GE Corometrics 126, Corometrics 128, Corometrics 129 Service Manual

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Corometrics® 120 Series V3.5
SERVICE MANUAL MANUAL P/N 2015590-001 REV. B
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Corometrics® 120 Series V3.5
SERVICE MANUAL MANUAL P/N 2015590-001 REV. B
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GUARANTEE
All equipment sold by GE Medical Systems Information Technologies, is fully guaranteed as to materials and workmanship for a period of 1 year. GE reserves the right to perform guarantee service operations in its own factory, at an authorized repair station, or in the customer’s installation.
Our obligation under this guarantee is limited to repairing, or, at our option, replacing any defective parts of our equipment, except fuses or batteries, without charge, if such defects occur in normal service.
Claims for damage in shipment should be filed promptly with the transportation company. All correspondence covering the instrument should specify the model and serial numbers.
GE MEDICAL SYSTEMS Information Technologies A GE Medical Systems Company
GE Medical Systems Information Technolog ies will make available on request such circuit diagrams, component diagrams, component parts lists, descriptions, calibration instructions, or other information which will assist the users or appropriately qualified technical personnel to repair those parts of the equipment which are classified by GE as repairable.
!
CAUTION: In the United States of America, Federal Law restricts this device to sale by or
on the order of a physician.
Corometrics and Marquette are registered trademarks of GE Medical Systems Information Technologies. GE is a registered trademark of General Electric Company . All other product and brand names are trademarks or registered trademarks of their respective companies. ©2003-2004 GE Medical Systems Information Technologies. All rights reserved. No part of this manual may be reproduced without the permission of GE Medical Systems Information Technologies.
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0459
CE MARKING INFORMATION
Compliance
Components of the Certified Systems
Component Description
This monitor bears the CE Mark indicating its conformity with the provisions of the Council Directive 93/42/EEC concerning medical devices.
The IEC electromagnetic compatibility (EN) standards require individual equipment (components and accessories) to be configured as a system for evaluation. For systems that include a number of different equipments that perform a number of functions, one of each type of equipment shall be included in the evaluation.
The equipment listed below is representative of all possible combinations. For individual equipment certification, refer to the appropriate declarations of conformity.
120 Series Maternal/Fetal Monitor Model 146 Fetal Acoustic Stimulator Intrauterine Pressure Transducer FECG Cable/Legplate Ultrasound Transducers (x2) Blood Pressure Hose and Cuff MSpO
2 Interconnect Cable and Sensor
MECG Cable FECG/MECG Adapter Cable Remote Event Marker RS-232C Interconnect Cables (x3) COROLAN Interconnect Cable Central Nurses Station Interconnect Cable Model 2116B Interconnect Cable
Exceptions
Monitor System EMC: Immunity Performance
None
Be aware that adding accessories or components, or modifying the medical device or system may degrade the EMI performance. Consult with qualified personnel regarding changes to the system configuration.
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CE MARKING INFORMATION
For Your Notes
0459
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Contents
1 Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
General Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Responsibility of the Manufacturer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Responsibility of the User . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Definitions of Terminology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Monitor Contraindications, Warnings, and Precautions . . . . . . . . . . . . . . . . . . . . 1-4
Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4
Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
Electromagnetic Interference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Equipment Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9
2 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Fetal Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2
Maternal Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2
Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2
Pulse Oximetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2
Heart/Pulse Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2
Series Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
The Model 126 Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3
The Model 128 Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
The Model 129 Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Upgrading Your Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-6
Adding Fetal Movement Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-6
About the Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-7
Intended Audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-7
Illustrations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-7
Design Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
References to Persons, Places, and Institutions . . . . . . . . . . . . . . . . . . . . . . . . . .2-8
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3 Controls, Indicators, and Connectors . . . . . . . . . . . . . . . 3-1
Front Panel Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Front Panel Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Display Example . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5
Primary Labor Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7
FHR Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
UA Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Additional Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10
Maternal NBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10
MHR/P Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
FSpO
2 Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
MSpO
2 Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13
Waveform Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13
Time and Waveform Message Area . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13
Battery-Backed RAM Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14
Softkeys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14
Mode Title Softkeys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
Waveform Softkeys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
Dedicated Softkey Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
Rear Panel Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-17
Communication Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20
J101 Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-20
J102 Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-20
J103 Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-20
J104 Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-20
Corolan Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-20
4 Theory of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
ii 120 Series Maternal/Fetal Monitor Revision B
Main Motherboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Functional Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2
Switch/Status Input Data Flow Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2
External/Internal Communication Data Flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2
Audio Control Flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2
Control Block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-20
Corolan Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-20
Options Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22
Rear Panel Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-22
Audio Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-22
Recorder Interface Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-23
RS-232C Communications Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-23
DSP Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-24
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Functional Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-24
DSP Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-24
Control Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-24
Watchdog Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-24
Status/Control Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-25
Front-End Control/Status Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-25
IUP Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-25
Analog Conversion Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-25
Front Panel Interface Section Theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-25
EL Panel Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-25
Front Panel Switch Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-27
Recorder LED Board Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-34
NBP Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-35
NBP Board with DINAMAP or Marquette Electronics Technology . . . . . . . . . . . .4-35
Pressure Transducer and Amplifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-35
DC Pressure Amplifier and Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-35
AC Amplifier and Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-35
MUX and A/D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-36
Microcontroller and Host Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-36
Pump/Valve Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-36
NBP Board Manufactured by CAS Medical Systems, Inc. . . . . . . . . . . . . . . . . . .4-37
Processor Circuitry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-37
A/D Conversion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-37
Watchdog Circuitry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-37
Instrumentation Amplifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-38
Valves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-38
Communications Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-39
Central Systems Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-39
Model 2116B Keyboard Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-40
Model 340 Telemetry Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-40
System Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-44
Display Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-45
Dual Ultrasound Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-46
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-46
The Ultrasound Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-46
Ultrasound Oscillator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-46
Digital Control Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-47
Channel A Pin Diode Circuitry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-48
Channel B Pin Diode Circuitry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-48
Transmission, Channel A or Channel B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-49
Reception, Channel A or Channel B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-49
Channel A Filtering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-50
Main Filters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-50
Audio Circuitry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-50
Ultrasound Envelope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-51
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Fetal Movement Filters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-51
UA/FECG Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-52
Isolated FECG Circuitry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-52
Isolated UA Circuitry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-53
MECG Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-61
Defibrillator Protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-61
Input Lead Switching . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-61
Single-Wire ECG Amplifier with Right Leg Drive . . . . . . . . . . . . . . . . . . . . . . . . 4-62
Pacemaker Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-63
Leads Off Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-65
Test Generator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-66
Linear Isolation Amplifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-66
Low-Pass and Notch Filters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-67
Oximeter Carrier Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-70
MSpO
2 Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-71
Nellcor Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-71
Functional Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-71
LED Driver Circuitry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-71
Input Source Selection Circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-71
Input Amplifier and Synchronous Detector . . . . . . . . . . . . . . . . . . . . . . . . .4-72
Filters/Amplifiers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-72
Analog-to-Digital Conversion Circuitry . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-73
Communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-73
Processor Circuitry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-73
Masimo Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-73
Principle of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-73
5 Setup Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
iv 120 Series Maternal/Fetal Monitor Revision B
Isolated Power Supply Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-76
Controller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-76
External Synchronization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-77
Fly-back Transformer, Output Rectification, and Filtering . . . . . . . . . . . . . . . . . .4-77
Isolated Feedback . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-78
Short Circuit Protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-79
Input Filter/Isolation Barrier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-79
Recorder Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-82
Loading Strip Chart Recorder Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Mounting a Strain Gauge for IUP Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
User Setup Screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
Using the Trim Knob Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-6
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FECG Setup Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8
FHR Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8
FHR Audio Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8
Alarm Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8
US/US2 Setup Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Fetal Movement Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-9
Fetal Heart Rate Offset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-9
Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-10
FHR Audio Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-10
Alarm Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-10
Maternal NBP Setup Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
Display Timer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-11
Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-11
NBP Done Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-12
Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-12
Audio Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-12
Master Alarm Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-12
MSpO2 Setup Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13
Response Time (Nellcor Module Only) . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-13
Sensitivity (Masimo Module Only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-13
Averaging Time (Masimo Module Only) . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-14
Print Interval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-14
%O
2 Trace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-14
Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-14
Audio Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-14
Alarm Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-14
Revision B 120 Series Maternal/Fetal Monitor v
MHR/P Setup Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15
Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-15
MHR/P Trace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-15
Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-16
Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-16
Audio Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-16
Alarm Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-16
MECG Lead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-16
MECG Pacer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-17
Response Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-17
Master Alarm Setup Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18
Audio Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-18
Re-Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-18
Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-18
Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-18
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FSpO2 Setup Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-19
Response Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-19
Print Interval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-19
%O
2 Trace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-20
FSpO
2 Display Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-20
Single versus Dual Display of SpO
FSpO
2 Status Icons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-20
2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-20
Sensor Unplugged . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-20
Sensor Lifted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-20
Pulse Search . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-20
General Setup Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-22
Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-22
Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-22
Song Player . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-22
Song Player Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-22
SpO
2 Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-23
Paper Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-23
Paper Chime . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-23
Recorder Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-23
Paper Chime Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-24
MSpO
2 Print Interval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-24
FSpO
2 Print Interval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-24
FSpO
2 Trace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-24
Service Mode Screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-25
Service Lock Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-25
Install Options Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-26
Default Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-27
Factory Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-27
Current (Last-Used) Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-27
Hospital Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-27
Volume Exceptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-27
New Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-28
Line Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-28
ECG Artifact Elimination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-28
Scaling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-28
Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-28
NBP One-Minute Interval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-28
HR Offset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-28
What is it? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-29
10 Min . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-29
On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-29
Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-29
Default TOCO Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-29
FM Remote Mark . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-29
Corolan Address Checking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-30
Heartbeat Coincidence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-30
Smart BP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-30
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VS Print Interval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-30
Recorder Font Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-30
Fetal Alert/Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-31
Alert Suspend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-31
Printing System Setup Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-31
Communications Setup Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-33
Baud Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-33
Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-33
Hardware Switches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-34
6 Functional Checkout Procedure . . . . . . . . . . . . . . . . . . . 6-1
Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Equipment Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2
Self-Test Routine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Front Panel Pushbutton Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Connecting the Simulator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
MECG Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
FECG Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11
Ultrasound Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-16
Fetal Movement Detection Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19
Ultrasound Transducer Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-21
Uterine Activity Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-22
Tocotransducer Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-25
Strain Gauge Transducer Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-26
Pattern Memory Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-27
Dual Heart Rate Test (Non-Pattern) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-28
FECG/US Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-28
Dual Ultrasound Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-31
Alarm Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-32
MSpO
2 Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-35
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NBP Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-35
Preventative Maintenance Inspection Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-36
Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-36
Tools Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-36
Visual Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-36
Inspection Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-37
7 Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2
Handling Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2
Power Supply Voltages—Verification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
Main Board Power Supply Voltages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3
Isolated Power Supply Board Voltages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
Isolated FECG/UA Board Voltages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-4
Recorder Photosensor Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
Adjusting the Paper-Low Photosensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-5
Adjusting the Paper-Out Photosensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
Adjusting the Paper-Loading Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-6
Display Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7
Checking a 3” x 3.75” Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8
Verifying the DSP Board Operation (3”x 3.75” Display) . . . . . . . . . . . . . . . . .7-8
Removing the Display Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-9
Replacing the Display Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-10
Upgrading to a 3.5” x 4.5” Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-11
Equipment Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11
Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11
Reassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-12
Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-16
Checking a 3.5” x 4.5” Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-17
Verifying the DSP Board Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-17
Removing the Display Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-18
Replacing the Display Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-19
Trimline Tocotransducer Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-20
Equipment Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-20
Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-20
Nautilus Tocotransducer Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-23
Equipment Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-24
Calibration Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-25
Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-25
Calibration for Cat. No. (REF) 2264 GAX/HAX/JAX/KAX/LAX/MAX . . . . . . 7-25
viii 120 Series Maternal/Fetal Monitor Revision B
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Calibration for Cat. No. (REF) 2264 AAX/BAX/CAX/DAX/EAX/FAX . . . . . .7-26
Reassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-27
Testing the Tocotransducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-27
Maternal SpO
2 Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-28
8 Self-Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Power-On Diagnostic Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Monitor Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Error Log Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
Diagnostic Control Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-11
Recorder Calibration Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-12
CPU Version . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-12
DSP Version . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-13
Run Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-13
Recorder Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-13
Main Board SW1 Switch Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-13
Corolan Network Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-14
Corolan Address Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-17
J102 Analog Output Connector DAC Static Test . . . . . . . . . . . . . . . . . . . . . . . . . 8-18
Verification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-18
Analog Ground . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-18
HR1 and HR2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-18
UA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-18
HR1 Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-19
HR2 Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-19
UA Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-19
Markout*, Check Paper*, FMD1, and FMD2 . . . . . . . . . . . . . . . . . . . . . . . .8-19
Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-19
9 General Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
Revision B 120 Series Maternal/Fetal Monitor ix
RS-232C Connector Loopback Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-21
Making a Loopback Test Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-21
Testing the Port(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-21
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Cleaning the Monitor Exterior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-2
Cleaning the Electroluminescent Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-2
Cleaning the Tocotransducer, Ultrasound Transducer, and MECG Cables . . . . 9-3
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Cleaning the UA Strain Gauge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
Cleaning the Maternal NBP Cuffs and Hoses . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-4
Main Board Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
Maternal Blood Pressure Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
Accessing the Diagnostic Control Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-6
Manometer Pressure Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9
Pneumatic Pressure Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-11
Electrical Safety Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-12
Initial Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-12
AC Line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-12
Ground Impedance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-12
Unit to Primary Leakage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-13
Patient-to-Ground Leakage for ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-14
Patient-to-Line Leakage for ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-15
Patient-to-Ground Leakage for IUP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-16
Patient-to-Line Leakage for IUP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-17
Patient-to-Ground Leakage for MSpO Patient-to-Line Leakage for MSpO Patient-to-Ground Leakage for FSpO Patient-to-Line Leakage for FSpO
Patient-to-Ground Leakage for US . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-22
Patient-to-Line Leakage for US . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-23
Patient-to-Ground Leakage for US2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-24
Patient-to-Line Leakage for US2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-25
Ground Continuity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-25
Dielectric (Hi-Pot) Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-26
Patient–to–AC-Line Using DC Voltage for One Minute . . . . . . . . . . . . . . . .9-26
Patient–to–Chassis Using AC Voltage for One Minute . . . . . . . . . . . . . . . .9-28
Mains–to–Chassis Using DC Voltage for One Minute . . . . . . . . . . . . . . . . .9-29
2 . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-18
2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-19
2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-20
2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-21
10 Strip Chart Recorder Servicing . . . . . . . . . . . . . . . . . . . 10-1
x 120 Series Maternal/Fetal Monitor Revision B
Removing the Strip Chart Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2
Installing the Strip Chart Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
Periodic Thermal Printhead Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4
Field Serviceable Assemblies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
Stepper Motor and Harness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-5
Removing the Stepper Motor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-5
Replacing the Stepper Motor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-5
Printhead Adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
Vertical Offset Adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-6
Horizontal Offset Adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-6
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Thermal Printhead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-8
Removing the Printhead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
Replacing the Printhead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
Paper-Low/Paper-Out Photosensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-12
Removing the Paper-Low/Paper-Out Photosensor . . . . . . . . . . . . . . . . . .10-12
Replacing the Paper-Low/Paper-Out Photosensor . . . . . . . . . . . . . . . . . .10-12
Adjusting the Paper-Low Photosensor . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-12
Adjusting the Paper-Out Photosensor . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-13
Paper-Loading Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-14
Removing the Paper-Loading Photosensor . . . . . . . . . . . . . . . . . . . . . . . .10-14
Replacing the Paper-Loading Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-14
Adjusting the Paper-Loading Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-15
11 Peripheral Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-1
Standard Input/Output Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-2
Remote Marks Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-2
Remote Marks Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-2
ECG Out Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-2
J108 Connector (Corolan Interface) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-2
J109, J110, and J111 Connectors (RS-232C) . . . . . . . . . . . . . . . . . . . . . . . . . . 11-3
Baud Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-3
Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-3
Nellcor Puritan Bennett Model N-200 Maternal Pulse Oximeter . . . . . . . . . . . . . 11-5
Nellcor Puritan Bennett Model N-400 Fetal Pulse Oximeter . . . . . . . . . . . . . . . . 11-6
DINAMAP Models 1846, 1846SX, and 1846SX/Oxytrack, 8100, and 8100T . . . . . 11-7
Quantitative Sentinel/Perinatal System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-8
Model 115-Compatible Communications Protocols . . . . . . . . . . . . . . . . . . . . . . . 11-9
115 Update Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-9
115 Transmit/Receive Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-10
Requested Data Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-10
Monitor Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-10
Data Field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-10
End of Text . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-10
Transmitted Data Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11
Monitor Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-11
Response Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-11
Monitor ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-11
Data Field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-11
Event Mark . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11
Heart Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11
Uterine Activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11
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Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11
Annotations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-11
Fetal Movement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-12
Recorder Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-12
End of Text . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-12
Limitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-12
Error Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-12
Transmission Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-12
Request Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-13
Cabling Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-15
Monitor RS-232 Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-15
Request to Send (RTS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-15
Transmit Data (TXD) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-15
Clear to Send (CTS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-15
Receive Data (RXD) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-15
Standard RS-232C Rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-15
Cable Distance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-15
Data Terminal Equipment Cabling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-15
Data Communications Equipment Cabling . . . . . . . . . . . . . . . . . . . . . . . .11-16
Optional Communication Package . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-18
J101 Connector (Model 340 Telemetry System Interface) . . . . . . . . . . . . . . . .11-18
J102 Connector (Spectra 400 Analog Interface) . . . . . . . . . . . . . . . . . . . . . . . .11-18
J103 Connector (Model 2116B Data Entry Interface) . . . . . . . . . . . . . . . . . . . .11-18
12 Upgrading a 120 Series Monitor . . . . . . . . . . . . . . . . . . 12-1
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-2
Handling Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-2
Equipment Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-2
Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-2
Communications Option Upgrade Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-3
Unpacking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-3
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-3
Nellcor MSpO
Monitors with a 3-inch x 3.75-inch Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-7
Monitors with a 3.5-inch x 4.5-inch Display . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-17
Masimo MSp02 Upgrade Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-27
MECG Option Upgrade Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-28
Unpacking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-28
2 and NBP Option Upgrade Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-7
Unpacking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-7
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-7
Unpacking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-17
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-17
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Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-28
Software Version 3.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-34
Flasher Software Utility Upgrade Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-34
EEPROM Replacement Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-34
Display Upgrade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-40
Fetal Movement Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-40
13 Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . 13-1
General Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-2
Operating Modes 13-3
Strip Chart Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-8
14 Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-1
Replacement Parts Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-2
Calibration Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-6
Trimline Tocotransducer Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-6
CMR Jack Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-6
Nautilus Tocotransducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-6
15 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-1
General Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-2
Ultrasound Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-3
FECG Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-4
Fetal Pulse Oximetry Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-5
External Uterine Activity Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-8
Internal UA Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-9
MECG Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-10
Blood Pressure Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-11
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Maternal Pulse Oximetry Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-12
A Factory Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-1
Table of Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
B Alarms Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .B-1
Table of Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2
C Drawings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C-1
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Chapter 1
!
