Dash 3000
Dash 3000
Dash 3000
Patient Monitor
Service Manual
2000966-070 Revision A
NOTE: Due to continuing product innovation, specifications in this
manual are subject to change without notice.
Listed below are GE Medical Systems Information Technologies’ trademarks. All other trademarks contained
herein are the property of their respective owners.
900 SC, ACCUSKETCH, AccuVision, APEX, AQUA-KNOT, ARCHIVIST, Autoseq, BABY MAC, C Qwik
Connect, CardioServ, CardioSmart, CardioSys, CardioWindow, CASE, CD TELEMETRY, CENTRA, CHART
GUARD, CINE 35, CORO, COROLAN, COROMETRICS, Corometrics Sensor Tip, CRG PLUS, DASH,
Digistore, Digital DATAQ, E for M, EAGLE, Event-Link, FMS 101B, FMS 111, HELLIGE, IMAGE STORE,
INTELLIMOTION, IQA, LASER SXP, MAC, MAC-LAB, MACTRODE, MANAGED USE, MARQUETTE,
MARQUETTE MAC, MARQUETTE MEDICAL SYSTEMS, MARQUETTE UNITY NETWORK, MARS,
MAX, MEDITEL, MEI, MEI in the circle logo, MEMOPORT, MEMOPORT C, MINISTORE, MINNOWS,
Monarch 8000, MULTI-LINK, MULTISCRIPTOR, MUSE, MUSE CV, Neo-Trak, NEUROSCRIPT,
OnlineABG, OXYMONITOR, Pres-R-Cuff, PRESSURE-SCRIBE, QMI, QS, Quantitative Medicine,
Quantitative Sentinel, RAC RAMS, RSVP, SAM, SEER, SILVERTRACE, SOLAR, SOLARVIEW, Spectra
400, Spectra-Overview, Spectra-Tel, ST GUARD, TRAM, TRAM-NET, TRAM-RAC, TRAMSCOPE, TRIM
KNOB, Trimline, UNION STATION, UNITY logo, UNITY NETWORK, Vari-X, Vari-X Cardiomatic,
VariCath, VARIDEX, VAS, and Vision Care Filter are trademarks of GE Medical Systems Information
Technologies registered in the United States Patent and Trademark Office.
1 INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Manual Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Revision History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Manual Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Intended Audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Responsibility of the Manufacturer . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Warnings, Cautions, and Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
Equipment Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Service Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Service Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Equipment Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18
Electromagnetic Compatibility Compliance (EMC) . . . . . . . . . . 2-18
FCC Compliance Information Statement . . . . . . . . . . . . . . . . . . 2-19
3 INSTALLATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Back Panel Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
ETHERNET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
RAC 2A Housing Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Defib Sync . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
AC Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Front Panel Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
AC Power Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Battery Power Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Battery Charging/Ready Indicators . . . . . . . . . . . . . . . . . . . . . . . 3-5
Power Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Ethernet Communication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Twisted Pair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Concentrator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Node . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Segment and Branch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Repeater . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Bridge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Twisted Pair Cabling (10BaseT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Symbol PC Card (Wireless LAN) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MAINTENANCE 4-1
Maintenance Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Manufacturer Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Visual Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Cleaning Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Cleaning the Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Exterior Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Cleaning the Print Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Materials Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Battery Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Charging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Conditioning the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Frequency Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Replacing the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Recycling the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
5 TROUBLESHOOTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Service Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Boot Loader Service Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Main Menu Service Mode Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
About Service Mode Menu Option Items . . . . . . . . . . . . . . . . . . . 5-5
Service Mode Menu Option Items . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Review Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
About the Monitor Error Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Downloading the Error Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Accessing the Review Errors Menu Option Item . . . . . . . . . . . . . 5-8
Error Log Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Error Logs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Severity of the Error . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Battery Alarms and Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
Alarm Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
Error Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
Power Source Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
Wall Receptacle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
Power Cord and Plug . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13
Data Acquisition Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
ECG Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
ECG Waveforms Display Incorrectly . . . . . . . . . . . . . . . . . . . . . 5-15
ECG Waveforms Do Not Display At All . . . . . . . . . . . . . . . . . . . 5-15
Lead Fail Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15
Pace Detect Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16
Pace Detect Functions Do Not Work Properly . . . . . . . . . . . . . . 5-16
Invasive Blood Pressure Functions . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Setup BP1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Setup BP2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Zero-Reference Both BP’s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Generate Dynamic BP Waveforms . . . . . . . . . . . . . . . . . . . . . . 5-17
Verify Dynamic BP Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Generate Static BP Waveforms . . . . . . . . . . . . . . . . . . . . . . . . . 5-18
BP Waveforms Do Not Appear Correctly On The Display . . . . . 5-18
BP Waveforms Do Not Appear On The Display At All . . . . . . . . 5-18
Respiration Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-19
No Respiration Waveform or Rate Appear on the Display . . . . 5-19
Respiration Functions Work Properly on Patient Simulator but not on
Actual Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-20
Noninvasive Blood Pressure Functions . . . . . . . . . . . . . . . . . . . . . . 5-21
NBP Alarms Occur Continuously . . . . . . . . . . . . . . . . . . . . . . . . 5-21
Wireless LAN Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-22
Service Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-24
Fault/Symptom Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-24
Acquisition PCB Symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-25
Processor PCB Symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-25
Troubleshooting Software Updates - Problems and Solutions . . . . . . . . 5-26
Error Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-29
6 CONFIGURATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
Upgrading a Monitor to Version 2C Software . . . . . . . . . . . . . . . . . . . 6-3
Download Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Before you Begin Downloading Software . . . . . . . . . . . . . . . . . . 6-3
Load the Upgrade Software into the Host Download Device . . . . 6-5
Download the Software into the Monitor . . . . . . . . . . . . . . . . . . . 6-6
Complete the Upgrade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9
Configuring a Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10
Main Menu Selections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12
Set Unit Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12
Set Bed Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12
Patient-Monitor Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13
Set Graph Locations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13
Communication Confirmation . . . . . . . . . . . . . . . . . . . . . . . . . . 6-14
Problems? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-14
Admit Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-15
Boot Code Selections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-16
Set Defib Sync Voltage and Pulse Width . . . . . . . . . . . . . . . . . . 6-16
Set Line Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-16
Set CIC and QS Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-16
Set MUSE Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-16
Transcutaneous Pace Blank Length . . . . . . . . . . . . . . . . . . . . . 6-17
Set Country Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17
Wireless LAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17
Set Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-18
Completion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-18
Advanced User Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19
Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19
Set Time and Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19
Change Software Level . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-20
Change Ethernet Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-21
Review Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-21
Transferring Error Logs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-24
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-24
Access the COPY LOGS Menu . . . . . . . . . . . . . . . . . . . . . . . . . 6-25
Select the Monitoring Device . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-25
Select the Error Log Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-25
Copy Error Logs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-26
Eject Floppy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-26
7 CALIBRATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Hardware Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
NBP, ECG, BP, and End-tidal CO2 Software Calibration . . . . . . . . . . . . . 7-4
NBP Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
In General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
Required Test Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
Calibration Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
ECG or BP Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7
Before you Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7
ECG Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7
BP Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8
End-tidal CO2 Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8
Manual Information
Revision History Each page of this manual has the document part number and revision
letter at the bottom of the page. The revision letter identifies the
document’s update level. The revision history of this document is
summarized below.
Revision History
Manual Purpose This manual supplies technical information for service representatives
and technical personnel so they can maintain the equipment to the
assembly level. Use it as a guide for maintenance and electrical repairs
considered field repairable. Where necessary the manual identifies
additional sources of relevant information and technical assistance.
See the operator’s manual for the instructions necessary to operate the
equipment safely in accordance with its function and intended use.
Intended Audience This manual is intended for service representatives and technical
personnel who maintain, troubleshoot, or repair this equipment.
Safety Information
General This device is intended for use under the direct supervision of a licensed
health care practitioner.
Parts and accessories used must meet the requirements of the applicable
IEC 601 series safety standards, and/or the system configuration must
meet the requirements of the IEC 60601-1-1 medical electrical systems
standard.
Periodically, and whenever the integrity of the device is in doubt, test all
functions.
If the installation of the equipment, in the USA, will use 240V rather
than 120V, the source must be a center-tapped, 240V, single-phase
circuit.
Warnings, Cautions, The terms danger, warning, and caution are used throughout this
manual to point out hazards and to designate a degree or level or
and Notes seriousness. Familiarize yourself with their definitions and significance.
Equipotentiality
Fuse
Battery
PRESS
Press to open.
Power
814A
Graph Go/Stop
815A
NBP Go/Stop
816A
Function
817A
Silence Alarm
818A
Service Information
D 0 XX 0005 G XX
Components
The Monitoring The Dash 3000/4000 patient monitor can function by itself with a built-in
writer, or it can be cabled in with the Unity Network via Ethernet.
System Optional components are, if using Wireless LAN or cabled to Ethernet, a
Centralscope central station and the Clinical Information Center.
The Patient Monitor This device is designed to monitor a fixed set of parameters including
ECG, noninvasive blood pressure, impedance respiration, SpO2, and
temperature. Invasive pressure and EtCO2 are optional features.
Additional specialized features include cardiac output, cardiac
calculations, pulmonary calculations, dose calculations, PA wedge (PA
wedge is only available with the invasive pressure option), and SAM
module interface.
001B
051B
Right Side View All of the patient cable connectors are located on the right side of the
monitor. A Trim Knob control provides single control operation of
virtually all monitor functions.
Patient Cable
Connectors
002A
Left Side View On the left of the monitor, you can find the built-in writer and the
battery compartment.
Battery Compartment—
The battery packs are
located in this
compartment.
003A
Back View On the back of the monitor you will find all connectors for equipment and
network.
Equipotential Terminal—For
measurements in or near the heart Aux Port—Used for
we recommend connecting the RAC 2A and software
monitor to the potential updates.
equalization system. Use the
green and yellow potential
equalization cable and connect it
to this pin.
Optional Alarm Indicator An optional alarm indicator can be built into the handle of the Dash 3000
monitor or into the display bezel of the Dash 4000 monitor. When
activated, the LED indicator flashes red for CRISIS and WARNING
patient status alarms and yellow for all other alarms.
Alarm Indicator
052B
Dash 3000 Monitor Dash 4000 Monitor
Optional RAC 2A The RAC 2A module housing currently supports the SAM module.
Module Housing
797B
An integral power supply is used to run the RAC 2A and support the
needed voltages.
NOTE: Wireless patient monitors that are moved from room to room
must have the monitor type configured as Rover or Rover/Combo
monitoring.
Access Points To integrate the wireless network with the wired network, one or more
access points are necessary. An access point connects the wireless
monitor to the wired network infrastructure within the building, and
acts as a bridge between the wired and wireless networks. The areas
covered by each access point overlap to insure continuous coverage.
NOTE: The monitor will only work with a Symbol Access Point. The
monitor will not communicate directly with a Wireless LAN
device from Aironet.
050A
Technical Specifications
Performance
Specifications
Display
Size:
Dash 3000: 8.4-inch diagonal
Dash 4000: 10.4-inch diagonal
Type:
Color: Active-Matrix Liquid Crystal Display (LCD)
Resolution: 640 by 480 pixels
Number of traces: 6 (maximum)
Number of seconds/trace:
Dash 3000: 4.9 at 25 mm/sec
Dash 4000: 5.9 at 25 mm/sec
Sweep speed:
All waveforms 6.25, 12.5 or 25 mm/sec (with erase bar)
Waveform display options: Individual 6 waveforms, individual 3 waveforms, full,
and full grid modes
Information window: Displays non-real-time information without obstructing
the display of real-time information
Display organization: Prioritized by parameter
Controls
Standard: Trim Knob control plus 5 hard keys: Power, NBP Go/
Stop, Function, Silence Alarm, and Graph Go/Stop
Alarms
Categories: Patient Status and System Status
Priorities: 4 levels — Crisis, Warning, Advisory, and Message
Notification: Audible and visual
Setting: Default and individual
Silencing: 1 minute, current alarm only
ECG
5 Leadwire cable: I, II, III, V, aVR, aVL, and aVF
10 Leadwire cable (12SL option): V2, V3, V4, V5 and V6
Leads analyzed simultaneously: I, II, III, and V (multi-lead mode)
Lead fail: Identifies failed lead
Alarms: User-selectable upper and lower heart rate limits
Input specifications:
Voltage range: ±0.5 mV to ±5 mV
Signal width: 40 ms to 120 ms (Q to S)
Heart rate range: 30 to 300 BPM
Accuracy: ±1% or ±1 BPM, whichever is greater
Input impedance:
Common mode: >10 MΩ at 50/60 Hz
Differential: >2.5 MΩ from dc to 60 Hz
Common mode rejection: 90dB minimum at 50 Hz or 60 Hz
Output specifications:
Frequency response:
Display:
Diagnostic: 0.05 to 40 Hz
Monitoring: 0.05 to 40 Hz
Moderate: 0.05 to 25 Hz
Maximum: 5 to 25 Hz
Paper Recorder:
Diagnostic: 0.05 to 100 Hz
Monitoring: 0.05 to 40 Hz
Moderate: 0.05 to 25 Hz
Maximum: 5 to 25 Hz
Linearity deviation: ±3% (maximum)
Noise: <30 µ V (referred to input)
ST segment measurement:
Measurement point: Adjustable from 0 to 120 ms past the J-point
(default: 60 ms adult, 30 ms neonatal)
Measurement range: –12.0 to +12.0 mm
Measurement accuracy: ±10% or 0.5 mm, whichever is greater
Pacemaker detection/rejection:
Input voltage range: ±2 mV to ±700 mV
Input pulse width: 0.1 ms to 2 ms
Rise time: 10 µ s to 100 µ s
Over/under shoot: 2 mV (max)
Baseline drift: <0.5 mV/hour with a ±700-mV, 2-ms pacemaker pulse
applied
Invasive Blood
Pressure (BP)
Number of channels: 2
Transducer sites: Arterial (ART), femoral artery (FEM), pulmonary artery
(PA), central venous (CVP), right atrial (RA), left atrial
(LA), intracranial (ICP), and special (SP)
Noninvasive Blood
Pressure (NBP)
Measurement technique: Oscillometric
Displayed parameters: Systolic, diastolic, and mean pressures, pulse rate, time
of last measurement
Measurement modes: Manual, auto, and stat in adult and OR modes; manual
and auto in neonatal mode
NBP pressure range:
Systolic pressure range
Adult: 30 to 275 mmHg
Pediatric: 30 to 235 mmHg
Neonatal: 30 to 135 mmHg
Diastolic pressure range
Adult: 10 to 220 mmHg
Pediatric: 10 to 220 mmHg
Neonatal: 10 to 110 mmHg
Mean pressure range
Adult: 20 to 260 mmHg
Pediatric: 20 to 260 mmHg
Neonatal: 20 to 125 mmHg
Cuff pressure range:
Adult: 0 to 275 mmHg
Pediatric: 0 to 235 mmHg
Neonatal: 0 to 135 mmHg
Pressure accuracy:
Static: ±2% or ±3 mmHg, whichever is greater
Clinical: ±5 mmHg average error
8 mmHg standard deviation
Heart rate detection: 30 to 200 beats per minute
Total cycle time: 20 to 40 seconds typical (dependent on heart rate and
motion artifact)
Automatic cycle times: 0 to 8 hours
Auto zero: Zero pressure reference prior to each cuff inflation
Tubing length:
Adult: 12 feet
Neonatal: 8 feet
Automatic cuff deflation: Cycle time exceeding 3 minutes (90 seconds neonatal),
power off, or cuff pressure exceeds 294 mmHg (±6
mmHg) adult, 147 mmHg (±3 mmHg) neonatal
Cuff sizes:
Disposable: Large adult, adult, small adult, pediatric, small pediatric,
and infant
Reusable: Thigh, large adult, adult, child, and infant
Alarms: User-selectable upper and lower limits for systolic,
diastolic, and mean pressures
Pulse Oximetry
(SPO2)
Parameters monitored: Arterial oxygen saturation (SpO2) and peripheral pulse
rate (PPR)
SpO2 range: 50 - 100%
PPR range: 30 - 300 beats per minute
Accuracy: Actual accuracy depends on probe. Please reference
manufacturer’s specifications.
