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Service Manual Nellcor™ Bedside Respiratory Patient Monitoring System...
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Covidien’s sole responsibility with respect to the equipment and software, and its use, is as stated in the limited warranty provided. Nothing in this manual shall limit or restrict in any way Covidien’s right to revise or otherwise change or modify the equipment and software described herein, without notice. In the...
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List of Figures Figure 3-1. Block Diagram ..................... 3-1 Figure 3-2. Oxyhemoglobin Dissociation Curve ........... 3-5 Figure 3-3. Series of SpO Events ................3-7 Figure 3-4. First SpO Event: No SatSeconds Alarm ..........3-8 Figure 3-5. Second SpO Event: No SatSeconds Alarm ........3-9 Figure 3-6.
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Figure 10-9. Test: SpO 90, BPM 60 .............. 10-30 Figure 10-10. MOD Test: BPM 60, SpO 75, and MOD Low ....... 10-31 Figure 10-11. MOD Test: BPM 60, SpO 75, and MOD High ......10-32 Figure 10-12. MOD Test: BPM 200, SpO 75, and MOD High ......
1 Introduction Overview This manual, for use by qualified personnel only, contains instructions for servicing, testing, and maintaining the Nellcor™ Bedside Respiratory Patient Monitoring System. This manual applies to the following products: GR101704 GR101704-RR PM1000N PM1000N-RR Intended Audience This manual provides information to professionals acting as trained and quali- fied service technicians in a hospital or hospital-type setting for maintenance and service or repair of the monitoring system.
Before attempting to open or disassemble, disconnect the power cord to avoid possible injury. WARNING: Use only Covidien-approved internal batteries. WARNING: The monitoring system is not defibrillator-proof. It may remain attached to the patient during defibrillation or during use of an electrosurgical unit,...
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Safety Information however, readings may be inaccurate during use in this environment and shortly thereafter. WARNING: Supplemental oxygen will attenuate patterns of desaturation. A patient’s respiratory compromise can be proportionally more severe before patterns appear in the saturation trend. Remain vigilant when monitoring a patient on supplemental oxygen.
Introduction WARNING: To ensure accurate performance and prevent device failure, do not subject to extreme moisture, such as direct exposure to rain. Such exposure may cause inaccurate performance or device failure. WARNING: The monitoring screen contains toxic chemicals. Do not touch a broken enclosure or monitoring screen.
Mansfield, MA 02048 USA 1.800.635.5267, 1.925.463.4635 (toll) or contact a local Covidien representative www.covidien.com When calling Covidien or a local Covidien representative, have the serial number, as well as the code versions available. To locate the serial number and code versions Press MENU.
To obtain information, contact Covidien or a local Covidien representative. Purchase of this instrument confers no express or implied license under any Covidien patent to use that instrument with any sensor not manufactured or licensed by Covidien llc. Service Manual...
2 Product Specifications Overview This chapter contains physical and operational specifications of the Nellcor™ Bedside Respiratory Patient Monitoring System. Ensure all product requirements are met prior to installation. Physical Characteristics Weight 7.5 lbs. (3.4 kg) Dimensions 10 in. x 6.5 in. x 5 in. (252 mm x 163 mm x 122 mm) Electrical Requirements Power 2.3.1...
Product Specifications Battery 2.3.2 Note: The battery provides approximately seven hours of battery life when new and fully-charged with no alarms, no serial data, no analog output, no nurse call output, with backlight on while using a pulse simulator set for 200 bpm, high light and low modulation. Type Lithium Ion Voltage...
Environmental Conditions Environmental Conditions Operating 2.4.1 Temperature 5 ºC to 40 ºC (41 ºF to 104 ºF) Altitude -304.8 m to 4,572 m (-1,000 ft. to 15,000 ft.) Atmospheric Pressure 105 kPa to 57.2 kPa (31.0 in. Hg to 16.89 in. Hg) Relative Humidity 15% to 95% non-condensing Transport and Storage...
Adult and Neonate with Motion 1. Saturation accuracy varies by sensor type. Refer to the Nellcor™ Oxygen Saturation Accuracy Specification Grid at www.covidien.com/rms. 2. Accuracy specifications were validated using measurements of healthy non-smoking adult volunteers during controlled hypoxia studies spanning the specified saturation ranges. Subjects were recruited from the local population and comprised both men and women ranging in age from 18-50 years old, and spanned a range of skin pigmentations.
Sound Pressure Table 2-2. Nellcor™ Sensor Operating Range and Power Dissipation Operating Range and Dissipation Red Light Wavelength Approximately 660 nm Infrared Light Wavelength Approximately 900 nm Optical Output Power Less than 15 mW Power Dissipation 52.5 mW Sound Pressure Table 2-3. Sound Pressure in Decibels Volume Setting Alarm Type High...
Product Specifications Manufacturer’s Declaration and Guidance Electromagnetic Compatibility (EMC) 2.8.1 WARNING: This monitoring system is intended for use by healthcare professionals only. This monitoring system may cause radio interference or may disrupt the operation of nearby equipment, regardless of whether it is CISPR compliant or not.
Manufacturer’s Declaration and Guidance Electromagnetic Emissions Table 2-5. Electromagnetic Emissions Guidelines and Compliance Guidance and Manufacturer’s Declaration—Electromagnetic Emissions (IEC/EN 60601-1-2:2007, Table 1) The monitoring system is intended for use in the electromagnetic environment specified below. The customer or the user of the monitoring system should assure that it is used in such an environment. Emissions Test Compliance Electromagnetic Environment Guidance...
Product Specifications Electromagnetic Immunity Table 2-6. Electromagnetic Immunity Guidelines and Compliance Guidance and Manufacturer’s Declaration—Electromagnetic Immunity (IEC/EN 60601-1-2:2007, Table 2) The monitoring system is intended for use in the electromagnetic environment specified below. The customer or the user of the monitoring system should assure that it is used in such an environment. Immunity IEC/EN 60601-1-2 Compliance...
Manufacturer’s Declaration and Guidance Table 2-7. Recommended Separation Distance Calculations Guidance and Manufacturer’s Declaration—Electromagnetic Immunity (IEC/EN 60601-1-2:2007, Table 4) The monitoring system is intended for use in the electromagnetic environment specified below. The customer or the user of the monitoring system should assure that it is used in such an environment. Immunity IEC/EN 60601-1-2 Compliance...
Product Specifications Table 2-8. Recommended Separation Distances Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the Monitoring System (IEC/EN 60601-1-2:2007, Table 6) The monitoring system is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the monitoring system can help prevent elec- tromagnetic interference by maintaining a minimum distance between portable and mobile RF com- munications equipment (transmitters) and the monitoring system as recommended below, according to the maximum output power of the communications equipment.
Manufacturer’s Declaration and Guidance Sensor and Cable Compliance WARNING: The use of accessories, sensors, and cables other than those specified may result in inaccurate readings of the monitoring system and increased emission of the monitoring system. Table 2-9. Sensor and Cable Length Item Maximum Length Sensors...
Product Specifications Table 2-9. Sensor and Cable Length (Continued) Item Maximum Length Cables Power cord ---- 9.84 ft. (3 m) DOC-10 interface cable 10.0 ft. (3 m) Firmware download cable, RS-232 serial, 15 to 9 pin “D” 10.0 ft. (3 m) Non-terminated cable, RS-232 analog, 15 pin “D” 3.3 ft.
Manufacturer’s Declaration and Guidance Table 2-10. Earth and Enclosure Leakage Current Specifications (Continued) Enclosure Leakage Current Neutral Power Line IEC 60601-1 Condition AC Line Polarity Line Cord Ground ANSI/AAMI 60601-1 Normal Normal Closed Closed 100 μA Single Fault Open Closed 500 μA Closed Open Normal...
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3 Theory of Operations Overview This chapter explains the theory behind operations of the Nellcor™ Bedside Respiratory Patient Monitoring System. Block Diagram The functional block diagram provides a quick, visual overview of the monitor- ing system. Figure 3-1. Block Diagram...