Safety 1
The information presented in this section is important for the safety of both the patient and operator. This chapter describes how the terms Danger, Warning, Caution, Important, and Note are used throughout the manual. In addition, standard equipment symbols are defined.
This section includes the following important information:
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Definitions of Terminology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Monitor Contraindications, Warnings, and Precautions . . . . . . . . . . 1-4
Equipment Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9
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General Information
General Use
If the monitor is cold to the touch or below ambient temperature, allow it to reach ambient, room temperature before use.
To ensure patient safety, use only parts and accessories manufactured or recommended by GE Medical Systems Information Technologies. Parts and accessories used shall meet the requirements of EN60601.1.1.
Disposable devices are intended for single use only. They should not be reused. Periodically, and whenever the integrity of the monitor is in doubt, test all functions.
Refer to “Chapter 6, Functional Checkout Procedure”. Refer to the “Maternal/Fetal Monitoring Operator’s Manual” for information
concerning the limitations of internal and external fetal heart rate monitoring techniques.
Safety: General Information
Responsibility of the Manufacturer
GE is responsible for the effects on safety, reliability, and performance if:
assembly operations, extensions, readjustments, modifications, or repairs are
carried out by persons authorized by GE;
the electrical installation of the relevant room complies with the requirements of
appropriate regulations; and
the monitor is used in accordance with the instructions of use.
Responsibility of the User
This device is intended for use by clinical professionals who are expected to know the medical procedures, practices, and terminology required to monitor obstetrical patients. This manual documents all possible parameters available in the 120 Series of monitors. It is the responsibility of each hospital to ensure that the Labor and Delivery staff is trained in all aspects of the selected model.
The 120 Series Monitor is designed to assist the perinatal staff by providing information regarding the clinical status of the mother and fetus during labor. The monitor does not replace observation and evaluation of the mother and fetus at regular intervals, by a qualified care provider, who will make diagnoses and decide on treatments or interventions. Visual assessment of the monitor display and strip chart must be combined with knowledge of patient history and risk factors to properly care for the mother and fetus.
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Safety: Definitions of Terminology
Definitions of Terminology
Six types of special notices are used throughout this manual. They are: Danger, Warning, Caution, Contraindication, Important, and Note. The warnings and cautions in this Safety section relate to the equipment in general and apply to all aspects of the monitor. Be sure to read the other chapters because there are additional warnings and cautions which relate to specific features of the monitor.
When grouped, warnings and cautions are listed alphabetically and do not imply any order of importance.
Danger
Warning
Table 1-1. Definitions of Terminology
A DANGER notice indicates an imminently hazardous situation which, if not avoided, will result in death or serious injury.
A WARNING indicates a potentially hazardous situation which, if not avoided, could result in death or serious injury.
Caution
Contraindication
Important
Note
A CAUTION indicates a potentially hazardous situation which, if not avoided, may result in minor or moderate injury. Cautions are also used to avoid damage to equipment.
A CONTRAINDICATION describes any special symptom or circumstance that renders the use of a remedy or the carrying out of a procedure inadvisable, usually because of a risk.
An IMPORTANT notice indicates an emphasized note. It is something you should be particularly aware of; something not readily apparent.
A NOTE indicates a particular point of information; something on which to focus your attention.
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Safety: Monitor Contraindications, Warnings, and Precautions
Monitor Contraindications, Warnings, and Precautions
Warnings
WARNINGS
ACCIDENTAL SPILLS—In the event that fluids are accidentally spilled on the monitor, take the monitor out of operation, clean, and inspect for damage.
APPLICATION—This monitor is not designed for direct card iac connection.
CONDUCTIVE CONNECTIONS—Avoid making any conductive connections to applied parts (patient connection) which are likely to degrade safety.
CONDUCTIVE PA RTS—Ensure that the conductive parts of the lead electrodes and associated connectors do not contact other conductive parts including earth.
CONNECTIONS—The correct way to connect a patient to the monitor is to plug the electrode leads into the patient cable which in turn connects to the monitor. The monitor is connected to the wall socket by the power cord. Do not plug the electrode leads into the power cord, a wall socket, or an extension cord.
DEFIBRILLATION—During defibrillation, all personnel must avoid contact with the patient and monitor to avoid a dangerous shock hazard. In addition, proper placement of the paddles in relation to the electrodes is required to minimize harm to the patient.
ELECTRICAL SHOCK—To reduce the risk of electrical shock, do not remove monitor cover. Refer servicing to qualified personnel.
ELECTROMAGNETIC INTERFERENCE—Be aware that strong electromagnetic fields may interfere with monitor operation. Interference prevents the clear reception of signals by the monitor. If the hospital is close to a strong transmitter such as TV, AM or FM radio, police or fire stations, a HAM radio operator, an airport, or cellular phone, their signals could be picked up as signals by the monitor. If you feel interference is affecting the monitor, contact your Service Representative to check the monitor in your environment. Refer to page 1-8 for additional information.
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Safety: Monitor Contraindications, Warnings, and Precautions
WARNINGS
ELECTROSURGERY—The monitor is not designed for use with high-frequency surgical devices. In addition, measurements may be affected in the presence of strong electromagnetic sources such as electrosurgery equipment.
EXPLOSION HAZARD—Do not use this equipment in the presence of flammable anesthetics or contained oxygen.
GROUNDING—Do not defeat the three-wire grounding feature of the power cord by means of adaptors, plug modifications, or other methods. A dangerous shock hazard to both patient and operator may result.
INSTRUCTIONS—For continued and safe use of this equipment, it is necessary to follow all listed instructions. However, the instructions provided in this manual in no way supersede established medical procedures concerning patient care. The monitor does not replace observation and evaluation of the patient, at regular intervals, by a qualified care provider who will make diagnoses and decide on treatments and interventions.
INTERFACING OTHER EQUIPMENT—Monitoring equipment must be interfaced with other types of medical equipment by qualified biomedical engineering personnel. Be certain to consult manufacturers’ specifications to maintain safe operation.
LEAKAGE CURRENT TEST—The interconnection of auxi liary equipment with this device may increase the total leakage current. When interfacing with other equipment, a test for leakage current must be performed by qualified biomedical engineering personnel before using with patients. Serious injury or death could result if the leakage current exceeds applicable standards. The use of accessory equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system. Consideration relating to the choice shall include: use of the accessory in the patient vicinity; and evidence that the safety certification of the accessory has been performed in accordance with the appropriate EN60601.1 and/or EN60601.1.1 harmonized national standard.
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Safety: Monitor Contraindications, Warnings, and Precautions
WARNINGS
LINE ISOLATION MONITOR TRANSIENTS—Line isolation monitor transients may resemble actual cardiac waveforms, and thus cause incorrect heart rate determinations and alarm activation (or inhibition).
MRI USE—Do not use the electrodes during MRI scanning; conducted current could potentially cause burns.
PATIENT CABLES AND LEADWIRES—Do not use patient cables and electrode leads that permit direct connection to electrical sources. Use only “safety” cables and leadwires. Use of non-safety patient cables and lead wires creates risk of inappropriate electrical connection which may cause patient shock or death.
PACEMAKER PATIENTS—Rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias. Do not rely entirely upon rate meter alarms. Keep pacemaker patients under close surveillance. Refer to “Chapter
13, Technical Specifications” for disclosure of the pacemaker
pulse rejection capability of the 120 Series Monitor. SIMULTANEOUS DEVICES—Do not simultaneously connect
more than one device that uses electrodes to detect ECG and/or respiration to the same patient. Use of more than one device in this manner may cause improper operation of one or more of the devices.
STRANGULATION—Make sure all patient cables, leadwires, and tubing are positioned away from the patient’s head to minimize the risk of accidental strangulation.
WATER BIRTHS—Do not use the monitor to directly monitor patients during water births, in whirlpool or submersion water baths, during showers, or in any other situation where the mother is immersed in water. Doing so may result in electrical shock hazard. For immersed and wet environment monitoring, refer to Corometrics 340 Telemetry System Operator’s Manual (P/N 2006899-001) and Corometrics 340 Telemetry System Service Manual (P/N 2006920-001).
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Cautions
Safety: Monitor Contraindications, Warnings, and Precautions
CAUTIONS
ANNUAL SERVICING—For continued safety and performance of the monitor, verify the calibration, accuracy, and electrical safety of the monitor annually. Contact your GE Service Representative for further information.
DAILY TESTING—It is essential that the monitor and accessories be inspected every day. It is recommended practice to initiate the monitor’s self-test feature at the beginning of each monitoring session; follow the instructions in “Chapter 5, Setup
Procedures”.
ENVIRONMENT—The performance of the monitor has not been tested in certain areas, such as x-ray and imaging suites. The monitor is not recommended for use in these environments.
PERFORMANCE—Report all problems experienced with the monitor. If the monitor is not working properly, contact your Service Representative for service. The monitor should not be used if it is not working properly.
PINCHING—Keep fingers clear of the paper roller because the roller could pinch your fingers.
TRAPPING—Keep hands, hair, jewelry, and loose clothing away from the paper roller because the roller could trap these items.
TRIPPING—Arrange monitoring equipment so that cords and cables do not present a tripping hazard.
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Safety: Monitor Contraindications, Warnings, and Precautions
Electromagnetic Interference
This device has been tested and found to comply with the limits for medical devices to the IEC 601-1-2:1993, EN60601-1-2:1994, Medical Device Directive 93/42/EEC. These limits are designed to provide reasonable protection against harmful interference in a typical medical installation.
However, because of the proliferation of radio-frequency transmitting equipment and other sources of electrical noise in the health-care and home environments (for example, cellular phones, mobile two-way radios, electrical appliances), it is possible that high levels of such interference due to close proximity or strength of a source, may result in disruption of performance of this device.
This equipment generates, uses, and can radiate radio frequency energy and, if not installed and used in accordance with these instructions, may cause harmful interference with other devices in the vicinity. Disruption or interference may be evidences by erratic readings, cessation of operation, or incorrect functioning. If this occurs, the site of use should be surveyed to determine the source of this disruption, and actions taken to eliminate the source.
The user is encouraged to try to correct the interference by one or more of the following measures:
Turn equipment in the vicinity off and on to isolate the offending equipment. Reorient or relocate the other receiving device. Increase the separation between the interfering equipment and this equipment. If assistance is required, contact your GE Service Representative.
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Equipment Symbols
The following is a list of symbols used on products manufactured by GE. Some symbols may not appear on your unit.
Safety: Equipment Symbols
Table 1-2. Equipment Symbols
!
ATTENTION: Consult accompanying documents.
TYPE B EQUIPMENT. Type B equipment is suitable for intentional external and internal application to the patient, excluding direct cardiac application.
TYPE BF EQUIPMENT. suitable for intentional external and internal application to the patient, excluding direct cardiac application. Type BF equipment has an F-type applied part.
DEFIBRILLATOR-PROOF TYPE BF EQUIPMENT: Type BF equipment is suitable for intentional external and internal application to the patient, excluding direct cardiac application. Type BF equipment is type B equipment with an F-type isolated (floating) part. The paddles indicate the equipment is defibrillator proof.
ALTERNATING CURRENT (AC).
EQUIPOTENTIALITY.
Type BF equipment is
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O POWER OFF: disconnection from the mains.
