HP 78670, 78671 Service manual

TABLE

Models

OF

CONTENTS

78670A/78671A

78670-1

TABLE

1

GENERAL

1.1 INTRODUCTION 1-1

1.2 IDENTIFICATION 1-1

1.3

1.4 DESCRIPTION 1-2

1.5

1.6

1.7

1.8

1.9

1.10

1.11

1.12

1.13

INQUIRES

1.4.1 General 1-2

1.4.2

1.4.3

1.4.4 Monitor 1-4

1.4.5 Recorder 1-4

1.4.6

1.4.7

1.4.8

1.4.9

MODEL

OPTIONS

GENERAL

1.7.1

1.7.2

PREPARING

ENVIRONMENT

1.9.1

1.9.2

MOUNTING

OPTIONAL

Model

Defibrillator Self Defibrillator

Paddles

78670A/78671A

INSTALLATION

Initial

Claims

FOR OPERATION

Operating

Storage

POWER

REQUIREMENTS

INSTRUMENT

(78668A

ACCESSORY

78670A

78671A

Defibrillator/Monitor

Defibrillator/Monitor/Recorder

Output

Diagnostics

Charge

OPERATING

INFORMATION

Inspection

and

Repackaging

Environment

and

Shipment

(MODEL

GROUNDING

POWER

CABLES

AND

OF

CONTENTS

Information

Time

CONTROLS

Environment

78668A

POWER

BASE)

POWER

CORD

BASE)

SETS

with

Annotating

(78668A

POWER

Recorder

BASE)

. . .

. .

1-1

1-3

1-4

1-5 1-5 1-6

1-6

1-7

1-13

1-13 1-13

1-13

1-14

1-15

1-15 1-15

1-17

2

THEORY

2.1

2.2

2.2.1

2.2.2

2.2.3

2.2.4

2.2.5

2.2.6

2.2.7

2.2.8

2.2.9

2.2.10

2.2.11

2.2.12

2.2.13

2.3

2.3.1

2.3.2

OF

OPERATION

INTRODUCTION

SYSTEM

OVERVIEW

ECG

Digital

CRT

Timing

CRT Driver

Heart

Real

Recorder

Defibrillator

Low

Battery Quick-Mount

Spare

DETAILED

2.3.1.1

ECG

THEORY

Switch

2.3.1.2

ECG

Analog

2.3.2.1

2.3.2.2

2.3.2.3

Switch

ECG

Board

Circuits

Circuit

Rate

Circuit

Time

Clock

Circuit

Control

H.V.

Voltage

and

Battery Power

Battery

OF

Charger

OPERATION

Board

ECG

Source

Protective

Board

Protection

Differential

Right

Leg

and

Analog

and

Memory

Circuits

CRT

Power

Relay

Base

78668A

78669A

78670-60215

Switch

Circuitry

78670-60155

Circuitry

Amplifier

Drive

(RLD)

Board

Supply

2-1

2-1 2-1

2-2

2-3

2-4

2-4 2-4

2-4

2-7 2-7

2-7

2-8

TABLE

Models

78670-1

OF

CONTENTS

78670A/78671A

2.3.2.4 ECG Leads Off Indicator 2-9

2.3.2.5

2.3.2.6

2.3.2.7

2.3.2.8

2.3.2.9

2.3.2.10 Zero Offset Potentiometer 2-12

2.3.2.11 Calibration Potentiometer 2-12

2.3.2.12

2.3.2.13

2.3.2.14

2.3.3

2.3.3.1 50/60 Hz

2.3.3.2 Auto Gain Attenuator 2-14

2.3.3.3 Manual Variable Gain 2-14

2.3.3.4

2.3.3.5 Auto Bias 2-15

2.3.3.6

2.3.4

2.3.4.1

2.3.4.2

2.3.5

2.3.5.1

2.3.5.2

2.3.5.3

2.3.5.4

2.3.5.5

2.3.5.6

2.3.5.7

2.3.5.8

2.3.5.9

2.3.5.10

2.3.5.11

2.3.6

2.3.6.1

2.3.6.2

2.3.6.3

2.3.7

2.3.7.1

2.3.7.2

2.3.7.3

2.3.7.4

2.3.7.5

2.3.7.6

2.3.7.7

2.3.7.8

2.3.7.9

2.3.8

2.3.8.1

2.3.8.2

2.3.8.3

2.3.8.4

2.3.8.5

2.3.8.6

2.3.8.7

Chopper

EMI

Rejection

Chopper

Baseline

Fixed

Gain

Analog Electromagnetic

Paddle

ECG

Digital

Circuit

VoltagetoFrequency

Microprocessor

Beeper

Electromagnetic

Memory/Display

Functional

Oscillator

1025

Counter

Delay

ECG

Address Counter 2-20

RAM

Read-Write

Bidirectional

Digital

Sample and Hold 2-20

Ramp

Generator 2-21

Analog

Deflection

Clock/Heart

Recorder

Board

Vertical

Horizontal

Intensity

Rate

Heart

Rate

Language Option

Heart

Clock

Rate

Circuit

Voltage

Clock

Battery

Protection

Clock Crystal . . . 2-27

Control

ECG

Monitor

ECG

Memory

Recorder

Recorder/Signal

ECG

Signal

Microprocessor

Print

Head

Modem

Driver

Restore

and

Power

Stage

Power

Supply

Interference

Contact

(PC)

Board

Notch

Filter 2-14

Converter

Reset

"Tickle"

Interference

Board 78660-60170

Overview

and

Johnson

Gate (1026

Data

to

Analog

Multiplexer

78660-60180

count)

Bus

Converter

(MUX)

Amplifier

Driver

Board

Circuit

Digital

78660-60260

Display

Selector

Alarm

Switch

Reference

Board

to

Movement and

78660-60200

to

Recorder Signal 2-27

Recorder

Stylus

Control 2-28

Amplitude

Reset

Driver

Limiting

(Tickle)

Supply

Circuit

Counter

Signal

2-10

2-11

2-12

Rejection

2-12

2-13

2-14

(V/F)

2-15

2-15 2-16 2-17

Rejection

2-17

2-19

2-20

(D/A) 2-20

2-22

2-23

2-24

2-25

2-27

Heat

Control

and

Switching

Circuit

2-28

2-29

2-30

-^

^

TABLE

Models 78670A/78671A

2.3.8.8

2.3.8.9

2.3.9

Defibrillator

2.3.9.1

2.3.9.2 "Ticke!" Reset Circuit 2-32

2.3.9.3 LCD Drivers and Recorder Data 2-33

2.3.9.4

2.3.9.5

2.3.9.6

2.3.9.7

2.3.9.8

2.3.9.9

2.3.9.10

2.3.9.11

2.3.9.12 Cardioversion 2-38

2.3.9.13

2.3.10

2.3.10.1

2.3.10.2 Power

2.3.11 Pulse Width Modulator 2-39

2.3.11.1 PWM Shutdown 2-40

2.3.11.2 Soft Start 2-40

2.3.12 HV Defibrillator

2.3.12.1 HV Monitor Circuit 2-41

Defibrillator

2.3.12.2

2.3.12.3

2.3.12.4

2.3.12.5

2.3.13

Low

2.3.13.1

2.3.13.2 External PWM Circuits 2-48

2.3.13.3

2.3.13.4

2.3.13.5

2.3.13.6

2.3.13.7

2.3.14 Service Switch 2-53

2.3.15 Annotation Printout 2-54

Print

Input/Output

Head

Control

Protective

Lines

Microprocessor

Analog

I/O

Relay

Charge

Battery

Paddle

Monitoring Charge

Software

General

Patient

Peak

Safety

Multiplexer

Expander

Drivers

Done

LED

Contact

and

Safety

High

Circuits

Relay

Current

Relay

Tone

Driver

Chopper

the Discharge

Voltage

Inverter

Circuit

Detector

Circuit

5.4VReference/Low

Voltage

Pulse

5V.

CRT +

+

Noise

Power

Width

Supply

Supplies

and

-15

and

-12

Filtering

Supply

Modulator

Voltage

(+5000

Volt

Circuit

and

A/D

HV

Capacitor

Cycle

Features

Section

Circuit

Battery

Board

(PWM)

Regulation

and

Supplies

Board

78670-60195

Converter

Shutdown

78660-60110

Internal

+200 (Refer

volts)

to

Circuits

Figure

2-62)

OF

....

CONTENTS

78670-1

2-31

2-32

2-34

2-35

2-37 2-37

2-38

2-39

2-40

2-42

2-43

2-44

2-46

2-50

2-52

2-53

CHECKS

3.1 INTRODUCTION 3-1

3.2

AND

LEVEL

3.2.1

3.2.2

3.2.2.1

3.2.2.2

3.2.2.3

3.2.2.4

3.2.2.5

3.2.2.6

3.2.2.7

3.2.2.8

3.2.3

3.2.3.1

ADJUSTMENTS

II

Test Functional

Safety

3.2.3.2

PERFORMANCE,

Equipment

Performance

Energy

Self

Accuracy

Testing

Defibrillator

Synchronizer

ECG

Amplifier

ECG

Amplifier

Heart

Paddle

Preliminary

Power

Rate

Contact

and

Maintenance

Cord

SAFETY

Accuracy

Capacitor

Noise

Gain

Accuracy

Indicator

Safety

to

Chassis

AND

MAINTENANCE

Testing

and

Checks

Ground

Charge

'.