SpO2: ± 2% (70 - 100% SpO2) ±1 standard deviation
± 3% (50 - 69% SpO2) ±1 standard deviation
PPR: ± 3 beats per minute
Alarms: User-selectable upper and lower limits for SpO2 and
PPR
Respiration
Measurement technique: Impedance variation detection
Range:
Respiration rate: 0 - 200 breaths per minute
Base impedance: 100 - 1000 Ω at 52.6 kHz excitation frequency
Detection sensitivity: 0.4 to 10 Ω variation
Accuracy:
Respiration rate ±1 BrPM
Waveform display bandwidth: 0.1 to 1.8 Hz (–3 dB)
Alarms: User-selectable upper and lower respiration rate limits,
and user-selectable apnea limit
Temperature (TEMP)
Number of channels: 2
Input specifications:
Probe type: YSI Series 400 or 700 thermistor (determined by input
cable)
Temperature range: 0°C to 45°C (32°F to 113°F)
Resolution: ±0.1°C
Output specifications:
Parameters displayed: T1, T2
Accuracy: (independent of source)
±0.1°C for YSI series 400 probes;
±0.3°C for YSI series 700 probes
Alarms: User-selectable upper and lower limits for T1, T2
Carbon Dioxide
(CO2)
Information displayed: Inspired and expired carbon dioxide concentrations in %,
mmHg or kPa, respiration rate, continuous CO2 waveform
Measurement technique: Non-dispersive infrared absorption, dual wavelength
ratiometric
Sensor type: Novametrix Medical Systems’ Capnostat III
Patient interface: Compatible with Novametrix Medical Systems’
Capnogard monitoring product
Airway adaptors
Types: Adult reusable (standard), adult disposable, neonatal
Dead space/chamber volumes:
Adult reusable: <5 cc
Adult disposable: <5 cc
Neonatal: <0.5 cc
Analog Output
ECG:
Gain: 1 V/mV ±10%
DC offset: ±100 mV (max)
Noise: <5 mVp-p (0-300 Hz)
Frequency response: 0.05 Hz to 100 Hz +7/–0 Hz
Time delay: 40 ms monitoring filter, 35 ms diagnostic filter
Blood pressure:
Gain: 10 mV/mmHg ±2%
DC offset: ±20 mV (max)
Noise: <5 mVp-p (0-300 Hz)
Frequency response: dc to 50 Hz +2/–0 Hz
Time delay: 40 Hz filter, 37 ms
Defibrillator
Synchronization
Pulse
Marker out:
Time delay: 35 ms (maximum), R-wave peak to leading edge of
pulse.
Amplitude (selectable in Service
menu):
+5 V selection: 3.5 V (min) at 1 mA sourcing; 0.5 V (max) at 5 mA
sinking.
+12 V selection: 11.0 V (min) at 1 mA sourcing; 0.75 V (max) at 5 mA
sinking.
Pulse width: 10 ms ±10% or 100 ms ±10% (selectable in Service
menu).
Output impedance: 50 Ω nominal
Current limit: 15 mA nominal, both sourcing and sinking.
Marker in:
Input threshold: VIH = ±2.5 V (min); VIL = ±1.5 V (max)
Input hysteresis: 650 mV typical
Maximum input voltage: ±30 V (with respect to ground on pin 3)
Input impedance: 10 kΩ (min) for -25 V < VIN < 25 V
Pulse width: 1.0 ms (min), VIN > 2.5 V
Battery
Battery type: Exchangeable Lithium-Ion
Number of batteries: 2
Battery weight: 0.36 kg (0.8 lbs) each
Voltage: 11.1 V (nominal)
Capacity: 3.9 Ah
Charge time: Less than 4 hours each
Run time: 4 to 5 hrs
Paper Recorder
Method: Thermal dot array
Horizontal resolution: 480 dots/in at 25 mm/sec
Vertical resolution: 200 dots/in
Number of waveform channels: 4
Paper width: 50 mm (1.97 in)
Paper length: 30 m (100 ft)
Paper speed: 0.1, 0.5, 1, 5, 10, 12.5, 25, and 50 mm/sec (± 2%)
RF Wireless LAN
Transmission technique: Frequency hopping spread spectrum
Frequency: Country dependent, specific settings received from
access point. Within 2400 to 2500 MHZ range.
Frequency hopping Country dependent, specific settings received from
characteristics: access point. IEEE 802.11 compliant
Radio data rate: 1 and 2 Mbps
Radio output power: 160 mW (including antenna gain)
1 Mbps range: Open environment: over 850 ft. (260)
Typical hospital environment: between 150 and 200 ft.
(45 to 60 m)
2 Mbps range: Open environment: over 425 ft. (130)
Typical hospital environment: between 100 and 150 ft.
(30 to 45 m)
Modulation: Binary GFSK
Applicable standards: US: FCC Part 15 Class B
Europe: ETS 300 328 and ETS 300 826
Environmental
Specifications
NOTE: The system may not meet its performance specifications if
stored or used outside the manufaturer’s specified temperature
and humidity range.
Power requirements:
90-132VAC 50/60 Hz 2.0A
190-264 VAC 50/60 Hz 1.0A
Power consumption: 75 watts (fully loaded)
Cooling: Convection
Heat dissipation: 240 Btu/hr (max)
Battery operation time:
General: Battery age will affect operating time.
Operating conditions:
Ambient temperature: 0 to 40°C (32 to 104°F)
While charging batteries: 0 to 35°C (32 to 95°F)
Capnostat III sensor 10° to 40° C (50° to 104°F)
Relative humidity: 5 to 95% at 40°C
Vibration: MIL-STD 810E, Method 514.4, Category 1
Altitude: -610 to 4, 570 m (-2,000 to 15,000 ft)
Storage conditions (Do not
exceed):
Maximum: 70°C (158°F) at 95% relative humidity
Minimum: –40°C (–40°F) at 15% relative humidity
CO2 Sensor: –30 to 65°C (–22 to 149°F)
Batteries: –20 to 60°C (–4 to 140°F)
Equipment Type: Portable per IEC 60601-1
Physical
Specifications
Height:
Dash 3000 26 cm (10.25 inches)
Dash 4000 27.38 cm (10.78 inches)
Width:
Dash 3000 28 cm (11.0 inches)
Dash 4000 29.26 cm (11.5 inches)
Depth:
Dash 3000 20 cm (8 inches)
Dash 4000 24.26 cm (9.55 inches)
Weight (without batteries)
Dash 3000 5.08 kg (11.2 lbs)
Dash 4000 5.53 kg (12.2 lbs)
Certification
Safety
UL 2601-1 classified.
UL classified for CAN/CSA C22.2 No. 601.1
IEC 60601-1 and EN 60601-1 Certified
CE marking for Council Directive 93/42/EEC concerning medical devices
Radio and Telecommunication Terminal Equipment Directive
Exceptions
SpO2 Parameter — EN 60601-1-2 clause 36.202.1—IMMUNITY:
Radiated Immunity:
Recommendations
Review the AAMI EMC Committee technical information report (TIR-18)
titled Guidance on electromagnetic compatibility of medical devices for
clinical/biomedical engineers - Part 1: Radiated radio-frequency
electromagnetic energy. This TIR provides a means to evaluate and
manage the EMI environment in the hospital.
FCC Compliance This device complies with Part 15 of the FCC Rules and with RSS-210 of
Industry Canada.
Information Statement
Operation is subject to the following two conditions:
1. This device may not cause harmful interference, and
2. This device must accept any interference received, including
interference that may cause undesired operation.
WARNING
Changes or modifications not expressly approved by the
party responsible for compliance could void the user’s
authority to operate the equipment.
Connections
Back Panel On the back of the monitor you will find all connectors for equipment and
network.
Connections
ETHERNET
Aux Port
RAC 2A Housing The RAC 2A module housing connects to the monitor via a standard
category 5 patch cable (PN 418335-002) which plugs into the AUX port
Connectors on the monitor and to the Auto Port on the back of the RAC 2A module
housing.
The RAC 2A module housing does not have an Analog Output connector.
AC Power
Power Switch
Async Comm
007A
Defib Sync The connector provides ECG analog output signals to user-supplied
equipment.
CAUTION
Equipment damage. Connect all peripheral equipment
before plugging the power cord into an AC outlet.
Otherwise, connectors may be damaged.
AC Power Use this connector to apply power to the monitor. The monitor will be
powered at all times when using AC power (there is no AC power switch).
The monitor is preset at the factory for a specific AC voltage. Before
applying power, be sure the power requirements match your power
supply. Refer to the label on the back of the unit for the voltage and
current requirements.
Front Panel Power and battery indicators are located on the front panel of the
monitor.
Indicators
Battery A and Battery B Charge Status AC/Battery Power
Indicators Indicator
AC/ Battery Power
Indicators
Dash 3000 Monitor’s Front Panel Dash 4000 Monitor’s Front Panel
AC Power Indicator The indicator illuminates green when AC power is applied to the
monitor. The indicator is not illuminated when the monitor is not
powered.
Battery Power Indicator The indicator illuminates yellow when the monitor is battery powered.
The indicator is not illuminated when the monitor is not powered or
when AC power is applied.
Battery Charging/Ready An icon for each battery pack indicates its charging status. The battery
icon illuminates yellow when the respective battery is being charged. If
Indicators both batteries are present and require charging, then both icons will
illuminate even though they will be charged sequentially. The battery
icon illuminates green when the respective battery is fully charged.
When the monitor is operating under battery power the battery icons will
not be illuminated. The icons are also not illuminated when the
respective battery is either not being charged, not installed, or has failed.
NOTE
No specific information is given to distinguish a failed
battery pack condition from a condition where the
battery is not installed or is not being charged.
Power Up After making all connections, plug the power cord into an AC wall outlet.
When all cables are properly connected, press the power button to turn
the monitor on. All four front panel indicators will illuminate until the
power-up sequence is complete. After approximately 10 seconds you
should see a display on the screen.
Ethernet Communication
Overview Ethernet is a local area network used as the main link of the GE Medical
Systems Information Technologies’ Unity network, a comprehensive
information communication system. The Unity network offers the high
rate of communication of 10 megabits per second. The Ethernet
connector connects to an Ethernet transceiver directly or via a
transceiver cable. This local area network links all patient monitors,
central stations, and other GE Medical Systems Information
Technologies’ equipment throughout the hospital. Depending on the
construction of the hospital, thick-net, thin-net, or twisted pair cabling is
used.
Twisted Pair Twisted pair is the most popular cabling because it is easy to install and
flexible to work with. It uses the star topology with a concentrator as the
hub of the segment. Each of the network devices is connected directly to
the concentrator so longer lengths of cable are required. A maximum of
100 meters or 328 feet is the longest length of twisted pair cable used.
The number of devices is limited to the amount of connectors at the
concentrator.
Concentrator The concentrator is simply a transceiver that passes all network data
between any two branches in the LAN. Note that the concentrator passes
all network data between the two branches, regardless of whether or not
one node is sending data to another node on the same branch.
Node Each network device or node is assigned an address number and requires
a transceiver to interface between the network device and the network.
For thick-net and thin-net cabling a transceiver and a serial drop cable
connects to the main trunk. The serial drop cable is sometimes referred
to as an AUI (attachment unit interface) transceiver cable. For twisted
pair cabling, the transceiver to connected directly to the network device.
Segment and Branch Some Ethernet systems are comprised of smaller, stand-alone Ethernet
systems (called branches or segments) that are connected by bridges,
concentrators, or repeaters. Many nodes on the Ethernet network may be
serviced by one segment or branch. Each segment may support many
patient monitors, central stations, and auxiliary devices.
For example, one segment may connect all the patient monitors and
central stations in the ICU (Intensive Care Unit) and another may
connect the monitoring system in the CCU (Critical Care Unit). Each
segment could be a fully-functioning stand-alone system if they were not
connected to each other. However, with a bridge or repeater to connect
the ICU (one segment) with the CCU (the other segment), information
can pass between any of the nodes (patient monitors and central
stations) on either branch similar to a patient transfer from one unit to
another.
Repeater A repeater is used to extend the length of cabling when the distance
required exceeds the length of the cable specifications. It is simply a
transceiver that passes all network data between any two segments.
Note that the repeater passes all network data between the two
segments, regardless of whether or not the one node is sending data to
another node on the same segment.
Bridge A bridge is more selective than a repeater with the data that it passes
between segments. It also acts as a transceiver between two segments,
but it only passes signals if a node on one of the segments is attempting
to communicate with a node on the other segment. Since the majority of
communication on the network occurs within a single segment, the
bridge does not pass all of the data from one segment to the other. This
lowers the amount of data traffic passing between segments, and makes
the network more efficient than a system that is connected with
repeaters.
Twisted Pair Cabling Twisted pair is an IEEE 802.3 local area network that uses flat and
small diameter cable containing four pairs of twisted wires to connect
(10BaseT) devices. Twisted pair operates at the same speed as thin-net and thick-
net (10 megabits/second), but the cable distances extended up to 100
meters (328 feet).
A twisted pair transceiver passes data back and forth between the
network device and the LAN. It is attached directly to the network device
at the at the 15-pin D-type connector. The twisted pair cable is connected
from the RJ-45 connector at the transceiver and the RJ-45 connector at
the concentrator.
Symbol PC Card The Symbol PC card, installed in the monitor, uses a 2.4 GHz frequency
band and a Frequency Hopping spread spectrum (FHSS). The Frequency
(Wireless LAN) Hopping spread spectrum meets IEEE 802.11 standards.
NOTE: The following is required for the monitor to roam from access
point to access point while maintaining Wireless LAN
communication with the Unity Network.
Maintenance Schedule
Manufacturer
Recommendations WARNING
Failure on the part of all responsible individuals,
hospitals or institutions, employing the use of this device,
to implement the recommended maintenance schedule
may cause equipment failure and possible health
hazards. The manufacturer does not, in any manner,
assume the responsibility for performing the
recommended maintenance schedule, unless an
Equipment Maintenance Agreement exists. The sole
responsibility rests with the individuals, hospitals, or
institutions utilizing the device.
Visual Inspection
• Carefully inspect the equipment for physical damage to the case, the
display screen, and the keypad. Do not use the monitor if damage is
determined. Refer damaged equipment to qualified service
personnel.
Cleaning
• Lint-free cloth
• organic solvents,
• acetone solution,
• Betadine solution,
Cleaning the Display To clean the display, follow the recommendations of the display’s
manufacturer. In general you will need to use a soft, clean, lint-free cloth
dampened with a glass cleaner.
CAUTION
To avoid getting liquid into connector openings, do not
spray glass cleaning or general cleaning solutions
directly onto the product’s surface.
Exterior Cleaning Clean the exterior surfaces with a clean, lint-free cloth and one of the
cleaning solutions listed in the table above.
• Wring the excess solution from the cloth. Do not drip any liquid into
open vents, switches, plugs, or connectors.
Cleaning the Print Heavy usage causes debris to build up on the print head. This build can
cause the printed images to appear distorted. It is recommended that
Head this procedure be performed when necessary, depending on usage.
