Marquette Eagle3000 Service manual

Page 1
FIELD SERVICE MANUAL
Page 2
SPECIFICATIONS ARE SUBJECT TO
CHANGE
Due to continual product innovation, specifications in this manual are subject to change.
TRADEMARKS AND COPYRIGHT
Registered trademarks
Trademarks
Copyright
Trademarked names appear throughout this document. Rather than list the names and entities that own the trademarks or insert a trademark symbol with each mention of the trademarked name, the publisher states that it is using the names only for editorial purposes and to the benefit of the trademark owner with no intention of improperly using that trademark.
ACCUSKETCH, APEX, AQUA-KNOT, ARCHIVIST, BABY MAC, CASE, CD TELEMETRY, CENTRA, CRG PLUS, EAGLE, LASER SXP, MAC, MAC-LAB, MACTRODE, MARQUETTE, MARQUETTE UNITY NETWORK, MARS, MAX, MEI, MEI in the circle logo, MINNOWS, MULTI-LINK, MUSE, PRESSURE-SCRIBE, PRES-R­CUFF, RAMS, SAM, SEER, SOLAR, ST GUARD, TRAM, TRAM­NET, TRAM-RAC, TRAMSCOPE, TRIM KNOB, UNITY NETWORK, and UNITY NETWORK twist are trademarks of Marquette Medical Systems registered in the United States Patent and Trademark Office.
12SL, 15SL, ADVANTAGE, AUTOSEQ, BODYTRODE, CardioServ, CardioSmart, CardioSys, CD TELEMETRY®-LAN, CENTRALSCOPE, EDIC, FLEX, HI-RES, IMAGE VAULT, INTER­LEAD, LIFEWATCH, MARQUETTE® RESPONDER, MENTOR, MRT -II, O2SENSOR, OnlineABG, SILVERTRACE, SMART-PAC, and SMARTLOOK are trademarks of Marquette Medical Systems.
© 1997 Marquette Medical Systems, Inc. All rights reserved.
ABOUT THIS MANUAL
DOCUMENT DATE DOCUMENT PART NUMBER 18 APRIL 1997 415397-003
This manual reflects Eagle 3000 software version 3 type.
EAGLE 3000 PATIENT MONITOR
T-2 415397-003 DOCUMENT REV C
Page 3
TABLE OF CONTENTS
SECTION 1 ABOUT THE MANUAL
SECTION 2 EQUIPMENT OVERVIEW
Field Service Manual .............................................................. 1-2
About the manual ....................................................... 1-2
Scope of the manual ................................................... 1-2
Manual content........................................................... 1-2
Page Layout............................................................................ 1-3
Manual Revisions ................................................................... 1-4
Related Documentation .......................................................... 1-4
Operator information .................................................. 1-4
Service information ..................................................... 1-4
Notes, Cautions and Warnings ............................................... 1-5
What these indicate .................................................... 1-5
Parts Lists .............................................................................. 1-5
Dimension specifications ............................................ 1-5
Manufacturer Responsibility .................................................. 1-6
Equipment Symbols ............................................................... 1-6
How to Reach us .................................................................... 1-8
Abbreviations ....................................................................... 1-10
Product Description ............................................................... 2-2
About the monitor ....................................................... 2-2
Front panel description ............................................... 2-3
Rear panel description ................................................ 2-4
About The Remote Alarm Connector ........................... 2-5
Monitor Applications .............................................................. 2-7
Stand-alone monitor application ................................. 2-7
Patient monitoring system application ........................ 2-7
Hospital-wide network application .............................. 2-7
Performance Specifications .................................................... 2-8
Preparation For Use ............................................................. 2-15
Power requirements .................................................. 2-15
Equipment ground requirements .............................. 2-15
Monitor ventilation requirements .............................. 2-16
Mounting recommendations...................................... 2-16
Connection to peripherals ......................................... 2-16
Software setup .......................................................... 2-16
Ordering Information ........................................................... 2-17
Part numbers and descriptions ................................. 2-17
Theory Of Operation ............................................................. 2-18
Overall monitor block diagram .................................. 2-18
General monitor block theory .................................... 2-18
SECTION 3 MAINTENANCE
PAGE REV C 415397-003 1
Maintenance Schedule ........................................................... 3-2
Manufacturer recommendation ................................... 3-2
Manufacturer responsibility ........................................ 3-2
Visual Inspection.................................................................... 3-3
Inspecting the monitor ................................................ 3-3
Cleaning The Monitor ............................................................. 3-4
Cleaning the display ................................................... 3-4
Cleaning the external surfaces .................................... 3-4
Manufacturer recommendation ................................... 3-4
Checkout Procedures ............................................................. 3-5
About the checkout procedures .................................. 3-5
Manufacturer recommended test equipment ............... 3-5
EAGLE 3000 PATIENT MONITOR
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TABLE OF CONTENTS
SECTION 3 MAINTENANCE (CONT)
SECTION 4 TROUBLESHOOTING
ECG tests ................................................................... 3-6
Respiration tests (optional).......................................... 3-7
Temperature tests ....................................................... 3-8
Invasive blood pressure (optional) tests ....................... 3-9
Pulse oximetry tests .................................................. 3-10
Noninvasive blood pressure tests: Pre-test setup....... 3-11
Noninvasive blood pressure tests .............................. 3-12
End-tidal CO2 tests .................................................. 3-16
Defibrillator synchronization tests ............................ 3-17
Speaker tests ............................................................ 3-19
Safety Analysis Tests ............................................................ 3-20
Leakage current tests................................................ 3-20
Wall receptacle tests ................................................. 3-21
Surface continuity tests ............................................ 3-21
Ground wire to ground tests ..................................... 3-22
Chassis to ground tests ............................................ 3-23
Patient source tests .................................................. 3-24
Patient sink tests ...................................................... 3-26
High potential tests ................................................... 3-28
AC hi-pot tests .......................................................... 3-30
Power Source Tests ................................................................ 4-2
Wall receptacle ............................................................ 4-2
Power cord and plug ................................................... 4-3
Main power and display power control ........................ 4-3
Data Acquisition Tests ........................................................... 4-4
ECG functions ............................................................ 4-4
ECG waveforms are displayed incorrectly ................... 4-5
Lead fail functions ...................................................... 4-5
Pace detect functions .................................................. 4-6
Invasive blood pressure functions ............................... 4-7
BP waveforms do not appear correctly on the display .. 4-8
Respiration functions (optional) .................................. 4-9
Non-invasive blood pressure functions ...................... 4-11
Service Mode Menu .............................................................. 4-12
About the service mode menu ................................... 4-12
Access to the service mode menu .............................. 4-13
About service mode menu option items ..................... 4-14
Review errors ............................................................ 4-14
More about review errors .......................................... 4-17
Error logs .................................................................. 4-18
Service Tips .......................................................................... 4-19
Fault/symptom analysis ........................................... 4-19
DAS board symptoms ............................................... 4-20
Main processor board symptoms............................... 4-20
Power supply board symptoms.................................. 4-20
Isolating Problems on a Network .......................................... 4-21
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TABLE OF CONTENTS
SECTION 5 CALIBRATION
SECTION 6 CONFIGURATION
Adjustments........................................................................... 5-2
About calibration ........................................................ 5-2
Non-invasive Blood Pressure .................................................. 5-3
About the procedure ................................................... 5-3
Manufacturer recommendation ................................... 5-3
Test equipment ........................................................... 5-3
Calibration procedure ................................................. 5-4
End-Tidal CO
About the procedure ................................................. 5-11
Flow calibration ........................................................ 5-11
Manufacturer recommendation ................................. 5-11
Flow Calibration Test equipment............................... 5-11
Pretest Setup ............................................................ 5-11
Calibration procedure ............................................... 5-12
Barometric Pressure / CO2 sensor calibration .......... 5-15
Manufacturer recommendation ................................. 5-15
Test equipment ......................................................... 5-15
Pretest Setup ............................................................ 5-15
Calibration procedure ............................................... 5-16
Monitor Configurations .......................................................... 6-2
Setup for use .............................................................. 6-2
Stand-alone ................................................................ 6-2
Network interface ........................................................ 6-2
Loading Software .................................................................... 6-3
Methods for loading or updating software ................... 6-3
Intended use ............................................................... 6-3
Software compatibility................................................. 6-4
Monitor software files .................................................. 6-5
Maintain patient monitoring ....................................... 6-5
Problems while loading software ................................. 6-5
Load Software From Diskette ................................................. 6-6
About the procedure ................................................... 6-6
Connect the PC to the monitor .................................... 6-6
Software diskettes ....................................................... 6-6
Update program start-up ............................................ 6-7
Setup the monitor to accept download files ................. 6-9
Download files to the monitor ................................... 6-10
Completion ............................................................... 6-11
Load Software Over The Network .......................................... 6-12
About the procedure ................................................. 6-12
Software media ......................................................... 6-12
Copy update files onto a central station .................... 6-13
Download files to the monitor ................................... 6-14
Completion ............................................................... 6-16
Setup For Use ...................................................................... 6-17
About setup .............................................................. 6-17
Procedure summary .................................................. 6-17
Display features ........................................................ 6-18
Software revision menu............................................. 6-19
Enter into the service mode menu ............................. 6-20
Unit name ................................................................. 6-21
Bed number .............................................................. 6-23
Graph locations ........................................................ 6-25
Time and date setup ................................................. 6-28
........................................................................................ 5-11
2
EAGLE 3000 PATIENT MONITOR
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Page 6
TABLE OF CONTENTS
SECTION 7 ASSEMBLY DRAWINGS
Engineering Assembly Drawings ............................................ 7-2
About this section ....................................................... 7-2
Packing materials ....................................................... 7-3
Exploded views ........................................................... 7-4
Exploded views ........................................................... 7-5
Electrical diagram ....................................................... 7-6
Parts List .................................................................... 7-7
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Page 7
1
ABOUT THIS
MANUAL
Field Service Manual .............................................................. 1-2
About the manual ....................................................... 1-2
Scope of the manual ................................................... 1-2
Manual content........................................................... 1-2
Page Layout............................................................................ 1-3
Manual Revisions ................................................................... 1-4
Related Documentation .......................................................... 1-4
Operator information .................................................. 1-4
Service information ..................................................... 1-4
Notes, Cautions and Warnings ............................................... 1-5
What these indicate .................................................... 1-5
Parts Lists .............................................................................. 1-5
Dimension specifications ............................................ 1-5
Manufacturer Responsibility .................................................. 1-6
Equipment Symbols ............................................................... 1-6
How to Reach us .................................................................... 1-8
Abbreviations ....................................................................... 1-10
EAGLE 3000 PATIENT MONITOR
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Page 8
FIELD SERVICE MANUAL
ABOUT T HIS MANUAL
ABOUT THE MANUAL
SCOPE OF THE MANUAL
MANUAL CONTENT
Equipment Overview
Maintenance
Troubleshooting
Configuration
Assembly Drawings
Section 1:
Introduction
Section 2:
Section 3:
Section 4:
Section 5:
Calibration
Section 6:
Section 7:
This field service manual has been prepared by the technical publications staff at Marquette Medical Systems, Inc. It is intended for use by biomedical electronic technicians or other qualified service personnel responsible for installation, maintenance or repair of the Eagle 3000 Patient Monitor (hereafter referred to as the monitor).
The content of this field service manual is aimed primarily at biomedical equipment technicians and field service personnel. The user of this field service manual is expected to have a solid background in electronics, including strong backgrounds in analog and digital electronics, as well as microcomputer technology familiarity.
The field service manual is organized into sections, as follows:
Section one describes the field service manual, manual
page layout, related documentation, manufacturer responsibility, notes/cautions/warnings, and abbreviation.
Section two describes the product, the Marquette Unity
Network, technical specifications, preparation for use, product part numbers and theory of operation.
Section three describes the maintenance schedule, visual
inspection, cleaning the monitor, checkout procedures, leakage current tests and hi-pot tests.
Section four describes electrostatic discharge, special
components, power source tests, data acquisition tests, service tips, the service mode menu and a network related troubleshooting flow chart.
Section five describes adjustments and non-invasive blood
pressure calibration.
Section six describes monitor configurations, installing
software, loading software from diskettes, loading software over the network and setup for use.
Section seven provides assembly drawings of the monitor.
These include electrical diagrams, schematics, and exploded views.
EAGLE 3000 PATIENT MONITOR
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PAGE LAYOUT
ABOUT T HIS MANUAL
Section Topic: Each section is divided into topics. This line indicates what topic within the section is covered on this and possibly subsequent pages.
Left Column: Most pages are split into two columns. The left column text indicates topic sub-titles and summeries of text found in the right column.
Right Column: The right column text provides topic substance and elaborates on information from text found in the left column.
Visual Inspection
Inspecting the monitor
Section Title: The top line of the page always indicates the section of the manual. Section topics may also appear next to the section title.
M
AINTENANCE
The monitor should be carefully inspected prior to each patient being admitted to the monitoring system. Follow these guidelines when inspecting the equipment:
• Carefully inspect the monitor for obvious physical damage to the outer case, display screen and controls. Do not use the monitor if physical damage is determined. Refer damaged equipment to qualified service personnel for repair before using it again on a patient.
• Inspect all external connectors, front and rear, for degraded pins, prongs and connector housings. Refer damaged equipment to qualified service personnel for repair before using it again on a patient.
• Inspect all cable insulation, cable strain-reliefs and cable connectors for damage, cracks or degradation. Refer damaged equipment to qualified service personnel for repair before using it again on a patient.
Section & Page Number: The number on the left indicates the section, the number on the right indicates the page within the section. Product Name - Manual Title: This is found on each page of the manual. Page Revision: As changes to the manual occur, this letter indicates the current revision for each page of the manual.
Page Rev A 3-3
Eagle 3000 Patient Monitor
415397-003
EAGLE 3000 PATIENT MONITOR
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Page 10
MANUAL REVISIONS
The following list gives the revision of each release of this manual. As changes to the manual occur, the following list will provide a reference to these changes.
Revision A 25 January, 1996 Initial release Revision B 18 February, 1997 Revision C 18 April, 1997 New RMT ALM
RELATED DOCUMENTATION
ABOUT T HIS MANUAL
connector info.
OPERATOR INFORMATION
SERVICE INFORMATION
Eagle 3000 Monitor Operator's Manual
Part number: 415397-020 software version 2.
Part number: 415397-042 software version 3.
Eagle 3000 Monitor Instruction Sheet
Part number: 415397-023 software version 2.
Part number: 415397-043 software version 3.
Tram X00 Modules/Eagle Monitor Termination Instructions for BP, CO, and TEMP Cables
Part number: 403799-016
Describes how to properly terminate the listed patient cable
connectors.
Eagle 3000 Patient Monitor - Version 3B Update Instructions
Part number - 415397-060
Describes methods for updating software in the monitor:
EAGLE 3000 PATIENT MONITOR
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Page 11
NOTES, CAUTIONS AND W ARNINGS
ABOUT T HIS MANUAL
WHAT THESE INDICATE
Notes, cautions, and warnings all appear in a similar fashion throughout the manual. These are designed to draw special attention to particular relevant points of interest.
NOTE
A note conveys special instructions to highlight an
operating procedure, practice, etc. Notes may pre-
cede or follow the applicable text, depending on the
material to be highlighted.
CAUTION
The purpose of a caution is to inform users of this
manual of operating procedures, practices, etc.,
which if not strictly observed, could result in possible
damage to the equipment.
WARNING
A warning provides instructions to users of the
manual that operating procedures, practices, etc., if
not followed, may result in personal injury.
PARTS LISTS
DIMENSION SPECIFICATIONS
Hardware dimensions in parts lists use either metric or American standards.
Metric standards are indicated as items that include the
letter M as a prefix (example: Screw, M 2.0 x 4)
American standards are indicated as items without a letter
as a prefix (example: Screw, 4-40 x 5/16)
EAGLE 3000 PATIENT MONITOR
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Page 12
ABOUT T HIS MANUAL
MANUFACTURER
RESPONSIBILITY
EQUIPMENT SYMBOLS
Marquette Medical Systems is responsible for the effects on safety, reliability, and performance only if:
assembly operations, extensions, readjustments,
modifications, or repairs are carried out by persons authorized by Marquette Medical Systems;
the electrical installation of the relevant room complies with
the requirements of the appropriate regulations; and,
the patient monitor is used in accordance with the
instructions for use.
Following are descriptions of the symbols used to identify various safety concerns for patient monitoring equipment.
NOTE
Some symbols may not appear on all equipment.
ATTENTION: Consult accompanying documents
CAUTION: To reduce the risk of electric shock, do NOT remove
cover. Refer servicing to qualified service personnel.
Defibrillator-proof type CF equipment: type CF equipment is specifically designed for applications where a conductive connection directly to the heart is established. The paddles indicate the equipment is defibrillator proof.
Defibrillator-proof type BF equipment: type BF equipment is suitable for intentional external and internal application to the patient, excluding direct cardiac application. Type BF equipment is type B equipment with an F-type isolated (floating) part. The paddles indicate the equipment is defibrillator proof.
