Zoll E-Series - Service Manuals
Zoll E-Series - Service Manuals
Zoll E-Series - Service Manuals
9650-1450-01 Rev. A
TABLE OF CONTENTS
Preface .............................................................................................................................................................. v
Safety Considerations ................................................................................................................................................. v
Additional Reference Material ................................................................................................................................... vi
Conventions ................................................................................................................................................................ vi
Service Policy Warranty ............................................................................................................................................ vii
Technical Service....................................................................................................................................................... vii
Technical Service for International Customers ..................................................................................................... viii
9650-1450-01 Rev. A i
CO2 Accuracy Check ......................................................................................................................................... 1-35
NIBP Monitor Test .............................................................................................................................................. 1-37
NIBP Volume Leak Test with Bio-Tek NIBP Analyzer ........................................................................................ 1-39
NIBP Volume Leak Test with Fluke Biomedical Cufflink NIBP Analyzer ............................................................ 1-41
NIBP Transducer Calibration Test ...................................................................................................................... 1-43
ii 9650-1450-01 Rev. A
Stripchart Recorder .............................................................................................................................................. 4-11
PCMCIA Slots ...................................................................................................................................................... 4-11
Front Panel and Controls PWBA ......................................................................................................................... 4-11
Isolated Power Supply Module ............................................................................................................................ 4-11
E Series Options ..................................................................................................................................................... 4-12
12 Lead Option .................................................................................................................................................... 4-12
Pulse Oximetry (SpO2) ........................................................................................................................................ 4-12
End Tidal Carbon Dioxide (EtCO2) ...................................................................................................................... 4-13
Noninvasive Blood Pressure ................................................................................................................................ 4-14
Preface
ZOLL Medical Corporations E Series Service Manual is intended for the service technician whose responsibility is to identify malfunctions and/or
make repairs at the subassembly level. The ZOLL E Series Service Manual has five main sections and one appendix.
PrefaceContains safety warnings and an overview of the manuals contents. Be sure to review this section thoroughly before attempting to use or service
the E Series unit.
Chapter 1Maintenance Tests explains how to check the defibrillators performance using a series of recommended checkout procedures to be
conducted every six months.
Chapter 2Troubleshooting provides a listing of the procedures and error messages to help the service technician detect faults and repair them.
Chapter 3Replacement Parts List displays a complete list of ZOLL part numbers for field replaceable parts available for the E Series unit, allowing
the service person to identify and order replacement parts from ZOLL.
Chapter 4Functional Description provides technical descriptions for the E Series major subassembly modules.
Appendix AE Series interconnect diagrams and maintenance checklists.
Safety Considerations
The following section describes general warnings and safety considerations for operators and patients. Service technicians should review the safety
considerations prior to servicing any equipment and read the manual carefully before attempting to disassemble the unit. Only qualified personnel should
service the E Series unit.
Federal (U.S.A.) law restricts this unit for use by or on the order of a physician.
Safety and effectiveness data submitted by ZOLL Medical Corporation to the Food and Drug Administration (FDA) under section 510(K) of the Medical
Device Act to obtain approval to market is based upon the use of ZOLL accessories such as disposable electrodes, patient cables and batteries. The use of
external pacing/defibrillation electrodes and adapter units from sources other than ZOLL is not recommended. ZOLL makes no representations or
warranties regarding the performance or effectiveness of its products when used in conjunction with pacing/defibrillation electrodes and adapter units from
other sources. If unit failure is attributable to pacing/defibrillation electrodes or adapter units not manufactured by ZOLL, this may void ZOLL's warranty.
Only qualified personnel should disassemble the E Series unit.
WARNING! This unit can generate up to 2250 volts with sufficient current to cause lethal shocks.
9650-1450-01 Rev. A v
E Series Service Manual
All persons near the equipment must be warned to STAND CLEAR prior to discharging the defibrillator.
Do not discharge the units internal energy more than three times in one minute or damage to the unit may result.
Do not discharge a battery pack except in a ZOLL SurePower Charger Station or compatible ZOLL Battery Charging/Testing unit.
Do not use the E Series in the presence of flammable agents (such as gasoline), oxygen-rich atmospheres, or flammable anesthetics. Using the unit near the
site of a gasoline spill may cause an explosion.
Do not use the unit near or within puddles of water.
Note: The E Series is protected against interference from radio frequency emissions typical of two-way radios and cellular phones (digital and analog)
used in emergency service/public safety activities. Users of the E Series should assess the units performance in their typical environment of use
for the possibility of radio frequency interference from high-power sources. Radio Frequency Interference (RFI) may be observed as shifts in
monitor baseline, trace compression, or transient spikes on the display.
Conventions
WARNING! Warning statements describe conditions or actions that can result in personal injury or death.
vi 9650-1450-01 Rev. A
E Series Service Manual
Caution Caution statements describe conditions or actions that can result in damage to the unit.
Technical Service
If the ZOLL E Series unit requires service, contact the ZOLL Technical Service Department:
Telephone: 1-978-421-9655; 1-800-348-9011 (US only)
Fax 1-978-421-0010
Have the following information available for the Technical Service representative:
Unit serial number.
Description of the problem.
Department where equipment is used.
Sample chart recorder strips documenting the problem, if applicable.
Purchase Order to allow tracking of loan equipment.
Purchase Order for a unit with an expired warranty.
If the unit needs to be sent to ZOLL Medical Corporation, obtain a Service Request number from the Technical Service representative. Return the unit in
its original container to:
ZOLL Medical Corporation
269 Mill Road
Chelmsford, Massachusetts 01824-4105
Attn: Technical Service Department, SR #
Chapter 1
Maintenance Tests
Overview
The E Series has two checkout procedures: the operators shift checklist and the extensive six-month maintenance tests checkout procedures.
Because the E Series units must be maintained ready for immediate use, it is important for users to conduct the Operators Shift Checklist procedure at the
beginning of every shift. This procedure can be completed in a few minutes and requires no additional test equipment. (See the ZOLL E Series Operators
Guide for the Operators Shift Checklist.)
A qualified biomedical technician must perform a more thorough maintenance test checkout every six months to ensure that the functions of the E Series
unit work properly. This chapter describes the step by step procedures for performing the six month maintenance test checkout. Use the checklist at the
back of this document (ZOLL E Series Maintenance Tests Checklist) to record your results of the maintenance tests.
This chapter describes the following maintenance tests:
1. Physical Inspection of the Unit
2. Front Panel Button Test
3. 3, 5, and 12 Leads Test
4. Power Supply Test
5. Leakage Current Test
6. Paddles Test
7. Heart Rate Display Test
8. Calibrating Pulses on Strip Chart Test
9. Notch Filter Test
10. Heart Rate Alarm Test
11. Defibrillator Self Test
12. Synchronized Cardioversion Test
13. Shock Test
14. Summary Report Test
Note: The Fluke Biomedical BP Pump NIBP Monitor Analyzer and the Fluke Biomedical BP Pump NIBP Analyzer use different technologies for
testing NIBP monitors and therefore, the manual provides two different procedures for performing the NIBP Volume Leak test with each of these
types of test equipment.
1.1 Housing o o
Is the unit clean and undamaged?
1.10 Do the adult shoes slide on and off easily to expose the covered pedi plates? o o o
1.11 Are the paddles clean (e.g., free of gel) and undamaged? (if applicable) o o o
1.12 Cables o o
Are all cables free of cracks, cuts, exposed or broken wires?
1.13 Are all bend/strain reliefs undamaged and free of excessive cable wear? o o
1.14 Battery o o
Is the ZOLL battery fully charged?
2.1 Turn the selector switch to MONITOR. Listen for 4 beep tones. PADS and MONITOR display on the monitor. o o
(For AED units, turn the selector switch to ON NOTE: PADS is a factory default setting.
and select Manual mode.)
2.2 Press the LEAD button; three times for the 3 Each time you press the LEAD button, a different lead number appears under o o
lead cable and seven times for the 5 lead cable. the LEAD heading on the display.
PADS, I, II, III will display a 3 lead ECG cable if connected or no ECG cable is
connected.
PADS, I, II, III, AVR, AVL, AVF, V1 will display a 5 lead ECG cable.
2.3 Connect the 12 lead cable to unit and simulator. A 12 Lead cable will display PADS, I, II, III, AVR, AVL, AVF, VI, V2, V3, V4, V4, o o o
Press the LEAD button and select the lead for V5, V6.
each of the 12 lead settings.
2.4 Set the simulator to NSR of 120 BPM. To check As you press the SIZE button five times (0.5, 1.0, 1.5, 2.0, 3.0), note that the o o o
the size of the ECG waveform, press the SIZE size of the ECG waveform appropriately changes on the display.
button.