I POWER ON: connection to the mains.
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For your notes
Safety: Equipment Symbols
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Chapter 2
Introduction 2
This section lists the indications for use for maternal/fetal monitors in the Corometrics 120 Series. The Corometrics 120 Series is extremely flexible, allowing you to mix and match features.
This section provides information about your monitor in relation to this manual , as well as the intended uses of the device:
Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Series Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
About the Manual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
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Indications for Use
Fetal Monitoring
A Corometrics 120 Series Monitor can be used for routine non-invasive and invasive fetal monitoring throughout labor and delivery (i.e. fetal heart rate and uterine activity monitoring) Fetal movement detection and fetal heart rate alarm options (user selectable high/low and poor signal quality alarms) are available.
Maternal Monitoring
A Corometrics Model 128 or 129 Maternal/Fetal Monitor is intended for monitoring maternal vital signs to help assess maternal well-being. The vital signs which can be measured with either of these monitors are summarized below.
Introduction: Indications for Use
IMPORTANT– Maternal vital signs provided by the monitor should only be used as an adjunct to patient assessment and must be used in conjunction with clinical signs and symptoms.
Blood Pressure
Pulse Oximetry
Heart/Pulse Rate
NOTE: A Model 128 provides maternal pulse rate data derived from the NBP and MSpO monitor. Only a Model 129 provides both maternal heart rate and maternal pulse rate data; the heart rate data is derived from the MECG section of the monitor while the pulse rate data is derived from the NBP and MSpO sections of the monitor.
2 sections of the
2
This parameter is intended for use in the non-invasive monitoring of maternal blood pressure (NBP). This monitor is not intended for use in neonatal or pediatric blood pressure monitoring.
This parameter is intended for use in the non-invasive monitoring of the functional oxygen saturation of maternal arterial blood (MSpO
This parameter is intended for use in the non-invasive monitoring of the maternal heart/pulse rate (MHR/P).
2).
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Series Overview
The Model 126 Monitor
Introduction: Series Overview
The Model 126 Monitor provides standard fetal monitoring parameters—dual ultrasound, fetal ECG, and uterine activity. The Model 126 has the following features:
Dual ultrasonic heart rate monitoring allows for non-invasive monitoring of
twins.
A +20 BPM heart rate offset option is provided for the secondary heart rate
(HR2) trend, when using dual ultrasound, or ultrasound and direct FECG, to separate overlapping FHR trends for easy interpretation.
A heartbeat coincidence detection feature can be enabled to inform you when
there is the possibility that you may be monitoring a duplicate signal.
The electroluminescent (EL) display, with circularly polarized filter, removes
glare; its wide viewing angle provides easy viewing at a distance.
The strip chart recorder is a quiet, easy-to-load, high-resolution thermal array
printer. The recorder prints continuous trends and alphanumeric data on one strip chart.
User-selectable font size for strip chart annotations customizes readability. Automatic mode selection is provided simply by inserting the appropriate
transducer plug into the front panel receptacle.
The ChartLight allows the room lights to be dimmed without sacrificing
visibility of the strip chart recorder.
Transducer connectors are easy-to-use, color-coded, and durable. Frequently used functions are controlled by your choice of front panel monitor
buttons—audio volume, UA reference, alarm silence, event mark, record, and paper advance.
System setup options are easily accessed via a front panel Trim Knob control. Fetal parameters are continuously displayed even during configuration of
system setup options.
Annotations from an optional Model 2116B Keyboard are printed on the strip
chart recorder paper.
The ultrasound mode provides clean accurate traces with few “dropouts”
because of Corometrics’ patented autocorrelation processing.
Fetal heart rate alarm limits are user-defined, with pre-set defaults. Signal
quality has no user-defined parameters.
Alarm limits are easily configured via setup screens. Alarm silencing is controlled by a front panel monitor button which is brightly
colored for easy recognition.
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Introduction: Series Overview
Alarm conditions have audible and visual indications. Audible alarms can be
disabled. Fetal heart rate threshold and signal quality alarms can be cancelled.
The monitor can be interfaced to the most widely used non-invasive blood
pressure monitors and pulse oximeters.
The FECG waveform can be optionally displayed and can be “frozen” on the
screen for review. In addition, a six-second “snapshot” can be printed on the strip chart paper.
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The Model 128 Monitor
Introduction: Series Overview
The Model 128 Monitor provides all of the features of the Model 126 Monitor with the addition of integrated maternal pulse oximetry and non-invasive blood pressure monitoring, plus the following:
Built-in maternal vital signs monitoring eliminates the need for separate blood
pressure and maternal pulse oximetry monitors.
Maternal non-invasive blood pressure
*
readings can be taken on-demand or at pre-programmed intervals using the well-known DINAMAP blood pressure technology.
Smart BP option prevents blood pressure readings from occurring during
contractions.
Continuous non-invasive MSpO2 oxygen saturation and maternal pulse rate can
be reliably monitored using the well-known Nellcor pulse oximetry brand.
Continuous display/printing of the maternal pulse rate trend can be enabled. Maternal alarm limits are user-defined, with pre-set defaults. The audible indicator for each maternal alarm can be temporarily silenced. Maternal vital signs storage provides an eight-hour history of the maternal vital
signs in a spreadsheet format. The data can be displayed or printed on-demand.
A maternal-only recording mode is specifically designed for postpartum
monitoring of the mother.
The MSpO2 pulsatile waveform can be optionally displayed and can be
“frozen” on the screen for review. In addition, a six-second “snapshot” can be printed on the strip chart paper.
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*
Blood pressure is not automatically activated. Manual blood pressure readings must be started via a front panel monitor button or display button. Automatic readings must be initiated via a setup window.
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The Model 129 Monitor
The Model 129 has all of the features of the Model 128, plus the following:
Built-in independent MECG monitoring is provided with selection of lead I, II,
Twins and maternal monitoring can be accomplished simultaneously using dual
The MECG waveform can be optionally displayed and can be “frozen” on the
The large display shows fetal parameters, maternal parameters, and one
Upgrading Your Monitor
The 120 Series family of monitors provides one solution for high-risk and low-risk labors and deliveries. The 120 Series of monitors lets you start with a basic monitor and add the extended and/or more advanced features later as your clinical needs increase and your budget allows. Refer to Chapter 12, “Upgrading a 120 Series
Monitor” , for more information.
Introduction: Series Overview
or III.
ultrasound and MECG; or using ultrasound, FECG, and MECG.
screen for review . In addition, a six-second snapshot can be printed on the strip chart paper.
waveform all at once.
Adding Fetal Movement Detection
Each monitor in the series can be upgraded to include fetal movement detection (FMD). Contact your Service Representative for more information.
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About the Manual
Purpose
Introduction: About the Manual
This manual documents all possible parameters so that when you upgrade you will not require any new documentation. The manual also provides an opportunity to read about features you may not have to assist you with your upgrade decisions. Some sections will not apply if your monitor is not equipped with MSpO NBP, MECG, or FSpO the 120 Series family of monitors.
2 monitoring capabilities. Table 2-1 provides a summary of
Table 2-1. Summary of Monitoring Modes
2, maternal
Intended Audience
Parameter
126 128 129
US
US2 FECG TOCO
IUP
NBP MSpO2 MECG
a
The F-Series adds FSpO2.
This manual is intended for trained service professionals.
999
999
999
999
999
120 Series
a
Model
99
99
9
Illustrations
Revision B 120 Series Maternal/Fetal Monitor 2-7
All illustrations are provided as examples only. Your monitor may not be equipped with all of the features shown. In addition, unless explicitly stated, the screen examples do not represent your equipment setup or displayed data.
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Page 38
Introduction: About the Manual
Design Changes
Due to design changes associated with continuing product improvem ents, information in this manual is subject to change. GE Medical Systems Information Technologies reserves the right to change software/hardware design at any time and any such changes could affect the contents of the manual. GE assumes no responsibility for any errors or inconsistencies appearing in this manual that result from product design changes and upgrades.
References to Persons, Places, and Institutions
References to persons, places, and institutions used within this manual are solely intended to facilitate user comprehension of the 120 Series Monitor’s use and functions. Extreme care has been taken to use fictitious names and related information in the examples and illustrations provided herein. Any similarity of this data to persons either living or dead and to either current or previously existing medical institutions should be regarded as coincidental.
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Page 39
Chapter 3
Controls, Indicators, and Connectors
This section describes all possible controls, indicators, and connectors in the 120 Series of monitors.
The section contains the following:
Front Panel Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Front Panel Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Rear Panel Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-17
3
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Controls, Indicators, and Connectors: Front Panel Description
Front Panel Description
Start/Stop
Test
BP
IJK
Mark
[Offset]
Reference
E
BCD
165
A
FSpO
NBP
130/ 85
MAP (107)
2
03:15
US2US
172
02:15
MECG
89
TOCO
MSP02
97%
30
25 mm/s
II
Volume Volume
2X
FGH
Alarm
Silence
M
N
L
Record
UA
Paper
Power
Advance
Trim Knob
O
Y
03:22:45
FREEZE
PRINT ALARMS
US
US2 UA
!
W
X
V
SETUP
FECG/MECG
VSHX
MATERNAL
BP
SpO
2
U
S
T
4305CAO
bpm
150
180
210
240
FHR
306090
120
R
UA
kPa
8
0
426
12
10
P
Q
Figure 3-1. Model 129 Front Panel
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Controls, Indicators, and Connectors: Front Panel Description
Table 3-1. Model 129 Front Panel
# Name Description
The monitor’s display is divided into several sections. The content and layout of the
A Display
display can change, depending on which functions are installed in the monitor and the
modes of operation in use. B FHR1 Volume Decrease Button C FHR1 Volume Increase Button D FHR2 Volume Decrease Button
The four Volume buttons raise ( ) and lower ( ) the volume of sound emitted by
the rear panel speaker. The left pair controls the volume for FHR1. The right pair
controls the volume for FHR2.
Volume settings have no effect on the processing used to determine heart rate. The
volume buttons work in conjunction with the volume control settings on the US/US2 E FHR2 Volume Increase Button
Setup screen (page 5-9) and on the FECG Setup screen (page 5-8). F Alarm Silence Button Pressing this button removes the audible indication of an individual alarm.
G Test Button
H BP Start/Stop Button
Pressing and holding this button for one second starts or stops a monitor self-test
routine.
This button starts and stops both manual and automatic blood pressure
determinations. It also provides a “shortcut” for changing the auto interval time.
I UA Reference Button The UA Reference button sets a baseline for uterine activity pressure monitoring.
The Mark (Offset) pushbutton is a multi-function pushbutton.
Mark: Pressing this button prints an event mark on strip chart paper (on the
J Mark [Offset] Button
bottom two lines of the top grid).
Offset: When the Heart Rate Offset mode is enabled, pressing and holding this
button shifts the secondary FHR trend +20 BPM for visibility purposes.
K Paper Advance Button
Pressing this button advances chart paper at a rate of 40 cm/min for as long as the
button is held down. L Record Button The Record button selects one of three recorder states: on, maternal-only mode, or off.
M Power Indicator The indicator lights green when the monitor is turned on.
N Record Indicator
O Trim Knob Control
P Recorder Door Latch Opens the strip chart recorder door to add, remove, or adjust the paper.
Q Power Switch
R Strip Chart Recorder
Revision B 120 Series Maternal/Fetal Monitor 3-3
Indicator Status Recorder Status
on on off off flickers maternal-only mode flashing error condition
Operation of the monitor is controlled by using the front panel pushbuttons in
conjunction with the Trim Knob control. This control selects softkeys on the display
and positions a cursor within a setup screen. Rotate the Trim Knob control left or right
to highlight items on the screen with a bar cursor. After highlighting the desired item,
press the Trim Knob control to make the selection. In summary: rotate to move cursor;
press to select an item.
Moving the switch to the on position (I) turns on the monitor; moving the switch to the
off position (O) turns off the monitor.
Annotations and trends are printed on the strip chart paper. Two paper styles are
available. Refer to “Chapter 5, Setup Procedures” , for instructions on loading strip
chart paper into the recorder.
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Controls, Indicators, and Connectors: Front Panel Description
Table 3-1. Model 129 Front Panel # Name Description
S Maternal NBP Connector
T Maternal SpO
2 Connector
Connect a pneumatic hose and blood pressure cuff assembly to this black twin lumen
receptacle.
Connect a 120 Series MSpO
2 intermediate cable to this royal blue receptacle. Use only
Nellcor cables if you have Nellcor technology installed and only Masimo cables if you
have Masimo technology installed in your monitor.
Connect an FECG or MECG cable plug to this green receptacle. For Models 126 or
U FECG or FECG/MECG Connector
128, the connector is labeled
MECG
.
Cables with rectangular plugs connect directly to the FECG/MECG receptacle. Cables
FECG. For a Model 129, the connector is labeled FECG/
with round plugs require an FECG/MECG adapter, cat. no. (REF) 1442AAO. Use this
adapter for dual ECG monitoring as well. The adapter branches into two cables, each
V UA Connector
with a round receptacle at the end: one branch is labeled
labeled
FECG.
Connect a tocotransducer, IUPC, or strain gauge transducer plug to this white
receptacle Contact your Sales Representative for information about compatibility.
MECG; the other branch is
W US2 Connector Connect the secondary ultrasound transduc er plug to this light gray receptacle.
X US Connector Connect the primary ultrasound transducer plug to this light gray receptacle.
YFetal SpO
2 Connector
Connect a 120 Series Fetal Patient Module cable to this light blue receptacle. Use only
Nellcor OxiFirst Fetal Oxygen Sensors (Series FS14).
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Controls, Indicators, and Connectors: Front Panel Displays
Front Panel Displays
The monitor’s display is divided into five horizontal sections. The content and layout of the display can change, depending on which functions are installed in the monitor and the modes of operation in use.
Display Section Item Mode
Fetal Heart Rate 1 (FHR1) US, US2, FECG, or INOP
Table 3-2. Display Summary
Primary Labor Parameters
Fetal Heart Rate 2 (FHR2) US, US2, or INOP Uterine Activity (UA) TOCO, IUP, or INOP Maternal Blood Pressure NBP
Additional Parameters
Waveform
Time
Maternal Heart/Pulse Rate MECG or PULSE Fetal or Maternal SpO Fetal ECG Waveform; Maternal ECG Waveform; Fetal
SpO2 Pulsatile Waveform; or Maternal SpO2 Pulsatile Waveform
2 %FSpO2 or %MSpO2
FECG, MECG, FSpO2, MSpO2, or OFF
Current Time; [LABEL] FROZEN Message, and Time of Activation
Softkeys System Configuration Softkey Controls
Display Example
Figure 3-2, “Model 129 Display Example,” on page 3-6, provides an example of a Model 129 display. In this example:
Blood pressure is not active as indicated by the absence of numerics. Maternal pulse oximetry is active. MECG is selected as the heart rates source as indicated by the MECG mode title
softkey—rather than
The MECG waveform is displayed at 25 mm/sec, at a size of 2X, with lead II
selected.
Heartbeat coincidence is enabled as indicated by the HBC acronym in the
primary labor parameters area.