Fuse
Equipotentiality
Alternating current (AC)
EAGLE 3000 PATIENT MONITOR
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Page 13
EQUIPMENT SYMBOLS (CONT)
ABOUT T HIS MANUAL
EQUIPMENT RATINGS FOR PATIENT
APPLIED
PA RT S
PRESS
CF
BF
The following describes the symbols for patient applied parts of patient monitoring equipment.
Power: I = On; O = Off
Indicates where to press to open the door on the 7160 DDW.
ECG and Respiration Temperature (TEMP) Invasive Blood Pressure (BP)
Pulse Oximetry (SPO2) Non-invasive BP (NBP)
End-tidal CO2 (CO2)
NOTE
The rating of protection against electrical shock
(indicated by symbol for Type B, BF or CF) is achieved
only when used with patient applied parts listed for
use in the Supplies section of the Operator’s Manual.
Do not test the dielectric strength directly at the CO2
connector.
EAGLE 3000 PATIENT MONITOR
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Page 14
HOW TO REACH US...
ABOUT T HIS MANUAL
The following are telephone numbers and addresses for contact­ing various Marquette Medical Systems Service and Supplies Division personnel.
Ordering Supply Items
Ordering Service Parts
Supply items are generally items used during normal operation of a product. Leadwires, electrode paste, patient cables, and printer paper are examples of supply items.
Make telephone inquiries about supply items at:
1-800-558-5102 (U.S. only) 1-407-575-5000 (outside the U.S.)
Address orders or inquiries to:
Marquette Medical Systems Service and Supplies P.O. Box 9100 100 Marquette Drive Jupiter, FL 33468-9100 Attn: Supplies
Service parts are items that are not expended in the normal operation of the product. They are generally replacements for defective or malfunctioning items inside the product. Service parts include PCB assemblies, electronic components, internal cables and harnesses, software or firmware, and operator and service manuals. When ordering additional operator manuals, remember to notate the software version from the start-up screen.
A part number for the item to be replaced is necessary for order­ing a service part. If the part number for the desired item is unobtainable, the following will be necessary to order the item:
model and serial number of the equipment,
part number/name of the assembly where the item is used,
item name, and
where applicable, reference designation (eg, R13, S12, U32).
Service Calls
Service Contracts
1 - 8 415397-003 PAGE REV C
To open a service call with Marquette Medical Systems Service, contact a Service Dispatcher at:
1-800-558-7044 (U.S. only) 1-407-575-5000 (outside the U.S.)
For any questions about Service Contracts, contact the service contract operator at:
1-800-552-3248 (U.S. only) 1-407-575-5000 (outside the U.S.)
EAGLE 3000 PATIENT MONITOR
Page 15
H
OW TO REACH US... (CONT)
ABOUT T HIS MANUAL
Technical Support
For All Hardware
Telemetry
Series 7000/7010
Monitoring Technical Support has a broad base of information regarding Marquette patient monitoring equipment and provides assistance with technical questions and concerns.
For technical information regarding Marquette patient monitor­ing equipment, contact Monitoring Technical Support at:
1-800-558-7822 (U.S. only) 1-407-575-5000 (outside the U.S.)
For technical information regarding Marquette telemetry patient monitoring equipment, contact Monitoring Technical Support — Telemetry Products at:
1-800-552-3243 (U.S. only) 1-407-575-5000 (outside the U.S.)
For technical advice concerning Series 7000/7010 patient moni­toring equipment, contact Tech Support:
1-800-443-0980 (U.S. only) 1-407-575-5000 (outside the U.S.)
48-Hour Turnaround Repair
Service Address
For Additional Information
Some Marquette patient monitoring products or components such as Series 7000 Input Modules, Tram Modules, Series 7700 ECG Telemetry Transmitters, and CD Telemetry Transmitters are repaired on a 48-hour turnaround basis.
For information regarding 48-hour repair items, contact Monitor­ing Technical Support — 48-Hour Repair at:
1-800-552-3243 (U.S. only) 1-407-575-5000 (outside the U.S.)
Send all patient monitoring repair items to:
Marquette Medical Systems Service and Supplies P.O. Box 9100 100 Marquette Drive Jupiter, FL 33468-9100 Attn: Monitoring Technical Support — Repair
The service telephone operator can direct calls to personnel most able to assist with information. For other Monitoring Technical Support information, contact the service telephone operator at:
1-800-558-5120 (U.S. only) 1-407-575-5000 (outside the U.S.)
EAGLE 3000 PATIENT MONITOR
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Page 16
ABBREVIATIONS
ABOUT T HIS MANUAL
A
AAMI: Association for the
Advancement of Medical
Instrumentation AC,ac: alternating current ADC: analog-to-digital
converter Adj: adjustable Al: aluminum Ampl: amplifier ANSI: American National
Standards Institute, Inc. ASIC: application specific
integrated circuit ASYNC COMM: asynchronous
communication AUI: attachment unit interface Ave: Avenue AWG: American Wire Gage
B
B/M: beats per minute BDGH: binding head BP: blood pressure bpm: beats per minute BT: blood temperature
C
Cap: capacitor cc: cubic centimeter Cer: ceramic CMOS: complimentary metal-
oxide semiconductor CO: cardiac output CSA: Canadian Standards
Association
D
DAC: digital-to-analog
converter dB: decibel DC, dc: direct current DDW: Direct Digital Writer DEFIB SYNC: defibrillator
synchronization DMM: digital multimeter
E
ECG: electrocardiogram,
electrocardiograph EEPROM: electronically
erasable programmable
read only memory ESD: electrostatic discharge
F
FCC: Federal Communication
Commission FDA: Food and Drug
Administration FET: field-effect transistor FL: Florida
G
GND: ground
H
hi-pot: high potential Hz: Hertz
I
ID: inside diameter IEC: International
Electrotechnical
Commission IEEE: Institute of Electrical
and Electronic Engineers in: inch IT: injectate temperature
J
JFET: junction field effect
transistor
K
kg: kilogram kHz: kilohertz kV: kilovolt
L
LAN: local area network lb: pound LCA: logic cell array
M
M: mega, megohm mA: milliampere MHz: megahertz mm: millimeter mmHg: millimeter of mercury MOSFET: metal-oxide
semiconductor field-effect
transistor MPP: metallized polypropylene MRT: Monitoring Review
Terminal mV: millivolt
N
NBP: non-invasive blood
pressure No: number nS: nanosecond Ntwk: network
EAGLE 3000 PATIENT MONITOR
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Page 17
ABBREVIATIONS (CONT)
ABOUT T HIS MANUAL
O, P
PC: printed circuit, personal
computer pcb: printed circuit board pF: picoFarad PLCC: plastic leaded chip
carrier PLL: phase locked loop pn: part number PNH: pan head Pos: position PPR: peripheral pulse rate PVC: premature ventricular
contraction
Q, R
RAM: random access memory Res: resistor RESP: respiration Rgltr: regulator
T
Tant: tantalum TEMP: temperature TPU: time processing unit Tram: Transport Remote
Acquisition Module
TTl: transistor-transistor logic
U
UART: universal asynchronous
receiver/transmitter
UL: Underwriters Laboratories,
Inc.
V
V: volt, voltage Var: variable VDE: Verband Deutscher
Electrotechniker
Volt: voltage
Other
(Cont): continued ˚C: degrees Celsius ˚F: degrees Fahrenheit
z: impedance variation µ: micro µA: microampere µF: microfarad µV: microvolt: ohmT: temperature difference
%: percent
S
SM: surface mount SPDT: single-pole, double-
throw SpO2: pulse oximetry (arterial
oxygen saturation) SPST: single-pole, single-throw SST: stainless steel
W
W: watt, West w/: with WI: Wisconsin WW: wire wound
X, Y, Z
YSI: Yellow Springs Instrument
EAGLE 3000 PATIENT MONITOR
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Page 18
FOR YOUR NOTES
ABOUT T HIS MANUAL
EAGLE 3000 PATIENT MONITOR
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Page 19
2
EQUIPMENT
OVERVIEW
Product Description ............................................................... 2-2
About the monitor ....................................................... 2-2
Front panel description ............................................... 2-3
Rear panel description ................................................ 2-4
About The Remote Alarm Connector ........................... 2-5
Monitor Applications .............................................................. 2-7
Stand-alone monitor application ................................. 2-7
Patient monitoring system application ........................ 2-7
Hospital-wide network application .............................. 2-7
Performance Specifications .................................................... 2-8
Preparation For Use ............................................................. 2-15
Power requirements .................................................. 2-15
Equipment ground requirements .............................. 2-15
Monitor ventilation requirements .............................. 2-16
Mounting recommendations...................................... 2-16
Connection to peripherals ......................................... 2-16
Software setup .......................................................... 2-16
Ordering Information ........................................................... 2-17
Part numbers and descriptions ................................. 2-17
Theory Of Operation ............................................................. 2-18
Overall monitor block diagram .................................. 2-18
General monitor block theory .................................... 2-18
EAGLE 3000 PATIENT MONITOR
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Page 20
PRODUCT DESCRIPTION
EQUIPMENT OVERVIEW
ABOUT THE MONITOR
Cost-effective design
Standard monitoring
configuration ...
... with options available
“Value-added” features
Network compatibility
The monitor provides the parameters needed in a single, inexpensive, easy-to-use device. Its compact size and innovative package allow it to fit in small, tight places making it an ideal choice for patient monitoring in an operating room, recovery room, emergency care area as well as outpatient care areas.
Designed to provide high reliability, long operational life, minimal downtime, and low maintenance cost, the monitor is a cost­effective solution to general purpose patient monitoring needs. Monitor configurations include simultaneous multi-lead ECG, non-invasive blood pressure, dual temperature, pulse oximetry monitoring. Optional features that can be added to all monitors include an integral two­channel two inch thermal writer, two invasive blood pressures and end-tidal CO2.
The monitor is equipped with a 9" diagonal high-contrast electroluminescent (EL) display capable of showing four waveforms and full digital data for all monitored parameters. The Trim Knob control and a clinically logical software menu structure assure ease-of-use and reduced inservice time. Multi­lead ST-segment monitoring, high quality graphic and tabular trends, and sophisticated algorithms (which may assist to reduce false alarms and provide more accurate data) are "value-added" features. In addition, the monitor is a member of a complete family of critical care products from the manufacturer, and is fully compatible with interconnection to the patient monitoring network.
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Page 21
PRODUCT DESCRIPTION (CONT)
FRONT PANEL DESCRIPTION
NOTE
To insure patient safety, use only parts and accessories manufactured or recommended by the manufacturer. Parts and accessories used must meet the requirements of the applicable IEC 601 series safety standards, and/or the system configuration must meet the requirements of the IEC 601-1-1 medical electrical systems standard.
EQUIPMENT OVERVIEW
Patient Input Connectors: Used to attach patient cables for various electrodes, sensors and transducers used in patient signal acquisition
Display:
Monochrome electroluminescent (EL) display panel.
Screen size: 9-inch diagonal Resolution: 640 x 400 pixels
Trim Knob Control: This is the control that is used most often to choose menu items and enter data.
Rotate the Trim Knob control to highlight an item on the display.
Press the Trim Knob control to select the highlighted item.
Front Panel Controls: Five backlit pushbutton operator controls provide the following functions:
DEFIB SYNC (option): This side panel jack provides a direct interface between the monitor and a defibrillator for synchonization of the two devices during emergency defibrillation or for synchronized cardioversion. The signals available through this connector are:
Outputs —
Defib sync pulse
Analog ECG signal
Analog invasive BP signal
Input —
Defibrillator triggered marker pulse
RMT ALM (option): This side panel connector provides interconnection through the Marquette/Hellige Isolation Relay to a nurse-call light system.
CO2 Sensor (option): These side panel connectors provide a direct interface between the monitor and an End-tidal CO2 monitoring kit.
NBP Connector: A pneumatic connector for attaching a noninvasive blood pressure cuff to the monitor.
Controls power to the display without disrupting monitor main power.
Manually starts or stops the noninvasive blood pressure function.
Sets zero references for all invasive blood pressure functions.
Controls patient alarm silencing functions.
Manually starts or stops graphs to selected writers.
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PRODUCT DESCRIPTION (CONT)
REAR PANEL DESCRIPTION
NOTE
The use of ACCESSORY equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system. Consideration relating to the choice shall include: use of the accessory in the PATIENT VICINITY; and evidence that the safety certification of the ACCESSORY has been performed in accordance to the appropriate IEC 601-1 and/or IEC 601-1-1 harmonized national standard.
EQUIPMENT OVERVIEW
Main Power Switch: When in the on (I) position, ac power is applied to the monitor. When in the off (0) position, ac power is removed from the monitor.
RMT ALARM (remote alarm) Connector:
Interconnection to the Marquette/Hellige Isolation Relay for a nurse-call light system.
*Serial Number Label:
(not shown) Describes the type of equipment, date and sequence of product manufacture for each monitor.
Main Power: A power cord connected between this port and a wall receptacle is used to provide ac main power to the monitor.
* A sample of the information found on the Serial Number Label is shown below.
F 7 XX 0109 G
ETHERNET Connector: An IEEE 802.3 AUI cable and transceiver can be connected to this port for monitors used in patient monitoring network configurations.
ASYNC COMM Connector: This
port can be used for interconnection to a remote control, direct digital writer or other device.
Month
Year Product
code
A thru M = January thru December Letter I is not used.
Product sequence number
Division identifier F = Cardiology G = Monitoring
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PRODUCT DESCRIPTION (CONT)
EQUIPMENT OVERVIEW
ABOUT THE REMOTE ALARM
CONNECTOR
The remote alarm (RMT ALRM) connector is for use with a Marquette/Hellige Isolation Relay (pn 303 555 77) which provides a relay closure during the following alarms:
CRISIS Patient Status Alarms, and
WARNING System Status Alarms. The signals provided at the RMT ALRM connector activate and
deactivate the Marquette/Hellige Isolation Relay (shown below). When the monitor is powered up initially or rebooted, the relay remains turned off until the monitor is finished with its power up or reboot sequence. Once the monitor finishes powering up or rebooting, the relay is then energized.
When a CRISIS Patient Status Alarm or a WARNING System Status Alarm is detected, the relay is turned off by a signal from the monitor. When the alarm has been cleared, the relay is turned on once again.
The relay is turned off when AC power is removed from the monitor.
• Marquette/Hellige Isolation Relay •
NOTE:
Refer to the Installation Instructions that come with the Marquette/Hellige Isolation Relay for proper connection to your Nurse Call system.
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Page 24
FOR Y OUR NOTES
EQUIPMENT OVERVIEW
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MONITOR APPLICATIONS
EQUIPMENT OVERVIEW
STAND-ALONE MONITOR
APPLICATION
PATIENT MONITORING SYSTEM
APPLICATION
HOSPITAL-WIDE NETWORK
APPLICATION
The Marquette Unity Network (hereafter referred to as the network) provides a method for standardized communication with various Marquette medical system devices. This versatile monitor can operate both as a fully functional stand-alone device and as a component on the network, depending upon the application.
When connected to the network, the monitor provides access to other devices for many purposes. Marquette patient monitoring equipment such as Centralscope central station monitor; Series 7200/7260 direct digital writer; CDT-LAN patient telemetry system; ADU-LAN; and, Solar or other Eagle patient monitors are examples of devices that can be used in conjunction with the monitor when connected to the network.
There are various types of information management and data base systems devices which may also be integrated with the monitor via connection to the network. Marquette medical systems equipment such as MUSE cardiology management system; MARS UNITY workstation; MARS 24 clinical review station; MRT II automated vital sign and arrhythmia data collection system; MAC-Lab cardiac catheterization system; QMI patient data management system; and, MUSE HIS interface are examples of systems and data bases which can be integrated with the monitor on the network.
