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Summary of Contents for Spacelabs Healthcare DM4
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Service Manual 91331 Software Version 4.1.x P/N 070-2917-01 Rev. D www.spacelabshealthcare.com August 2024...
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All rights reserved. Contents of this publication may not be reproduced in any form without the written permission of Spacelabs Healthcare. Products of Spacelabs Healthcare are covered by U.S. and foreign patents and/or pending patents. Printed in U.S.A. Specifications and price change privileges are reserved.
Table of contents Introduction Overview ............................1-1 Indications for use ........................1-1 Contraindications ......................... 1-1 Conventions used in this manual ....................1-2 Safety Measures .......................... 1-3 Monitor Components........................1-8 Monitor Configurations ....................... 1-12 FILAC Isolation Chamber......................1-12 Network Indicators ........................1-12 Maintenance..........................
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DM4 Service Manual Table of contents To set the user interface (UI) language ................2-16 To configure the notch filter ....................2-16 To restore the monitor to factory default settings.............. 2-16 To save monitor settings to a USB flash drive ..............2-17 To transfer monitor settings from a USB flash drive ............
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DM4 Service Manual Table of contents To test the chassis leakage current ..................4-6 Battery Maintenance ........................4-6 Battery Replacement......................... 4-6 To replace the battery pack ....................4-7 Replace Isolation Chamber and Temperature Probe..............4-10 To replace the isolation chamber..................4-10 To replace the temperature probe ..................
Designed for bedside and portable usage, the DM4 monitors SpO , pulse rate, NIBP, and temperature. You can use the DM4 to take spot check measurements of these parameters or to provide continuous monitoring. This service manual is a reference document containing recommendations for planned maintenance.
DM4 Service Manual Introduction • For contraindications of SpO2 sensors or Temp Probes or scanner, consult the manufacturer’s directions for use. • Oral Temperature measurements are not intended for neonatal use. • No other contraindications are known at this time.
• The monitor needs special precautions regarding EMC and needs to be installed and put to service according to the EMC information provided in the Electromagnetic Compatibility section of the DM4 Operations Manual. Be aware that strong electromagnetic fields may interfere with the operation of the monitor.
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Introduction • Do not, under any circumstances, perform any testing or maintenance on the monitor, power supply or power cords while the DM4 is being used to monitor a patient. Unplug the power cords before cleaning or servicing the monitor. The user should not perform any servicing except as specifically stated in this manual.
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DM4 Service Manual Introduction • To ensure patient electrical isolation, connect only to other equipment with electrically isolated circuits. • Warning: Loss of pulse signal can occur when: • The sensor is too tight • The patient has hypotension, severe vasoconstriction, severe anemia, or hypothermia •...
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DM4 Service Manual Introduction • STACKING – If the DM4 is used adjacent to or stacked with other equipment, the monitor should be observed to verify normal operation in the configuration in which it will be used. • An NIBP monitor does not operate effectively if a patient is having seizures, convulsions or tremors, or is connected to a heart/lung machine.
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DM4 Service Manual Introduction • Pressing the touchscreen with a sharp or pointed instrument may permanently damage the touchscreen. Press the touchscreen using only your finger. • Inspect the monitor, air hose, and sensors for any damage prior to operation. If any damage is noted, the monitor should not be used until it has been serviced.
DM4 Service Manual Introduction Note: • There are no known risks with common disposal of equipment or accessories; however, the disposing of accessories should follow in accordance with local hospital policies. The Li-Ion battery should not be incinerated. The user should ensure these policies do not conflict with any local, state or federal guidelines.
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DM4 Service Manual Introduction Figure 1 2: Rear panel view Table 1 2: Back Panel Components Description Symbol on panel DC power input – connection for external power supply (P/N 010-2177-xx) USB port – connection for optional bar code scanner (P/N 010-2179-xx),...
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DM4 Service Manual Introduction Figure 1 3: Left panel view (with Masimo SpO Do not place the left panel speaker grill of the monitor against a solid surface. This will cause the alarm tones to be muffled. Table 1 3: Left Panel Components...
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DM4 Service Manual Introduction Figure 1 4: Right panel view Without FILAC temperatu e option With FILAC temperature option Table 1 4: Right Panel Components Description Transport handle FILAC temperature probe FILAC isolation chamber – provides holding wells for the temperature probe and box of probe covers FILAC temperature module –...