All alarms are enabled as indicated by .
PULSE.
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Controls, Indicators, and Connectors: Front Panel Displays
FECG
165
NBP MECG
US

172 30
87
MECG

PRINT FREEZE ALARMS SETUP
Figure 3-2. Model 129 Display Example
HBC
MSpO
98%
TOCO
2
25 mm/s II 2X

15:52:58

VSHX
 
The Model 126 has a unique feature which automatically centers the primary fetal parameters in the display when no waveform is active. See figure below.
FECG
165
OFF
Figure 3-3. Model 126 Display
US
172
ALARMS SETUP
TOCO
30
15:50:27
VSHX
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Controls, Indicators, and Connectors: Front Panel Displays
Primary Labor Parameters
The primary labor parameters section displays FHR1, FHR2, and UA data.
FHR Display
The FHR1 and FHR 2 areas are summarized by Figure 3-4 and
Table 3-3.
A FHR Value
FHR Alarm Setting
B
Indicator
C
B
FECG
A
165
Figure 3-4. FHR Display
Table 3-3. FHR Display
Name Description
Up to three digits indicate the fetal heart rate in beats per minute.
This symbol provides information about the FHR audio alarm and the FHR high/low alarm limit settings.
: An alarm setting is turned off.
D
Revision B 120 Series Maternal/Fetal Monitor 3-7
: All alarm settings are enabled.
An abbreviation indicates the monitoring mode in
FECG, US, US2, or INOP. (FECG only displays
use:
C FHR Mode Title
D FHR Heartbeat Indicator Flashes with each detected valid heartbeat.
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in the FHR1 area.) Select the mode softkey to access the respective setup screen. See Table 3-4 for FHR connection options.
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Controls, Indicators, and Connectors: Front Panel Displays
Table 3-4. Connectors vs. Display Modes
Active Connectors
FECG FECG/US FECG/US2 US US/US2 US2 —
FECG/US/US2
a
If three FHR transducers are plugged in, the FECG signal overrides the US signal.
a
FHR1 Area FHR2 Area
FECG INOP FECG US FECG US2 US INOP US US2 US2 INOP INOP INOP FECG US2
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Controls, Indicators, and Connectors: Front Panel Displays
UA Display
The UA area is summarized by Figure 3-5 and Table 3-5.
B
TOCO
A
30
Figure 3-5. UA Display
Table 3-5. UA Display
Name Description
A UA Value
B UA Mode Title
Up to three digits indicate the uterine activity value—mmHg for internal monitoring or relative units for external monitoring.
An abbreviation indicates the monitoring mode in use:
TOCO, IUP, or INOP.
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Additional Parameters
Controls, Indicators, and Connectors: Front Panel Displays
The additional parameters area displays NBP, MHR/P, and MSpO2 data.
Maternal NBP
The maternal NBP section is summarized by Figure 3-6 and Table 3-6.
C
B
130/ 85
A
Name Description
A NBP Time Stamp
D
NBP
E
11:41
MAP (107)
03:15
Figure 3-6. NBP Display
Table 3-6. NBP Display
The time (in 24-hour format) of the last blood pressure measurement.
B NBP Values
NBP Alarm Setting
C
Indicator
D NBP Mode Title
E NBP Countdown Timer
The systolic/diastolic and mean arterial pressures (MAP) are each indicated by up to three digits— representing mmHg.
During a determination, the instantaneous cuff pressure displays in place of the mean arterial pressure and is denoted by the title
This symbol provides information about the NBP audio alarm and the NBP high/low alarm limit settings.
: An alarm setting is turned off. : All alarm settings are enabled.
Select the mode title to access the NBP Setup screen.
The clock symbol represents activation of the auto mode. The countdown timer indicates the minutes and seconds until the next automatic reading.
CUFF.
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Controls, Indicators, and Connectors: Front Panel Displays
MHR/P Area
The MHR/P area is summarized by Figure 3-7 and Table 3-7.
B
A
Name Description
A MHR/P Value
MHR/P Alarm Setting
B
Indicator
C
D
MECG
89
Figure 3-7. MHR/P Display
Table 3-7. MHR/P Display
Up to three-digits indicate the MHR/P in beats per minute.
This symbol provides information about the MHR/P audio alarm and the MHR/P high/low alarm limit settings.
: An alarm setting is turned off.
C MHR/P Mode Title
Maternal Heartbeat
D
Indicator
: All alarm settings are enabled.
The mode title P source; the mode title NBP is used as the source. Select the mode title softkey to access the MHR/P Setup screen.
Flashes with each detected valid heartbeat—for MECG only.
MECG indicates MECG is the MHR/
PULSE indicates MSpO2 or
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Controls, Indicators, and Connectors: Front Panel Displays
FSpO2 Area
The FSpO2 area is summarized by Figure 3-8 and Table 3-8.
IMPORTANT
If FSpO the Additional Parameters Area. When dual SpO occurs, FSpO beneath the MSpO2 area.
2 is monitored while MSpO2 is inactive, FSpO2 displays in
2 information is displayed in the Waveform Area
C
B
2 monitoring
D
A
Figure 3-8. FSpO
Table 3-8. FSpO
Name Description
A FSpO
B FSpO
2 Value
2 Mode Title
C Signal Quality Indicator
2 Display
2 Display
This three-digit display indicates the FSpO
2 level
calculated form qualified optical pulses. The
FSpO2 title indicates that fetal oxygen
saturation monitoring is in progress. This indicator shows the average signal quality of
pulses being detected at the sensor site according to a software algorithm in the 120 F-Series Monitor. The presence of all ten bars represents fetal pulses with consistently high signal quality for FSpO
2
measurement. Fewer bars represents diminished signal quality. The absence of bars represents a lack of fetal pulses with acceptable signal quality.
3-12 120 Series Maternal/Fetal Monitor Revision B
D
Pulse Amplitude Indicator
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This vertical bar qualitatively indicates pulse amplitude at the sensor site.
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Controls, Indicators, and Connectors: Front Panel Displays
MSpO2 Area
The MSpO2 area is summarized by Figure 3-9 and Table 3-9.
B
A
A MSpO
MSpO
B
Indicator
C
Figure 3-9. MSpO
Table 3-9. MSpO
2 Display
2 Display
Name Description
2 Value
Up to three digits indicate the percentage of oxygen in the mother’s blood.
This symbol provides information about the MSpO audio alarm and the MSpO
2 Alarm Setting
settings.
: An alarm setting is turned off.
D
2
2 high/low alarm limit
: All alarm settings are enabled.
C MSpO
MSpO
D
Indicator
2 Mode Title
2 Pulse Amplitude
Select the mode title to access the MSpO screen.
This vertical bar qualitatively indicates pulse amplitude.
2 Setup
Waveform Area
The waveform area displays approximately four seconds of waveform data for: FECG, MECG, FSpO
2 or MSpO2.
Time and Waveform Message Area
The current time (in 24-hour format) always displays on the far right. When a waveform is frozen, the message [ the time of activation.
LABEL] FROZEN displays on the far left, along with
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Controls, Indicators, and Connectors: Front Panel Displays
Battery-Backed RAM Status
Whenever you turn off a 120 Series Monitor, a battery provides power to the RAM (random access memory) that stores information such as time, date, default settings, etc.
Figure 3-10. Low Battery Icon
The icon shown above will appear in the upper right-hand section of the monitor under the following circumstances.
Table 3-10. Battery-Backed RAM Status
Icon Appearance Reason Solution
Icon appears and then disappears after power cycle.
Icon appears after multiple power cycles.
Softkeys
Data corruption. Your monitor has reverted to factory settings.
Battery requires service. Call GE Service to report.
A softkey is an area on the screen that can be selected with the Trim Knob control. When the softkey is activated by pressing the Trim Knob control, it may cycle through available settings or it may display a setup screen.
Access setup screens and configure last-used settings.
Mode Title Softkeys
Most of the mode titles in the display are also softkeys which give access to corresponding setup screens:
US, US2, FECG, NBP, MECG, PULSE, FSPO2 and MSPO2.
Waveform Softkeys
The waveform title is a softkey used to select the waveform for display or to disable the area, The ECG scale and MECG lead labels are softkeys used to configure the waveform currently displayed.
3-14 120 Series Maternal/Fetal Monitor Revision B
Dedicated Softkey Area
Softkeys are located at the bottom of each screen, as shown in Figure 3-11 and
Figure 3-12. Although there are many possible softkeys which may appear in this
area, a maximum of five are shown at a time.
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Controls, Indicators, and Connectors: Front Panel Displays
US
165
NBP
130/ 85
MAP (107)
03:15
I
MECG 09:21:41 ECG FROZEN
PRINT FREEZE ALARMS SETUP VSHX
H
02:15
G
US2
172
MECG
89
F
HBC
MSPO2
97%
E
TOCO
30
25 mm/s
II AUTO
09:22:06
D
A
B C
Figure 3-11. Display Summary
Table 3-11. Display Summary
Name Description
A Mode Title Softkeys
B ECG Scale Softkey Selects 0.25X, 0.5X, 1X, 2X, 4X, or AUTO.
MECG Lead Select
C
Softkey
D VSHX Softkey Displays maternal Vital Signs History screen. E SETUP Softkey Displays General Setup screen F ALARMS Softkey Displays Master Alarm Setup screen.
G FREEZE Softkey
H PRINT Softkey
Selects US, US2, FECG, NBP, MHR/P, or SpO Setup screens.
Selects Lead I, II, or III.
Freezes waveform for analysis; unfreezes waveform to return to real-time display.
Prints six-second snapshot of frozen waveform, real-time waveform, or maternal vital signs history.
2
Revision B 120 Series Maternal/Fetal Monitor 3-15
I Waveform Softkey Selects FECG, MECG, FSpO
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2, MSpO2, or OFF.
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Controls, Indicators, and Connectors: Front Panel Displays
Figure 3-12. Maternal Vital Signs History Screen Softkeys
DCBA
Table 3-12. Maternal Vital Signs History Screen Softkeys
Name Description
A PRINT Softkey Prints one page (screen) of the table. B PRINTALL Softkey Prints all pages (screens).
Scrolls through the data:
C VIEW Softkey
Left for recent dataRight for oldest data
D EXIT Softkey Returns to the previous screen.
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Controls, Indicators, and Connectors: Rear Panel Description
Rear Panel Description
F
Figure 3-13. 120 Series Rear Panel Connectors (Standard and Optional)
Revision B 120 Series Maternal/Fetal Monitor 3-17
IMPORTANT––The fetal acoustic stimulator connector (J) and the remote event marker (K) connector are identical in size. To ensure data accuracy, be sure to plug sensors into the correct connectors.
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Controls, Indicators, and Connectors: Rear Panel Description
Table 3-13. 120 Series Rear Panel (Standard and Optional Features)
Name Description
A Vent
J101 Telemetry
B
Connector
J103 Data Entry
C
Connector
J104 Nurse Call
D
Connector
J102 Central Systems
E
Connector
F Speaker
G J108 Corolan Connector
Provides ventilation for the monitor’s internal circuitry.
Connector for Corometrics telemetry system interface. (Installed as part of an optional communications package.)
Connector for data entry system interface. (Installed as part of an optional communications package.)
Connector for standard Nurse Call System interface. The connector’s maximum output is 50 Vdc at 100 mA; the maximum on resistance is
0.5 . (Installed as part of an optional communications package.)
Connector for analog central station system interface. (Installed as part of an optional communications package.)
The rear panel speaker emits an audible tone for heart rates, MSpO
2 pulse with %O2-dependent
pitch, and alarms. It also provides the sound for the song player feature.
This 25-pin connector is used for interfacing to optional Corometrics equipment. Contact your Service Representative for more information.
3-18 120 Series Maternal/Fetal Monitor Revision B
J109, J110, and J111 RS-232C
H
Communications Connectors
I ECG Out Connector
Fetal Acoustic
J
Stimulator Connector
Remote Event Marker
K
Connector
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Three serial RJ-11 connectors are provided for interfacing to peripheral equipment. Contact your Service Representative for more information.
External recorder receptacle for MECG signals. The standard output level is 1 V/mV.
Receptacle for Corometrics Model 146 Fetal Acoustic Stimulator (FAST). A music symbol prints on the strip chart paper each time the Model 146 is used:
Receptacle for the Corometrics Remote Event Marker. When activated, one of the following marks prints on the strip chart paper:
The event marker is commonly used to record
an “event”:
The fetal movement marker (default setting) is
commonly used as an indication that the mother has perceived fetal movement:
FM
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Controls, Indicators, and Connectors: Rear Panel Description
Table 3-13. 120 Series Rear Panel (Standard and Optional Features)
Name Description
NOTE: Although the J104 Nurse Call connector is physically present on the optional communications package, this connector is only supported as part of the Spectra Alerts option.
L Equipotential Lug
A binding post terminal is directly connected to the chassis for use as an equipotentiality connection.
This switch is intended for qualified service personnel to select a voltage range for the AC
AC Voltage Selection
M
Switch
input:
120: Accepts an AC input in the range of 100–
120 VAC.
240: Accepts an AC input in the range of 220–
240 VAC
AC line power cord receptacle. Refer to the rear
N Power Entry Module
panel markings to verify line voltage and line frequency requirements.
CAUTION
NON-DESTRUCTIVE VOLTAGE—The maximum non­destructive voltage that may be applied to the rear panel connectors is 0 volts. Do not attempt to connect cables to these connectors without contacting your Biomedical Engineering Department or Information Technolo gies Service Representative. This is to ensure the connectors comply with leakage-current requirements of one of the following applicable standards: Underwriters Laboratories UL-2601.1, Canadian Standards Associations CSA 22.2 No. 125, or International Electrotechnical Commission EN60601.1.
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Controls, Indicators, and Connectors: Rear Panel Description
Communication Option
The communication option is an additional circuit board that can be installed in the 120 Series Monitor. Refer to “Chapter 12, Upgrading a 120 Series Monitor” , for upgrade information. The following four connectors are part of the optional communications package: J101, J102, J103, and J104.
J101 Connector
This high-density 15-pin connector is intended for interfacing to the receiver of a Corometrics 340 Series Telemetry System.
J102 Connector
This Centronics-type connector is used for interfacing to a central station system such as a Corometrics Spectra 400 Surveillance and Alert System. (This connector is often referred to as the Analog Interface Connector.)
J103 Connector
This 15-pin connector is used for attaching to an optional data entry system.
J104 Connector
Corolan Option
This connector attaches to a standard Nurse Call System. The connector’s maximum output is 50 Vdc at 100 mA; the maximum on resistance is 0.5 . When connected to a Nurse Call System, the monitor will activate the system each time a Spectra Alert is issued. This interface simulates pressing the button on a bedside Nurse Call System allowing nurses to respond to patient needs quickly and efficiently.
NOTE: Although the J104 Nurse Call connector is physically present on the
optional communications package, this connector is only supported as part of the Spectra Alerts option.
J108 is installed as part of a Corolan Option. Refer to “Chapter 12, Upgrading a 120
Series Monitor” for upgrade information.