Patient monitoring system
application
EAGLE 3000 PATIENT MONITOR
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Page 26
EQUIPMENT OVERVIEW
PERFORMANCE SPECIFICATIONS
Display
Size: 9-inch diagonal Type: Monochrome, electroluminescent, flat panel Resolution: 640 by 400 pixels Number of waveform traces: 4 Length of trace: 5.7 seconds Sweep speed: 22.9 mm/s (with erase bar), all waveforms except CO2 Waveform display options: Full or individual Information window: Displays all non-real-time information without obstructing the
display of real-time information
Display organization: Prioritized by parameter
Processing
Main processor: MC68EN360 (32-bit microprocessor), 23.4936 MHz clock
frequency Data acquisition processor: MC68332 (32-bit microprocessor), 15.7248 MHz clock frequency Program memory: 2MB flash EEPROM Data memory: 2MB RAM
Alarms
Classification: 4 levels (Crisis, Warning, Advisory, Message) Notification: Audible and visual Setting: Default and individual Silencing: 1 minute, current alarm only Pause
Adult mode: 5 minutes Neonatal ICU mode: 3 minutes OR mode 5 minute, 15 minute, or permanent
Volume: Default 70%, 70 dB measured at 1 meter
User Interface:
Trim Knob control: Provides access to all menu-based operations Hard keys
Silence Alarm: Controls alarm silencing Graph Go/Stop: Start and stop manual graph operation NBP Go/Stop: Start and stop non-invasive blood pressure measurement Zero All: Zero BP transducers Display On/Off: Blanks the display and disables alarms, for use as screen saver
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EQUIPMENT OVERVIEW
PERFORMANCE SPECIFICATIONS (CONT)
ECG
Standard leads available: I, II, III, V, aVR, aVL, and aVF Leads analyzed simultaneously: I, II, III, and V (multi-lead mode) Lead fail: Identifies failed electrodes Lead fail sensing current
Active electrodes: <25 nA each
Reference electrode: <100 nA Waveform display aspect ratio: 0.34 s/mV Input specifications
Voltage range: ±0.5 mV to ±5 mV Signal width: 40 ms to 120 ms (Q to S) Input impedance
Common mode: >10 M at 50/60 Hz
Differential: >2.5 M from dc to 60 Hz Output specifications
Display frequency response
Adult ICU mode: 0.05 to 40 Hz
Neonatal Mode: 0.5 to 40 Hz
OR Mode: 0.05 to 25 Hz
Paper Recorder frequency response
Standard Mode: 0.05 to 100 Hz
Neonatal: 0.5 to 40 Hz
OR Mode: 0.05 to 25 Hz
Common mode rejection: 90 dB minimum at 60 Hz Gain: 1000 ±3% Linearity deviation: ±3% (maximum) Noise: <30 µV (referred to input)
Heart Rate
Heart rate range: 30 to 300 beats per minute Heart rate averaging: 8 beats Display update interval: 2 seconds Response time: <6 seconds (per AAMI EC13) Limit alarm display: <10 seconds after alarm condition exceeded
ST Segment analysis
Measurement description: ST segment deviation measured and displayed for all acquired
leads, and averaged for anterior, lateral and inferior lead groups
ST display: Three 30-minute trends, or ECG complexes for leads I, II, and V,
and a summation trend Measurement point: Measures at 60 ms following the J point Measurement range
Adult: -12.0 mm to + 12.0 mm
Neonatal: -10.0 mm to + 10.0 mm Display resolution: 0.1 mm ST measurement averaging: 16 beats Display update interval: 2 seconds
Pacemaker detection/rejection
Input voltage range: ±2 mV to ±700 mV Input pulse width: 0.1 ms to 2 ms Rise time: 10 µs to 100 µs Over/under shoot: 2 mV (maximum) Baseline drift: <0.5 V with a ±700-mV, 2-ms pacemaker pulse applied
Arrhythmia detection
Adult mode: Asystole, ventricular fibrillation/tachycardia, ventricular
tachycardia
Neonatal mode: Asystole, ventricular fibrillation/tachycardia, ventricular
bradycardia
Alarms: Selectable upper and lower heart rate limits, arrhythmia
detection; lead-failure
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EQUIPMENT OVERVIEW
PERFORMANCE SPECIFICATIONS (CONT)
Invasive Blood Pressure (optional)
Number of channels: 2 Transducer sites: Arterial, pulmonary arterial, central venous, left atrial,
intracranial, and special
Transducer requirements
Excitation voltage: ±2.5 V dc ±0.1% Transducer output: 50 µV/V/cm Hg
Pressure measurement specifications
Range: -25 mmHg to 300 mmHg Accuracy: ±2% or ±1 mmHg, whichever is greater (independent of
transducer)
Drift: < ±0.1%/°C, and < ±0.1% over and 24-hour period Zero balance range: ±150 mmHg Zero balance accuracy: ±1 mmHg Zero balance drift: ±1 mmHg over 24 hours Frequency response: dc to 50 Hz (-3 dB)
Input impedance
Common mode: 100 K (minimum) at 50/60 Hz
Differential: 100 K (minimum) from dc to 60 Hz
Common mode rejection: 60 dB (minimum) at 60 Hz
Noise: 5 mV peak to peak (maximum) from dc to 30 Hz Averaging: 4 seconds Display update interval: 2 seconds
Alarms: Selectable upper and lower limits for systolic, diastolic, and mean
pressures; sensor failure
Non-invasive Blood Pressure
Measurement technique: Oscillometric Displayed parameters: Systolic, diastolic, and mean pressures, pulse rate, time of last
measurement Measurement modes: Manual, auto, and stat Systolic pressure range: 30 to 275 mmHg Diastolic pressure range: 15 to 250 mmHg Heart rate range: 30 to 300 beats per minute Total cycle time: 20 to 40 seconds typical (dependent on heart rate and motion
artifact) Maximum inflation pressure
Adult: 300 mmHg Pediatric 250 mmHg Neonatal: 150 mmHg
Overpressure safety valve: Activates when cuff pressure exceeds:
Adult mode: 300 mmHg (+30/-0 mmHg) cuff pressure
Neonatal mode: 150 mmHg (+15/-0 mmHg) cuff pressure Maximum pressure leakage: 4 mmHg per minute Automatic cycle times: 0 to 24 hours Auto zero: Zero pressure reference prior to each cuff inflation Tubing length: 12 feet adult, 8 feet neonatal Automatic cuff deflation: Occurs when power is off or the following limits are exceeded:
Adult mode: 300 mmHg (± 3 mmHg) cuff pressure or 3 minutes cycle time
Neonatal mode: 150 mmHg (± 2 mmHg) cuff pressure or 90 seconds cycle time Cuff sizes:
Disposable: Large adult, adult, small adult, pediatric, small pediatric, and
infant
Reusable: Thigh, large adult, adult, child, and infant Alarms: Selectable upper and lower limits for systolic, diastolic, and mean
pressures
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EQUIPMENT OVERVIEW
PERFORMANCE SPECIFICATIONS (CONT)
Pulse Oximetry
Parameters monitored: Arterial oxygen saturation (SpO2) and peripheral pulse rate (PPR) Probe types: Marquette, Nellcor Oxygen saturation measurement specifications
SpO2 range: 50–100%
Accuracy: Actual accuracy depends on probe. Please reference
manufacturer’s specifications.
SpO2: ±2% (70–100% SpO2)
±3% (50–60% SpO2)
SpO2 resolution: 1%
Averaging
Adult: 6 seconds Neonatal: 12 seconds
Display update interval: 2 seconds Peripheral pulse rate measurement specifications
PPR range: 20–250 beats per minute
PPR accuracy: ±3 beats per minute
PPR resolution: 1 beat per minute
Averaging: 10 seconds
Display update interval: 2 seconds Alarms: Selectable upper and lower limits for SpO2 and PPR
Temperature
Number of channels: 2 Input specifications
Probe type: YSI Series 400 or 700 (determined by input cable)
Temperature range: 0˚C to 45˚C (32°F to 113°F)
Resolution: ±0.1°C Output specifications
Parameters displayed: T1, T2
Linearity deviation: ± 1% (maximum)
DC drift: ±1 mV/˚C (maximum)
Error: (independent of source)
±0.1˚C for YSI series 400 probes ±0.3˚C for YSI series 700 probes
Noise: 20 mV (maximum) from dc to 100 Hz Alarms: Selectable upper and lower limits for T1, T2
Respiration (optional)
Measurement technique: Impedance variation detection Respiration rate measurement specification
Range: 0 to 200 breaths per minute (for variation of 1.0 to 10)
Accuracy: ± 1 breath per minute
Base impedance: 100 to 1000
Detection sensitivity: 0.4 to 10 variation (for 0 to 120 breaths per minute)
Excitation current: 250 µA
Averaging: 8 breaths
at 52.6 kHz
RMS
Display update interval: 2 seconds Waveform display bandwidth: 0.1 to 1.8 Hz (-3 dB) Lead fail: Indicated when base impedance exceeds 1750 ± 250 Apnea detection: Indicated when impedance variation is less than selected
sensitivity or 0.2, whichever is greater
Alarms: Selectable upper and lower respiration rate limits, and user
selectable apnea limit
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EQUIPMENT OVERVIEW
PERFORMANCE SPECIFICATIONS (CONT)
End-tidal C02 (optional)
Monitoring functions: Inspired and expired CO2 measurements, respiration rate
measurement Measurement technique: Non-dispersive infrared absorption, dual wavelength ratiometric Airway adapter specifications
Airway adapter dead space/chamber volume
Adult reusable: <5 cc Adult disposable: <5 cc Neonatal: <0.5 cc Sampling: <0.2 cc
CO2 measurement specifications
Range: 0 to 100 mmHg Accuracy
Mainstream: ±2 mmHg or 5%, whichever is greater Sidestream mode: ±3 mmHg or 8%, whichever is greater
Display update interval: 2 seconds CO2 averaging: Selectable from single breath, 10 seconds, or 20 seconds Resolution: 1 mmHg Response time (for 5% step size)
Mainstream adult: <60ms (10 to 90%) Mainstream neonate: <50 ms (10 to 90%) Sidestream (with filter): <600ms (10% to 90%) at 180 cc/min
Interference
N2O gas: ±2 mmHg or 5%, whichever is greater, with N2O compensation
enabled
O2 gas: ±2 mmHg or 5%, whichever is greater, with O2 compensation
enabled
Barometric pressure: ±2 mmHg (maximum) from 500 to 800 Water vapor: ±0.5 mmHg or 1.5% (maximum), whichever is greater Anesthetic agent: ±0.5 mmHg (maximum), for concentrations of no more than 5% of
halogenated agents
Warm-up time: Less than 15 seconds to initial CO2 indication, full specification
within 60 seconds
Calibration
Factory setting: Factory calibration settings stored in nonvolatile memory within
the sensor. 15 second adapter calibration when switching airway
types
Verification: Zero and reference performance check with on-cable verifier
CO2 Waveform sweep speed: Selectable one-fourth, one-half, and full speed
Respiration rate specifications
Range: (for 5% step size)
Mainstream mode: 0 to 120 breaths per minute Sidestream mode: 0 to 50 breaths per minute
Accuracy: ±1 breath per minute Resolution: ±1 breath per minute
Sidestream pump specifications
Flow rate: 190 ±10 cc/min
Capnostat III sensor specifications
Operating temperature: 10 to 40°C Storage temperature: -30 to 65°C (-22 to 149°F) Humidity: 5 to 95%, relative humidity, non-condensing Barometric pressure: 500 to 800 mmHg Shock resistance: Able to withstand 6 ft. drop to tile floor Moisture resistance: Splash resistant sealed transducer Cleaning and sterilization
Sensor: Transducer, cable, and verifier may be wiped with cold chemical
disinfectant: no steam sterilization, no ETO gas permitted, do not
immerse in fluid
Reusable airway adapters: Disinfect with buffered glutaraldehyde, ETO gas, isopropyl
alcohol, household bleach; also steam sterilization and
pasteurizable Alarms: Selectable upper and lower limits for CO2 and respiration rate
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EQUIPMENT OVERVIEW
PERFORMANCE SPECIFICATIONS (CONT)
STAR Recorder (optional)
Method: Thermal dot array Horizontal resolution: 800 dots/in at 1, 5, 10, 12.5, 25 mm/sec;
400 dots/in at 50 mm/sec Vertical resolution: 200 dots/in Number of waveform channels: 2 Paper width: 50 mm (1.97 in) Paper speed: 1, 5, 10, 12.5, 25, 50 mm/sec Paper speed accuracy: ±5% at 1 and 5 mm/sec; ±2% at 10 mm/sec or faster Frequency response: Determined by acquisition system
Direct Digital Writer (optional)
Method: Thermal, fixed head Horizontal resolution: 480 dots/in at 25 mm/sec; Vertical Resolution: 200 dots/in Number of Waveform
Channels: 4
Paper width:
7100: 108 mm (4.3 in) 7160: 50 mm (1.97 in)
Paper length:
7100: 46 m (150 ft) 7160: 25 m (95 ft)
Paper speed: 1, 5, 10, 12.5, 25, 50 mm/sec Paper speed accuracy: ±5% at 1 and 5 mm/sec; ±2% at 10 mm/sec or faster Frequency response: determined by acquisition system
Analog Output (optional)
ECG
Gain: 1 V/mV ±10% DC offset: ±100 mV (maximum) Noise: 5 mV peak to peak (maximum) 0 to 300 Hz Frequency response: 0.05 Hz to 100 Hz –0/+7 Hz
Blood pressure
Gain: 10 mV/mmHg ±2% DC offset: ±20 mV (maximum) Noise: 5 mV peak to peak (maximum) 0 to 300 Hz Frequency response: dc to 50 Hz -0/+2 Hz
Defibrillation Synchronization Pulse (optional)
Marker out
Time delay (R wave peak to leading edge of pulse): 35 ms (maximum) Amplitude
+5 V selection: 3.5V (min) at 1 mA sourcing: 0.5V (max) at 5 mA sinking +12 V selection: 11.0V (min) at 1 mA sourcing: 0.75V (max) at 5 mA sinking
Pulse width: Selectable 10 ms ± 10% or 100 ms ± 10% in service menu Output impedance: 50 nominal Current limit: 15 mA nominal, both sourcing and sinking
Marker in
Input threshold: V Input hysteresis 650 mV typical
=±2.5V (min), VIL =±1.5V (max)
IH
Maximum input voltage: ±30 V (with respect to ground on pin 2) Input impedance: 10k (min) for -25V <V Pulse width: 1.0 ms (min), V
2.5V
IN
<25V
IN
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EQUIPMENT OVERVIEW
PERFORMANCE SPECIFICATIONS (CONT)
Environmental Specifications
Power Requirements: 90–132 VAC 50/60 Hz
190–264 VAC 50/60 Hz Power consumption: 90–132 VAC 2A
(maximum) 190–264 VAC 50/60 1A Heat dissipation: 500 Btu/hr Cooling: Convection Operating Conditions:
Ambient temperature: 10 to 40˚C (50 to 104˚F)
Relative humidity: 30 - 70% Storage Conditions: Do not exceed:
Maximum: 50°C (122°F) at 50% relative humidity
70°C (158°F) at 15% relative humidity
Minimum: –25°C (–13°F)
Physical Specifications
Height: 24.13 cm (9.5 inches) Width: 31.11 cm (12.25 inches) Depth: 21.59 cm (8.5 inches) Weight: 7.3 kg (16 lb)
Certification
UL: UL2601-1 Listed CSA: C22.2 No. 601.1-M90 IEC: IEC 601-1 Certified
Electromagnetic Compatibility
CISPR Publication 11 Class B Radiated, Class B Conducted
Classifications The Eagle 3000 Patient Monitor is classified, according to IEC 601-1.
Type of protection against electrical shock:
Degree of protection against electrical shock:
Degree of protection against harmful ingress of water:
Degree of safety of application in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide:
Method(s) of sterilization or disinfection recommended by the manufacturer:
Class 1 Equipment
ECG, Respiration, and Invasive Blood Pressure are type CF equipment. Non-Invasive blood pressure, SpO2, and CO2 are type BF equipment.
Ordinary Equipment (enclosed equipment without protection against ingress of water)
Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide.
Not applicable
Mode of operation:
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Continuous operation
EAGLE 3000 PATIENT MONITOR
Page 33
PREPARATION FOR USE
EQUIPMENT OVERVIEW
POWER REQUIREMENTS
EQUIPMENT GROUND
REQUIREMENTS
At least one grounded duplex wall receptacle should be provided for each monitor. The wall receptacle should be hospital grade and installed in a suitable junction box. Power should be provided by a power line dedicated solely to equipment requiring emergency power.
WARNING
Loss of power to the monitor results in the loss of all monitoring functions.
The ground pin of the wall receptacles and all exposed metal parts (beds, radiators, water pipes, etc.) in the patient area should be connected together and tied to the nearest equipotential ground point through a bonded grounding system, or with a 10-AWG stranded copper grounding cable. This equipotential ground point should be as close to earth ground as possible. Use only three-prong, polarized, hospital-grade wall receptacles to accept the three-wire, polarized plug on the power cord of the monitor.
If a bonded grounding unit is not available, interconnect the ground pins of all wall receptacles in the patient and monitor areas with 10-AWG (or larger) stranded copper cables. This copper cable must connect to the central grounding point. Do not jumper from ground pin to ground pin, then to the central grounding point. The ground cabling must not carry current, such as a grounded neutral, since the current flow will produce differences in potential along the ground. These potential differences are the main source for shock hazards to the users and patients.
Do not rely on conduit as a ground conductor. Plastic (PVC) pipes or fittings used as conduit break up the ground path, which can present potential shock hazards. The electrical ground system must be connected to actual earth ground. If this is not possible, then a good reference ground such as a metal cold water pipe or an electrically conductive building component should be used. It is more important that all grounded objects in the patient area are at the same potential than at true earth potential.
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PREPARATION FOR USE (CONT)
EQUIPMENT OVERVIEW
MONITOR VENTILATION
REQUIREMENTS
The monitor is capable of producing as much as 170 BTu per hour of heat load. This is equivalent to approximately 50 watts of energy.
WARNING
Failure to properly ventilate the monitor may cause equipment failure or improper monitoring condi­tions which may endanger the patient being moni­tored.
CAUTION
Do not locate the monitor in an enclosed area that may restrict the heat dissipated by it. Any restriction in air flow causes a rise in internal temperature which may result in equipment failure.
CAUTION
The monitor must be located no closer than 4 inches (10 cm) from any partition or wall. The monitor should be approximately 12 inches (30 cm) from any overhead partition or the ceiling.