2.5 Press the ALARM SUSPEND button. Alarm symbol changes from disabled to enabled. If the alarm sounds, press o o o
the ALARM SUSPEND button to turn it off. The alarm will only be suspended
for 90 seconds at this point. Press and hold the ALARM SUSPEND button for
3 seconds to disable alarms.
2.6 Press the RECORDER button. The strip chart paper moves out of the unit from the paper tray. Check that the o o o
correct time, date, ECG lead annotation and waveform are recorded on the
paper. (Set Time and Date, if necessary.)
2.7 Open the paper compartment door. CHECK RECORDER message appears on the monitor. o o o
Press RECORDER button.
2.8 Close the paper compartment door. Strip chart paper flows out of paper tray. Verify that the CHECK RECORDER o o o
Press RECORDER button. message no longer displays.
2.9 Press RECORDER button. Strip chart paper stops flowing out of paper tray. o o o
2.10 Press the VOLUME softkey. The volume bar graph displays. o o
Audible beep when the QRS wave displays. The bar graph increases on the
To increase the volume of the beep, press the display indicating an increase in volume. This action does not increase the
Inc. softkey. volume which is normal.
Note: The QRS tone is on or off. There is no gradual change in volume. If
equipped, voice prompts are gradual. Note: The voice volume has 5 settings.
Setting 3 is in the mid-range.
2.11 To decrease the volume of the beep, press the The bar graph decreases on the display indicating a decrease in volume. The o o
Dec. softkey. volume shuts off at the last bar; otherwise, the volume is the same as originally
set.
2.15 Press the SUMMARY button. Summary menu displays on the monitor showing the summary report options. o o o
2.16 Press the CODEMARKER button. Code marker menu displays. o o o
2.17 Connect a/c current and install the battery. Turn The CHARGER ON indicator lights. o o o
the unit off. The amber or green lights illuminate.
Note: If both lights flash ON/OFF, the unit is defective or no battery is installed.
2.18 If applicable, connect d/c current and install the The CHARGER ON indicator lights. o o o
battery. Turn the unit off. The amber or green lights illuminate.
The yellow light indicates the battery is being charged. The green light
indicates the battery is fully charged to present capacity.
If both lights flash ON/OFF, the unit is defective or no battery is installed.
2.19 Remove the battery. Note that both charge lights (green and amber) flash alternately. o o
2.20 Replace the battery and the turn unit on. Note that the yellow charge light illuminates. o o
2.21 Press the ANALYZE button. The SELECT DEFIB MODE message appears on the monitor. (For manual o o o
devices.)
2.22 Move the selector switch to DEFIB. Select 2J. The display shows that the unit is charging. The SHOCK button lights when the o o o
Press the CHARGE button. unit is charged. Ready tone for DEFIB sounds.
2.23 Press and hold the ENERGY SELECT down Unit discharges internally and selected energy decrements to 1J. o o o
arrow.
2.24 Press and release the ENERGY SELECT up 1-10, 15, 20, 30, 50, 70, 85, 100, 120, 150, 200J. o o o
arrow 19 times.
2.25 Press the CHARGE button. Note the display shows the unit charged up to 200J and the SHOCK button o o o
lights.
2.26 Press the SHOCK button. The unit discharges and the SHOCK button is no longer lit. A 15 second strip o o o
chart automatically prints, displaying the number of joules delivered (if
equipped with recorder and configured to print event).
3.1 Turn the selector switch to MONITOR. Select NO ECG LEADS OFF message displayed. o o o
leads.
3.2 Disconnect one lead from the simulator. The ECG LEAD OFF message displays within 3 seconds (if configured). o o o
3.3 Reconnect the lead. Repeat step 3.2 with the Wait for ECG LEAD OFF message to clear from the display (if configured). o o o
remaining leads.
3.4 Repeat 3.2 and 3.3 for 5 lead and 12 lead NOTE: If heart rate alarm sounds, press and hold the ALARM SUSPEND o o o
cables. button for 4 seconds to disable the alarms.
NOTE: When testing the 12 lead cable, the ECG LEAD OFF message displays
when you pull off a limb lead. When you pull off a V lead, the ECG VX LEAD
OFF message displays where X is the number between 1 and 6.
Caution Be sure to connect the power supply properly to the E Series battery well terminals or damage to the unit may result. Do NOT raise the
power supply voltage above 12V.
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4.1 Turn the selector switch to MONITOR. The unit should not turn on. o o
(For AED units, turn the selector switch to ON
and select Manual mode.)
4.3 Adjust the power supply voltage to 10.3V and The unit should turn on. o o
turn the selector switch to MONITOR (for AED
units, turn the selector switch to ON).
4.5 Set voltage to 9.4V. LOW BATTERY message displays within 30 seconds. o o
4.6 Shut Down Voltage Test Unit should shut off within 30 seconds. o o
Set voltage to 8.5V.
Test Setup:
1. Remove red lead from power supply and connect to 0.1 resistor.
2. Connect other end of resistor to + terminal of power supply using a second red lead.
3. Connect multimeter across the resistor.
4. Set voltage scale (if DVM is not autoranging) to 220 mV
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4.8 Turn the selector switch to MONITOR. Voltage across resistor should be 116 mV or less (< 1.16 A of ON current). o o o
(For AED units, turn the selector switch to ON
and select Manual mode.)
4.10 Off Current Test Voltage should be less than 450 mV (<450 A of current). o o
Measure across resistor with unit turned off.
ECG 10 50
6.1 Turn the selector switch to DEFIB. Press and The energy selection decreases to 1J. o o
hold the ENERGY DOWN button on the
sternum paddle.
6.2 Press and release the ENERGY UP button on 1-10, 15, 20, 30, 50, 70, 85, 100, 120, 150, 200J. o o
the sternum paddle for each setting.
6.3 Press and release the RECORDER button on The recorder turns on. Press and release again to turn off. o o o
the sternum paddle.
6.4 Select 30J using the paddle ENERGY button. The unit charges to 30J, then the red LED charge indicator illuminates and the o o
Press the CHARGE button on the Apex paddle. charge tone sounds. (Note that the front panel shock button does not
illuminate).
6.7 Press and hold both paddles SHOCK buttons. The unit discharges. The TEST OK message displays and the red LED turns o o
off. The recorder runs.
7.1 Set the ECG Simulator to 120BPM. The Heart Rate displays as 120 +/- 2 bpm o o o
Record your results on the Maintenance Tests Checklist.
8.2 Press and hold SIZE button to activate the The strip chart displays a signal of 300 ppm with an amplitude of 10 mm +/- 1 o o o
calibration signal. mm. The signal also appears on the video display.
9.3 Press RECORDER button. Verify that the waveform amplitude on the strip chart is less than 1.5 mm. o o o
9.4 Turn the ECG simulator off.
10.1 Turn the selector switch to MONITOR mode. Lead II message displays. o o o
(For AED units, turn the selector switch to ON NSR ECG at 120 BPM +/- 2 displayed.
and select Manual mode.)
Connect the ECG leads to the Fluke Biomedical
Impulse 4000. Set the simulator to 120 BPM
and the defibrillator to lead II.
10.2 Press ALARMS. The alarm menu displays. o o o
10.3 Press SELECT PARAM softkey until ECG HR Cursor scrolls through parameters. o o o
displays.
10.4 Press INC> for state. Cursor scrolls through ENABLE, AUTO and DISABLE. o o o
10.5 Press DEC>for state. Cursor scrolls through ENABLE, DISABLE, AND AUTO. o o o
10.6 Press INC> until ENABLE displays. ENABLE displays. o o o
10.7 Set LOW limit to 30, HIGH limit to 150 then, MONITOR displays. o o o
press the RETURN softkey.
10.8 Press ALARM SUSPEND button. No alarm sounds. o o o
10.9 Remove a lead wire from the Fluke Biomedical The alarm symbol flashes and the heart symbol stops flashing. The ECG LEAD o o o
Impulse 4000. OFF alarm tone sounds. Recorder prints a stripchart showing a low heart rate,
if enabled.
10.10 Reattach ECG Lead wire to Fluke Biomedical The alarm symbol has an X through it. o o o
Impulse 4000 and hold the ALARM SUSPEND The heart symbol flashes with each QRS wave.
button on unit for 4 seconds.
10.11 Press the ALARM SUSPEND button. Alarm is enabled. Alarm symbol (without X) displays. o o o
10.12 Set simulator to 160 BPM or higher. Heart Rate Value is highlighted, alarm tone sounds, the alarm and the heart o o o
symbol both flash.
10.13 Press the ALARM SUSPEND button in the unit. Alarm is suspended for 90 seconds. The alarm symbol has an X through it. o o o
The heart symbol flashes with each QRS wave.
SHOCK HAZARD!
