Service Manual: Cardiofax
Service Manual: Cardiofax
Service Manual: Cardiofax
ECG-9620M
ECG-9620N
ECG-9620P
ECG-9620S
ECG-9620T
ECG-9620U
cardiofax
ELECTROCARDIOGRAPH
ECG-9620
08CK2.782.00516
CONTENTS
Contents
GENERAL HANDLING PRECAUTIONS ................................................................................. i
WARRANTY POLICY ............................................................................................................. ii
EMC RELATED CAUTION ..................................................................................................... iii
Conventions Used in this Manual and Instrument .................................................................. iv
Dangers, Warnings, Cautions and Notes ..................................................................... iv
Explanations of the Symbols in this Manual and Instrument ........................................ v
Please read these precautions thoroughly before attempting to operate the instrument.
1. To safely and effectively use the instrument, its operation must be fully understood.
3. Before Operation
(1) Check that the instrument is in perfect operating order.
(2) Check that the instrument is grounded properly.
(3) Check that all cords are connected properly.
(4) Pay extra attention when the instrument is in combination with other instruments to avoid misdiagnosis or other
problems.
(5) All circuitry used for direct patient connection must be doubly checked.
(6) Check that battery level is acceptable and battery condition is good when using battery-operated models.
4. During Operation
(1) Both the instrument and the patient must receive continual, careful attention.
(2) Turn power off or remove electrodes and/or transducers when necessary to assure the patients safety.
(3) Avoid direct contact between the instrument housing and the patient.
6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrument is
not functioning properly, it should be clearly marked to avoid operation while it is out of order.
9. When the instrument is used with an electrosurgical instrument, pay careful attention to the application and/or
location of electrodes and/or transducers to avoid possible burn to the patient.
10. When the instrument is used with a defibrillator, make sure that the instrument is protected against defibrillator
discharge. If not, remove patient cables and/or transducers from the instrument to avoid possible damage.
WARRANTY POLICY
Nihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and workmanship for one year
from the date of delivery. However, consumable materials such as recording paper, ink, stylus and battery are excluded from
the warranty.
NKC or its authorized agents will repair or replace any products which prove to be defective during the warranty period,
provided these products are used as prescribed by the operating instructions given in the operators and service manuals.
No other party is authorized to make any warranty or assume liability for NKCs products. NKC will not recognize any other
warranty, either implied or in writing. In addition, service, technical modification or any other product change performed by
someone other than NKC or its authorized agents without prior consent of NKC may be cause for voiding this warranty.
Defective products or parts must be returned to NKC or its authorized agents, along with an explanation of the failure.
Shipping costs must be pre-paid.
This warranty does not apply to products that have been modified, disassembled, reinstalled or repaired without Nihon
Kohden approval or which have been subjected to neglect or accident, damage due to accident, fire, lightning, vandalism,
water or other casualty, improper installation or application, or on which the original identification marks have been
removed.
The following describes some common interference sources and remedial actions:
1. Strong electromagnetic interference from a nearby emitter source such as an authorized radio station
or cellular phone:
Install the equipment and/or system at another location if it is interfered with by an emitter source such
as an authorized radio station. Keep the emitter source such as cellular phone away from the
equipment and/or system.
2. Radio-frequency interference from other equipment through the AC power supply of the equipment
and/or system:
Identify the cause of this interference and if possible remove this interference source. If this is not
possible, use a different power supply.
4. Electromagnetic interference with any radio wave receiver such as radio or television:
If the equipment and/or system interferes with any radio wave receiver, locate the equipment and/or
system as far as possible from the radio wave receiver.
If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden Corporation
subsidiary or distributor for additional suggestions.
This equipment complies with EUROPEAN STANDARD EN-60601-1-2 (1993) which requires EN-55011, class
B.
Warnings, cautions and notes are used in this manual to alert or signal the reader to specific information.
DANGER
A danger is used to alert the user to a hazardous situation which will cause death or serious injury.
WARNING
A warning alerts the user to possible injury or death associated with the use or misuse of the instrument.
CAUTION
A caution alerts the user to possible injury or problems with the instrument associated with its use or
misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other
property.
NOTE
A note provides specific information, in the form of recommendations, prerequirements, alternative
methods or supplemental information.
Cardiograph
Patient cable
Battery charging
/ Paper feed / Mark
8
Mode
4
A key with a numeric number is used to enter
numbers in the System Setup screen and paient
information.
On screen
Symbol Description
CAL mark
Introduction
The System test, Adjustment and Setting section in this service manual describes
the maintenance that should be performed by qualified service personnel. The
Maintenance section in the operators manual describes the maintenance that can
be performed by the user.
The information in the operators manual is primarily for the user. However, it is
important for service personnel to thoroughly read the operators manual and
service manual before starting to troubleshoot, service, maintain or repair this
instrument. This is because service personnel need to understand the operation of
the instrument in order to effectively use the information in the service manual.
CAUTIONS
Safety
There is the possibility that the outside surface of the instrument,
such as the operation keys, could be contaminated by contagious
germs, so disinfect and clean the instrument before servicing it.
When servicing the instrument, wear rubber gloves to protect
yourself from infection.
Liquid ingress
The instrument is not waterproof, so do not install the instrument
where water or liquid can get into or fall on the instrument. If liquid
accidentally gets into the instrument or the instrument accidentally
drops into liquid, disassemble the instrument, clean it with clean
water and dry it completely. After reassembling, verify that there is
nothing wrong with the patient safety checks and function/
performance checks. If there is something wrong with the
instrument, contact your Nihon Kohden representative for repair.