Alarm

(PCI)

Resistance

CHECKS

Time

Test

Check

3-1

3-1 3-4

3-4

3-5

3-6

3-7

3-8

3-8 3-8

3-9

///

TABLE

Models78670A/78671A

78670-1

OF

CONTENTS

3.2.3.3

3.2.3.4

3.2.3.5

3.2.3.6

3.2.3.7

3.2.3.8

3.3

ADJUSTMENTS

3.3.1

3.3.2

3.3.3

3.3.4

3.3.5

3.3.6

3.3.7

3.3.8

Equipment

Low ECG

ECG

CRT

3.3.9

Real

3.3.10

3.3.11

3.3.12

3.3.13

3.3.14

3.3.15

3.3.16

3.3.17

3.3.18

3.3.19

3.3.20

3.4 SPECIFICATION CHECKS 3-39

3.4.1

3.4.1.1

3.4.1.2

3.4.1.3

3.4.1.4

3.4.1.5

3.4.1.6

3.4.1.7

3.4.1.8

3.4.1.9

3.4.1.10

3.4.1.11

3.4.1.12 ECG Calibration

3.4.1.13

3.4.1.14

3.4.1.15

3.4.1.16

3.4.2

3.4.2.1

3.4.2.2

3.4.2.3

3.4.2.4

3.4.3 Defibrillator Section 3-54

3.4.3.1

3.4.3.2

3.4.3.3

Common

Voltage

Defibrillator

High

Self

Recorder

Setting

ECG

Recorder

Paddle

Leakage

Patient

Leakage Patient

Battery

Required

Adjustments

Location

Contact

Voltage Cal

Power

Adjustment

Amplifier

Display

Real

Time

Adjustments

Clock/V

Clock/Heart

Mode

Rejection

Reference,

Voltage

Test

Accuracy

Pen

Stylus

Pen

Print

Real

Amplifier/Heart

Test

ECG

Amplifier

ECG

Amplifier

Equipment

Baseline

ECG

Amplifier

ECG

Amplifier

Input

Offset

ECG

Amplifier

ECG

Amplifier

Common

Common Heart

Heart

Test

Rate

Section

Equipment

Recorder

Test

Equipment

Energy

Accuracy

Delivered

Current

Lead

Leakage

Current Lead

Leakage

Capacity

Indicator

Supply

Baseline

REF

Current

Between

Current

Check

Adjustment

Adjustments

Offset

ADJUSTMENT

Rate

Frequency

Notch

Defibrillator

Output

Charge

Heat

Energy

Time

Adjust

Contact

Adjust

Pressure

Positioning

Head

Adjustment

Time

Clock

Rate

Section

Gain-Manual Gain-Auto

Offset-ECG

Offset-Paddles

Lead

Frequency Frequency

Tolerance

Mode

Noise,

Rejection

Accuracy

Alarm

Leads

Paddles

Check

Limits

Requirements

Frequency

Gain Chart

Energy

Response

Accuracy,

Speed

Waveform

(Source

(Sink

Leakage)toGround.

Current)

(Source

Patient

Leads

(Sink

Current)

Adjustment

Filter

Calibration

Response, Response

(DC)-ECG

(DC)-Paddle

(CMR)

(CMR),

Linearity,

Switches

Charger

Adjustment

Control

Mode

Input

Leads

Check-Paddle

Lead

Input

Leads

Paddles

Source

and

Information

with

115

Volts

Leakage)toGround.

Check

Circuit

with

Board

115

. . .

Input

input

Source

Overshoot

. . .

. .

App

Vol

.

.3-11

3-12

3-14

3-15 3-17

3-17

3-18

3-18 3-20

3-21 3-22

3-24

3-25

3-26

3-27

3-28

3-29

3-30

3-31

3-32

3-33

3-34

3-35

3-36

3-37

3-39

3-40 3-41

3-42

3-43 3-43 3-44

3-45 3-46

3-47

3-48

3-49

3-50 3-51

3-51 3-52

3-52

3-53

3-53 3-54

3-54 3-55

3-56

/r^l

iv

TABLE

Models

OF

CONTENTS

78670A/78671A

78670-1

3.4.3.4

3.4.3.5

3.4.4

3.4.4.1

3.4.4.2

3.4.5

3.4.5.1

3.4.5.2

MECHANICAL

4.0

4.1

4.2

PRELIMINARY MECHANICAL

MECHANICAL

4.2.1

4.2.2

4.2.3

4.2.4

4.2.5

4.2.6

4.2.7

4.2.8

4.2.9

4.2.10

4.2.11

4.2.12

4.2.13

4.2.14

4.2.15

4.2.16

4.2.17

4.2.18

4.2.19

4.2.20

4.2.21

4.2.22

4.2.23

4.2.24

4.2.25

4.2.26

4.2.27

4.2.28

4.2.29

4.2.30

4.3

RECHARGEABLE

4.3.1

4.3.2

4.3.3

4.3.4

4.3.5

4.3.6

4.3.7

4.3.8

4.4

RECORDER

Self

Testing

Defibrillator

Synchronizer

Test

R-wave/Sync

Paddle

DISASSEMBLY/ASSEMBLY

Replacing Paddle/Cable

Replacing

Replacing Safety

Patient

Circuit Recorder

ECG

Switchboard

CRT

Front

Fuse

Knob

ECG

Knob

Energy

Recorder

Printhead Printhead

Contact

Test

Paddle

INSTRUCTIONS

DISASSEMBLY REASSEMBLY

Relay

Analog

Replacement

Panel

Replacement

Removal

Size,

Replacement

Assembly

QRS

Beeper

Section

Equipment

Pulse/Discharge

Indicator

Equipment

Contact

the

Low

Voltage

Assembly

the

Defibrillator

H.V.

Relay

Board

Capacitor

Replacement

Assembly

Board

Replacement

Removal

Recorder,

Selection

Replacement

Replacement Adjustment

Knob

Installation

Speaker

"PaddlesinPlace"

ENERGY

Other

SYNC/DEFIB

Flex

Liquid

LCD

LED

General

Charge

SELECTOR

Components

Switch

Mountedonthe

Switch

Circuit

Crystal

Replacement Replacement,

NICKEL

Replacement

Display

Front

CADMIUM

Description

Retention

Charging

Voltage

WhatToDo

Cell

Battery

Storage

Depression

Reversal

Replacement

of

STYLUS

REPLACEMENT

About

Nickel

It

Cadmium

Accuracy

Capacitor

Indicator

Replacement

Alarm

Charge

Power

H.V.

and

Test

ECG

Replacement

Reed

Switch

Replacement

...

Replacement

Panel

BATTERY-Bl

(Memory)

Batteries

Time

Delay

Supply

Board

Source

Flex

Circuit

Board

Knobs

3-56

3-57

3.57

3-57

3-58

3-61

4-0 4-1

4-2

4-4 4-5

4-8

4-9

4-10

4-11

4_12 4-12

4-13

4-14

4-16

4-17

4-18

4-20 4-21

4-22

4-23

4-24

4.94

4.35

4_26

4-26

4-28 4_29

4.29 4_29

4_29

4_30

4.30

4_3q

4_31

a

01

J^f

TABLE

Models 78670A/78671A

78670-1

OF

CONTENTS

5

TROUBLESHOOTING

5.1 INTRODUCTION 5-1

5.2 BOARD LEVEL 5-1

5.2.1

5.2.2 Defibrillator H.V. Problems 5-2

5.2.3 LCD Readout Problems 5-4

5.2.4

5.2.5

5.2.6

5.2.7 Indicator Malfunction 5-9

5.2.8

5.2.9 Real

5.2.10

5.2.11

5.2.12

5.3 COMPONENT LEVEL 5-13

5.3.1 ECG Monitor 5-14

5.3.2

5.3.3

5.3.4

5.3.5

5.3.6

5.3.7

5.3.8

5.3.9

5.3.10

System

ERROR

CRT

Recorder

ECG

Control

Service

Battery

ECG

5.3.2.1 ECG

5.3.2.2

5.3.2.3

5.3.2.4 Paddle Contact Indicator 5-17

Digital

Memory Deflection Clock/Heart Recorder

5.3.7.1

5.3.7.2

5.3.7.3 Switch Functions 5-36

5.3.7.4

Defibrillator

5.3.8.1

5.3.8.2

5.3.8.3 Paddle

Defibrillator

Pulse

Problems

Messages

Display

Problems

Signal

Time

Problems

Clock Problems 5-11

Problems 5-11

Mode

Power

Analog

Board

Section

ECG

Differential

Bias

Voltage

ECG

Board

Annotation

CRT

Digits

Recorder

Error

LCD

Display

Width

on

LCD

Problems

Base

(A3)