The monitor offers a choice of thermometry: FILAC 3000 or Exergen non-invasive temporal artery thermometry. Network Indicators Icons at the top of the display indicate the network connectivity of the DM4 monitor. For information on network setup, refer to Communications Setup on page 2-24.
Battery Maintenance on page 4-6. • Perform a NIBP pneumatic check once per year. For more details, refer to the DM4 Operations Manual (070- 2916-01), in the NIBP chapter. • Perform a NIBP transducer check once per year or when there is doubt about the validity of the blood pressure readings.
DM4 Service Manual Introduction Battery Management Rechargeable lithium-ion batteries are widely used in technology today due to their high energy density and efficiency, but they do come with certain risks that require caution. - Risk of overheating and fire: Lithium-ion batteries can overheat and catch fire if they are damaged, improperly charged, or used beyond their use life.
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DM4 Service Manual Introduction When the Low Battery message and icon show on the main screen, approximately 30 minutes of battery operation remain. Three audio “beeps” occur every 25 seconds. Upon the detection of a Low Battery condition and if the battery is not charged by the user, the monitor may no longer function as intended.
Monitor Setup Setup Menu The Setup menu (refer to Figure 2-1) lets you review monitor information and configure the DM4 to meet patient and institutional requirements. Figure 2 1: Setup menu To show the Setup menu Touch the Setup key (on the right side of the screen).
DM4 Service Manual Monitor Setup • Inspect the pulse oximeter site every 2 to 4 hours or per hospital protocol. If there is any skin irritation caused by the sensor, remove the sensor and apply it to a different location •...
DM4 Service Manual Monitor Setup Figure 2 2: Setup Home Screen menu Audio Setup The Audio button in the Setup menu lets you access the Setup Audio menu (refer to Figure 2-3). This menu lets you configure the audio for alarms, pulse tones, and touchscreen response.
DM4 Service Manual Monitor Setup Printer Setup The Printer button in the Setup menu lets you access the Setup Printer menu (refer to Figure 2-4). This menu lets you configure strip chart recordings for the optional external printer. Figure 2...
DM4 Service Manual Monitor Setup • Restoring User Defaults does not automatically restore the default Alarm Volume. The Alarm Volume should be checked and set Manually after selecting Restore User Defaults. • Restoring Factory Defaults does not automatically restore the default Alarm Volume.
DM4 Service Manual Monitor Setup Administrator Setup The Administrator button in the Setup menu lets you access the Setup Administrator menu (refer to Figure 2-6). This menu provides buttons that let you access system administrator and service settings and functions.
DM4 Service Manual Monitor Setup To change global alarm settings Touch the Setup key (on the right side of the screen). In the Setup menu, touch the Administrator button. In the Setup Administrator menu, touch the Alarms button. In the Enter Password screen, use the on-screen numeric keypad to enter 986, and then touch OK.
DM4 Service Manual Monitor Setup Set Monitor ID If the Monitor button is configured to show the monitor ID, the information you enter in the Monitor ID field of the Setup System menu shows on the button label. For information on setting which ID...
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DM4 Service Manual Monitor Setup Figure 2 10: Setup Modifiers menu In the Setup Modifiers menu, touch the drop-down arrows to select Required, Optional, or Disabled for any of the settings that follow: • Patient ID • Clinician ID •...
DM4 Service Manual Monitor Setup Figure 2 11: Setup NIBP Protocol menu To set up an NIBP Protocol mode Access the Setup System menu (refer to To access the Setup System menu on page 2-7). In the Setup System menu, touch the NIBP Protocols button.
Only set the date and time using the Set Date and Time menu if the monitor is not connected to ICS. If the monitor is connected to ICS (v4.2.2 or newer), the DM4 system clock is automatically synchronized to network time. To ensure proper synchronization, please refer to the Windows Time Settings section below.
DM4 Service Manual Monitor Setup Figure 2 Set Date and Time menu Touch the drop-down arrow to change any of the settings that follow: • Height units – in or cm • Weight units – lb or kg • Temp units – Degrees F or Degrees C Touch OK to apply or Cancel to cancel changes.