Materials Required A nonabrasive material/cloth and isopropyl alcohol are all that are
necessary to perform this procedure.
Battery Maintenance
Conditioning the A battery conditioning cycle occurs when the following has been
completed.
Batteries
1. The battery is fully charged without interruption.
2. The battery is discharged until the monitor shuts down.
3. The battery is charged until the battery status light turns green in
color.
Frequency Guidelines To maintain useful life, use the following guidelines to condition a
battery:
Replacing the 1. Open the battery door. The battery door is on the left side of the
monitor, along the bottom.
Batteries
2. In the middle is a retainer. Turn this away from the battery you are
replacing.
3. Remove the faulty batteries.
Retainer
5. Close the battery cover. The retainer needs to be straight up for the
door to close.
6. Verify that the monitor operates correctly:
• Confirm that the Battery IDs with a battery icon displays in the
lower right corner of the monitor.
• Verify that the Battery LEDS illuminate either green or amber.
Recycling the When the battery no longer holds a charge, it should be replaced. The
batteries are recycleable. Remove the old battery from the monitor and
Batteries follow your local recycling guidelines.
WARNING
Explosion Hazard. DO NOT incinerate the battery or
store at high temperatures.
These instructions are intended for every component in the system. If the
Tram-rac housing does not have its own power supply, it should remain
connected to the monitor throughout the safety tests.
WARNING
Failure to implement a satisfactory maintenance
schedule may cause undue equipment failure and
possible health hazards. Unless you have an Equipment
Maintenance Contract, GE Medical Systems Information
Technologies does not in any manner assume the
responsibility for performing the recommended
maintenance procedures. The sole responsibility rests
with the individual or institution using the equipment.
GE Medical Systems Information Technologies service
personnel may, at their discretion, follow the procedures
provided in this manual as a guide during visits to the
equipment site.
Test Conditions Electrical safety tests may be performed under normal ambient
conditions of temperature, humidity, and pressure.
Test Equipment The recommended test equipment required to perform electrical safety
tests is listed below.
Item Specification
Power Outlet Test Before starting the tests, the power outlet from which the monitoring
device will get electrical power must be checked. This test checks the
condition of the power outlet to ensure correct results from leakage tests.
Ground (Earth) Listed below are two methods for checking the ground (earth) integrity,
“Ground Continuity Test” and “Impedance of Protective Earth
Integrity Connection.” These tests determine whether the device's exposed metal
and power inlet's earth (ground) connection has a power ground fault
condition.
Ground Continuity Test Completion of this test is checked by the following steps:
1. Disconnect the device under test from the power outlet.
2. Connect the negative (-) lead of the DMM to the protective earth
terminal (ground pin in power inlet connector) or the protective earth
pin in the Mains plug (ground pin in power cord). Refer to the US
120Vac power cord figure above.
3. Set the DMM to the milliohm (mΩ) range.
4. Connect the positive (+) lead of the DMM to all exposed metal
surfaces on the device under test. If the metal surfaces are anodized
or painted, scrape off a small area in a inconspicuous place for the
probe to make contact with the metal.
5. Resistance must read:
Impedance of Protective This test unlike a ground continuity test will also stress the ground
system by using special ground bond testers.
Earth Connection
This test normally is only required as a manufacturing production test to
receive safety agency compliance (i.e. IEC601-1).
Some country agency’s do require this test after field equipment repairs
(i.e. Germany’s DIN VDE 0751 standards).
For equipment without a power supply cord the impedance between the
protective earth terminal and any accessible metal part which is
protectively earthed shall not exceed 0.1 ohms
For equipment with a power supply cord the impedance between the
protective earth pin in the mains plug and any accessible metal part
which is protectively earthed shall not exceed 0.2 ohms.
When taking this measurement, move the unit’s power cord around.
There should be no fluctuations in resistance.
Ground (Earth) Wire Perform this test to measure current leakage through the ground (earth)
wire of the equipment during normal operation.
Leakage Current
1. Configure the leakage tester like the circuit shown below.
Tests
Leakage Tester
Power Cord
0.15µF
DMM 1K
10
2. Connect the power cord of the device under test to the power
receptacle on the leakage tester.
NOTE
The device under test is to be tested at its normal
operating voltage.
NOTE
If either reading is greater than the appropriate
specification below, the device under test fails. Contact
GE Medical Systems Information Technologies Technical
Support.
• 300 microamperes (0.3 volts on the DMM), and the device under
test is powered from 100-120 V/50-60 Hz
• 300 µA (0.3 volts on the DMM), and the device under test is
powered from a centered-tapped 200-240 V/50-60 Hz, single
phase circuit
• 500 µA (0.5 volts on the DMM), and the device under test is
powered from a non-center-tapped, 200-240 V/50-60 Hz, single-
phase circuit
NOTE
Center-tapped and non-center-tapped supply circuits
produce different leakage currents and the UL and IEC
limits are different.
NOTES
The DMM plus leakage tester network shown is the
circuitry defined by the UL 544 standard for measuring
leakage current.
Enclosure Leakage Perform this test to measure current leakage through exposed conductive
surfaces on the device under test during normal operation.
Current Test
1. Configure the leakage tester like the circuit shown below with GND
switch OPEN and polarity switch NORM.
Leakage Tester
Power Cord
HIGH NORM Power Cord
LOW
GND
RVS
Device
Open
Under
Closed GND Test
0.15µF
DMM 1K
10
Probe to exposed conductive chassis
NOTE
Center-tapped and non-center-tapped supply circuits
produce different leakage currents and the UL and IEC
limits are different.
NOTE
If either reading is greater than the appropriate
specification below, the device under test fails. Contact
GE Medical Systems Information Technologies Technical
Support.
• 300 microamperes (0.3 volts on the DMM), and the device under
test is powered from 100-120 V/50-60 Hz
• 300 µA (0.3 volts on the DMM), and the device under test is
powered from a centered-tapped 200-240 V/50-60 Hz, single
phase circuit
• 500 µA (0.5 volts on the DMM), and the device under test is
powered from a non-center-tapped, 200-240 V/50-60 Hz, single-
phase circuit
NOTE
If the reading is greater than the specification below, and
the device under test is powered from 100-240 V/50-60
Hz, the device under test fails. Contact GE Medical
Systems Information Technologies Technical Support.
• 100 microamperes (0.1 volts on the DMM), and the device under
test is powered from 100-240 V/50-60 Hz
11. Set the power switch of the device under test to OFF.
Leakage Tester
Power Cord
RVS
Device
Under
Closed GND
Test
ECG Test Body
0.15µF
DMM 1K
10
NOTE
If either reading is greater than 50 µA (0.05 volts on the
DMM), the device fails this test. Contact GE Medical
Systems Information Technologies Technical Support.
NOTE
If either reading is greater than 10 µA (0.01 volts on the
DMM), the device fails this test. Contact GE Medical
Systems Information Technologies Technical Support.
NOTE
The AAMI and IEC single fault condition (ground open)
is 50 µA, whereas the normal condition (ground closed) is
less.
Leakage Tester
Power Cord
RVS
Device
120K
Under
Closed GND
Test
ECG Test Body
0.15µF or ECG Cable
DMM 1K
10 (Keep cable length as
short as possible.)
WARNING
Shock hazard. The following step causes high voltage at
the test body. Do not touch the test body.
NOTE
If either reading is greater than the appropriate
specification below, the device under test fails. Contact
GE Medical Systems Information Technologies Technical
Support.
• 10 µA (0.01 volts on the DMM) at 120 VAC using the test body.
• 20 µA (0.02 volts on the DMM) at 240 VAC using the test body.
NOTE
The 10 and 20 µA limits are based on internal design
standards. The 50 µA limit is common to all standards.
AAMI ES-1 standard requires using the patient cable.
Test Completion 1. Disconnect the leakage tester from the power outlet.
2. Disconnect all test equipment from the device.
3. Disconnect the device power cord from the leakage tester.
Checkout Procedures
Perform the checkout procedures when you receive the monitor, every
twelve months thereafter, and each time you service the unit.
The checkout procedures are based on the assumption that the tested
monitor has known good cables and test equipment. It also requires that
the user be familiar with the operation of all test equipment required for
the checkout procedures. For more information concerning the operation
of these components, refer to the respective operator manual(s).
Monitor Power-up NOTE: When the monitor is connected to a docking station, use the
docking station’s power cable instead of the monitor’s power
Tests cable.
1. Remove the batteries and unplug the monitor (or the docking station)
from AC power to turn the monitor off.
2. Restore the batteries to the monitor and plug the monitor (or the
docking station) into AC power to turn the monitor on.
3. Verify all four front panel indicators illuminate on power up.
4. Verify the AC indicator on the monitor stays illuminated.
NOTE: If the AC LED stays on, but the screen is blank, the monitor
is likely in “standby mode” (battery charging). Press the
POWER button to enter the normal mode.
• If the AC indicator is on, continue with the tests.
• If either of the CHARGING STATUS indicators is yellow, wait
for the battery(ies) to fully charge and the indicators to
illuminate green. The batteries may take up to four hours to
charge.
• If the battery “fuel gauge” displays the word “ERROR,” the
battery may be asleep. See “Error Message”on page 5-11.
5. Verify the optional alarm indicator lights both red and amber on
power up.
6. Verify an audio “Beep” sounds at the end of Boot up.
7. Test all of the front panel keys and the Trim Knob control. Verify that
an audio “Beep” sounds after each key press.
8. Check battery power for both batteries.
• Unplug the monitor (or the docking station) from AC power and
open the battery door. Verify one LED in the battery
compartment is on (batteries must have more than 10% charge).
• Pull that battery out and verify the other LED lights, thus
indicating the unit is powered by the other battery.
• Reinstall battery and plug in monitor (or the docking station).
ECG Tests
015B
5 Lead ECG Test Perform this test if the monitor acquires 5 lead ECG data.
1. Set up the patient simulator as follows.
• Heart rate – 80 bpm.
• Heart rate amplitude – 1.0 mV.
• 5-lead ECG patient cable properly attached.
• 2x gain for MARQI or MARQII simulator.
2. Attach the ECG patient cable and ECG leadwire set to the ECG/
RESP connector on the monitor and the leadwire connectors on the
top of the patient simulator.
3. Admit the patient simulator to the monitor.
4. Observe the following:
• ECG lead II is displayed and is noise-free,
• Heart rate of 80 ±1 bpm is displayed,
• With QRS tones enabled, an audible tone sounds with each R-
Wave (QRS complex).
5. Verify all six ECG leads are available to view and are noise-free.
6. Select DETECT PACE and set to PACE 2.
7. Select the VP2 pacemaker pulse on the simulator.
8. Observe the following while you view ECG leads I, II, III, aVL, aVF,
and V5:
• a “P” appears above the PVC count indicating pacemaker pulse
detection is enabled, and
• the heart rate still reads 80 ±1 bpm.
016A
16. This completes the 5 Lead ECG test. Continue to the next steps of
these checkout procedures.
12SL and ACI-TIPI ECG Perform this test if your monitor uses the 12SL ACI-TIPI ECG option.
Test 1. Set up the patient simulator as follows:.
• Heart rate – 80 bpm.
• Heart rate amplitude – 1.0 mV.
• 12SL ECG patient cable (5-leads with V leads) properly attached.
• 2x gain for MARQI or MARQII simulator.
2. Select ECG from the monitor menu. Then, select 12 Lead ECG
Analysis.
3. Verify that the monitor is displaying 10 noise-free leads.
4. Select 12LD ECG Now. Wait for the monitor to acquire and analyze
the data.
5. Select Transmit-Print.
6. Verify the 12SL ECG prints at the graph location assigned in the
monitor’s Graph Setup -->12SL Graph Location.
• If there is no graph location is assigned, an error message
appears on the bottom of the monitor’s display.
Respiration Tests 1. With the ECG patient cable still connected to the ECG/RESP
connector of the monitor, set up the patient simulator as follows:
• Respiration (RESP) baseline impedance – 750Ω,
• RESP ∆R – 0.5Ω,
• RESP lead select – I & II,
• RESP rate (respirations per minute) – 30.
2. Set up the monitor as follows:
• RESP waveform – on,
• RESP waveform lead select – lead II (RESP waveform derived
from ECG lead II).
3. Observe the following:
• RESP parameter window appears on the monitor with a reading
of 30 ±2 (respirations per minute),
• RESP waveform appears distortion-free on the monitor.
4. Change the RESP waveform lead select of the monitor to lead I
(RESP waveform derived from ECG lead I).
5. Observe the following:
• RESP parameter window appears on the monitor with a reading
of 30 ±2 (respirations per minute),
• RESP waveform appears distortion-free on the monitor.
6. Disconnect the ECG patient cable from the ECG/RESP connector of
the monitor. Proceed to the next steps in these checkout procedures.
Temperature Tests 1. Set up the patient simulator for a temperature output of 37°C.
2. Attach the temperature adaptor cable to the TEMP/CO connector of
the monitor.
3. Set the switch on the temperature adaptor to the 400 position.
4. Attach the temperature simulator cable from the SERIES 400
TEMPERATURE OUTPUT connector of the patient simulator to the
T1 connector of the temperature adaptor.
Cardiac Output Tests 1. Connect the cardiac output (CO) cable adaptor to the TEMP/CO
connector of the monitor.
2. Connect a simulator cable between the CO cable adaptor and the CO
simulator.
Invasive Blood The invasive blood pressure (BP) tests provide a method of verification
for both BP connectors (BP1 and BP2) of a monitor equipped with this
Pressure Tests optional function. Follow these steps:
1. Set up the patient simulator as follows:
• Blood pressure (BP) polarity – POS,
• BP output – 0 mmHg.
BP1 Connector (AR1) 1. Connect the BP simulator cable from the BLOOD PRESSURE 1 -
120/80 connector of the patient simulator to the BP1 (left-most BP)
Tests connector of the monitor.
BP2 Connector (PA2) 1. Connect the BP simulator cable to the BP2 (right-most BP) connector
of the monitor.
Tests
2. Verify a PA2 parameter window, waveform label and corresponding
graticules appear on the monitor display, along with a PA2 BP
waveform requiring zero reference.
3. Press the FUNCTION key on the front panel of the monitor to zero
reference the PA2 BP waveform.
4. Change the patient simulator BP output to 200 mmHg.
5. Observe a reading of 200/200 (200) ± 4 mmHg in the PA2 parameter
window on the monitor display.
6. Change the patient simulator BP output to WAVE (simulated BP
waveform).
7. Set the PA2 BP waveform gain on the monitor to auto.
8. Observe a distortion-free PA2 BP waveform and a reading of
approximately 120/80 (93) in the PA2 parameter window on the
monitor display.
9. Remove the BP simulator cable from the BP2 connector of the
monitor. This completes the BP tests.
Pulse Oximetry Tests 1. Set the pulse oximetry (SpO2) simulator power switch to the off
position.
2. Connect the Nellcor-style SpO2 simulator cable between the SpO2
connector of the monitor and the SpO2 simulator.
7. Verify accuracy of the PPR values on the monitor display using the
SpO2 simulator pulse rates from the following table.
70 B/M 68 – 72
100 B/M 97 – 103
160 B/M 156 – 164
10. Set the SpO2 simulator power switch to the off position.
11. Disconnect the Nellcor-style SpO2 simulator cable from the monitor
SpO2 connector. This completes the SpO2 tests.
Noninvasive Blood 1. Attach the digital manometer, noninvasive blood pressure (NBP)
cuff, tees and tubing, as shown in the illustration below, to the NBP
Pressure Tests connector of the monitor.
Using the Trim Knob control, access the SERVICE MODE menu starting
from the MAIN menu.
