (the date code, serial number, or lot/batch#) for both the failed and replacement components. Table 45 Key Components Replacement Assembly Kit Key Component...
  • Page 184 A: Parts and Accessories Key Components Table 45 Key Components (Continued) Replacement Assembly Kit Key Component Description Part Number Description Part Number Tracking Method Internal Defibrillation Paddles M1741A 7.5-cm Switchless M1741A M1742A 6.0-cm Switchless M1742A Date Code M1743A 4.5-cm Switchless M1743A M1744A 2.8-cm Switchless...
  • Page 185: 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 98 Waveforms of a 200-J Shock 2500...
  • Page 186: System Level Interconnections

    B: Theory of Operation System Level Interconnections System Level Interconnections Figure 100 System Interconnection Schematic...
  • Page 187: 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 188: 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 189: Power And Battery

    “memory effect” that plagues nickel-cadmium chemistries. If you are located in the USA, take advantage of the Philips Battery Recycling Program. Look for the shipping label and instructions in your replacement battery box.
  • Page 190: 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 191: 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 192: 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 193: Functional Descriptions

    Functional Descriptions B: Theory of Operation Functional Descriptions This section is organized into the following sections:  ECG Monitoring Functions . p. 183  Patient Impedance Functions . p. 184  Defibrillation . p. 184  Transcutaneous Pacing . p. 185 ...
  • Page 194: 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 195: 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 196: Audio

    B: Theory of Operation Functional Descriptions Audio The HeartStart XL+ has three types of audio output: voice prompts, tones, and “chirp” when there is a “Red X” RFU condition. The voice prompts and tones are generated and controlled by the Processor PCA, which also amplifies the signals and passes them directly to the speaker via a wire pair.
  • Page 197: Index

    Index adult (continued) pads, multifunction AAMI 10-lead ECG cables, ordering Backlight Fault Check Failed error log plus message 12NC numbers radiolucent backlight inverter 12-pin radiotransparent connector Bad IDS revision from DSP error log reduced skin irritation sync cable message 3-lead ECG Bad number of channels from DSP error log algorithm automated tests...
  • Page 198 Index Battery brown-out test failed error log Cannot run ECG tests with internal connections, rechecking message paddles error log message Connector Block See Measurement Module Battery Calibration Not Required capacity, error log contact quality indicator message cardioversion See synchronized cardioversion contrast, printer Battery Calibration Required alarm cardioversion, asynchronized See...
  • Page 199 Index device electrode pads, visual inspection data storage electrodes directive ear clip, SpO sensor ordering info visual inspection earth ground node manufacturer electrostatic discharge Easy Care reusable cuffs repair history, in troubleshooting enclosure leakage Device Management Error message alarm, performance verification English Device Restarted Due to Error message cables...
  • Page 200 Index impedance function Fail/BF gasket, tubing In Progress message, Op.Check Fail/BW gaskets placement inaccurate reading Fail/CX general NBP problem problems problem Fail/D system, Op.Check automated tests InCenter Op.Check summary German indicator label set Fail/DX contact quality software automated tests Op.Check summary gloves, antistatic paddles Failed to load therapy CPLD program data...
  • Page 201 Index Localization Initialization Failure error log NBP (continued) message Op Check performance verification Japanese LV Inhibit Test error log message reusable cuff kit label set test equipment spec software test group troubleshooting maintenance upgrade battery key components calibration NBP Calibration Failed message electrical assemblies overview NBP Calibration Overdue message...
  • Page 202 Patient Contact Indicator key components verification Patient Safety Relay test failed error log Op Check Op Check Shock Impedance Out Of Range message ordering, for Philips personnel only error log message safety Op Check Shock test aborted error log check handling message...
  • Page 203 Index pliers Printer Door Open message repair (continued) slip-joint external Printer Error message straight-tip needle-nose assemblies Printer Font Unavailable message testing levels plug connector Printer Malfunction message Handle, testing levels pads cable, hands-free Printer Out Of Paper message notes test load, ordering Printer PCA Op.
  • Page 204 Index RFU-and-USB PCA Shock Button Failure message SpO2 Malfunction Tech.Alarm reported ordering error log message Shock Button Test error log message replacement Shock Button, Op Check replacement, testing levels functional description Shutting Down message roll stand mount ordering silicone tubing, ordering ordering replacement simplified Chinese...
  • Page 205 Index test Therapy Port tubing gasket and inspection matrix introduction tubing gasket, ordering current label twist lock connector See barrel connector groups ordering leakage replacement visual inspection recording results Therapy RFU Test Passed error log Service Mode message Unique Device Identifier shock, weekly nn.n V therapy supply out of range error log Upgrade Failed software...
  • Page 206 Index web-based training weekly automated test shock white connector See barrel connector wiring, placement wrench adjustable open-end wrist band X-long NBP cuff...

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