Check

Board

(A-4)

(A5)

(A6)

Rate

Board

(A8)

(78670A

Control

Messages

Contact

Charger

Modulator

Problems

Amplifier

Procedure

(A7)

Only)

Board

Indicator

Board

(A12-U1)

Test

(A10)

(A-ll)

Procedure

on

Differential

Amplifier

5-2

5-5

5-6

5-7

5-10

5-12

5-14

5-15

5-16 5-16

5-17

5-22 5-25 5-26 5-30 5-31

5-34

5-37

5-39

5-40

5-41

5-55

6

REPLACEABLE

6.1

6.2

6.3

7

ACCESSORIES

7.1 78668A Quick-Mount Power Base 7-1

INTRODUCTION

REFERENCE

ORDERING

7.1.1

7.1.2

7.1.3

7.1.4

7.1.4.1

7.1.5

7.2

VI

BATTERY

PARTS

Theory

Regulated

Raw

Low

AND

SCHEMATIC

DESIGNATIONS

INFORMATION

of

Operation-AC

Voltage

Line

Disassembly

and

Voltage

Troubleshooting

CHARGER

78669A 7-9

Circuit

Battery

Circuit

Power

DIAGRAMS

Circuits

Charge

Base

Circuit

6-1

6-1 6-2

7-1

7-2

7-3

TABLE

Models 78670A/78671A

OF

CONTENTS

78670-1

7.2.1

7.2.2

7.2.3

7.2.4

7.2.5

7.2.6

7.2.7

7.2.8

7.2.9

7.2.10

7.2.11 Maintenance 7-12

7.2.12

7.2.13

7.3

OPTIONS

RECHARGEABLE

7.3.1

7.3.2

7.3.3

7.3.4

7.3.6

7.3.7

7.3.8

Description

Charging

Indicator

Battery

Current

Circuit

Timing

Clock Gate 7-11

Divide

Counter

Disassembly

Troubleshooting

General

Charge Charging

Voltage

Cell

Battery

Storage

Lamps

Charger

Source

Voltage

Oscillator

By

2048

Reset

NICKEL

Description

Retention

Depression

Reversal

Replacement 78660-60401

of

TheoryofOperation

Regulator

and

Divide

Gate

Battery

CADMIUM

Nickel

BATTERY-Bl

(Memory)

Cadmium

By

4096

Charger

Batteries

Counters

7-9

7-10

.7-11

7-11

7-12

7-15

7-19 7-19

7_19 7-19

7-20

7-21

8-1

FIGURE

1-1

1-2

1-3A

1-3B Paddle 1-4

1-5 1-6

1-7

Front

Defibrillator

View

Paddles

Contact

Model

78670A and 78671A

Accessories Non-Fade

Date Time

1-8 Stored and

1-9

1-10

2-1

2-2

2-3

2-4

2-5

2-6

2-7

2-8

2-9

2-10

2-11A

2-11S

Heart

Rear

Rate

Panel,

Model 78670A

Detailed

ECG

Source

Protective

Differential

Right

ECG

Chopper

Baseline

Fixed

Paddle

Leg

Leads

Modem

Driver

Gain

Contact

LIST

OF

ILLUSTRATIONS

TITLE

Model

78670A/7861A

Waveform

Defibrillator

Indicator

Controls

Storage

Compartment

Display

Annotation

Delivered

and Marker

Energy Annotation 1-11

Annotation

Model 78670A and 78671A 1-12

Block

Switch

Diaqram

Diagram, Model 78670A

Foldout

Circuitry

Amplifier

Drive

Off

Circuit

Indicator

Circuit

and Power Supply 2-10

Circuit

Restore

Stage

Circuit

PAGE

1-0

1-5

1-6

1-7

1-9 1-9

1-11 1-11

2-1

.2-6

2-7

2-8

2-9

2-11

2-12

2-13

vii

TABLE

Models

78670-1

OF

CONTENTS

78670A/78671A

2-12 2-13

2-14

2-15

2-16

2-17 2-18A

2-18B

2-19 Erase Bar Generator 2-19 2-20 Oscillator and Johnson Counter 2-19

2-21 1025 and 1026 Count Circuit 2-20

2-22A

2-22B

2-23

2-24 2-25

2-26

2-27

2-28

2-29

2-30

2-31 Clock

2-32

2-33

2-34

2-35

2-36

2-37

2-38

2-39

2-40

2-41

2-42

2-43 2-44

2-45

2-46 Pulse Width Modulator 2-39

2-47 PWM Shutdown 2-40

2-48 HV Defibrillator Inverter Circuit 2-41

2-49

2-50

2-51

2-52

2-53

5-54 2-55

2-56

2-57

2-58 2-59

2-60

2-61

3-0

3-1

3-2

50/60HzNotch

Auto

Gain

Attenuator

Filter

VoltagetoFrequency

Auto

Bias

Microprocessor

CRT

Display

Read/Write

Memory

Ramp

Generator

Multiplex

Deflection

CRT

Intensity

CRT

Blanking

Clock/Heart

Clock

Timing

Clock

Recorder

Microprocessor

Printhead

A8-U2

Printhead

"Ticker

LCD

Timing

Charge Paddle

HV

Capacitor

HV

Monitor

Patient

Peak

Safety

5.4VReference

Low

Voltage

Pulse

Flyback

Low Low

Voltage

Flyback

CRT

Circuit

Energy

Five

Circuit

Reset

and

Blanking

Sequence

to

CRT

Circuit

to

Recorder and Output Block Diagram 2-21

Driver

Timing

Amplifier

Driver

Circuit

Rate

Circuit

Board Block Diagram .

Diagram

Circuit

Control

ECG

Read Cycle Timing 2-26

Time

Amplitude

Set

Circuit

Reset

Driver

Drive

Protection

Reset

Done Contact

Circuit

Signal

Circuit

Tone

Chopper

Monitoring

Circuit,

Relay

Dicharge

Relay

Width

Driver

Battery

Transformer

Supply

Board Locator 3-0

Accuracy

Gain

Circuit

Current

Circuit

and

Power Modulator

Modulator

Circuit

Detector Supply

Regulator

Test

Stages

Supply

of

Circuit

Converter

(Tickle)

Circuit

Timing

Delay

Fixed

Block

Mode

Trace

Diagram

Mode

Cycle Timing 2-26

Limit

(Tickle)

Oscillator

Circuit

Equivalent

Circuit

Pulses

Circuit

Detector

Low

Block

External

Circuit

DC

Output

CRT

Battery

Block

Supply

Circuit

Shutdown

Diagram

Circuit

Waveform

Circuit

Setup

AUTO

2-14 2-15

2-16

2-17 2-18

2-18

2-21

2-22 2-22

2-23

2-24

2-25

2-28

2-29

2-30

2-31

2-32

2-33

2-35 2-35

2-37

2-42 2-43

2-44

2-45

2-46 2-47

2-48

2-49

2-50 2-51

2-52

3-4

3-7

via

TABLEOFCONTENTS

Models

78670A178671A

78670-1

Heart

3-4

3-5

3-6

3-7A

3-7B

3-8A

3-8B

3-9A 3-9B 3-10A 3-10B 3-11 3-12A

3-12B

3-13

3-14

3-15

3-16

3-17 3-18

3-19

3-20 3-21

3-22

3-23

3-24

3-25

3-26

3-27 R Wave 3-59

3-28

3-29

4-1

4-2

4-3

4-4

4-5

4-6

4-7

4-8

4-9

4-10

4-11 Front

4-12 Front

4-13 CRT

4-14

4-15 Mother Board Fuse Location A2-F1 and F2 4-15

4-16 ECG Knob Removal 4-17

4-17

4-18

4-19

4-20 Recorder Assembly

4-21 Recorder Mechanism 4-20

4-22

Power

Test

Paddle

Patient

Leakage Leakage Patient Patient Test ECG

ECG Amplifier

ECG

Input ECG ECG

Calibration

Common

Heart

Service

Energy

R

ECG

Sync

R

Screw

Inside

Circuit

Low

Defibrillator

H.V.