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Chapter 4
Theory of Operation 4
This section of the manual contains the electronic theory of operation for the 120 Series Monitor. For parts information, refer to “Chapter 14, Replacement Parts”.
This chapter contains the following information:
Main Motherboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
DSP Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-24
NBP Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-35
Communications Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-39
System Power Supply. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-44
Display Board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-45
Dual Ultrasound Board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-46
UA/FECG Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-52
MECG Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-61
Oximeter Carrier Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-70
MSpO2 Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-71
Isolated Power Supply Board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-76
Recorder Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-82
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Main Motherboard
NOTE: Main Motherboard 2000608-003 (with software version 2.0) replaces
Functional Overview
The Main Motherboard makes up the central processing unit of the 120 Monitor. The Main Motherboard accepts simultaneously processed parameters directly from four separate modules. A Model 126 Monitor has the DSP Board as its only input module. Heart rate data, uterine activity data, mode information, and FMD data flow from the DSP Board to the Main Motherboard via shared memory. Maternal and fetal pulse oximetry make up the second and third modules. Information from these devices is passed to the Main Motherboard via internal RS-232C ports. Maternal blood pressure makes up the fourth module which also passes data via an internal RS-232C port. Figure 4-1 shows the data flow.
Theory of Operation: Main Motherboard
earlier version 11619 Boards. If you update an older monitor (11619 Main Board and 3-inch x 3.75-inch display) with a new Main board, which is factory-set for the new larger display (3.5-inch x 4.5-inch display), the Main screen will have space below the bottom row of softkeys. Use the Flasher Software Utility Kit, to re-configure the monitor software to operate with the installed smaller display. Refer to “Display Upgrade” on
page 12-40 and “Upgrading to a 3.5” x 4.5” Display” on page 7-11 for
more information.
Switch/Status Input Data Flow Diagram
The Main Motherboard also processes information coming in from buttons and sensors. Information from the front panel switches comes from the DSP Board (passed through the main microprocessor). Status information comes from the Recorder Board and the Communications Board interface. Figure 4-2 provides a summary.
External/Internal Communication Data Flow
The Main Motherboard handles all internal and external data communications. Four external communication interfaces are present. For the Corolan interface, monitor data flows predominantly from monitor to master. Three external RS-232C communication interfaces are set up predominantly to receive data from external parameter monitors such as fetal pulse oximeters, maternal pulse oximeters, and maternal blood pressure monitors. Internal communications consists of three channels of RS-232C for NBP, MSpO of the communication data flow.
2, and FSpO2. Figure 4-3 provides a summary
Audio Control Flow
Another function of the Main Motherboard is to control the audio from various sources. Pure audio (non-processor generated) information comes from the Ultrasound Board (US and US2) only. The remaining sources of audio are generated by the processor through the use of timers and the host processor. Timer sources of audio are initiated by the FECG, NBP, MSpO
2, and DSP internal modules. Audio
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Theory of Operation: Main Motherboard
from the host processor is summed into the main audio and is not controlled by the main processor. Figure 4-4 provides a summary of the audio control flow.
Main Motherboard
Figure 4-1. Main Motherboard Input Parameter Data Flow
RS-232C
RS-232C
Shared Memory
RS-232C
Switches
MSpO2 Module
NBP Module
DSP Board
2 Module
FSpO
DSP / Switch Interface Board
Dual Ultrasound
UA/FECG
MECG
Front Panel
Main Motherboard
Switches
Switches
Rear Panel Module
Recorder Board
Figure 4-2. Main Motherboard Switch Input Data Flow
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External QS
Central System
External RS-232C
MSpO
2 Monitor
External RS-232C
NBP Monitor
External RS-232C
(reserved for future use)
Figure 4-3. Main Motherboard Communications Data Flow
From Host Processor
Theory of Operation: Main Motherboard
NBP
Corolan
2
MSpO
Data
NBP Data
Parameter
Data
Main Motherboard
Data
MSpO
Data
Parameter
Data
Internal RS-232C
2
Internal RS-232C
MSpO
Internal RS-232C
Future Module
NBP Module
2 Module
Timer 1
Timer 2
ECG Timer
US1
US2
Volume Controls
Figure 4-4. Main Motherboard Audio Control Flow
Audio Mixer
and
Filters
Audio
Amplifier
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Theory of Operation: Main Motherboard
Table 4-1. Main Power Connector
Pin Number Signal Name Signal Description
1 AGND Analog Ground
2 GND Digital Ground
3 GND Digital Ground 4 GND Digital Ground 5 +5V +5V Logic Supply 6 +5V +5V Logic Supply 7 +5V +5V Logic Supply 8 GNDAUD Audio Ground for +12 V
9 GNDBP NBP and Isolated Supply Ground 10 +15BP Supply for NBP 11 +12AUD Supply for Audio 12 +12EL Supply for EL panel 13 GNDEL Ground for EL panel 14 +20I 20 V for Isolated Power Supply 15 GNDI Ground for Isolated Power Supplies 16 +15US +15 V for Ultrasound 17 –15V –15 V for Ultrasound 18 72KHZ Power Supply Sync Frequency from US Board
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Theory of Operation: Main Motherboard
.
Table 4-2. RS-232 Connectors J11 and J13
Pin Number Signal Name Signal Description
1 RTS Request to Send Output from Monitor
2 RXD Receive Data Input to Monitor
3 GND Signal Ground
4 GND Frame Ground
5 TXD Transmit Data Output from Monitor
6 CTS Clear to Send Input to Monitor
Table 4-3. RS-232 Connector J12
Pin Number Signal Name Signal Description
1 RTS Always Inactive
2 RXD Receive Data Input to Monitor
3 GND Signal Ground
4 GND Frame Ground
5 TXD Transmit Data Output from Monitor
6 No connection
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Theory of Operation: Main Motherboard
Table 4-4. Corolan Connector J2
Pin Number Signal Name Signal Description
1 No connection
2 GND Ground
3 ADR0 Junction Box Address Line Input
4 ADR1 Junction Box Address Line Input
5 ADR2 Junction Box Address Line Input
6 ADR3 Junction Box Address Line Input
7 ADR4 Junction Box Address Line Input
8 ADR5 Junction Box Address Line Input
9 LED Junction Box LED Control Line 10 No connection — 11 No connection — 12 No connection — 13 SIGNAL GND Signal Ground 14 No connection — 15 No connection — 16 No connection — 17 No connection — 18 No connection — 19 CENTER COAX Corolan Center Coax 20 SHIELD COAX Corolan Shield Coax 21 No connection — 22 No connection — 23 No connection — 24 No connection — 25 No connection
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Theory of Operation: Main Motherboard
Table 4-5. DSP Board Connector J7
Signal Type
Pin Number Signal Name
(Relative To Main
Signal Description
Motherboard)
1 IRQ7/ Input Interrupt Line from DSP Board Shared RAM 2 SHEM/ Output DSP Shared Memory Chip Select Line 3 No Connection — 4 RESA02 Output Reset Line for SpO
2 Module
5 RESDSP/ Output Processor Controlled Reset Line 6 72kHz Input 72 kHz from Front End to Sync Power Supplies 7 +15v Output +15 Volt Analog Supply 8 –15V Output –15 Volt Analog Supply
9 AGND Output Analog Ground 10 AGND Output Analog Ground 11 –15v Output –15 Volt Analog Supply 12 AGND Output Analog Ground 13 US2AUDIO Input Ultrasound2 Audio 14 GND Output Digital Ground 15 TMECG Output Telemetry MECG 16 TELMAUDIO Input Telemetry Audio
17 IRQ7/(alt) Input
Alternate Interrupt from DSP Board (Jumper Selectable
On to Processor IRQ7/ Line) 18 D0B I/O Buffered Data Line 19 D2B I/O Buffered Data Line 20 D4B I/O Buffered Data Line 21 D6B I/O Buffered data line 22 D8B I/O Buffered data line 23 D10B I/O Buffered data line 24 +5V Output +5 Volt Logic Supply 25 D12B I/O Buffered Data Line 26 D14B I/O Buffered Data Line 27 A1B Output Buffered Address Line 28 A3B Output Buffered Address Line
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Theory of Operation: Main Motherboard
Table 4-5. DSP Board Connector J7 (Continued)
Signal Type
Pin Number Signal Name
(Relative To Main
Signal Description
Motherboard)
29 A5B Output Buffered Address Line 30 A7B Output Buffered Address Line 31 GND Output +5 Volt Power Ground Return 32 A9B Output Buffered Address Line 33 A11B Output Buffered Address Line 34 A13B Output Buffered Address Line 35 A15B Output Buffered Address Line 36 SP2B/ Output Spare Chip Select Line 37 SP4B/ Output Spare Chip Select Line 38 +5V Output +5 Volt Logic Supply 39 UDSB/ Output Buffered Upper Data Strobe 40 +5V Output +5 Volt Logic Supply 41 GNDI Output 20 V Ground 42 GNDI Output 20 V Ground 43 IRQ6/ Input Processor Interrupt Line 44 +20I Output +20 Volt Supply 45 +20I Output +20 Volt Supply 46 GND Output Digital Ground 47 GND Output Digital Ground 48 GND Output Digital Ground 49 GNDEL Output Ground Return 50 GNDEL Output Digital Ground 51 RXDC Input Main Bd. RXD Line for MSpO 52 TXDB Output Main Bd. TXD Line for FSpO 53 TXDC Output Main Bd TXD Line for MSpO
2 Module 2 Module 2 Module
54 RTSC Output Main Bd. RTS Line for MSpO 55 RXDB Input Main Bd. RXD Line for FSpO 56 +15us Output +15 Volts for Ultrasound 57 AGND Output Analog Ground 58 +15v Output +15 Volts Analog Supply
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Table 4-5. DSP Board Connector J7 (Continued)
Signal Type
Pin Number Signal Name
(Relative To Main
Signal Description
Motherboard)
59 FECG 80db Input FECG Analog for Rear Panel Output 60 AGND Output Analog Ground 61 US1audio Input Ultrasound Channel One Audio 62 MECG 60db Input MECG Analog for Rear Panel 63 PACER/ Input Pacemaker Detect Line 64 TECG Output Telemetry ECG 65 TTOCO Output TOCO-telemetry 66 FM Output Fetal Movement 67 GND Output Digital Ground 68 D1B I/O Buffered Data Line 69 D3B I/O Buffered Data Line 70 D5B I/O Buffered Data Line 71 D7B I/O Buffered Data Line 72 D9B I/O Buffered Data Line 73 D11B I/O Buffered Data Line 74 +5V Output +5 Volt Logic Supply 75 D13B I/O Buffered Data Line 76 D15B I/O Buffered Data Line 77 A2B Output Buffered Address Line 78 A4B Output Buffered Address Line 79 A6B Output Buffered Address Line 80 A8B Output Buffered Address Line 81 GND Output Digital Ground 82 A10B Output Buffered Address Line 83 A12B Output Buffered Address Line 84 A14B Output Buffered Address Line 85 A16B Output Buffered Address Line 86 SP1B/ Output Spare Chip Select Line 87 SP3B/ Output Spare Chip Select Line 88 +5V Output Volt Logic Supply
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Theory of Operation: Main Motherboard
Table 4-5. DSP Board Connector J7 (Continued)
Signal Type
Pin Number Signal Name
(Relative To Main
Signal Description
Motherboard)
89 LDSB/ Output Processor Lower Data Strobe 90 R/WB/ Output Processor Read/Write Line 91 No Connection — 92 CKD Output Processor Clock Line 16/20 MHz 93 +5v Output +5 Volts Logic Power 94 +20I Output +20 Volts 95 RESFP/ Output Front Panel Reset Line 96 GNDI Output +20 V Ground 97 +12EL Output +12 EL Panel Supply 98 +12EL Output +12 EL Panel Supply 99 GNDEL Output EL Panel Ground Return
100 GNDEL Output EL Panel Ground Return
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Theory of Operation: Main Motherboard
Table 4-6. NBP Board Connector J4
Pin Number Signal Name Signal type Signal Description
1 GND Output +5 V Power Ground Return 2 D0B I/O Buffered Data Line 3 D2B I/O Buffered Data Line 4 D4B I/O Buffered Data Line 5 D6B I/O Buffered Data Line 6 D8B I/O Buffered Data Line 7 D10B I/O Buffered Data Line 8 +5V Output Volt Logic Supply
9 D12B I/O Buffered Data Line 10 D14B I/O Buffered Data Line 11 A1B Output Buffered Address Line 12 A3B Output Buffered Address Line 13 A5B Output Buffered Address Line 14 A7B Output Buffered Address Line 15 GND Output +5 Volt Power Ground Return 16 A9B Output Buffered Address Line 17 A11B Output Buffered Address Line 18 A13B Output Buffered Address Line 19 A15B Output Buffered Address Line 20 SP2B/ Output Spare Chip Select Line 21 SP4B/ Output Spare Chip Select Line 22 +5V Output +5 Volt Logic Supply 23 UDSB/ Output Buffered Upper Data Strobe 24 +15BP Output +15 Volt Supply for NBP Module 25 +12VEL Output +12 Volt Analog Supply 26 GNDBP Output NBP Module Ground 27 GNDBP Output NBP Module Ground 28 IACK6/ Output Processor Interrupt Acknowledge Line 29 IRQ6/ Input Processor Interrupt Line 30 GND Output Digital Ground
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Table 4-6. NBP Board Connector J4 (Continued)
Pin Number Signal Name Signal type Signal Description
31 SPARESTAT0 Input NBP Board Present Line—active Low
32 SPARESTAT1 Input
Spare Present Line—active Low
NOTE: These lines also go to the spare slot. 33 GNDBP Output NBP Module Ground 34 GNDBP Output NBP Module Ground 35 +15BP Output +15 Volt Supply for NBP Module 36 +15V Output +15 Volt Analog Supply 37 AGND Output Analog Ground 38 GNDI Output +20 V Ground 39 GNDI Output +20 V Ground 40 RES1/ Output System Power-On Reset Line 41 GND Output Digital Ground 42 D1B I/O Buffered Data Line 43 D3B I/O Buffered Data Line 44 D5B I/O Buffered Data Line 45 D7B I/O Buffered Data Line 46 D9B I/O Buffered Data Line 47 D11B I/O Buffered Data Line 48 +5V Output +5 Volt Logic Supply 49 D13B I/O Buffered Data Line 50 D15B I/O Buffered Data Line 51 A2B Output Buffered Address Line 52 A4B Output Buffered Address Line 53 A6B Output Buffered Address Line 54 A8B Output Buffered Address Line 55 GND Output Digital Ground 56 A10B Output Buffered Address Line 57 A12B Output Buffered Address Line 58 A14B Output Buffered Address Line 59 A16B Output Buffered Address Line 60 SP1B/ Output Spare Chip Select Line
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Theory of Operation: Main Motherboard
Table 4-6. NBP Board Connector J4 (Continued)
Pin Number Signal Name Signal type Signal Description
61 SP3B/ Output Spare Chip Select Line 62 +5V Output Volt Logic Supply 63 LDSB/ Output Processor Lower Data Strobe 64 R/WB/ Output Processor Read/Write Line 65 +15BP Output +15 Volt Supply for NBP Module 66 DTACK/ I/O Processor DTACK Transfer Line 67 RXDD Input Main Motherboard RXD Line from NBP Module 68 TXDD Output Main Motherboard TXD Line to NBP Module 69 CKE Output 20 MHz Clock 70 GND Output Digital Ground 71 No Connection — 72 72kHz Output 72 kHz from US Board 73 RTSD Output Main Motherboard RTS Line to NBP Module 74 CTSD Input Main Motherboard CTS Line from NBP Module 75 GND Output Digital Ground 76 –15V Output Volt Analog Supply 77 AGND Output –15 Volt Analog Supply 78 +20I Output +20 Volts for Isolated Power Supply 79 +20I Output +20 Volts for Isolated Power Supply 80 RESA/ Output Processor Controlled Reset