TAKE THE NECESSARY PRECAUTIONS TO GUARD AGAINST SHOCK OR INJURY BEFORE YOU START
CONDUCTING THE DEFIBRILLATOR TESTS.
Keep hands and all other objects clear of the multi-function cable connections and defibrillator analyzer when discharging
the defibrillator.
Before you discharge the defibrillator, warn everyone near the equipment to STAND CLEAR.
Caution Do NOT internally discharge the unit more than 3 times in 1 minute. Note that multiple rapidly repeating internal discharges at more than
30 Joules may damage the unit.
Tools Needed:
MFC Test Port Connector 1004-0053-99 with universal cable.
MFC Test Adaptor Connector (Fluke Biomedical Part Number 3010-0378 or equivalent).
Fluke Biomedical Impulse 4000 or equivalent defibrillator analyzer.
ECG Cable.
Stop watch.
Test Setup:
1. Ensure the unit is turned off
2. Ensure the ECG cable is connected to the unit and analyzer.
Note: The universal cable should not be connected to any equipment at the beginning of this test.
11.1 Turn the selector switch to DEFIB mode. CHECK PADS/POOR PAD CONTACT message displays. o o
(For AED units, turn the selector switch to ON
and select Manual mode.)
Set leads to PADS.
11.2 Connect the universal cable to the MFC test DEFIB PAD SHORT message displays. o o
port.
11.3 Select energy level of 100J and press the The charge time is >2 second and <10 seconds and SELECT 30J FOR TEST o o
CHARGE button. is displayed.
11.4 Press the SHOCK button. Unit does not discharge. DEFIB PAD SHORT message displays. o o
11.5 Set energy level to 30J. Unit internally discharges. o o
11.6 Press the CHARGE button. Unit charges to 30J and displays DEFIB 30J READY. The charge ready tone o o
sounds.
11.7 Press and hold SHOCK button. Unit discharges. TEST OK message and number of joules delivered message o o
displays. For example, using the message at the top of the printed strip chart
would read as follows:
30 JOULES TEST OK. TEST_CUR=10-14A DEFIB_IMPED=0.
The impedance value may range from 0 to 5.
12.2 Press the SYNC softkey on the defibrillator. Sync appears on display. o o
Enter synchronized cardioversion timing test Sync markers display on the monitor. The sync marker appears as a down
mode on the defibrillator analyzer. arrow over the ECG R-wave peaks on strip chart and display.
12.4 Press the CHARGE button. When the SHOCK Observe that the R-wave to shock delay (sync delay) is less than 60 o o
button lights, press and hold the SHOCK milliseconds on the analyzer display.
button. Defibrillator discharges.
13.2 Press the ENERGY SELECT down arrow until DEFIB 1J SEL displays. o o o
1J displays.
13.3 Press the CHARGE button.Wait for the SHOCK DEFIB 1J RDY displays. o o o
button to illuminate.
13.4 Press the SHOCK button. Unit discharges 0J-2J into the simulator. (Note: The displayed rhythm may o o o
change shape for 30 seconds before it returns to an original rhythm. This is
caused by the operation of the adaptive bandwidth defibrillator recovery
circuit.)
13.5 Repeat for all settings 1-200J Energy delivered is within + /- 15% or 2J of setting which ever is greater. o o o
13.6 Press the ENERGY SELECT up arrow until DEFIB 200J SEL displays. o o o
200J displays.
13.7 Press the CHARGE button and start timing with Observe and record the value of the charge time on the stop watch. o o o
a stopwatch. Stop timing when the SHOCK Charge time 3.0-6.0 sec.
button illuminates.
13.9 Note the Patient Current and Defib Impedance Patient Current 20-24A. o o o
on the strip chart. Defib Impedance 46-54 Ohms.
13.10 (AED unit only) Disconnect the cable from the CHECK PADS audio prompt. o o o
analyzer.
14.1 Press and hold the SUMMARY softkey for 4 to ERASING REPORT displays. o o
8 seconds to erase any previously stored data.
14.2 Set selector switch to DEFIB. Select 200J using The unit successfully discharges and prints a strip chart. o o
the ENERGY SELECT button, and press the
CHARGE button. When charged, press the
SHOCK button to discharge into the defibrillator
analyzer.
14.3 Wait 18 seconds, then press the Code Marker The Code Markers display. o o
softkey. Press the CPR softkey.
14.4 Turn the unit off. Wait 10 seconds and then turn Summary report prints. The report displays the correct date, time, the shock o o
the unit on. Press the SUMMARY softkey, then delivered and Code Marker event.
press the PRINT CHART softkey.
Note: The following tests are to be performed only on E Series units equipped with the optional pacing function.
The pacer output can be measured using an oscilloscope set to DC coupling connected across a load resistor. (See diagram in column for universal cable
connector polarity.) The load resistor is a 100 ohm, 5 watt or greater. The pacer output is a positive going pulse, 40 +/- 2 ms duration with an amplitude of
0.1 volt per milliamp of selected output (e.g., 40 milliamps of selected output has an amplitude of 4 +/- 0.5 volts the specified tolerance displayed on the
oscilloscope).
If an external non-invasive pacer analyzer is being used, then follow the manufacturers guidelines for measuring the frequency (ppm), output (mA) and
the pulse width measured in milliseconds. Note that the analyzer pace load resistor must be less than 250 ohms.
Test Setup:
1. Connect the universal cable from the E Series to the External Pacer Load (TQA-17) of the Impulse 4000.
2. Turn the Main Selector knob of the E Series to the Pacer mode.
16.1 Set the PACER OUTPUT to 14 mA and CHECK PADS and POOR PAD CONTACT message displays. The pace alarm o o
disconnect MFC connector from the Fluke is active.
Biomedical Impulse 4000.
16.2 Reconnect the universal cable to the Fluke CHECK PADS and POOR PAD CONTACT message disappears. The pace o o
Biomedical Impulse 4000. Press Clear Pace alarm is cleared.
Alarm softkey.
16.3 Set rate to 180 ppm; output to 0mA. No output appears on the Fluke Biomedical Impulse 4000. o o
16.4 Increase the output to 20mA. Output on the Fluke Biomedical Impulse 4000 is 20mA +/- 5mA. Pulse width is o o
40mS +/-2mS.
16.5 Increase the output to 40mA. Output on the Fluke Biomedical Impulse 4000 is 40mA +/- 5 mA. Pulse width is o o
40mS +/-2mS.
16.6 Increase the output to 60mA. Output on the Fluke Biomedical Impulse 4000 is 60mA or +/- 5mA. Pulse width o o
is 40mS +/-2mS.
16.7 Increase the output to 80mA Output on the Fluke Biomedical Impulse 4000 is 80mA or +/- 5mA. Pulse width o o
is 40mS +/-2mS.
16.8 Increase the output to 100mA. Output on the Fluke Biomedical Impulse 4000 is 100mA or +/- 5mA. Pulse o o
width is 40mS +/-2mS.
16.9 Increase the output to 120mA. Output on the Fluke Biomedical Impulse 4000 is 120mA or +/- 6mA. Pulse o o
width is 40mS +/-2mS.
16.10 Increase the output to 140mA. Output on the Fluke Biomedical Impulse 4000 is 140mA or +/- 7mA. Pulse o o
width is 40mS +/-2mS.
16.11 Decrease the output to 60mA. Pacer rate on Fluke Biomedical is 29-31 ppm. o o
Decrease the rate to 30 ppm.
16.12 Increase the rate to 40ppm. Pacer rate on Fluke Biomedical is 39-41 ppm. o o
16.13 Increase the rate to 60ppm. Pacer rate on is Fluke Biomedical is 59-61 ppm. o o
16.14 Increase the rate to 80ppm. Pacer rate on Fluke Biomedical is 78-82 ppm. o o
16.15 Increase the rate to 100ppm. Pacer rate on Fluke Biomedical is 98-102 ppm. o o
16.16 Increase the rate to 120ppm. Pacer rate on Fluke Biomedical is 118-122 ppm. o o
16.17 Increase the rate to 180ppm. Pacer rate on Fluke Biomedical is 177-183 ppm. o o
16.18 Decrease the rate to 50 ppm. Pacer rate on Fluke Biomedical is 49-51 ppm. o o
16.19 Connect the ECG cable to the E Series and ECG at 60 BPM is seen on the display and no stimulus markers. o o
Fluke Biomedical Impulse 4000. Select the
ECG at 60 BPM on the Fluke Biomedical
Impulse 4000.
16.20 Press the Async Pace softkey. ECG at 60 BPM seen on the display with the pace stimulus markers displayed. o o
Async pace message displays.
16.21 Turn off Fluke Biomedical. Set Pacer Rate to Observe the pace stimulus markers every 15mm +/-1mm. o o
100ppm. Press the RECORDER ON button.