Theory of Operations Theoretical Principles The monitoring system uses pulse oximetry to measure functional oxygen sat- uration in the blood. Pulse oximetry works by applying a Nellcor™ sensor to a pulsating arteriolar vascular bed, such as a finger or toe. The sensor contains a dual light source and a photodetector.
Functional Testers and Patient Simulators Some models of commercially available bench top functional testers and patient simulators can be used to verify the proper functionality of Covidien Nellcor™ monitoring systems, sensors, and cables. Reference the individual testing device's operator's manual for the procedures specific to the model of tester used.
Theory of Operations While this will not affect use of the simulator for verifying system functionality, displayed SpO measurement values may differ from the setting of the test device. For a properly functioning monitoring system, this difference will be reproducible over time and from monitoring system to monitoring system within the performance specifications of the test device.
Unique Technologies Figure 3-2. Oxyhemoglobin Dissociation Curve % Saturation Axis Increased pH; Decreased temperature, PCO2, and 2,3-DPG PO2 (mmHg) Axis Decreased pH; Increased temperature, PCO2, and 2,3-DPG Data Update Period, Data Averaging, and Signal Processing 3.6.3 The advanced signal processing of the OxiMax™ algorithm automatically extends the amount of data required for measuring SpO and pulse rate depending on the measurement conditions.
Contact Covidien or a local Covidien representative for a Nellcor™ Oxygen Sat- uration Accuracy Specification Grid listing all of the sensors used with the mon- itoring system.
System Features SatSeconds™ Alarm Management Parameter 3.7.2 The monitoring system monitors the percentage of hemoglobin binding sites saturated with oxygen in the blood. With traditional alarm management, upper and lower alarm limits are set to alarm at specific SpO levels. When the SpO level fluctuates near an alarm limit, the alarm sounds each time it violates the alarm threshold.
Theory of Operations First SpO Event Consider the first event. Suppose the SatSeconds alarm limit is set to 25. The patient’s SpO drops to 79% and the duration of the event is two (2) seconds before saturation again exceeds the lower alarm threshold of 85%. 6% drop below the lower alarm limit threshold x 2 second duration below the lower threshold 12 SatSeconds;...
System Features Second SpO Event Consider the second event. Suppose the SatSeconds alarm limit is still set to 25. The patient’s SpO drops to 84% and the duration of the event is 15 seconds before saturation again exceeds the lower alarm threshold of 85%. 1% drop below the lower alarm limit threshold x15 second duration below the lower threshold 15 SatSeconds;...
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Theory of Operations Third SpO Event Consider the third event. Suppose the SatSeconds alarm limit is still set to 25. During this event, the patient’s SpO drops to 75%, which is 10% below the lower alarm threshold of 85%. Since the patient’s saturation does not return to a value over the lower alarm threshold within 2.5 seconds, an alarm sounds.
System Features The SatSeconds Safety Net The SatSeconds “Safety Net” is for patients with saturation levels frequently below the limit, but not staying below the limit long enough for the SatSec- onds time setting to be reached. When three or more limit violations occur within 60 seconds, an alarm sounds even if the SatSeconds time setting has not been reached.
Theory of Operations Figure 3-7. Clinically Significant Desaturation Patterns The SPD parameter detects patterns of desaturation in adults that are indicative of repetitive reductions in airflow through a patient's upper airway into the lungs. Rel- ative reductions in a patient's minute ventilation over a period of time may cause a progressive drop in alveolar partial pressure of oxygen, leading to arterial desat- uration.
System Features When the indicator reaches capacity, indicating the SPD limit has been reached, an audible alarm sounds and an alarm warning flashes. The default setting of one (1) is the most sensitive to desaturation patterns and results in more frequent alarms. For less frequent alarms, use a less sensitive setting of two (2) or three (3).
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4 Product Overview Overview This chapter contains basic introductory information for operating the Nellcor™ Bedside Respiratory Patient Monitoring System. The monitoring system relies on unique oximetry technology and design in providing hospitals, clinicians and caregivers accurate, timely data. Product Description The Nellcor™...
Product Overview Use with any particular patient requires the selection of an appropriate Nell- cor™ sensor. Monitoring system users can access trend information, change alarm limits, adjust the internal time clock, select the communications protocol, and choose alternative interface languages. The monitoring system operates on AC power or on an internal battery.
Product Views Product Views Front Panel 4.6.1 Figure 4-1. Front Panel Power on key Powers on and off Type BF Indicates Type BF applied part AC indicator Indicates connection Data port Houses DB-15 serial to alternating current connector power source Battery condition Indicates battery is Ethernet port Houses RJ-45 ethernet...
Product Overview Monitoring Screen 4.6.2 Figure 4-2. Sample Monitoring Screen Elements Monitor status field Contains patient information in various forms. Alarm status field Contains prioritized alarms or user prompts. Trend data type Contains types of graphed trend data included. button Plethysmographic This non-normalized waveform uses real-time sensor signals, waveform reflecting relative pulsatile strength.
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Product Views Baby icon (Neonate Indicates alarm limits are set to neonate limit values, not set to Mode) adult limit values. Audio alarm paused/ Yellow alarm silenced icon indicates Alarm Audio Paused or off icon volume set to zero. Red icon indicates Alarm Audio OFF. SatSeconds™...
Product Overview Silence alarm icon Normally a white icon on grey background. Lights continuously as a yellow icon on grey background with silenced audible alarm, and as a disabled grey icon on grey background when audible alarms are disabled. Silence duration (not shown) counts down on screen.
Labeling Symbology Labeling Symbology Table 4-2. Labeling Symbols and Descriptions Symbol Description Symbol Description Must consult instructions for use Date of manufacture Caution, consult accompanying docu- Proper waste disposal for electrical and ments electronic equipment Equipotential terminal (ground) Type BF applied part - Not defibrillator proof Fuse replacement: 1.5 amp Federal Communications Commission:...
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5 Installation Overview This chapter contains information for the installation and set up of the Nellcor™ Bedside Respiratory Patient Monitoring System, prior to first-time usage by the clinician. Before operating the monitoring system, thoroughly read the Operator's Manual. Inspect the monitoring system for mechanical and functional damage or dete- rioration prior to every use.
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AC power to the monitoring system. WARNING: Use only Covidien-approved sensors and interface cables when connecting to the sensor connector. Connecting any other cable or sensor influences the accuracy of sensor data, which may lead to adverse results. ...
Product Setup WARNING: Do not lift the monitoring system by the interface cable or power cord. The cable or cord may disconnect, potentially dropping the monitoring system on a patient or a damaging surface. Note: The monitoring system incorporates watchdog timers that reset the monitoring system in the event of software errors.
AC power outlet. Battery Insertion 5.3.3 WARNING: Install only Covidien-approved batteries. The monitoring system ships with a separate internal battery. The battery must be installed prior to use in a clinical setting. Reference Battery or Battery Access Door Replacement, p.
Product Setup Battery Charge 5.3.4 WARNING: Charge only with specified charger, according to instructions. Do not heat above 80 ºC. Do not open battery, dispose of in fire, or short circuit. It may ignite, explode, leak, or get hot, causing personal injury. ...
Installation system will not produce a low battery alarm for the standard CRITICALLY LOW BATTERY warning duration. Battery Power Usage 5.3.5 WARNING: Do not use monitoring system in a depleted battery condition. Caution: Should a low battery alarm sound, connect the monitoring system to an AC power source and then silence the alarm by pressing ALARM SILENCE.
Connection to Nellcor™ Sensors WARNING: Use only Covidien-approved sensors and interface cables when connecting to the sensor port. Connecting any other cable or sensor influences the accuracy of sensor data, which may lead to adverse results. The top of the monitoring system screen indicates the sensor type when con- necting a recommended sensor to the monitoring system or when the moni- toring system completes POST with an attached sensor.