Cable

Paddle

Upper

CRT

Energy

Recorder

Detail of Printhead 4-21

Rate

Cord

Connections

Accuracy

to

Leakage

Lead

Current Current Lead Lead

Setup

Amplifier

Offset Amplifier Amplifier

Mode Mode

Rate

Mode

Accuracy

Wave/Sync

Output

Pulse

Wave/Sync

Locations

View of 78670A 4-2

Board

Voltage

Component

Housing

Cable

Housing

Panel

Removal

Yoke

Assembly

Select

Assembly

and

Alarm

Chassis

to

Ground

Paddles

CurrenttoGround

Test

Leakage

Leakage Leakage

for

Battery

Gain

Baseline

Frequency

Tolerance

Noise, Noise,

Step

Rejection Rejection

Accuracy

Test

Pulse/Discharge

Waveform

with

CurrenttoGround

Between Between

Current Current

and

Leads Paddle

Waveform

Test Test

Test

Pattern,

Test

Setup

115V

Patient Patient

Capacity Frequency

Frequency

Offset

Response

(DC)

Leads

Input

Setup

Recorder

Delay

SuperimposedonR

Pulse/Discharge

for

Disassembly

Shield

Power

Charger

Removal

Supply

Board

Servicing

Assembly

Pulse

Board

Removal

(78671A)

Removal

Replacement(78671A)

Replacement

Circuit

Removal

Knob

Removal

Knob

Removal

(78671A)

Board

Location

Resistance

Check

Applied

Test

Leads

Leads Test Test

Check

Test Test

with

115VApplied

with

115VApplied

Response

Test

(Leads)

(Paddles)

Setup

Test

(Leads) (Paddles)

Test

Wave

Setup

Test

(Paddles)

Setup

Relationship

(78670A)

Removal(78671A)

(78671A)

Setup

3-7

3-9

3-10

3-11

3-12

3-13

3-14 3-15 3-16 3-16 3-17 3-40

3-40

3-42

3-44

3-44 3-46

3-47

3-48

3-49 3-51

3-51

3-53

3-55

3-58

3-59

3-60

4-1

4-3

4-4

4-6

4-7

4-8

4-11

4-14

4-15

4-17

4-19

IX

TABLE

Models

78670-1

OF

CONTENTS

78670A/78671A

4-23

4-24

4-25 4-26

4-27

4-28

6-1

6-2

6-3

6-4

6-5 6-6

6-7

6-8

6-9 6-10

6-11 6-12

6-14

6-15

6-16

6-17

6-18

Top

View

Front

Flex LCD

Removal

LCD

Removal

LCD

Removal

System

of

Panel

Circuit

Block

Schematic,

Schematic, Schematic,

Schematic,

Recorder Schematic,

Schematic, Schematic,

Schematic,

Assembly

Schematic,

78670A

Case

Receptacle

78671A

Case

Recorder

Mounted

Assembly

Housing

ComponentsonUpper

(A16) Sequence Sequence

Sequence

Diagram

Mother

ECG

Memory Deflection

Clock/Heart

Recorder

Defibrillator

Defibrillator Low

Flex

Heart

Assembly

Cable

Assembly

Board

Analog

Digital

Board

Control

A9

Voltage

Circuit

Rate

Assembly

Board

Rate

Power

Board

A1

(cont.)

A1

and

Beeper

Speaker

Housing

4-23

4-24

4-25 4-27 4-27

4-27

6-5/6

A2

A3

A4

A5 6-13/14

A6

Board

Control

Charger

Assembly

A7

A8 6-19/20

Board

Supply

A16 6-29/30

A10

A11

Board

A12

A17

6-7/8

6-9/10

6-11/12

6-15/16

6-17/18

6-21/22 6-23/24

6-25/26 6-27/28

6-31/32

6-33/34

6-35/36

6-37/38

6-39/40

/1*%

'

7-1

7-2

7-3

7-4

7-5 78669A

O'iic'<-X,.ount

0o\iw

Quick-Mount Power Base (Bottom View)

Quick-Mount Power Base Inner

Schematic,

Power Supply Board

Battery

Charger

7-6 Timing Diagram

7-7

7-8 Bottom Cover Removal

7-9

7-10

7-11

7-12

7-13

8-1

Top

Cover

Removing

Battery

Heat

Charger

Schematic,

78670A,

Option

Removal

Radiator

with

Circuit

Battery

A03

vise

Top

Bottom

Charger

Case

Circuitry

Cover

Removed

Cover

Board

Assembly

Removed

7-1

7-3

7-7/?

7-0

7-11

7-f

7-13

7-H

7-14

7-15

7-17/1'3

8-9/10

--•%

/

TABLES

TABLEOFCONTENTS

Models 78670A178671A

78670-1

TABLE

1-1

1-2

1-3

3-1

3-2

3-3

3-4

3-5

3-6

3-7

6-1

Manufacture's

Model 78670A Model 78671A

Power

Required

Equipment

Safety

Adjustment

Test

Cable

Test

Safety

and

Necessary

Analyzer

Equipment Req'd

Equipment Req'

Equipment Req'd

TITLE

Defibrillator/Monitor Defibrillator/Monitor/Recorder

Sets

Equipment

Maintenance

is

Location

Code

for

Tests

if

the

not

used

for

ECG

for

Recorder

for

Defibrillator

for

Synchronizer

Level

Dempsey

Amplifier/Heart

Specification

with

II

Model

Annotating

Performance,

431F

Specification

PAGE

Recorder

Specs

.

Specs

1-16

3-18

Rate Spec Checks . . . 3-39

Checks 3-52

Checks

....

3-54

Checks 3-58

1-2 1-3

3-2

3-3

6-3

XI

TABLE

Models

78670-1

OF

CONTENTS

78670A/78671A

XII

SECTION1-GENERAL

Models

INFORMATION

78670A/78671A

78670A-1

SECTION I - GENERAL INFORMATION

Models

78670A/78671A

1'8670A-1

MODEL

PADDLE

78670A

CONTACT

DEFIBRILLATOR/MONITOR

INDICATOR

AND

INTERCHANGEABLE

WITH

ANNOTATING

PADDLE

RECORDER,

CONNECTOR

1-0

MODEL

78671A

Figure 1-1. Model

and

DEFIBRILLATOR/MONITOR

78670

A Defibrillator/Monitor with Annotating Recorder

Model

78671A

Defibrillator/Monitor

WITH

RECORDER

with

Recorder

GENERAL

SECTION

INFORMATION

SECTION

I

I -

GENERALINFORMATION

Models

78670A/78671A

78670A-1

1.1

This

INTRODUCTION

manual

contains

service

Defibrillator/Monitors. mechanical

component

installation 78670-91998

1.2

This

the

number

IDENTIFICATION

manual

same

(XXXXA00000),

separating

instrument

United

The

Defibrillator/Monitor,

plate

The

the

which

serial

instrument

disassembly,

level

information

and

applies

or

lower

prefix

digits

and

the

prefix

was

Kingdom).

serial

is

number

in

the

Model

to

serial

are

identifies

and

manufactured(A=

number

and

attached

for

the

to

the

information

This circuit

are

78671A

all

Model

number

the

of

the

to

the

78668A

AC

manual

board

for

covered

78670A

prefix

first

latest

serial

USA;

the

78669A

bottom

Quick-Mount

power

for the

also

contains

Model

removal

both

Operating

four

instruments.

in

the Guide,

and

78671A

as

that

of

shown

the

ten-digit

modificationofthe

number

C =

Spare

cover,

designates

Canada;

78670A

Battery

near

Power

receptacle.

78670A

complete

and

replacement

Operating

Model

78670A

and the

theory

procedures,

instructions

Operating

of

78671-91998.

Defibrillator/Monitors

on

the

title

instrument

page.

serial

instrument.

the

country

G =

Germany;

Defibrillator/Monitor,

Charger

the

Base

center

is

located

in

J =

indicated

of

the

on

Model

78671A

operation,

and

Guide,

having

The

serial

number

The

letter

which

Japan;

instrument.

the

this

U =

78671A

on

the

rear

of

Important

manual

provided

manual.

of

which

the

manual

contains corrections for errors within the manual.

On

the

number.

transparencies

of

the

as

well

1.3

Refer

Packard and

complete

manual

information

to

cover

inablue

These

appear

improvements

supplements

on

current

title

manual

as

INQUIRES

any

pageofthis

This

part

pages.

all

of

pertinent

questions

this

Sales/Service

10-digit

foraworldwide

for

Manual

the

and

number

manual.

The

or

Office.

serial

listing

correcting

Changes

are

keyed

title

page,

accurate.

manual,

can

be

microfiche

Service

comments

Always

number

of

errors,

that

occur

Supplement

to

and are The

preceding

used

to

Each

microfiche

package

Notes.

regarding

identify

in

the

Hewlett

and

after

inserted

the

manual

revisedasoften

Errata

order

Section

the

manual

6.5x15.2

also

this

the

all

correspondence.

Packard

for

adapting

the

printing

under

print

part

contains

includes

manual

instrument

Sales/Service

the

of

the

front

date

and

as

of

a

Manual

number,isa

cm

(4x6

up

to 60

the

latest

to

the

by

See

contents

the

part

of

manual

cover

of

number,

this

is

the

both

necessarytokeep

Change

sheet

microfiche

inch)

photo

nearest

both the

Offices.

microfiche

duplicates

manual

Hewlett

model

rear

of

change

number

this

/-/

SECTION

Models

78670A-3

I -

GENERAL

78670A/78671A

INFORMATION

1.4

1.4.1

With

indicator

same. The

functions

DESCRIPTION

General

the

exception

DEFIBRILLATOR

Waveform:

Output

20,

and

Charge

paddle.