16.22 Press and hold 4:1 button. Observe the pace stimulus markers every 60 mm+/- 1.5 mm. o o
Record your results on the Maintenance Tests Checklist.
Test Setup:
1. Connect the universal cable to the MFC test plug.
2. DO NOT connect the ECG cable to the simulator.
3. Install the Masimo Patient Cable and attach the Masimo sensor to the patient cable.
4. Connect the Masimo sensor to the finger simulation post.
5. Place a fully charged battery into the battery well or connect to ac power (dc power, if equipped).
6. Ensure that the SpO2 Simulator is off.
17.1 Turn the selector switch to MONITOR. The SpO2 saturation percentage appears as a dashed line on the monitor. o o
(For AED units, turn the selector switch to ON
and select Manual mode.)
17.2 Wait ten seconds. The SpO2 PULSE SEARCH message displays. o o
Turn on the SpO2 simulator. Press the SIM
softkey on the Index SpO2 Simulator. Press the
MAN softkey.
17.3 Press the 02+ or 02- softkey of the simulator The E Series SpO2 reading of 98 +/- 1% appears on the E Series monitor. Note o o
until the SpO2 output is at 98%. that you may need to wait up to 2 minutes for the information to appear on the
ZOLL display.
17.4 Using the Index SpO2 Simulator, press the The SpO2 rate 230 BPM displays on the simulator screen. o o
BPM+ or BPM- softkey until the heart rate is
Note that you may need to wait up to 2 minutes for the information to appear on
230 BPM.
the ZOLL display.
The SpO2 saturation of 96-100% appears on the E Series display.
The heart rate of 226-234 BPM displays on the E Series monitor.
17.5 Using the Index SpO2 Simulator, press the The SpO2 saturation of 96-100% displays on the unit. o o
BPM- softkey until the heart rate is 50 BPM The heart rate of 46-54 BPM displays on the E Series monitor. o o
17.6 Using the Index SpO2 Simulator, press the 02+ The SpO2 saturation of 70-74% displays on the unit. o o
softkey until the SpO2 output is at 72%. The heart rate of 46-54 BPM displays on the E Series monitor. o o
17.7 Press Wave 2 softkey. Plethysmographic waveform appears on the ZOLL display. o o
Select the SpO2 waveform.
17.8 Press RECORDER. The plethysmographic waveform prints on the strip chart paper. o o
17.9 Using the Index SpO2 Simulator, press the The SpO2 saturation rate of 70-74% displays on the unit. o o
BPM- softkey until the heart rate is at 230 BPM. The heart rate in the heart position of 226-234 BPM displays on the monitor.
17.10 Select Wave 2 SpO2. Verify that the waveform is displayed at the correct rate. o o
Print the waveform.
18.1 Connect the CAPNOSTAT 5 CO2 Mainstream NOTE: Make sure the airway adapter (for Mainstream), or the cannula (for
cable with airway adapter attached, or the Sidestream) is installed in the CO2 cable.
CAPNOSTAT 5 Sidestream cable with the
cannula attached, to the yellow connector at the
back of the E Series.
18.2 Set the front panel switch to MONITOR or ON. WARM UP message appears on the display. o o
For AED units, enter Manual Mode. NOTE: Warming up may take about 1 minute.
18.4 Press the ZERO softkey, then wait for the The ZERO DONE message appears. o o
ZERO DONE message.
18.6 Press the Wave 2 softkey until the CO2 A flat baseline CO2 waveform appears. o o
waveform appears.
18.7 Breath normally into the airway adapter. A capnogram waveform appears. o o
Record your results on the Maintenance Tests Checklist.
19.2 While pressing and holding the second softkey The unit displays EtCO2 Calibration screen.
from the left, turn the selector switch to Monitor
(ON for AED units).
19.3 Wait for the sensor to warm up. The message WARM UP is displayed for approximately one minute.
*The barometric pressure can be obtained from a calibrated barometer, or from the National Weather Service at www.nws.noaa.gov (enter your local zip code to
get the local barometric pressure). Note that the barometric pressure is in inches of mercury, multiply it by 25.4 to convert to mmHg.
20.1 Connect the CAPNOSTAT 5 CO2 Sensor to the NOTE: Make sure the airway adapter (for Mainstream), or the cannula (for
yellow connector at the back of the E Series Sidestream) is installed in the CO2 cable.
unit, and connect an airway adapter to the
sensor.
20.2 While pressing and holding the second softkey The unit displays EtCO2 Calibration screen.
from the left, turn the selector switch to Monitor
(ON for AED units).
20.3 Wait for the sensor to warm up. The message WARM UP is displayed for approximately one minute.
20.6 Use the Prev, Next, Inc and Dec softkeys to set
each digit of the gas temperature parameter in
the CAPNOSTAT 5 CO2 Sensor until Gas
Degrees C is equal to the room temperature.
20.9 Attach a regulated flowing gas mixture of 5% The gas flow rate should already be preset to 2 to 5 liters per minute.
CO2, balance Nitrogen (N2) to the airway
adapter (for Mainstream) or cannula (for
Sidestream).
20.11 Allow a few seconds for the gas mixture to The expected value is 5% 0.26%. o o o
stabilize and observe the CO2 Percent value.
The calibration gas mixture and regulator are available from Respironics Novametrix. (Equivalent alternatives are available from other suppliers.)
Gas Regulator: PN 6081-00
Calibration Gas (carton of 4 tanks): PN 8964-00
Parameter Value
Systolic pressure 120 mmHg
Diastolic pressure 80 mmHg
Mean pressure 93 mmHg
Heart pressure 80 bpm
Note: If you are using the Fluke Biomedical CuffLink, you must change the shift value of the Blood Pressure Envelope to +3 on the Pressure Curve
Adjust Menu.
3. Make sure the ECG cable is not connected to the E Series unit.
4. If the SpO2 option is installed, make sure that the Masimo cable is NOT connected to the E Series unit.
21.1 Turn the selector switch to MONITOR mode. The E Series powers on in MONITOR mode.
(For AED units, turn the selector switch to ON
and select Manual mode.)
21.2 Ensure that the LEADS parameters is set to The E Series displays PADS in the Lead selection field on the monitor. o o
PADS (default).
If necessary, press the LEADS button to cycle
through the values to select PADS.
21.3 Press the NIBP button on the E Series front The E Series initiates the blood pressure measurement cycle and displays the o o
panel following measurements:
Verify that the values displayed are accurate systolic pressure (115 - 125 mmHg)
within 5 mmHg of the pressure parameters set diastolic pressure (75 - 85 mmHg)
on the NIBP Analyzer. mean pressure (88 - 98 mmHg)
21.5 Select the Trend softkey, then select the NIBP The E Series displays a summary of the NIBP measurements, including the o o
Trend softkey. pulse rate reading (in the range of 77 - 83 bpm).
22.0 NIBP Volume Leak Test with Fluke Biomedical NIBP Analyzer
The volume leak test verifies the integrity of the pneumatic system on the NIBP module. This test is optional at 6 months, but should be performed
annually or every 10,000 readings, whichever comes first.
Tools Needed: Fluke Biomedical BP Pump NIBP Monitor Analyzer.
Test Setup:
1. Connect the Analyzers simulator hose to the NIBP connector on the E Series unit.
2. Configure the NIBP Analyzer for the volume leak test. For example, on the Fluke Biomedical BP Pump:
Press the MODE button three times to go into Tests mode.
Press the SELECT button twice to access the volume leak test.
3. Make sure the ECG cable is not connected to the E Series unit.
4. If the SpO2 option is installed, make sure that the Masimo cable is NOT connected to the E Series unit.
22.1 Turn the Selector Switch to OFF. The E Series powers on in the NIBP Service Mode.
After 10 seconds, press and hold the fourth
softkey from the left and turn the Selector
Switch to MONITOR.
22.2 Press the Leak Test softkey. The E Series displays the NIBP Leak Test Screen.
22.3 On the NIBP Analyzer, set the pressure The NIBP Analyzer displays a pressure reading of 200 mmHg.
parameter to 200 mmHg.
22.4 On the E Series unit, press the Close Valves The Valves status changes from OPEN to CLOSED. o o
softkey.
22.5 On the NIBP Analyzer, press the START TEST After approximately 1 minutes, a number appears in the upper middle area of o o
softkey. the NIBP Analyzer display.
Note: You must press the START TEST If the Analyzer:
softkey within 30 seconds of closing the displays a Volume Leak reading <5, then the E Series unit has passed the
valves on the E Series unit. test.
displays a Volume Leak reading >5, then the E Series unit has failed the
test.
displays no Volume Leak reading, but maintains a stable pressure reading
at or above 200 mmHg, then the E Series unit has passed the test; there is
no volume leak.
In addition, the E Series displays the Analyzers pressure reading in the Cuff
Pressure field.