MOUNTING RECOMMENDATIONS
SOFTWARE SETUP
Tram Critical Care Monitoring System Reference Guide:
pn. 403799-010
Manufacturer recommended methods of mounting the monitor to various locations.
Section 6: Configuration
Information regarding connection of the monitor to peripherals
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ORDERING INFORMATION
y
EQUIPMENT OVERVIEW
PART NUMBERS AND
DESCRIPTIONS
EGL3107=A
How the order numbers are
broken down
Below is a breakdown of the product part number used for ordering the monitor.
0: No options 1: Defib Sync/Analog Out 2: End-tidal CO2 (Defib Sync/Analog Out included/required) 3: STAR writer (Defib Sync/Analog Out included/required) 4: End-tidal CO2 / STAR writer (Defib Sync/Analog Out included/required) 5: Dual invasive BP 6: Dual invasive BP / Defib Sync/Analog Out 7: Dual invasive BP / End-tidal CO2 (Defib Sync/Analog Out included/required) 8: Dual invasive BP / STAR writer (Defib Sync/Analog Out included/required) 9: Dual invasive BP / End-tidal CO2 / STAR writer (Defib Sync/Analog Out included/required)
0: Monitoring software Level 7015 1: Monitoring software Level 7020
0: Without respiration 1: Respiration
Eagle 3000 Patient Monitor product line All models include: ECG, Non-invasive BP, pulse oximetr
and dual temp
Using the sample product order number provided (EGL3107=A), the following information regarding the monitor configuration can be determined:
The “1” in the numeric portion of the order number (3107) indicates that the monitor includes respiration along with all of the standard vital sign monitoring functions included with all monitors: ECG, non-invasive blood pressure, pulse oximetry and dual temperature.
The “0” in the numeric portion of the order number (3107) indicates the monitor is configured with Level 7015 operating software enabled. Level 7015 operating software includes only basic monitoring functions. Level 7020 operating software includes lethal ECG arrhythmia detection (V-Fib and V-Tach) along with basic monitor operating functions.
The “7” in the numeric portion of the order number (3107) indicates the monitor also is configured with the following optional vital sign monitoring functions:
» two invasive blood pressure ports, and » end-tidal CO2 monitoring which requires the use of an
option interface board. The option interface board also provides defibrillator synchronization and analog output jacks.
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THEORY OF OPERATION
OVERALL MONITOR BLOCK
DIAGRAM
EQUIPMENT OVERVIEW
AC Power & Switch
Debug
ECG/Resp
SpO2
Temp 1/Temp 2
BP1 BP2
NBP
EtCO2
J1
J13
W15
Acquisition
J16
J17
J18
J19
Subsystem
Power
Supply
Board
Data
System
(DAS)
Board
NBP
EtCO2 Board
J3 J2
J8 J8
Processor
J5
J11
Main
Board
J3
J4
J7
J9
J10
J12
J25
J6 J6
EL Display Speaker 5 Hard Keys Ethernet RS-422 Debug Trim Knob
Interface
Option
Board
J21
J22
J23
J14
Defib Sync/Analog Output Remote Alarm
STAR
Recorder
GENERAL MONITOR BLOCK
THEORY
The theory of operation for the monitor, as covered in this part of the section, is intended to provide an overall block level overview of the monitor for service technicians. A general understanding of the theory of operation is required to effectively install, maintain or repair the monitor.
Detailed circuit theory
More detailed theory of operation can be obtained by attending manufacturer formal technical training classes. Regularly scheduled technical training classes are held throughout the year at the manufacturer training facility located in Jupiter, Florida. If warranted, technical training classes may be scheduled at customer sites or other locations in the field as well.
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THEORY OF OPERATION (CONT)
EQUIPMENT OVERVIEW
About the power supply board
About the DAS board
The power supply is an off-line forward converter topology with a two input range voltage rectifier/doubler scheme. The converter uses current mode control for best overall performance and fault tolerance. A two-transistor power switch approach was used to provide maximum ruggedness against input voltage transients and low conducted/radiated EMI.
Two individual output voltages are provided with complete overload/fault protection. The supply has six unique functional sections:
1. Input voltage rectifier/doubler section
2. Power forward converter/magnetics section
3. PWM controller section
4. Fault management section
5. +12V overvoltage protection section
6. Post regulator section
The data acquisition system (DAS) board, located in the monitor, is responsible for the acquisition of all vital-sign patient data. Analog sensor/electrode input signals are amplified and conditioned by hybrid assemblies, then converted to digital data. The digital patient data is transferred across an isolation barrier via high-speed opto-couplers to the processor pcb for analysis and display.
The DAS consists of an isolated and non-isolated section which are separated by a barrier that is capable of withstanding up to 6000 Vdc with respect to earth ground. Isolation is accomplished by using a coupled inductor power supply and opto-isolation for signals crossing the barrier.
About the main processor board
About the interface option board
About the EtCO2 option board
The processor pcb provides signal processing, system control, user interface, and communications functions for the monitor. It receives and processes digitized patient data from the isolated DAS board, text and waveform information for the display, interfaces with the operator via the front panel switches and Trim Knob, and communicates with other products on the network using a built-in Ethernet interface. Additional capabilities include an asynchronous communications port for devices like a DDW or remote control.
The development of the interface option board allows the cost of the main processing board to be reduced by incurring the cost of additional circuitry and connectors not required in many monitoring applications. This board provides the electrical hardware required to interface and control optional monitoring features. The options available include analog output, defibrillator synchronization, remote nurse alarm control, an integrated thermal recorder and an end-tidal CO2 subsystem.
The EtCO2 subsystem connects electrically and mechanically to the interface option board. An asynchronous communications port is used to communicate to the main processor board.
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FOR YOUR NOTES
EQUIPMENT OVERVIEW
EAGLE 3000 PATIENT MONITOR
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3
MAINTENANCE
Maintenance Schedule ........................................................... 3-2
Manufacturer recommendation ................................... 3-2
Manufacturer responsibility ........................................ 3-2
Visual Inspection.................................................................... 3-3
Inspecting the monitor ................................................ 3-3
Cleaning The Monitor ............................................................. 3-4
Cleaning the display ................................................... 3-4
Cleaning the external surfaces .................................... 3-4
Manufacturer recommendation ................................... 3-4
Checkout Procedures ............................................................. 3-5
About the checkout procedures .................................. 3-5
Manufacturer recommended test equipment ............... 3-5
ECG tests ................................................................... 3-6
Respiration tests (optional).......................................... 3-7
Temperature tests ....................................................... 3-8
Invasive blood pressure (optional) tests ....................... 3-9
Pulse oximetry tests .................................................. 3-10
Noninvasive blood pressure tests: Pre-test setup....... 3-11
Noninvasive blood pressure tests .............................. 3-12
End-tidal CO2 tests .................................................. 3-16
Defibrillator synchronization tests ............................ 3-17
Speaker tests ............................................................ 3-19
Safety Analysis Tests ............................................................ 3-20
Leakage current tests................................................ 3-20
Wall receptacle tests ................................................. 3-21
Surface continuity tests ............................................ 3-21
Ground wire to ground tests ..................................... 3-22
Chassis to ground tests ............................................ 3-23
Patient source tests .................................................. 3-24
Patient sink tests ...................................................... 3-26
High potential tests ................................................... 3-28
AC hi-pot tests .......................................................... 3-30
EAGLE 3000 PATIENT MONITOR
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Page 40
MAINTENANCE SCHEDULE
MAINTENANCE
MANUFACTURER
RECOMMENDATION
To make sure the monitor remains in proper operational and functional order, a good maintenance schedule must be adhered to. The manufacturer's recommendations in this regard are as follows:
Inspection: Operators should perform this prior to admitting each patient to the monitor. Service personnel should perform this prior to servicing the monitor.
General Cleaning: Operators should perform this prior to admitting each patient to the monitor. Service personnel should perform this after servicing the monitor.
Checkout Procedures: These should be performed by qualified service personnel upon receipt of the equipment, every 12 months thereafter, and each time the monitor is serviced.
Leakage Current Tests: These should be performed by qualified service personnel upon receipt of the equipment, every 12 months thereafter, and each time the monitor is serviced.
Hi-Pot Tests: High-potential tests should be performed by qualified service personnel whenever any component of the isolated data acquisition system (DAS) is removed, repaired or replaced in the monitor.
MANUFACTURER RESPONSIBILITY
NOTE
The Hi-Pot Tests provide a means of checking the patient isolation circuitry such that a patient receiv­ing defibrillation, while attached or admitted to the monitor, will receive the full energy of each shock and that the monitor will not absorb the energy, when delivered.
Non-invasive Blood Pressure (NBP) Calibration: NBP calibration should be performed by qualified service personnel upon receipt of the equipment and once each year, thereafter. Refer to Section 5: Calibration, for this information.
Failure on the part of all responsible individuals, hospitals or institutions, employing the use of this monitor, to implement the recommended maintenance schedule may cause equipment failure and potential operator and patient health hazards. The manufacturer does not in any manner, unless an Equipment Maintenance Agreement exists, assume the responsibility for performing the recommended maintenance schedule. The sole responsibility rests with all individuals, hospitals, or institutions utilizing the monitor.
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Page 41
VISUAL INSPECTION
MAINTENANCE
INSPECTING THE MONITOR
The monitor should be carefully inspected prior to each patient being admitted to the monitoring system. Follow these guidelines when inspecting the equipment:
Carefully inspect the monitor for obvious physical damage to the outer case, display screen and controls. Do not use the monitor if physical damage is determined. Refer damaged equipment to qualified service personnel for repair before using it again on a patient.
Inspect all external connectors, front and rear, for degraded pins, prongs and connector housings. Refer damaged equipment to qualified service personnel for repair before using it again on a patient.
Inspect all cable insulation, cable strain-reliefs and cable connectors for damage, cracks or degradation. Refer damaged equipment to qualified service personnel for repair before using it again on a patient.
EAGLE 3000 PATIENT MONITOR
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Page 42
CLEANING T HE MONITOR
MAINTENANCE
CLEANING THE DISPLAY
CLEANING THE EXTERNAL
SURFACES
To clean the display on the monitor, use a soft, clean, lint-free cloth dampened with a glass cleaner similar to Windex, or a 1:1 mixture of isopropyl alcohol and water.
WARNING
Do not spray glass cleaner or general cleaning solu­tions directly onto the display. Do not use hospital disinfectants, like Cidex, on the display.
Clean the external surfaces of the monitor before each time a patient is admitted to the system. The exterior surfaces may be cleaned with a lint-free cloth dampened with one of these approved solutions:
ammonia (diluted),
Cidex,
mild soap (dissolved), or
sodium hypochlorite bleach (diluted).
MANUFACTURER
RECOMMENDATION
The manufacturer recommends the following guidelines to avoid damaging the monitor:
Dilute all cleaning solutions according to respective manufacturer recommendations.
Use a clean, dry, lint-free cloth to wipe off excess cleaning solution after each application.
Do not pour water or cleaning solutions directly onto the monitor. Do not allow fluids to run into crevices, connectors or cooling vents on the monitor.
Never use these cleaning agents: » abrasive cleaners or solvents of any kind, » alcohol-based cleaning agents, » wax containing a cleaning substance, » acetone, or » betadine.
CAUTION
Follow these cleaning instructions exactly. Failure to follow the instructions may melt, distort, or dull the finish of the case, blur lettering on the labels, or cause equipment failures.
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Page 43
CHECKOUT PROCEDURES
MAINTENANCE
ABOUT THE CHECKOUT
PROCEDURES
MANUFACTURER RECOMMENDED
TEST
EQUIPMENT
The following pages contain the checkout procedures for the monitor. The purpose of the checkout procedures is to provide service personnel with a method which can be used to verify operational and functional performance of the monitor. Failure to attain any of the listed results indicates a potential malfunction of the monitor.
Perform the checkout procedures upon receipt of the monitor, every 12 months thereafter, and each time a circuit board is removed or replaced.
The checkout procedures are based on the assumption that the monitor being tested is used with known good cables and test equipment. It also requires that the user be somewhat familiar with the operation of all test equipment required for the checkout procedures. For more information concerning the operation of these components, refer to the respective operator manual.
The following table lists the manufacturer's recommended test equipment, adaptors, and cables necessary to successfully complete the checkout procedures. The checkout procedures were written for the test equipment in the following table. If test equipment other than the manufacturer's recommendation is used, it may be necessary to slightly modify some test steps.
Description Part Number Qty
Multifunction Micro-simulator MARQ1 1 Multi-link ECG cable, 5-Leadwire, AHA 412931-001 1 Multi-link Leadwire Set,
Individually Replaceable, 5-Leadwire, AHA 411200-001 1 BP Adapter 700095-001 2 Temperature Adaptor 402015-004 1 TEMP-to-Simulator Cable 6770031 1 Digital manometer Sensym PDM200M 1 NBP Cuff 9461-301 1 NBP Tubing 414873-001 1 Manometer Tubing 401582-001 2 ft Coupling 46100-002 1 Coupling 400787-001 1 3-Way Tee 4745-101 1 SpO2 Simulator 408610-001 1 SpO2 Simulator Cable, Nellcor 700232-004 1 CO2 Simulator Novametrix TB1265 1
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CHECKOUT PROCEDURES (CONT)
MAINTENANCE
ECG TESTS
1. Set up the patient simulator as follows:
Heart rate - 80 bpm,
Heart rate amplitude - 1.0 mV,
5-lead ECG patient cable properly attached.
2. Attach the ECG patient cable and ECG leadwire set to the ECG/RESP connector on the monitor and the leadwire connectors on the top of the patient simulator.
3. Admit the patient simulator to the monitor.
4. Observe the following:
ECG lead II is displayed and is noise-free,
Heart rate of 80 ±1 bpm is displayed,
With QRS tones enabled, an audible tone sounds with
each R-Wave (QRS complex).
5. Verify all seven ECG leads are available for viewing and are noise-free.
6. Select DETECT PACE and set to NORMAL.
7. Select the VP2 pacemaker pulse on the simulator.
8. Observe the following while viewing ECG leads II, III, aVR, aVF, and V:
•a P appears above the PVC count indicating
pacemaker pulse detection is enabled, and
the heart rate still reads 80 ±1 bpm.
9. Disable pacemaker pulse detection on the monitor and return the simulator to these conditions:
Heart rate - 80 bpm,
Heart rate amplitude - 1.0 mV,
5-lead ECG patient cable properly attached.
10. Select ECG lead II for viewing in the top trace position on the monitor display.
11. Disconnect the RA leadwire from the patient simulator.
12. Observe the following:
a RA FAIL message appears on the display, and
lead III automatically displays in place of lead II in the
top trace position.
13. Reconnect the RA leadwire to the patient simulator.
14. Inject a 1-millivolt calibration signal using the patient simulator and start a manual graph.
15. Observe that the calibration pulse is properly displayed and graphed.
16. This completes the ECG tests. Continue to the next steps of these checkout procedures.
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CHECKOUT PROCEDURES (CONT)
MAINTENANCE
RESPIRATION TESTS (OPTIONAL)
Respiration tests completion
1. With the ECG patient cable still connected to the ECG/ RESP connector of the monitor, set up the patient simulator as follows:
Respiration (RESP) baseline impedance - 750,
RESP R - 0.5,
RESP lead select - I & II,
RESP rate (respirations per minute) - 30.
2. Set up the monitor as follows:
RESP waveform - on,
RESP waveform lead select - lead II (RESP waveform
derived from ECG lead II).
3. Observe the following:
RESP parameter window appears on the monitor with
a reading of 30 ±2 (respirations per minute),
RESP waveform appears distortion-free on the
monitor.
4. Change the RESP waveform lead select of the monitor to lead I (RESP waveform derived from ECG lead I).
5. Observe the following:
RESP parameter window appears on the monitor with
a reading of 30 ±2 (respirations per minute),
RESP waveform appears distortion-free on the
monitor.
6. Disconnect the ECG patient cable from the ECG/RESP connector of the monitor. Proceed to the next steps in these checkout procedures.
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Page 46
CHECKOUT PROCEDURES (CONT)
MAINTENANCE
TEMPERATURE TESTS
Temperature tests completion
1. Set up the patient simulator for a temperature output of 37°C.
2. Attach the temperature adaptor cable to the TEMP connector of the monitor.
3. Set the switch on the temperature adaptor to the 400 position.
4. Attach the temperature simulator cable from the SERIES 400 TEMPERATURE OUTPUT connector of the patient simulator to the T1 connector of the temperature adaptor.
5. Verify a TEMP parameter window appears on the monitor display with a T1 reading of 37.0° ±0.4° C.
6. Move the temperature simulator cable from the T1 connector of the temperature adaptor to the T2 connector of the temperature adaptor.
7. Verify a T2 reading of 37.0° ±0.4° C in the TEMP parameter window on the monitor display.
8. Remove the temperature adaptor and temperature simulator cable from the monitor and patient simulator.
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CHECKOUT PROCEDURES (CONT)
MAINTENANCE
INVASIVE BLOOD PRESSURE (OPTIONAL) TESTS
BP1 connector (AR1) tests
BP1 test completion
BP2 connector (PA2) tests
Invasive blood pressure tests
completion
The invasive blood pressure (BP) tests provide a method of verification for both BP connectors (BP1 and BP2) of a monitor equipped with this optional function. Follow these steps:
1. Set up the patient simulator as follows:
Blood pressure (BP) polarity - POS,
BP output - 0 mmHg.