Charge 360

Delivered

Crystal

delivered

energy.

Armed

light

Safety to

connected.

Paddle

LED

indicates

contact

Paddles:

Anterior,

electrodes

electrodes.

paddles

Synchronizer:

off

pulseonmonitor

discharge

30

ms.ofmarker

SIZE

Dimensions:

Critically

Energy

30,

50,

360

joules.

Control:

Time:

joules.

Energy

Display

into50ohms

Indicators:

and

digital

Interlock:

50

joules

Contact

bar

graph

qualityofdefibrillator

before

Standard

adult

twist

available.

with

each

point.

and

WEIGHT

of

and

interchangeable

printhead,

and

controls

damped

(Delivered):

70,

100,

Push-buttononapex

Less

Display:

shows

display.

with

Indicator:

arrayonsternum

discharge.

paddles

and

offtoexpose

Full

range

SYNC

detected

indicates

Discharge

pulse.

22.9

cm

sinusoidal.

150,

than10seconds

energy

that

load

and

Charge

done

Output

internal

are

pediatric.

of

indicator

R-wave.

defibrillator

occurs

H x

200

Anterior/

pediatric

31.1

W x47cmL(9"x12.25"x18.50").

Weight:

OPTIONS

A03

C01

C02

C03

C04

12.7kg(28

Delete

connector.

Add

78669A

Charger.

Delete

78668A

Power

Base.

Add

Adult/Pedi

Posterior

Add

Adult

includes

pounds).

interchangeable

Spare

Quick-

Anterior/

Paddles

14412D.

Internal

handle

set,

part

the

paddle

are

5,

10,

300

Liquid

will

self

test

tone,

limited

paddles

3-color

paddle

Adult

internal

flashes

Marker

within

paddle

Battery

Mount

Paddles;

annotating

deleted

MONITOR

Inputs:

patient

LEADS indicator

Lead

if

Common

to

with5Kohm

non-isolated Display

be

3.75

non-fade,

Patient

or

Sweep

Frequency

Heart

from20to

ECG Calibration:

switch

amplifier.

RECORDER

Annotation:

Paper

40mmoffset

Recorder

(Real

Frequency

BATTERIES

cm

Type:

cadmium.

ORDERING

C05

C06

printhead

paddle

contact

Fault:INOP

patient

secondsofECG

greateratinput

Output:

Size:50mmx30m(100

Time

connector,

indicator,

in

the

ECG

from

cable.

LeadI,II,

position.

lightstoshow

Size&Type:

fixed

Isolation: Twelve (12)

Speed:

Rate

simulates1mV

Modes:

2.0

electrode

set,

LEADSorPADDLES

lead

becomes

Mode

Rejection:

imbalance

ground.

trace.

connector.

25

Response:

Display:

240

BPM.

1V,

Nominal.

Momentary

10

characters/sec

grid.

Delayedby4

available).

Response:

A/hr

number

Add

Paddles;

part

pediatric

Add

(3.4

14416A

Pediatric

number

part

Infant

14990B

14993

includes

electrodes

number

cm)

rechargeable nickel-

INFORMATION

(8.1

on

the

78671A

paddlesor3-lead

III

selected

indicator

with

4.5cmx 9cmfor

dataonscreen;

mm/sec

0.5to40

Digital

A.

Internal

part

Defibrillator/Monitor.

selectable

source.

flashes

disconnected.

112

respect

megohms

nominal.

readout

pushbutton

signaltoECG

nominal.

ft)

with

seconds

0.5to40

and

handle

14992

set,

(5.1

adult

A.

Paddles

number

part

set,

and

cm)

14990B

the

recorder,

78670A and

paddle

Charge

depleted

Capacity:

in

dischargesor2.5 or

recording.

Charge

dB

Hz

batteryischarging;

to

is

STANDARD

78668

Redux® Paste, 1 oz.. Part number

651-1029

ECG Electrode

14151A.Disposable

number

Power

CEE22,

8120-3493-

Recorder

9280-0980.

Adjustment

78660-27800.

Operating

78670-91998

Operating Instruction Card: Part

Number

OPTIONAL

ECG

8120-3164

Sync

78669A

NOTE:

are

L01 L02 L03 N01 N02

Z01

Z02 Z05

900

901

902 906

the

connector,and

1.5

low.

Cable,

not

Time:

battery.

hours

Indicator:

A

14445A.

Cable,

2.4

Paper,

5952-6866

Output

Cable,

Spare

Options

available

French

German

Dutch

CSA

VDE/IEC

50HzOperation 100 230

UK

Australian

European

Swiss

Fifty

combined

ACCESSORIES

Quick

Part

number

Lead

Male

m (8

spare

Tool,

Manual:

ACCESSORIES

Cable,

Part

Battery

C03, C04,

with

Labels

volt volt

Power

16

hoursofmonitoring

flashes

Mount

Set,

Configuration

Operation Operation

paddle

78671A

associated

hours

(50) full

monitoring

Lightison

when

Power

14489B

part

Electrodes,

NEMA-Female

ft)

part

roll,

part

Part

number

Charger

C05

option

Cord

Power

Cord

Power

Cord

part

A03.

for

Number

14482A.

and

contact

are

the

fully

energy

and

when

battery

Base

number

part

number

C06

1-2

Table 1-1. Model 78670A Defibrillator/Monitor/Annotating Recorder Specifications.

SECTION

I -

GENERAL

INFORMATION

Models 78670AJ78671A

78670A-3

DEFIBRILLATOR

Waveform:

Output 50,

Charge

paddle.

Charge

360

Delivered

Crystal

delivered

energy.

Armed

light

Paddles:

Anterior,

electrodes

electrodes.

Synchronizer:

off

pulseonmonitor

discharge

30

ms.ofmarker

Dimensions:

47cmL

Weight:

MONITOR

Inputs: patient

LEADS

indicator

Lead

patient

Critically

Energy (delivered):

70,100,150,

200,300&360

Control:Push-buttononapex

Time:

joules.

Display

Indicators:

and

with

cable,

position.

Fault:INOP

Less

Energy

shows

into50ohms

digital

display.

Standard

adult

twist

each

point.

(9"x12.25"x18.50").

12.7kg(28

ECG

lightstoshow

lead

paddles

and

offtoexpose

SYNC

detected

indicates

Discharge

pulse.

22.9cmH x

from

LeadI,II,

LEADSorPADDLES

becomes

damped

sinusoidal.

5,10,

20,

joules.

than10seconds

Display:

energy

load

Charge

pediatric.

indicator

R-wave.

pounds)

paddlesor3-lead

III

selected

indicator

Liquid

that

will

and

self

done

are

Anterior/

pediatric

flashes

Marker

defibrillator

occurs

within

31.1cmW x

selectable

source.

flashes

disconnected.

30,

test

tone,

Adult

to

be

in

if

Common 5K

isolated

Display

3.75

non-fade,

Patient

or

Sweep

Frequency

Heart

readout

ECG Calibration:

switch

amplifier.

RECORDER

Paper 40mmgrid.

Recorder (Real

Frequency

BATTERIES

Type:

cadmium.

Charge

depleted

Capacity: dischargesor2.5

1.5

recording.

Mode

ohm

imbalance

ground.

Size&Type:

seconds of ECG

fixed

Isolation:

greateratinput

Speed:

Response:

Rate

from20to

Output:

simulates1mV

Size:50mmx30m(100

Modes:

Time

available).

Response:

2.0

Time:

battery.

hours

combined

ORDERING

Rejection:

112dBwith

with

respecttonon

4.5cmx 9cmfor

dataonscreen;

trace.

Twelve

(12)

connector.

25

mm/sec

megohms

nominal.

0.5to40

Hz.

Display (Optional): Digital

240

BMP.

1V,

nominal

Momentary

(Optional)

Delayedby4

A/hr

16

Fifty

hoursofmonitoring

push-button

signaltoECG

ft)

with

seconds

0.5to40

rechargeable nickel-

hours

(50)

full

monitoring

for

Hz.

fully

energy

and

INFORMATION

Charge batteryischarging;

is

STANDARD

78668A

low.

Indicator:

ACCESSORIES

Quick

Mount

Lightison

flashes

when

Power

when

battery

Base

Redux® Paste, 1 oz.. Part number

651-1029

ECG

Cable,

Electrode

14151A.

Disposable

14445

a.

Power

CEE22,

8120-1992.

Recorder

9280-0980.

Adjustment

78660-27800.

Operating

78671-91998

Operating

number

OPTIONAL

ECG

8120-3493.

Sync

Cable,

78669A

or

Lead

Cable,

2.4

Paper,

Instruction

5952-6868

ACCESSORIES

Output

Spare

Part

Set,

Electrodes,

Male

m (8 ft)

spare

Tool,

Manual:

Cable,

Part

Battery

number

Part

NEMA-Female

part

roll.