After approximately 3 minutes, the valves on the E Series unit open.
22.6 On the NIBP Analyzer, press the STOP TEST The NIBP Analyzer terminates the Volume Leak Test. o o
softkey.
22.7 On the E Series unit, press the EXIT softkey The E Series returns to the main NIBP Service Mode screen, then to normal
twice. Monitor mode operation.
23.0 NIBP Volume Leak Test with Fluke Biomedical Cufflink NIBP Analyzer
The volume leak test verifies the integrity of the pneumatic system on the NIBP module. This test is optional at 6 months, but should be performed
annually or every 10,000 readings, whichever comes first.
Tools Needed: Fluke Biomedical/Fluke Biomedical Cufflink NIBP Analyzer.
Test Setup:
1. Connect the Analyzers simulator hose to the NIBP connector on the E Series unit.
2. Connect the Analyzer to the E Series unit as described in the manufacturers instructions.
3. Configure the NIBP Analyzer for the volume leak test by selecting Leak Test. Note that you can also consider using the internal Digital Manometer and
stopwatch.
4. Make sure the ECG cable is not connected to the E Series unit.
5. If the SpO2 option is installed, make sure that the Masimo cable is NOT connected to the E Series unit.
23.1 Turn the Selector Switch to OFF. The E Series powers on in the NIBP Service Mode.
After 10 seconds, press and hold the fourth
softkey from the left and turn the Selector
Switch to MONITOR.
23.2 Press the Leak Test softkey. The E Series displays the NIBP Leak Test Screen.
23.3 On the NIBP Analyzer, set the pressure The NIBP Analyzer displays a pressure reading of 200 mmHg.
parameter to 200 mmHg.
23.4 On the E Series unit, press the Close Valves The Valves status changes from OPEN to CLOSED. o o
softkey.
23.5 On the NIBP Analyzer, press the START TEST After approximately 1 minutes, a number appears in the upper middle area of o o
softkey. the NIBP Analyzer display.
Note: You must press the START TEST If the Analyzer:
softkey within 30 seconds of closing the displays a Volume Leak reading <10, then the E Series unit has passed the
valves on the E Series unit. test.
displays a Volume Leak reading >10, then the E Series unit has failed the
test.
displays no Volume Leak reading, but maintains a stable pressure reading
at or above 200 mmHg, then the E Series unit has passed the test; there is
no volume leak.
In addition, the E Series displays the Analyzers pressure reading in the Cuff
Pressure field.
After approximately 3 minutes, the valves on the E Series unit open.
23.6 On the NIBP Analyzer, press the F3 softkey. The NIBP Analyzer terminates the Volume Leak Test. o o
23.7 On the E Series unit, press the EXIT softkey The E Series returns to the main NIBP Service Mode screen, then to normal
twice. Monitor mode operation.
Press the SELECT button once to access the Pressure Simulator screen.
Note: These instructions apply to the Fluke Biomedical BP Pump; for equivalent devices, follow the manufacturers instructions.
3. Make sure the ECG cable is not connected to the E Series unit.
4. If the SpO2 option is installed, make sure that the Masimo cable is NOT connected to the E Series unit.
24.1 Turn the Selector Switch to OFF. The E Series powers on in the NIBP Service Mode.
After 10 seconds, press and hold the fourth
softkey from the left and turn the Selector
Switch to MONITOR.
24.2 Press the NIBP Calib softkey. The E Series displays the NIBP Transducer Calibration Screen.
24.3 On the NIBP Analyzer, set the pressure The NIBP Analyzer displays a pressure reading of 0 mmHg.
parameter to 0 mmHg.
24.4 On the E Series unit, press the Set Low softkey The NIBP pressure transducer registers its voltage output at a known pressure o o
to calibrate the transducer to a 0 mmHg of 0 mmHg. The field adjacent to the 0 mmHg value changes to PASS.
pressure reading. Note: If the E Series displays a FAIL reading, verify the NIBP Analyzers
pressure setting and connection to the E Series and repeat the step.
24.5 On the NIBP Analyzer, set the pressure The NIBP Analyzer displays a pressure reading of 250 mmHg.
parameter to 250 mmHg.
24.6 On the E Series unit, press the Set High The NIBP pressure transducer registers its voltage output at a known pressure o o
softkey to calibrate the transducer to a of 250 mmHg. The field adjacent to the 250 mmHg value changes to PASS.
250 mmHg pressure reading. Note: If the E Series displays a FAIL reading, verify the NIBP Analyzers
pressure setting and connection to the E Series and repeat the step.
24.7 On the NIBP Analyzer, set the pressure The NIBP Analyzer displays the specified pressure reading.
parameter to stimulate a different cuff pressure
(for example, 205 mmHg).
24.8 On the E Series unit, press the Read Cuff The NIBP module measures the pressure from the NIBP Analyzer and displays o o
softkey. the value in the Cuff Pressure field.
Verify that the value displayed is accurate within
5 mmHg of the pressure parameter set on the
NIBP Analyzer.
24.9 On the E Series unit, press the EXIT softkey The E Series returns to the main NIBP Service Mode screen, then to normal o o
twice. Monitor mode operation.
24.10 Perform the NIBP Monitor Test (see NIBP The E Series passes all the criteria for the NIBP Monitor Test. o o
Monitor Test on page 37) to verify functional
operation of the NIBP option.
Warning! NIBP transducer calibration can affect clinical readings of the NIBP parameter. Ensure that the NIBP Transducer Calibration
procedure is performed correctly, followed by an NIBP Monitor Test for verify proper operation.
Chapter 2
Troubleshooting
Overview
This chapter describes the most common technical problems that biomedical technicians experience when checking the E Series during routine
maintenance or when there is a malfunction of the unit. It also contains a list of error messages that users may see if the unit is not operating properly.
This chapter contains the following:
Troubleshooting tables for ECG Leads Off Messages and Monitor Displays
ZOLL E Series Error Messages
If the problems you encounter are not listed below, call ZOLL Medical Corporations Technical Service Department for further assistance. (See page vii
for contact information.)
Troubleshooting
The following tables show the most common troubleshooting issues and their solutions.
First, attempt to solve the problem with Recommended User Action. If these steps do not solve the problem, follow the steps listed in the
Recommended Technical Action column.
ECG LEAD OFF message Check preparation of ECG electrode site by cleaning the site, lightly Try to reproduce the problem using a simulator.
displays. abrading the patients skin and/or clipping the patients hair at the Inspect the ECG cables looking for corrosion or
(3, 5, 12 lead cable) electrode site. broken connector pins.
If electrode gels are dry, replace electrodes with new ones from a Check the cable for intermittent connections by
freshly opened package. flexing the cable at the yoke and snap
Verify that all leads are attached. connectors.
Set monitor to another lead. Check the cable connection to the defibrillator.
Verify that the electrodes have not exceeded their expiration date. Inspect the ECG input connector and its pins.
Replace it, if necessary.
Inspect the ECG cable connection to the
system board.
Inspect the system board ECG shielding.
Remove and replace the system board.
V LEADS OFF message If the user is not using V leads, attach V lead connector terminator
displays. plug to the cables V lead connector.
If a V1 lead wire metal snap comes in contact with the patients skin,
then the system will show all V leads as OFF.
Remove V1 leads and others away from the patient. Turn off the unit
and wait ten seconds before turning it back on.
CHECK PADS/POOR PAD Remove and reinsert PADS connector into the universal cable. Connect universal cable to the shorting plug.
CONTACT message The DEFIB PAD SHORT message should
Check for damaged defibrillator pads, wires and or connector.
displays. display, when you SELECT PADS. If the
Check for dried out or expired defibrillator pads.
message does not display, then:
Clip (not shave) the patients hair and wipe pad contact area dry.
Try another universal cable.
Connect the cable to the test plug. The DEFIB PAD SHORT
message displays to indicate that the cable is functioning properly. Check the cable from the universal cable
connector to the High Voltage Module.
If the DEFIB PAD SHORT message displays, then check the
connections of the pads to the patient and to the defibrillator cable. Check the cable from the High Voltage Module
to the system board.
If the DEFIB PAD SHORT message does not display, remove the
defibrillator from service. Remove and replace the High Voltage Module.
Remove and replace the system board.
Call ZOLL Technical Support for assistance.
Flash or arcing under Avoiding using alcohol and betadine in and around the treatment Ensure that wet gel pads are stored flat.
defibrillator pad. area because these skin preparations may lead to increased
conductivity and/or bonding between the electrodes adhesive and
skin.
Check for gel droop. If the gel has leaked out of the gel treatment
area, replace the electrode.
Ensure pads are coupling to the patients skin and connected to the
universal cable.
Check for dried out gel on the defibrillator pad.
Clip patients excessive hair. Do not shave hair.