1. Select MORE MENUS -> MONITOR SETUP -> SERVICE MODE ->
2. Enter password using the Trim Knob control to select the day and
month from monitor screen with leading zeros. (e.g. July 4 = 0407).
The text on the menu item changes from CHECK CAL OFF to
CHECK CAL IN PROGRESS.
Verify the readings in the NBP parameter window on the monitor
display and readings on the digital manometer are equal (± 1 mmHg)
for at least one full minute. If the readings are not equal for at least
one full minute, the NBP circuit requires calibration.
3
5. Remove the NBP test setup apparatus from the monitor. The NBP
tests are complete.
Analog Output and 1. Use the figure at the left as a reference for connecting the
oscilloscope to the DEFIB SYNC connector, located on the back panel
Defibrillator of the monitor, for performing these tests.
Synchronization 2. Test the ECG, Arterial BP, and Marker Out signals from the DEFIB
Tests SYNC connector. They should closely resemble the waveforms in the
figures below.
Time/Division: — 0.2S
Volts/Division: — 0.5V
023A
Time/Division: — 0.2S
Volts/Division: — 0.2V
024A
There are two Marker Out traces shown below. The upper Marker Out
figure references the frequency aspects of the signal. The lower Marker
Out figure references the pulse width aspects of the signal.
NOTE: The Marker Out amplitude and the pulse width are configured
in the boot menu as described in the configuration chapter. The
following two graphs indicate an amplitude of 5V and a pulse
width of 10ms.
Time/Division: — 0.2S
Volts/Division: — 1V
025A
Time/Division: — 5mS
Volts/Division: — 1V
026A
Verify Markers 3. Attach a jumper wire between pin-1 (Marker Out) and pin-2 (Marker
In) of the DEFIB SYNC connector located on the back of the monitor.
Verify negative spikes in each of the QRS Complex (ECG waveform)
R-Waves on the monitor display, similar to those shown in the
illustration below.
4. Remove the jumper wire installed in the previous step, from the
DEFIB SYNC connector. This completes the defibrillator
synchronization tests.
Battery Tests 1. Disconnect the power cord plug from the wall receptacle.
2. Verify the BATTERY front panel indicator illuminates. This
indicates operation from the monitor’s battery power.
3. Setup the patient simulator as follows:
• ECG heart rate – 80 bpm,
• ECG amplitude – 1.0 mV,
• 5-lead patient cable attached.
4. Observe the following:
• ECG Lead II is displayed and is noise-free,
• Heart rate of 80 ±1 bpm is displayed,
• With QRS VOLUME enabled, an audible tone sounds with each
R-Wave.
5. Verify all six ECG leads are selectable for display on the monitor.
6. Connect the power cord plug to the wall receptacle.
7. Verify the AC front panel indicator illuminates. This indicates the
monitor is operating from wall receptacle (AC) power.
8. Verify the CHARGING STATUS front panel indicator illuminates
for a few minutes.
• An amber glow indicates the monitor battery is charging.
• A green glow indicates the monitor batteries are fully charged.
Graph Test Using the Trim Knob control, access the SERVICE MODE menu starting
from the MAIN menu.
1. Select MORE MENUS -> MONITOR SETUP -> SERVICE MODE ->
2. Enter password using the Trim Knob control to select the day and
month from monitor screen with leading zeros. (e.g. July 4 = 0407).
3. Select GRAPH TEST PATTERN-> START->.
4. Verify the following:
• Fonts.
• Shading.
• Triangle Pattern.
• No missing dots.
5. Select GRAPH TEST PATTERN-> STOP->.
Graph Speed Test Using the Trim Knob control, access the GRAPH SETUP menu starting
from the MAIN menu.
1. Select MORE MENUS -> MONITOR SETUP -> GRAPH SETUP ->
2. Select SPEED:25 (default).
3. Verify that all eight speeds work.
Display Test 1. Hold the NBP GO/STOP and the FUNCTION keys and press the
Trim Knob control at the same time.
2. Release the Trim Knob control immediately.
3. Continue holding the NBP GO/STOP and the FUNCTION keys.
4. Select “Video Test Screens.”
5. Test all screens:
• White Screen.
• Red Screen.
• Blue Screen.
• Green Screen.
• Vertical Bars.
Network Test 1. Verify that the monitor is connected to the Unity-MC (Mission
Critical) network.
RF LAN Test (option) 1. If the monitor has the Wireless LAN, disconnect the Ethernet cable
and verify Wireless LAN communication still exist between beds,
2. Reconnect the Ethernet Cable.
3. Return to the MAIN MENU.
Electrical Safety Tests When the monitor is connected to the docking station, perform ALL the
tests described in “Electrical Safety Tests,” starting on page 4-9.
Operation Complete the “Checkout Procedures” located in the “Dash Port Docking
Station Service Manual.”
RAC 2A Module
Housing Test
Electrical Safety Because the RAC 2A module housing has a separate power supply,
perform electrical safety tests separate from the monitor.
Refer to the “Electrical Safety Tests” section of this chapter and complete
the following tests.
1. Wall Receptacle Test
2. Ground (earth) Continuity Test,
3. Ground (earth) Wire Leakage Tests, and
4. Enclosure Leakage Current Test.
Checkout This completes all tests associated with the checkout procedures.
Procedures 1. Discharge the test patient admitted during the “ECG Tests”on
page 4-19.
Completion
2. Set all test equipment power switches to the off position.
3. Unplug the monitor (or docking station) from AC power.
4. Remove all test equipment from the monitor (or docking station).
Repair Log
Institution Name:
Service Menus
There are two distinct service menus for the monitor. The SERVICE
MODE menu is found in the monitor’s Main Menu and is used for various
functions like calibration, video tests, and downloading monitor interface
software. The Boot Loader SERVCIE MENU is found in the Boot Code
and is used when downloading the Boot Code and main processor code.
Both service menus are generally used by qualified field engineers and
factory service personnel to troubleshoot, repair, or download new
software to the patient monitor.
WARNING
The Boot Loader SERVICE MENU and the SERVICE
MODE menu is intended for qualified personnel only. It
is possible to lose patient data, damage the operating
software for this monitor, and even affect the Unity
Network. Do not ‘experiment’ with any commands found
in the service menus.
Boot Loader Service Use the Boot Loader service menu when downloading new Boot Code or
Main Code software to the patient monitor or when the patient monitor
Menu exhibits a serious failure. Activate the Boot Loader program as follows:
1. Hold down NBP Go/Stop and Function on the front panel.
2. Press and release the Trim Knob control.
3. Keep holding NBP Go/Stop and Function until the Boot Loader
information appears on the display.
WARNING
Duplication of an Internet address on a network causes
data loss and possible Unity Network problems. If you
change the factory assigned Internet address, you must
record all other Internet addresses used on your network
to avoid duplication.
Main Menu Service The SERVICE MODE menu option items provide the user access to
several general and technical built-in software functions of the monitor.
Mode Menu Only persons responsible for configuring and maintaining the monitor
should access the service mode menu option items.
WARNING
The Service Mode menu is intended for use only by
qualified service technicians. Experimentation with
service mode menu option items can be detrimental to
the monitor. Lost patient data, damaged operating
system software for the monitor, even network related
problems are but a few examples of problems that can be
induced as the result of tampering with service mode
menu option items.
Access the Service Mode Access the SERVICE MODE menu starting from the MAIN menu.
1. Select MORE MENUS -> MONITOR SETUP -> SERVICE MODE ->
2. Enter password using the Trim Knob control to select the day and
month from monitor screen with leading zeros. (e.g. July 4 = 0407).
About Service Mode The Service Mode menu is used for initial setup and configuration as well
as for troubleshooting. ALWAYS exercise caution when using any of
Menu Option Items these password-protected functions.
The service technician can use the Service Mode menu to:
◆ relay software information to design engineers;
◆ calibrate and troubleshoot NBP functions of the monitor;
◆ set admit menu options, software feature levels and operating
mode of the monitor;
◆ configure the monitor unit name, bed number and Internet
address for use on the network; and
◆ enter or change the time and date on the monitor.
WARNING
Some of the service mode menu option items are to be
used only by qualified service technicians and others are
for general use. Because of this, unnecessary tampering
with service mode menu option items for experimentation
purposes is not recommended by GE Medical Systems
Information Technologies and may cause a malfunction of
the monitor.
Service Mode Menu Following is a list of options in the main code service menu;
Option Items REVIEW ERRORS—This menu selection is for advanced troubleshooting
by GE Medical Systems Information Technologies’ engineers. Error log
data can be transferred over the network to a central station and then
loaded onto a diskette for review. (Review Errors is discusses in greater
detail later in this chapter.)
WARNING
Changing the patient-monitor type will default the admit
function to STANDARD configuration. Different alarms
and parameters are activated for each selection.
• SOFTWARE LEVEL
This menu selection displays the software feature level this monitor
is using. It allows setting the level to a lower setting than the
software feature level setting in Boot Code.
WARNING
Duplication of an internet (IP) address on a network
causes lost data. If you change the factory assigned
internet address, you must first record all other internet
addresses used on your network to avoid duplication.
TIME AND DATE—This menu selection allows changes to the time and
date and may affect the time and date for the entire monitoring network.
(Refer to Chapter 6, Configuration, for detailed procedures.)
WARNING
Loss of patient history. This menu should rarely be used
because patient histories will be lost.
Review Errors The REVIEW ERRORS menu is an advanced troubleshooting tool used
by GE Medical Systems Information Technologies’ engineering
personnel. Some of the information recorded in the monitor error log can
be useful for field service troubleshooting.
About the Monitor Error This section provides an introduction to error log usage and meaning.
Because the information contained in the error log is engineering-
Log oriented, the intent of the manual is to simply provide a general
understanding of this monitor function.
Downloading the Error This section includes a method for downloading error log data over the
network to a central station. Once downloaded to a central station, you
Log can load the error log data onto floppy diskettes or review it on the
central station.
Accessing the Review To access the error log and learn more about the REVIEW ERRORS
menu option item, follow these steps:
Errors Menu Option Item
1. Rotate and press the Trim Knob control to select REVIEW ERRORS
from the Service Mode Menu.
2. The review errors menu option items include four possible selections;
one each for viewing output or input errors along with one each for
clearing output or input errors. Rotate and press the Trim Knob
control to scroll to and select VIEW OUTPUT ERRORS from the
Review Errors Menu.
3. The RUN TIME ERROR LOG pop-up window appears on the left
side of the monitor display. One time-dated output software error
appears in the pop-up window at a time.
Use the Trim Knob control to scroll through each logged error and
peruse all of the parameters associated with each output software
error. Rotate the Trim Knob control to move the cursor (>) to a
position for viewing the NEXT or PREVIOUS error as well as the
position that allows the user to QUIT viewing output errors.
Selecting QUIT closes the RUN TIME ERROR LOG pop-up window
and returns to the Review Errors Menu.
4. The VIEW INPUT ERRORS menu causes a RUN TIME ERROR
LOG pop-up window to appear on the monitor display. The pop-up
window now displays input software errors and provides basically
the same information as the VIEW OUTPUT ERRORS pop-up
window provided. The appearance of both pop-up windows are
similar, the difference being errors that are logged as input versus
output to/from the monitor.
5. To clear out the stored run time error logs, use the Trim Knob control
to select the CLEAR OUTPUT ERRORS or CLEAR INPUT ERRORS
menu, respectively.
Immediately after you clear one of the error logs, a message appears
on the upper right side of the display. The message verifies the
actuation of the Trim Knob control for this function.
Error Log This part of the section describes in greater detail what information the
error log contains and what can be learned from error logs.
Information
An error log in the monitor can hold up to 50 events. As an event occurs,
error information is stored in the log. Subsequent events are stored
sequentially as they occur. When the 50-event limit is reached,
subsequent errors replacing the oldest error(s) in the log.
When using the error log to troubleshoot a problem with the monitor, the
following parameters from the pop-up window that are of greatest
interest are:
Error Logs Error logs contain more than just operating system errors. Many events
that occur that might have an impact upon the system are entered into
the log. These logs may be requested by Tech Support on occasion to aid
in troubleshooting the monitor. The logs are developed to aid engineering
for internal diagnostics of the monitor. Contact Tech Support if you need
clarification of any of the error logs.
Severity of the Error Severity is a measure of how the event/error affected the system. There
are three levels of severity. The following is a list of these levels
accompanied by a brief description of each:
• FATAL—The event or error was logged, the task did not complete,
and the system was unable to continue operating as recovery was not
possible. This level of severity in an event or error is always followed
by an automatic warm start.
Alarm Conditions Battery alarms occur when the following conditions occur:
• Low Battery,
• Empty Battery,
• Battery Failures, or
• Charger Failures.
CHECK BATTERY STATUS System MESSAGE Battery FailureA minor failure has occurred
while using or charging the battery.
Error Message
ERROR The battery is either Complete the following steps to “wake up” a monitor’s
asleep or faulty. battery that has not been used for a period of time.
1. Hold the NBP Go/Stop and the Function
buttons and press the Trim Knob control at the
same time.
2. Release the Trim Knob control immediately.
3. Continue holding the NBP Go/Stop and the
Function buttons.
4. Disconnect the monitor from the network.
5. Select option 12, “Wake up Battery.”
6. Place the “sleeping” battery in battery slot “A.”
7. Select option 1, “Wake up Lithium ion battery in
Slot A.”
Wall Receptacle Use this procedure to confirm AC power from the wall receptacle which
the monitor is plugged into.
Readings other than these indicate improper wiring. Have the wall
receptacle checked by an electrician.
2. Use a DMM to measure the ground-to-neutral loop resistance.
CAUTION
DO NOT check the ground-neutral loop resistance unless
the wall receptacle is correctly wired.
• Measure from the ground lug on the rear power connector to any
exposed metal of the monitor. The resistance between the ground
and neutral connections, after the ohmmeter is nulled, must be
less than 100 mΩ. If not, have the wall receptacle checked by an
electrician.
Power Cord and Plug Verify the power cord being used with the monitor is good. The following
are a couple of things to check for in this regard:
• Failure of the power cord strain relief is very common. Often times
users of the equipment pull on the power cord itself, rather than the
power cord plug, to unplug the monitor from a wall receptacle. If in
doubt, test for continuity through each conductor of the power cord
connector and plug.
ECG Functions 1. Connect the MEI Multifunction Microsimulator (pn MARQII) and
appropriate patient cables, to the ECG connector of the monitor.
Turn the monitor and the patient simulator on.
2. Set the monitor to display leads I, II, III, and V simultaneously:
3. Set the patient simulator to output calibration (cal) pulses at 1.0 mV.
4. Measure the cal pulse ( ) amplitude. These should be (+/–20%):
• Lead I: 0.5 mV
• Lead II: 1 mV
• Lead III: 0.5 mV
• Lead V: –0.5 mV
5. It may be necessary to run a graph to accurately measure the cal
pulses. Perform these steps to graph all four waveforms.
ECG Waveforms Display 1. If the calibration pulses are not correct, test the patient simulator
using a working monitor. If the patient simulator functions as
Incorrectly designed, calibrate the acquisition PCB. Refer to Chapter 5,
“Calibration.”
2. If displayed ECG waveforms contain a significant amount of noise
(see figure at left), check the ECG patient cables.
3. Test the patient simulator and ECG patient cables on a working
monitor to verify the ECG signal.
4. If the ECG signal, patient simulator and ECG patient cables are
good, the acquisition PCB is suspect and you need to replace it.
ECG Waveforms Do Not 1. Test the ECG patient cables on a working monitor.
Display At All 2. Test the patient simulator on a working monitor.