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Table 4-7. Communications Board Connector J5
Pin Number Signal Name Signal Type Signal Description
1 GND Output +5 V Power Ground Return 2 D0B I/O Buffered Data Line 3 D2B I/O Buffered Data Line 4 D4B I/O Buffered Data Line 5 D6B I/O Buffered Data Line 6 D8B I/O Buffered Data Line 7 D10B I/O Buffered Data Line 8 +5V Output +5 Volt Logic Supply
9 D12B I/O Buffered Data Line 10 D14B I/O Buffered Data Line 11 A1B Output Buffered Address Line 12 A3B Output Buffered Address Line 13 A5B Output Buffered Address Line 14 A7B Output Buffered Address Line 15 GND Output +5 V Power Ground Return 16 A9B Output Buffered Address Line 17 A11B Output Buffered Address Line 18 A13B Output Buffered Address Line 19 A15B Output Buffered Address Line 20 SP2B/ Output Spare Chip Select Line 21 SP4B/ Output Spare Chip Select Line 22 +5V Output +5 Volt Logic Supply 23 UDSB/ Output Buffered Upper Data Strobe 24 No Connection — 25 +12VEL Output +12 Volt Analog Supply
26 COMMSTAT0/ Input
27 COMMSTAT1/ Input Board Present Line—Active Low 28 IACK6/ Output Processor Interrupt Acknowledge Line 29 IRQ6/ Input Processor Interrupt Input Line
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Active Low
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Theory of Operation: Main Motherboard
Table 4-7. Communications Board Connector J5 (Continued)
Pin Number Signal Name Signal Type Signal Description
30 GND Output Digital Ground 31 SPRXD Input Processor Serial Input 32 TMECG Input Telemetry MECG 33 TELMAUDIO Input Telemetry Audio 34 US1AUDIO Output Ultrasound Unbuffered Audio 35 US2AUDIO Output Ultrasound 2 Unbuffered Audio 36 +15V Output +15 Volt Analog Supply 37 AGND Output Analog Ground 38 FM Output Fetal Movement (not used) 39 No Connection — 40 RES1/ Output System Power-On Reset Line 41 GND Output Digital Ground 42 D1B I/O Buffered Data Line 43 D3B I/O Buffered Data Line 44 D5B I/O Buffered Data Line 45 D7B I/O Buffered Data Line 46 D9B I/O Buffered Data Line 47 D11B I/O Buffered Data Line 48 +5V Output +5 Volt Logic Supply 49 D13B I/O Buffered Data Line 50 D15B I/O Buffered Data Line 51 A2B Output Buffered Address Line 52 A4B Output Buffered Address Line 53 A6B Output Buffered Address Line 54 A8B Output Buffered Address Line 55 GND Output Digital Ground 56 A10B Output Buffered Address Line 57 A12B Output Buffered Address Line 58 A14B Output Buffered Address Line 59 A16B Output Buffered Address Line 60 SP1B/ Output Spare Chip Select Line
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Table 4-7. Communications Board Connector J5 (Continued)
Pin Number Signal Name Signal Type Signal Description
61 SP3B/ Output Spare Chip Select Line 62 +5V Output +5 Volt Logic Supply 63 LDSB/ Output Processor Lower Data Strobe 64 R/WB/ Output Processor Read/Write Line 65 AGND Output Analog Ground 66 DTACK/ I/O Processor DTACK Transfer Line 67 No Connection — 68 No Connection — 69 CKC Output 20 MHz Clock 70 GND Output Digital Ground 71 No Connection — 72 No Connection — 73 No Connection — 74 No Connection — 75 GND Output Digital Ground 76 –15V Output –15 Volt Analog Supply 77 AGND Output Analog Supply 78 TECG Input Telemetry ECG 79 TOCO Input TOCO-Telemetry 80 RESB/ Output Processor Controlled Reset Line RESB/
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Table 4-8. Recorder Board Connector J9
PIN NUMBER Signal Name Signal Type Signal Description
1 No Connection
2 STB4/ Output Strobe Line for 4th Set of 256 Dots (1024 element)
3 PLOW/ Input Paper Low Line
4 STB3/ Output Strobe Line for 3rd Set of 256 Dots (1024 element)
5 POUT/ Input Paper Out Line
6 STB2/ Output Strobe Line for 2nd Set of 256 Dots (1024 element)
7 DOOR Input Door Closed Line (Not Used)
8 STB1/ Output Strobe Line for 1st Set of 256 Dots (1024 element)
9 GND Output Ground 10 BEO Output Printhead Enable Line 11 RECLK Output Recorder Serial Clock (2.5 MHz) 12 LD/ Output Recorder Load Line 13 GND Output Ground 14 RES/ Output System Reset Line 15 RECDATA Output Recorder Data Line 16 HDSHUT/ Output Recorder Head Power Supply Shutdown Line 17 P2 Output Stepper Motor Phase 2 18 P4 Output Stepper Motor Phase 4 19 P1 Output Stepper Motor Phase 1 20 P3 Output Stepper Motor Phase 3
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Table 4-9. Remote Mark Jack—PH2
Pin Number Description
Inner Conductor Remote Mark Input Line
Outer Ring Remote Mark Ground
Table 4-10. Fetal Acoustic Stimulator (FAST) Jack—PH3
Pin Number Description
Inner Conductor FAST Mark Input Line
Outer Ring Mark Ground
Table 4-11. FECG/MECG Jack—PH1
Pin Number Description
Tip Conductor 1 FECG 80 dB Output Line
Center Conductor 2 MECG 60 dB Output Line
Outer Ring Ground
Table 4-12. Legplate Connector—J1
Pin Number Description
1LA 2 ECG Common (RL and RA) 3 ECG Common
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Control Block
Theory of Operation: Main Motherboard
The control block contains the basic processing engine (68302), system RAM, system ROM, address decoder, power-on reset module, oscillator, and control/setup section. The 68302 device (U33) contains a 68000 core processor, chip select logic (CS0/–CS3/), two timers, DTACK generation/wait state logic, a general purpose DMA controller, watchdog timer, interrupt controller, three USARTs with six dedicated DMA channels for transmit/receive, three-wire serial link, and 1152 bytes of dual port RAM. The clock for the 68302 is derived from a 20 MHz crystal (X3) connected to the processor. The processor system clock is output from the processor via the CLKO pin. This clock is then buffered and sent to the Options Interface, DSP Interface, and local 16V8H control PAL (U34). The power-on reset function is accomplished through MAX691A supervisory chip (U24). This chip performs four functions. First, at power-up, a 200 ms reset pulse is generated. The second function is a watchdog timer which must be written every 100 ms or faster, and up to 1.6 seconds after reset. The third function provides power supply monitoring, which resets the system if the supply falls below 4.65 V. The fourth function provides an early power fail detection status line (routed to PB11, pin 121) of U33). The comparator senses a power fail when the regulated +20 V falls below 18 V. This gives the processor 40 ms to shut down the monitor. The processor can also be reset by the Host Board through the HRES* line and AND gate U37. The serial output channel is used to write to the recorder printhead shift regist er. Each time a byte is sent from this port, eight clocks are generated on the RECLK line (pin 77 of U33),
2.5 MHz serial rate, along with the serial data RECDATA (pin 78 of U33). One of the two internal timers is used externally for the ECG audio (pin 113 of U33). For communications, one USART is used for the Corolan interface, and the other two are used for external RS-232C communication. The address decoder consists of a 7032 PLD (U20), which basically divides up the four programmable chip selects (CS0/–CS3/) from the processor into all of the board selects. The processor (U33) is programmed such that CS0/ is a 4 MB space with internally generated DTACK and zero wait states. This space is then divided further by the 7032 (U20) to form the system flash ROM, RAM, and SP2* (spare chip select which goes to the options interface) chip selects. CS1* is a 2 MB space with external DTACK expected. The 7032 forms the 68C94 QUART chip select and SP1* (spare select to options interface). CS2* is a 2 MB select with a six wait state internal DTACK. The 7032 generates the decodes for audio DACs, battery RAM, DSP shared memory, and SP4* (spare select to options interface) from CS2*. CS3* is a 2 MB select with a two wait state internal DTACK. The 7032 generates the control/dip switch, front panel, recorder, and SP3* (spare select to options interface) chip selects from CS3*. The 16V8 PAL (U34) converts the processor control lines to form upper and lower read/write lines. Corolan transmit control is also accomplished with this 16V8. The control/setup section consists of two 8-bit latches (U21, U22) for I/O control and a buffer (U3) for reading dip switches (SW1). The control latch allows control of the watchdog timer, battery RAM enable, audio enables, reset lines for peripherals, and Corolan control lines. The system memory consists of two 512k x 8 flash ROMS (U31, U32), two 128k x 8 static RAMs (U18, U19) upgradable to 512k x 8 RAMs, and one 8k x 8 battery RAM (U30).
Corolan Module
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The Corolan section consists of the network transceiver section and the address detection circuitry. Network data flows through the common mode transformer (T2) to the isolation pulse transformer PE5156 (T1) to the transceiver/manchester encoder-decoder (U16). Serial data and clocks are then fed to the USART in U33.
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The 7960 encoder/decoder operates in mode 0, thus inserting its own preamble and removing it at the receiver end. On the receiving end, the CS/ line becomes active along with the receive clock after the preamble is stripped off, thus enabling the USART. For transmission, a carrier avoidance scheme is accomplished through 16V8 PAL (U34) and 7960 ACD/ and RTS/ lines. The 7960 will transmit whenever the RTS/ line is pulled low. The advanced carrier detect line (ACD/), is gated along with an RTS enable from control latch U22 and processor USART RTS/ line to only turn on the 7960 RTS/ line when ACD/ is inactive (QUIET LINE). Both the transmit and the receive clocks are provided by the 7960. The address detection circuitry consists of a buffer (U17), series resistors (R30–R35) and capacitors (C120–C125) for static protection, and address checking logic in U29. The address checking is done by reversing the GND and pull-up voltages (through the TEST line), and reading back all 1s if lines are not broken. If any line is broken (pull-up single in-line package, RN1, pulled low for TEST and GND line pulled high), then a 0 will be detected. Normal reading of the address selects the pull-up single in-line package high and GND line low. Refer to Figure 4-5.
4.7 kW Single In-
Receive
Buffer
Line Package
LED
ADR5
ADR4
ADR3
ADR2
ADR1
ADR0
LED
TEST*
2120is Series Monitor
Figure 4-5. Corolan Address Checking
GND
W Resistors and Shorting Jumpers
4.7 k
Bedside Wallplate
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Options Interface
Theory of Operation: Main Motherboard
The options interface consists of a buffered processor address/control and data bus, three 80-pin connectors, and one 100-pin connector. All options connectors contain 16-bit address and data buses, along with four spare chip select lines. The Communications Board connector (J5) contains ultrasound audio lines and telemetry signals from the rear panel. The NBP 80-pin connector (J4) differs in that it has pins for the +20 V supply (+20I) and the NBP power supply (+15BP) and does not have the telemetry signals. The 100-pin connector (J7) for the DSP Board also has the telemetry signals, +20 V for the isolated power supply, as well as an additional +12 V supply for the EL display. The Communications Board holds the J102 analog output circuitry and connector, keyboard circuitry and connector, and telemetry input connector. The spare option slot is not used currently,
The DSP front panel interface section (goes through the options interface), consists of a 1k x 8 shared memory upgradable to 2k x 8 and a DSP Board connector. The shared memory arbitration logic (BUSY line) is not used. The interrupt logic in the shared memory is tied to the 68302 processor and is also read through the rear panel interface port (IRQ7/). The rest of the lines on the DSP connector route the ultrasound audio, FECG80dB, MECG60dB, and the telemetry lines to the options interface communications connector and rear panel jacks. RS-232C lines for the MSpO
2 and FSpO2 modules are also present (connects to channel C and B of 68C94
QUART) on the DSP connector. The front panel interface section is just part of the general processor interface (data, address, and control).
Rear Panel Interface
Audio Section
This section consists of a buffer (U8) which receives the remote mark and FAST inputs, analog buffers (in U7) which output the FECG 80 dB and MECG 60 dB signals, and legplate signal circuitry. (Only early models have legplate connectors.) A 500 ms square wave is generated from the control latch (U22) and is wave shaped and attenuated to about 15 mV.
This section consists of a four channel volume control and bridge type power amplifier. Two of the volume controls (dual DAC U14), are preceded by an analog multiplexor (U28) which allows US or US2 audio on one channel and US2 or ECG timer audio on the other channel. The second set of volume controls are dedicated to two timers from the QUART chip (U2). All of the timers are pre-filtered (U15, U12) to eliminate the high frequency components from the audio. The outputs of the four volume controls are then summed together (U13) and fed to the TDA1519 stereo amplifier (U1). The TDA1519 is stereo amplifier connected in a bridge configuration in order to eliminate the large series coupling cap and non-standard power supply requirements.
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Theory of Operation: Main Motherboard
Recorder Interface Section
The recorder interface section consists of 7032 interface PAL (U38), recorder clock and data buffers (U36), and clock divider 74HC4040 (U39). The interface PAL contains latches to create the four strobe lines, load line, and stepper motor four phases along with head protection circuitry which automatically shuts off all of the strobes and the HDSHUT* line (turns head power supply off). The protection works by enabling the external counter when a strobe line is turned on, and automatically disabling the strobes (and enable HDSHUT*) lines after a 6.1 ms timeout. A buffer is also present which allows the paper out (POUT*) and paper low (PLOW*) lines to be read. Logic for the QUART reset line, ORs (in U38) the system reset with the control latch reset to form a positive reset output to the QUART.
RS-232C Communications Section
This section provides the external and internal RS-232C functions. These ports (J109, J110, J111) are driven from the 68302 processor. The J110 port only supports TXD and RXD lines while J109 and J111 supports RTS and CTS as well. The QUART (U2) drives three internal RS-232 ports (NBP, MSpO well as one external port (SpO
2, and FSpO2) as
2).
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DSP Board
Functional Overview
Theory of Operation: DSP Board
NOTE: Refer to “Chapter 14, Replacement Parts”, to determine the correct DSP
Board for your monitor.
This board consists of two independently functioning modules: DSP and front panel interface.
