GE PRO 100 BP, PRO 100 Pulse, PRO 200 BP, PRO 200 Pulse, PRO 200 Temp, PRO 300 BP, PRO 300 Pulse, PRO 300 SpO2, PRO 400 BP, PRO 400 Pulse, PRO 400 Temp, PRO 400 SpO2 User manual
The Model Numbers 100 through 400 are generic in nature and reflect the range of product codes
available. Your product may be labeled with a specific product code such as DINAMAP
®
PRO Model 410.
“V2” refers to the second version of the product’s design
2009829-001Revision A
.
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PRO 100-400 V2 Patient Monitor Service ManualRevision A
2009829-001
DINAMAP® PRO 100-400 Patient Monitor
Service Manual
This manual is for DINAMAP PRO Monitors models 100, 200, 300, and 400,
with or without printers.
• PRO 100: BP, Pulse
• PRO 200: BP, Pulse, and Temp
• PRO 300: BP, Pulse, and SpO
• PRO 400: BP, Pulse, Temp, and SpO
The model of the Monitor determines which parameters are in your monitor.
Please refer to applicable sections.
Reissues and Updates
Changes occurring between issues are addressed through Change
Information Sheets, Addendums, and replacement pages. If a Change
Information Sheet does not accompany this manual, it is correct as printed.
Errors and Omissions
If errors or omissions are found in this manual, please notify:
GE Medical Systems Information Technologies
Technical Publications
4502 Woodland Corporate Boulevard
Tampa, FL 33614
1-877-274-8456
2
2
Part No. 2009829-001 A
The content of this document including all figures and drawings is proprietary
information of GE Medical Systems Information Technologies, provided
solely for purposes of operation, maintenance or repair, and dissemination
for other purposes or copying thereof is prohibited without prior written
consent by GE Medical Systems Information Technologies, Tampa, Florida.
Illustrations may show design models; production units may incorporate
changes.
Hierarchy of Warnings and Cautions
A general warning is a statement that alerts the user to the possibility of
injury, death, or other serious adverse reactions associated with the misuse
of the device. A warning relates to steps in a procedure.
A general caution is a statement that alerts the user to the possibility of a
problem with the device associated with its use or misuse. Such problems
include device malfunction, device failure, damage to the device or damage
to other property. A caution relates to steps in a procedure.
1.11.Glossary of Terms and Abbreviations .............................. 1-11
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1-4PRO 100-400 V2 Patient Monitor Service ManualRevision A
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Introduction: Section 1. INTRODUCTION
Section 1. INTRODUCTION
1.1. SCOPE OF MANUAL
This service manual provides service, parts, and repair information
and functional descriptions for the DINAMAP
Models 100, 200, 300, and 400. The model number identifies the vital
signs monitoring capabilities built into the unit.
PRO 100: BP, pulse
PRO 200: BP, pulse, temperature
PRO 300: BP, pulse, SpO
PRO 400: BP, pulse, temperature, SpO
This manual is intended for use by biomedical engineers and trained
service technicians who are familiar with electromechanical devices
and digital and analog circuit techniques.
®
PRO Series Monitors,
2
2
WARNING
To reduce the risk of electric shock, do not open the case. No
user-serviceable parts are inside the case. Refer servicing to
qualified service personnel.
Trained service technicians should perform all unit repairs.
Voltages dangerous to life exist in this unit. Take care when
servicing power supply and display assembly.
For information about operating PRO Series Monitors in a clinical
environment, refer to the separate operation manual.
This service manual is composed of the following five sections:
Section 1 describes this manual and tells you how to use it. Information
is also provided about how to get assistance if the unit fails to function
properly.
Section 2 provides the physical and functional characteristics of the
PRO Series Monitor.
Section 3 explains the principles of operation for the PRO Series
Monitor, including an overall system description and principles of
operation at the PWA (printed wiring board) level.
Section 4 provides information about periodic and corrective
maintenance of the PRO Series Monitor. Procedures include calibration
checks, recalibration, performance tests, and fault isolation.
Section 5 provides component information about the PRO Series
Monitor, including disassembly procedures, parts lists, assembly
diagrams, and electrical schematics.
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2009829-001
1.2. ADDENDA
When this manual was published it included the most up-to-date
information and procedures available. However, the specifications,
design, assembly, or software controls may change. These changes
are incorporated into this manual by addenda.
1.3. TRADEMARKS AND TRADE NAMES
This document references terms that are proprietary, and may be
registered and protected by copyrights and other applicable laws and
agreements.
The first time trademarks and trade names are used in a section of
this document, they are followed by “*” or “**”. A footnote will identify
the owner of the trademark or trade name.
1.4. SERVICE POLICY
The warranty for this product is enclosed with the product in the
shipper carton. All repairs on products under warranty must be
performed or approved by Customer Support personnel.
Unauthorized repairs will void the warranty. Products not covered by
warranty should be repaired by qualified electronics service
personnel.
1.5. EXTENDED WARRANTIES
Extended warranties may be purchased on most products. Contact
your Sales Representative for details and pricing.
1.6. ASSISTANCE
If the product fails to function properly or if assistance, service, or
spare parts are required, contact Customer Support. Before
contacting Customer Support, it is helpful to attempt to duplicate the
problem and to check all accessories to ensure that they are not the
cause of the problem. If you are unable to resolve the problem after
checking these items, contact Customer Support. When you call,
please be prepared to provide:
Product name and model number
A complete description of the problem
If repair parts or service are necessary, you will also be asked to
provide:
The product serial number
The facility's complete name and address
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2009829-001
1.7. SERVICE
1.7.1. Packing Instructions
Introduction: Section 1. INTRODUCTION
A purchase order number if the product is to be sent for repairs or
you order spare parts
The facility's GE Medical Systems Information Technologies
account number, if possible
The part number for replacement assemblies or parts
If your product requires repair service, call Customer Support and a
representative will assist you. Prior to returning any product for repair,
you must request a Return Authorization number. Call GE Medical
Systems Information Technologies at: 1-877-274-8456 Monday
through Friday, 8:00 a.m. to 6:00 p.m. EST, excluding holidays.
Follow these recommended packing instructions.
Remove the battery and all hoses, cables, sensors, and power
cords from the PRO Series Monitor before packing.
Pack only the accessories you are requested to return. Place
them in a separate bag and insert the bag and the product inside
the shipping carton.
Use the original shipping carton and packing materials, if
available.
If the original shipping carton is not available, place the product in
a plastic bag and tie or tape the bag to prevent loose particles or
materials from entering openings such as the hose ports.
Use a sturdy corrugated container to ship the product; tape
securely to seal the container for shipping.
Pack with 4 in. to 6 in. of padding on all sides of the product.
1.7.2. Insurance
Insurance is at the customer's discretion. Claims for damage to the
product must be directed to the shipper.
1.7.3. Replacement Assemblies and Components
Assemblies and components can be ordered from GE Medical
Systems Information Technologies:
Via phone: 1-800-558-7044, Option #2
Via FAX: 1-800-232-2599
Information is also available on the World Wide Web at:
http://www.gemedical.com
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All orders must include the following information:
Facility's complete name, address, and phone number
FAX number
Your purchase order number
Your GE Medical Systems Information Technologies account
number
Please allow one working day for confirmation of your order.