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Installation Apply the recommended sensor to the patient after reading the Instructions for Use accompanying the sensor. When the monitoring system detects a valid pulse, it enters the monitoring mode and displays real-time patient data. Detach the recommended sensor from the patient on completion of monitoring. Service Manual...
Nellcor™ sensor attachments, and configuring default set- tings suitable for the specific care environment. Perform regular maintenance and safety checks every 24 months. In the case of mechanical or functional damage, contact Covidien or a local Covidien rep- resentative. Power ...
Operation AC Power 6.2.1 When the user connects the monitoring system to an AC power source, if the internal battery requires charging, the battery condition indicator on the front panel lights until the internal battery reaches complete charge. In addition, when the monitoring system is powered on, the battery fuel gauge on the monitoring screen displays a lightning bolt indicating connection to AC.
Note: The battery is recyclable. Do not dispose of the battery by placing it in the regular trash. Dispose of the battery in accordance with local guidelines and regulations or contact Covidien to arrange for disposal. Note: As the battery is used and recharged over time, the amount of time between the onset of low battery alarms and the monitoring system shut-off may become shorter.
Failure to do so may result in inadvertently missing a visual alarm or an inaudible alarm tone. WARNING: If the power-on self-test (POST) pass tone does not sound, do not use the monitoring system. Instead, contact Covidien or a local Covidien representative. Service Manual...
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Power WARNING: Power-up performance tests verify both power-on self-test (POST) and power-on defaults and alarm range limits. At power on, the monitoring system performs a power-on self-test (POST), which tests the circuitry and functions, then proceeds to the default monitoring screen. Attach a sensor cable and a recommended sensor and the monitoring system is ready to register and record patient trend data.
Operation Figure 6-1. Sample POST Splash Screen If the monitoring system detects an internal problem during the POST process, an error tone sounds and the monitoring system displays an error message. Reference Troubleshooting, p. 11-1. Note: Physiological conditions such as excessive patient movement, medical procedures, or external agents such as dysfunctional hemoglobin, arterial dyes, low perfusion, dark pigment, and externally applied coloring agents such as nail polish, dye, or pigmented cream may interfere with the monitoring system’s ability to detect and display...
Sensor Detection 6.3.1 WARNING: Use only Covidien-approved interface cables with the monitoring system. Use of another interface cable will adversely impact performance. Do not attach any cable intended for computer use to the sensor port. WARNING: Use only Covidien-approved sensors and interface cables when connecting to the sensor connector.
Operation Figure 6-2. Sensor Type Message The monitoring system displays dashes for %SpO and Pulse Rate while search- ing for a valid pulse. For optimal performance, allow the monitoring system to search and lock onto a pulse for approximately five to ten seconds. When the monitoring system detects a valid pulse, it enters monitoring mode and displays patient parameters.
User Interface User Interface Default Monitoring Screen and Trend Data 6.4.1 Users receive monitoring system information via the monitoring screen. This is particularly relevant to real-time and historical patient trend data, which may appear as a plethysmographic waveform, a blip bar, a graph, or saturation and pulse rate values, depending on the accessed monitoring screen.
Operation Alarm status — This status type identifies alarm conditions from highest to lowest • priority. If multiple alarms occur while users are choosing menu options, the vertical alarm list of messages appears with the highest priority alarms at the top. If more than three alarms are active, the list collapses into a single VIEW ALL ALARMS line containing the total number of active alarms.
Note: Not all high-priority alarms have a DISMISS option. If this is the case, it is a serious error and requires the user to resolve the issue or return the monitoring system to Covidien or a qualified service technician. User prompt or status messages — User prompts requiring user intervention •...
Operation Low priority alarm messages — Low priority alarms take precedence over user • prompt and status messages. If more than one low priority alarm occurs within quick succession, alarm messages appear in order of occurrence. Low priority alarms appear in a steady, yellow bar in the status field. Figure 6-8. Low priority alarm: SENSOR OFF To correct a user prompt Read the recommended action portion of the message.
User Interface Figure 6-9. Sample Alarm Limit Violations Saturation below lower threshold Silence Alarm icon, not active Pulse rate below lower threshold SatSeconds alarm present Patterns of desaturation present Current saturation value, low SPD Alert alarm icon SPD Alert alarm present SatSeconds alarm icon Current pulse rate value, low Audible Alarm Management 6.4.4...
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Operation Note: Caregivers may monitor the patient remotely. Reference Using the Nurse Call Interface, p. 7-14. For institutions allowing caregivers to turn off all audible alarms and minimize or disable backlight brightness, refrain from reducing both audible and visual alarms unless using a remote monitoring system. When using a remote monitoring system, caregivers should still remain vigilant, periodically assessing patients.
User Interface Note: Caregivers may turn off audio SPD alerts in addition to ALARM AUDIO OFF. This also requires access to the Service Mode by a qualified service technician. Note: For institutions preferring visual alarms only, yet allowing caregivers to minimize backlight brightness, it may prove useful to have a qualified service technician verify the WAKE DISPLAY ON ALARM option remains enabled.
Operation HELP Option 6.4.6 To access on-screen help topics Press HELP. The appropriate help dialog window appears. Review the help dialog box for guidance. Press EXIT to return to normal monitoring. Service Mode Table 6-2. Possible User Interface Settings Option Possible Setting Factory Default Display Settings Monitor layout view...
Service Mode Turn on the monitoring system by pressing the POWER ON key. Touch the monitoring screen at the prompt to enter Service Mode. Note: The monitoring system will eventually continue to boot if the user does not touch the monitoring screen at the Service Mode prompt.
Operation Alarm System Reference To set institutional defaults, p. 10-6, for modification of alarm system defaults. Alarm Limits Use this to set institutional alarm limit thresholds. Set permissions for parameter alarms — Use to set SatSeconds, Pulse Rate • Delay, and SPD parameter permissions. Set permissions for alarm limit and audio alarm defaults —...
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Service Mode Press CANCEL to leave the default as it was. To set alarm limit and audio alarm defaults Access the service function menu. Reference To access service function menus, p. 6-18. Select SETTINGS. Select ALARM SYSTEM. Select the appropriate parameter. Select ALLOW ALARM LIMITS ADJUSTMENTS to set permissions for the adjust- ment of any alarm limit settings.
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Operation To set the alarm limit threshold defaults Access the service function menu. Reference To access service function menus, p. 6-18. Select SETTINGS. Select ALARM LIMITS. Select the desired mode: ADULT or NEONATE. Note: Pulse rate and SpO thresholds are different for adults and neonates. In addition, the SPD alarm management parameter is not available for neonates.
Service Mode Select SENSOR ALARM PRIORITIES. Select the desired priority (LOW, MEDIUM, or HIGH) for each of the sensor alarms. Press SAVE CHANGES. Press EXIT MENU to return to the Service Main Menu. Display Settings Provides means of creating and transferring institutional display settings. Monitoring Layout —...
Operation Figure 6-11. Default Monitoring Screen Layout Select the desired option. Press SAVE CHANGES to retain the change. Press CANCEL to leave the default as it was. To set the default main trend parameters Access the service function menu. Reference To access service function menus, p.
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Service Mode To set the default main trend scale or monitoring history trend scale Access the service function menu. Reference To access service function menus, p. 6-18. Select SETTINGS. Select DISPLAY SETTINGS. Select the desired option. MAIN SCREEN TREND SCALE MONITORING HISTORY TREND SCALE Select the desired default.
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Operation Select DISPLAY SETTINGS. Select ALLOW BACKLIGHT OFF. Select the desired default: YES or NO. Select the desired option. Press SAVE CHANGES to retain the change. Press CANCEL to leave the default as it was. To set Wake Display default Access the service function menu.
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Setup, p. 10-17, to configure alarm, pulse beep, and button click volume. Connectivity Settings WARNING: Only use Covidien-approved hardware or remote monitoring software for data port connectivity. Remote Settings — Use to set default connectivity for remote monitoring appli- • cations.