The DSP section processes analog and digital data from the front ends and interfaces to the main processor. The ECG and ultrasound analog information is processed and heart rates are outputted to the Main Motherboard via a shared memory. Digital pressure information is received, processed, and also sent to the shared memory.
The front panel interface section provides the interface between the front panel switch board and the main processor as well as the EL display panel and the processor. The switch interface section consists mainly of buffers. The display section consists mainly of a shared memory and timing generator PAL.
DSP Section
Control Module
Watchdog Module
This section consists of the TMS30C52 DSP processor (U27), 32k x 16 system RAM (U10, U11), 128K x 16 flash ROM (U8, U9), and two address decoder PALs (U18 and U19). Decoder PAL U19 selects the RAM, flash ROM, and the front end control status locations BCS0*–BCS3*. RAM is decoded using DS* (data strobe); flash ROM is decoded using PS* (program strobe); and the remaining lines are decoded using IS* (I/O strobe). Pal U18 selects the I/O for the status/control section, A/D read and start convert signals, and pressure channel select and start convert signals. The program address space is 64k minus the bottom 8k which is used for program RAM. The flash ROM runs with one wait state. The second half of the flash ROM can be addressed by toggling D10 of the control port (tied to A16 of the flash ROM). All 32k x16 system RAM is accessed as zero wait state data memory. In addition, the lower 8k of the system memory is double mapped to the last 8k of the 64k program memory.
The watchdog module consists of processor supervisor chip max694 (U26). This chip provides a power-on reset function and a watchdog timer function.
The RESET line is pulled low for 50 ms for both a power-on and watchdog reset. The watchdog timer times out after a 1-second minimum.
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Theory of Operation: DSP Board
Status/Control Module
This module consists of control latches (U5, U7) and a status buffer (U6). The control latch has bits which select the input multiplexor (MUX0–MUX3), control the high/low bytes coming from the A/D (BYTE), reset the front end (RESFR*), enable the front-end control interface (U1 CNTRLEN*), control flash ROM paging, and control the pressure channel interface (IUPCLR*). The status buffer reads in the interrupt line (INTL*) from the shared memory (on Main Motherboard), BUSY* line from the A/D and the pacemaker pulse (PACER*).
Front-End Control/Status Interface
This section consists of a transceiver (U20) and a buffer (U14). The transceiver allows 8 bit bi-directional data to be transferred to and from the front-end modules. Data is controlled by the buffered read (BRD*), write (BWR*), chip select lines (CS0*–CS3*), and address lines (BA0–BA1). Status information such as modes and control information for ultrasound, FECG, MECG, and UA are read through this port.
IUP Interface
The IUP interface section consists of two 8-bit serial-in parallel-out shift registers (U16, U17) and a start conversion line (CVRT*). The process is started by the 320C52 processor (U27) pulsing the CVRT* line which connects to a serial A/D in the pressure channel front end. Twelve data clocks are then issued from the A/D, clocking in the 12-bit result. The shift register clock for U16 and U17 is delayed through R12/C10 and U15 to provide the latch clock for U16 and U17. Data is then read by the processor through the IUP chip select line. As a second function, the clock signal is also used to clock serial mode and status information across the isolation barrier from the UA/FECG and MECG Boards. Information to and from the ECG Boards is transferred via the status/control module.
Analog Conversion Module
The analog conversion module consists of an input multiplexor (U21), a multiplexor buffer amplifier (U22), a 12-bit A/D chip (U23), and a data buffer (U24). The multiplexor takes in the two ultrasound envelope signals, FECG and MECG signals, fetal movement detection signals, fetal movement envelope si gnals, telemetry signals, ECG signals, TOCO signals, analog ground, and +10 V and –5 V reference signals for test and calibration. The +10 V reference is also used by the ultrasound module. Data out of the multiplexor is then buffered by one section of U22 and passed to the A/D chip U23. The 2.5 V reference in the A/D is buffered and amplified to +10 V and –5 V using two more sections of U22. A/D output data is read by the processor through a buffer (U24) one byte at a time. Byte selection is controlled by the BYTE line going to U23, pin 24.
Front Panel Interface Section Theory
EL Panel Interface
The interface consists of two major sections: shared memory and graphics generator.
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The shared memory consists of a 8k x16 dual port RAM (U29) which has contention logic. The processor is given priority to read or write data into the RAM without waiting. In a contention situation, the graphics side of the memory could possibly receive wrong or changing data; however since data is changing anyway, this is not noticed. Also, contention occurs only when both address are the same, about once or twice a second in this case. Since the dual port RAM cannot give priority to either side if one side accesses before the other, the PAL accomplishes this by gating the processor side BUSY signal (normally ho lds off the processor) with the graphics side chip select such that the graphics chip select is turned off immediately.
The graphics section consists of the graphics generator PAL (U13), oscillator (OSC1), and output synchronization latch (U1). The graphics generator contains a divide-by-four pre-scaler, a horizontal counter chain, a vertical counter chain, decoding logic to control each counter operation, a 16-bit shift register, and control logic for pattern, inverse, and scan stop functions. The El panel size is 320 bits across by 256 lines down. The horizontal counter was set up to count to 335 (16 bits or one word of off time for horizontal) then reset to zero. The horizontal waveform is generated off the counter by decoding 320. The horizontal high time is then 20 words and off time one word. The output of the horizontal counter clocks the vertical counter chain. A decode of 262 is created to form the vertical pulse as well as clear the vertical counter. A count of 262 was used instead of 256 to meet the EL panel specification for frame rate (72 Hz maximum). After line 256, the EL panel does not display information until a vertical occurs. The load pulse for the shift register is created by decoding the least significant 4 bits of the horizontal counter and the video clock. The shared RAM graphics side chip select is created in the same fashion. Data for the shift register (from shared RAM) first is gated through the pattern logic before entering the shift register. The pattern logic simply forces each alternating bit to a 1/0 pattern. This creates an on/off pattern of lines down the screen. To further enhance the pattern, the output of the shift register data is inverted every other horizontal line. This creates an alternating pixel pattern in both horizontal and vertical directions. The output of the shift register also contains logic to invert data. The stop scan function allows the processor to update the screen (i.e. moving bar) without having the graphics scan the changing data. This function is accomplished by stopping the timing generator including the video clock. Stopping the scan for less than 10% of the frame rate (14 ms frame rate) can be accomplished without causing the video to degrade.
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Front Panel Switch Interface
This section consists of simple buffers (U2, U3) for the incoming switch closures as well as static protection resistors (RN10, RN11) and capacitors.
An additional latch (U4) is used to control the recorder LED line as well as the video pattern, stop scan, and invert lines.
Pin Number Signal Name
1 GND Output Digital Ground
2 BD6 I/O Status/Control Bus Bit 6
3 BD7 I/O Status/Control Bus Bit 7
4 CS0/ Output Status/Control Bus Chip Select 0
Theory of Operation: DSP Board
Table 4-13. Front End Connector J1
Signal Type
(Relative to Main
Motherboard
Signal Description
5 CS1/ Output Status/Control Bus Chip Select 1
6 CS2/ Output Status /Control Bus Chip Select 2
7 CS3/ Output Status/Control Bus Chip Select 3
8 +5V Output +5 V Logic Supply
9 BRD* Output Status/Control Bus Read Line 10 BA1 Output Status/Control Bus Address Line Bit 1 11 RESDSP* Output DSP Board Reset Line 12 RESFR* Output Unused 13 144KHZ Input Ultrasound 144 kHz Output 14 72KHZ Input Ultrasound 72 kHz Output 15 GND Output Digital Ground 16 RESAO2 Output MSpO
2 Module Reset Line From Main Motherboard
17 +5V Output +5 V Logic Supply 18 IUPCLK Input IUP Clock from IUP Front End 19 CVRT/ Output IUP Start Conversion Line to IUP Front End 20 IUPDATA Input IUP Data Line from IUP Front End 21 No Connection — 22 No Connection — 23 –15V Output –15 V Supply 24 –15V Output –15 V Supply
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Table 4-13. Front End Connector J1 (Continued)
Signal Type
Pin Number Signal Name
(Relative to Main
Signal Description
Motherboard
25 AGND Output Analog Ground 26 GNDUS Output Analog Ground 27 –15V Output –15 V Supply 28 AGND Output Analog Ground 29 US2AUDIO Input Ultrasound CH2 Audio 30 No Connection — 31 FMENVL2 Input Unused 32 FMD2 Input Fetal Movement Detection CH2 33 FMD1 Input Fetal Movement Detection CH1 34 FECG Input FECG Analog 35 FECG 80DB Input FECG 80 dB Analog 36 USTESTIN Input Test Input To A/D 37 US2 ENV Input Ultrasound Envelope CH2 38 FECGRAW Input FECG Raw Analog 39 US1 ENV Input Ultrasound Envelope CH1 40 AGND2 Output Analog Ground 41 No Connection Isolation Barrier 42 No Connection Isolation Barrier 43 No Connection Isolation Barrier 44 No Connection Isolation Barrier 45 No Connection Isolation Barrier 46 No Connection Isolation Barrier 47 GNDI Output Ground Input for Isolated Power Supply 48 GNDI Output Ground Input for Isolated Power Supply 49 +20I Output +20 Volts Input For Isolated Power Supply 50 +20I Output +20 Volts Input For Isolated Power Supply 51 GND Output Digital Ground 52 BD0 I/O Status/Control Bus Data Bit 0 53 BD1 I/O Status/Control Bus Data Bit 1 54 BD2 I/O Status/Control Bus Data Bit 2
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Theory of Operation: DSP Board
Table 4-13. Front End Connector J1 (Continued)
Signal Type
Pin Number Signal Name
(Relative to Main
Signal Description
Motherboard
55 BD3 I/O Status/Control Bus Data Bit 3 56 BD4 I/O Status/Control Bus Data Bit 4 57 BD5 I/O Status/Control Bus Data Bit 5 58 +5V Output +5 V Logic Supply 59 BWR* Output Status/Control Bus Write Line 60 BA0 Output Status/Control Bus Address Line Bit 0
61 SARXD Input
Main Motherboard RXD Line for MSpO
(MSpO
2 TXD)
62 TXDB Input Main Motherboard TXD Line for FSpO
63 SATXD Output
64 SARTS Output
Main Motherboard TXD Line To MSpO
(MSpO
2 RXD)
Main Motherboard RTS Line To MSpO
(MSpO
2 CTS)
65 GND Output Digital Ground 66 +5V Output +5 V Logic Supply 67 GND Output Digital Ground 68 GND Output Digital Ground 69 PACER/ Input Pace Maker Detection Signal 70 RXDB Input Main Motherboard RXD Line for FSpO 71 RESFSP02 Output Reset Line for Fetal Oximeter 72 No Connection Reset Line for Fetal Oximeter 73 +15V Output +15 V Supply
2 Module
2 Module
2 Module
2 Module
2 Module
74 +15V Output +15 V Supply 75 AGND Output Analog Ground 76 +15US Output +15 V Supply 77 +15V Output +15 V Supply 78 AGND Output Analog Ground 79 US1AUDIO Input Ultrasound Audio CH1 80 +10REF Output +10 V Reference From DSP Board 81 No Connection — 82 FM Output Fetal Movement
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Table 4-13. Front End Connector J1 (Continued)
Signal Type
Pin Number Signal Name
(Relative to Main
Signal Description
Motherboard
83 TELMAUDIO Output Telemetry Ultrasound Audio From Rear Panel 84 MECG 60DB Input MECG 60 dB Analog 85 AIN1 Input Spare MUX Input Channel 3 86 No Connection — 87 No Connection — 88 No Connection — 89 No Connection — 90 AGND Output Analog Ground 91 No Connection Isolation Barrier Pins 92 No Connection Isolation Barrier Pins 93 No Connection Isolation Barrier Pins 94 No Connection Isolation Barrier Pins 95 No Connection Isolation Barrier Pins 96 No Connection Isolation Barrier Pins 97 GNDI Output Ground Input for Isolated Power Supply 98 GNDI Output Ground Input for Isolated Power Supply 99 +20I Output +20 Volts Input for Isolated Power Supply
100 +20I Output +20 Volts Input for Isolated Power Supply
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Theory of Operation: DSP Board
Table 4-14. Emulation Test Port Connector J3
Signal Type
Pin Number Signal Name
(Relative to Main
Signal Description
Motherboard)
1 TMS Input Test Mode Select Line
2 TRST/ Input Test Reset Line
3 TDI Input Test Data Input Line
4 GND Output Power Ground
5 +5V Output Presence Detect Line
6 No Connection Connector Key
7 TDO Output Test Data Output Line
8 GND Output Power Ground
9 TCK-RET Output Test Clock Return Line 10 GND Output Power Ground Line 11 TCK Input Test Clock Input Line (10 MHz typical) 12 GND Output Power Ground 13 EMU0 I/O Emulation Pin 0 14 EMU1 I/O Emulation Pin 1
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Table 4-15. Front Panel Interface Connector J4
Pin Number Signal Name Signal Description
1 HR1VOLUP/ HR1 Volume Up Switch Input 2 No Connection — 3 HR1VOLDN/ HR1 Volume Down Switch Input 4 TSW/ Trim Knob Push Button Switch Input 5 HR2VOLUP/ HR2 Volume Up Switch Input 6 RECLED1/ Recorder LED Drive Output 7 HR2VOLDN/ HR2 Volume Down Switch Input 8 RECLED2/ Recorder LED Drive Output
9 TEST/ Test Switch Input 10 GND Power Ground 11 UA REF/ UA Reference Switch Input 12 GND Power Ground 13 MARK/ Recorder Mark Input Signal 14 A/ Trim Knob Quadrature Switch Input Line 15 PADV/ Paper Advance Switch Input 16 B/ Trim Knob Quadrature Switch Input Line 17 RECON/ Recorder On Switch Input 18 ALRM CAN/ Alarm Cancel Switch Input 19 BP STRT* NBP Start Switch Input 20 spare Spare Input 21 BP STOP/ NBP Stop Switch Input (unused) 22 +5V +5 Volt Power 23 GND Power Ground 24 +5V +5 Volt Power
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Theory of Operation: DSP Board
Table 4-16. EL Panel Connector J5 (for 2001904-001 Board)
Pin Number Signal Name Signal Description
1 +12EL +12 Volt Power
10 11 12 13 14 15 16
2
3
4
5
6
7
8
9
GNDEL Ground
GND Ground
No Connection
+5V +5 Volt Supply
GNDEL Ground
VSYNCB Vertical Sync Line
GNDEL Ground
HSYNCB Horizontal Sync Line
GNDEL Ground
VCKB Video Clock
GNDEL Ground
VDATAB0 Video Data
GNDEL Ground
VDATAB1 Video Data
GNDEL Ground
17 18 19 20
VDATAB2 Video Data
GNDEL Ground
VDATAB3 Video Data
GNDEL Ground
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Theory of Operation: DSP Board
Table 4-17. EL Panel Connector J5 (for 11888 Board)
Pin Number Signal Name Signal Description
1 +12V +12 Volt Power
2 +12V +12 Volt Power
3 +5V +5 Volt Power
4 +5V +5 Volt Power
5 GND Power Ground
6 GND Power Ground
7 GND Power Ground
8 GND Power Ground
9 VSYNC Vertical Sync Line 10 GND Power Ground 11 HSYNC Horizontal Sync Line 12 GND Power Ground 13 VCK Video Clock 14 GND Power Ground 15 DATA Video Data 16 GND Power Ground
Recorder LED Board Interface
This section applies only to newer monitors with the built-in strip chart recorder light.