1.7.4. Replacement Accessories
Replacements such as hoses, sensors, etc. must be purchased from
GE Medical Systems Information Technologies at 1-800-558-5102
(fax 1-800-232-2599). Please have the Reorder/Product Code or part
number of the item you wish to order, and your purchase order and
account number available.
1.8. INSTALLATION AND OPERATION
For information on the installation and operation of the PRO Series
Monitor, refer to the separate operation manual. The PRO Series
Monitor should be operated and serviced by authorized personnel,
and only in accordance with the warnings and precautions given in
both the operation manual and this service manual.
1.9. WARNINGS AND PRECAUTIONS
Refer to the operating safety warnings and precautions detailed in the
separate operation manual.
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Introduction: Section 1. INTRODUCTION
1.10. SYMBOL DEFINITIONS
Attention: consult accompanying documents
Power Off/On
Silence Alarms
START/STOP BP
AUTO BP
Mean Arterial Pressure
External Communications Port Connector
Defibrillator-proof Type B.F. equipment
IPX1
SpO2
Temperature Value
Battery Power
External AC or DC power
SpO2 Motion Artifact (US)
SpO2 Motion Artifact (Europe)
Packaging label depicting the transportation
and storage atmospheric pressure range of
500 to 1060 hPa
®
The DINAMAP
PRO Series Monitor is
protected against vertically falling drops of
water and conforms with the IEC 529
standard at level of IPX1. No harmful effects
will come of vertically falling drops of water
making contact with the Monitor
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1.11. GLOSSARY OF TERMS AND ABBREVIATIONS
ACAlternating Current
ADCAnalog to Digital Convertor
ADUAnalog to Digital Units: The Main Board has 65,536 steps which
equates to 5V full scale (76 µV/ADU) Secondary Processor ADC
has 256 steps which equates to 5V full scale (19.351 mV/ADU)
AMAmplitude Modulation
ASSYAssembly
BPBlood Pressure
BPMBeats Per Minute
DCDirect Current
DMMDigital Multimeter
FETField Effect Transistor
GALGate Array logic
mbMillibar
mmHgMillimeters of Mercury
HCDHost Communications Device
HzHertz
LCDLiquid Crystal Display
LEDLight Emitting Diode
MAPMean Arterial Pressure
NIBPNon Invasive Blood Pressure
NiMhNickel Metal Hydride
OSCOscillatory
PSUPower Supply Unit
PWAPrinted Wiring Assembly
SPISerial Peripheral Interface
TTLTransistor to Transistor Logic
UUTUnit Under Test
VACVolts Alternating Current
VDCVolts Direct Current
VFCVoltage to Frequency Convertor
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Introduction: Section 1. INTRODUCTION
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1-12PRO 100-400 V2 Patient Monitor Service ManualRevision A
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2Product Description
Revision APRO 100-400 V2 Patient Monitor Service Manual2-1
2009829-001
For your notes
2-2PRO 100-400 V2 Patient Monitor Service ManualRevision A
DINAMAP® PRO Series 100-400 Monitors provide non-invasive
determination of systolic blood pressure, diastolic blood pressure,
mean arterial pressure, pulse rate, temperature, and oxygen
saturation. These portable AC and DC operated monitors are
primarily intended for use in hospital acute care settings such as
outpatient surgery, accident and emergency, labor and delivery, GI/
endoscopy, and medical/surgical units.
2.2. PRODUCT CONFIGURATIONS
Each PRO Series Monitor is supplied with an accessory pack. The
contents of the pack vary according to model. Unpack the items
carefully, and check them against the contents checklist enclosed in
one of the accessory boxes. If there is a problem or shortage, contact
GE Medical Systems Information Technologies.
It is recommended that all the packaging be retained, in case the
PRO Series Monitor must be returned for service in the future.
2.3. CONTROLS, INDICATORS, AND CONNECTORS
Descriptions of the items shown are listed on the pages that follow.
For symbol definitions, refer to Section 1 of this manual.
Revision APRO 100-400 V2 Patient Monitor Service Manual2-5
1. Battery compartment cover: Retains and protects the internal
battery.
2. Mains input: Used to connect to AC power supply.
3. External power socket: To be used with approved AC-DC power
converter ONLY.
4. Inactive temperature cable storage: Inactive temperature probe
cable attaches here (Models 200 and 400).
5. Pole clamp: Used to clamp monitor to pole or stand.
6. Data interface connector: Host communications port (15 way Dtype RS-232 serial port) for use only with equipment conforming to
IEC 601-1. Refer to section 2.4 for connection details.
2-6PRO 100-400 V2 Patient Monitor Service ManualRevision A
19. Mean arterial pressure display: 3-digit red LED indicates
measured MAP in mmHg and shows instantaneous cuff pressure
during BP determination.
20. SpO
pulse indicator: Yellow LED in heart symbol flashes to
2
indicate that real-time pulse rate measurements are being derived
from SpO
signals (Models 300 and 400).
2
21. Rotor: Used to highlight and select items in LCD menus; if monitor
is off, pressing rotor will switch monitor on.
22. Pulse BPM display: 3-digit yellow LED shows pulse rate in beats
per minute.
23. SpO
display: 3-digit red LED indicates oxygen saturation in %
2
(Models 300 and 400).
24.SpO
motion/artifact indicator LED: For NELLCOR, LED
2
Illuminates when motion artifact is detected (Models 300 and 400).
For Masimo, LED illuminates when low perfusion or low signal quality
is detected (Models 300 and 400).
25. LCD (liquid crystal display): Displays all alarms, user interface
messages, and configuration options.
26. Alarm silence switch: Alternately mutes and enables audible
alarms; when pushed once after alarm sounds (silence on), the
switch illuminates to indicate that audible alarms have been silenced
for 2 minutes.
27. AUTO BP key: Press to start Auto BP mode.
28. Light sensor: Automatically measures ambient light to set LED
display intensity.
29. START/STOP BP key: Press to start or stop a BP, Auto, Stat, or
Vitals determination.
30. Cuff connector: BP cuff hose attaches here.
Not Shown: The printer access door is located on the left side of the
monitor. Push the latch to open the door and access the paper supply
and print head. For details, see Section 5, Component Information.
2-8PRO 100-400 V2 Patient Monitor Service ManualRevision A
the DINAMAP
the formation of an electromedical system and
thus, must comply with the requirements of EN
60601-1-1/ IEC 601-1. All host port signals are
NON-ISOLATED and should be connected to
equipment conforming to IEC-601-1, configured
to comply with IEC 601-1-1 ONLY. Where isolation of data
communication is required, GE Medical Systems Information
Technologies part number ILC232 should be used. If external alarm
control is required, GE Medical Systems Information Technologies
part number 487208 (Isolated Remote Alarm Cable Assembly) should
ALWAYS be used. Please refer to the Information Sheet included
with the isolated remote alarm cable for details.
Note: When using remote alarm, the PRO Series Monitor should be
considered the primary alarm source. The secondary alarm is used
for secondary purposes only.