Environmental Safeguards
Depending on the local laws in your community, it may be illegal to
dispose of the lithium battery in the regular waste collection. Check
with your local officials for proper disposal procedures.
Caution - continued
Transport
Use the specified shipment container and packing material to
transport the instrument. If necessary, double pack the instrument.
Also, put the instrument into the shipment container after packing so
that the buffer material does not get inside the instrument.
When transporting a board or unit of the instrument, be sure to put it
in a conductive bag. Never use an aluminum bag to transport a
board or unit. Also, never use a styrene foam or plastic bag which
generates static electricity to wrap the board or unit of the
instrument.
Service Policy Our technical service policy for this instrument is to replace the faulty unit, board
or part or damaged mechanical part with a new one. Do not perform electrical
device or component level repair of the multilayer board or unit. We do not support
component level repair outside the factory for the following reasons:
Most of the boards are multilayer boards with surface mount electrical
devices, so the mounting density of the board is too high.
A special tool or high degree of repair skill is required to repair the multilayer
boards with surface mount electrical devices.
Refer to Replaceable Parts List of this manual for the service parts for technical
service that we provide.
Patient Safety Checks Periodic maintenance procedures and diagnostic check procedures are provided in
this manual to ensure that the instrument is operating in accordance with its design
and production specifications. To verify that the instrument is working in a safe
manner with regard to patient safety, patient safety checks should be performed on
the instrument before it is first installed, periodically after installation, and after any
repair is made on the instrument.
For patient safety checks, perform the following checks as described in the
IEC60601-1 Medical electrical equipment - Part 1: General requirements for
safety:
Protective earth resistance check
Earth leakage current check
Enclosure leakage current check
Patient leakage current check
Withstanding voltage check
Test equipment
Maintenance Equipments
When repairing or calibrating the instrument, the following test equipment is
and Tools
required.
Oscilloscope: 2 channels or more for input signal, 50 mV to 5 V input range, 1/
10 attenuating probe and 100 MHz or more frequency response characteristic
must be provided.
Digital voltmeter: standard type (An oscilloscope can be used instead of the
digital voltmeter.)
DANGER
Never use this cardiograph in the presence of any flammable
anesthetic gas or high-concentration oxygen atmosphere. Failure to
follow this warning may cause explosion or fire.
WARNING
Using with an electrical surgical unit (ESU)
Never use this cardiograph near an ESU. The cardiograph may
malfunction due to high-frequency noise from the ESU.
When using this cardiograph with an ESU, refer to the instruction
manual for the ESU. Before measurement, check that the return
plate is correctly attached to the patient and check that the
cardiograph operates correctly when using with the ESU. If the
return plate is not attached correctly, it may burn the patients skin
where the electrodes are attached.
MRI examination
Do not install this cardiograph in an MRI examination room. The
cardiograph may not operate properly due to high-frequency
magnetic noise from the MRI.
When performing MRI tests, remove from the patient all electrodes
which are connected to this cardiograph. Failure to follow this
warning may cause serious electrical burn on the patient due to local
heating caused by dielectric electromotive force. For details, refer to
the instruction manual for the MRI.
Warning - continued
Use only the following specified patient cables when using with a
defibrillator or ESU. When the specified patient cable is connected,
the cardiograph is type CF defibrillation-proof compliance. Failure to
follow this warning will cause serious electrical burn where the
electrode is attached and damage the cardiograph due to discharge
energy when defibrillation is performed.
Patient cable: BJ-901D IEC standard, 3 mm diameter tip
BJ-902D IEC/DIN standard, 4 mm diameter tip
BJ-903D IEC/DIN standard, clip
BA-901D AHA requirement, 3 mm diameter tip
BA-903D AHA requirement, color clip
When using an ESU and defibrillator with the cardiograph, use silver
chloride disposable electrodes.
Installation
WARNING
Only use the 3-prong power cord provided with the cardiograph.
Failure to follow this caution may cause electrical shock to the
patient and operator.
Only use the specified patient cable and connect the external
instruments with the specified installation procedure. Failure to
follow this warning may cause a serious electrical shock to the
patient and operator by leakage current.
CAUTION
When the provided 3-prong power cord cannot be used, operate the
cardiograph on battery power. When another type of power cord
(especially 2-prong power cord) is used, this may cause electrical
shock to the patient and operator.
When several medical instruments are used together, ground all
instruments at the same one-point ground to protect the patient and
operator from electrical shock. Any potential difference between
instruments may cause electrical shock to the patient and operator.
When connecting an external instrument to connectors marked with
, the external instrument and this cardiograph must be connected
according to the IEC60601-1-1 Medical electrical equipment - Part 1-
1: General requirements for safety - Collateral standard: Safety
requirements for medical electrical systems. Failure to follow this
warning may cause electrical shock to the patient and operator.
When inserting or removing the battery from the cardiograph, make
sure that the cardiograph is turned off. Otherwise, the patient and
operator may get an electrical shock.
Battery Pack
DANGER
Keep the battery pack away from fire. Do not heat the battery pack.
Otherwise, the substance liquid leaks out and the battery pack
explodes.
Never short-circuit the + and terminals on the battery pack with a
wire. Never store or carry the battery pack with metal such as
necklace or hair pins. The battery pack short-circuits and a large
current flows, causing leakage of the substance liquid inside the
battery and battery explosion.