DM4 Service Manual Monitor Setup Connect the storage device to the USB port on the back of the monitor. In the Setup System menu, touch the Save Trends button. The monitor creates a file on the USB storage device with the name DM4TrendsRecords_YYYYMMDD_HHMMSS.cvs (where YYYYMMDD_HHMMSS...
DM4 Service Manual Monitor Setup Service Setup The Service button in the Setup Administrator menu lets you access the Setup Service menu (refer to Figure 2-16). This menu provides various settings and functions for servicing the monitor. Access to the Setup Service menu requires that you enter the password 314.
DM4 Service Manual Monitor Setup Note: The NIBP pressure transducer is factory calibrated; no adjustment can be done in the field. To enable or disable NIBP Cal. Check Mode Access the Setup Service menu (refer to To access the Setup Service menu page 2-14).
DM4 Service Manual Monitor Setup To set the user interface (UI) language Access the Setup Service menu (refer to To access the Setup Service menu page 2-14). Touch the Language drop-down arrow to select the language. Notch Filter The Notch Filter setting in the Setup Service menu lets you configure the notch filter for reduction of AC power noise.
Copy Settings from USB Stick The Copy Settings from USB Stick button in the Setup Service menu lets you quickly transfer monitor settings (including alarm limits) from a USB flash drive to any number of DM4 monitors. Note: The DM4 does not support all USB flash drives. Use only USB flash drive 010...
The Copy Logs to USB Stick button in the Setup Service menu lets you save the Event Log to a USB flash drive. If a problem occurs, you can email the Event Log file to Spacelabs Healthcare technical support for analysis.
Access password is lost, you can request a "break glass" password by contacting Spacelabs Healthcare and supplying the monitor's Service ID (as shown on the Setup Options menu). Once you have entered the correct password, the DM4 application ends and the Windows login screen shows.
Access password is lost, you can request a "break glass" password by contacting Spacelabs Healthcare and supplying the monitor's Service ID (as shown on the Setup Options menu). Once you have entered the correct password, the DM4 application ends and the Windows login screen shows.
DM4 Service Manual Monitor Setup Once you have entered the correct password, the DM4 application ends and the Windows login screen shows. Select the Field Service user and login using the password 314. Use Windows Settings icon to open the Time & language settings.
The Factory button in the Setup Administrator menu lets you access the Setup Factory menu. This a password-protected menu with factory settings that require special permission to access. For more information, contact Spacelabs Healthcare technical support. Configuration (System Information) The Configuration button in the Setup Administrator menu lets you review monitor system information, such as the model, serial number, software version, and installed options.
DM4 Service Manual Monitor Setup Figure 2 22: Setup Configuration screen Display Setup The Display button in the Setup Administrator menu lets you access password-protected settings for the Patient and Monitor button labels (at the top of the display), as well as the auto dim feature.
DM4 Service Manual Monitor Setup • Auto Dim Timeout (minutes) – Select Off (default) or the number of minutes (1 to 10) to dim the display if there is no touchscreen activity. The display turns bright again if you touch the screen or an alarm condition occurs.
DM4 Service Manual Monitor Setup Figure 2 25: Setup Communications menu To set up network communications with ICS Touch the Setup key (on the right side of the screen). In the Setup menu, touch the Administrator button. In the Setup Administrator menu, touch the Communications button.
Battery Management on page 1-14. Touchscreen Display The DM4 has a 7-inch, 800 x 480 WVGA Active Color Matrix display with a touch panel overlay for user input. Processor Board The processor board contains an Intel Celeron N2807 processor, on-board flash memory for the OS (operating system) and on-board RAM to run the main software program.
DM4 Service Manual Theory Second Speaker A second speaker is directly connected to the “PressF” microcontroller and acts as a backup to the main speaker, should it fail. The second speaker provides a secondary alert that indicates an alarm condition has persisted beyond a pre-programmed time. For information on setting the...
DM4 Service Manual Theory Table 3 1: RJ45 Connector Pinout Pin Number Signal Description Pin Number Signal Description CTS – from printer RX – to printer DTR – to printer Ground Ground No connection TX – to printer +14 V...
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DM4 Service Manual Theory Figure 3 1: 3.5 mm phone connector Table 3 2: Nurse Call Pinout Pin Number Signal Description 2 (tip) Nurse Call (NO) 3 (ring) Nurse Call (NC) 1 (sleeve) Nurse Call (common) www.spacelabshealthcare.com P/N 070-2917-01 Rev. D...