PRO Series Monitor will result in
Pin Assignments
PinFunction
1Ground
2Inverted TTL Transmit Data
3Inverted TTL Receive Data
4Fused +5 Volts
5No connection
6No connection
7Ground
8Remote Alarm
9RS232 Request to Send (RTS)
10RS232 Clear to Send (CTS)
11RS232 Transmit Data (TxD)
12No connection
13RS232 Receive Data (RxD)
14No connection
15No connection
Revision APRO 100-400 V2 Patient Monitor Service Manual2-9
This product conforms to the essential requirements of
the Medical Device Directive. Accessories without the CE
Mark are not guaranteed to meet the Essential
requirements of the Medical Device Directive.
IPX1 The PRO Series Monitor is protected against vertically falling
drops of water and conforms to the IEC 529 standard at level of IPX1.
Vertically falling drops of water shall have no harmful effects to the
Monitor.
2.6.1. Power Requirements
Mains Protection against electrical shock - Class 1
AC Input
Voltage
Alternate SourcesProtection against electrical shock - Class 1
DC Input Voltage18-24 VDC, 30 VA from supplied power convertor
External DC Input FuseInternal, Auto-resetting
Battery12-volt, 2.3 amp-hours. Protected by auto-resetting fuse.
Minimum operation time: 2 hours (5 minute auto cycle with
adult cuff at 25°C (77°F) from full charge. Time for full
recharge: 1hr 50 min from full discharge when the Monitor is
switched off and 8 hrs when the Monitor is switched on.
2.6.2. Environmental
Operating Temperature+5° C to +40° C (+41° F to + 104° F)
Operating Atmospheric Pressure700hPa to 1060 hPa
Storage Temperature-20° C to +50° C (-4° F to + 122° F)
Storage/Transportation Atmospheric Pressure500 hPa to 1060 hPa
Humidity Range0% to 95%, noncondensing
Radio FrequencyComplies with IEC Publication 601-1-2 (April 1993) Medical
Electrical Equipment, Electromagnetic Compatibility
Requirements and Tests and CISPR 11 (Group 1, Class A)
for radiated and conducted emissions.
2-12PRO 100-400 V2 Patient Monitor Service ManualRevision A
± 0.2° F
(when tested in a calibrated liquid bath; meets ASTM E1112,
Table 1, in range specified)
Determination Timeless than 60 seconds
Use only IVAC probes and probe covers. The size, shape, and thermal characteristics of the probe
covers can affect the performance of the instrument. Inaccurate readings or retention problems may
occur unless IVAC probes and probe covers are used.
IVAC® Patents
2.6.6. SpO
NELLCOR SpO
Measurement Range
SpO
2
Pulse Rate20 to 250 beats per minute
Perfusion Range0.03 to 20%
Accuracy and Motion Tolerance
Saturation
Without Motion - Adults*70 to 100% ±2 digits
Without Motion - Neonate*70 to 100% ±3 digits
With Motion - Adults/Neo**70 to 100% ±3 digits
Low Perfusion70 to 100% ± 2 digits
Pulse Rate
2
2
U.S. D300,728; D300,909
1 to 100%
Without Motion20 to 250 beats/min ±3 digits
With Motionnormal physiologic range
55 to125 beats/min ±digits
2-14PRO 100-400 V2 Patient Monitor Service ManualRevision A
* Adult specifications are shown for OXIMAX MAX-A and MAX-N sensors. Neonate specifications are shown for OXIMAX MAX-N. Saturation
accuracy may vary by sensor type.
** Applicability: OXIMAX MAX-A, MAX-AL, MAX-P, MAX-I, and MAX-N sensors.
Default Settings
SpO
(%)HIGH: 100
2
(%)LOW: 90
SpO
2
Response Mode2 (for Mode 2: Fast Response)
Sat Seconds0
Audible indicatorPitch changes continuously with saturation; volume from 0
(off) to 9
WaveformsPulse plethsysmograph waveform on LCD gain compensated
Sensor Connect/Disconnect From PatientMonitor detect attachment or disconnection of sensor from
patient within 15 seconds.
Pulse DetectionMonitor will detect pulse or enter no signal state within 15
seconds of being attached to patient
Loss of PulseMonitor will detect loss of pulse from patient and enter no
*The Masimo SET®® SpO2 parameter with LNOP-Adt sensors has been validated for no motion accuracy in human blood studies on healthy
adult volunteers in induced hypoxia studies in the range of 70-100% SpO2 against a laboratory co-oximeter and ECG monitor. This variation
equals plus or minus one standard deviation. Plus or minus one standard deviation encompasses 68% of the population.
**The Masimo SET
adult volunteers in induced hypoxia studies while performing rubbing and tapping motions at 2 to 4 Hz at an amplitude of 1 to 2 cm and a non
repetitive motion before 1 to 5 Hz at an amplitude of 2 to 3 cm in induced hypoxia studies in the range of 70-100% SpO2 against a laboratory
co-oximeter and ECG monitor. This variation equals plus or minus one standard deviation. Plus or minus one standard deviation
encompasses 68% of the population.
†The Masimo SET
on neonates while moving the neonate’s foot at 2 to 4 cm against a laboratory co-oximeter and ECG monitor. This validation equals plus or
minus, one standard deviation. Plus or minus one standard deviation encompasses 68% of the population.
‡The Masimo SET
and Masimo’s simulator with signal strengths of greater than 0.02% and a % transmission of greater than 5% for saturations ranging from 70
to 100%. This variation equals plus or minus, one standard deviation. Plus or minus one standard deviation encompasses 68% of the
population.
®
SpO2 parameter with LNOP-Adt sensors has been validated for motion accuracy in human blood studies on healthy
®
SpO2 parameter with LNOP-Neo Pt sensors has been validated for neonatal motion accuracy in human blood studies
®
SpO2 parameter has been validated for low perfusion accuracy in bench top testing against a Biotek Index 2 simulator
Masimo® Sensor Accuracy
Sensor Model
SpO2 range 70%- 100%
LNOP±2 digit
LNOP-ADT±2 digit
LNOP-ADT Long±2 digit
LNOP-PDT±2 digits
LNOP-NEO±3 digits
LNOP-NEO PT±3 digits
LNOP-DCI (reusable)±2 digits
LNOP-DCSC (reusable)±2 digits
LNOP-DCIP (reusable)±2 digits
NRI25 (reusable)±2 digit
Resolution
Saturation (% SpO2)1%
Pulse Rate (bpm)1
Low Perfusion Performance
2-16PRO 100-400 V2 Patient Monitor Service ManualRevision A
Carboxyhemoglobin may erroneously increase readings. The level of increase is approximately equal to the
amount of carboxyhemoglobin present. Dyes, or any substance containing dyes, that change usual arterial
pigmentation may cause erroneous readings.
Sensor Light Source
WavelengthInfrared: 905 nm (nominal)
Red: 660 nm (nominal)
Power DissipationInfrared: 22.5 mW (max)
Red: 27.5 mW (max)
Default Settings
SpO2 (%)HIGH: 100
SpO2 (%)LOW: 90
Sensitivity Mode2 (for low perfusion-Default)
Averaging Time12 seconds
FastSAT Mode0 (for Off)
Masimo Patents
5,482,036; 5,490,505; 5,632,272; 5,685,299; 5,758,644; 5,769,785; 6,002,952; 6,036,642; 6,067,462; 6,206,830; 6,157,850,
and international equivalents.