Never disassemble or modify the battery pack. Never damage or
directly solder the sheath tube. The battery pack short-circuits, the
substance liquid comes out and the battery pack explodes.
Do not use a battery pack which is damaged, such as from falling.
There is a gas discharge valve inside the battery and if this valve is
damaged, the gas cannot be discharged, causing the battery pack to
explode.
Do not subject the battery pack to a strong mechanical shock. The
susbstance liquid inside the battery leaks and explodes.
If the battery pack is damaged and substance liquid inside the
battery contacts the eyes or skin, wash immediately and thoroughly
with water and see your physician. Never rub your eyes, otherwise
you may lose your eyesight.
Only charge the battery pack with the ECG-9620 cardiograph. If any
other battery charger is used, abnormal current flows and the
substance liquid inside the battery leaks and the battery explodes.
Do not connect the battery pack to an AC outlet or lighter socket in a
car. The substance liquid inside the battery leaks out and the battery
pack explodes.
The battery has + and polarity. Make sure that the battery is
installed with the correct polarity direction. Otherwise, the
substance inside the battery leaks out and the battery pack explodes.
Use only the SB-901D battery pack.
WARNING
Do not immerse the battery pack in water or seawater. The battery
heats up and rusts and the substance liquid inside the battery leaks.
Never use a battery pack which is damaged, discolored or has
leakage. A damaged battery pack explodes if used.
Do not leave the battery pack unused for more than one year. The
battery may leak.
CAUTION
Do not charge the deteriorated battery pack. Otherwise, the
cardiograph cannot operate on battery power.
Do not expose the battery pack to direct sunlight or leave in a high
temperature place. The life time of the battery pack may be
shortened, the performance of the battery pack may be degraded and
the substance liquid inside the battery may leak.
Do not leave the battery pack where patients can reach it.
Before disposing of the battery pack, check with your local solid
waste officials for details in your area for recycling options or proper
disposal. The battery is recyclable. At the end of its useful life, under
various state and local laws, it may be illegal to dispose of this
battery into the municipal waste stream.
Operation CAUTION
Enter the patient information correctly. Otherwise, the ECG data may
be lost or mixed up with another patients ECG data.
Do not use the output signal from the output connector for a
synchronization signal such as the synchronized cardioversion
signal. There is a time delay between the input ECG signal and
output signal.
When the cardiograph operates on battery power and large leakage
current is input from the connected external instrument, ground the
cardiograph or use an isolation transformer for the external
instrument. Failure to follow this caution may cause electrical shock
to patient and operator.
Use only the KD-103E cart for the cardiograph. When another cart is
used, the cardiograph may fall off or the cart may tip over.
Caution - continued
Never use the cardiograph with its side panel downward. Failure to
follow this caution may cause the cardiograph to fall over or cause
battery liquid leakage.
NOTE
When using the battery pack and the battery operation lamp is
blinking in orange, measurement results may not be saved.
Maintenance
CAUTION
Before maintenance (cleaning, disinfection), make sure that the
cardiograph is turned off and the power cord is removed from the AC
outlet and cardiograph. Otherwise, the operator may get an electrical
shock and the cardiograph may malfunction.
Before battery replacement, make sure that the cardiograph is turned
off and the power cord is removed from the AC outlet and
cardiograph. Otherwise, the operator may get an electrical shock.
Do not disassemble or repair the cardiograph. Disassembly and
repair must be performed by qualified service personnel.
Specifications
ECG input
Input impedance 10 M or more
Electrode offset tolerance 500 mV or more
Input unit protection Isolated and defibrillator protected only when the following specified patient
cable is connected
Patient cable: BJ-901D, BJ-902D, BJ-903D, BA-901D, BA-903D
Standard sensitivity 10 mm /mV 2%
Common mode rejection ratio 100 dB or more
Frequency response 0.05 to 150 Hz 3 dB or more
External input/output
External input 10 mm/0.5 V 5%, input impedance 100 k or more
Signal output 0.5 V/1 mV 5%, output impedance 100 or less
Serial I/O Communication method: RS-232C
Baud rate: 2400, 4800, 9600, 19200, 38400,
57600, 115200
Power requirement
Line voltage ECG-9620L: 220 V AC 10%
ECG-9620M: 230 V AC 10%
ECG-9620N: 240 V AC 10%
ECG-9620P: 220 V AC 10%
ECG-9620S: 110 V AC 10%
ECG-9620T: 120 V AC 10%
ECG-9620U: 127 V AC 10%
Line frequency 50 or 60 Hz
Power input 45 VA
Power consumption 45 W or less
Built-in battery (SB-901D) Voltage: 12 V
Current consumption: 6 A or less
Battery operation time: Approx. 90 minutes
Environment
Operating temperature 5 to 40C (41 to 104F)
Operating humidity
25 to 85% RH (with battery pack and recording paper)
20 to 85% RH (with battery pack and without recording paper)
25 to 90% RH (with recording paper and without battery pack)
25 to 95% RH (without battery pack and recording paper)
Operating atmospheric pressure 70 to 106 kPa
Storage temperature
Cardiograph: -20 to 65C (4 to 149F)
Battery pack: -20 to 50C (4 to 122F) within 30 days
-20 to 40C (4 to 104F) within 90 days
-20 to 30C (4 to 86F) within one year