Functional Verification Use the procedures in this section to verify that the DM4 monitor functions correctly. An authorized service technician should check the monitor for acceptable performance once a year or at an interval determined to be appropriate by an effective risk-based equipment management program.
DM4 Service Manual Routine Maintenance Access the Setup Service menu and set NIBP Cal. Check Mode to On (refer to enable or disable NIBP Cal. Check Mode on page 2-15). The upper right section of the menu shows 0.0 mmHg (refer to Figure 4-1).
DM4 Service Manual Routine Maintenance To check NIBP measurement with a simulator Set the monitor to Adult mode. Access the Setup Service menu and set NIBP Cal. Check Mode to Off (refer to enable or disable NIBP Cal. Check Mode on page 2-15).
DM4 Service Manual Routine Maintenance FILAC Temperature Calibration Check • Do not open the monitor to clean or repair it. Contact Spacelabs for service needs. Refer to the copyright page (second page) for address and phone number information • Disconnect all accessories from the monitor before cleaning. Do not immerse any part of the electrical connector of the cable or accessories in the cleaning or disinfection solution at any time.
DM4 Service Manual Routine Maintenance Remove the isolation chamber from the monitor (refer to Replace Isolation Chamber and Temperature Probe on page 4-10). Replace the calibration plug with the temperature probe. Reinstall the isolation chamber on the monitor (refer to...
DM4 Service Manual Routine Maintenance Table 4 2: Summary of Standards for Medical Monitoring International Mains to Chassis US (120 V) Mains to Chassis Mains Resistance Leakage Leakage 100 μA – normal condition, 300 μA – normal condition, ground attached (AC connector ground attached (AC connector <200 milliohms*...
DM4 Service Manual Routine Maintenance • Use only battery pack 010 2178 xx (Spacelabs part number). Rechargeable lithium-ion batteries are widely used in technology today due to their high energy density and efficiency, but they do come with certain risks that require caution.
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DM4 Service Manual Routine Maintenance Figure 4 2: Battery cover screws Gently pull the battery cover open (refer to Figure 4-3). Figure 4 3: Battery cover open Lift the tab end of the battery pack (opposite the connecter) and gently slide the battery away...
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Gently seat the battery pack into the battery cover (refer to Figure 4-3). Close and secure the battery cover to the bottom of the monitor with the four screws (refer to Figure Fully charge the new DM4 battery for eight hours prior to use. www.spacelabshealthcare.com P/N 070-2917-01 Rev. D...
DM4 Service Manual Routine Maintenance Replace Isolation Chamber and Temperature Probe When you replace the FILAC temperature probe, you should also replace the isolation chamber. Failure to replace the isolation chamber with the temperature probe can result in patient cross contamination.
8: Install temperature probe Exergen Temperature For Exergen Temperature setup, refer to the DM4 Operations Manual (070-2916-01). • No modification of this equipment is allowed. • Do not use this thermometer if it is not working properly, if it has been exposed to temperature extremes, damaged, been subject to electrical shocks or immersed in water.
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DM4 Service Manual Routine Maintenance • Use only Spacelabs approved accessories and sensors to preserve the integrity, accuracy and the electromagnetic compatibility of the monitor. • Do not open the Monitor to repair it. Contact Spacelabs for service needs. Refer to the copyright (second page) for address and phone number information.
Trapped liquids and surface residues provide an unintentional electrical path, which may cause noisy signals and false alarms. • Questions and concerns about cleaning issues should be directed to Spacelabs Healthcare Technical Support. www.spacelabshealthcare.com P/N 070-2917-01 Rev. D...
NOT recommended for cleaning Spacelabs Healthcare products. • Over time, repeated use of a chlorine bleach solution may cause some colors to fade. • Tape adhesive can be removed with Spacelabs Healthcare adhesive tape remover pads (P/N 392196 001).
DM4 Service Manual Cleaning, Disinfecting, and Sterilization Note: • Follow your hospital protocol for the handling of blood and body fluids. • Do not allow liquid to enter the display. Make sure to let the alcohol dry before re-assembly. If you do not let the alcohol dry, the monitor may not work correctly.