3. Swap the acquisition PCB into a working monitor. If the symptoms
follow the PCB into the working monitor, replace the acquisition
PCB.
4. If none of these first three steps provide any results, swap the
processor PCB and/or power supply PCB into a working monitor.
Lead Fail Functions 1. With the monitor displaying leads I, II, III, and V from the patient
simulator, remove the RA leadwire from the patient simulator.
2. The monitor should display a warning of a RA FAIL message. Lead
fail detection functions properly if this is the case. Lead fail detection
does not function properly if this is not the case. The acquisition PCB
is suspect. Swap the PCB with a working monitor to verify the
malfunction.
3. Reattach the RA leadwire to the patient simulator.
Pace Detect 1. With the monitor displaying leads I, II, III, and V, set the patient
simulator to output a VP1 (ventricular pacemaker simulation #1)
Functions waveform.
2. Enable the pacemaker detection function of the monitor:
6. The heart rate number may disappear from the display for a few
seconds and return to the screen shortly thereafter. Verify the heart
rate is at approximately 80 bpm. Verify the pacemaker spikes display
at the same amplitude.
7. Disable the pacemaker detection function of the monitor. Verify the
displayed pacemaker spikes have a different amplitude than in the
previous step.
8. Select the AVS output (A/V sequential pacemaker simulation) on the
patient simulator.
9. Select and press RELEARN.
10. Verify the displayed pacemaker spikes are at different amplitudes.
11. Select and press RELEARN.
12. Enable the pacemaker detection function of the monitor once again.
13. Set ECG GAIN to X2.
14. Verify a stable heart rate display of approximately 80 bpm. Verify the
pacemaker spikes are again at the same amplitude.
15. Disable the pacemaker detection function of the monitor.
Pace Detect Functions Do If the pacemaker detection test results are not correct, as described
above:
Not Work Properly
• Verify the patient simulator functions correctly by testing it on a
working monitor,
Invasive Blood The invasive blood pressure (BP) test procedure requires the use of the
following patient simulator: MEI Multifunction Microsimulator
Pressure Functions (pn. MARQII). If you need to use a different patient simulator, adjust the
procedure steps/readings accordingly.
Setup BP1 Connect the BLOOD PRESSURE 1 output of the patient simulator to the
P1 patient connector on the side panel of the monitor.
Setup BP2 Connect the BLOOD PRESSURE 2 output of the patient simulator to the
P2 patient connector on the side panel of the monitor.
• Return to the main menu of the monitor and setup auto gain for the
PA2 waveform as you did for AR1.
Verify Dynamic BP Once the BP waveforms are setup as described above verify the following:
Results • Both the AR1 and PA2 BP waveforms are noise-free, as shown in the
figure at the left.
NOTE: These tests are designed for use with a MEI Multifunction
Microsimulator, pn. MARQII. Accuracy specifications of the
patient simulator in combination with the monitor (±2% or 1
mmHg, whichever is greater) is how the parameter values listed
above, were derived. Use of any other manufacturer patient
simulator, and associated specifications, can potentially change
these test results.
Generate Static BP Set the patient simulator BP output to 200 mmHg, static pressure.
Waveforms • Verify the BP1 channel is working correctly if systolic, diastolic, and
mean pressure values for AR1 are displaying parameter readings
between 194 and 206 mmHg. Remove the cable from BP1 and install
it in BP2 and repeat the test.
BP Waveforms Do Not 1. If the AR1 or PA2 parameter labels, readings and associated
waveforms do not display on the monitor, verify the patient simulator
Appear On The Display At and associated test cables on a working monitor.
All 2. Inspect the BP side panel connectors on the monitor for bent or
broken pins. If any pins are bent or broken, replace the DAS
assembly.
3. Perform continuity tests between the side panel connectors of the
monitor, front panel flex circuit assembly located behind the front
panel connectors, and connection to the acquisition PCB.
4. If the patient simulator and associated test cables function correctly
and the continuity tests yield no malfunction, the DAS assembly is
suspect. Swap the DAS assembly into a working monitor to
determine if a replacement is necessary.
• Rate BPM – 30
• ∆R Ohms – 2.0.
2. Enable the respiration function of the monitor:
No Respiration Waveform If the respiration waveform or rate does not appear on the monitor
display, perform the following steps to isolate the problem:
or Rate Appear on the
Display • Vary the baseline impedance on the patient simulator
Markers do not Appear on If the markers on the respiration waveform do not appear on the display
or the respiration rate count is inaccurate, try changing the respiration
Respiration Waveform; sensitivity level on the monitor. Use the Trim Knob control on the
Respiration Rate is monitor to:
Inaccurate • Scroll to and select RR (respiration parameter) from the monitor
main menu,
Respiration Functions Refer to the Operator’s Manual for detailed information regarding
patient preparation relative to respiration monitoring functions.
Work Properly on Patient Achieving optimum results for respiration waveforms and accurate
Simulator but not on respiration rate detection by the monitor requires proper preparation for
ECG electrode placement on the patient. An example of a noisy
Actual Patient respiration waveform, usually due to bad patient preparation, is shown
at the left.
Noninvasive Blood Perform the noninvasive blood pressure (NBP) Checkout Procedure
found in the Maintenance chapter. This procedure determines whether or
Pressure Functions not the NBP functions of the monitor are working as designed or whether
the monitor requires NBP calibration.
• The NBP cuff and tubing is the easiest area to inspect for leaks
and is also the most likely area for failure in this regard. Closely
inspect these items for cracks or leaks. Test the NBP cuff and
tubing on a working monitor to determine the source of the
problem.
NBP Alarms Occur If the monitor is not configured properly, a variety of NBP problems may
occur. To determine monitor configuration, rotate then push the Trim
Continuously Knob control to:
• If the monitor can not be viewed at the central station or can not view
other monitors, it may not be communicating with the internal RF
card.
1. Check the status of the Wireless LAN communication:
a. Select REVISION AND ID option from the Monitor Setup
Menu.
b. There are three pages of software revision information.
Select NEXT to display the second page of information.
c. Select NEXT twice to display the Hardware ID Display
information window.
d. Verify the WIRELESS LAN ID shows the proper country,
status, revision and date code. For example: US 02 V4.63
00022.
2. If there is no WIRELESS LAN ID, the card may be disabled or
inoperative. Verify the card is enabled:
a. Activate the Boot Code by holding down NBP Go/Stop and
Function.
b. Press and release the Trim Knob control.
c. Keep holding NBP Go/Stop and Function until the Boot
Code information appears on the display.
d. Select Service Menu -> Set Configuration -> Configure
Wireless LAN -> Enable/Disable Wireless LAN.
3. The monitor is configured with international roaming. The
country abbreviation code (US 02 V4.63 00022) must match the
country the monitor is in. If the code does not match:
◆ Check to make sure the correct Access Point is installed.
◆ Refer to the Wireless LAN (Symbol Access Point)
Installation and Service Manual for details on proper
Access Point installation.
Service Tips
Centralscope central The Centralscope central station has loaded the monitor software onto its hard
station contains the drive, but the monitor does not see the central station on the network. There are
software, but the two ways to get the central station to broadcast across the network.
monitor cannot find it. ■ If patient monitoring may be interrupted, press the CTRL, ALT, and
DELETE (backspace) keys simultaneously to reboot the central station.
■ If the central station is monitoring patients, do the following:
1. At the central station, starting from the MAIN menu select CENTRAL
SETUP -> SERVICE ->
2. Enter Password MEI CS 123.
3. Select SERVICE MONITOR.
4. Type ps eaglefs (case sensitive) and press ENTER. Enabling the EAGLEFS
program that teaches your central station how to broadcast the software on
the network. The central station will respond in one of two ways:
■ If the central station is not running EAGLEFS, it will respond with:
INVALID PROCESS ID OR NAME. Type run eaglefs HDØ (case sensitive)
and press ENTER.
■ If the central station lists EAGLEFS as a running process, go to the next
step.
5. Press MAIN MENU on the front panel to exit the SERVICE MONITOR and
go back to the monitor to download the software.
Monitor appears
‘locked up’ during a CAUTION
network download.
Do not power cycle or reboot the monitor if downloading the Boot
Code is proceeding normally. The monitor will be rendered
useless.
If the packet or byte numbers stop advancing for at least two minutes, do the
following:
1. Check that all cables are properly connected.
2. At the patient monitor:
■ Hold down NBP Go/Stop and Function.
■ Press and release the Trim Knob control.
■ Keep holding NBP Go/Stop and Function until the Boot Code information
appears on the display.
3. Repeat the software update procedure for the aborted file from the
beginning.
A:/> prompt does not Select the correct disk drive on the PC to get the A:/> prompt. Many laptop PCs
appear at the PC have a switch that allows a single disk drive to emulate two disk drives. Set the
drive switch to A and then press the CTRL, ALT, and DELETE keys
simultaneously to reboot the PC.
Monitor appears
‘locked up’ during a CAUTION
PC download
Do not power cycle or reboot the monitor if downloading the Boot
Code is proceeding normally. The monitor will be rendered
useless.
If the packet or byte numbers stop advancing for at least two minutes, do the
following:
1. Check that all cables are properly connected.
2. Press the ESC key on the PC and the update will continue.
3. Select ABORT on the monitor or power cycle the monitor.
4. Repeat the software update procedure for the aborted file from the
beginning.
Software revision If the part numbers are not listed for the monitor interfaces in the software
window does not list revision window, the software update has not been activated. power cycle the
part numbers. monitor and view the software revisions window again. If the part numbers are
still missing, repeat the update procedure for each missing file.
Error Messages
The following table describes error messages that may appear on the
display and how to resolve the problem.
“WARNING: The EEPROM data was found to be either Following the EEPROM dump, restore data:
INVALID or uninitialized. GE Marquette factory
1. Restore Ethernet address and IP address
defaults will be stored in both the EEPROM and the
as requested by the Boot Code.
monitor’s configuration memory. You will be required
to re-enter the network configuration, re-enable any 2. Power cycle.
password protected features and restore all monitor
3. If error message persists, replace processor
settings and site-specific defaults.”
pcb. If error message no longer occurs, re-
enable any password protected features
and restore all monitor settings and site-
specific defaults via SERVICE MENU ->
Set Configuration, and Options Menu.
“Real Time Clock FAILED - will not start.” If problem persists and error message displays,
“WARNING: The real time clock chip is not running. replace processor pcb.
Main Code cannot be loaded until this chip is started.
Attempting to start real time clock...”
Followed by either
“The real time clock was started. Select Start Patient
Monitoring to load and execute Main Code.”
Or
“ERROR: Unable to start the real time clock.”
Software upgrade diskettes. There are two different sets of software upgrade diskettes.
n 8 diskettes containing English and European languages, pn 422230-007.
n 6 diskettes containing English and Asian languages, pn 422230-006.
Centralscope central station or a Clinical PC or PC laptop meeting the following
Information Center (CIC) that is networked minimum requirements:
with the monitors you want to upgrade. n MS-DOS compatible
n IS NOT a Windows NT system
n 1.4M, 3.5-inch floppy drive
n RS-232C serial port
127(
The PC must use MS-DOS,
not a simulation of MS-DOS
to complete this upgrade.
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There is a temporary loss of monitoring functions throughout
various parts of the patient monitoring system until the update
is complete on each monitor in the system. Medical staff should
be prepared to cover patients in need during these periods of lost
monitoring functions.
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Patient Histories, Trends, and Vitals are lost after the upgrade.
Notify hospital staff to print out the data before you start the
upgrade.
127(
DO NOT download software into the monitor while the monitor
is connected to a patient. Inform medical staff responsible for
patients connected to the monitor that you are updating the
equipment so they may take appropriate actions.
1. Write down the Centralscope central station or CIC CARE UNIT NAME and CENTRAL 1. From the PC Windows operating
NUMBER of that particular central station for use later in this procedure. environment, copy the folders and
subdirectories from the software
upgrade diskettes into the PC.
127(
u For non-Asian language
monitors, you will only
use diskettes 5–8.
u For Asian language
monitors, you will only
use diskettes 4–6.
2. Insert the first software upgrade diskette into the floppy drive. 2. Exit into DOS.
127(
n For non-Asian language monitors, you will only use diskettes 1–4.
n For Asian language monitors, you will only use diskettes 1–3.
a. From the Main Menu, select: SETUP a. From the Main Menu, select: a. At the C:\ > prompt, type the word
CIC. CENTRAL SETUP --> SERVICE --> update and press the Enter key. This
b. Select the SERVICE PASSWORD PASSWORD (MEI CS 123). starts the Update UTILITIES program.
tab. b. Press Enter. b. Press F2 to select and display the
c. Type the password, mms_com c. Select LOAD SOFTWARE. Then wait UPDATE BEDSIDE utilities menu.
d. Press Enter. A C:\ > prompt appears. approximately 10 seconds.
e. Type A:cinstall 2c d. Select FLOPPY. Several status
messages appear in the top left
corner of the display.
127(
If you insert the wrong e. Verify that messages similar to the
diskette, or make a typing following are displayed:
error, press Ctrl + C. Then LOADING FROM...FLOPPY
complete step 3 again. LOADING DISK
127(
f. Follow the instructions on screen to The central station
remove and insert the next diskette. automatically ejects the
When all of the required files have diskette and identifies the
been downloaded into the CIC, the next diskette you should
CIC will display the message, insert into the floppy drive. If
“INSTALL COMPLETE.” the diskette does not eject
g. Close the DOS window. from the floppy drive after 20
minutes, reboot the central
station and complete step 3
again.
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CONNECT THE EQUIPMENT TO AN AC POWER SOURCE —
The monitor and PC should use a reliable power source to
complete the upgrade process. DO NOT use battery power during
the upgrade. A battery failure during the upgrade process may
result in an update process failure.
127(
To prevent loading the boot code twice, the software files MUST be
loaded in the following sequence.
1. MAIN BOOT SW REVISION
2. MAIN SW REVISION
adapter
pn 420915-013
2. Go to the monitor and complete the following to activate the BOOT LOADER program.
a. Simultaneously press and hold down the NBP Go/Stop key, the Function key, and the Trim Knob control to reboot the monitor.
Once the display goes blank, release just the Trim Knob control.
b. Continue to press and hold down the NBP Go/Stop and the Function keys until the BOOT LOADER screen appears on the
monitor’s display.
3. From the monitor, select the file server (CIC or Centralscope central station) from which 127(
you will download the upgrade files. The BOOT LOADER screen
briefly appears on the monitor
127( display, then after approximately
If the file server is not found, select SEARCH FOR FILE SERVER 30 seconds, the SERVICE MENU
AGAIN. Then, select the appropriate file server. appears.
4. Select the directory where you loaded the upgrade software. 127(
The monitor displays a warning
message concerning the loading
of software that is not part of the
normal update procedure.
5. Complete the following steps. 5. Complete the following when the monitor
a. From the monitor, select the boot.scr file name. displays a “status: Initializing...”
message.
127(
a. From the PC, use the up/down arrow
The monitor displays a warning message concerning the loading of
keys to highlight the boot code file,
software that is not part of the normal update procedure.
4222692C.011.
b. Turn and press the Trim Knob control to select YES to continue. b. Press ENTER to begin downloading
c. Press the Trim Knob to select YES to begin downloading the boot code file onto the the file to the monitor
monitor. c. Verify that the received bytes continue
to increment. If the bytes stop
incrementing for more than two
minutes, re-start this upgrade from the
beginning.
6. Complete steps 3 and 4 to prepare the monitor for downloading the main code. 6. Select Serial Download Main.
a. Press the Trim Knob control to select
YES to continue.