2. Connect the BP simulator cable from the BLOOD PRESSURE 1 - 120/80 connector of the patient simulator to the BP1 (left-most BP) connector of the monitor.
3. Verify the AR1 parameter window, waveform label, corresponding graticules, and waveform appear on the monitor display, along with a BP waveform requiring zero reference.
4. Press the ZERO ALL push-button on the front panel of the monitor to zero-reference the AR1 BP waveform.
5. Change the patient simulator BP output to 200 mmHg.
6. Observe a reading of 200/200 (200) ± 4 mmHg in the AR1 parameter window on the monitor display.
7. Change the patient simulator BP output to WAVE (simulated BP waveform).
8. Set the AR1 BP waveform gain on the monitor to auto.
9. Observe a distortion-free AR1 BP waveform and a reading of approximately 120/80 (93) in the AR1 parameter window on the monitor display.
10. Disconnect the BP simulator cable from the BP1 connector of the monitor. Continue to the next step for the BP2 test.
11. Again, set up the patient simulator as follows:
BP polarity - POS,
BP output - 0 mmHg.
12. Connect the BP simulator cable to the BP2 (right-most BP) connector of the monitor.
13. Verify a PA2 parameter window, waveform label and corresponding graticules appear on the monitor display, along with a PA2 BP waveform requiring zero reference.
14. Press the ZERO ALL push-button on the front panel of the monitor to zero reference the PA2 BP waveform.
15. Change the patient simulator BP output to 200 mmHg.
16. Observe a reading of 200/200 (200) ± 4 mmHg in the PA2 parameter window on the monitor display.
17. Change the patient simulator BP output to WAVE (simulated BP waveform).
18. Set the PA2 BP waveform gain on the monitor to auto.
19. Observe a distortion-free PA2 BP waveform and a reading of approximately 120/80 (93) in the PA2 parameter window on the monitor display.
20. Remove the BP simulator cable from the BP2 connector of the monitor. This completes the BP tests.
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Page 48
CHECKOUT PROCEDURES (CONT)
MAINTENANCE
PULSE OXIMETRY TESTS
1. Set the pulse oximetry (SpO2) simulator power switch to the off position.
2. Connect the Nellcor-style SpO2 simulator cable between the SpO2 connector of the monitor and the SpO2 simulator.
3. Set up the SpO2 simulator as follows:
SPO2 - 99% (using the white NELLCOR values),
PULSE RATE - 100 B/M (beats per minute),
MODE - NELLCOR,
Power switch - on.
4. Verify a SPO2 parameter window, waveform label and corresponding graticules appear on the monitor display.
5. Verify the following appear on the monitor display:
Sinusoidal SpO2 waveform,
SPO2% parameter reading of 97-102 (%),
PPR parameter reading of 97-103 (beats per minute).
6. Verify accuracy of the SPO2% values (these are the white NELLCOR values shown on the SpO2 simulator) on the monitor display using the SpO2 simulator settings from the following table:
Pulse oximetry tests completion
SpO2 Simulator Setting Displayed SPO2% Value
99% 97 – 102
85.5% 83 – 88
68.4% 66 – 71
7. Verify accuracy of the PPR values on the monitor display using the SpO2 simulator pulse rates from the following table:
Simulator PULSE RATE Displayed PPR Value
70 B/M 68 – 72 100 B/M 97 – 103 160 B/M 156 – 164
8. Press the INTERFERENCE TEST button on the SpO simulator for 30 seconds.
9. Verify the displayed SPO2% value remains 97-102%, or an interference detection message is displayed and XX is displayed in the SpO2 parameter window in place of an SPO2% value.
10. Set the SpO2 simulator power switch to the off position.
11. Disconnect the Nellcor-style SpO2 simulator cable from the monitor SpO2 connector. This completes the SpO2 tests.
2
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CHECKOUT PROCEDURES (CONT)
MAINTENANCE
NONINVASIVE BLOOD PRESSURE
TESTS
: PRE-TEST SETUP
1. Attach the digital manometer, noninvasive blood pressure (NBP) cuff, tees and tubing, as shown below, to the NBP connector of the monitor.
NBP tubing, pn 414873-001
6-inch diameter PVC pipe (or 1-pound coffee can): Wrap the NBP cuff around this for tests.
NBP cuff, pn 9461-301: Any size NBP cuff will be sufficient.
Coupling, pn 46100-002: Connects manometer tubing to NBP tubing.
3-way tee, pn 4745-101: Connects manometer tubing, NBP tubing and NBP cuff tubing.
Digital manometer, Sensym PDM200M: Note: A calibrated mercury manometer may be substituted.
Coupling,
Manometer tubing, pn 401582-001: Approximately two feet in length.
2. Set the digital manometer power switch to the on position.
3. Set the digital manometer range switch to 1000␣ mmHg.
pn 400787-001: Connects manometer tubing to NBP cuff tubing.
EAGLE 3000 PATIENT MONITOR
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Page 50
0106
SERVICE
MODE
CHECKOUT PROCEDURES (CONT)
MAINTENANCE
NONINVASIVE BLOOD PRESSURE
TESTS
Enter the service menus of the
monitor
To perform the noninvasive blood pressure (NBP) tests, current software is assumed to be installed in the monitor.
1. From the main menu of the monitor, rotate the Trim Knob control to highlight MONITOR SETUP and press the Trim Knob control to select it.
ALARM
CONTROL
PATIENT
DATA
MONITOR
SETUP
PATIENT:
DISCHARGED
2. Rotate the Trim Knob control to highlight SERVICE MODE, and press the Trim Knob control to select it.
MAIN
MENU
WAVEFORMS
ON/OFF
UNIT ALARMS:
OFF
DISPLAY:
INDIVIDUAL
BRIGHTNESS:
100%
LEARN THE
MONITOR
PARAMETERS
ON/OFF
SOFTWARE
REVISION
GRAPH SETUP
SOFTWARE
COMPATIBILITY
MONITOR
DEFAULTS
SERVICE
MODE
3. A service menu password window will appear on the monitor display. A password is required to prevent non­service personnel from accessing the service menus. The password is four numbers that represent the date that currently resides in a memory circuit within the monitor (please note that this may or may not be the correct date). In the password, the first two numbers, starting from the left, represent the day and the second two numbers represent the month of whatever date that currently resides in the memory circuits of the monitor. For example, the seventh day of the third month (June 1st) would be represented in the password as 0106 (ddmm). Note the date that is currently on the monitor display and follow these steps to enter the password;
Rotate the Trim Knob control to highlight the
password number that you would like to change.
To change the highlighted number. press the Trim
Knob control.
Rotate the Trim Knob control until the correct number
is displayed in the selected field.
To enter the number, press the Trim Knob control.
Repeat these steps until all password numbers are
correctly displayed.
Once you have entered the correct password numbers,
rotate the Trim Knob control to highlight SERVICE MODE in the enter password window.
Press the Trim Knob control one more time to enter
the password and access the service menus of the monitor.
3 - 12 415397-003 PAGE REV C
EAGLE 3000 PATIENT MONITOR
Page 51
CHECKOUT PROCEDURES (CONT)
MAINTENANCE
NBP calibration menu of the
monitor
The service menus should appear on the monitor display. These next steps guide you through the service menus associated with checking NBP calibration. If desired test results are not obtained, NBP calibration will be necessary.
4. Rotate the Trim Knob control to highlight CALIBRATE and press the Trim Knob control to select it. Next, rotate the Trim Knob control to highlight CALIBRATE NBP and press the Trim Knob control to select it.
MAIN
MENU
SOFTWARE
LEVEL
MAIN
MENU
PREVIOUS
MENU
REVIEW
ERRORS
PATIENT-MONITOR TYPE:
ADULT-ICU
CALIBRATE
NBP
CO2
SERVICE
ADMIT MENU:
STANDARD
SET UNIT
NAME
CALIBRATE
SET BED
NUMBER
SET INTERNET
ADDRESS
STAR TEST
PATTERN
TIME AND
DATE
Start the NBP calibration test
5. Rotate the Trim Knob control to highlight CHECK CAL OFF and press the Trim Knob control to select it.
MAIN
MENU
PREVIOUS
MENU
CAL ZERO
OFF
CAL GAIN
OFF
CHECK CAL
OFF
6. Rotate the Trim Knob control to highlight START and press the Trim Knob control to select it.
MAIN
MENU
PREVIOUS
MENU
CAL ZERO
OFF
CAL GAIN
OFF
CHECK CAL
OFF
> START
STOP
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Page 52
CHECKOUT PROCEDURES (CONT)
Verify NBP calibration 7. The text on the menu item will change from CHECK CAL
MAINTENANCE
OFF to CHECK CAL IN PROGRESS. Verify the readings in the NBP parameter window on the monitor dispaly and readings on the digital manometer are equal (± 1 mmHg) for at least one full minute. If the readings are not equal for at least one full minute, the NBP circuit requires calibration.
24-JAN-1996 09:27
II
V
OPENS POPUP TO START/STOP A CALIBRATION CHECK
MAIN
MENU
PREVIOUS
MENU
CAL ZERO
OFF
CAL GAIN
OFF
CHECK CAL
IN PROGRESS
DISCHARGED
LEADS FAIL
ICU-BED5
X / X
CUFF 250
X
150
50
140
40
mmHg
ADT
8. Rotate the Trim Knob control to highlight CHECK CAL IN PROGRESS and press the Trim Knob control to select it.
MAIN
MENU
PREVIOUS
MENU
CAL ZERO
OFF
CAL GAIN
OFF
CHECK CAL
IN PROGRESS
E C G
N B P
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Page 53
CHECKOUT PROCEDURES (CONT)
MAINTENANCE
Stop the NBP calibration test
9. Rotate the Trim Knob control to highlight STOP and press the Trim Knob control to select it. The pneumatic control circuit of the monitor will vent air pressure in the pneumatic circuit of the monitor to atmosphere, causing the NBP cuff to deflate.
24-JAN-1996 09:29
II
V
OPENS POPUP TO START/STOP A CALIBRATION CHECK
MAIN
MENU
PREVIOUS
MENU
CAL ZERO
OFF
CAL GAIN
OFF
CHECK CAL
IN PROGRESS
>
START
STOP
DISCHARGED
LEADS FAIL
ICU-BED5
X / X
CUFF 236
X
150
140
mmHg
E
50
C G
N
40
B P
ADT
Noninvasive blood pressure tests
completion
10. Remove the NBP test setup apparatus from the monitor. The NBP tests are complete.
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CHECKOUT PROCEDURES (CONT)
MAINTENANCE
END-TIDAL CO2 TESTS
1. Return to the main menu of the monitor.
2. With the Capnostat sensor attached to the front panel
connector of the monitor, put the sensor on the zero reference ( 0 ) cell.
3. Use the Trim Knob control to select the CO2 parameter
menu. Rotate the Trim Knob control to highlight CAL SENSOR TO ZERO CELL, and press the Trim Knob to
select it. Select READY and press the Trim Knob. A CALIBRATING message will appear in the CO
parameter box.
4. After zero calibration is complete, put the sensor on the
reference (REF) cell.
5. Verify the reading in the CO
mmHg.
parameter box displays 38 ±2
2
2
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CHECKOUT PROCEDURES (CONT)
MAINTENANCE
DEFIBRILLATOR
SYNCHRONIZATION
DEFIB. SYNC.
ECG - 1
Ground - 2
Marker Out - 3
DEFIB SYNC connector:
DEFIB SYNC connector:
TESTS
6 - Arterial BP
5 - Analog Ground
4 - Marker In
Arterial BP
ECG
1. Use the figure at the left as a reference for connecting the oscilloscope to the DEFIB SYNC connector, located on the front panel of the monitor, for performing these tests.
2. Test the ECG, Arterial BP and Marker Out signals from the DEFIB SYNC connector. They should closely resemble the waveforms in the figures below. Note that there are two Marker Out traces shown below. The upper Marker Out figure references the frequency aspects of the signal. The lower Marker Out figure references the pulse width aspects of the signal.
Signal Pin: 1 Ground Pin: 5 Probe Type: x10 Time/Division: 0.2S Volts/Division: 0.5V
Signal Pin: 6 Ground Pin: 5 Probe Type: x10 Time/Division: 0.2S Volts/Division: 0.2V
DEFIB SYNC connector:
Marker Out (frequency)
Signal Pin: 3 Ground Pin: 2 Probe Type: x10 Time/Division: 0.2S Volts/Division: 1V
DEFIB SYNC connector:
Marker Out (pulse width)
Signal Pin: 3 Ground Pin: 2 Probe Type: x10 Time/Division: 5mS Volts/Division: 1V
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Page 56
CHECKOUT PROCEDURES (CONT)
MAINTENANCE
Verify defib sync markers
Defibrillator synchronization tests
completion
3. Attach a jumper wire between pin-3 (Marker Out) and pin-4 (Marker In) of the DEFIB SYNC connector located on the front of the monitor. Verify negative spikes in each of the QRS Complex (ECG waveform) R-Waves on the monitor display, similar to those shown in the illustration below.
Observe normal R-waves before the jumper is installed.
Observe the negative spikes in the R-waves while the jumper is installed. The spikes are small, and they can be difficult to see at times. An "X" is also placed on these ECG waveforms.
XXXX
4. Remove the jumper wire installed in the previous step from the DEFIB SYNC connector. This completes the defibrillator synchronization tests.
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CHECKOUT PROCEDURES (CONT)
MAINTENANCE
SPEAKER TESTS
Checkout procedure tests
completion
1. Change the alarm volume of the monitor to 100%.
2. Verify the speaker volume of the monitor changes accordingly.
3. Return the volume of the monitor to the level it was previously set to, before you changed it for this test.
This completes all tests associated with the checkout procedures. Disconnect the monitor from all test equipment in the following manner:
1. Set all test equipment power switches to the off position.
2. Set the monitor rear panel power switch to the off (0) position.
3. Remove all test equipment from the monitor.
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Page 58
ELECTRICAL SAFETY T ESTS
MAINTENANCE
CURRENT LEAKAGE TESTS
Manufacturer recommendation
Leakage current tests provide a method of determining if potential electrical health hazards to the patient exist in the monitor. These tests generally are required by the National Fire Protection Agency (NFPA) as a part of National Electrical Code (NEC) guidelines for medical device electrical safety.
It is recommended that these tests be performed upon receipt of the equipment, once per year thereafter, and each time the main enclosure is disassembled or a circuit board is removed, tested, repaired, or replaced.
WARNING
Failure to perform leakage current tests may cause undue equipment failure and potential health haz­ards to patients connected to the monitor. The manufacturer does not in any manner, unless an Equipment Maintenance Agreement exists, assume the responsibility for performing the leakage current tests. The sole responsibility rests with the indi­vidual or institution using the equipment. Manufac­turer service representatives may, at their discre­tion, use this procedure as a helpful guide during visits to the equipment site.
Test conditions
Test equipment
Leakage current tests may be performed under normal ambient conditions of temperature, humidity, and pressure.
The Manufacturer recommended test equipment required to perform leakage current tests is listed below. Equivalent equipment may be substituted as necessary.
Name Manufacturer Part Number
Digital Multimeter Fluke 8060A Leakage Tester - 115V/60Hz MEI MT-1216-01 ECG test body MEI MT -3387
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ELECTRICAL SAFETY T ESTS (CONT)
MAINTENANCE
WALL RECEPTACLE TESTS
If other than normal polarity and
ground is indicated
Before starting the tests, the wall receptacle from which the monitor will get electrical power must be checked. This test checks the condition of the wall receptacle to ensure correct results from leakage tests.
Connect the leakage tester to the wall receptacle. Observe the 0, K, and R lamps with the GND switch in the down position. For safe conditions, the lamps should reflect normal polarity and ground as shown below.
0 K R Condition
On On Off Normal polarity and ground Off On On Reverse polarity Off On Off No ground On Off Off No neutral Off Off On No neutral/reverse polarity Off Off Off No power
If other than normal polarity and ground is indicated, corrective action must be taken before proceeding to the following steps. The results of the following steps will be meaningless unless a properly wired wall receptacle is used.
SURFACE CONTINUITY TESTS
Ground
Pin
Power cord plug (120 Vac)
The surface continuity test provides a method of checking the integrity of the monitor relative to proper internal and external electrical ground. This test determines whether the monitor has a power ground fault.
1. Disconnect the monitor (unit under test) from any wall receptacle.
2. Connect the negative lead of a digital multimeter (DMM) to the ground pin of the unit under test’s power cord plug. The figure to the left shows the location of the ground pin on a 120 Vac power cord plug used in the United States. If your monitor uses a different voltage, or you live in a different country, your outlet will look different.
3. Set the DMM to the milliohms (m) range.
4. Connect the positive lead of the DMM to any exposed metal surface on the unit under test.
5. Read the resistance displayed on the DMM. If the resistance is higher than 100 m, the unit under test fails this test and should be repaired and tested again.