A single DSP Board signal (RECLED*) is routed through the switch panel to the Recorder LED Board (No. 2002570) to control LED current. This signal drives the base of a transistor acting as a high-side switch. When enabled, +5 V flows through each of seven parallel high-intensity amber LEDs and accompanying series current­limiting resistors to provide a light above the strip chart recorder.
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Theory of Operation: NBP Board
NBP Board
Depending on when your monitor was manufactured, your unit may have one of three blood pressure boards installed:
Manufactured by GE Medical Systems Information Technologies with
DINAMAP blood pressure technology
Manufactured by GE Marquette with Marquette Electronics blood pressure
technology
Manufactured by CAS Medical Systems, Inc. with CAS blood pressure
technology
Refer to “Chapter 14, Replacement Parts” for NBP board part numbers.
NBP Board with DINAMAP or Marquette Electronics Technology
Pressure Transducer and Amplifier
The pressure transducer used in the NBP module is a Motorola SPX4053 (PS1) which is a 0 to 7.3 PSI sensor. The scale factor for this sensor is 10.595 µV/V/ mmHg. The transducer uses 10 Vdc to drive the sensor resulting in an output of
105.96 µV/mmHg. The transducer output is amplified by three stages of instrumentation amplifier U14 with a gain of 249.
DC Pressure Amplifier and Filter
The output of the pressure sensor instrumentation amplifier connects to a unity-gain two-pole 18 Hz low-pass filter (U14). The filter output connects to a DC amplifier (U13) which provides a gain of 1.9, and offsets the 0 mmHg pressure output to –9V. In the NBP module, the 10 V sensor drive is used as a reference to provide offset. The output of this amplifier stage provides the cuff pressure signal to the A/D converter and processor.
AC Amplifier and Filter
The output of the 18 Hz low-pass filter also provides the input to a two stage high­pass filter (U13) with gain and baseline restoration. Both stages are composed of a
0.7 Hz R/C high-pass filter buffered by a non-inverting amplifier. The first stage buffer amplifier has a gain of 82.6, and the second stage operates at unity gain. This filter chain extracts the small varying pressure signal caused by blood flow from the DC pressure signal to provide the pulse waveform needed to process the blood pressure measurement. The input of both buffer amplifiers (after the series high­pass capacitors) have FET switches (Q1, Q2) connected to ground. These switches clamp the inputs of the buffer amplifiers to ground when activated. The switches are activated during valve operation to prevent large signal transition from occurring in these stages when air is released from the cuff. The effect also provides a baseline restoration to 0 V at the output of these stages. Control of these FET clamps are from a processor output port through a transistor level shifter. The outputs of the high-pass stages connect to a two-pole 12 Hz unity gain low-pass filter (U13), which further restricts the AC passband. The composite 3 dB passband points with both high-pass and both low-pass filters is 1 Hz and 11 Hz. After the output of the low­pass filter, the signal divides into two paths. One path provides a unity gain (U12) to the A/D for higher level signals; the other provides a gain of 5 (U12) for lower amplitude signals. Both of these outputs, along with the DC pressure signal, are
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Theory of Operation: NBP Board
connected to the A/D converter through three FET switches used to select an input for conversion.
MUX and A/D
The MUX is composed of a DG444 quad FET switch pack (U15). Three switches in this device are used. The drain leads connect to the individual input signals, and the sources connect together and go to a unity gain noninverting amplifier (U12). Control for each switch comes from individual port output lines from the processor. The amplifier output provides the A/D input. The A/D is a Burr Brown ADS7806 12-bit converter (U11) with an 8-bit processo r output and a configurable input voltage range. The input voltage range for this application is selected to be ±10 V. The processor reads the high byte on even addresses, and the low byte on odd. Conversion is started by a write to the A/D read address. The BUSY line from the A/D which indicates a conversion in process, connects to an input port of the processor. The A/D also contains a precision 2.5 V reference which is used to generate the 10 V bridge drive and pressure offset voltage. The 10 V is generated from the 2.5 V using a non-inverting amplifier (U12) with a gain of 4 and an output transistor current driver (Q4).
Microcontroller and Host Interface
The microcontroller used in this circuit is a Motorola MC68332 (U10), configured for 8-bit bus operation. A total of 128 kB each of flash ROM and SRAM is installed on this board. The processor clock is provided using a 31.2 kHz crystal (X2) and the internal PLL circuitry of the controller. Power-on reset is provided by a M axim MAX707 chip (U4). With the exception of the six I/O port lines used for MUX selection and the AC signal clamps, other control functions of devices like the valves and pump are done through the NBP ASIC (U9). The processor accesses this device through the 8-bit data bus. Host communications are provided by the SCI interface of the U10. It excepts/provides RS-232C formatted 5 V serial data. Communications formats are designed to provide functional equivalence to DINAMAP products.
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Pump/Valve Control
Primary control of the pump and valves is done through the NBP ASIC (U9). This ASIC provides a timeout control for the pump and valves, overpressure pump/valve disable utilizing an external overpressure switch, and provides the processor access to sequence the valves on and off and control the pump’s speed and activation. Three regulators (one for the pump and one for each of the two valves) that provide the supplies to the pump and valves are enabled by a control line from a processor port. Once the supplies are activated, sequencing of these devices is provided by output ports on the ASIC which control transistors switches. These transistors provide a ground return path for the activated device. In the case of a timeout or an overpressure fault, the ASIC will automatically shut off the pump and open the valves without processor intervention. Pump speed is controlled with the ASIC using output ports to control two transistor switches which change the feedback voltage to the pump regulator. The change in feedback voltage causes an increase or decrease in the regulator’s output voltage which in turn controls the pump’s output air volume.
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Theory of Operation: NBP Board
NBP Board Manufactured by CAS Medical Systems, Inc.
This blood pressure module is manufactured by CAS Medical Systems, Inc. The following technical information is a summary of the module circuitry. This information is provided to give the hospital biomedical engineer an overall summary of the module’s functions in relation to the 120 Series Monitor—to assist in isolating troubleshooting problems to the board level. This information is not intended to provide a complete circuit theory and should not be used to repair any problems on the board itself. When a problem does exist with the CAS Blood Pressure Board, contact your GE Service Representative for information about repair/exchange of the board.
Processor Circuitry
Eight-bit processor U1 controls all communication with the 120 Series Monitor through its integral serial port; it also controls the pump and valves, calculates the measurement results, and performs the board’s self-test. The microprocessor has an internal clock divider that divides down the 9.216 MHz crystal-controlled clock to
4.608 MHz. One section of U6 also divides down the clock to provide 2.304 MHz to analog-to-digital (A/D) converter U4. Memory consists of 64k x 8 EPROM U2 and 8k x 8 bit RAM U3. Decoding of the processor’s address lines is performed by U8, U9, U10, and U11 which select the EPROM, RAM, A/D, pump and valve drivers, and provide amplification control.
A/D Conversion
Watchdog Circuitry
A/D converter U4 performs a 10-bit conversion that digitizes the signals representing static pressure in the cuff and cuff pressure caused by arterial volume changes. A 2.5 V reference is supplied by U5; a 5 V supply is provided by linear regulator U13 which converts the module’s 12 V input to 5 V. The output of U4 is sent to the microprocessor for calculations.
Watchdog functions are provided by U7 which performs three functions: if the software fails to execute properly, the watchdog resets the processor, disables the pump, and opens the valves; or if the module’s 5 V power supply falls below 4.5 V, the watchdog will also reset the module; or if overpressure switch S1 detects a cuff pressure above 300 mmHg (40 kPa), it works in conjunction with U7 to reset the module.
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Instrumentation Amplifier
Valves
Theory of Operation: NBP Board
Compensated pressure transducer U16, produces an output voltage that is proportional to the cuff pressure; the output is input to the instrumentation amplifier section. Amplifiers U14 and U15 amplify the pressure transducer’s output and separate it into two channels. One channel has relatively low gain and represents the static pressure in the cuff. The other channel has higher gain and represents the cuff pressure changes caused by arterial volume changes. The outputs of the instrumentation amplifier are sent to the processor. The processor can disable the high gain channel during cuff deflation to prevent signal distortion.
Valves V1 and V2 vent the cuff’s pressure to atmosphere. Two valves are required to permit safe depressurization in the event of a defective valve; valve V1 has a restricted orifice. The processor selects the appropriate valve to quickly and accurately deflate the cuff based on the cuff’s volume and pressure.
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Theory of Operation: Communications Board
Communications Board
NOTE: The 15297 surface-mount board, found in newer builds, replaces earlier
13388 versions. Functionally, the boards are the same.
The optional Communications Board performs three major functions:
Central Systems Interface (J102) Model 2116B Keyboard Interface (J103) 340 Series Telemetry Interface (J101)
Central Systems Interface
This section consists of three digital-to-analog convertors (U1, U2, U5) and associated amplifiers (U3, U4, U7) to create the proper levels for modes, heart rate data, and uterine activity data; a reference generator (U8) which creates ±10 V; audio buffers (U9) for ultrasound channels one and two; and an output latch (U11) which provides the FMD1, FMD2, CHK PAPER*, and MARKOUT* digital signals. The mode signal levels are created by dual DAC U1, and one section of DAC U2. The output of each DAC is converted to a voltage by U3 (pin 1), U3 (pin
16), and U4 (pin 1) op-amps. The voltage range at that point is 0 to +10 V for a programmed value of 0 to FF respectively. The next stage (output) of op-amps U3 (pin 7), U3 (pin 10), and U4 (pin 7), level shift and invert the signal, providing a +10 V signal for a programmed value of zero, and –10 V signal for a programmed value of FF. The final output is filtered and protected by series resistors. The HR1 and HR2 outputs use DAC U5. The output of the first stage, U7 (pin 1) and U7 (pin 16), range from 0 V to –10 V with a programmed value of zero to FF respectively. From this point, the signal is inverted with a nominal gain of 0.24 and level shifted by –1.2 V thus biasing the signal to ±1.2 V. The level shifting pots (R18, R27), and gain adjustment pots (R20, R29), are used to ensure the proper accuracy of ±1 bpm. The level shifting for Hewlett Packard (HP) Central Systems is accomplished by opening the +10 reference to the offset pots R18 and R27. This takes out the +1.2 V offset thus creating a 0 to 2.4 V signal. The final output is filtered and resistor protected. The UA circuit operates similar to the HR circuit in Corometrics mode. For HP levels, the offset is again removed from the reference circuit using the same digital switch (S1) as for HR1 and HR2. Gain for HP levels must be changed to accomplish a 0 to +10 V range. To do this, two switches were added (S2, S3) in the feedback of U4 (pins 10,11). Switch S2 selects the gain for Corometri cs levels and switch S3 selects the gain for HP levels.
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Theory of Operation: Communications Board
Model 2116B Keyboard Interface
The keyboard interface consists of a data latch (U7), a status receive buffer (U8), a control latch (U6), and a PAL device (U15). Data is latched into U7 by an inverted version of the incoming STB* signal. This signal is inverted in the PAL device. The STB* signal is buffered through U8 before going to the PAL device for static protection. Once the STB* signal goes low, the PAL device IBF output goes high (tells keyboard that the monitor cannot accept any more data). After the STB* line goes high, the PAL-generated DATAVA* signal (goes to U8 status port) is read by the processor signaling that data is available. The processor then reads the data by pulsing the DATARD* line to U7. The PAL device then sets the DATAVA* line high. The IBF line to the keyboard goes low (signaling to the keyboard that the monitor can accept more data) when the processor clears the IBF latch. This gives the processor time to read the data and activate the INVLD* line if the nibble was bad before the next nibble is sent. Control information is sent to the keyboard via three lines from latch U6. A KBDRST* line resets the keyboard, a KBDBUSY* tells the keyboard to put up a busy message (due to recorder being off or busy printing previous message), and a KBDINVLD* tells the keyboard that the monitor received an invalid message. The status lines from the keyboard consists of a KBDIN* line which signals that the keyboard is plugged in, and a KBDMARK* line which pulses for a one-second minimum to print an event mark. These lines are read through buffer U8.
The +5 V power for the keyboard is created from VR1 using the +12 V source. This is done for static protection and for reliability reasons.
Model 340 Telemetry Interface
The telemetry interface consists of eight digital input status/mode lines and four analog inputs. The analog lines (TECG, TMECG, TELMAUDIO, TTOCO) are all passed to the Main Motherboard which in turn feed the DSP Board and Ultrasound Board. The eight status lines are buffered and read by the main processor.
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Theory of Operation: Communications Board
Table 4-18. Central Systems Interface Connector J102
Signal type
Pin Number Signal Name
(Relative to
Signal Description
Communications Board)
1 HR2MODE Output HR2 Analog Mode Line 2 UA Output UA Analog Out 3 AGND Output Analog Ground 4 No Connection — 5 +15V Output +15 Volts (Low Current) 6 No Connection — 7 HR1 Output Heart Rate One Analog Out 8 BAUD2OUT Output Ultrasound Audio CH1
9 BAUD1OUT Output Ultrasound Audio CH2 10 No Connection — 11 No Connection — 12 +5V Output +5 Volts (Low Current) 13 No Connection — 14 FMD1 Output Fetal Movement Detection CH1 15 FMD2 Output Fetal Movement Detection CH2 16 No Connection — 17 HR1MODE Output HR1 Analog Mode Line 18 CHK PAPER* Output Check Paper Out 19 No Connection — 20 MARKOUT* Output Mark Out 21 No Connection — 22 HR2 Output Heart Rate 2 Analog Out 23 No Connection — 24 UA MODE Output UA Mode Line
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Theory of Operation: Communications Board
Table 4-19. Model 2116B Keyboard Connector J2
Signal type
Pin Number Signal Name
(Relative to
Signal Description
Communications Board)
1 GND Output Ground
2 GND Output Ground
3 +5V Output +5 V
4 KBDBUSY* Output
5 KBDINVLD* Output
Busy Signal Sent to Keyboard
when Monitor is Busy
Sent to Keyboard when Monitor
Receives Invalid Message 6 KBDRST Output Resets Keyboard 7 KBDMARK* Input Mark Signal from Keyboard
8 KBDIN* Input
Keyboard Asserts this Line to
Indicate its Presence
9 KBD0 Input LSB of Keyboard Data
10 KBD1 Input Bit 1 of Keyboard Data 11 KBD2 Input Bit 2 of Keyboard Data 12 KBD3 Input Bit 3 of Keyboard Data 13 KBD4 Input Bit 4 of Keyboard Data 14 IBF Output Input Buffer Full from Monitor
15 STB* Input
Strobe from Keyboard—
Data Latched on Rising Edge
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