Note: • Before you clean the temperature probe, you must remove it from the monitor. For more information on removal and installation of the temperature probe, refer to the DM4 Operations Manual. • You can add a mild detergent to water.
Troubleshooting Troubleshooting Overview This chapter provides information for resolving basic technical and clinical issues with the DM4 monitor. For a comprehensive list of alarm and technical messages and suggested actions, refer DM4 Operations Manual to the Troubleshooting Issues Follow the flowcharts in this section to resolve the issues described.
DM4 Service Manual Troubleshooting Monitor Does Not Power ON Monitor does not power ON AC or Battery Operating? BATTERY Ensure Good Outlet, Plug in Power Line Cord, and Power Supply Supply Operating? Power Indicator Depleted or Disconnected Battery Bad/Disconnected Failed Electronics...
DM4 Service Manual Troubleshooting Alert Message on Power Up Alert Message on Power Up Monitor Passes Power On Self-Test Sequence Low Battery NIBP problem problem Temp problem shows in Message detected shows in detected shows in detected shows in Area...
DM4 Service Manual Troubleshooting No SpO2 Response No SpO Response Check SpO cable connections Sensor LED is ON? Replace sensor and recheck Any Error message? Replace sensor and cable Refer to Operations Manual Does SpO work? Contact Return monitor to...
DM4 Service Manual Troubleshooting No Temperature Measurement (FILAC) No Temperature Measurement (FILAC) Verify isolation chamber is securely connected to monitor Any Error Message? Remove Refer to Operations temperature probe Manual and chamber from monitor Use Calibration Key to verify temperature calibration.
Parts Parts Overview This chapter provides information for ordering service parts and accessories for the DM4 monitor. For customers outside of North America only: For a list of internal field-replaceable parts, such as DM4 Service Manual Addendum PCBAs, refer to the , P/N 071-1063-xx.
FILAC PROBE COVERS,91331 DM4 010-2177-00 POWER SUPPLY,91331 DM4 010-2178-00 RECHARGEABLE LI-ION BATTERY PACK: 10.8V,7800MAH 010-2179-00 BAR CODE SCANNER,HS-1M,W/14 FOOT USB CABLE,DM4 010-2180-00 C-CLAMP FOR IVPOLE MOUNTING OF BAR CODE SCANNER 010-2181-00 C-CLAMP W/12" FLEX ARM FOR MOUNTING BAR CODE SCA 010-2182-00 NIBP TEST KIT: ICL.
Appendix A—Product Specifications Physical Specifications Dimensions (H x W 19.4 x 27.9 x 14.6 cm (7.6 x 11.0 x 5.7 in) x D) (with FILAC temperature option) Weight 1.9 kg (4.3 lbs) Display Touchscreen LCD Size 17.8 cm (7.0 in) diagonal Resolution 800 x 480 pixels Controls...
Nurse call cable (P/N 010-2184-00, 010-2185-00, or 010-2186-00) For further ordering information and details on compatible accessories, please contact your Spacelabs Healthcare representative or refer to the product documentation. This product may not be approved for market release in all countries.
Appendix C — Symbols This appendix lists the symbols that apply to the Spacelabs Healthcare product or products described in this manual. Table B 1: Symbols used on DM4 (91331), accessories, and packaging Symbol Description Medical Device Follow Instructions For Use...
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DM4 Operations Manual Appendix C — Symbols Table B 1: Symbols used on DM4 (91331), accessories, and packaging Symbol Description Network connection DC power input – connection for external power supply (P/N 01-02-0806) Nurse Call Jack Battery charging indicator Replace only with the appropriate battery.
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DM4 Operations Manual Appendix C — Symbols Table B 1: Symbols used on DM4 (91331), accessories, and packaging Symbol Description Date of manufacture Manufacturer This side up Keep dry Fragile, handle with care Humidity limitation Atmospheric pressure limitation Filac isolation chamber - provides holding well for the Filac temperature probe and box of probe covers.
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DM4 Operations Manual Appendix C — Symbols Table B 1: Symbols used on DM4 (91331), accessories, and packaging Symbol Description No LATEX, ISO 15223 with warning CE mark Power supply meets EISA 2007, CEC Efficiency Level V UL-recognized component Indoor, dry location use only...
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