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Operation appropriate equipment must be connected to a grounded AC power source. Configuring any TCP/IP addresses or entering any network keys requires a USB keyboard. To set default remote or serial connectivity Access the service function menu. Reference To access service function menus, p.
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Service Mode To set default Nurse Call polarity Access the service function menu. Reference To access service function menus, p. 6-18. Select SETTINGS. Select CONNECTIVITY SETTINGS. Select NURSE CALL POLARITY. Select the desired default: Normally high (+) or normally low (-). Select the desired option.
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Operation To set default date and time Access the service function menu. Reference To access service function menus, p. 6-18. Select SETTINGS. Select MONITORING SETTINGS. Select DATE AND TIME. Adjust to the desired default time in hours, minutes, and seconds. Press the desired hour, minute, or second.
Service Mode Press SAVE CHANGES to retain the change. Press CANCEL to leave the default as it was. Restore Factory Defaults Proceed only if institutional defaults require replacement with the standard factory defaults. To restore institutional defaults back to factory defaults Access the service function menu.
Wait for the export to complete. Press FINISH. Select the desired option. Press BACK to return to the previous submenu. Press EXIT MENU. Covidien Service Menu 6.5.4 This is only for Covidien internal personnel. Do not access. 6-32 Service Manual...
Service Mode Parameter Activation Menu 6.5.5 Utilize this menu in conjunction with any upgrades to the parameter module. The upgrade will come with instructions for that particular parameter. To activate a parameter already installed in the monitoring system Access the service function menu. Reference To access service function menus, p.
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Operation Press an alternate menu option. Press EXIT AND RESTART to exit SERVICE MODE. 6-34 Service Manual...
7 Trend Data Access Overview This chapter contains information for accessing patient trend data obtained with the Nellcor™ Bedside Respiratory Patient Monitoring System. Trend data can be viewed anytime patient trends exist. Trend Data Management WARNING: In the case of a monitoring system failure, reset the monitoring system and ensure it is functioning correctly prior to usage.
Trend Data Access Note: Trend memory always contains the most recent 48 hours of data, with newly collected data overwriting the oldest data on a rolling basis. The monitoring system continues to record data points as long as it is powered on, with “blank” data points collected if no recommended sensor is connected to the monitoring system or patient.
If the serial port, analog outputs, or nurse call lines are shorted, remote communication may be lost. WARNING: A loose connection to a monitoring system data port may result in bad or missing data. WARNING: Only use Covidien-approved hardware or remote monitoring software for data port connectivity. Service Manual...
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Trend Data Access Caution: When connecting the monitoring system to any instrument, verify proper operation before clinical use. Both the monitoring system and the instrument connected to it must utilize a grounded outlet. Any equipment connected to the data interface must be certified according to the latest IEC/EN 60950-1 standards for data-processing equipment, the latest IEC/EN safety standards for electromedical equipment, the latest IEC/EN 60601-1 standard for electromedical equipment, or the latest IEC/EN safety standards relevant to...
Data Port Connectivity Figure 7-1. DB-15 Pin Layout Table 7-3. DB-15 Signal Pinouts Signal Name Description Signal Name Description RxD+ RS-422 [+] input RxD- RS-422 [-] input RxD_RS232 RS-232 input IGND Signal Ground, isolated from earth ground TxD_RS-232 RS-232 output NC_232 Nurse call signal, RS-232-level-output TxD+ RS-422 [+] output...
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Trend Data Access To save specific patient data, firmly connect and properly secure the appropri- ate cable from the data port to a host system or serial printer. Connect the data port to a serial printer or host system by using a cable terminated with the fol- lowing devices.
Data Port Connectivity Figure 7-2. RJ-45 Receptacle LED 1 Indicates data exchange LED 2 Indicates a valid 100base-T TCP/IP link Figure 7-3. RJ-45 Pin Layout Table 7-4. RJ-45 Signal Pinouts Signal Description Signal Description Name Name TX_D1+ [+] output Not used TX_D1- [-] output RX_D2- [-] input RX_D2+ [+] input Not used...
This port can also function as a tool for software and firmware upgrades. Contact Covidien or a qualified service technician for upgrade support. The pin layout illustrates the pins viewed from the left to the right of the USB connector, beginning with pin 4.
By default, the monitoring system is set for 802.11b/g with U.S. regulatory domain settings. If the monitoring system is installed outside the U.S., it must be configured for the appropriate regulatory domain by a Covidien service representative. A service representative may also change the 802.11 frequency band upon customer request to enable 802.11a communications.
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Trend Data Access Table 7-6. Network Configuration Icons (Continued) Icon Description Delete network configuration Secured network Types of security supported: Open (no security) • • WPA Personal (with TKIP or AES encryption) • WPA2 Personal (with TKIP or AES encryption) • Wireless signal strength Network properties To configure a network connection Establish a wireless LAN or LAN connection.
Data Port Connectivity To add a new network Establish a wireless LAN or LAN connection. Reference To set default WLAN or LAN network connectivity, p. 6-28. Press ADD A NETWORK. Figure 7-5. New Network Connection Windows Attach a USB keyboard to enter any alphanumeric information. Type in the assigned network name.
Trend Data Access To setup a new network connection Establish a wireless LAN or LAN connection. Reference To set default WLAN or LAN network connectivity, p. 6-28. Press NETWORK CONNECTION. Press SET UP A CONNECTION. Figure 7-6. New Network Connection Windows Press the available, desired option from broadband, dial-up, or VPN. Attach a USB keyboard to enter any alphanumeric information.
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Data Port Connectivity Ensure the new network connection appears in the list of possible options. Close the control panel window by pressing the “X” in the top, right corner. Press FINISH. To set a static IP address for an established wireless LAN connection Access the service function menu.
Trend Data Access Disable the Dynamic Host Configuration Protocol by pressing the button next to “Obtain an IP address automatically.” Attach a USB keyboard. Input the IP address and subnet mask. Scroll to the bottom of the screen and press OK. Close the window by pressing the “X”...
Using the Nurse Call Interface WARNING: A loose connection to the monitoring system data port may result in bad or missing data. The nurse call feature allows caregivers to remotely monitor patient alarms and works in conjunction with the institution’s nurse call system. Reference DB-15 Layout, p.
Trend Data Access create an alarm condition (for example, SENSOR DISCONNECT) and verify acti- vation of the institution's nurse call system. Setting Nurse Call RS-232 Polarity 7.4.2 The nurse call polarity can be set to a positive signal or a negative signal during an alarm condition.
Calculating the Analog Voltage Output Calculating the Analog Voltage Output The data port provides analog voltage outputs between pins 6, 13, 14, and ground (pin 10), which can be used to calibrate devices such as a chart record- er. The voltage represents a specific measured parameter's current value. The voltage differential varies proportionally from 0.0 to +1.0 VDC as the pin's parameter varies over its full range of values.
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Inspect the sensor site as directed in the Instructions for Use. WARNING: Use only Covidien-approved sensors and interface cables when connecting to the sensor port. Connecting any other cable or sensor influences the accuracy of sensor data, which may lead to adverse results.
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Performance Considerations WARNING: Failure to cover the sensor site with opaque material when operating under high ambient light conditions may result in inaccurate measurements. Pulse oximetry readings and pulse signals can be affected by certain environmental conditions, sensor application errors, and certain patient conditions. Inaccurate Sensor Measurement Conditions A variety of conditions can cause inaccurate sensor measurements.
Patient Conditions High ambient light sources such as surgical lights (especially those with a xenon light source), bilirubin lamps, fluorescent lights, infrared heating lamps, and direct sunlight can interfere with the performance of a recommended sensor. To prevent interference from ambient light, ensure the recommended sensor is properly applied, and cover the sensor with opaque material.
Performance Considerations Venous pulsations – Dark skin pigment – Intravascular dyes, such as indocyanine green or methylene blue – Externally applied coloring agents (nail polish, dye, pigmented cream) – Defibrillation – Reducing EMI (Electromagnetic Interference) WARNING: EMI disruption can cause erratic readings, cessation of operation, or other incorrect functioning.