7. Select the main.scr file name. Press the Trim Knob control to select YES to begin 7. Complete the following when the monitor
downloading the main code. The monitor will automatically reboot after the main code displays a “status: Initializing...”
has been downloaded. message.
a. Go to the PC and use the up/down
arrows on the keyboard to highlight
the main code file, 4222282C.031.
b. Press ENTER to begin downloading
the file to the monitor.
c. Verify that the received bytes continue
to increment. If the bytes stop
incrementing for more than two
minutes, re-start this upgrade from the
beginning.
d. Repeat steps a through c to upgrade
the remaining main code files
identified for Non-Asian or Asian
language monitors.
Non-Asian Monitor Asian Monitor
4222282C.032 4222282C.032
4222282C.033 4222282C.033
4222282C.034
8. Press and hold down the NBP Go/Stop key, the Function key, and the Trim Knob control to manually reboot the monitor.
021,7255(%227127(
n A successful reboot results in the monitor displaying the start up screen.
n An unsuccessful reboot results in the monitor displaying the BOOT LOADER screen.
In the BOOT LOADER screen, verify whether the Boot Flash Test and the Main Flash Test passed or
failed. If a test failed, complete steps 2–5 to re-load the code (boot code and/or main code) for the test
that failed.
Configuring a Monitor
This section explains how to configure a patient monitor. The procedure
addresses use in both types of patient monitoring system configurations:
General
Use this procedure if you are:
Gather Information
To configure a new monitor, you must first:
n know that the new monitor’s software revision is compatible with the
other monitors connected to the Unity Network.
n write down the exact care unit name from the upper left hand corner
of the central station.
n write down the bed name for the new monitor.
n know if the monitor will be used for either stationary or ambulatory
(telemetry) monitoring or both.
n know if the monitor will be moved from one Ethernet connection to
another.
Select Procedures
Choose and program the procedures listed below in the order presented.
Each procedure is described on the next pages.
Access SET UNIT NAME option, starting from the Main Menu.
↑ ↓
4. Use the Trim Knob control to select and change each character. Up to
seven characters may be entered.
5. Select SET UNIT NAME and press the Trim Knob control to exit.
Set Bed Number
The bed number identifies a particular patient bed. Up to five characters
are used to identify bed number. This number displays at the top right of
the screen.
Access SET BED NUMBER option, starting from the Main Menu.
↑ ↓
4. Use the Trim Knob control to select and change each character. Up to
five characters may be entered.
5. Select SET BED NUMBER and press the Trim Knob control to exit.
Patient-Monitor Type
The PATIENT-MONITOR TYPE selection determines the type of
monitor desired, i.e adult, neonatal or operating room. Different alarms
and parameters are activated for each selection. This menu item is part
of the SERVICE MODE menu.
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Each time the patient-monitor type is changed, the ADMIT
MENU function defaults to STANDARD configuration. Be aware
that some alarms and parameters may be changed.
↑ ↓
1. Select MORE MENUS -> MONITOR SETUP -> GRAPH SETUP ->
GRAPH LOCATION -> MANUAL GRAPH LOCATION.
2. Using the Trim Knob control, choose the manual graph location from
the list.
3. Select ALARM GRAPH LOCATION.
4. Using the Trim Knob control, choose the alarm graph location from
the list.
5. Select PRINT WINDOW LOCATION.
6. Using the Trim Knob control, choose the print window location from
the list.
7. Select 12 LEAD PRINT LOCATION.
8. Using the Trim Knob control, choose the 12 lead print location from
the list.
Communication Confirmation
Confirm communication across the network.
Admit Menu
The ADMIT MENU selection determines the function of the monitor.
This menu item is part of the SERVICE MODE menu.
Before programming the ADMIT MENU, you must know if the monitor
will be used for standard adult, neonatal, or operating room monitoring,
and if the monitor will be moved from room to room. All combinations are
explained below.
↑ ↓
4. Use the Trim Knob control to select the function of the monitor.
5. Press Trim Knob control to exit.
Use the Boot Code SERVICE MENU to set the MUSE Protocol. The
default setting is Hilltop.
NOTE: Do not change the SSID. Enable the Wireless LAN option if
the monitor has been upgraded to with Wireless LAN.
Set Language
Select Set Language to change the language of the displayed text.
Completion
The monitor is now ready for normal operation. At this time, perform the
“Checkout Procedure” found in Chapter 4, Maintenance.
Procedures
The following procedures are discussed later in this chapter.
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Loss of patient data history. Changing the time or date settings
may result in the loss of patient data history. If one monitor’s
time or date is changed, all monitors on the network ‘listen’ and
follow suit within 3-5 seconds. Changing the time base of one
monitor may cause some loss of patient data history for all the
monitors on the network.
The following procedure explains how to use the TIME AND DATE
option in the monitor SERVICE MODE menu.
1. Access the TIME AND DATE menu starting from the Main Menu.
Select MORE MENUS -> MONITOR SETUP -> SERVICE MODE.
2. Enter password using the Trim Knob control to select the day and
month from monitor screen with leading zeros. (e.g. July 4 = 0407)
3. Select SET TIME and use the Trim Knob control to change the time.
The time displays as a 24-hour military clock.
4. Select SET DATE and use the Trim Knob control to change the date.
Lower Level
The highest software feature level (7015, 7020, 7025) of the patient
monitor is programmed into the serial EEPROM of the processor PCB.
You may only change the feature level to a lower level than the level
programmed at the factory through the Main Code.
Higher Level
If you want to change the software to a higher level, it must be done in
Boot Code using a unique password.
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Lost Data. Duplication of an Ethernet address on a network will
cause lost data. If you change the factory assigned Ethernet
address, you must first record all other Ethernet addresses used
on your network to avoid duplication.
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This procedure is intended for use by service personnel with
advanced troubleshooting skills.
Some of the information recorded in the error logs is useful for field
troubleshooting. The details included here serve as an introduction to the
error logs and provide basic information about what you can learn from
them.
Process Name
The name of the software task that was operating when the event/
problem occurred.
Error Code
The error log contains more than just operating system errors. Many
events that have an impact upon the system are also entered into the log.
The 700-series of error codes are really system initiated events. Listed
below are some of the event/error codes you might find useful.
Severity
FATAL—the event/error was such that the task is not able to go on.
Recovery was not possible. This always is followed by a WARM START.
Error Number
A sequential number that is used to identify each event/problem.
Once the desired error log is selected it can be copied over the network to
a floppy diskette in the central station’s floppy diskette drive. Since the
error logs are text files they can be read into other computers and using
most text editors or word processing applications.
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This procedure is intended for use by service personnel with
advanced troubleshooting skills. Do not “experiment” with these
commands! The consequences of misuse include loss of patient
data, corruption of the central station operating software, or
disruption of the entire Unity Network.
Unit
1. Select UNIT:
2. Using the Trim Knob control, change the displayed Care Unit name.
When the desired Care Unit name displays, press the Trim Knob
control.
Once the copy function begins the START COPY button changes to show
the function: “copying.”
Eject Floppy
Select this option to eject the floppy diskette from the central station’s
disk drive.
Hardware Calibration
Perform the NBP, ECG, BP, and End-tidal CO2 software calibration
upon receipt of the equipment, every 12 months thereafter, and each
time the unit is opened for service. This ensures the pneumatic circuit
plumbing has not developed any air leaks as a result of disassembly.
NBP Calibration
In General The overall accuracy of noninvasive blood pressure (NBP) readings by
the monitor depend on the following:
• the zero pressure reading, and
• the voltage span of the NBP sensor in the monitor.
Required Test Equipment The following items are required to successfully complete the NBP
calibration procedure. See “Noninvasive Blood Pressure Tests” on page 4-
30 for setup guidelines.
• Voltmeter,
• Unterminated defib sync cable,
• Manometer (Sensym PDM200M or mercury manometer),
• NBP tube, pn 9461-203,
• NBP cuff, pn 9461-301 (any size works), and
• Something to wrap the NBP cuff around (PVC pipe or coffee can).
The table below lists items for connecting the NBP tube between the
manometer and NBP cuff:
WARNING
When the NBP cuff is used in this procedure, it must be
tightly wrapped around a rigid cylinder or pipe. DO NOT
put the NBP cuff around a human arm during the
calibration procedures due to the potential for injury.
Calibration Procedure Using the Trim Knob control, access the SERVICE MODE menu starting
from the MAIN menu.
1. Select MORE MENUS-> MONITOR SETUP-> SERVICE MODE.
2. Enter password using the Trim Knob control to select the day and
month from monitor screen with leading zeros. (e.g. July 4 = 0407).
3. Select CALIBRATE-> CALIBRATE NBP-> CAL ZERO OFF->
START.
4. The text on the menu item changes from CAL ZERO OFF to CAL
ZERO IN PROGRESS.
When the process is complete, the menu item shows that it is OFF
again.
4
To proceed with the Gain Calibration Test, setup the monitor and test
equipment following the guidelines illustrated in the NBP Checkout
Procedure, Chapter 4, Maintenance.
10. Unplug the monitor from AC power source and remove the test
apparatus from the monitor.
ECG or BP
Calibration
Before you Begin To complete the ECG or BP calibration, you must connect a voltmeter to
the monitor.
1. Attach the analog output cable (pn 2000633-001) to the monitor.
2. Connect a precision voltmeter (such as HP34401A, or equivalent) to
the port pin to be calibrated (ECG pin 7, BP pin 6, and GRND pin 3
or pin 4).
ECG Calibration Using the Trim Knob control, access the SERVICE MODE menu starting
from the MAIN menu.
1. Select MORE MENUS-> MONITOR SETUP-> SERVICE MODE.
2. Enter password using the Trim Knob control to select the day and
month from monitor screen with leading zeros. (e.g. July 4 = 0407).
3. Select CALIBRATE-> CAL ECG ANALOG OUT-> SET ECG LOW.
Adjust the count for –9.0 volts on the meter and press the Trim Knob
control.
4. Select SET ECG HIGH.
Adjust the count for –9.0 volts on the meter and press the Trim Knob
control.
5. Select SET ECG ZERO.
Adjust the count for 0.0 volts on the meter and press the Trim Knob
control.
6. Select CONFIRM ECG CAL to confirm or abort the calibration
BP Calibration Using the Trim Knob control, access the SERVICE MODE menu starting
from the MAIN menu.
1. Select MORE MENUS-> MONITOR SETUP-> SERVICE MODE.
2. Enter password using the Trim Knob control to select the day and
month from monitor screen with leading zeros. (e.g. July 4 = 0407).
3. Select CALIBRATE-> CAL BP ANALOG OUT-> SET BP LOW.
Adjust the count for –9.0 volts on the meter and press the Trim Knob
control.
4. Select SET BP HIGH.
Adjust the count for –9.0 volts on the meter and press the Trim Knob
control.
5. Select SET BP ZERO.
Adjust the count for 0.0 volts on the meter and press the Trim Knob
control.
6. Select CONFIRM BP CAL to confirm or abort the calibration
End-tidal CO2 To calibrate the End-tidal CO2, see the CO2 chapter in the monitor’s
operator manual.
Calibration
Disassembly Guidelines
Tools Required A standard set of hand tools is required for disassembly and assembly.
Before Disassembly Before you disassemble the monitor, you should ALWAYS:
• Remove AC power.
• Remove both batteries.
• Provide appropriate electrostatic discharge protection to prevent
damaging the monitor.
• Be aware that the nonspecific disassembly instructions apply to all
Dash monitors supported by this service manual. Disassembly for
specific models of the Dash monitor are identified when required.
Assemblies • Remove the handle assembly, then remove the display assembly to
access the field replaceable or upgradeable components of the display
assembly and the main unit.
• Note the positions of wires, cables, and different sized screws;
marking them if necessary to ensure they are replaced correctly.
• Save and set aside all hardware for re-assembly.
PCB Assemblies
Electrostatic Discharge All external connector inputs and outputs of the monitor are designed
with protection from ESD damage. However, if the monitor requires
(ESD) Precautions service, exposed components and assemblies contained within are
susceptible to ESD damage. This includes human hands, non-ESD
protected work stations and/or improperly grounded test equipment.
• Discharge any static charge you may have built up before handling
semiconductors or assemblies containing semiconductors.
After Reassembly After reassembling the monitor, ALWAYS complete the calibration tests,
checkout procedures, electrical safety tests, and regular maintenance
procedures identified and described in this manual.
Speaker None Complete ALL the Checkout • “Patient (Source) Leakage Current
Procedures identified in Chapter Test” on page 4-14.
4, Maintenance. • “Patient (Sink) Leakage Current
Keypad None • “Monitor Power-up Tests” on Test (Mains Voltage on the Applied
Assembly page 4-18. Part)” on page 4-15.
Power Supply None • “Monitor Power-up Tests” on • “Patient (Source) Leakage Current
Assembly page 4-18. Test” on page 4-14.
Handle Assembly
NOTE
The alarm light is an option and may not be on your
monitor.
Removing the • Remove the two screws holding the handle to the monitor. Take care
not to strain the cables if your monitor has the optional alarm light.
Handle Assembly
3. Connect the Alarm Light cable harness to the Alarm Light PCB and
route the cables as shown.
Removing the This procedure allows you to access the field replaceable or upgradeable
components of the monitor’s display assembly and the main unit.
Display Assembly
1. Remove the handle assembly from the monitor. See “Removing the
from the Main Unit Handle Assembly” on page 8-7.
2. Place the monitor face down on a non-abrasive, static-free surface.
Make sure the Trim Knob control hangs off the edge of the surface to
avoid damage.
3. Remove the four screws to separate the display assembly from the
main unit.
4. Remove the two screws attaching the flex circuit to the main unit’s
processor/power management PCB. Remove the flex connector by
pulling on the flex connector strain relief.
two screws
5. Remove the DAS connector by lifting the snap latch and tabs.
latch
tabs
7. Complete the following steps for the monitor you are servicing.
Remove the flex circuit and the Separate the monitor bezel from Separate the front bezel from the
display brackets. the LCD display. transition bezel.
a. Remove the three screws and a. Remove the four screws a. Remove the six screws from
nylon washers holding the holding the display shield to the back of the transition
flex circuit to the back of the the LCD display and the two bezel.
display bracket. screws holding the display six screws
Use a flat-head screw driver shield to the monitor bezel.
to unlock the latch and
disconnect the flex circuit four larger screws
from the key pad assembly. two smaller screws
Disconnect the cable harness
from the Display Flex.
latch
two screws
c. Shift the metal isolator d. Disconnect the LCD display
bracket to access the flex cable from the backlight
circuit display connection. inverter PCB.
Lift up the rubber flap over
the flex circuit where it LCD display cable
connects to the display and
remove the connection.
d. Remove the flex circuit from
the display bracket.
e. Remove the metal isolator
bracket from the display
bezel.
Replacing the
Backlight Inverter
PCB Complete the following steps for the monitor you are servicing.
3. Remove and replace the backlight inverter. Follow the steps for the monitor you are servicing.
a. Disconnect the two backlight a. Flip over the display shield a. Remove the LCD color
cables. Remove the two nuts flex circuit. Remove the male display. See page 8-15.
anchoring the backlight end of the two snap rivets. b. Disconnect the backlight
inverter PCB to the backlight cable. Remove the two screws
assembly. plastic snap rivets (male end)
anchoring the backlight
inverter PCB to the front
CAUTION panel PCB.
Be careful when backlight cable two screws
removing the nuts
that you do not make
contact with the
board components.