Check expiration date. Replace pad if date has expired.
Do not conduct chest compression through the pads because the
pads could be damaged leading to the possibility of arcing and skin
burns.
Apply the back electrode first. If the front electrode is already in
place when the patient is being maneuvered for placement on the
back, the front may become partially lifted, possibly causing arching
and skin burns.
Displayed HR not accurate. Verify heart rate flashes with each QRS on display.
No artifact present. Change lead selection.
Change ECG size.
Reposition ECG electrodes.
Displayed HR not accurate; Reduce or eliminate ECG artifact due to electrode or patient cable Check for contamination on snaps. Ensure
artifact present. movement. Route cables so that they dont pull on electrodes or springs are intact.
swing excessively. Check for intermittent ECG patient cable or
Ensure patient is motionless. connector wiring.
Check for possible excessive radio frequency interference. Replace ECG input connector.
Verify a good connection of electrodes to the patient. Replace ECG connector to the system board
Prepare the patients skin prior to the electrode attachment. cable.
Move patient cables away from other electrical equipment, Replace system board.
especially any RFI source.
Ensure ECG cable fits snugly in unit.
Change ECG cable.
Replace/reposition ECG electrodes.
Disable Enable Pacer Detection to reduce the effect of artifact.
False Pacer Pulses Seen The patient does not have an internal pacemaker, but pacer pulses are
displayed.
Disable Enable Pacer Detection to reduce high frequency artifact.
Wandering baseline. See Displayed HR not accurate. above. Same as above example.
Electronic interference. Check for possible excessive radio frequency interference. Turn off sources of excessive RFI.
Move patient cables away from other electrical equipment. Move E Series unit away from RFI source.
ANALYSIS HALTED ECG analysis halted due to user interaction such as: 9
Lead/size change
Analyze button was pressed again
Impedance fault
Charging error detected in auto defib mode
AUDIO FAULT 136 Audio DSP hardware error. Replace audio board.
Replace system board.Turn unit off and back on
again.
AUDIO NOT RECORDING Audio is not recording. Install PCMCIA card. Replace system board.
AUDIO QUEUE FULL Indicates that the audio output queue is full. Additional None.
voice prompts can't be queued at this time.
BATT HIGH CURRENT Battery is charged and battery current is >.1 A or: Unplug from A/C. Remove the battery for 20
Battery is not charged and battery current is > 1.6 A. seconds. Reconnect all above. If the problem
persists, replace battery and or charger.
BATT HIGH VOLTAGE Battery voltage > 15.5 v. Replace battery and or charger
BATT LOW CURRENT Battery is not charged and battery current is <.35 A. Replace battery and or charger.
BATT LOW VOLTAGE Battery voltage < 9.5 v. Replace battery and or charger.
BATT OVERCHARGE Charger on for > 4 hours. Replace battery and or charger.
CABLE FAULT (Auto defib mode only.) 9 Replace paddle set, universal cable and/or
Incorrect A/D reading for paddle ID (similar to PADDLE system board.
FAULT).
CHECK CO2 ADAPTER Airway adapter is removed, occluded or adapter zeroing 9 Replace/Clean airway adapter. Zeroing performed
needs to be performed or was performed incorrectly. automatically.
CHECK PADS Message displayed in conjunction with either POOR PAD 9 Ensure pads are coupled to patient. Check /
CONTACT or DEFIB PAD SHORT. replace pads and universal cable.
Replace system board.
CHECK RECORDER Produced when paper tray is empty, paper jams or 9 Replace paper sensor board, system interconnect
recorder door is opened. board, and/or system board.
CLOCK FAULT 11 Real time clock oscillator failure. Replace system board.
CLOCK FAULT 12 Real time clock back-up power supply failure. Found Replace system board.
oscillator stopped at power-up, but oscillator now running
when the system is running. (Oscillator only runs when
main power is applied).
CLOCK FAULT 13 One of the set time units (seconds, minutes, year, etc.) is Replace system board.
out of range.
CONFIRM MANUAL MODE Displayed when manual mode is entered. Alerts user to 9
confirm that manual mode is desired.
DEFIB DISABLED User prompt issued simultaneously with other faults if Possible configuration problem. Replace high
defib is disabled. voltage module. Call ZOLL Technical Support.
DEFIB FAULT 71 More than 50 internal dumps occurred in less than 20 Turn the unit to OFF and back on. If fault persists,
minutes. replace high voltage module.
DEFIB FAULT 72 Charging inhibited, voltage out of range. Turn the unit to OFF and back on. If fault persists,
replace high voltage module.
DEFIB FAULT 76 Capacitor voltage too high for selected energy. Replace high voltage module or capacitor.
DEFIB FAULT 77 Capacitor voltage > than absolute rated max. Replace high voltage module or capacitor.
DEFIB FAULT 78 Unable to charge defib cap. Replace high voltage module or capacitor.
DEFIB FAULT 79 Defibrillator charging too slowly. Replace high voltage module or capacitor.
DEFIB FAULT 80 4 defibrillator faults detected within 20 second period. Replace high voltage module or capacitor.
DEFIB FAULT 81 Discharge switch in undefined state. Replace high voltage module or capacitor.
DEFIB FAULT 84 Upper discharge transistor shorted (measured via Replace high voltage module.
applicable A/D channel).
DEFIB FAULT 85 Lower discharge transistor shorted (measured via Replace high voltage module.
applicable A/D channel).
DEFIB FAULT 86 One discharge switch closed during power up test. Replace paddles, control board or system board.
DEFIB FAULT 87 Both discharge switches closed during power up test. Replace paddles, control board or system board.
DEFIB FAULT 94 Processor fault causing safety monitor port to be non- Replace system board, high voltage module or
functional. capacitor.
DEFIB FAULT 95 Safe or shutdown line is not functional. Replace high voltage module.
DEFIB FAULT 108 VMON voltage is less than the target energy during Replace high voltage module or capacitor.
charging.
DEFIB FAULT 109 Defib capacitor voltage is greater than selected energy Replace high voltage module or capacitor.
when defibrillator is charging or ready.
DEFIB FAULT 111 Defib capacitor voltage has exceeded the absolute Replace high voltage module, capacitor, and or
maximum acceptable voltage. system board.
DEFIB FAULT 195 Current higher than expected was detected during the Ensure pads/paddles are used properly.
Biphasic bridge test or immediately following a discharge.
Attempt to clear the message by turning the
Selector switch to off then back to the desired
operating modes.
DEFIB FAULT 196 Biphasic module not operating properly while charging. Charge again.
DEFIB NOT CHARGED Discharge button is pressed but the unit is not charged. 9
DEFIB PAD SHORT Measured impedance between high voltage leads of MFC. 9 Ensure pads are coupled to patient. Check /
replace pads or universal cable.
Replace system board.
ECG FAULT 4 Communication fault between ECG processor and main Turn off unit and then turn on to reset. If fault
processor. persists, replace system board.
ECG FAULT 5 ECU RAM test failure, or ROM checksum test failure. Turn off unit and then turn on to reset. If fault
persists, replace system board.
ECG LEAD OFF One or more ECG leads are not properly connected when 9 Check cable and patient connection. Change
leads are selected as input. electrodes. Prepare patients skin.
ECG TOO LARGE ECG signal too large for accurate shockable rhythm 9 Reduce ECG size.
analysis.
ECG V LEAD OFF V LEAD cable is not properly attached. 9 Attach V LEAD cable.
ECG V1 LEAD OFF Chest lead V1 is not properly attached to patient. 9 Reattach V lead. Check cable.
ECG V2 LEAD OFF Chest lead V2 is not properly attached to patient. 9 Reattach V lead.
Check cable.
ECG V3 LEAD OFF Chest lead V3 is not properly attached to patient. 9 Reattach V lead.
Check cable.
ECG V4 LEAD OFF Chest lead V4 is not properly attached to patient. 9 Reattach V lead.
Check cable.
ECG V5 LEAD OFF Chest lead V5 is not properly attached to patient. 9 Reattach V lead.
Check cable.
ECG V6 LEAD OFF Chest lead V6 is not properly attached to patient. 9 Reattach V lead. Check cable.
ENTER ACCESS CODE Manual mode access code needed. 9 Enter access code to enter manual mode with
AED.
LOW BATTERY Low battery. 9 Replace battery or plug into AC power. Replace
charger.
NO QRS DETECT Unit is in sync mode and heart rate is < 20 BPM or QRS 9 Increase ECG size and/or change lead.
amplitude is too low for proper synchronization.
NOISY ECG Number of noisy analysis intervals exceeds threshold. 9 Stop all patient movement. Check connections.
Press Analyze button again.
OPEN AIR DISCHARGE Cap voltage too high after discharge attempt, e.g., full Replace paddles, and, or high voltage module and
energy discharge did not occur. system board.