Revision APRO 100-400 V2 Patient Monitor Service Manual2-17
3-1General System Diagram ...............................................3-11
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Theory of Operation:
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3-4PRO 100-400 V2 Patient Monitor Service ManualRevision A
2009829-001
Theory of Operation: 3.1 INTRODUCTION
3.1 INTRODUCTION
This section provides overall theory of operation and functional
description of the DINAMAP PRO Monitor (hereinafter referred to as
PRO Monitor). The PRO Monitor comes in four different models, as
follows:
PRO Monitor 100 - It has the capability of monitoring Blood Pressure
(BP) and Pulse
PRO Monitor 200 - It has the capability of monitoring BP, Pulse, and
Temperature
PRO Monitor 300 - It has the capability of monitoring Blood Pressure
(BP), Pulse, and SPO2
PRO Monitor 400 - It has the capability of monitoring BP, Pulse,
Temperature, and SPO2
3.2 OVERALL PRINCIPLES OF OPERATION
The following paragraphs provide a general system interface
relationship. The general block diagram is located in Figure 3-1.
The PRO Monitor is a portable unit that receives input power from an
external AC source, external DC source, or internal rechargeable
battery.
When the ON/OFF button is pressed, the Main Board is brought out
of a sleep mode and turns on the power regulators. The power
regulators provide conditioned power from one of the input power
sources: AC Mains, External DC, or the Lead Acid Battery. The
regulated power is routed to the Printed Wiring Assemblies (PWAs)
via the cable harnesses. Once the Pro Monitor is energized, a selftest is performed. The self-test automatically tests the main functions
of the PRO Monitor. Failure of the self-test will set the PRO Monitor
into a fail-safe mode with an audio alarm.
Under normal operating condition, the PRO Monitor is ready to record
the patient vital signs using three external attachments: the
temperature probe, SPO2 sensor, and cuff. Interface with a central
station or other device is accomplished through the host
communication port on the back of the Pro Monitor.
3.2.1 Cuff Blood Pressure (BP) and Pulse
When the cuff and hose are attached to the Pro Monitor and NonInvasive Blood Pressure (NIBP) determination is initiated, the pump
inflates the cuff. Pressure transducers PT1 and PT2 monitor pressure
information. The pneumatic manifold has two valves, which are used
to deflate the cuff. Valve control is through the Main Board. Once
determinations are made for the systolic BP and diastolic BP, the
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Theory of Operation: 3.2 OVERALL PRINCIPLES OF OPERATION
Main Board calculates the pulse rate/Mean Arterial Pressure (MAP).
The results are then displayed on the front panel (seven segment
Light Emitting Diodes (LEDs) and sent to the printer.
The Pneumatic Valve/Manifold (PVM) device has an overpressure
sensor built-in to protect against over-inflation. If an over-inflation
condition occurs, the OVERPRESSURE signal is routed to the PVM
to release the air pressure. The Main Board also, generates an alarm
condition with the speaker sounding and a message in the Liquid
Crystal Display (LCD).
3.2.2 Temperature (Model 200 and 400)
The PRO Monitor uses Alaris Turbo Temp technology to measure
patient temperature. The Turbo Temp probe contains a heating
element that pre-heats the probe to reduce determination time. The
heating function is controlled by the Main Board. The Turbo Temp
probe also contains a thermistor that indicates the temperature.
When the probe is attached to the temperature connector and patient,
the signal generated by the thermistor is routed to the Main Board.
The Main Board converts the thermistor signal along with status
information (i.e ORAL or RECTAL probe indicators) to a DIGITAL
signal. The Main Board then processes the DIGITAL signal and
displays the patient temperature on the UI Board and printer in
Celsius or Fahrenheit.
3.2.3 SPO2 (Model 300 and 400)
The SPO2 probe has a built-in sensor. When the SPO2 sensor is
attached to the SPO2 connector and patient, the probe senses the
heart rate and oxygen saturation. These analog signals are routed to
the SPO2 PWA. The analog signals are analyzed on the SPO2 PWA.
The results are digitized and sent to the Main Board via opto
couplers. The couplers provide for patient isolation as well as serial
data interface. The Main Board processes the data and routes it to
the appropriate displays and/or printer.
A reset signal to the SPO2 PWA is also provided so that the power up
sequencing is corrected. If the SPO2 circuit quits communicating to
the Main Board, the Main Board will attempt to reset the SPO2 PWA.
3.2.4 Host Communication Port
The Host Comm Port is used to interface the Monitor with other
electronic devices (a central nurse’s station or remote alarm device.)
Signals can be sent to the Monitor to initiate blood pressure
determinations and other functions. Patient data can also be retrieved
through this port. For further information, reference the DINAMAP
PRO 100-400 Series Host Communication manual.
3-6PRO 100-400 V2 Patient Monitor Service ManualRevision A
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Theory of Operation: 3.3 FUNCTIONAL DESCRIPTION
3.3 FUNCTIONAL DESCRIPTION
The following paragraphs provide the functional interface relationship.
The Pro Monitor contains a number of electrical & electro-mechanical
assemblies. These assemblies are:
Power Supply Unit (PSU) PWA
PSU Module
Main Board
SPO2 PWA (optional)
Pneumatic control device
Liquid Crystal Display (LCD) Assembly
Printer PWA w/printer
3.3.1 PSU PWA
The PSU PWA is a low voltage DC power supply. The PSU PWA is
designed to operate from the output of the AC MAINS PSU module,
EXTERNAL DC line source, or from a 12-volt rechargeable lead-acid
battery. When the PSU PWA receives the EXTERNAL DC, a portion
of that voltage is routed to an analog input of the Secondary
Processor. The Secondary Processor uses this signal to determine
the available power sources. If a valid external power source is
available, LED lights to indicate that external power is available. If an
external power source exists, and a battery source is detected, the
Secondary Processor will send a command to turn on the Battery
Charger circuitry. If there is no external power source or the external
power source is below the required voltage, the PSU PWA will
automatically default to use the battery. Since the Pro Monitor is now
operating from the battery voltage, a sample of the battery source is
applied to Analog Digital Converter (ADC) circuit of the Secondary
Processor. From this, the Secondary Processor can determine the
charge state of the battery.
3.3.2 PSU Module
The PSU module is an AC Mains to DC converter. The PSU module
receives AC power from an external source. When AC INPUT is
applied to the PSU module, the module AC/DC Converter changes
the AC INPUT supply via rectifier circuit to a high voltage DC. The DC
power is then routed through a high frequency switching converter
and regulated to 24 vdc. This supply is connected to the PSU PWA
for further regulation.
3.3.3 Main Board
The Main Board is configured with Programmable Read Only Memory
(PROM), Random Access Memory (RAM), LED Display, Hard Keys,
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Theory of Operation: 3.3 FUNCTIONAL DESCRIPTION
16 Bit ADC, Primary Processor, and Secondary Processor. The
Primary Processor services and controls the Patient Parameter
Interface (PPI) devices and display backlighting. The Secondary
Processor controls the seven segment LED display, sound
generation, real time clock, and system timing verification. The
processors receive DC power from the PSU PWA. When the PPI
devices transmit analog data to the Main Board A/D converter, the
Primary Processor perform algorithm calculations. Once all the
calculated parameter values are compiled, the data is then
transmitted to the LCD and printer via Secondary Processor.
Concurrently, the calculated parameter values are being stored in the
non-volatile RAM. Calibration and other variable settings are stored in
the Electrically Erasable Programmable Read Only Memory
(EEPROM).