These components
may crack or break
off and make the PCB
useless.
b. Flip over the display shield
flex circuit. Disconnect the
two nuts display shield cable from the c. Replace the defective
backlight inverter PCB. backlight inverter PCB.
plastic snap rivets (female end)
two cables
4. Remove the rubber knob from the Trim Knob control shaft.
5. Use an 11mm wrench or nutdriver to remove the nut holding the Trim Knob control’s shaft to the
display bezel.
6. Remove the three screws holding the key pad assembly to the 6. Remove the five screws
display bezel. holding the key pad assembly
three screws to the front bezel.
7. Place the new key pad assembly in the display bezel. Make sure the washer tab fits in the retaining
slot of the Trim Knob control’s shaft and replace the 11mm nut.
8. Fasten the new key pad with the screws removed earlier.
9. Reassemble the display assembly.
3. Remove the LCD display. Follow the steps for the monitor you are servicing.
a. Remove the display assembly a. Peel back and remove the a. Remove the four screws
from the display bezel. rubber display isolator from anchoring the display to the
around the display. display brackets.
four screws
two cables
four
nuts
4. Replace the defective LCD display and reassemble the display assembly.
Replacing or You must disassemble most of the display assembly to replace or upgrade
the alarm light option.
Upgrading the Dash
1. Remove the handle assembly. See page 8-7.
4000 Alarm Light
2. Remove the display assembly from the main unit. See page 8-9.
Option
3. Remove the LCD color display. See step “3.” on page 8-15.
4. Complete the following steps identified for your service procedure.
5. Replace the clear plastic cover and reassemble the display assembly.
Replacing the Dash You must disassemble the entire display assembly to replace the front
panel PCB.
4000 Front Panel
1. Remove the handle assembly. See page 8-7.
PCB
2. Remove the display assembly from the main unit. See page 8-9.
3. Remove the LCD color display. See step “3.” on page 8-15.
4. Remove the backlight inverter PCB. See step “3.” on page 8-13.
5. Disconnect the Alarm Light cable from the front panel PCB. See step
“4.” on page 8-16.
6. Remove the four screws anchoring the front panel PCB to the rear
display mounting brackets. Remove the two screws anchoring the
front panel PCB to the transition bezel.
DAS and NBP 1. Remove the four screws anchoring the Data Acquisition System
(DAS) assembly in place.
Assemblies
CAUTION
Carefully remove the DAS assembly so that you do not
hit the components on the processor/power management
PCB.
2. Remove the DAS assembly by first pulling the left side out 1/4-inch,
then sliding the whole assembly out of the monitor. Use needle nose
pliers to remove both coax connectors from the PC card.
3. Remove the four screws and remove the NBP assembly from the
cover of the DAS assembly.
4. Remove the tube going into the NBP assembly.
DAS Assembly
FRU
NBP Assembly
FRU
If you need to replace the NBP assembly, attach the new NBP
assembly to your unit’s DAS assembly.
7. Reassemble the DAS and NBP assemblies. Make sure you do not
forget:
• the four mounting screws,
• the tube connection, and
• the flex connector.
Main and/or Power 1. If your unit has the writer option, remove the writer by
unscrewing the two captive screws inside the writer.
Supply Assemblies,
Speaker or RF LAN CAUTION
Upgrade Make sure you approach the screw from below the top bar
on the paper roll holder so that you do not damage the
unit.
2. Unscrew the thumb screw anchoring the writer cable to the main
assembly and disconnect the flex cable from the processor/power
management PCB.
Thumb
3. Remove the speaker harness and the optional alarm light cable
harness from the top of the writer board.
4. Remove the handle of the monitor and set aside.
Processor/Power Follow these steps to replace the processor/power management PCB and
Battery assembly.
Management PCB
1. Remove the three screws anchoring the battery door assembly to the
and Battery rear housing. Remove the battery door assembly.
Assembly
Power Supply To replace the power supply assembly, follow these steps.
Assembly 1. While holding the power supply assembly with one hand, remove the
four screws from the back of the unit.
3. Align the tab on the power supply mounting bracket with the slot in
the rear housing and install the new assembly in the unit. Fasten the
assembly to the rear housing with the screws you removed earlier.
Slot
Tab
2. Install the new speaker in the unit with the cable harness positioned
at the top (as shown above). Fasten the speaker with the four screws.
3. Reassemble in reverse order.
RF LAN Upgrade 1. Remove seven (M3 x 6L) screws from the Processor Power
management PCB.
Instructions
1 2 3
4 5 6 7
5. Remove the four (M2 x 12L) screws that hold on the PC card socket to
the Processor/Power Management PCB. Be careful not to drop the
four (M2) nuts captured in the PC card socket when removing these
screws. Pull the screws out of the PCB and set aside.
1 2
3 4
6. Flip over the PCB and remove the PC Card socket from the edge
connector.
7. With the PC Card socket removed, place the HEX (M2) nuts back
into the PC Card socket (if they fell out earlier). Slide the RF LAN
shield around the PC Card socket. Use care not to bump the nuts out
of their position.
9. Install the PC Card socket with the attached RF LAN shield into the
card edge connector on the PCB.
10. Flip over the PCB again. With the PC Card socket in place, install
the four screws and tighten.
11. Install the seven screws from Step 1. Note: Do not place a screw next
to J7.
12. Apply the supplied regulatory label below the Symbol PC Card’s
existing label. See the RF LAN kit for the label.
13. Install Symbol PC Card. Note: Clip to hold card in place.
Management PCB before you slide the assembly back into the
monitor’s housing.
19. Install writer bracket in place. Connect the speaker cable to the
writer flex circuit. Connect the writer flex to J7 on the Processor/
Power Management PCB and secure it with the thumbscrew.
20. Install writer (if equipped) or blank plate. (Writer option shown
here.)
23. Reassemble the handle with the top two screws. Route cables out the
bottom of the handle as shown as to not pinch antennas between the
handle halves.
24. Route cables into the monitor’s housing as shown. Connect the alarm
cable to the writer bracket.
26. Use needle nose pliers to snap the two coax connectors into the
Symbol PC card. Route coaxes per the picture. Note that the left coax
is routed above the RF LAN shield retaining clip.
27. Reinstall Display assembly. Use two (M3 x6L) screws to mount the
flex to the Processor/Power management PCB.
28. Reconnect the display flex to the DAS assembly. During assembly,
verify the RF LAN coaxes are not pinched between the front bezel
assembly and the rear housing.
31. Reinstall the batteries and plug into AC power and verify that
Wireless LAN is enabled.
Verify Wireless LAN is Confirm the configuration of the optional Wireless LAN.
Enabled Activate the Boot Code:
1. Hold down NBP Go/Stop and Function.
2. Press and release the Trim Knob control.
3. Keep holding NBP Go/Stop and Function until the Boot Code
information appears on the display.
4. Select SERVICE MENU -> SET CONFIGURATION.
5. In the Configuration Menu, select Configure Wireless LAN.
6. Select Set SSID to factory default.
7. Verify Wireless LAN is Enable.
8. Select Exit -> Exit. Reboot the monitor (press and release NBP Go/
Stop, Function and the Trim Knob control.
Verify the Wireless LAN 1. Select MORE MENU -> MONITOR SETUP -> REVISION AND ID.
ID Number 2. Select Next -> Next.
3. Verify that WIRELESS LAN ID is showing US 02 V4.63 xxxxxx. If no
ID is displayed,
• recheck the setup in the Boat Loader menu, or
• check if the Symbol PC card is installed correctly
Verify Wireless LAN 1. Connect a Symbol Access Point with AC power and a Unity MC
Network node. Refer to the Wireless LAN (Symbol Access Point)
Communications Installation and Service Manual. Power up the access point
2. Disconnect the Ethernet line from the back of the monitor then
connect a patient simulator to display ECG waveforms on the
monitor’s display. Verify the unit name matches the unit name at the
central station. Admit the patient at the monitor.
3. Verify waveforms are displayed at the central station for the
monitor.
4. Connect the Ethernet jack to the back of the monitor. Verify that no
more than three seconds of drop out occurs at the central station
during the network switch over.
5. With the monitor now operating on the Ethernet connection,
disconnect the Ethernet jack from the back of the monitor and verify
that no more than three seconds of drop out occurs at the central
station during the network switch over.
6. Place the simulator into a Crisis alarm and verify the audio on the
speaker is functional and that the Alarm Light (if installed) is
flashing RED when in alarm.
7. Discharge test patient and remove all cables. End of test.
CAUTION
Make sure you approach the screw from below the top bar
on the paper roll holder so that you do not damage the
unit.
Upgrade If upgrading the monitor to add a writer, pry off the blank cover with a
flat blade screw driver. The cover may crack or break when removing.
Once the cover is removed it can be discarded. Proceed with steps 3 and 4
above.
Introduction
The assembly drawings for all of the monitors configurations are broken
down as follows:
Parts Lists — These lists provide part number and descriptive cross-
reference to all parts and subassemblies found in each of the
drawings.
Theory Of Operation
General Monitor The monitor is a portable patient monitor manufactured in various fixed
configurations:
Block Theory
• 3/5/10-leadwire ECG,
• respiration,
• pulse oximetry,
• NBP, and
• two temperatures are standard on all models;
• 12SL,
• BP,
• CO, and
• CO2 are software options.
The “7015” software feature level provides the base feature set;
additional software options are provided by the “7020” and “7025”
feature levels. Options are configured at the time the monitor is
manufactured. The monitor comes with a color active-matrix display.
Other hardware options include thermal printer and an alarm light.
Software options can be upgraded in the field by use of a password
unique to each monitor and feature.
Many languages are bundled into one software package and selected in
the boot menu. You must install Asian languages separately.
Components The monitor is housed in a single package. The main components of the
assembly are:
• User Interface,
• Power Supply,
• Data Acquisition System,
• Processor/Power Management subsystem (including battery case and
expansion connector),
• Speaker,
• Handle subassembly (including the Alarm Light option), and
• Thermal Printer (optional).
Overall Monitor
Block Diagram
User Interface The User Interface consists of a flat panel display and the keypad
assembly which consists of a Trim Knob, five function keys, and four
LED indicators. (Additional indicators are contained in the Processor/
Power Management subsystem.)
Flat Panel Display The active-matrix color liquid crystal display (LCD) is assembled into a
shock absorbing isolator that fits within the monitor’s front bezel to
protect the display from mechanical shock during use.
The acrylic optical filter protects the display panel from impact and
enhances visibility with its non-glare surface coating on the viewing side
of the filter. It also has a scratch-resistance surface coating.
Trim Knob Control The Trim Knob control is a 24-position rotary control with a push
selection switch.
Power Key The monitor is powered at all times when it is plugged into AC power.
When the monitor is not plugged in to AC power, this key turns the
monitor On and Off.
When AC power is present, this key toggles the operational mode of the
monitor between normal operation and stand-by mode. In standby mode
patient monitoring discontinues. Only the charging function continues
and the charging status indicators operate as described below.
Programmable Key
The Function key is the only programmable key. This key is provided
for the user to assign a frequently used function of the monitor.
Currently this key only performs the “Zero All” function.
Indicators While the monitor powers up or changes between normal mode and
standby mode, all four front panel indicators illuminate.
AC Power Indicator
The indicator illuminates green when AC mains power is applied to the
monitor (including when the monitor is in the standby mode). The
indicator does not illuminate when the monitor is not powered by AC
mains power.
Power Supply The subsystems within the monitor operate from a common 9 to 18 V
power bus. Due to the wide variety of voltages required by the various
subsystems, power is converted locally by each subsystem. This
architecture results in an efficient and compact system by reducing the
number of conversions required and optimizing the physical size of each
converter for the specific application.
The line voltage range switch must be set to select 115 V or 230 V (90 to
132 VAC or 190 to 264 VAC, respectively).
Data Acquisition All interfaces to the patient occur through the DAS. The ECG function
uses a direct connection to the patient; therefore it is separately isolated
System (DAS) from the other functions (except respiration, which shares the ECG
patient interface) to substantially eliminate coupling of noise and
leakage currents to/from other functions. All remaining DAS functions
(i.e., pulse oximetry, NBP, invasive pressure, temperature, cardiac
output, and CO2) share a common isolation barrier.
Revision A
TRANSDUCER PUMP_DRV
+12V SIGNAL +12V_VALVE
DEFIB PROTECTION MODULE -- 414639-002 DC-DC DC-DC CONDITIONING VALVE1_DRV
-12V CONVERTER CONVERTER +9-18V
+5V SECONDARY PRIMARY VALVE0_DRV
VREF CIRCUITRY CIRCUITRY +5V
RESPIRATION
GND
11 PIN 68HSC05 7.3728
COUPLING CAP NBP PRESSURE
MHz
Block Diagram
ECG INTERFACE
MUX & A/D
INPUT ASIC
PS FEEDBACK NBP
CONNECTOR COUPLER INTERFACE
RESPIRATION DEMODULATOR -- 400871-001
TO PUMP,VALVES &
RESPIRATION CARRIER -- 400870-001 OVERPRESSURE
7.5KV SPARK GAP TRANSDUCER
ECG PREAMP (I,II,III,V/V1) -- 400869-004
2000966-070
HOST_DMA_REQ*
LDO ACQ_TIMER_IRQ*
NON-INVASIVE BP -- 404303-001 REG
TC_PACER_BLANK*
INV BP2
+5V PWR_ENABLE*
(TO DIGITAL
NBP CUFF CIRCUITRY) PS FEEDBACK SERIAL _DATA_IN
RESET IC DAS_ID1
CO2 SIGNAL PROCESSING & BARO PRESS -- 801368-001
BARRIER
+3.3V
ISOLATION
9-9
ASSEMBLY DRAWINGS: Theory Of Operation
ECG The ECG function detects heartbeats and arrhythmias, measures heart
rate (HR) and ST segment deviation, and generates a 12SL diagnostic
interpretation. Patient alarms with adjustable high and low limits for
HR and ST segment deviation are provided. Additional patient alarms
are provided for arrhythmias and PVCs. System alarms for individual
lead failure and all leads failure are provided.
Respiration The respiration function measures respiration rate (RR) and detects
apnea through the ECG leadwires using the impedance variation
technique. Patient alarms for RR (with adjustable high and low limits)
and apnea (with adjustable time limit) are provided. System alarms for
lead failure, cardiac artifact, and learning are provided.
Pulse Oximetry (SpO2) The pulse oximetry function measures arterial oxygen saturation (SpO2)
and peripheral pulse rate (PPR). Patient alarms with adjustable high
and low limits for SpO2 and PPR are provided. System alarms for probe
off patient, low-quality signal, and pulse search are provided.
Non-Invasive Blood The NBP function measures systolic pressure, diastolic pressure, mean
pressure, and heart rate. Patient alarms with adjustable high and low
Pressure limits for systolic, diastolic, and mean pressures are provided. System
alarms for deflation failure, inflation failure, maximum pressure
exceeded, measurement time exceeded, pulse too weak, hardware
malfunction, and system pressure leak are provided.
The monitor accepts the rectangular NBP connector (compatible with the
Eagle 3000 monitor and some versions of the Tram module).
Invasive Pressure The invasive pressure function measures two blood pressures and
calculates systolic pressure, diastolic pressure, mean pressure, and
pulsatile pressure rate where applicable. Patient alarms with adjustable
high and low limits for systolic pressure, diastolic pressure, mean
pressure, and pulse rate are provided for each channel. System alarms
for sensor status (failure and disconnected), Smart BP event (artifact),
zeroing status (not zeroed, failure, and pressure sensed), and PA Wedge
status (wait, inflate, processing, complete, and no pulse) are provided.
Cardiac Output The cardiac output function measures blood temperature and injectate
temperature, and uses the thermal dilution method to calculate cardiac
output. Patient alarms with adjustable high and low limits for blood
temperature are provided. System alarms for sensor failure and unstable
blood temperature are provided.