Recording paper: -20 to 50C (4 to 122F)
Storage humidity
Cardiograph: 10 to 95% RH (non condensing)
Battery pack: 10 to 85% RH (non condensing)
Recording paper: 10 to 90% RH (non condensing)
Storage atmospheric pressure 70 to 106 kPa
Electromagnetic compatibility
IEC60601-1-2 (1993), CISPR11 (1990) Group 1 Class B
Other
Indoor portable
Safety
Safety standard:
IEC60601-1 (1998)
IEC60601-1 Amendment 1 (1991)
IEC60601-1 Amendment 2 (1995)
IEC60601-2-25 (1993)
Type of protection against electric shock:
AC power: Class I
Battery power: Internally powered equipment
Degree of protection against electric shock:
Defibrillator proof type CF applied part when patient cable BJ-901D, BJ-902D, BJ-903D, BA-901D or BA-
903D is used
Degree of protection against harmful ingress of water:
Ordinary equipment
Degree of safety of application in the presence of a flammable anaesthetic mixture with air, oxygen or nitrous
oxide:
Not suitable for use in the presence of a flammable anaesthetic mixture with air, oxygen or
nitrous oxide
Mode of operation:
Continuous
Panel Descriptions
Front Panel
Name
1. Operation panel
2. Magazine (paper container)
3. LCD screen
Name
1. Magazine release button
2. Patient cable connector
Operation Panel
7
8
9
1 3
10
2
4
5 6 11 12 13 14
Name Name
1. AC power lamp 8. Age key
2. Battery operation lamp 9. Sex key
3. Battery charge lamp 10. Auto/Manual key/lamp
4. Power key/lamp 11. Feed/Mark key
5. Mode key 12. Filter key/lamp
6 Rhythm key/lamp 13. Copy/CAL key lamp
7. F1, F2, F3 function keys 14. Start/Stop key/lamp
CAUTION
When connecting an external instrument to connectors marked with , the external instrument and this
cardiograph must be connected according to the IEC60601-1-1 Medical electrical equipment - Part 1-1:
General requirements for safety - Collateral standard: Safety requirements for medical electrical
systems. Failure to follow this warning may cause electrical shock to the patient and operator.
Do not use the output signal from the output connector for a synchronization signal such as the
synchronized cardioversion signal. There is a time delay between the input ECG signal and output
signal.
1 2 3
Name
1. EXT-IN connector
2. CRO-OUT
3. SIO connector
4. AC power cord socket
5. Equipotential ground terminal
Rear Panel
Battery
CAUTION
Always install the battery even when the cardiograph operates on AC
power. Otherwise sudden power down occurs when any electrode is
detached during recording.
Composition
Standard Components
Options
KD-103E Cart
Location
Motor Assy
LCD
Transfer Assy
Key board
Power board
This section describes the periodic replacement and cleaning of parts which are
required to maintain the instrument in good working condition.
Replacement
This subsection only describes replacement schedule for parts that need to be
periodically replaced. The actual replacement procedures are described in the section
for Disassembly and Assembly. Read the whole Disassembly and Assembly section,
especially its Warnings and Cautions, before replacing any of the parts described here.
Periodic Replacement To maintain the performance of the instrument, the parts listed in the table below must
Schedule be periodically replaced by qualified service personnel.
* Replace the battery pack when it cannot last for 30 minutes during battery operation
at the temperatures between 20 and30C.
This subsection describes the cleaning and lubrication procedures for parts that
must be cleaned and lubricated by qualified service personnel. The cleaning
procedures for parts that can be cleaned by the user are described in the Operators
Manual.
Cleaning and Lubricating To maintain the performance of the instrument, the parts listed in the table below
Schedules must be regularly cleaned or lubricated.
Paper sensor
Cleaning the Motor 1. Remove the upper casing from the lower casing. Refer to Removing the
Rotation Sensor and Upper Casing in Section 6.
Lubricating the Motor Gear
and Gear Meshed with 2. Remove the two M3 pan screws with washers and spring washers which fasten
Motor Gear the ground leads to the power transformer unit.
Ground lead
M3 binding head screw
M3 pan screw with washer
and spring washer
Thermal head unit
CNA012 cable
CNA011 cable
3. Disconnect the CNA011 and CNA012 cables from the ECG control board.
4. Remove the three M3 binding head screws which fasten the thermal head unit
to the lower casing and remove the thermal head unit.
5. Remove the two M3 binding head screws which fasten the motor assy to the
thermal head unit and remove the motor assy.
6. Remove the two M3 pan screws with spring washers which fasten the motor
sensor board to the motor assy and remove the motor sensor board.
7. Use a piece of cotton moistened with alcohol to clean the motor rotation
sensor.
Motor assy
Motor sensor board
9. Use grease to lubricate the motor gear and the gear which directly meshes with
the motor gear as shown below.
Top view
Motor
Motor gear
Date:
Customer:
Customer Address:
Service Personnel: Service Company:
Instrument Name: Instrument Model:
Instrument Serial Number: Hardware Revision:
Software Revision:
This section describes how to troubleshoot the instrument, using the following:
- flowchart
- troubleshooting table
- system error messages at power-up
NOTE
If the power is not turned off by pressing the Power key, press and
hold the Power key 5 seconds or more.
Troubleshooting Flowchart
Is there any response when Yes Check that the LCD cable is Normal The LCD unit is faulty.
any key is pressed? connected to the CNJ201 The key board is faulty.
connector on the key board. The ECG control board is faulty.