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Page 60
ELECTRICAL SAFETY T ESTS (CONT)
MAINTENANCE
GROUND WIRE TO GROUND TESTS
Electrical diagram:
ground wire to ground tests
Perform this test to measure leakage current through the ground wire of the monitor during normal operation.
1. Set the leakage tester switches as follows:
Selector knob - 1,
GND switch - OPEN,
Polarity switch - NORM,
Power switch - OFF.
2. Connect the DMM to the METER jacks on the leakage tester. Set the DMM to measure AC millivolts.
3. Connect the power cord of the monitor to the power receptacle on the rear of the leakage tester.
4. Set the leakage tester power switch to ON.
5. Set the rear panel power switch of the monitor to ON.
6. Read leakage current indicated on DMM. If the reading is greater than:
300 microamperes (µA, read as 0.3 volts on the
DMM), and the monitor is operating at 120 V/60 Hz (U.S.); or
500 µA (0.5 volts on the DMM), and the monitor is
operating at 220-240 V/50-60 Hz (non-U.S.);
the unit under test fails this test and should be repaired and tested again.
7. Set the polarity switch on the leakage tester to RVS (reverse).
8. Read the leakage current indicated on the DMM. If the reading is greater than:
300 µA, (0.3 volts on the DMM), and the monitor is
operating at 120 V/60 Hz (U.S.); or
500 µA (0.5 volts on the DMM), and the monitor is
operating at 220-240 V/50-60 Hz (non-U.S.);
the unit under test fails this test and should be repaired and tested again.
9. Set the leakage tester power switch to OFF.
Leakage Tester
HIGH
LOW
GND
POWER CORD
V*
1K
0.15µF
10
NORM
RVS
GND
POWER CORD
UNIT
UNDER
TEST
*Meter reading: 1 mV = 1 µA (leakage current)
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Page 61
ELECTRICAL SAFETY T ESTS (CONT)
MAINTENANCE
CHASSIS TO GROUND TESTS
Perform this test to measure leakage current through exposed conductive surfaces on the monitor during normal operation.
1. Set the leakage tester switches as follows:
Selector knob - 2,
GND switch - OPEN,
Polarity switch - NORM.
2. Connect a meter lead between the CHAS connector on the rear of the leakage tester and an unpainted, non-anodized chassis ground on the unit under test.
3. Set the leakage tester power switch to ON.
4. Read the leakage current indicated on the DMM. If the reading is greater than:
300 µA, (0.3 volts on the DMM), and the monitor is
operating at 120 V/60 Hz (U.S.); or
500 µA (0.5 volts on the DMM), and the monitor is
operating at 220-240 V/50-60 Hz (non-U.S.);
the unit under test fails this test and should be repaired and tested again.
5. Set the polarity switch to RVS and observe the same meter readings as in the previous step.
6. Set the GND switch on the leakage tester to CLOSED.
7. Read the leakage current indicated on the DMM. If the reading is greater than:
300 µA, (0.3 volts on the DMM), and the monitor is
operating at 120 V/60 Hz (U.S.); or
500 µA (0.5 volts on the DMM), and the monitor is
operating at 220-240 V/50-60 Hz (non-U.S.);
the unit under test fails this test and should be repaired and tested again.
8. Set the polarity switch to RVS and observe the same meter readings as in the previous step.
9. Set the leakage tester power switch to OFF and remove the meter lead connected in step 2.
Electrical diagram:
Leakage Tester
chassis to ground tests
HIGH
LOW
GND
POWER CORD
1K
V*
*Meter reading: 1 mV = 1 µA (leakage current)
0.15µF
10
NORM
RVS
GND
POWER CORD
Probe to exposed chassis
UNIT
UNDER
TEST
EAGLE 3000 PATIENT MONITOR
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Page 62
ELECTRICAL SAFETY T ESTS (CONT)
MAINTENANCE
PATIENT SOURCE TESTS
This test checks leakage current from the ECG/RESP connector of the monitor relative to ground.
1. Set leakage tester switches as follows:
Selector knob - 3,
GND switch - GND OPEN,
Polarity switch - NORM,
Power switch - OFF.
2. Connect an ECG test body to the ECG/RESP connector of the monitor.
3. Connect a short length of cable between the ECG test body installed in the last step and the jacks on the top of the leakage tester.
4. Set the leakage tester power switch to ON.
5. Set the rear panel power switch of the monitor to ON.
6. Read the leakage current indicated on the DMM. If the reading is greater than 10 µA (10 mV on the DMM),
the unit under test fails this test and should be repaired and tested again.
7. Change the leakage tester polarity switch to the RVS position.
8. Read the leakage current indicated on the DMM.
10 µA, (0.01 volts on the DMM), and the monitor is
operating at 120 V/60 Hz (U.S.); or
50 µA (0.05 volts on the DMM), and the monitor is
operating at 220-240 V/50-60 Hz (non-U.S.);
9. Change the GND switch to the CLOSED position.
Electrical diagram:
Leakage Tester
patient source tests
HIGH
LOW
GND
POWER CORD
V*
*Meter reading: 1 mV = 1 µA (leakage current)
1K
0.15µF
10
NORM
RVS
GND
PATIENT JACKS
(TOP)
POWER CORD
TEST BODY
UNIT
UNDER
TEST
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ELECTRICAL SAFETY T ESTS (CONT)
MAINTENANCE
Patient source tests (Cont)
10. Read the leakage current indicated on the DMM.
10 µA, (0.01 volts on the DMM), and the monitor is
operating at 120 V/60 Hz (U.S.); or
50 µA (0.05 volts on the DMM), and the monitor is
operating at 220-240 V/50-60 Hz (non-U.S.);
11. Change the leakage tester polarity switch to the RVS position.
12. Read the leakage current indicated on the DMM.
10 µA, (0.01 volts on the DMM), and the monitor is
operating at 120 V/60 Hz (U.S.); or
50 µA (0.05 volts on the DMM), and the monitor is
operating at 220-240 V/50-60 Hz (non-U.S.);
13. Set the power switch of the leakage tester to OFF.
EAGLE 3000 PATIENT MONITOR
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Page 64
ELECTRICAL SAFETY T ESTS (CONT)
MAINTENANCE
PATIENT SINK TESTS
This tests ECG connector leakage current from a 115 or 220 V
source into the ECG/RESP connector of the monitor.
1. Set the leakage tester switches as follows:
Selector knob - 5,
GND switch - CLOSED,
Polarity switch - NORM.
2. Disconnect the test cable from the leakage tester PATIENT JACKS (TOP) and reconnect it to the PATN JACK connector on the front panel of the leakage tester.
WARNING
The following step will cause high voltage (120 Vac to 240 Vac) to appear at the PATN JACK on the leakage tester. Do not touch the PATN JACK posts or ECG lead clips during this test as an electrical shock will occur.
3. Set power switch on the leakage tester to ON.
4. Read leakage current indicated on DMM. If the reading is greater than:
10 µA, (0.01 volts on the DMM), and the monitor is
operating at 120 V/60 Hz (U.S.); or
50 µA (0.05 volts on the DMM), and the monitor is
operating at 220-240 V/50-60 Hz (non-U.S.);
the unit under test fails this test and should be repaired and tested again.
ac
Electrical diagram:
Leakage Tester
patient sink tests
HIGH
LOW
GND
POWER CORD
1K
V*
*Meter reading: 1 mV = 1 µA (leakage current)
120K
0.15µF
10
NORM
RVS
GND
PATN JACK
(FRONT)
POWER CORD
TEST BODY
(Keep test body cable length as short as possible.)
UNIT
UNDER
TEST
EAGLE 3000 PATIENT MONITOR
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Page 65
ELECTRICAL SAFETY T ESTS (CONT)
MAINTENANCE
Patient sink tests (Cont)
Patient sink tests completion
TEST COMPLETION
5. Change the leakage tester polarity switch to the RVS position.
6. Read the leakage current indicated on the DMM. If the reading is greater than:
10 µA, (0.01 volts on the DMM), and the monitor is
operating at 120 V/60 Hz (U.S.); or
50 µA (0.05 volts on the DMM), and the monitor is
operating at 220-240 V/50-60 Hz (non-U.S.);
the unit under test fails this test and should be repaired and tested again.
7. Set the power switch on the leakage tester to OFF.
Disconnect all test equipment from the monitor. Disconnect the monitor power cord plug from the leakage tester power recep­tacle. Disconnect the leakage tester from the wall receptacle.
EAGLE 3000 PATIENT MONITOR
PAGE REV C 415397-003 3 - 27
Page 66
ELECTRICAL SAFETY T ESTS (CONT)
MAINTENANCE
HI-POT (DIELECTRIC WITHSTAND) TESTS
Manufacturer recommendation
The high potential (Hi-Pot) tests provide a method of checking patient isolation circuits and protect patients connected to the monitor from potential electrical health hazards. These tests are recommended for direct patient-connected medical devices to check the integrity of the patient isolation circuitry after any isolated component in the device has been repaired.
The manufacturer recommends that hi-pot tests be performed whenever a circuit board in the patient-isolated portion of the monitor is removed, repaired, or replaced. Examples of patient­isolated components include, but are not limited to, the front panel patient cable connectors, the isolated power supply, or any patient data acquisition assemblies.
WARNING
Failure to perform hi-pot tests may cause undue equipment failure and possible health hazards. The manufacturer does not in any manner, unless an Equipment Maintenance Agreement exists, assume the responsibility for performing these recommended hi-pot tests. The sole responsibility rests with the individuals, hospitals or institutions utilizing this equipment. Manufacturer service representatives may, at their discretion, use this procedure as a helpful guide during visits to the equipment site.
Test conditions
Test equipment
Pretest preparation
These tests may be performed under normal ambient conditions of temperature, humidity, and pressure.
Equipment required to perform these tests is listed below. Equivalent equipment may be substituted as necessary.
Name Manufacturer Part Number
AC/DC Hi-Pot Generator Hipotronics AD125 ECG Test Body MEI MT-3387
Follow these steps in the same order in which they are listed.
1. Set up the AC/DC Hi-Pot Generator in the following manner:
Power switch - ON,
VOLTAGE RANGE selector - MEDIUM (10 kVA),
RAISE VOLTAGE selector - 0 volts,
OUTPUT & CURRENT selector - 1 mA range, and
Allow the tester to warm up for 15 minutes before
continuing with this test.
2. Connect the ground pin on the power cord connector of the monitor to the ground of the AC/DC Hi-Pot Generator.
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Page 67
ELECTRICAL SAFETY T ESTS (CONT)
MAINTENANCE
High Potential Tests (Cont)
Perform the AC hi-pot tests only on the ECG/RESP front panel connector of the monitor.
CAUTION
Never attempt to perform this test on any of the other front panel connectors of the monitor. Damage to the monitor may occur if this test is performed on any of the other front panel connectors.
1. Install the ECG test body in the ECG/RESP front panel connector of the monitor.
2. Connect one end of a high voltage lead to the exposed lead of the test body.
3. Connect the other end of the high voltage lead to the AC OUT connector of the AC/DC Hi-Pot Generator.
WARNING
The following step will cause high voltage (4000 Vac) to appear at the test body.
4. Set the HIGH VOLTAGE switch to ON. The high voltage indicator should illuminate with this action.
NOTE
During this test, watch the analog meter to ensure the current level never exceeds 1␣ mA. If it does, the unit has failed the test and must be repaired then tested again.
5. Slowly turn the RAISE VOLTAGE selector to 4000 volts.
6. Wait for 60 seconds. If the breakdown warning lamp illuminates or the buzzer activates before the time expires, then the unit has failed the test and should be repaired then tested again.
7. Slowly turn the RAISE VOLTAGE selector to 0 volts.
8. Set the HIGH VOLTAGE switch to OFF. The high voltage indicator should turn off.
9. If the unit under test fails, repairs must be made and the unit must be tested again.
10. This completes the AC hi-pot test.
EAGLE 3000 PATIENT MONITOR
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Page 68
FOR YOUR NOTES
MAINTENANCE
EAGLE 3000 PATIENT MONITOR
3 - 30 415397-003 PAGE REV C
Page 69
4
TROUBLESHOOTING
Power Source Tests ................................................................ 4-2
Wall receptacle ............................................................ 4-2
Power cord and plug ................................................... 4-3
Main power and display power control ........................ 4-3
Data Acquisition Tests ........................................................... 4-4
ECG functions ............................................................ 4-4
ECG waveforms are displayed incorrectly ................... 4-5
Lead fail functions ...................................................... 4-5
Pace detect functions .................................................. 4-6
Invasive blood pressure functions ............................... 4-7
BP waveforms do not appear correctly on the display .. 4-8
Respiration functions (optional) .................................. 4-9
Non-invasive blood pressure functions ...................... 4-11
Service Mode Menu .............................................................. 4-12
About the service mode menu ................................... 4-12
Access to the service mode menu .............................. 4-13
About service mode menu option items ..................... 4-14
Review errors ............................................................ 4-14
More about review errors .......................................... 4-17
Error logs .................................................................. 4-18
Service Tips .......................................................................... 4-19
Fault/symptom analysis ........................................... 4-19
DAS board symptoms ............................................... 4-20
Main processor board symptoms............................... 4-20
Power supply board symptoms.................................. 4-20
Isolating Problems on a Network .......................................... 4-21
EAGLE 3000 PATIENT MONITOR
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Page 70
POWER SOURCE T ESTS
TROUBLESHOOTING
WALL RECEPTACLE
Neutral
Line
Ground
Voltage tests
Ground-to-neutral resistance test
Use this procedure to confirm AC power from the wall receptacle which the monitor is plugged into.
Use a digital multimeter (DMM) to verify the wall receptacle is wired correctly. This is accomplished by performing a:
voltage measurement between all three connections of the wall receptacle;
ground-to-neutral loop resistance measurement.
A standard wall receptacle consists of three connections: line, neutral and ground. The figure at left indicates the location of each on a 120 Vac wall receptacle commonly used in the United States. The location and shape of pins may be different on wall receptacles used in countries other than the United States.
Perform the following tests:
1. Use a DMM to measure the voltage between the three connections.
Select the AC voltage scale on the DMM.
Measure the voltage from line to neutral, line to
ground, and neutral to ground and make sure these are correct. With a correctly wired wall receptacle used in the United States, the following readings should be obtained:
Line to neutral: 120 V Line to ground: 120 V Neutral to ground: < 3 V
Readings other than these indicate improper wiring. Have the wall receptacle checked by an electrician.
2. Use a DMM to measure the ground-to-neutral loop resistance.
ac
ac
ac
CAUTION
Do not check the ground-neutral loop resistance unless the wall receptacle is correctly wired.
Select the milliohms (m) scale on the DMM.
Measure resistance across the power cord ground and
neutral.
Measure from the ground lug on the rear power
connector to any exposed metal of the monitor. The resistance between the ground and neutral connections, after the ohmmeter is nulled, must be less than 100 m. If not, have the wall receptacle checked by an electrician.
EAGLE 3000 PATIENT MONITOR
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Page 71
POWER SOURCE T ESTS (CONT)
TROUBLESHOOTING
POWER CORD AND PLUG
MAIN POWER AND DISPLAY
POWER
CONTROL
Verify the power cord being used with the monitor is good. The following are a couple of things to check for in this regard:
Failure of the power cord strain relief is very common. Often times users of the equipment will pull on the power cord itself, rather than the power cord plug, to unplug the monitor from a wall receptacle. If in doubt, test for continuity through each conductor of the power cord connector and plug.
Verify line, neutral, and ground conductors are properly connected to the power cord plug and are not short­circuited. Rewire and tighten these, or replace the power cord, as necessary.
Turn the rear panel main power switch of the monitor to the on (1) position. During normal operation, the main power switch is typically left in the on position. The DISPLAY ON/OFF front panel control on the monitor is used for turning the display on or off, depending on whether a patient is admitted to the monitor or not.
EAGLE 3000 PATIENT MONITOR
PAGE REV C 415397-003 4 - 3
Page 72
DATA ACQUISITION T ESTS
TROUBLESHOOTING
ECG FUNCTIONS
1. Connect the Marquette Multifunction Microsimulator, pn MARQ1, and appropriate patient cables, to the ECG connector of the monitor. Turn the monitor and the patient simulator on.
2. Set the monitor to display leads I, II, III, and V simultaneously:
From the main menu, select MONITOR SETUP.
Make sure the DISPLAY menu item shows
INDIVIDUAL. If it shows FULL, change it to INDIVIDUAL.
Select WAVEFORMS ON/OFF from the menu.
Set the displayed waveforms for the following ECG
leads: ECG 1: LEAD II WAVEFORM 2: LEAD V WAVEFORM 3: LEAD I WAVEFORM 4: LEAD III
3. Set the patient simulator to output calibration (cal) pulses at 1.0 mV.
4. Measure the cal pulse ( ) amplitude. These should be:
Lead I: 0.5 mV
Lead II: 1 mV
Lead III: 0.5 mV
Lead V: –0.5 mV
5. It may be necessary to run a graph to accurately measure the cal pulses. Perform these steps to graph all four waveforms.