The Main Board backup voltage, derived from either NiMH battery or
an external power source, appears on the Main Board supervisory
circuit. The Main Board supervisory circuit generates the RESET and
HALT signal for the Primary Processor. It also, allows EXTERNAL DC
voltage to the RAM and Secondary Processor when the system is ON
or battery backup voltage to power the RAM and Secondary
Processor when the system is OFF.
If the Primary Processor fails to reset its watchdog timer, the Primary
Processor sends a low level on its watchdog output to the Pneumatic
Control Gate Array Logic (PCGAL). If the Primary Processor detects
system faults or overpressure, it will notify the Secondary Processor
of system failure condition. The Secondary Processor in turn, sends a
FAILSAFE signal to the PCGAL and Tone Generator. When the
PCGAL receives the FAILSAFE signal, it sends a DEFLATE signal to
the Pneumatic Valves to depressurize the system to atmosphere.
Once the Tone Generator receives the FAILSAFE signal, it sends an
audio frequency (ALARM signal) to the speaker. During the fail-safe
mode the following will also occur:
Parameter monitoring disabled
Remote alarm control inactive
Graphic LCD displays fault error code
Pneumatic safe state (deflate the cuff, pump off)
Normal communications interface disabled
Hard keys and rotary switch inactive
When a low or high ambient room lighting occurs, the Primary
Processor uses it’s supervisory circuit to increase or decrease the
graphic backlighting, automatically.
3.3.4 SPO2 PWA (Optional)
The SPO2 PWA provides continuous readings of oxygen saturation
and pulse rate. Additional circuitry provides power, data
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communications, and isolation between SPO2 PWA and Primary
Processor.
Patient data received from the finger sensor is filtered, amplified, and
analyzed on the SPO2 PWA. The information is sent to the Main
Board via the optically coupled electrically isolated serial connection.
The Primary Processor receives the data and distributes it to the
appropriate display. The data is also sent to the printer via the
Secondary Processor.
3.3.5 Pneumatic Control Device
The Main Board transducers PT1 and PT2 sense cuff pressure and
raw oscillatory information. The analog signals are amplified,
buffered, and sent to an Analog to Digital (A/D) Converter. The
converter changes the analog signals to digital signals and routes
these signals to the Primary Processor. The Primary Processor
receives the digital signals via the data interface.
Appropriate valve and pump control signals are sent from the Primary
Processor to the PCGAL. The PCGAL then generates the appropriate
drive signals to the pump and valves.
If a fail-safe mode or overpressure condition occurs, the PCGAL
provides the appropriate control signals to insure a safe condition,
where the cuff vents to atmosphere pressure.
3.3.6 LCD Assembly
The LCD assembly is used as a message center. It displays patient
vital signs, alarm status, monitor set-up, limit violation, BP cycle and
the time the data was received. The Primary Processor controls the
LCD assembly. When the parameter signals are read by the Primary
Processor, it decodes these signals and routes the digitized signals to
the graphic LCD.
The LCD assembly is equipped with a variable lighting feature for the
graphic display. The Primary Processor controls the lighting feature,
automatically. When a low or medium ambient lighting condition
occurs, the Primary Processor sends a BACKLIGHT signal to adjust
the graphic display lighting with respect to the room lighting condition.
If the lighting condition is high, the Primary Processor sends a
BACKLIGHT_1 signal to switch off the graphic display lighting.
3.3.7 Printer PWA w/Printer
The Printer PWA w/printer communicates to the Primary Processor
via Secondary Processor data line. The printer receives power from
the Main Board via the Printer PWA. The printer sends a DATA OUT
(CONTROL DATA) signal to the Secondary Processor to notify of it’s
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presence. When a print command is sent to the printer from the
Secondary Processor, the following will occur:
CLOCK signal - transfer the data into print head
DATA IN - serial dot to be printed
LATCH signal - latch the data stream into the head
STB1-6 - cause the head to print various sections
Together these signals (CONTROL DATA) cause the printer to print a
graphic hardcopy of the patient vital sign values and trend data. It
also causes the printer to print hardcopy of error logging and service
record data.
The printer has a built-in sensor to monitor the printer paper level.
When the printer is out of paper, it sends a PAPER OUT signal to the
Secondary Processor.
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4Calibration &
Maintenance
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For your notes
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4.8. Electrical System Safety Checks .................................... 4-25
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Calibration & Maintenance: SECTION 4. GENERAL MAINTENANCE
SECTION 4. GENERAL MAINTENANCE
4.1 INTRODUCTION
4.2. FUSES
This section contains maintenance procedures for the DINAMAP
PRO Series 100-400 Monitor, including description of the software
screens and menus used to adjust, configure and check the Monitor.
Also included are procedures to recalibrate the Monitor.
Procedures pertaining to SpO
to PRO Monitors equipped with these features.
The PRO Monitor power circuits incorporate five fuses. None of the
fuses are externally accessible. Two mains fuses are mounted on the
AC mains converter board, and are not serviceable by the user.
If a mains fuse blows, the Monitor will not change from battery power
to mains power when it is plugged in to an AC power source. To
confirm a fuse problem, remove the battery, plug the unit in, and turn
it on. If the PRO Monitor does not operate, the probable cause is an
open fuse. Mains fuses should be replaced by a qualified service
technician.
The other three fuses are:
and temperature functions apply only
2
FS1 - Self resetting; DC input; PSU board
FS2 - Self resetting; battery; PSU board
FS3 - Self resetting; host port power; PSU board
4.3. PERIODIC MAINTENANCE
Periodic maintenance tasks include cleaning the PRO Monitor,
checking pressure calibration, pneumatic leakage, pneumatic system
overpressure point, temperature calibration (200 and 400), and
verification of the SpO
The exterior of the PRO Monitor may be wiped clean with a cloth
slightly dampened with mild detergents or standard hospital
bactericides.
4.3.1 Cleaning the Monitor
Cleaning with isopropyl alcohol or similar solvents is not
recommended.
Do not immerse unit.
system (300 and 400).
2
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Do not immerse hoses.
Do not immerse cuffs without prior application of cuff hose caps.
CAUTIONS
Moisture or foreign substances introduced into the
pneumatic system will cause damage to the unit. Calibration
equipment should always be kept dry and clean.
4.3.2. Power Up Checks
When the PRO Monitor is powered up, it conducts a series of selftests to ensure the displays and other functions are operating
normally. Some malfunctions generate fatal errors and put the
Monitor in fail-safe mode. In this mode, the patient monitoring
features are disabled. Other malfunctions do not interfere with normal
operation, but should be repaired at the next opportunity.
As part of a periodic maintenance routine, observe the power-up selftests, and service as required.
LED Display Check
All seven segments of the LED digits are illuminated during the power
up sequence. The segments light in a sequence beginning with the
upper left segment.
LCD Display and LCD Backlight Check
Observe the LCD during power up. Confirm that all of the pixels on
the LCD display are lit momentarily and the backlight is powered
during initialization. The backlight is only noticeable in a dimly lit
room. Confirm that the display indicates the software version in
inverted format (white on black).
NIBP Calibration Check
If the NIBP system is uncalibrated, the Monitor turns on directly into
service mode and displays a service menu. Refer to 4.7 PRO Monitor
Calibration Procedures.