PACER DISABLED User prompt issued simultaneously with other pace faults Replace high voltage module or system board.
if pacing is disabled.
PACER FAULT 115 Flyback pulse width control circuit is not under proper Replace high voltage module, capacitor, or
control of the processor and gate array. system board.
PACER FAULT 116 Failure to detect XPACE_ON. Replace high voltage module, capacitor, and/or
system board.
PACER FAULT 117 Pace relay is stuck closed. Replace high voltage module, capacitor, and/or
system board.
PACER FAULT 121 During pace, the pace pulse width <30ms or >50ms. Replace high voltage module, or system board.
PACER FAULT 122 Pace current is more than 15mA above and below Replace high voltage module, or system board.
selected value.
PACER FAULT 123 Measured pace rate is too fast compared to selected rate. Replace high voltage module or system board.
PACER FAULT 126 Issued in conjunction with message 122. Pace current is Replace high voltage module.
more than 15mA and below selected value.
PADDLE FAULT Cannot detect type of accessory attached to the universal Replace paddles, internal paddles, system board,
cable. high voltage module and/or universal cable.
POOR PAD CONTACT Electrode impedance exceeds threshold. 9 Ensure pads are coupled to patient. Check /
replace pads or universal cable.
Check impedance circuit calibration.
Replace system board.
RECORDER FAULT 142 Strip chart system error. Check paper tray and paper path. Replace the
print head, system interconnect board and or the
system board.
RECORDER FAULT 143 Strip chart failed power-up echo test. Communications Check paper tray and paper path. Replace the
error. system interconnect board and/or the system
board. Turn unit off and back on again.
RECORDER FAULT 147 Strip chart printhead over temperature. Check paper tray and paper path. Replace the
print head, system interconnect board and/or the
system board.
RELEASE BUTTONS Simultaneous external paddle button presses detected 9 Release buttons.
before unit reached full defib charge (ready state).
RELEASE SHOCK Discharge switch(es) closed when pressing charge button. 9 Release shock button.
Discharge button pressed before defib reached ready Check paddles.
state.
Replace controls board.
REPLACE BATTERY Battery voltage is less than absolute minimum. Shutdown 9 Replace with charged battery.
imminent.
REPLACE CARD Write errors during manual or semi-automated modes. 9 May have configuration card installed or write
protection on.
REPORT HALTED Summary report stops printing unexpectedly. Turn unit off and then back on again. Print
Summary again. If fault persists, replace system
board.
SELECT 30J FOR TEST Attempt to run a self test at an energy other than 30J. 9
SELECT DEFIB MODE Analyze button pressed in pace or monitor mode. 9
SELECT LEADS 12 Lead monitor determined the user selected MFE.
SELECT LIMB LEADS Paddles or augmented ECG leads selected when 9 Select limb leads I, II, III or MFE
continuous analysis active or started.
SET PACE mA Multiple copy errors are the product of intended software 9 Set pace current. If broken, replace system board.
or memory errors. If error reoccurs other than on entering
pace the first time or after more than 10 minutes in other
mode, the unit could be broken.
SET PACE RATE Multiple copy errors are the product of intended software 9 Set pace rate. If broken, replace system board.
or memory errors. Multiple copies of pace rate don't
match. If error persists, unit could be broken
SpO2 AMBIENT LIGHT Ambient light is too bright. Shield sensor from ambient light. Replace Sp02
sensor. Replace Sp02 module
SpO2 COMM ERR No transmissions from SpO2unit received. Communication Replace Sp02 module and/or system board.
error or no communication from Sp02 module.
SYSTEM FAULT 1 No Watchdog. Turn off unit and then turn on to reset. If fault
persists, replace system board.
SYSTEM FAULT 6 No communications received from ECU for 4 seconds. Turn off unit and then turn on to reset. If fault
persists, replace system board.
SYSTEM FAULT 7 The A/D converter is not performing conversions in a Replace system board.
timely manner.
SYSTEM FAULT 36 PS_MON is out of range. Pace/defib is disabled as long as Replace system board.
condition exits.
SYSTEM FAULT 37 Disable pace/defib and MFE monitoring. Replace system board.
SYSTEM FAULT 38 Failure to shutdown after shutdown order is written to the Replace system board.
RTC.
TEST FAILED MCU performed ipeak test (defib peak current) and unit 9 Replace universal cable, paddles or high voltage
failed during 30J self test. module, capacitor, or system board.
TEST OK MCU performed ipeak test (defib peak current) and unit 9
passed 30J self test.
USE PADDLE DISCHG Front Panel discharge button is pressed when either 9
external paddles or internal spoons with discharge buttons
are connected.
USER SETUP REQ Both copies of stored cal/config data are bad or have 9 Perform configuration setup.
never been programmed.
VX LEADS OFF V lead not properly attached to patient. X denotes lead 9 Reattach V lead.
number.
ZERO CO2 ADAPTER New EtCO2 airway adapter needs to be zero calibrated. 9 Zero EtCO2 adapter.
Chapter 3
Replacement Parts
This section contains a listing of the replacement parts available for the ZOLL E Series devices.
Replacement parts may be ordered through an authorized ZOLL distributor or directly from ZOLL Medical Corporation. The prices for parts are available
from ZOLL Medical Corporations Technical Service Department.
When ordering parts, please provide the following information:
ZOLL E Series device model and serial number
Field Replaceable unit part number
Description of the replacement part
Description of problem
To order by mail from ZOLL Medical Corporation, address your request to:
ZOLL Medical Corporation
269 Mill Road
Chelmsford, MA. 01824-4105
Attention: Technical Service Department
1-978-421-9655; 1-800-348-9011; Fax: 1-978-421-0010
Note: ZOLL reserves the right to substitute different parts to reflect modifications and improvements in ZOLL E Series circuitry and design.
Replacement Parts
Description Part Number
HV Capacitor 9126-0006
Printhead 0350-0350
Chapter 4
Functional Description
This chapter provides functional descriptions of the components contained in the ZOLL E Series and the E Series options. Refer to the interconnect
diagram that delineates the different components of the defibrillator.
This chapter includes:
Main System Board
Main System Board Functions
Power Supply
User Interface
PCMCIA Slots
Refer to the E Series Interconnect diagram to identify unit components described in this manual.
Module Location
Main Central Processing Unit (CPU) and ECU Main System PWBA
Pacer/Defib Charging and High Voltage Control (Defib/Pace) High Voltage Module
Biphasic Bridge Module
QRS detection.
Power Supply
The power supply converts DC power from a removable battery or the AC/DC Battery Charger module to voltages required by the E Series hardware.
The power supply circuit converts the raw battery or the Charger PWBA output voltages of +8.5 VDC to +16 VDC into the voltages shown in the table
below, including load and line regulation.
3VDD + 3.3 VDC Power for Digital circuits 3.3 Switching @ 300 kHz
5VDD + 5.0 VDC Power for Digital circuits 5.0 Switching @ 300 kHz
15VDD + 15.0 VDC Power for VPP and 12VEE 15.0 Switching @ 300 kHz
LCD_BS LCD BIAS Power for LCD display - 18 Switching @ 100 kHz
Component Function
Solid State Patient Relay Controls the delivery of therapeutic energy to patient.
Front End Protection Circuitry for Protects ECG front end against defibrillator pulses.
the MFC ECG
Charging
The charging process starts when the Main System Board detects a charge request. The defibrillator circuits begin charging the high voltage capacitor to
the target voltage or energy that the user selects on the front panel display. The Main System Board continuously monitors the capacitor voltage signal to
ensure that the high voltage capacitor charges at the proper rate. When the target voltage is reached, the Main System Board initiates a continuous beeper
tone to indicate that defibrillator is ready to discharge. The target energy level displays on the display screen.
The defibrillator holds the energy for 60 seconds for manual units and 15 seconds for AED units, refreshing the energy level as necessary. An intermittent
beep tone sounds during the last ten seconds (five seconds for AED unit) of the hold period. After the 60 second period, if the defibrillator has not been
discharged, the energy is dissipated into the internal discharge resistor by closing the safety relay (XSAFREL). The unit discharges internally and displays
a warning message if it is not functioning properly.
Unlike previous ZOLL designs that isolated the patient from defib circuitry via an electromechanical patient relay, the E Series utilizes a bank of silicon-
controlled rectifiers (SCRs). As the defibrillator capacitor is charged, the voltage is monitored via R1 - R4, which drive differential amplifiers referred to
the system ground. These resistor dividers split the capacitor voltage more or less equally above and below ground in order that the positive capacitor
terminal is approximately 1100 volts above ground, and the negative capacitor terminal is approximately 1100 volts below ground (at 200J setting). The
voltage at the patient electrodes is set by the divider RN1 and RN2. These networks are each 5X 25 M (125 M total) whose total resistance is specified to
be 125 M +\- 1%. As a result, the patient is nominally at ground and the hot switch bank is split into a positive side and a negative side.