From the main menu, select GRAPH & ALARMS.
Select GRAPH CONTROL from the menu.
Set the graphed waveforms for the following ECG
leads: ECG 1: LEAD II WAVEFORM 2: LEAD V
Press the GRAPH GO/STOP front panel control on the
monitor to start and stop a manual graph.
Verify the printed graph shows proper cal pulses.
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Page 73
DATA ACQUISITION T ESTS (CONT)
TROUBLESHOOTING
ECG functions (Cont)
ECG WAVEFORMS ARE DISPLAYED
INCORRECTLY
ECG waveforms are not displayed
at all
6. Change the patient simulator output from cal pulses to an 80-bpm ECG waveform.
The displayed ECG waveforms should be similar to
those shown in the figure below.
If this is the case, the ECG functions of the
acquisition pcb, as well as communication between the acquisition and processor pcb's, are functioning as designed.
II
V
I
III
If the calibration pulses were not correct, test the patient simulator using a working monitor. If the patient simulator is functioning as designed, calibration of the acquisition pcb may be necessary. Refer to Section 5: Calibration information in this regard.
1. If displayed ECG waveforms contain a significant amount of noise (see figure at left), check the ECG patient cables.
2. Test the patient simulator and ECG patient cables on a working monitor to verify the ECG signal.
3. If the ECG signal, patient simulator and ECG patient cables are good, the acquisition pcb is suspect and may need to be replaced.
4. Test the ECG patient cables on a working monitor.
5. Test the patient simulator on a working monitor.
6. Swap the acquisition pcb into a working monitor. If the symptoms follow the pcb into the working monitor, replace the acquisition pcb.
7. If none of these first three steps provide any results, swap the processor pcb and/or power supply pcb into a working monitor.
Lead fail functions
PAGE REV C 415397-003 4 - 5
Perform the following steps to test lead fail detection function:
1. With the monitor displaying leads I, II, III, and V from the patient simulator, remove the RA leadwire from the patient simulator.
2. The monitor should display a RA FAIL message. Lead fail detection is functioning properly if this is the case. Lead fail detection is not functioning, if this is not the case. The acquisition pcb is suspect. Swap the pcb with a working monitor to verify the malfunction.
3. Reattach the RA leadwire to the patient simulator.
EAGLE 3000 PATIENT MONITOR
Page 74
DATA ACQUISITION T ESTS (CONT)
TROUBLESHOOTING
PACE DETECT FUNCTIONS
1. With the monitor displaying leads I, II, III, and V, set the patient simulator to output a VP1 (ventricular pacemaker simulation #1) waveform.
2. Enable the pacemaker detection function of the monitor:
select ECG from the display main menu,
select DETECT PACE and set to PACE 1.
3. Verify the heart rate remains at approximately 80 bpm.
4. Select the VP2 output (ventricular pacemaker simulation #2) on the patient simulator. The heart rate number may disappear from the display for a few seconds and return to the screen shortly thereafter. Verify the heart rate is at approximately 80 bpm. Verify the pacemaker spikes display at the same amplitude.
5. Disable the pacemaker detection function of the monitor. Verify the displayed pacemaker spikes have a different amplitude than in the previous step.
6. Select the AVS output (A/V sequential pacemaker simulation) on the patient simulator. Again, verify the displayed pacemaker spikes are at different amplitudes.
8. Verify a stable heart rate display of approximately 80 bpm. Verify the pacemaker spikes are again at the same amplitude.
9. Disable the pacemaker detection function of the monitor.
Pace detect functions are not
working properly
If the pacemaker detection test results are not correct, as described above:
Verify the patient simulator is functioning correctly by
testing it on a working monitor,
The acquisition pcb is suspect. Swap a working
acquisition pcb into the monitor and perform these test to verify correct operation.
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Page 75
DATA ACQUISITION T ESTS (CONT)
TROUBLESHOOTING
INVASIVE BLOOD PRESSURE
FUNCTIONS
Setup BP1
Setup BP2
Zero-reference both BP's
Generate dynamic BP waveforms
Verify dynamic BP results
The invasive blood pressure (BP) test procedure requires the use of the following patient simulator: Marquette Multifunction Microsimulator, pn. MARQ1. If use of a different patient simulator is necessary, adjust the procedure steps/readings accordingly.
1. Connect the BLOOD PRESSURE 1 output of the patient simulator to the P1 patient connector on the front panel of the monitor.
2. Connect the BLOOD PRESSURE 2 output of the patient simulator to the P2 patient connector on the front panel of the monitor.
3. Properly zero-reference each BP input:
Set the patient simulator BP output to 0 mmHg
Press the ZERO ALL front panel control on the
monitor.
4. Set the patient simulator BP output to WAVE.
5. Setup the BP scales on the monitor for auto gain:
Select AR1 from the main menu of the monitor
Select ART SCALES from the AR1 menu
Select AUTO gain from the ART SCALES menu
Return to the main menu of the monitor and setup
auto gain for the PA2 waveform as you did for AR1.
Once the BP waveforms are setup as described above verify the following:
Both the AR1 and PA2 BP waveforms are noise-free,
as shown in the figure at the left.
BP displayed parameters are within tolerance as
indicated in the following list:
BP Parameter: AR1 PA2
Systolic (mmHg) 116 – 124 28 – 32
Diastolic (mmHg) 78 – 82 9 – 11
NOTE
These tests are designed for use with a MEI Multi­function Microsimulator, pn. MARQ1. Accuracy specifications of the patient simulator in combina­tion with the monitor (±2% or 1 mmHg, whichever is greater) is how the parameter values listed above were derived. Use of any other manufacturer patient simulator and associated specifications will poten­tially change these test results.
Generate static BP waveforms
Verify static BP results
PAGE REV C 415397-003 4 - 7
6. Set the patient simulator BP output to 200 mmHg, static pressure.
7. Verify the BP channels are working correctly if systolic, diastolic, and mean pressure values for both AR1 and PA2 are displaying parameter readings between 194 and 206 mmHg.
EAGLE 3000 PATIENT MONITOR
Page 76
DATA ACQUISITION T ESTS (CONT)
TROUBLESHOOTING
BP WAVEFORMS DO NOT APPEAR
CORRECTLY
BP waveforms do not appear on
ON THE DISPLAY
the display at all
If the BP waveforms displayed on the monitor appear noisy or distorted (example shown on the left), test the Patient simulator and simulator test cables and on a working monitor to determine the source of the problem.
1. If the static pressure test results were inaccurate, test the Patient simulator and simulator test cables and on a working monitor to determine the source of the problem.
2. If the patient simulator and associated test cables are determined to be functioning correctly, the acquisition pcb is suspect. Swap the acquisition pcb into a working monitor to determine if replacement is necessary.
3. If the AR1 or PA2 parameter labels, readings and associated waveforms do not display on the monitor, verify the patient simulator and associated test cables on a working monitor.
4. Inspect the BP front panel connectors on the monitor for bent or broken pins.
5. Perform continuity tests between the front panel connectors of the monitor, front panel flex circuit assembly located behind the front panel connectors and connection to the acquisition pcb.
6. If the patient simulator and associated test cables are determined to be functioning correctly and the continuity tests yield no malfunction, the acquisition pcb is suspect. Swap the acquisition pcb into a working monitor to determine if replacement is necessary.
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Page 77
DATA ACQUISITION T ESTS (CONT)
TROUBLESHOOTING
RESPIRATION FUNCTIONS (OPTIONAL)
Inspiration Markers
Expiration Markers
1. Connect the Marquette Multifunction Microsimulator, pn. MARQ1, and appropriate patient cables to the ECG/RESP front panel connector on the monitor.
2. Adjust the patient simulator to output a respiration waveform using the following settings:
Rate BPM - 30
Baseline Impedance Ohms - 750,
R Ohms - 2.0.
3. Enable the respiration function of the monitor:
Select MONITOR SETUP from the main menu display
on the monitor,
Select PARAMETERS ON/OFF from the monitor setup
menu.
Next, turn and push the Trim Knob to:
scroll to and select RR in the parameters on/off pop-
up window.
toggle and select ON in the RR line of the parameters
on/off pop-up window.
Verify the following:
Respiration rate is displayed and accurate.
Respiration waveform is displayed and noise-free.
Markers appear in the displayed respiration waveform
(refer to figure at left). These indicate the points at which the monitor senses inspiration and expiration for determination of the respiration rate.
No respiration waveform or rate
appear on the display
PAGE REV C 415397-003 4 - 9
If the respiration waveform or rate does not appear on the monitor display, perform the following steps to isolate the problem:
Vary the baseline impedance on the patient simulator
Vary the R on the patient simulator.
Test the patient simulator and appropriate patient
cables on a working monitor to determine the source of the problem.
If none of the previous recommendations corrects the
problem, the acquisition pcb is suspect. Swap the pcb into a working monitor to determine the source of the problem and replace as necessary.
EAGLE 3000 PATIENT MONITOR
Page 78
DATA ACQUISITION T ESTS (CONT)
TROUBLESHOOTING
Markers do not appear on the
respiration waveform; respiration
rate is inaccurate
Respiration functions work
properly when using a patient
simulator but not on an actual
patient
If the markers on the respiration waveform do not appear on the display or the respiration rate count is inaccurate, try changing the respiration sensitivity level on the monitor. To do this, use the Trim Knob on the monitor to:
Scroll to and select RR (respiration parameter) from
the monitor main menu,
Scroll to and select SENSITIVITY from the respiration
parameter menu, and
Scroll to and select a different sensitivity percentage
(%) from the sensitivity menu
NOTE
Usually, a lower respiration sensitivity % level recti­fies this problem.
Refer to the Operator’s Manual for detailed information regarding patient preparation relative to respiration monitoring functions. Achieving optimum results for respiration waveforms and accurate respiration rate detection by the monitor requires proper preparation for ECG electrode placement on the patient. An example of a noisy respiration waveform, usually due to bad patient preparation, is shown at the left.
NOTE
With patients that exhibit excessively high baseline chest impedance, proper respiration monitoring will be extremely difficult, if not impossible.
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Page 79
DATA ACQUISITION T ESTS (CONT)
TROUBLESHOOTING
NON-INVASIVE BLOOD PRESSURE
FUNCTIONS
Perform the non-invasive blood pressure (NBP) Checkout Procedure found in Section 3: Maintenance. This procedure will determine whether or not the NBP functions of the monitor are working as designed or whether the monitor requires NBP calibration.
If, after performing the prescribed checkout procedure, it is determined that there are potential problems that NBP calibration does not cure, try the following:
1. If calibration is unsuccessful and cannot be properly performed, there could be leaks in the pneumatic circuit plumbing. The following steps will assist you in determining this:
The NBP cuff and tubing is the easiest area to inspect
for leaks and is also the most likely area for failure in this regard. Closely inspect these items for cracks or leaks. Test the NBP cuff and tubing on a working monitor to determine the source of the problem.
If the NBP cuff and tubing are determined to be good
after testing them on a working monitor, the leaks are probably internal to the monitor. Disassemble the monitor and check inspect all internal tubing and connections in the pneumatic circuit plumbing.
2. If no leaks are found after performing the previous step, the NBP pump assembly is suspect. Swap the NBP pump assembly with one from a working monitor and/or replace as necessary.
NBP alarms occur continuously
Cannot get NBP readings from a
patient in under 3 minutes
NBP displayed readings are
inaccurate
If the monitor is not configured properly, a variety of NBP problems may occur. To determine monitor configuration, rotate then push the Trim Knob to:
Scroll to and select MONITOR SETUP from the main
menu of the monitor,
Scroll to and select SERVICE MODE from the monitor
setup menu of the monitor and enter the two-digit numeric day and month shown in the upper-left corner of the monitor display,
Scroll to and select PATIENT-MONITOR TYPE from
the service mode menu of the monitor.
Verify the configured monitor type matches the environment in which the monitor is being used. If it is set to a neonatal ICU when the monitor is used for the adult ICU application or vice versa, problems listed to the left may occur.
EAGLE 3000 PATIENT MONITOR
PAGE REV C 415397-003 4 - 11
Page 80
SERVICE MODE MENU
TROUBLESHOOTING
ABOUT THE SERVICE MODE MENU
Service mode menu option items
The SERVICE MODE menu option items provide the user access to several general and technical built-in software functions of the monitor. Only persons responsible for configuring and maintaining the monitor should access the service mode menu option items.
WARNING
The Service Mode menu is intended for use only by qualified service technicians. Experimentation with service mode menu option items can be detrimental to the monitor. Lost patient data, damaged operating system software for the monitor, even network re­lated problems are but a few examples of problems that can be induced as the result of tampering with service mode menu option items.
Access to the service mode menu option items is necessary for the following service-related functions of the monitor:
REVIEW ERRORS - For troubleshooting difficult equipment problems or network problems on a software engineering level,
ADMIT MENU - For setup or configuration of the monitor to admit a patient with one of the following network configuration features enabled:
» Standard, or » Rover.
CALIBRATE - For checkout or calibration of the non­invasive blood pressure and CO2 functions of the monitor,
STAR TEST PATTERN - Generates a print test for an optional built-in thermal array printer,
SOFTWARE LEVEL - If enabled for 7020 feature, the menu allows you to select 7020 or 7015.
PATIENT - MONITOR TYPE - For setup or configuration of one of three monitor operating modes. The three modes of operation for the monitor are:
» Adult ICU, » Neonatal ICU, or » Operating Room.
SET UNIT NAME - For setup or configuration of the monitor care unit name,
SET BED NUMBER - For setup or configuration of the monitor bed number or bed name,
SET INTERNET ADDRESS - For setup or configuration of the monitor Internet address for the network,
TIME AND DATE - For entering or changing the monitor time and date.
EAGLE 3000 PATIENT MONITOR
4 - 12 415397-003 PAGE REV C
Page 81
SERVICE MODE MENU (CONT)
TROUBLESHOOTING
Access to the service mode menu
Select monitor setup from the
main menu
Select service mode from the
monitor setup menu
Enter the service menu password
0106
SERVICE
MODE
Begin setup by entering into the service mode menu of the monitor. Follow these steps:
1. Make sure all cables are properly connected to the monitor.
2. Apply AC power to the monitor.
Plug the power cord into a working AC power wall
receptacle and turn the monitor rear panel main power switch to the on (1) position,
Press the DISPLAY ON/OFF front panel control on the
monitor. The display should be on.
3. Use the Trim Knob control to scroll to MONITOR SETUP in the monitor main menu and press the Trim Knob control to select it.
ALARM
CONTROL
PATIENT
DATA
MONITOR
SETUP
PATIENT:
DISCHARGED
4. Use the Trim Knob control to scroll to SERVICE MODE in the monitor setup menu and press the Trim Knob control to select it.
MAIN
MENU
WAVEFORMS
ON / OFF
UNIT ALARMS:
OFF
DISPLAY:
INDIVIDUAL
BRIGHTNESS:
100%
TIME AND
DATE
LEARN THE
MONITOR
PARAMETERS
ON / OFF
SOFTWARE
REVISION
GRAPH SETUP
SOFTWARE
COMPATIBILITY
MONITOR
DEFAULTS
SERVICE
MODE
5. A service menu password window will appear on the moni­tor display, as shown in the figure at the left. A password is required to prevent non-service personnel from accessing the service menus. The password is four numbers that represent the date that currently resides in a memory circuit within the monitor (please note that this may or may not be the correct date). In the password, the first two numbers, starting from the left, represent the day and the second two numbers represent the month of whatever date that currently resides in the memory circuits of the moni­tor. For example, the seventh day of the third month (June 1st) would be represented in the password as 0106 (ddmm). Note the date that is currently on the monitor display and follow these steps to enter the password;
Rotate the Trim Knob control to highlight the pass-
word number that you would like to change.
To change the highlighted number, press the Trim
Knob control.
Rotate the Trim Knob control until the correct number
is displayed in the selected field.
To enter the number, press the Trim Knob control.
Repeat these steps until all password numbers are
correctly displayed.
Once you have entered the correct password numbers,
rotate the Trim Knob control to highlight SERVICE MODE in the enter password window.
Press the Trim Knob control one more time to enter
the password and access the service menus of the monitor.
EAGLE 3000 PATIENT MONITOR
PAGE REV C 415397-003 4 - 13
Page 82
SERVICE MODE MENU (CONT)
TROUBLESHOOTING
ABOUT SERVICE MODE MENU
OPTION
ITEMS
Service mode menu option items are used for many purposes in the monitor. The majority of the functions of these menu option items are for initial setup and configuration. Some of the functions are for troubleshooting as well. Caution should always be exercised when using any of these password-protected functions.
Service mode menu option items are used by service technicians to: relay software information to design engineers; calibrate and troubleshoot NBP functions of the monitor; set admit menu options, software feature levels and operating mode of the monitor; configure the monitor unit name, bed number and Internet address for use on the network; and enter or change the time and date on the monitor. None of these options should be used unless specifically instructed to do so.
WARNING
Some of the service mode menu option items are to be used only by qualified service technicians and others are for general use. Because of this, unnec­essary tampering with service mode menu option items for experimentation purposes is not recom­mended by the manufacturer and may cause a malfunction of the monitor.