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Reducing EMI (Electromagnetic Interference) of use to determine the source of this disruption, and take the listed actions to eliminate the source. Turn equipment in the vicinity off and on to isolate the interfering equipment. • Reorient or relocate the interfering equipment. •...
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Perform the following checks every 24 months. Inspect the monitoring system for mechanical and functional damage or deterioration. • Inspect the safety relevant labels for legibility. Contact Covidien or a local Covidien • representative, if labels are damaged or illegible.
The battery is recyclable. Do not dispose of the battery by placing it in the regular trash. Dispose of the battery in accordance with local guidelines and regulations or contact Covidien to arrange for disposal. Storage Monitoring System Transport and Storage 9.5.1...
– Service functions can be used to select institutional defaults and to access information about the patient or pulse oximeter. Only a trained Covidien Cus- tomer Service Technician, qualified service technician, or clinical engineer should access many of the items available through the service functions.
Modification and Testing Use the following list as a quick reference for different functions. The Service Menu options provide access to several submenus. Table 10-1. Possible User Interface Settings Option Possible Setting Factory Default Display Settings Monitor layout view Pleth, Trend, Blip, Pleth and trend Pleth Main screen trend parameters , Pulse, SpO...
Setting Institutional Defaults Figure 10-1. Prompt to Enter SERVICE MODE Enter 62907 as the service mode password at the prompt, using the onscreen number pad. Press ENTER SERVICE MODE. Select the desired menu option and any associated submenu options. Setting Institutional Defaults 10.2 Change power-on default values to institutional power-on default values using the monitoring system’s service mode.
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Modification and Testing To set institutional defaults Access the service function menu. Reference To access service function menus, p. 10-4. Select SETTINGS. To mirror any existing institutional defaults, select the IMPORT AND EXPORT SET- TINGS menu. Select IMPORT SETTINGS. Insert a USB flash drive containing the master institutional default settings. Press NEXT.
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Setting Institutional Defaults To import master institutional defaults Note: Settings may only be imported from exports created with the same software version. Do not attempt to import settings from a monitoring system with a different software version. Note: Network settings are not affected by the import.
WARNING: Only qualified service personnel should open the chassis, remove and replace components, or make adjustments. If your medical facility does not have a qualified service technician, contact Covidien Technical Services or your local Covidien representative. Overview 10.3.1 This section discusses the tests used to verify performance following repairs or during routine maintenance.
Safety Testing Standards Table 10-4. Equipment and Descriptions (Continued) Equipment Description 9-pin to 15-pin D-connector, pins shorted together Provides testing for service function menus Data interface cable RS-232 cable (optional) Stylus or very fine, rounded pointer For monitoring screen calibration Safety Testing Standards 10.4 The monitoring system safety tests are performed in accordance with and meet the following standards.
Modification and Testing Battery Check 10.5 Replace batteries every 24 months or when battery charging rapidly depletes. Battery Power 10.5.1 To check battery power Disconnect the monitoring system from AC power. Verify the AC Power indicator is not lit. Connect the monitoring system to an AC power source. Verify the AC Power indicator is lit.
Performance Tests Disconnect the monitoring system from AC power. Verify the AC Power indicator is not lit. To charge the battery Connect the monitoring system to an AC power source. Verify the AC Power indicator is lit. If the Low Battery indicator is also lit, leave the monitoring system connected to an AC power source to charge the battery.
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Modification and Testing Note: When observing or changing alarm limits, a time-out is in effect (approximately ten seconds). If no action is taken within the time-out, the monitoring system automatically returns to the monitoring display. Testing Alarm Limits To test upper and lower SpO and Pulse Rate limits These tests ensure SpO and pulse rate limits extend to either extreme of pos-...
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Performance Tests Slide the bar up to a value of 85, using arrow keys as necessary. Press SAVE CHANGES. Repeat steps two through four to view SpO Upper and Lower Alarm Limits. Select SpO Ensure the selected number for SpO Lower Alarm Limit is set at a value of 85.
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Modification and Testing Select the Pulse Rate Lower Alarm Limit, which should be set at a value of 20, since the lower threshold must remain at least one point below the upper threshold. Slide the bar up to a value of 85, using arrow keys as necessary. Press SAVE CHANGES.
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Performance Tests Select the value of 10. Press SAVE CHANGES. Ensure the SatSeconds alarm threshold is set to a value of 10 under the icon on the main monitoring screen. Test the OxiMax™ SPD Alert (SPD) sensitivity setting. Press MENU. Press ALARM LIMITS.
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Modification and Testing Select PULSE RATE DELAY. Ensure the delay is set to OFF. Turn off the monitoring system by pressing the POWER ON key. Testing Monitoring Settings Service technicians may choose to test all monitoring settings in sequence. If so, reserve turning off the monitoring system until the end of the sequence.
Performance Tests Ensure the FAST icon appears on the monitoring screen next to %SpO To test alarm silence duration Turn on the monitoring system by pressing the POWER ON key. Press MENU. Press MONITORING SETTINGS. Select ALARM SILENCE DURATION. Ensure the mode is set to 120 seconds. Select 30 seconds.
Modification and Testing Press MENU. Select ALARM LIMITS. Select SpO Slide the SpO Lower Alarm Limit up until it indicates 99. This automatically also sets the SpO Upper Alarm Limit to 100. Press SAVE CHANGES. Press MENU. Select ALARM LIMITS. Select PULSE RATE.
Performance Tests Press ALARM SILENCE. With the alarm silenced, verify the following: Alarm remains silenced for two (2) minutes. Alarm Silence indicator lights and time remaining counts down and BPM alarms continue to flash yellow and BPM values are surrounded by yellow Pulse tone is audible Audible alarm returns in approximately two (2) minutes Figure 10-3. Sample: Configuring Alarms with Silenced Alarm...
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Modification and Testing Note: If the alarm duration set to OFF, the display immediately shows AUDIO OFF. Adjust the alarm volume setting to an appropriate audio level for the environment in which it is to operate. Press SAVE CHANGES. To configure pulse beep volume Adjust the pulse tone volume after adjusting the alarm volume.
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Performance Tests Press decrement (-) until the button click volume setting displays OFF. Verify there is no click. Press increment (+) to increase the button click volume setting to a maximum value of 100%. Verify the volume increases. Adjust the button click volume setting to an appropriate audio level for the envi- ronment in which it is to operate.
Modification and Testing Confirm the output voltage is +1.0 ± 0.025 VDC, verifying the analog SpO func- tion. Leave the negative lead connected to pin 10 and verify 1.0 ± 0.025 VDC on pins 13 and 14, verifying BPM and pleth functions. Disconnect the voltmeter.
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Performance Tests Repeat Step 8. Verify the intensity continues to decrease. This variation is an indication the micro- processor is in proper control of LED intensity. Turn off the monitoring system by pressing the POWER ON key. Operation with a Live Subject Patient monitoring involves connecting the DS-100A sensor to a live subject for a qualitative test.
Modification and Testing Figure 10-4. Sensor Identification Verify the oxygen saturation and pulse rate values are reasonable for the subject. Pulse Oximetry Functional Tests 10.6.4 Use the SRC-MAX functional tester to verify the performance of the monitor- ing system. 10-24 Service Manual...
Modification and Testing ing systems. The following table provides a brief description of each test. Use the PLETH view for all functional testing. Once the functional tester is attached to the cable and the unit is turned on, complete all of the tests in sequence, beginning with BPM, then %SpO , then Modulation, and finally Light Level.
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Performance Tests Connect the SRC-MAX tester to the interface cable. Verify the listed system behaviors. Figure 10-6. BPM Test: BPM 60 and SpO Active visual and audio alarms. Saturation indication between 73 and 77 inclusive, creating an SpO alarm condition. BPM indication between 57 and 63 inclusive. Pulse waveform of approximately 1/2-inch peak to peak (P-T-P) amplitude.