Speaker Check
During power up, the audio system generates three short beeps,
followed, after a brief pause, by three more beeps. If the speaker
generates distorted sounds or no sound, it is faulty.
Remote Alarm Switching Check
When the PRO Monitor is off, the remote alarm switches to an alarm
state. The system clears the alarm state during power up. If the
remote alarm does not change states, it is faulty.
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4.3.3. External DC Supply and Battery
The power indicators on the lower left on the front of the PRO Monitor
show the power source and charge status of the battery. The external
power indicator LED continuously glows green to show the battery is
charging.
The indicator flashes every four seconds to show an external power
source is connected, but is not charging the battery. Either a battery is
not installed or the external DC input voltage is too low.
Checking the Battery
1. Power on, and wait for the PRO Monitor to initialize. Confirm the
external power indicator is lit and the battery LED is off.
2. Remove the battery and confirm that external DC LED on the
Monitor flashes.
3. Fit the battery and disconnect the external power supply. Confirm
the external power indicator is off; the battery LED glows yellow; and
the battery icon appears on the LCD, toggling with the time indicator.
If the battery power is low, the battery LED flashes every four
seconds and the battery icon on the LCD changes.
4. Reconnect the external power supply, and verify that the battery
LED is off.
4.3.4. Care of the Storage Battery
It is best to keep the battery charged as fully as practical. Never store
the Monitor with the battery in a discharged condition. When the
battery no longer holds a charge, remove and replace with one of the
same part number.
To ensure that the battery is ready for portable operation, keep
the unit connected to AC mains whenever possible.
Repeated failure to fully charge the battery significantly reduces
battery life.
Avoid storing batteries at temperatures above 77° F (25° C). High
storage temperatures can dramatically increase the selfdischarge rate of battery.
4.3.5. Checking Calibration
Perform the test procedures described in 4.6 whenever the accuracy
of any of the parameters is in doubt.
The PRO Monitor provides a special mode named Clinician Mode.
This mode is accessed from the More… option on the Main menu,
and requires a code before a user can access it.
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4.4 Clinician Mode
4.4.1 Accessing the Clinician Mode
The Clinician Mode enables the user to:
Verify NIBP calibration dates
Change the alarms to “Permanent Silence” mode
Set target inflation pressure
This section provides an overview of the Clinician menus. For more
information and details of operation, see the PRO Series 100-400
Monitor Operation Manual.
To enter Clinician Mode from the Main menu, use the rotor control
and LCD.
1. Select the More… button.
2. Select the Service button.
3. Clinician Mode requires a four-digit code. Turn the rotor to highlight
a number, and push to make a selection. Enter access code: 1 2 3 4.
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4.4.2. Clinician Mode Main Menu
The Clinician Mode Main menu, pictured above, provides access to
the options normally required for routine use of the PRO Monitor. The
individual buttons on this menu are described briefly below.
Press Button
Selecting the Press button displays the target pressure dialog box,
pictured above, which sets the default target inflation pressure for a
BP cycle. The factory default is 160 mmHg for adults and 110 mmHg
for neonates. This is indicated by the “Auto” label at either end of the
adjustable range. Choosing “Retain Values” allows the user to preset
the number of minutes for which displayed values are retained on the
Monitor.
Selecting the Info button displays the most recent calibration dates of
the BP. Choose OK to return to the Service menu.
Selecting the Silence button displays the dialog box, pictured above,
which mutes all the alarms except the fail-safe alarm. The alarms are
disabled until the Monitor is either powered off and on again or the
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Silence button is pressed. Choosing either Yes or No will exit the
menu. If silence is confirmed, the Alarm Silence button lights.
More... Menu Button
The More... menu accesses more options that allow the user to
permanently change the default settings.
Main Button
Select this button to exit the Service menu and return to the Main
menu.
4.4.3. Clinician More... Menu
The Clinician More… menu accesses the options to change the
default settings of several PRO Monitor functions. These options are
summarized below.
Trend Button
Displays a dialog box to automatically clear trend data on power up.
The default setting is Yes. In the default setting, trend data is cleared
when the PRO Monitor is shut off. Select No to retain the trend data
on power-down.
Print Button
Displays a dialog box to restore the print mode on power up to the
user-selected print mode (auto or manual) or the default print mode.
The print mode can be selected through the Print button on the Main
menu. The current mode is displayed in the lower right corner on the
LCD. Select No and the PRO Monitor powers up in manual print
mode. Select Yes, and the monitor retains the user-selected mode.
Set BP Button
Displays a dialog box to power up in a user-selected BP mode (auto/
manual). Select Yes to preserve the user-selected BP mode. Select
No to power up the PRO Monitor in manual mode.
Button
SpO
2
Selecting Yes enters the SpO
configuration menu. Selecting No
2
returns the user to the More… menu. This menu displays a dialog box
that enables the user to adjust the sensitivity of the SpO
parameter
2
and to enable the FastSAT Feature (if equipped.)
Alarms Button
This button accesses a dialog box to enter the alarms configuration
menu. Selecting Yes enters the menu. Selecting No returns the user
to the More… menu.
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Select Reset to return all the alarm limits to the default settings. The
illustration above shows the default settings.
The user can adjust the alarm limits within the ranges specified in the
table below. The high limit must be at least one step higher than the
low limit.
4.5. SERVICE MODE
4.5.1 Accessing the Service Mode
Note: Predictive temperature has no alarm limit alarm.
Select Save to save the displayed settings and return to the More…
menu. Select Cancel to abandon any changes and return to the
More… menu.
The Service Mode provides the same features as the Clinician Mode
and adds these functions:
Check the BP calibration
Re-calibrate BP
Adjust the pneumatic system overpressure point
Configure communications with a host computer
Change the language of operation
To enter Service Mode from the Main menu, use the rotor and LCD.
1. Select the More… button.
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2. Select the Service button.
3. The service menu requires an access code. Turn the rotor to
highlight a number, and push to make a selection. Enter access code
2 2 1 3.
4.5.2 Service Mode Main Menu
The options accessed through the Main Service menu, pictured
above, allow the technician to check basic functions of the PRO
Monitor, calibrate the NIBP system, and set the language of
operation.
Note: These menus and adjustments should be used only by
qualified service technicians.
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NIBP Button
The NIBP button accesses the NIBP Service menu. Use this menu to
calibrate and check the NIBP transducers and the overpressure
circuitry (Section 4.5.3).
Info Button
This button displays the date of the most recent NIBP calibration.
Select OK to return the display to the Service menu.
System Button
This button accesses the System menu. The options on this menu set
the display language, communications protocols, test the EEPROM,
and print the error log (Section 4.5.4).
Silence Button
Selecting the Silence button displays a request to confirm the choice.
This is a working option available only through the Clinician Mode
(1234). Alarms are disabled when in Service Mode.
Yes mutes all patient alarms until the PRO Monitor is powered off and
on again or the alarm Silence button is selected again to enable the
alarms. A confirmation menu appears (pictured above) on the display.
Selecting either Yes or No exits the menu. If silence is confirmed, the
alarm Silence button on the front panel illuminates momentarily.
4.5.3. NIBP Menu
The options on the NIBP menu, pictured above, are used to calibrate
and test BP functions of the PRO Monitor.