Part

Card:

Part

number

Charger

14489B.

number

Part

number

14482A.

OPTIONS

A01

Delete

A02

Delete

C01

Add

78669A

Charger

C02

Delete

Power

1.4.2

Model 78670A

The 78670A

1-2)

combined

Energy

is

discrete

The

through

ECG

a

Recorder

Recorder&Heart

Spare

Battery

78668A

Base

is

Quick-Mount

a

with

selectable

steps,

Monitor

three-lead

(400

Rate

Table 1-2.

L01

L02

L03 N01

N02

Z01

Model

Defibrillator/Monitor

critically

a

non-fade

to

joules

displays

patient

damped

360

replaces

HEART

joules (delivered into a 50

cable.

French

Labels

German Dutch

Labels

CSA

VDE/IEC

50HzOperation

78671A

sinusiodal

ECG

monitor

360

RATE,

100

volt

230

volt

UK

Power

Australian

European

Swiss

Power

Labels

Configuration

Z02 Z05

900 901 902

906

Defibrillator/Monitor Specifications.

with

Annotating

waveform

and

annotating

Recorder

defibrillator

strip

ohm

joules

and

HEART

with

ECG

RATE

option

obtained

ALARMS

A01).

through

are

preset

Operation

Cord

Power

Cord

Power

Cord

(see

figure

chart

recorder.

load) in eleven

the

paddles

at

30 and 150

or

1-3

SECTION

Models 78670A/7867IA

786

70A-1

I -

GENERALINFORMALION

BPM. adjusted

The

DELIVERED

The which

monitoring

(Quick-Mount

power

battery.

battery condition exists.

Mounting

wall

emergency

An

electrodes

battery

1.4.3 Model 78671A Defibrillator/Monitor/Recorder

Size

recorder

73670A

provides

of the

if

desired.

ENERGY,

operates

or

automatically

fifty

1.5

Power

ope

operation

During

the

of

78668A

providesasecure

portable

accessory

operation,

and

storage

Redux

ECG

waveform

PEAK CURRENT and PATIENT

from a 360

joule

hours

Base)

battery

of

is

provided

the

Defibrillator/Monitor

operation,

Quick-Mount

mounting

use.

compartment

paste.

permits

its

is

automatically

annotates

rechargeable

discharges,

combined

DATE/TIME,

monitoring

asastandard

a

BATTERY

Power

The

use

Base

for

the

provides

compact,

in

portable

instrumentaswell

IMPEDANCE

2.0

ampere-hour

or

more

v/hile

LOW

to

the top

convenient

lightweight

applications.

controlled

HEART

than

and

RATE,

during a

2.5

recording.

accessory

simultaneously

indicator

ofacart

storage

package

or

can

be

SELECTED

procedure.

nickel-cadmium

as

hours

and

flashes

or

a

for

of

A

Model

allows

charging

when

vertically

quick

release

patient

design,

manually

ENERGY,

battery

continuous

78668A

AC

line

its

a low

on

for

leads,

along

with

a

The

78671A

and

recorder.

same

as

paddle

non-interchangeable

1.4.4

Fixed

or

monitor

internal

trace

display

appears

The

oldest

written

a

strip

screen

view

at

approx 3.75

1.4.5

Real

time

recorder

trace

Defibrillator/Monitor

The

the

78670A

contact

Monitor

indicator

moving

is

internally

programming

is

to

be

written

information

in

its

place.

chart

and

the

Recorder

recorder.

moves

left

seconds.

or4second

is

internally

with

internal

(78660-60170).

defibrillator

described

on

paddles.

ECG

waveforms

programmed

switch

comparable

from

is

The

New

across

edge

from

of

the

delayed

programmed

programming

combinesaDC

recorder

in

the

sternum

are

to

S2,

mounted

to

a

left

to

erased moving

by trace

information

right

screen.

ECG

waveforms

and

Section

1.4.2

paddle,

displayed

display

on

the

conventional

right

a

across

moving mode

is

to

left.

The

Sweep

are

to

print

eitherareal

switch

defibrillator,

monitor

with

no

on

a

either

memory oscilloscope

erase

sections

the

following

annotation

4.5

x 9 cm

a

fixed

board

the

screen

bar

before

where

providesadisplay

written

oldest

speed

printed

in

at

information

is

25 mm/sec;

on

the

time

SI,

mounted

on

non-fade

are

essentially

exceptions:

on

the

display

or

moving

(78660-60

new

by

repet

new

in

simila

right

dis

recorder

or 4

second

the

ECG

monitor

recorder,

area.

trace

170).

information

itive

formation r to that of

edge appears play

with

Fixed

sweep,

of

from

time

paper.

delayed

memory

board

the

no

and

The

is

the

is

The

1-4

SECTION

I -

GENERAL

Models78670A178671A

INFORMATION

78670A-l

1.4.6

The

impedance.

the

operator preparation.

pounds

near

The

higher

current value must reach a certain threshold for defibrillation and should

therefore

available

preparation

contact

before

Defibrillator

defibrillator

However,

total

impedance

controls

If

is

used,

normal

output

peak

be

to

then

discharge

waveforms

current

optimized

the

techniques.

indicator

discharge,

100

i-

Output

stores

the

sufficient

the

to

actual

the

largest

sufficient

an

impedanceofapproximately

would

shown

is

obtained.

for

operator

As

(on

sternum

optimizing

Information

energytodischarge

energy

defibrillator

portionofthis

electrolyte

occur.

in

Figure

1-2

Recent

any

an

particular

for

accomplishing

aid

to

the

paddle)

current

deliveredtothe

delivered

charge.

impedancebythe

is

applied,and

indicate

clinical

energy

operator,,

that

helps

360

into

As

50

ohms

that

evidence

setting.

this

is

the

achieve

patient.

joules

a

patientisa

a

practical

qualityofthe

paddle

would

with

decreased

indicates

The

through

'78670A

best

intoafifty

function

matter,

ohm

of

the

skin

pressure

be

expected

of

20-25

and

impedance,

that

the

peak

primary

proper

method

paddle

providesapaddle

paddle

contact,

a

-20

L-

1.4.7

The

control

performaself-diagnostic

Self

78670A

and

Diagnostics

and

78671A

monitor

system

360

JOULES

Figure 1-2.

Defibrillator

Waveform

Defibrillator/Monitors

operation.

routine.

This

advanced

use

microprocessor

design

technology

enables

the

unit

to

1-5

SECTION

Models 78670A/78671A

78670A-1

Each

control

flash

an DELIVERED

time

"HP"

ERROR

I -

GENERAL

the

section.

and

CODE

ENERGY

Defibrillator/Monitoristurned

such

INFORMATION

If

all

"888".

display

Ifaproblem

as:

"PI", "P2",

is

refer

O.K.,

the

exists,

"P3",

to

SectionVfor

ON,

DELIVERED

the

DELIVERED

or

"P5".

troubleshooting

a

self

ENERGY

If

an

check

display

ENERGY

ERROR

is

performed

will

display

CODE

information.

alternately

will

flashes

on

the

flash

on

the

1.4.8

Charge

battery

fully

mains

1.4.9

The twist-off

electrodes

Press

counterclockwise

Defibrillator

time

or

rated

charged

voltage

Paddles

78670A

and

adult

as

down

to

on

Charge

360

battery

with 78668A

joules

mains

78671A

(after

paddle

electrodes.

follows:

the

adapter

direction.

Time

(delivered):

voltage

with

15

Power

Base.

set

If

locking

less

78668A

maximum

is

equipped

pediatric

lever

than

Power

energy

with

paddles

and

10

seconds

Base;

discharges)

pediatric are

required,

rotate

the

less

with

than

or

90%

electrodes

remove

adult

electrodes

fully

11

of

charged

seconds

the

under

the

with

rated

the

adult

in

a

To

replace

reverse

The

78670A

contact

A

3-color

graph

paddle

delivered

1-6

the

indicator

array

contact,

to

the

adult

above

incorporates

(red,

helps

patient.

yellow,

operator

optimizing

electrodes,

procedure.

a

on

the

green)

paddle

sternum

achieve

current

Figure 1-3A. Paddles

simply

paddle.

LED

bar

best

Figure 1-3B.

Paddle

Contact

Indicator.

SECTION

I -

GENERAL

Models 78670A/78671A

INFORMA

TION

78670A-1

Figure 1-4. Model

1.5 MODEL 78670A/78671A OPERATING CONTROLS

1.

ENERGY

The

ENERGY

selecting

5,

10,

2.

CHARGE

Press

is

pressed,

selected

desired

level

Defibrillator

SELECT

delivered

20,

30, 50,

BUTTON

and

release

by

level

AFTER

SELECT

control

energyineleven

70,

the

defibrillator

the

ENERGY

before

defibrillatorischarged,

will

charge

turns

100, 150,

CHARGE

SELECT

pressing

to the

button

charges

78670A

the

Defibrillator/Monitor

discrete

200,

300

to

control.