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Modification and Testing Figure 10-7. BPM Test: BPM 200 and SpO Active visual and audio alarms. Saturation indication between 73 and 77 inclusive, creating an SpO alarm condition. BPM indication between 194 and 206, creating a PULSE RATE HIGH alarm condition. Pulse waveform of approximately 1/2-inch P-T-P amplitude. Actual amplitude may vary but references low pulse amplitude/low light patients.
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Performance Tests Test To perform the SpO Test Ensure the monitoring system is connected to an AC power source. Connect a DOC-10 interface cable to the sensor port. Turn on the monitoring system by pressing the POWER ON key. Verify the word PLETH appears at the top left corner of the monitoring screen. Connect the SRC-MAX tester to the interface cable.
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Modification and Testing Figure 10-9. SpO Test: SpO 90, BPM 60 No active visual and audio alarms. Saturation indication between 88 and 92 inclusive. BPM indication between 57 and 63 inclusive. Pulse waveform of approximately 1/2-inch P-T-P amplitude. Actual amplitude may vary but references low pulse amplitude/low light patients. Press %SpO Verify the 75% LED lights.
Performance Tests Modulation Level (MOD) Test To perform the MOD Test Ensure the monitoring system is connected to an AC power source. Connect a DOC-10 interface cable to the sensor port. Turn on the monitoring system by pressing the POWER ON key. Verify the word PLETH appears at the top left corner of the monitoring screen.
Modification and Testing Figure 10-11. MOD Test: BPM 60, SpO 75, and MOD High Active visual and audio alarms. Saturation indication between 73 and 77 inclusive. BPM indication between 57 and 63 inclusive. Pulse waveform of approximately one-inch P-T-P amplitude. Actual amplitude may vary but references high pulse amplitude/low light patients.
Performance Tests Figure 10-12. MOD Test: BPM 200, SpO 75, and MOD High Active visual and audio alarms. Saturation indication between 73 and 77 inclusive, creating an SpO alarm condition. BPM indication between 194 and 206, creating a PULSE RATE HIGH alarm condition.
Modification and Testing Figure 10-13. MOD Test: BPM 60, SpO 90, and MOD High No active visual and audio alarms. Saturation indication between 88 and 92 inclusive. BPM indication between 57 and 63. Pulse waveform of approximately one-inch P-T-P amplitude. Actual amplitude may vary but references high pulse amplitude/low light patients.
Performance Tests BPM indication between 57 and 63 inclusive. Pulse waveform of approximately half-inch P-T-P amplitude. Actual amplitude may vary but references low pulse amplitude/low light patients. Turn off the monitoring system by pressing the POWER ON key. Light Level Test Ensure the monitoring system is connected to an AC power source.
Modification and Testing Pulse waveform peak to peak (P-T-P) amplitude of approximately half-inch. Actual amplitude may vary but will be a reference for low pulse amplitude/low light patients. Press LIGHT LEVEL. Verify the increase LED lights. The pulse amplitude waveform initially flatlines and then stabilizes at the same P-T-P amplitude of approximately half-inch.
Performance Tests Figure 10-16. LIGHT Test: BPM 200, SpO 75, MOD low, Light High Active visual and audio alarms. Saturation indication between 73 and 77 inclusive, creating an SpO alarm condition. BPM indication between 194 and 206, creating a PULSE RATE HIGH alarm condition.
Modification and Testing Figure 10-17. LIGHT Test: BPM 60, SpO 90, MOD low, Light High No active visual and audio alarms. Saturation indication between 88 and 92 inclusive. BPM indication between 57 and 63. Pulse waveform of approximately half-inch P-T-P amplitude. Actual amplitude may vary but references low pulse amplitude/high light indications.
Performance Tests Figure 10-18. LIGHT Test: BPM 60, SpO 90, MOD High, Light High Active visual and audio alarms. Saturation indication between 73 and 77 inclusive. BPM indication between 57 and 63 inclusive. Pulse waveform of approximately one-inch P-T-P amplitude. Actual amplitude may vary but references high pulse amplitude/high light indications.
Modification and Testing Note: Flat-lining is the only indication of a light change at the measurement site. If the monitoring system recovers and displays normally, this is an indication of proper operation with light changes. Active visual and audio alarms. Saturation indication between 73 and 77 inclusive.
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Performance Tests Change the %SpO to 90 on the SRC-MAX. Use the DVM to verify continuity between pins 8 and 15 and no continuity between pins 7 and 15, thus verifying the Nurse Call function. Service Manual 10-41...
Modification and Testing Test Data Sheet Form 10.7 Job # Model Serial Software NBRPMS Name Number Version Table 10-6. Performance and Functional Tests Item Results Remarks Performance Tests Battery check Pass Fail Power up defaults Power-on self-test (POST) Pass Fail • Alarms limits Pass Fail •...
Modification and Testing Monitoring Screen Calibration 10.8 Only calibrate the monitoring screen if it stops responding appropriately to human touch. If caregivers report problems accessing menu items and the screen is unlocked, consider calibration. Calibration requires a stylus or very fine, rounded tip of a non-marking utensil.
10.9 Covidien may provide platform software or firmware updates periodically. Contact Covidien Technical Services to acquire or download the platform soft- ware or firmware. Load platform software or firmware onto a virus-free USB flash drive prior to proceeding with an upgrade.
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11 Troubleshooting Overview 11.1 This chapter describes how to troubleshoot common problems while using the Nellcor™ Bedside Respiratory Patient Monitoring System. This chapter includes information about the on-screen help function, error code messages, and how to obtain technical help and support. System Condition Categories 11.2 ...
Troubleshooting appear in order of priority. To access suggestions for resolving the particular message, press the MORE INFO button. If the monitoring system allows the caregiver to dismiss the condition, pressing DISMISS ALARM clears the alarm, but does not clear the condition until the caregiver takes appropriate action. If the monitoring system detects a condition requiring caregiver intervention, it displays a either a prompt or an error message with a recommended action.
If a reset does not clear the alarm, return it for service. Note: Not all high-priority alarms have a DISMISS ALARM option. These are serious errors and require the user to resolve the issue or return the monitoring system to Covidien or a qualified service technician. 11-4 Service Manual...
Alarms and Error Conditions Alarm Prioritization Alarms have an assigned priority. Stacked alarms display in order of criticality and priority. Reference Message Types, p. 6-11, for details on high, medium, and low priority alarms. Occasionally, the monitoring screen field contains one or more prompts or error messages.
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Troubleshooting Table 11-2. Initial Alarm Priority for Errors (Continued) Priority Message Condition Resolution Dismiss SPD Alert SPD sensitivity value is reached. The SPD limit has been exceeded. High Pulse Sensor connected to a patient AND has Unable to determine pulse Timeout detected a pulse in the past, AND now is rate or oxygen saturation.
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Alarms and Error Conditions Table 11-2. Initial Alarm Priority for Errors (Continued) Priority Message Condition Resolution Dismiss High System Monitor was reset unexpectedly Unexpected reset. Settings Failure lost. If problem persists, remove from service. Refer- ence Power Failure Issues, p. 11-11. Extended Sensor is connected to a patient and has suc- Check patient.
Troubleshooting Sample alarm condition The monitoring system may detect a failure of the primary speaker and sound a high-pitched piezo tone. A primary speaker failure alarm appears. To access an alarm message Press MORE INFO or VIEW ALL to continue, depending on which is available. A description of the error and any recommended action appears.
Alarms and Error Conditions Correctable error conditions 11.4.2 When an error code other than a correctable error appears, turn the monitor- ing system off and back on again. If the error code reappears, record it and notify service personnel. When this occurs, the monitoring system will stop monitoring the patient until the caregiver takes corrective action and clears the error condition.