No
Check that the CNA013 cable is connected to the Normal The key board is faulty.
CNJ033 connector on the ECG control board and The ECG control board is faulty.
CNJ101 connector on the key board.
Does the LED of the AC power No Check the following cable connections
light? Between transformer unit and power board
Yes CNA014 (between the power board and
ECG control board
CNA013 (between the ECG control board
The key board is faulty. and key board)
The ECG control board is faulty. Normal
The power board is faulty.
Troubleshooting Table
Use the troubleshooting table to locate, identify and solve a problem in the
instrument. The problems are divided into general operation and recording. Each
category has its own troubleshooting table for fast and easy troubleshooting.
Troubleshooting General
Operation Problem
Troubleshooting Recording
Problem
During power-up and operation the instrument continuously checks itself for
system failure. If a failure is detected, system information and error history are
printed on the recording paper and all operations are stopped. System information
and error history are also displayed or printed due to transient noise. After printing
the system information and error history, the power of the instrument is
automatically turned off.
NOTE
If the same system information appears again after restarting the
instrument, do not use the instrument until service personnel has
corrected the cause of the problem. Sending a copy of the system
information to your nearest Nihon Kohden distributor helps us to
troubleshoot your problem quickly.
System Information
Indicates an error number to identify the problem. To solve the problem, do the
corrective action described below.
NOTE
Error 05 also appears when any key on the operation panel is
pressed and held down.
When Error 08 appears, the following settings are not reset to
the factory initial settings even if the instrument is initialized.
- display language - hum filter
- hospital name - direct/modem connection
- recording resolution setting - elapsed time
- local language font - saved ECG data
Error History
Indicates the latest three errors and the date of the latest error, as in the example
below.
System Test
Overall The instrument has two System Test modes: Test level 1 for operator and Test level
2 for qualified service personnel. The test items marked with * perform the same
test in Test levels 1 and 2. Each Test level consists of the following system test
items:
NOTE
In the description of some test items in this section, whenever it is
appropriate, a description of the source of problem and its corrective
action will be described in table form for fast and easy
troubleshooting. If none of the actions solve the problem, contact
your Nihon Kohden distributor or representative.
2. Press the Power key while pressing the Feed/Mark key. Hold the Feed/Mark key
+ until the instrument begins to print the system test procedure, relationship
between the input number and its corresponding key name on the operation
panel and system test number list as shown below. The Test level 1 is called up
and the instrument is in standby mode for entering the system test number.
Printout
2. Press the Power key while pressing the Feed/Mark and Auto/Manual keys
+ + together. Hold the Feed/Mark and Auto/Manual keys until the instrument begins
to print the system test procedure, relationship between the input number and its
corresponding key name on the operation panel and system test number list as
shown below. The Test level 2 is called up and the instrument is in standby
mode for entering the system test number.
Printout
Entering the System Test Use the following keys on the operation panel to enter a 2-digit number for
Number executing the desired system test. The specified system test numbers are indicated
in the [xx] bracket at the right of each system test item on the printout output when
the Test level 1 or 2 is called up. Refer to the Calling up the Test Level X
section.
To delete the entered number, press the Auto/Manual key. To delete a 2-digit
number, press the Auto/Manual key twice. At this time, the ones digit number is
deleted before the tens digit number is deleted.
Executing the System Test Press the Start/Stop key. For some tests, the System Test screen is displayed
during the test as shown below,
If you entered an unspecified number, 8 repeating pips alarm sound and the
Invalid number. Please re-enter number error message is displayed as shown
below.
70
Quitting the System Test The procedures to quit each system test vary from test to test. Some tests
automatically end after an alarm sound is generated or a printout is output. Refer
to the following explanations for each test. After quitting each test, the instrument
returns to the standby mode for entering the system test number.
After a system test is completed, you can execute other system test without exiting
the System Test mode.
Exiting the System Test After all desired system tests are finished, press the Power key.
Mode
Demonstration
While executing this test item, the instrument generates dummy 12 lead ECG
resting waveforms until the power of the instrument is turned off. The ECG
waveforms can be recorded and also displayed as shown below.
Procedure
Enter the system test number [00] (Test level 1) and press the Start/Stop key.
To quit the test, turn the power of the instrument off by pressing the Power key.
Recorder
This is used to check the condition of the recorder by printing test patterns. The
recording test patterns consist of the following and are printed in the following
order:
1. Diagonal lines
2. Characters H and X (Test level 1 only)
3. Paper speed scales (25 and 50 mm/s)
The recorder test of Test level 1 contains the same recorder test and thermal head
test as Test level 2. With regard to the check procedure for characters H and X,
refer to the Thermal Head section.
Procedure
Enter the system test number [01] (Test level 1) or [00] (Test level 2) and press the
Start/Stop key. The following test patterns are printed.
This test automatically ends after the following has been printed. The instrument
returns to the standby mode for entering the system test number.
Thermal Head
This is used to check the condition of the thermal head by printing out the
characters H and X continually.
Procedure
Enter the system test number [01] (Test level 2) and press the Start/Stop key. The
characters H and X are printed as follows.
To quit the test, press the Auto/Manual key and the instrument returns to the
standby mode for entering the system test number.
Key
This is used to check the condition of the keys on the operation panel.
Procedure
1. Enter the system test number [02] (Test level 1) or [03] (Test level 2) and press
the Start/Stop key.