The cardiac output connector and measurement circuits are shared with
the temperature monitoring function. You cannot use both functions
concurrently. A signal in the patient cable indicates the appropriate
function.
Carbon Dioxide (CO2) The CO2 function measures inspired and expired CO 2 and respiration
rate using the infrared light absorption technique. The monitor connects
to an external Novametrix Capnostat III sensor that clips to an airway
adapter in the patient’s ventilation circuit. The circuits to drive the
sensor and process its incoming signal are located within the DAS.
Patient alarms with adjustable high and low limits for inspired CO2,
expired CO2, and respiration rate are provided. An additional patient
alarm for no breath detected is provided. System alarms for various
sensor conditions are provided.
Processor/Power
Management
Subsystem
Overview The main processor/power management PCB contains the electrical
hardware to provide data processing and display of patient and monitor
configuration data, communication and interface circuitry, and power
conversion and battery management functions for the monitor.
Block Diagram
The CPM contains an 8 Kb dual port RAM to communicate with the CPU
core, and once configured communicates with external devices with
minimum CPU intervention. External logic is reduced by the internal
memory controllers and a system interface unit which provides a clock
synthesizer and timers used in this design. Writer communications is
supported by direct memory access and processing performance is
enhanced by 4-kilobyte instruction and data caches.
System Control Logic The system ASIC contains all of the system control logic for the
Processor/Power Management PCB. Such functions include address
decoding, peripheral read and write control strobes, smart battery
control logic, display control, multiple I/O ports, and front panel key
switch debouncing.
Memory Eight Mb of non-volatile memory are provided to support the boot code
and expansion memory such as high resolution graphic trends data
storage. The 512 Kb boot block is write protected.
Real-Time Clock The real-time clock incorporates an on-board quartz crystal. This feature
simplifies the design and eliminates adjustments. The time of day is
maintained to an accuracy of 1 second in 10 hours. The RTC device is one
of the devices on the I2C bus.
Audio Subsystem Audio tones are generated using a tone generator, an audio amplifier,
and an 8Ω, 2.5-in. speaker. The tone generator has built in D/A
converters and a mixer to generate the dual frequency tones.
Frequencies ranging from 150 Hz to 2800 Hz are produced.
Video Subsystem The microprocessor contains a video controller that supports real-time
and non-real-time waveform drawing, menu drawing, and parameter
display.
Analog Outputs Two analog output channels support ECG and BP. The pace pulse is
generated on the main processor board and inserted into the analog out
ECG signal. The digital-to-analog conversion for both ECG and blood
pressure output signals are performed on the main processing board via
a two channel 12-bit serial DAC. Cal data is stored on the processor/
power management PCB.
Defib Sync The QRS complex of ECG data acquired from the DAS generates the
marker-out signal. A software selectable pulse width and pulse
amplitude is provided in the Boot Loader Menu.
Optional Thermal Printer The thermal printer includes complete control of the print head to print
the desired waveforms and text as well as monitor power consumption.
The host processor on the main processing board has direct
communication via an 8-bit data bus to the processor residing within the
thermal recorder.
Optional Alarm Light An alarm light indicating two levels of visual alarms resides in the
handle of the Dash 3000 monitor and in the display bezel of the Dash
4000. Red and yellow alarm lights illuminate by addressing an ASIC
output port. The Dash 3000 alarm light interfaces to the Processor/Power
Management PCB via the 40-pin writer interface. The Dash 4000 alarm
light interfaces to the Processor/Power Management PCB via the 100-pin
DAS/Display /Keyboard interface.
PC Card The main processor contains a PC Card controller, which complies with
the PCMCIA standard. One 68-pin fully compliant Type II PC Card slot
is supported in this design for RF LAN.
DAS Communication The microprocessor communicates with the DAS processor using the
second serial communication controller (SCC) of the communication
processor module (CPM). This asynchronous communication channel
operates at TTL levels and is optically isolated within the DAS.
Async Communication Two asynchronous communication ports comply with the GEMMS
AutoPort protocol and are provided through an 8-pin RJ-45 connector
and the 20-pin peripheral interface described in the next section.
Debug Monitor and An integrated debugger operating in the debug mode within the main
processor provides basic emulator-like features such as modification of
Diagnostic LEDs register and memory locations and setting of breakpoints. The connector
required for this serial communication is a dual row 10-pin header. This
connector is located within the monitor and is not intended for field
service use. Tracing of instructions and logic analysis is provided by an
adapter board that connects to a socket installed on the main processor
board instead of the microprocessor.
Three diagnostic LEDs located along the front edge of the board are
provided for general purpose use and are under software control. The
LEDs interface directly to port A of the microprocessor. A flashing green
LED indicates normal monitoring operation.
Main DC-DC Converter The main DC-DC converter consists of two independent synchronous
rectifier buck regulators with one common controller.
Section
The monitor uses a “point of use” power conversion architecture with +9-
18 V being the main power distribution bus.
Each one of the four outputs are individually current limit protected
against overload and short circuit.
Optional Thermal The monitor uses the same 50-mm thermal printer module that is used
in the PRN 50 stand-alone printer. It prints up to four waveforms at
Printer chart speeds ranging from 0.1 to 50 mm/s. The printer software is loaded
independently from the monitor’s software.
In the monitor, the printer module limits its current consumption to stay
within its allocated system power budget.
Handle Subassembly The handle serves multiple purposes in the monitor. The modular design
enables the user to add adapters for specialized applications.
The Dash 3000 handle houses the optional alarm light. This light is
visible for 360° surrounding the monitor. The light is intended for
applications when the audible notification is not useful or effective, such
as noisy environments (e.g., emergency vehicles) or quiet environments
(e.g., neonatal care areas). The alarm light indicates two levels of visual
alarms:
• Crisis alarms (red LED) and
• Warning alarms (amber LED).
The Dash 3000/4000 handle also houses the two RF LAN antennas
required for the optional RF LAN subsystem.
Interfaces
Ethernet The Ethernet RJ-45 connector provides a hardware connection to the
Unity Network. The monitor has a built-in transceiver for twisted-pair
wire. Basic insulation (1500 VAC) isolates the monitor from networked
devices.
Defib Sync The Defib Sync connector provides signals needed to perform
synchronized cardioversion with a defibrillator. The Marker Out signal is
a pulse with selectable amplitude and width that coincides with the
patient’s ECG R-wave. The Marker In signal is returned to the monitor
by the defibrillator. The Marker In signal causes the monitor to insert a
defib marker in the displayed ECG waveform.
This connector also provides two analog signals: ECG and invasive
pressure. The monitor provides the top displayed ECG signal with
reconstructed pace pulses. You can use this signal to trigger a
defibrillator or intra-aortic balloon pump. BP1 produces the pressure
signal and is intended for triggering an intra-aortic balloon pump.
Setup and
Configuration
Program Code Storage Executable program code for the main processor, DAS processor, and
thermal printer are stored in non-volatile programmable memory.
Program code can be changed via the AUX port using the PC-based
TCCM Update software utility or via the Unity Network (Ethernet port)
from a file server supporting the Xfiles protocol.
To display the revision of the currently stored code, access the submenu
of the main application’s Monitor Setup menu.
Monitor Settings The Processor/Power Management PCB stores default monitor settings
in non-volatile memory. The user must restore the original settings if
replacing the board.
Patient Data Storage Static RAM backed up by a lithium battery soldered onto the Processor/
Power Management PCB stores patient data.
Time and Date The monitor maintains time and date for at least five years. Time is
accurate to within one second in ten hours. The clock is synchronized
with a time master on the Unity Network.
Calibration Data Calibration factors for NBP and CO2 are stored in non-volatile memory
on the DAS board.
Calibration factors for the analog output signals are stored in non-
volatile memory on the Processor/Power Management PCB.
Error Log 50 input errors and 50 output errors are retained in static RAM backed
up by a lithium battery soldered onto the processor/power management
PCB. Contents are retained for at least five years, provided that you
exercise caution when you handle the board to prevent inadvertently
discharging the battery (e.g. when you ship the board for problem
diagnosis).
Find Reference
Number Item Number Item Description Designator Qty
1 2000905-001 SCR TAPPING TC SST #4X.31 HI-LO 9
2 2002161-001 BEZEL DASH 4000 FRONT 1
3 2002162-001 BEZEL DASH 4000 TRANSITION 1
4 2002210-001 FILTER OPT 26MM DISPLAY 1.6THK 1
5 2002220-001 PCB ASSY DASH4000 KEYPAD A5 1
6 2002272-001 BRACKET DASH 4000 26 DISP MT RT 1
7 2002272-002 BRACKET DASH 4000 26 DISP MT LEFT 1
8 2002563-001 INSERT DASH 4000 DISPLAY 1
9 2003610-001 CLIP DASH 4000 TK GND 1
10 2004229-001 PCB DASH 4000 ALARM LIGHT A4 1
11 2003768-001 PCB DASH 4000 FRONT PANEL A1 1
12 2003784-001 PCB FLEX CKT DASH 4000 DISPLAY 31P W1 1
13 2003791-002 CABLE ASSY DASH 4000 INVERTER W3 1
14 2004019-001 PWR SPLY CCFL INVERTER VIN8-18V A3 1
15 2004209-001 CABLE ASSY DASH 4000 ALARM LIGHT W2 1
16 402440-001 SCREW PH PLASFORM #6-10 X . 6
17 406080-001 TRIM KNOB EAGLE 1
18 416734-002 DSPL LCD 10.5 IN VGA COLOR TFT -31D NEC A2 1
19 2000540-001 SCR MACH PNHD M3X6LG SST W/THD LOCK 4
20 2000546-001 SCR MACH PNHD M4X6LG SST W/THD LOCK 4
21 404188-003 INSULATION DASH 3000 DISPLAY INVERTER 1
22 2000521-001 CLIP ELECTRICAL GROUNDING 1
23 4556-001 SPRING CLIP D TYPE .250 DIA 1
Part
Number Description Qty Comments
2000971-002 Processor/Power 1 * Need software revision and installed options
Management Assembly
2000968-001 LCD Display 1 Use 419379-001 for assemblies with display shield
419379-001 flex circuit, PN 2002393-001.
418957-001 Keypad Assembly 1 Use 418957-002 for assemblies with display shield
418957-002 flex circuit, PN 2002393-001.
Part
Number Description Qty Comments
2000971-002 Processor/Power 1 * Need software revision and installed options
Management Assembly
Part
Number Description Qty Comments
416734-002 LCD Display 1 Use 419379-001 for assemblies with display shield
flex circuit, PN 2002393-001.
2002220-001 Keypad Assembly 1 Use 418957-002 for assemblies with display shield
flex circuit, PN 2002393-001.
2004019-001 Backlight Inverter 1
Port Connections
BP2 SpO2
BP1
Temp/CO
CO2 ECG
NBP
Invasive Blood Two invasive blood pressure channels are provided; each channel uses a
separate 11-pin, female connector. The pinout is as follows:
Pressure Cable
Connector
PIN SIGNAL NAME I/O SIGNAL DESCRIPTION DIAGRAM
1 BP_+VREF O BP transducer excitation voltage
2 BP SIG+ I BP transducer signal positive (+)
3 NC – No connection
4 AGND O Analog ground
5 NC – No connection
6 SHIELD O BP cable shield
7 AGRND O Analog ground
8 BP SIG1 I BP transducer signal negative (–)
9 NC – No connection
10 BP1_ID I BP1 probe identification signal
11 NC – No connection
Pulse Oximetry The pulse oximetry function uses an 11-pin, female connector. The
pinout is as follows:
(SpO2) Cable
Connector
PIN SIGNAL NAME I/O DESCRIPTION DIAGRAM
1 NELLCOR_RCAL O Nellcor probe characteristics ID resistor
2 IR/RED* O Anti-parallel LED drive
(low=RED, high=IR)
3 RED/IR* O Anti-parallel LED drive
(low=IR, high=RED)
4 NC – Not connected
5 POX+ I Photo detector anode
6 SHIELD – Cable shield
7 NELLCOR_RCAL_RETURN I Return for probe characteristics ID
resistor
8 MARQUETTE_PROBE* I Marquette probe select
9 POX– I Photo detector cathode
10 NELLCOR_PROBE* I Nellcor probe select
11 GND – Ground reference for pins 8 and 10
Capnostat III (CO2) Connection to the Capnostat III is via the Novametrix standard 20-pin
circular connector. The pinout is as follows:
Cable Connector
PIN SIGNAL NAME I/O SIGNAL DESCRIPTION DIAGRAM
1 SOURCE+ O Capnostat Infra-red source drive positive (+)
2 SOURCE– O Capnostat Infra-red source drive negative (–)
3 EE_CS O Chip select to 93C46 EEPROM within
Capnostat.
4 CO2_REF_IN I CO2 reference channel
signal input from Capnostat which is not
affected by the presence of CO2.
5 CASE_HTR O DC voltage, generated from a software
controlled PWM drive signal, which controls
the Capnostat case temperature.
6 CO2_IN I CO2 data channel
signal input from Capnostat which is affected
by the presence of CO2.
7 EE_SCLK O Serial data clock to 93C46 EEPROM within
Capnostat.
8 HTR_RTN – GND return for pins 5 and 16
9 EE_DATA_OUT I Data from 93C46 EEPROM within Capnostat
(output from EEPROM).
10 +5V – Logic supply voltage to Capnostat
11 EE_DATA_IN O Data to 93C46 EEPROM within Capnostat
(input to EEPROM).
12 SPAN_SW* I Driven low to indicate that the Capnostat has
been placed on the REF cell.
13 SHIELD – Termination for both inner and outer shields of
the Capnostat cable - is connected to the main
DAS floating shield plane and cover.
14 ZERO_SW* I Driven low to indicate that the Capnostat has
been placed on the ZERO cell.
15 CASE_THERM I Case thermistor (also used for Capnostat
presence detection).
16 DET_HTR O DC voltage, generated from a software
controlled PWM drive signal, which controls
the Capnostat detector temperature.
17 DET_THERM I Detector thermistor
18 –12V – Negative (–) analog supply voltage to Capnostat
19 +12V – Positive (+) analog supply voltage to Capnostat
20 AGND – Analog GND
ECG Cable The ECG/Respiration function uses a recessed, 11-pin, female, ECG
connector. The pinout is as follows:
Connector
PIN SIGNAL NAME I/O DESCRIPTION DIAGRAM
1 RA I Right arm electrode
2 V2 I Chest electrode V2
3 V3 I Chest electrode V3
4 LA I Left arm electrode
5 RL O Right leg (reference) electrode
6 V/V1 I Chest electrode V1
7 V4 I Chest electrode V4
8 LL I Left leg electrode
9 V6 I Chest electrode V6
10 V5 I Chest electrode V5
11 SHIELD – Cable shield - connected to ECG shield plane
and electrostatic cover
Voltage Selector
AC Power Aux
Input Power
3
Requirements
PIN SIGNAL NAME I/O SIGNAL DESCRIPTION DIAGRAM
1 NEUTRAL I AC Mains Power
2 LINE – Pin Not Inserted
3
3 GROUND – AC Mains Power 2 1
Network Interface An 8-pin RJ-45 connector containing two isolated, differential pairs is
provided to connect the monitor to a network hub.
Defib Sync Analog outputs consisting of ECG waveforms including the pace pulse
and the BP out are available through the 7- pin mini-DIN connector. The
two analog outputs are calibrated by monitoring the outputs with a
precision voltmeter while trimming the offset and gain adjustments with
the Trim Knob.