CHARGE

new

button.

level.

and

charge

in

and

78671A

steps.

360

the

Controls.

ON

Switch

joules

defibrillator.

positions

(watt-seconds).

and

approximately10seconds

The

ENERGY

If

simply

you

reset

SELECT

wish

ENERGY

must

to

change

SELECT

OFF

When

to

be

as

are

the

set

the

as

well

OFF,

button

energy

to

the

energy

control.

1-7

SECTION

Models78670A178671A

78670A-l

3.

The

into

digital

I -

GENERAL

DELIVERED ENERGY

DELIVERED

a 50 ohm

display

ENERGY

INFORMATION

DISPLAY

readout

load

when

permits

easy

indicates

the

defibrillator

viewinginalmost

the

amount

is

any

of

energy

discharged.

ambient

light

which

The

will

condition.

be

liquid

delivered

/*%

crystal,

4. PADDLE

The

PADDLE

contact,

patient.

YELLOW

and

that

5. CHARGE DONE INDICATOR

The

CHARGE

after

indicates

6.

SYNC/DEFIB

The

SYNC/DEFIB

synchronous

CONTACT

before

When

to

GREEN

sufficient

DONE

the

charge

when

INDICATOR

discharge.

the

paddles

as

patient

indicator

button

the

defibrillatorisarmed

SWITCH

switch

(SYNC)

indicator

This

are

impedance

electrolyte

lights

is

pressed

selects

mode

of

operation.

applied

dischargesassoonasbothofthe

the

SYNC

waveform

pressed.

The

defibrillator

is

turned

(SYNC

by

moving

instrument off and on.

mode,

the

indicated

on.

For

position).

the

switch

defibrillator

by

the

marker

automatically

synchronized

The

defibrillator

momentarily

on

the

helps

is

applied.

when

either

sternum

the

to

the

decreases-indicating

the

and

released.

and

the

discharge

will

pulse

sets

operation,

dischargeatthe

—

itselftothe

move

canbereset

back

to

paddle

user

optimize

patient,

defibrillator

In

addition,

ready

for

instant

In

the

DEFIB

buttonsonthe

after

the

both

DEFIB

the

for

DEFIB

discharge

switch

instant

indicates

current

the

LED

proper

reaches

discharge.

defibrillation

mode,

paddles

first

mode

the

best

deliveredtothe

changes

a

from

paddle

selected

CHARGE

DONE

(DEFIB)

the

when

defibrillator

are

pressed.

point

on

buttons

the

instrument

have

momentarilytothe

dischargeatany

positionorturning

paddle

RED

to

pressure

energy

TONE

or

In

the

ECG

been

left

time

this

Note:

position.

go

7. SYNC INDICATOR

The

mode

8. ECG SOURCE SELECTOR

The

cable

selectedinthe

will

condition.

1-8

For

synchronized

If

the

into

the

sync

SYNC

of

ECG

indicator

operation.

SOURCE

selector

(LEADS)orECG

flash

should

ECG

mode.

flashes

LEADS

an

operation,

SOURCE

selectorisin

off

selects

pickupfrom

with

the

paddles

the

ECG

SOURCE

the

each

detected

sourceofthe

(PADDLES).

PADDLES

R-wave

incoming

position.Inaddition,inthe

electrode

become

disconnected,

selector

LEADSI,II

LEADS

must

position,

during

ECG

position,

be

in

the

unit

the

synchronized

signal:

and

the

3-lead

III

indicator

indicatinganINOPerative

will

may

LEADS

NOT

ECG

be

9.

ACCESSORIES

The

accessories storage

leads,

MONITOR

compartment.

electrodes

INTENSITY

STORAGE

and

COMPARTMENT

compartment

Redux

R-WAVE

paste.

BEEPER

SECTION

I -

GENERAL

Models 78670A/78671A

INFORMATION

78670A-1

provides a convenient place to store patient

In

addition,

VOLUME

the

controls

ECG

(LEADS)

are

located

input conector,

in

this

Figure 1-5. Accessories Storage Compartment.

The R-wave

using

the

exceeded,

silence

10.

NON-FADE MONITOR

The

non-fade

moving conventional

repetitive by a

moving

The moving

New

information appears at the right

screen.

Sweep

DIGITAL

below.

VOLUME

the

ECG

The

speed

HEART

beeper

alarm.

aids

control.

beeper

provides

AND

oscilloscope

waveform

and

oscilloscope

sweep from

"erase"

trace

mode

oldest

is

25 mm/second and

left

bar

provides

information

RATEisdisplayed

in

audible

DIGITAL

digital

where

before

When

is

to

detection

heart

an

audible

HEART RATE

internally

heart

new

information

right.

new

information

a

display

disappears

display

on

the

of

some

rate

alarms

warning. Turn

DISPLAY

programmed

rate.

Fixed-trace

is

The

oldest

is

similar

edge

off

time

monitor

to

of the display

the

is

3.75

screen

arrhythmias;

are

enabled

the

to

display

written

information

written

that

left

in

of a

edge

seconds.

in

beats

and

ALARM

across

appears

its

strip

and

of

the

per

volume

the

switch to

either

is

comparable

the

place.

chart

moves

screen.

minute as

is

adjusted

limits

OFF

a

fixed

screen

to

be

erased

recorder.

across the

are

to

or

to

a

by

a

shown

Figure 1-6. Non-Fade Display:

1-9

SECTION

Models 78670A178671A

78670

A-l

I -

GENERAL

IN

FORMATION

11.

The

of

and the

when

synchronized

When

for

ECG

SIZE

ECG

SIZE

the

ECG

waveform

height

in

the

ECG

calibrating

CONTROL

control

DEFIB

or

SIZE

recorder,ifit

12.

RECORDER

The

RECORDER

With

automatically

limits

is

seconds.

12

With

the

switch activates.

the

(30

pressed.

seconds

the

operator

CONTROL/PUSH

control

RECORDER

when

and

When

after

RECORDER

returns

(combined

displayed

of the

SYNC

controlispressed,

the

is

150

initiated

discharge.

waveform

or

instant

mode,

display.

running

has

three

control

the

ALARM

BPM)

are

initiated

by

with1mV

on

the

(delayedbyfour

FOR8SECOND

positions

in

switch

exceeded,

by

pressing

controlinthe

the

RECORDER

the

monitor.

is

automatically

mode.

AUTO

The

the

alarm

RUN

When

setting

the

calibration

RUN

STANDBY

is in

and/or

violation,

the

position,

control

Cal

button)

Turn

maintained

the

defibrillator

is

locked

monitor

generatesasimulated1mV

signal

secondsinthe

BUTTON

—

STANDBY,

position,

the

ON

when

the

CHARGE

to

button,

the

recorder

STANDBY

adjusts

clockwise

out.

and

between

will

delayed

RUN

and

PUSH

the

position

defibrillator

recorder

the

recorder

runs

positionorthe

maintains

to the

is

also

AUTO

0.8 and 1.6 cm

operated

appear

mode).

FOR

8-SEC

recorder

and

heart

CHARGE

run

lasts

runs

continuously

the

position

in

signal

on

RUN.

turns

rate

alarm

button

for

lasts

until

low

paper

size

the

on

16

for

CAUTION:Toprevent

without

recording

of

the

PUSH

of

the

Any

position

13.

The

40

mm

position

are

Each

annotatedat5

When

is

annotated.

PEAK

measuredtobe

paper

FOR

8-SEC

control

recorder

and

ANNOTATING

annotating

offset

are

preset

time

installed.Anew

time

andared

roll.

RUN

resultinconsecutive

run

back

RECORDER

recorder

grid

screwdriver

and

should

the

recorder

second

the

recorder

When

CURRENT

and

less

canbeterminatedbymoving

to

run

PATIENT

than

possible

turns

printhead

warning

the

recorderonforatimed8second

damage,

paper

strip

roll

appears

8-second

the

STANDBY.

(78670A

uses50mm,

allow

adjustments

not

need

runs,

intervalsasshowninFigure

is

initiatedbypressing

the

DISCHARGE

IMPEDANCE

200

only)

thermal

printing

adjustment).

ohms).Asample

along

from

DATE/TIME

the

and

buttons

are

annotated

paper

are

the

recorder

provides

approximately20minutes

should

notbeoperated

approximately30feet

run.

Multiple

runsuptoamaximumof60

RECORDER

(HP

top

edge.

frontofthe

patient

1-7.

the

CHARGE

pressed,

Part

HEART

(if

control

Number

Stylus

recorder

RATE

button,

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SECTION

I -

GENERAL

INFORMATION

Models 78670A/786 71A

78670A-1

HEART

RATE

Figure

/-7

DELIVERED

MONTH

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KM

23

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1

1-11

SECTIONI-GENERAL

Models78670A/78671A

78670A-1

INFORMATION

during

the

administration of

15.