2. Press the key on the operation panel. The name of the pressed key is printed if
the key is functioning correctly.
To quit the test, press the Auto/Manual key. The instrument returns to the
standby mode for entering the system test number.
NOTE
The Power and Auto/Manual keys cannot be checked by this test. To
check if these two keys are functioning correctly, do the following:
Power key
Check that the power of the instrument is on or off when the
Power key is turned on or off.
Auto/Manual key
Check that the Key test is stopped by pressing the Auto/Manual
key.
Memory
This is used to check the condition of the memory by comparing the data of the test
patterns written to and read from each memory area.
The instrument provides two memory test modes: single and continuous. When
single memory test mode is selected, entire memory is tested once. When
continuous memory test mode is selected, the memory is continuously tested until
the Auto/Manual key is pressed. The number of Count of test increases by one
each time the entire memory test is tested. One complete memory test takes about
30 seconds.
Single: [03] Test level 1, [04] Test level 1
Continuous: [05] Test level 2
Single Memory Test Mode This mode tests the entire memory once. You can use this mode to fully check all
memory if a memory problem frequently occurs.
Procedure
Enter the system test number [03] (Test level 1) or [04] (Test level 2) and press the
Start/Stop key.
After the test, the test result is automatically printed. When the test result is
completely printed, a bing bong alarm sound is generated and instrument returns
to the standby mode for entering the system test number.
To cancel the test or cancel printing the test result, press the Auto/Manual key.
Continuous Memory Test This mode continues testing the entire memory until the Auto/Manual key is
Mode pressed. You can use this mode to check an intermittent memory problem.
Procedure
Enter the system test number [05] (Test level 2) and press the Start/Stop key.
To print the test result without quitting the test, press the Start/Stop key. All results
of the tests performed until the Start/Stop key are pressed is printed on one page.
To cancel the test, press the Auto/Manual key. All results of the tests performed
until the Start/Stop key is pressed are printed on one page. When the test result is
completely printed, 8 repeating pips alarm sound is generated and the instrument
returns to the standby mode for entering the system test number.
LCD/LED
This is used to check all LEDs on the operation panel, LED/LCD control circuit
and all dots on the LCD First, the LCD test starts and after the LCD test is
complete, the LED test starts.
LCD Test
The LCD displays the following four types of test patterns every two seconds in
the following order:
1. Diagonal lines are displayed.
2. Entire LCD lights up.
3. Returns to the System Test screen.
1 2
LED Test
The LEDs on the operation panel light up one by one and remain lit until all LEDs
light up. After all LEDs light up, they go out one at a time.
NOTE
With regard to the LEDs of Battery charge lamp, AC power lamp and
POWER lamp, check if they are in the following condition during the
LED/LCD test:
Battery charge lamp: Not lit (This lamp indicates the remaining
battery power before and after the LED test
during battery operation.)
AC power lamp: Lit
POWER lamp: Lit when AC power is used
Procedure
Enter the system test number [04] (Test level 1) or [06] (Test level 2) and press the
Start/Stop key.
After the test, the instrument returns to the standby mode for entering the system
test number.
Input Unit
This is used to check if the input analog signal processing circuit detects the lead
off condition correctly, using the provided input check jig. If each lead is
connected when the input analog signal processing circuit works correctly, the
Normal message is printed at the right of each electrode lead name in the test
result. If a lead is not connected, the Error message is printed.
The following is an example printout of the input unit test result when the R(RA)
lead is disconnected.
Procedure
1. Connect the electrode lead to the instrument.
2. Attach all tips of each electrode lead to the input check jig.
Input check jig 3. Enter the system test number [05] (Test level 1) or [07] (Test level 2).
4. Disconnect one of the leads from the check jig and press the Start/Stop key.
The disconnected lead name is printed out.
To quit the test, press the Auto/Manual key. The instrument returns to the
stanby mode for entering the system test number.
Calibration
This is used to check the sensitivity and time constant of the input analog signal
processing circuit. After starting the test, the CAL waveforms for leads I, II and V1
to V6 are printed as shown below. If all the rectangular printed CAL waveforms
have the amplitude of 1 mV and time constant of more than 3.2 seconds, the
sensitivity and time constant of the input analog signal processing circuit are
normal.
Procedure
Enter the system test number [06] (Test level 1) or [08] (Test level 2) and press the
Start/Stop key.
After all CAL waveforms for eight leads are printed, the test automatically ends
and the instrument returns to the standby mode for entering the system test number.
To cancel the test, press the Start/Stop key or Auto/Manual key. The instrument
returns to the standby mode for entering the system test number.
25 mm
Communication
Every time the test of one set is repeated, the number of Count of test increases
by one. Every time the error is detected during continuous test, the Error count
increases by one. The test of one set takes about 5 seconds.
Preparation
A locally made check jig is required for the test. To make the check jig, short-
circuit the pins as shown below.
Mating Connector
Connector: HDEB-9PF (05)
Case: HDE-CTH
Procedure
1. Connect the check jig to the SIO socket of the instrument.
2. Enter the system test number [07] (Test level 1) or [09] (Test level 2) and press
the Start/Stop key.
The instrument prints the test result of each test if the instrument detects an
Error.
To print the test result without quitting the test, press the Start/Stop key. The
results of all tests performed until the Start/Stop key are pressed are printed.
You can see the test number and the number of errors on Count of test and
Error count on the printout, respectively.