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Check Button
This button allows the NIBP calibration to be checked. In this mode,
the Monitor functions as a digital manometer. The systolic LED
displays the output of PT1, and the diastolic LED displays the output
of PT2.
With no hose attached, the systolic and diastolic displays will indicate
“000.” See Section 4.7 for a more detailed description of this mode
and the calibration procedure.
Cal Button
This button initiates the calibration procedure. See Section 4.7 for a
step-by-step description of this procedure.
Pop Off Button
This button functions in a similar manner to the Check button, but the
overpressure point is set to the neonate value. See Section 4.7 for a
more detailed description of using this function.
OK Button
This button returns the display to the Main Service menu.
4.5.4. System Menu
The System menu, pictured above, accesses the options that modify
the basic configuration of the PRO Monitor, test the EEPROM, and
print the error log.
Language Button
This button displays the language choices. The language dialog
boxes are not pictured. The PRO Monitor software can display menus
in five languages: UK, USA, German, French, and Spanish.
Selecting any language button removes all other language buttons
from the screen, indicating that the remaining button is the chosen
language. Selecting Clear restores all the language buttons, allowing
the user to select again. OK saves the selection and a dialog box
requests that the Monitor be turned off. If no language is selected
when OK is pressed, the language is stored as undefined. In this
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case, the Monitor prompts the user to select a language on every
power up until a selection occurs.
Comms Button
This button accesses the Communications menu. The settings on this
menu configure communications with a host computer when PRO
Monitors are connected to a network.
The Remote Op check box toggles remote operation. When on, a
check mark (√) appears in the box. When on, the PRO Monitor
responds to external commands and can initiate a BP determination
when prompted by a host computer. Remote operation requires
DINAMAP
DINAMAP
®
Host Communications Protocol, which is described in the
®
Host Communications Reference Manual.
The Standard check box sets the host comms protocol to standard
format, and the baud rate at 9600 bps.
The Address box sets the Monitor address within a range of 32 to
126. Address 32 is not unique. All monitors, regardless of unit
address, respond to commands to unit address 32.
Selecting the 1846 button sets the comms protocol to 1846 format,
and the baud rate to 600 bps.
The baud Rate can be set to 300, 600, 1200, 2400, 4800, 9600, or
19200.
Select OK to return to the Main Service menu.
eprom Button (EEPROM Testing)
This button initiates a test of the read and write functions on the
EEPROM. The test is repeated 20 times. The results are displayed on
the LCD and recorded in the error log.
Err Log Button
This button generates a printout of the last 20 system errors that have
occurred on the unit. The system and secondary processor software
versions are also listed on the error log.
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4.6. PRE-SERVICE TEST PROCEDURES
The following procedures can be used to check the primary functions
of the PRO Monitor before releasing the unit for clinical service.
The Monitor is tested by applying various stimuli to the sensor
interfaces or by measuring of specific parameters. The test
procedures employ features of the operational software and test
modes of the service menus.
A guide to the Monitor controls, indicators, and connectors is in
Section 2 of the PRO Monitor service manual.
Test Equipment
1. Digital Pressure Gauge 0-375mmHg, 0.2% accuracy, Digitron
P200L or similar.
2. NELLCOR
for Nellcor SpO
3. Biotek SpO
®
SpO2 Simulator Model BIO-TEK INDEX 2 MF or similar
or equivalent.
2
Simulator for Masimo
2
4. NIBP Calibration Kit P/N 320246, or similar.
5. IVAC
®
Probe Simulator TE 1811.
Test Conditions
Testing shall be conducted with an ambient temperature of 25 °C ± 5
°C (77 °F ± 9 °F).
4.6.1. SpO2 Checks (PRO 300 & 400)
For Monitors equipped with Nellcor SpO
On occasion when testing the integrity of the Nellcor oximetry system,
abnormal results may occur when introducing large changes in the
pulse rate and/or pulse amplitude. Extreme changes in rate sent to
the Nellcor sensor by the SpO
algorithm to completely miss finding the pulse rate.
®
SpO
or equivalent.
2
2
simulator may cause the SpO2
2
This is an expected result. To work around this, incrementally step up
or down the settings on your SpO
simulator and allow the Monitor to
2
detect and display the new pulse rate or saturation.
Nellcor recommends use of the SRC-MAX Portable Tester for use
with PRO Monitors equipped with the Nellcor SpO
For Monitors equipped with Masimo SpO
2
system.
2
Masimo recommends BIO-TEK SpO2 simulators.
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1. Connect the appropriate SpO2 simulator and cable to the SpO2
connector.
2. Verify the unit displays:
Pulse value
Saturation value
Signal Strength bar graph
3. Disconnect the SpO
cable from the simulator.
2
4.6.2. Leak Test
This test performs a leak test of the pneumatic system.
Equipment required:
4. Verify the unit generates an “SpO
SENSOR OFF” alarm and
2
the speaker is sounding.
5. Press the Silence button.
6. Verify the sound has stopped but the error remains displayed.
1. Secure the Adult-size cuff to the 12-foot air hose. Attach to the
PRO Monitor. Secure the BP cuff around a rigid, unbreakable
object that measures at least 2” in diameter.
2. Ensure the index-line of the CRITIKON blood pressure cuff is
properly aligned within the range-markers on the opposite end of
the cuff.
3. Power on the PRO Monitor and select More...
4. Select the Service option and input 8 3 7 8.
5. From the Super Service menu, select the NIBP option.
6. From the NIBP menu, select the LEAK option.
The leak test sequence closes both internal valves and initiates the
pneumatic pump. The Monitor will self-pressurize the pneumatic
setup to approximately 200 mmHg. After 5 seconds the target
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pressure value will be displayed in mmHg on the LCD. The system
will maintain the pressure for 36 seconds and will continue to display
the pressure in the pneumatic system on the LCD screen. Confirm
that the pressure has fallen no more than 10 mmHg while the system
is pressurized.
4.6.3. NIBP Calibration Check
This procedure verifies the linearity and calibration for both pressure
transducers (PT1 and PT2) over the range 0-250 mmHg.
To verify calibration it is necessary to have the following test
equipment:
- 2-tube NIBP hose, 12ft, p/n 107365
- DINAMAP Adult BP cuff p/n 2774 (or equivalent)
- Calibration Kit p/n 320246 with a manual inflation bulb
- NIST calibrated single-tube manometer
Figure 4-1
1. Set up the unit and calibration equipment as shown in Figure 4-1.
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2. Power on the PRO Monitor and select More...
3. Select the Service mode and input 2 2 1 3.
4. From the Service menu, select the NIBP button.
5. From the NIBP menu, select the Check button.
6. Apply the following pressures (measured by an external digital
manometer) and confirm that the Monitor readings agree with the
following table for both PT1 and PT2 channels.
7. If calibration is required, refer to Section 4.7.1.
4.6.4.Neonate Overpressure Check
1. Set up the unit and calibration equipment as shown in Figure 4-1.
2. Power on the PRO Monitor and select More...
3. Select the Service mode and input 2 2 1 3.
4. From the Service menu, select the NIBP button, then select the
Popoff button.
Note: If the overpressure point is out of range, adjust the
overpressure potentiometer as described in 4.7.2.