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Troubleshooting Table 11-3. Common Correctable Problems and Resolutions (Continued) Symptom Recommended Corrective Action Communication Reference Communication Issues, p. 11-16. Data ports do not function properly, data trans- • fers incomplete Communications with external sources are not • working Trend data sent through the data ports is incom- •...
Power Failure Issues Power Failure Issues 11.5 Power issues may require replacement of hardware, but may also require iden- tifying potential issues in the operating environment. Prior to assuming the problem is with the monitoring system, check the power cable and wall outlet. Table 11-4. Power Failure Issues Problem Resolution...
If the problem persists with a known good battery, the battery charger • system is not functioning properly. Replace the Main PCB. If this does not resolve the issue, return both the battery and the mon- • itoring system to Covidien Technical Services. 11-12 Service Manual...
Monitoring Screen Issues Monitoring Screen Issues 11.6 Prior to checking hardware, increase all brightness settings to allow for optimal viewing. Table 11-5. Monitoring Screen Issues Problem Resolution Power indicator is ON but mon- Increase the monitoring screen brightness. • itoring screen is dim. Check brightness options such as: WAKE ON ALARM and ALLOW •...
Troubleshooting Alarm Issues 11.7 Alarm issues may be based on conflicting alarm limit settings or sensor problems. Table 11-6. Alarm Issues Problem Resolution Alarms do not sound or do so Check SOUND SETTINGS for the alarm volume setting. • only faintly. Check SOUND SETTINGS for the pulse beep setting, then determine if •...
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Alarm Issues Table 11-6. Alarm Issues (Continued) Problem Resolution The Pulse Search indicator illu- Check the status of the patient. • minates after successful mea- surements occur. Perfusion may be too low for the monitoring system to track the pulse. • Test the monitoring system on another patient. Change the sensor site and/or try another type of Nellcor™...
Troubleshooting Communication Issues 11.8 Table 11-7. Common Prompts and Error Messages Problem Resolution Unable to connect to the network. Review system requirements for compatibility. • Unable to connect to the wireless net- Check one port at a time for IP address, cable connection, cable •...
WARNING: If an monitoring system reports a primary speaker failure, do not use the monitoring system longer than necessary to ensure patient safety. Contact Covidien or a local Covidien representative. Table 11-9. Common Prompts and Error Messages Problem Resolution Primary speaker failure is detected during Remove from service immediately.
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Troubleshooting Table 11-9. Common Prompts and Error Messages (Continued) Problem Resolution Monitor was reset unexpectedly. If problem persists, remove from service. • Check cabling and connectivity. Replace if needed. • Check fan. The monitoring system may be overheating. • Replace if needed. Check the Main PCB.
Figure 11-5. System Error Non-correctable Failures 11.12 Contact Covidien or a local Covidien representative should the monitoring system detect a non-correctable failure. When a non-correctable error occurs, several events also occur. The monitoring system sounds a low priority alarm that cannot be silenced except •...
Contact Covidien or a local Covidien representative for shipping instructions, including a Returned Goods Authorization (RGA) number. Unless otherwise instructed by Covidien, it is not necessary to return the sensor or other acces- sory items with the monitoring system. Pack the monitoring system in its orig- inal shipping carton.
(PCBs) and subassemblies. Printed circuit boards (PCBs) • Battery • Cables • Chassis enclosures • Obtain part numbers for spare parts by contacting Covidien or accessing http://www.covidien.com/. Spare Parts List 12.2 Table 12-1. Available Spare Parts Description Part Type Repair Section Antenna Set (2)
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Repair Table 12-1. Available Spare Parts (Continued) Description Part Type Repair Section Equipotential Ground Lug Item Fan, Cooling Assembly Reference p. 12-29 Flex Circuit Cable (J2) Assembly Reference p. 12-39 Front Enclosure with Membrane Keypad Assembly Reference p. 12-17 Fuse, Line (2) Item Reference p.
Note: Do not dispose of parts by placing in the regular trash. Dispose of parts in accordance with local guidelines and regulations or contact Covidien to arrange for disposal. Only a qualified service technician may disassemble the monitoring system to its major component parts.
Repair ensure the monitoring system passes all performance tests. If the symptom persists, swap the known good PCB with the original suspect PCB and contin- ue troubleshooting. Collect all tools prior to any disassembly of the monitoring system. Access and repair is not possible without the use of the listed tools.
Basic Preventive Maintenance Fuse Removal and Replacement 12.4.1 To remove and replace external fuses Remove the fuse drawer from the power entry module. Press down on the center tab. Pull outward. Remove both 5 x 20-mm, slow blow, 1.5-amp, 250-volt fuses. Figure 12-3. External Fuse Removal Replace with two (2) new, 5 x 20-mm, slow blow, 1.5-amp, 250-volt fuses.
Repair Remove and set aside the battery cover. Slide out the battery while pulling on the battery tab. Figure 12-4. Battery Removal To replace the battery access door and battery After removing the old battery, gently slide the new battery into the battery slot, contact side down and facing the slot.
Basic Preventive Maintenance Clean the surface of the bottom of the monitoring system, using one of the stan- dard cleaning solutions described for preventive maintenance, to remove any adhesive residue. To replace rubber feet Ensure the bottom surface of the monitoring system is clean and dry. Peel away the protective release liner on the rubber foot to expose the adhesive.
Repair Chassis Disassembly and Reassembly 12.5 WARNING: Before attempting to open or disassemble, disconnect the power cord to avoid possible injury. Caution: Observe ESD (electrostatic discharge) precautions when disassembling and reassembling the monitoring system and when handling any internal components.
Chassis Disassembly and Reassembly To remove the parameter module Gently rotate the monitoring system, placing so the bottom of the chassis is up. Figure 12-6. Parameter Module Screw Removal Remove T-15 screw located between the slots at the rear of the bottom chassis. Using a flat-blade screwdriver, release the faceplate tabs on either side by pressing towards the outside and towards the back simultaneously, listening for a click to indicate tab release.
Repair Figure 12-7. Parameter Module Tab Release Gently press inward against the parameter module assembly through the two openings, releasing it from the backplane. Expect minor resistance until it releases. Figure 12-8. Parameter Module Assembly Removal Remove and set aside the parameter module assembly. Gently rotate the monitoring systemto the upright position.
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Chassis Disassembly and Reassembly To replace the parameter module assembly Slide the new parameter module assembly into the rear chassis until it snaps into place. Connect to AC power. Verify unit functionality. Reference Performance Tests, p. 10-11. Parameter Module Case Replacements The parameter module case consists of three parts: the faceplate, the top cover, and the bottom enclosure.
Repair Figure 12-9. Parameter Module Disassembly Remove and set aside the top cover. Remove and set aside the four parameter interface PCB assembly T-10 torx screws. Remove and set aside the parameter interface PCB assembly on a static-free work surface. Remove and set aside failing top cover, faceplate, or bottom enclosure in an alter- nate location.
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Chassis Disassembly and Reassembly Replace the top cover, ensuring the tabs slip down into the mating slots of the bottom enclosure. Replace the faceplate, aligning to the mating tabs of the bottom enclosure and ensuring the lugs of the top cover slip under the faceplate lip. Orient and slide the new parameter module into the rear chassis until it snaps into place.
Repair Remove and set aside the four T-10 torx parameter (interface) board PCB screws. Gently rotate the parameter board assembly, laying the assembly flat on a static- free work surface with the oximetry module PCB facing up. Remove and set aside the two oximetry module PCB T-10 torx screws. Figure 12-10. Parameter Board PCB and Oximetry Module Removal Gently lift upward, removing the oximetry module PCB off the parameter board assembly standoffs, ensuring all pins fully disconnect from both connectors.
Chassis Disassembly and Reassembly Caution: Ensure the work surface is clean and free of debris. Orient the oximetry module PCB so the 8-pin J5 connector pins mate to the parameter board J9 receptacle and the 10-pin J4 connector pins mate to the parameter board J7 receptacle.