To quit the test, press the Auto/Manual key. The instrument prints the results of
all tests performed until the Auto/Manual key is pressed. When the test result is
completely printed, 8 repeating pips sound is generated and the instrument
returns to the standby mode for entering the system test number.
CRO/EXT1
This is used to check the external output/input terminal, using the check jig. The
instrument has the input signal terminal (EXT-IN connector) and output signal
terminal (CRO-OUT connector) at the rear of the instrument.
In this test, the instrument prints the known triangular waveform signals generated
inside the instrument at the lower trace on the recording paper the moment the
instrument outputs the signals from the CRO-OUT terminal to the EXT-IN
connector. At the same time, the instrument prints the triangular waveform signals
input to the EXT-IN connector at the upper trace on the recording paper. There is
no delay time between the printed waveforms on the upper and lower traces.
Preparation
A locally made check jig is required for the test. To make the check jig, use the
two 3.5 monaural jacks and leads and solder the signal line and ground line of the
two jacks with leads as shown below.
Signal line
Ground line
Procedure
1. Connect the check jig to the CRO-OUT/EXT-IN sockets of the instrument.
2. Enter the system test number [08] (Test level 1) or [10] (Test level 2) and press
the Start/Stop key.
To quit the test, press the Start/Stop key or Auto/Manual key. The instrument
returns to the standby mode for entering the system test number.
Check Procedure
Check that the shape of the two printed triangular waveforms are the same and
there is no delay time between them.
This is used to reset all the system settings to the factory initial settings.
NOTE
The following settings are not reset to the factory initial settings even
if the instrument is initialized.
date and time* display language**
recording resolution setting* hospital name**
cue mark position* direct/modem connection**
elapsed time local language font
saved ECG data
For settings marked with *, refer to the following corresponding
subsection in this section; for settings marked with **, refer to
Changing Settings Before Measurement (System Setup Screen) in
the operators manual.
Procedure
Enter the system test number [10] (Test level 1) or [12] (Test level 2) and press the
Start/Stop key.
Following is the LCD display after the system has been initialized.
This is used to print out the list of all ECG findings used for the instrument. The
instrument informs you of the ECG finding as a result of the ECG interpretation
when analyzing the ECG.
Procedure
Enter the system test number [11] (Test level 1) and press the Start/Stop key.
When the list is completely printed, one bing bong alarm sound is generated and
the instrument returns to the standby mode for entering the system test number.
To cancel printing the list, press the Start/Stop key or Auto/Manual key. The
instrument returns to the standby mode for entering the system test number.
This is used to adjust the thermal head recording resolution after the thermal head
is replaced with a new one or when the printout is not clearly, evenly and
completely printed.
Normally, the resistor value of the heating element on the thermal head is a specific
value which varies from thermal head to thermal head. Even if the same energy is
applied to the thermal head, the recording quality varies due to the difference of the
thermal head resistor value. Therefore, adjusting the thermal head recording
resolution is required to evenly print regardless of the thermal head resistor value.
Procedure
1. Call up the System Test Level 2.
2. Enter the system test number between [41] and [48] according to the thermal
heating element head resistance value
4. Turn the power off. (Test level 2) and press the Start/Stop key.
The date and time of the instrument are set in the System Setup mode. In the
System Setup mode, you can also set the entire system settings of the instrument
which determines the operation conditions of the instrument. Refer to the
operators manual for details.
The date and time is backed up with the lithium battery in a real time clock IC on
the ECG control board. The life time of the lithium battery is about 7 years. When
the Error 09 error message appears and the date is reset to January 1, 1980, the
lithium battery is completely discharged. Replace the ECG control board and set
the date and time.
Setting the Date and Time 1. Call up the System Setup mode
1) If the power is on, turn it off.
NOTE
Release the Feed/Mark key immediately after the instrument starts
printing. If you continue to hold the Feed/Mark key for more than 15
seconds, the instrument recognizes that the Feed/Mark key is short-
circuited and prints the system information Error 05 at the end of
printing.
2) Press the Power key while pressing the Copy/CAL key. Hold the Copy/
CAL key until the instrument begins to print the list of the system setup
settings. The System Setup mode is called up.
2. Enter a 3-digit number to call up the stanby mode for entering the new numbers
for year, month/date, hour/minute or second, respectively. Refer to the
Entering the System Test Number in this section for entering the numbers.
Following is the LCD screen when the year setting mode is called up.
Year
Enter the system setup number [318].
Month/date
Enter the system setup number [319].
Hour/minute
Enter the system setup number [320].
Second
Enter the system setup number [322].
NOTE
You cannot enter numbers for second setting.
3. Enter a 4-digit number to enter the new numbers of the year, month/date or
hour/minute. The range of the number which is possible to enter is as follows:
Year
[1980] to [2079]
Month/date
[0101] to [1231]
Hour/minute
[0000] to [2359]
NOTE
If the Start/Stop key is pressed in the second setting mode, the
second is reset to 00 seconds and the instrument starts working
from 00 seconds.
If the power of the instrument is turned off before the Start/Stop key
is pressed, the newly entered numbers are invalid.
4. Press the Start/Stop key to save the new numbers. The newly entered numbers
are automatically printed.
If you entered an unspecified number, 8 repeating pips alarm sound and the
Invalid number. Please re-enter number error message is displayed.
5. Repeat steps 2 to 4 to enter the new numbers for the other settings.
6. Turn the power of the instrument off to exit the System Setup mode.
Block Diagram
CNA014
Power Unit
The Power unit consists of the power source, battery charging and control circuits.