Discharging
Initiating a discharge provides voltage to the patient relay and notification to the Main System Board through the PADMON signal. The Main System
Board then controls activation of the patient relay. Energy delivered to the patient goes through the biphasic bridge/DAC assembly to create a defibrillation
waveform. When the patient discharge SCRs are deactivated, the safety relay closes to internally dissipate any remaining energy.
If the E Series is in the self test mode, the energy is delivered internally. The microprocessor calculates the actual delivered energy from the current
waveform and displays a TEST OK message on the display, if the self test meets the appropriate criteria. If the criteria are not met, a TEST FAILED
message displays.
The patient relay discharges via the signal PATREL_DRV generated by XPATREL and Q304, Q323, and Q322. PATREL_DRV is disabled when
XPACE_SEL is at a logic low.
When the patient relay activation completes, the Main System Board releases the XPATREL signal. Several hundred milliseconds later, the safety relay
closes to ensure the high voltage capacitor energy is completely dissipated.
The Pacer circuit produces and delivers user-controllable pace pulses to the pacing electrodes. To initiate pacing, the front panel switch is turned to
PACER and the OUTPUT and RATE controls are set. Pacing current amplitude is constant during the pulse and is determined by the position of the front
panel PACER OUTPUT dial. Pacing pulse rate is determined by the position of the front panel PACER RATE dial. The pacing pulse duration is fixed at 40
milliseconds.
XPWR_ENABLE This logic signal from the gate array enables the charging circuit when true, and inhibits the charging circuit when false.
SAFE This logic control signal is generated by the Main System Board to halt the pace/defib function in the event of a detected fault.
SHUTDOWN This logic signal is true during reset and fault conditions. (VCC error, watchdog error, etc.) and halts operation of the PD
generator.
XPACE_ON This logic signal is generated by an optocoupler, and indicates that the pace output circuit is active. It is '0' true when pace
current is flowing.
XSAFREL Logic signal from the GA that operates the safety relay when '0' true.
XPACEREL Logic signal from the GA that operates the pace relay when '0' true. XPATREL: Logic signal from the GA that operates the solid
state patient relay when '0' true.
XPAT_ENABLE Logic signal from the processor controlled by the monitor that grants operation of the solid state patient relay. It is false during
pacing.
XPACE_SEL Hardware only signal from the front panel switch that is at '0' during pace. Used as an additional safety interlock on the solid
state patient relay so that operation of the relay during pacing is additionally disabled.
Stripchart Recorder
The Stripchart Recorder module includes a microprocessor, serial interface to the main system board and circuitry which drive the stripchart recorders
motor and printhead in response to the main CPU signals. Based upon signals sent by the main CPU, the recorders main processor drives the recorder
stripchart motor, formats data for printing on the chart and drives the printhead. It also detects when the sensor drawer is not properly fitted into the unit,
when the paper supply is out and needs to be refilled and the print head temperature.
PCMCIA Slots
The PCMCIA interface module supports two PCMCIA slots which accept Type I and/or Type II PCMCIA cards. These cards may be read or written to.
Data sent by the main CPU is passed to the installed PCMCIA card via the system interconnect PWBA.
E Series Options
The following sections describe the E Series options.
12 Lead Option
The ZOLL E Series 12 lead option is used to acquire ECG data needed to assist in the diagnosis of myocardial infarction (heart attack), often caused by
a coronary artery occlusion. The 12 lead ECG can be viewed on the display one lead at a time in monitoring and diagnostic bandwidths and printed in the
standard 4x3 format with 12 simultaneously acquired leads.
The 12 lead option provides for the recording, printing and automated analysis of 12 lead ECG using GE Marquette 12SL Analysis and supports the
transmission of these reports by fax to a remote location, such as a hospital. In the pre-hospital environment, the 12 lead reports can be faxed to a physician
as the patient is en route to the Emergency Department. As a result, the physician can initiate hospital accommodations immediately, such as activating the
staff of the cardiac catheterization lab, prior to the patients arrival and subsequent treatment. Or the patient may be treated in the pre-hospital environment
with thrombolytic agents.
The 12 lead cable is required to produce 12 lead reports. E Series unit must have the 12 lead option installed. All limb leads and V-leads must be connected
to initiate a 12 lead acquisition. Printed 12 Lead bandwidth is user configurable to be either 0.05-150 Hz (per AAMI EC11) or 0.05-40 Hz. The 0.05-40 Hz
bandwidth selection is used to reduce noise artifact in the high end of the diagnostic frequency range. Reports can be printed in a standard 4x3 or Cabrera
format. Faxed reports can be configured in a 2x6 format in addition to 4x3 and Cabrera formats.
The GE Marquette 12SL Analysis algorithm provides measurements of the 12 lead waveforms along with interpretive statements. The algorithm is
interpretive, not diagnostic. (A physician should always confirm interpretive statements. A diagnosis requires a complete clinical assessment including
other modalities, such as a physical examination.) 12SL produces global waveform measurements as well as a measurement matrix containing
measurements on each lead. Both the interpretive statements and measurement matrix are configurable to be printed or not printed.
The acquired 12 lead with 12SL may be faxed to a remote location using landline or cellular phone technology. Specific PCMCIA fax modems are
supported and the modem determines the specific phone compatibility. The E Series supports Group 3 facsimile, Class 1, Class 2 and Class 2.0. 12 lead
reports may be re-printed or re-transmitted using the Patient Records capability. Individual patient records may be selected based on patient ID, date, and
time.
by the blood flowing through a suitable peripheral area of the body, such as the finger in adults and the foot in neonates, can be used to calculate the ratio
of oxygenated hemoglobin to total hemoglobin in the arterial blood. The monitor displays this ratio as percent SpO2. Normal values typically range from
95% to 100% at sea level.
The E Series uses a Masimo Pulse Oximetry Circuit Board which features a fundamentally distinct method of acquiring, processing and reporting arterial
oxygen saturation and pulse rate. The E Series SpO2 module (Masimo Circuit Board) connects to the Masimo sensors and reports monitoring results
(oxygen saturation, pulse rate, pulse waveform, etc.) via a serial digital interface to the E Series system board. The E Series system provides isolated DC
power and serial communication to the SpO2 Board via the Isolated Power Supply board.
The E Series unit displays EtCO2 (the concentration of carbon dioxide detected at the end of each exhalation) as a numerical value in millimeters of
mercury (mmHg), percent (%), or kilopascals (kPa). In addition, the unit can display a capnogram. This capnogram is a valuable clinical tool that can be
used to assess patient airway integrity and proper endotracheal (ET) tube placement. The unit calculates respiration rate by measuring the time interval
between detected peaks of the CO2 waveform. The technology differentiates between waveforms caused by breathing and those caused by cardiogenic
oscillations and artifact.
Appendix A
Overview
This appendix includes:
Interconnect Diagram for the E Series Unit
ZOLL E Series Maintenance Tests Checklist
Photocopy the checklists and use the copies to record the results of the maintenance tests performed on the E Series equipment; keep them for your
records.
*
AC *
Receptacle 9500-071 6
* 9301-0388-01
AC Charger Speaker Display
9500-071 2
1005-0002
Earth ground
9500 -0718 9301-0389-01
post
9500-0719 Battery Interconnect 9500 -0312
95 00-0713-50
9500-0720 9301-0384-01
1001-0278-02 1001-03 45 Microphone
* 9500-0313 Controls
HV Module 9 500-0734
* 9500-0716-50
Capacitor 100 1-XXXX 9 500-0519
9301-0370-02 9301-0380-01
ETCO2 9 500-0733 -50
Biphasic Bridge/DAC System 9 500-0727 -50 ECG Input Connector
Connector
9500 -0731
9500-
9301-0383-01
MS-11 0730 Isolated Power Supply 9500-07 28-50 9500-0726 Access Detect ECG
Assembly Out/RS232 Connector
9500 -0715-50
9500-0722
1005-0160 9500 -0721 9500 -0715-50
SPO2
Connector PCMCIA Cage
9500 -0710 9301-0381-01
System Interconnect *
9500-07 25 9301-0387-01
9500-
Printer Interconnect Printer
9301-0390-01 0724 Motor
Communications 9500-0723-50
9500-0736 9500-0729
**
NIBP Assembly Print Head 9301-0385-01
* - integrated assembly
** - assembly in tegration planned Paper/Recorder Sensors
Hose
Rev 0.01
Figure 1: Interconnect Diagram for E Series Unit
Index D
IN-1
E Series Service Manual
IN-2
E Series Service Manual
T Z
Warnings v
IN-3
E Series Service Manual
IN-4