5. Increase applied pressure until overpressure occurs. Confirm that
pressure at that point is between 150 mmHg to 165 mmHg and
system pressure falls to less than 20 mmHg within 4 seconds.
6. Power off the PRO Monitor.
7. If calibration is required, refer to Section 4.7.1.
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4.6.5. Adult Overpressure Check
1. Set up the unit and calibration equipment as shown in Figure 4-1.
2. Power on the PRO Monitor and select More...
3. Select the Service mode and input 2 2 1 3.
4. From the Service menu, select the NIBP button.
5. Select the Check button.
6. Increase applied pressure until overpressure occurs. Confirm that
pressure at the overpressure is between 300 mmHg and 330 mmHg
and the system pressure falls to less than 20 mmHg within 8 seconds.
7. Switch off the PRO Monitor and disconnect the calibration kit.
8. If the Monitor fails this test, re-calibrate the unit as described in
section 4.7.2.
4.6.6. Temperature System Check (PRO 200 & 400)
The PRO Monitor Series 200 & 400 temperature systems use
ALARIS Model 2885 and 2886 temperature probes. This system is
self-calibrating. The only maintenance required is to verify that the
temperature functions are working properly. These checks require an
IVAC probe simulator (P/N TE 1811), available from ALARIS Medical
Systems, Inc., San Diego, CA. GE Medical Systems Information Technologies does not stock this tester.
To check the temperature system, connect the IVAC probe simulator
to the temperature probe connector on the front panel, and insert a
temperature probe into the active holster.
1. Power on the PRO Monitor.
2. Remove the temperature probe from the probe holster to initiate a
temperature reading.
Set the probe simulator to 98.6 and verify that the LCD temperature
display reads 98.6°F ±1.0°F. The numbers on the temperature LED
displays should be flashing at this point, indicating the monitor is in a
real-time monitor mode.
A range of temperatures can be checked, by using the other values
on the probe simulator (98.0, 80.2, 102.0, and 107.8).
Broken Probe Sensing
Set up the equipment and the probe simulator as in the previous
procedure. Rotate the temperature selector on the temperature
simulator to B.P. verify that the Temperature display reads 106.0°F
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±0.2°F. Next. press BROKEN PROBE on the simulator, verify that the
LED display on the Monitor changes to four dashes, indicating a fault
condition.
If the PRO Monitor temperature system does not pass these tests,
the Main PWA needs to be replaced.
4.6.7. Printer Test
This test generates a sample printout from the printer. If no paper is in
the printer, the Monitor generates no alarm.
1. Power on the PRO Monitor and select More...
2. Select the Service button and input 8 3 7 8.
3. From the Super Service Menu, select the Print button,
Ensure the printed test page is clear and easy to read.
4.7. PRO MONITOR CALIBRATION PROCEDURES
Calibration procedures include calibration of the transducers and
adjustment of neonatal and adult overpressure points. These tests
require a manometer and a pump attached to the PRO Monitor as
shown in Figure 4-1.
The following procedure describes the steps required to calibrate the
pressure transducer. Disassembly is not required.
4.7.1. Calibrating the NIBP Transducer
1. Set up the Monitor and calibration equipment as shown in Fig. 4-1.
2. Power on the PRO Monitor.
3. Verify that calibration equipment reads 0 mmHg of pressure.
Note: If the PRO Monitor displays the language choice menu, select
a language. Select OK and reboot the system.
4. Select the More… button from the Main menu.
5. Select the Service button.
6. Enter the Service Mode access code 2 2 1 3.
7. Select the NIBP button from the Service menu.
Important: From this point, the timing is critical. Before proceeding,
review the following steps.
Setting the Calibration Points
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8. Select Cal from the NIBP menu.
9. The Monitor displays “Set Pressure to 0 mmHg.”
10. Ensure calibration test equipment is at 0 mmHg.
11. Press Accept to continue or Cancel to quit this procedure.
12. The Monitor displays “Set Pressure to 200 mmHg.”
13. Apply the pressure (200 mmHg) and HOLD the pressure. Press
Accept to continue or Cancel to quit this procedure.
14. If Accept is chosen, the Monitor will vent the system to
atmosphere. Immediately prior to venting, the Monitor stores the set
pressure reading into system memory.
The zero reading and the 200 mmHg reading are the only points used
for calibration. It is important to ensure that the correct pressures are
applied at these two points.
After venting, the Monitor displays “Calibration is Complete” or
“Calibration Failed.”
If the calibration fails, turn off the Monitor, check the calibration
equipment and repeat the process. Refer to a GE Medical Systems
Information Technologies service representative if calibration is still
unsuccessful. When the calibration is successful, the following will be
displayed on the LCD, “Wait...Storing values,” then after a few
seconds the LCD displays, “Turn Monitor off.” The PRO Monitor is
now accurately calibrated and can be switched off.
Check the calibration of the unit by repeating the BP-related
procedure in 4.6.3.
4.7.2. Overpressure Adjustment
This procedure describes how to set the overpressure thresholds.
See Fig 4-2 for adjustment locations.
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Figure 4-2
Adjusting the overpressure requires opening the PRO Monitor and
adjusting the overpressure potentiometers on the Main board.
3. Manually inflate the system pressure to 315mmHg (the optimal
default Adult Overpressure setting.)
4. Once the manometer displays 315 mmHg, adjust VR1 clockwise
until the valves release the pressurized system.
5. Perform Check again, verifying that the overpressure trips at 315
mmHg ±10 mmHg.
6. Power the Monitor off.
7. Enable Service Mode.
a. Power on the Monitor.
b. Select the More… button from the Main menu.
c. Select the Service button.
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d. Enter the Service Mode access code 2 2 1 3.
e. Select NIBP.
8. Select Pop off.
9. The unit will display three zeros in the systolic and diastolic
windows.
10. Adjust VR2 (more to the middle of board) fully counter-clockwise.
11. Set the cuff pressure to 157 mmHg ±2 mmHg using your
connected NIBP test setup.
12. The air pressure within the system may fluctuate initially. Verify
pressure with your external manometer.
13. Adjust VR2 clockwise until the pressure is released and the
Monitor displays Systolic: 000 & Diastolic: 000.
14. Verify the overpressure setting by performing the Neonate
Overpressure Check 4.6.4.
15.Power the Monitor off.
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4.8. ELECTRICAL SYSTEM SAFETY CHECKS
The PRO Monitor is designed to protect the patient from electric
shock. To ensure the integrity of these safeguards, use a safety
analyzer to perform the following leakage current tests. These tests
should be performed on every unit whenever the case is opened
before it is returned to clinical service. If any reading exceeds the limit
specified, do not return the unit to clinical service.
Ground Leakage
Measure ground leakage current with normal polarity, reverse
polarity, and open neutral. Limit is 500 µA.
Temperature System Leakage (PRO 200 & 400)
Set your analyzer to measure leakage current with mains voltage
applied to the test probes. Use a temperature plug with the leads
shorted and apply the test probe of the analyzer to the leads. The
leakage reading should be less than 150 µA.
System Leakage (PRO 300 & 400)
SpO
2
Set your analyzer to measure leakage current with mains
voltage applied to the test probes. Use an SpO2 plug with the
leads shorted together and apply the test probe of the analyzer
to the leads. The leakage reading should be less than 150 µA.
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5Schematics & Drawings
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For your notes
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