Repair To disassemble the monitoring system chassis Turn off by pressing the ON/STANDBY button. Disconnect from the AC power source. Remove the parameter module. Reference To remove the parameter module, p. 12- Set it face down on a static-free work surface. ...
Chassis Disassembly and Reassembly Ensure both halves remain on a static-free work surface. Review the following table for identifying Main PCB connectors. The table identi- fies cables and connectors beginning on the top, right hand corner of the Main PCB and proceeding clockwise. Some cables are barely visible or require special routing.
Repair Figure 12-12. Initial Chassis Disassembly Monitoring System Chassis Reassembly 12.5.3 To reassemble the monitoring system chassis Position the front chassis on a static-free work surface, still lying face down, within reach of the back chassis connectors. Firmly connect the spade connector (GND) to the J21 mating blade on the Main PCB.
Power Components Replacement Replace and tighten the four T-15 torx screws into the corners of the chassis to a maximum of 10 inch-pounds. Caution: Overtightening could strip out the screw holes in the chassis, rendering it unusable. Replace the battery. Reference To replace the battery access door and battery, p.
Repair Reference Battery Components Replacement, p. 12-24, for battery cradle, Power Supply PCB, Battery Interconnect PCB, and cooling fan replacement. Power Entry Module (PEM) Replacement 12.6.1 To remove the power entry module Disassemble the monitoring system chassis. Reference To disassemble the moni- toring system chassis, p.
Power Components Replacement Remove the green (GND) spade connector from the J21 mating blade on the Main PCB. Remove the green (GND) spade connector from the E1 mating blade on the power supply PCB. Remove the two-pin blue (N) and brown (L) (AC) cable and connector from the 2- pin J1 receptacle on the power supply PCB.
Repair Repeat this process for the remaining ground wire cable ring terminal. Firmly connect the green (GND) cable to the single prong to the top of the power entry module. Firmly connect the blue (N) cable to the left-hand, neutral (N) blade of the power entry module and the brown (L) cable to the right-hand, live (L) blade of the power entry module.
Power Components Replacement Reverse the process for replacement. Battery Cradle Replacement Removing the Battery Cradle and Components Disassemble the monitoring system chassis. Reference To disassemble the moni- toring system chassis, p. 12-18. Move the front chassis off to the side. Remove all four T-10 torx screws, two on top, and two deep underneath, using a long-reach driver.
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Repair Remove the cooling fan. Reference Cooling Fan Replacement, p. 12-29. Note: Only replace the battery cradle after retaining the three related field replaceable units (FRUs). Replacing the Battery Cradle and Components Note: If replacing ONLY the battery cradle, do not disconnect the J1 and J2 connectors on the power supply PCB.
Power Components Replacement Figure 12-15. Power Supply PCB Removal Examine the battery cradle for alignment information. Extruded icons on the battery cradle indicate proper four-pin connector two-pin receptacle orientation. Orient the new power supply PCB and slide down into the battery cradle retaining slots and onto the battery cradle standoffs, ensuring the fan cable remains free of the battery cradle.
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Repair Place the fan back down in its enclosure. Replace the battery cradle in the back chassis. Reference Battery Cradle Replace- ment, p. 12-25. Reassemble the monitoring system chassis. Reference To reassemble the monitor- ing system chassis, p. 12-20. Battery Interconnect PCB Replacement To remove the Battery Interconnect PCB Follow all previous steps for removing the battery cradle.
Power Components Replacement Figure 12-16. Battery Interconnect PCB Removal To replace the Battery Interconnect PCB Place the new battery interconnect PCB on the battery cradle. Replace and tighten both T-10 torx screws to 10 inch-pounds. Rotate the battery cradle. Reconnect the five-pin J2 connector. Replace the cooling fan.
Repair Rotate the battery cradle to ensure fan accessibility. Clip the wire tie to the wiring harness. Remove the fan from its enclosure. Figure 12-17. Cooling Fan Removal To replace the cooling fan Place the new fan down in its enclosure. Replace the battery cradle in the back chassis. Reference Battery Cradle Replace- ment, p.
Power Components Replacement Left Power Cable Assembly Replacement 12.6.4 To remove the left power cable assembly Disassemble the monitoring system chassis. Reference To disassemble the moni- toring system chassis, p. 12-18. Move the front chassis off to the side. Identify the proper cables under the battery cradle. They are the cables to the opposite side of the enclosure from the power entry module.
Repair Remove the cables connected to the five-pin J23 receptacle, the four-pin J22 receptacle, and the three-pin J2 receptacle on the Main PCB. Cut the wire tie securing the ferrite bead to the wiring harness. To replace the left power cable assembly Properly orient the new left power cable assembly.
Front Panel Components Replacement Front panel components consist of the Main PCB and LCD PCB assemblies. The following section describes two primary tasks. Reference Main PCB Components Replacement, p. 12-33. Reference LCD Assembly with Overlay Replacement, p. 12-39. Main PCB Components Replacement 12.7.1 Main PCB components consist of the Main PCB and four subassemblies.
Repair Table 12-4. Main PCB Connections (Continued) Receptacle Cable Description Cable Color Main flex cable Gold Two-pin speaker cable Red and black Five-connector flex cable Translucent aqua Three-pin fan cable Red, black, and yellow Four-pin power cable Red and black Five-pin battery cable Black Spade Green GND...
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Front Panel Components Replacement Note: All flex cables should be visible above the plastic LCD clamp plate. While the dog- leg flex cable appearing in the open square of the plastic LCD clamp plate could fit into the CN3 connector on the board below the plastic LCD clamp plate, do not connect it there.
Repair Figure 12-20. Antennae PCB and UFL Connectors Removal To replace the Antennae PCBs Gently thread wires through from the front to the rear of the Main PCB, with the ferrite bead remaining visible and each antenna PCB slipping through the left or right opening on the Main PCB.
Front Panel Components Replacement Single Board Computer (SBC) PCB Replacement To remove the Single Board Computer (SBC) PCB Disassemble the monitoring system chassis. Reference Monitoring System Chassis Disassembly, p. 12-17. Move the rear enclosure off to the side, retaining the front panel on a static-free working surface.
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Handle the speaker ONLY by the edges of the metal ring to avoid damage. Note: Contact Covidien Technical Services to discuss the return or disposal of the original speaker assembly. To remove the alarm speaker Disassemble the monitoring system chassis. Reference Monitoring System Chassis Disassembly, p.
Front Panel Components Replacement LCD Assembly with Overlay Replacement 12.7.2 WARNING: The LCD panel contains toxic chemicals. Do not touch broken LCD panels. Physical contact with a broken LCD panel can result in transmission or ingestion of toxic substances. To remove the LCD Assembly Disassemble the monitoring system chassis.
Repair Figure 12-22. LCD Assembly Removal Lift out the LCD assembly. Remove the display flex cable from the LCD assembly. To replace the LCD Assembly Replace the new LCD assembly, orienting with the two smaller flex cables to the top. Thread the large, right-hand flex cable through the plastic LCD clamp plate, ensur- ing the smaller top flex cable is free above the plastic LCD clamp plate and the dog-leg flex cable threads through the plastic LCD clamp plate cut-away below the battery.
Reassembly, p. 12-20. Return Authorization and Shipment 12.8 General Instructions for Return 12.8.1 Contact Covidien Technical Services or a Covidien Service Center for a Returned • Goods Authorization (RGA) number and shipping instructions. Reference Obtain- ing Technical Assistance, p. 1-5.
Repair Repackage in Original Carton 12.8.2 Figure 12-23. Components to Repackage in Original Carton Top carton insert Bottom carton insert Plastic-wrapped monitoring system Battery carton Interface cable carton Monitoring system carton To repack in the original carton Examine the components in the figure. Reference Battery or Battery Access Door Replacement, p.
Return Authorization and Shipment Close the battery carton, inserting locking tabs into the side slots of the carton Place the battery carton flat to the bottom of the monitoring system carton and to the far, right-hand side. Replace the monitoring system carton insert butted against the battery carton. Replace the battery access door.
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