The Power unit uses the switching regulation method to produce the power
required for the instrument.
+5 V for digital circuits
+12 V for analog circuits
+24 to 30 V for thermal head
The procedures in this section tell how to remove, replace and install major
components in the instrument.
CAUTIONS
Before connecting or disconnecting any cables, turn off the
instrument, unplug the AC power cord from the instrument and
remove the battery pack.
Fuses cut off the power when an abnormality occurs in the
instrument. Eliminate the malfunction before replacing the fuse. Use
the correct fuse only. The fuse rating is shown on the holder.
Removal and replacement of any component in the instrument
should be done by qualified service personnel.
Use only parts recommended by Nihon Kohden to assure maximum
performance from your instrument.
Cable Connection
CNA014
CNA011 cable
CNA012 cable
CNA014 cable
CNA013 cable
Removing the Magazine 1. Press down the magazine release button to open the magazine.
and Recording Paper
2. Remove magazine and recording paper into the magazine.
Removing the Battery Pack 1. Remove the two M3 binding head screws from the battery cover.
Removing the Thermal 1. Remove the battery pack and upper casing from the lower casing. Refer to
Head Removing the Upper Casing .
2. Remove the two M3 pan screws with washers and spring washers which fasten
the ground leads to the power transformer unit.
Ground lead
M3 binding head screw
M3 pan screw with washers
and spring washer
Thermal head unit
CNA012 cable
CNA011 cable
Thermal head
3. Disconnect the CNA011 and CNA012 cables from the ECG control board.
4. Remove the three M3 binding head screws which fasten the thermal head unit
to the lower casing and remove the thermal head unit.
5. Remove the two M3 binding head screws washers which fasten the thermal
head to the thermal head unit.
Removing the Motor Assy 1. Remove the thermal head unit from the lower casing. Refer to step 1 to 5 in
Removing the Thermal Head Unit
2. Remove the two M3 binding head screws which fasten the motor assy to the
thermal head unit and remove the motor assy.
3. Remove the two M3 pan screws with spring washers which fasten the motor
sensor board to the motor assy and remove the motor sensor board.
Motor assy
Motor sensor board
1. Remove the battery pack and upper casing from the lower casing. Refer to
Removing the Upper Casing .
CNA013 cable
CNA014 cable
Speaker cable
3. Remove the six M3 pan screws with washers which fasten the ECG control
board to the lower casing and remove the ECG control board.
Removing the Power Board 1. Remove the battery pack and upper casing from the lower casing. Refer to
Removing the Upper Casing .
2. Remove the ECG control board. Refer to Removing the ECG Control Board.
3. Remove the two M3 pan screws with washers and four M3 spacer bolts which
fasten the shield plate to the lower casing and remove the shield plate.
M3 spacer bolt
Shield plate
Power board
Power cable
4. Remove the M3 pan screw with washer which fastens the Power board to the
lower casing and remove the power unit.
Replacing the Power Fuse 1. Remove the power board from the lower casing. Refer to Removing the
and Battery Fuse Power Board.
Power fuse
Battery fuse
Power fuse
Code No. Description
ECG-9620L/M/N/P: 274035 218.250 (0.25 A)
ECG-9620S/T/U: 104665 218.500 (0.5 A)
Battery fuse
Code No. Description
F101: 540657 239.001 (1 A)
F102: 323241 218.008 (8 A)
1. Remove the battery pack and upper casing from the lower casing. Refer to
Removing the Upper Casing.
CNA013 cable
Key board
4. Remove the six M3 pan screws with spring washers and washers which fasten
the LCD unit to the upper casing and remove the LCD unit, two LCD ground
spring and two LCD ground plates.
5. Remove the four M3 pan screws with spring washers and washers which fasten
the key board to the upper casing and remove the key board.
When ordering parts or accessories from your nearest Nihon Kohden Corporation
distributor, please quote the NK code number and part name which are listed in
this service manual, and the name or model of the unit in which the required part
is located. This will help us to promptly attend to your needs. Always use Nihon
Kohden parts and accessories to assure maximum performance from your
instrument.
Instrument
102
311
101
103
B
104 105
301
308
302
303 404
A
401
106
305 402
306
309 403
312
307
C
310
501 D
404
502
503
504
CAUTION
When connecting an external instrument to connectors marked with
, the external instrument and this cardiograph must be connected
according to the IEC60601-1-1 Medical electrical equipment - Part 1-
1: General requirements for safety - Collateral standard: Safety
requirements for medical electrical systems. Failure to follow this
warning may cause electrical shock to the patient and operator.
When the cardiograph operates on battery power and large leakage
current is input from the connected external instrument, ground the
cardiograph or use an isolation transformer for the external
instrument. Failure to follow this caution may cause electrical shock
to patient and operator.
NOTE
When connecting an external instrument to the following connecters,
Attaching the Ferrite Core
an unwanted radio frequency signal is generated from this
connection. To reduce this unwanted radiofrequency signal, attach
the optional ferrite core to the cable of the external instrument.
NOTE
Example of Wrapping Attach and fix the ferrite core near the connector of the cable
that connects to the cardiograph.
CRO-OUT Connector
CAUTION
Do not use the output signal from the output connector for a
synchronization signal such as the synchronized cardioversion
signal. There is a time delay between the input ECG signal and
output signal.