The

steady

connectedtoAC

it

replace

place

the

clinician

BATTERY

battery

when

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episode.Anarrowisannotated

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status

the

battery

wheneveritis in

battery

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input

provides

charge

two-wire

to

power

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CONNECTOR

Defibrillator/Monitor

output

to

develop

oxygen,

INDICATOR

indicator

codes

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flashes

defibrillatorisin

power

and

battery

with

the

power

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is

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a

fully

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base.

base

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the

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for

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is

charged

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(and

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signal

each

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common

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drug

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the

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power

is

base

16

is

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The

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left

and

Section

PACK

pack

locks

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A B C

Figure 1-10. Rear Panel, Model

mountedIVECG

from

the

monitor.

OUT

ejection/locking

the

for

battery

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pack

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Replacement).

BATTERY

EJECTION/LOCKING

LEVER

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78670A&78671A

mini-phone

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place

plug

ejects

when

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pack

to

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when

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C.

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to

provide

1-12

CHARGER

operation

INPUT

connectstothe

fromACpower

output

while

plugofthe

the

internal

78668A

Quick-Mount

battery

Power

Base

packisrecharging.

SECTION

I -

GENERAL

Models 78670Aj78671A

INFORMA

TION

78670A-1

1.6

Options

are

1.7 GENERAL INSTALLATION INFORMATION

1.7.1

1.7.1.1

As

damage,

surface.

procedure

the

rough

damage

packaging

1.7.1.2

Check receipt,

Manual.

OPTIONS

available

listed

in

Initial

Mechanical

soon

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such

If

and

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handling

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material

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the

electrical

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for use

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the

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shipping

damage

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with

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and

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container

controls

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performance

recommended

both

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or

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note

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any

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future

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to

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opened,

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the

signs

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necessary

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78671A

check

and

dents

1.8.2

shipping

severe

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subsequent

in

the

or

for

carton

stress

support

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soon

Section

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instrument

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the

is

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as

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claims

testing.

as

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indication

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1.7.2.1

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Hewlett-Packard

1.7.2.2

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offices,

instrument

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serial

any

1.7.2.3

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materials:

Wrap

office

return address,

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physical

damage

requirements

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and

for

the

therefore,

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number.

correspondence,

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instrument

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service

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for

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materials

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type

of

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refer

Packaging

general

in

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model

evident

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used

to

and

not

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mark

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to the

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instructions

heavy

paper

attach

number and

if

the

received,

at

ship

readily

ORIGINAL

defibrillator

notify

once.

your

available

Hewlett-Packard

required,

instrument

when

or

a

tag

full

serial

return

FRAGILE

by

repackaging

plastic.

indicating

the

78670A

MATERIALS

address,

to

model

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shipping

number.

carrier

and

through

FOR

for

ensure

number

with

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type

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local

FUTURE

servicing,

model

careful

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of

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service

meet

specified

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specifically

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USE.

attach

handling.

serial

If

a

and

full

number.

the

tag

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available

Packard

required,

1-13

SECTIONI-GENERAL

Models78670A/78671A

78670A-1

Use

a

strong

material

Use

enough

instrument

Protect

Seal

the

shipping

is

adequate.

shock

to

provide

control

shipping

INFORMATION

container.

absorbing

firm

panel

with

container

A

material

cushioning

cardboard.

securely.

double-wall

(3

or4inch

and

to

prevent

carton

layer)

movement

made

of

around

inside

all

350

sides

the

pound

test

of

the

container.

Mark

the

shipping

1.8

Refer

procedures.

1.9

1.9.1

The

vibration,

Preparing

to

ENVIRONMENT

Operating

location

excessive

all

options

Temperature:

Relative

Altitude:

container

for

Section

Environment

of

your

dust,

corrosive

humidity.

is:

-20

131

degrees

Humidity:

4,500m(15,000

FRAGILE

to

ensure

careful

Operation

6

of

the

Operating

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or

explosive

The

operating

environment

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vapors

for

should

or

for

degreesCthrough55degreesC(-4

F)

5%

through

ft)

95%

max

handling.

checkout

gases,

the

78670A

be

extreme

and

reasonably

and

degreesFthrough

installation

free

temperature

78671A

including

from

and

Note:

(32 should

Instrument

degrees

not

through

be

used

meets

on

all

131

the

specifications

degrees

78668A

F).

Power

For

Base

from

zero

maximum

below

degrees

battery

zero

degrees

C to

life

55

degrees

the

instrument

C

(32

degrees

F).

WARNING:

OR

WHERE

OR EMERGENCY VEHICLE-MOUNTED DEFIBRILLATORS AROUND AUTO WRECKS. SPILLED GASOLINE

AND PUDDLES OF WATER PRESENT EXTREMELY DANGEROUS EXPLOSION AND SHOCK HAZARDS.

1.9.2

The

Temperature:

Altitude:

Relative

1-14

DO

NOT

USE

THE

DEFIBRILLATORINA

CONCENTRATIONSOFFLAMMABLE

Storage

storage

and

-40

and

Shipment

shipping

environment

degreesCthrough65deqreesC(-40

9,000m(30,000

humidity:

5%

through

Environment

ft)

max

95%

FLAMMABLE

ANESTHETICS

for

the

78670A

ATMOSPHERE

MAY

OCCUR).

and

78671A

degrees

(i.e.

AVOID

are:

through

OXYGEN

USING

149

TENTS

PORTABLE

degrees

C

F)

SECTION

I -

GENERAL

Models 78670A/78671A

INFORMATION

78670A-1

1.10

The

instruments

nominal)at50-60

In

50-60

1.11

To grounded.

cable

appropriate

identified

WARNING:

OUTLET. A HOSPITAL GRADE OUTLET IS RECOMMENDED. NEVER ADAPT THE 3-PRONG PLUG FROM

THE

IS REPLACED WITH A 3-SLOT GROUNDED OUTLET.

The

360 unplugging

The

buttons

defibrillator

charged

POWER

Model

78668A

addition,

Hz

is

INSTRUMENT

protect

Accordingly,

which

and

FOR

MONITOR

78670A

Joules.

ENERGY

and

the

pressed

for

REQUIREMENTS

Quick-Mount

will

operate

Hz

with

operation

possible

with

GROUNDING

hospital

grounds

3-wire

described

PROPER

TO

FITA2-SLOT

78671A

Simply

power

SELECT

is

more

personnel

the

receptacle.

GROUNDING,

store

removing base

switch

to

discharge

designed

than 32

(MODEL

from

the

from

the

AND

the

78668A

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a

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a

line

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and

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Base

line

voltageof200

selectorinthe

the

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instrumenttothe

Available

in

Table

OUTLET.

high

will

must

to

seconds.

1-3,

THE

voltage

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defibrillator

not

remove

be

placed

a

charged

automatically

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allows

voltage

rear

CORD

patient,

is

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POWER

IF

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energy

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AC

operationofboth

of

from

panel

line

to

230

SETS

(78668A

the

equipped

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OUTLET

with

line

Sets.

HAS

and are

from

power

instrument.

fromabattery-powered

in

the

discharge

OFF

models.

100

selectorinthe

250

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to

(230

130

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115

Vac

(115

position.

nominal)

position.

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MUST

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BASE)

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GROUNDED

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capableofdeliveringupto

the

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position As

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safety

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the

if

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instrument.

discharge

feature,

it

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into

THAT

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at

an

are

IT

or

the

been

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78670A

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the

hazard.

small

charges

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1.12

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of

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the

and

78671A

Becauseabattery-powered

static

present

metal

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(78668A

instructions

Operating

are

charges

a

surfaces

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for

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designed

with

all

plastic

instrument

can

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minor

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these

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potential

connector

surfaces

during

to

connector,IVECG

battery

BASE)

the

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covers

defibrillator

the

and

controlstominimize

has

no

operator,

operation.

are

reference

discharges.

BUT

ONLY

OUT,

located

and

in

to

earth

The

through

recorder

Section

1-15

SECTION

I -

GENERAL

Models 78670A/78671A

78670A-l

INFORMATION

WARNING

REPLACEMENT

ILLUSTRATED.

POWER

INCORRECT

CABLES

CONNECTIONS

MUST

Table

PROVIDE

CAN

RESULT

1-3.

Power

CORRECT

IN

AN

Cable

POLARITY

ELECTRICAL

Sets.

AND

HAZARD.

GROUNDING

AS

Table 1-3 contains descriptions, Hewlett-Packard stock numbers and wire color codes for AC power cable

sets

that

connecttoinstruments

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22 22 22 22

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N -

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POWER LENGTH

2.4M

3.6M

4.5M

3.6M

2.4M

3.6M

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CONDUCTORS

CONDUCTOR

16/3 16/3 14/3 16/3 16/3

16/3

16/3 16/3

16/3

16/3 16/3

16/3

OF

HP

PART

NUMBER

8120-1931

8120-1932

8120-1706

8120-1935

8120-3493

8120-1993 8120-1995

8120-1996

8120-1994

8120-0609

81200610

8120-1900

8120-2133

8120-1933 8120-1934

/-%

1-16