REVIEW ERRORS
About the monitor error log
Downloading the error log
Accessing the review errors menu
option item
The REVIEW ERRORS menu option item is mostly used as an advanced troubleshooting technique by manufacturer engineering personnel. Some of the information recorded in the monitor error log can be useful for field service troubleshooting.
Details included in this part of the section will provide an introduction to error log usage and meaning. Because the information contained in the error log is engineering-oriented, the intent of the manual is to simply provide a general understanding of this monitor function.
A method for downloading error log data over the network to a central station is included in this part of the section. Once downloaded to a central station, the error log data can be loaded onto floppy diskettes, or reviewed on the central station.
To access the error log and learn more about the REVIEW ERRORS menu option item, follow these steps:
1. Rotate and press the Trim Knob control to scroll to and select REVIEW ERRORS from the service mode menu option items.
MAIN
MENU
SOFTWARE
LEVEL
PATIENT - MON ITOR TYPE:
REVIEW
ERRORS
ADULT - ICU
STANDARD
SET UNIT
NAME
CALIBRATEADMIT MENU:
SET BED
NUMBER
SET INTERNET
ADDRESS
STAR TEST
PATTERN TIME AND
DATE
EAGLE 3000 PATIENT MONITOR
4 - 14 415397-003 PAGE REV C
Page 83
MAIN
MENU
PREVIOUS
MENU
Status Register :
Program Counter :
User Stack Pointer :
Super Stack Pointer :
Heap Pointer :
Process Name :
Error Code :
Severity :
Date :
Time :
Error Number :
RUN TIME ERROR LOG
VIEW OUTPUT
ERRORS
>
NEXT PREVIOUS QUIT
2000
10017A
981794
94FFAE
910F78
system
warmstart:0
Continue
JUL 19 1995
13: 34: 52
1
415230-002 2A 11JAN96
SERVICE MODE MENU (CONT)
TROUBLESHOOTING
Viewing output errors
Run time error log pop-up
window
2. The review errors menu option items include four possible selections; one each for viewing output or input errors along with one each for clearing output or input errors. Rotate and press the Trim Knob control to scroll to and select VIEW OUTPUT ERRORS from the review errors menu option items.
MAIN
MENU
PREVIOUS
MENU
VIEW OUTPUT
ERRORS
CLEAR OUTPUT
ERRORS
VIEW INPUT
ERRORS
CLEAR INPUT
ERRORS
3. The RUN TIME ERROR LOG pop-up window appears on the left side of the monitor display. One time-dated output software error appears in the pop-up window at a time.
Use the Trim Knob to navigate
PAGE REV C 415397-003 4 - 15
through the error log
The Trim Knob control can be used to scroll through each logged error, perusing all of the parameters associated with each output software error. Rotate the Trim Knob control to move the cursor ( > ) to a position for viewing the NEXT or PREVIOUS error as well as the position that allows the user to QUIT viewing output errors.
Selecting QUIT closes the run time error log pop-up window and returns to the review errors menu option items.
EAGLE 3000 PATIENT MONITOR
Page 84
SERVICE MODE MENU (CONT)
MAIN
MENU
PREVIOUS
MENU
Status Register :
Program Counter :
User Stack Pointer :
Super Stack Pointer :
Heap Pointer :
Process Name :
Error Code :
Severity :
Date :
Time :
Error Number :
Parameter :
RUN TIME ERROR LOG
VIEW INPUT
ERRORS
>
NEXT PREVIOUS QUIT
0
22234
0
0
20EFB6C
dasmsg_in
2001
Continue
JUN 25 1995
09: 37: 06
5
4F7
VIEW OUTPUT
ERRORS
CLEAR OUTPUT
ERRORS
415230-002 2A 11JAN96
TROUBLESHOOTING
View input errors
4. The VIEW INPUT ERRORS menu option item, when selected using the Trim Knob, causes a RUN TIME ERROR LOG pop-up window to appear on the monitor display. The pop­up window now displays input software errors and provides basically the same information as the VIEW OUTPUT ERRORS pop-up window provided. The appearance of both pop-up windows are similar, the difference being errors that are logged as input versus output to/from the monitor.
4 - 16 415397-003 PAGE REV C
Clearing the error log
5. To clear out the stored run time error logs, use the Trim Knob to scroll to and select the CLEAR OUTPUT ERRORS or CLEAR INPUT ERRORS menu option item, respectively.
OUTPUT SOFTWARE ERRORS HAVE BEEN CLEARED
MAIN
MENU
PREVIOUS
MENU
VIEW OUTPUT
ERRORS
CLEAR OUTPUT
ERRORS
VIEW INPUT
ERRORS
CLEAR INPUT
ERRORS
Immediately following the assertion of the Trim Knob to clear one of the error logs, a message appears directly above the menu option items, on the right side of the display. The message verifies the actuation of the Trim Knob for this function.
EAGLE 3000 PATIENT MONITOR
Page 85
SERVICE MODE MENU (CONT)
TROUBLESHOOTING
MORE ABOUT REVIEW ERRORS
How much data actually is in the
error log
Using information in the error log
This part of the section describes in greater detail what information the error log contains and what can be learned from error logs.
An error log in the monitor is constructed as a circular file (not referring to a wastepaper basket). This circular file can hold up to 50 events. As an event occurs, error information is stored in the log. Subsequent events are stored sequentially as they occur. When the 50-event limit is reached, the next error (the 51st error) is written over the first event that was logged, erasing that event and replacing it with the latest event. The 52nd event is written over the second event, and so on. If errors occur infrequently the error log could span a period of weeks and months, maybe even years. For example; if a problem with the network begins, repeating frequently, the error log might consist only of errors from the last few hours. In any case the error log will contain the most recent 50 errors that were detected and recorded.
A sample of the monitor error log pop-up window appears as follows:
RUN TIME ERROR LOG
Status Register :
Program Counter :
User Stack Pointer :
Super Stack Pointer :
Heap Pointer :
Process Name :
Error Code :
Severity :
Date :
Time :
Error Number :
2000
10017A
981794
94FFAE
910F78
system
warmstart:0
Continue
JUL 19 1995
13: 34: 52
1
415230-002 2A 11JAN96
Error log categories of greatest
interest for troubleshooting
purposes
When using the error log to troubleshoot a problem with the monitor, the following parameters from the pop-up window that are of greatest interest are:
Process Name: The task that was operating when the event
or problem occurred,
Error Code: A software code for the type of event or
problem that occurred,
Severity: Indicates the level of impact of the event or
problem on the system,
Date: The date the event or problem occurred,
Time: The time the event or problem occurred,
and
Error number: A sequential number (0-50) used to identify
each event or problem.
EAGLE 3000 PATIENT MONITOR
PAGE REV C 415397-003 4 - 17
Page 86
SERVICE MODE MENU (CONT)
TROUBLESHOOTING
ERROR LOGS
Error code descriptions
Something to remember about the error log is that it contains more than just operating system errors. Many events that occur that might have an impact upon the system are entered into the log. The 700-series of error codes include many such events.
Some of the event/error codes you might find useful are described in the following table:
Error Code Description
1A00-1AFF Network errors were detected. 703 Diagnostics test were completed. 70B Internet address was changed. The network
address for the monitor was changed. Any net­work address changes should only be done by qualified service personnel.
70E Time was changed from this monitor. Helps
determine how the system-wide time may have been altered.
70F Date was changed from this monitor. Helps
determine how the system-wide time may have been altered.
Severity of the error
Severity is a measure of how the event/error affected the system. There are three levels of severity. The following is a list of these levels accompanied by a brief description of each:
Continue: The event or error was logged, the task may or may not have completed, but the system was able to continue operating. Most error log entries will have this severity level.
Fatal: The event or error was logged, the task did not complete, and the system was unable to continue operating as recovery was not possible. This level of severity in an event or error is always followed by an automatic warm start.
Forced Restart; The operating system restarted normally after a known condition, such as an Internet address change, patient discharge, etc.
EAGLE 3000 PATIENT MONITOR
4 - 18 415397-003 PAGE REV C
Page 87
SERVICE T IPS
TROUBLESHOOTING
FAULT/SYMPTOM ANALYSIS
The power LED on the front panel
flashes every 2 seconds
This information is provided for the benefit of service technicians responsible for the maintenance and repair of the monitor. The symptoms covered in this part of the Troubleshooting section represent only a select number of faults that you may encounter and by no means are intended to cover every possible failure that may occur.
A systematic approach to the diagnosis of problems as well as a general understanding of the architecture, both hardware and software, of the monitor are essential to ensure successful troubleshooting of this device. The manufacturer recommends formal service training before repairs are attempted on the monitor. The Service Tips listed below combined with formal training should provide the service technician with skills necessary to service and repair a monitor, in the event of a malfunction.
Reason: The +5 Vdc supply voltage is in an over-current condition.
Replace the main processor board. This is the only board that uses the +5 Vdc supply voltage. The power supply pcb assembly is working properly by the fact that it is restarting after detection of the over-current condition, thus causing the front panel LED to flash at a regular interval.
Check the power supply board. This board can be bench­tested as per the Calibration section of this manual.
Video problem - the patient
waveforms are displayed correctly
but the alphanumerics are
displayed improperly or are not
displayed at all or vice-versa
Video problem - there are bars/
strips of pixels missing on the
display in rows/columns. Or only
one row/column of pixels on the
display is missing or never turned
on. The remaining portion of the
display functions properly.
Reason: The graphics processing (video) circuitry on the processor pcb has problems attempting to "clock-out" the text information data that is stored in video memory circuits (VRAM).
Replace the main processor board. This is the only area of the monitor where text (alphanumerics) information and graphics (patient waveforms) information is processed separately.
Reason: The active matrix display has a defective row or column driver. If the entire driver has failed, the display will have a whole missing strip of display area. If just a part of the driver has failed, the display will have only a single missing line of display area.
Replace the display assembly. This is an EL (electroluminescent) monochrome display assembly. This type of display has specific drivers for rows and columns integrated into the display assembly and, therefore, cannot be repaired.
EAGLE 3000 PATIENT MONITOR
PAGE REV C 415397-003 4 - 19
Page 88
SERVICE T IPS (CONT)
TROUBLESHOOTING
DAS BOARD SYMPTOMS
MAIN PROCESSOR BOARD
SYMPTOMS
POWER SUPPLY BOARD SYMPTOMS
+12 Vdc (+12 MAIN) supply
applications
Symptoms relative to patient signal acquisition such as missing parameter text and waveform(s) may be associated with acquisition pcb assembly failure. It is important that you are able to distinguish the difference between the general format of the display, which is generated by the processor pcb assembly, versus the patient signals and data that is associated with these patient signals, a function of data acquisition, which is generated by the acquisition pcb assembly.
Symptoms with network communications, asynchronous communications, NBP control, analog output, audio/sound generation, and communications as well as other display-related problems all may be associated with processor pcb assembly failure. All of these are functions controlled by microcontroller or graphics processing circuitry located on the processor pcb assembly.
The power supply pcb assembly provides power that is used throughout the monitor. All of the supply voltages are distributed to the processor pcb assembly for various application. Below is a list of the supply voltages and where and how these voltages are applied. Problems in any of the following areas may be associated with power supply pcb assembly failure.
Following is a list of functions for each of the supply voltages generated on the power supply pcb:
DAS board - main power source
Ethernet transceiver - power source
Display assembly - power source
Defib marker out - power source for defib sync jack
Audio amplifier - power source (speaker)
NBP compressor (pump assembly) and solenoid valves ­power source
Main memory - FLASH memory programming power source
+5 Vdc (+5) supply applications
±12 Vdc (±12 ANALOG) supply
applications
4 - 20 415397-003 PAGE REV C
Main processor board - logic power source
Display assembly - logic power source
Analog ECG/blood pressure - signal generation for defib sync jack
EAGLE 3000 PATIENT MONITOR
Page 89
TROUBLESHOOTING
ISOLATING PROBLEMS ON A NETWORK
Start
BS: Bedside Monitor
CS: Central Station Monitor
Is more
than one CS having
a problem?
Y
NOTE- If there is only one CS on the network,
A
Is there
any display at all at
the CS?
'A' may pertain only if a network problem exists.
Y
Is there a
NO COMM
message at the
CS?
Y
Under LISTWHAT no BS's should be
available. Only CS
is.
Attempt to view
BS's on another
CS.
N
than one BS display
Refer to the
troubleshooting
N
section in the CS
service manual.
Under LISTWHAT,
the BS's on the
N
network should be
present. Possible
incorrect UNIT.
NOTE- You should be able to view BS's on another CS.
Is more
missing at the
CS?
End
N
Y
Is there a
NO PARAMETERS
message at the
CS?
Y
Verfiy the BS is operating. Also
verfiy BS is under
AC power and not in
battery fail.
End
Connect AUI cable to the ETHERNET
port at the BS. The
BS should appear
on the network.
N
N
Is there a
NO COMM
message at the
CS?
Y
Under LISTWHAT,
check to see if the
BS in question is on
the network.
BS should not be
present. There is a
problem at the BS.
Go to the BS and
check the AUI cable.
Is the AUI
cable connected at
the BS?
N
Under LISTWHAT,
check to see if the
BS in question is on
the network.
BS should be
present. The UNIT
name at the BS
should be incorrect.
At the BS, enter the correct UNIT name.
The BS should
appear on the
network.
Y
Possible problem at CS. Defective LAN
pcb, AUI cable or
MAU (Transceiver).
Replace MAU.
If BS's ID
themselves, it's a
defective MAU.
If BS's still don't ID
themselves.
Replace AUI.
NOTE-If the MAU or AUI cable do not solve the problem, the CS LAN Controller pcb may be defective. Check status LEDs and event log. Reboot system and check for errors.
End
B
End
End
EAGLE 3000 PATIENT MONITOR
PAGE REV C 415397-003 4 - 21
Page 90
TROUBLESHOOTING
ISOLATING PROBLEMS ON A NETWORK (CONT)
A
BS: Bedside Monitor
CS: Central Station Monitor
Is there a
NO COMM
message at the
CS?
Y
Under LISTWHAT,
there should not be
any BS's listed.
Only the CS itself
should be listed..
Verify with
ocilliscope proper
network signal
voltage levels
( 0 Vdc to -2Vdc)
Do
voltage
levels swing from
0Vdc to -4Vdc?
Y
Excessive collisions across the network.
Possible hardware
failure. BS's/CS's 'talking' too much.
Are
voltage levels OK?
N
Possible open in
network cable. NO
COMM message appears in all BS
windows at CS.
Remove all AUI
cables from each MAU. Remove one 50 terminator from
the network cable.
Using an ohmmeter, measure from shield to center conductor.
High indicates an
open in the cable.
Under LISTWHAT,
the BS's should be
N
listed.
Probable incorrect
UNIT name at either
the BS or the CS.
End
N
NOTE-A device 'talking' too much on the network may cause dropout at the CS. A possible ground-loop or an excessive ground potential difference may exist. Normal ground potential difference is 1Vac or less.
Under LOG directory
at the CS, list and
Y
read the contents
from the current
and/or previous day.
Inspect SCOPE ER
-RORS under RE­VIEW ERRORS at
BS. If errors are ex
-cessive, reboot BS.
Unsuccessful boot
indicates BS failure.
End
NO COMM
message at CS
indicates possible
short in the network
cable.
Remove all AUI
cables from each MAU. Remove one 50 terminator from
the network cable.
Using an ohmmeter, measure from shield to center conductor.
0 ohms indicates a
short in the cable.
For Thin-net:
Reinstall the 50
terminator. Break
the network at mid-
point. Measure resistance each
way. For Thick-net: A time domain
reflectometer (TDR)
is necessary to
scope the cable.
Isolate shorted
section of network
cable. Replace
defective section or
defective connector.
NOTE-You can check the network cable for a short using an o'scope. With the system still connected, scope one end of the cable monitoring the network activity. If the data signal swings above and below the dc baseline, there is a short in the cable. The data signal should swing from 0 to -2Vdc since it is ECL logic.
For Thin-net: Reinstall the 50 terminator. Break
the network at mid-
point. Measure resistance each
way.
For Thick-net:
A time domain
reflectometer (TDR)
is necessary to
scope the cable.
Isolate opened
section of network
cable. Replace
defective section or
defective connector.
End
End
EAGLE 3000 PATIENT MONITOR
4 - 22 415397-003 PAGE REV C
Page 91
TROUBLESHOOTING
ISOLATING PROBLEMS ON A NETWORK (CONT)
B
Possible defective
MAU or AUI cable.
Also check for a bad
connection on the
MAU.
Possible incorrect
internet address.
On ETHERNET connector at BS, check if 12Vdc is
present at pin 13.
Is 12Vdc present?
Possible defective
N
BS: Bedside Monitor
CS: Central Station Monitor
processor pcb
Y
Possible defective
MAU or AUI cable.
NOTE-There is a possibility that the MAU is defective. On a busy network, it may be difficult to determine whether the MAU is detect­ing carriers properly. The MAU may be continually detecting carriers and will not allow the BS to transmit.
End
EAGLE 3000 PATIENT MONITOR
PAGE REV C 415397-003 4 - 23
Page 92
FOR YOUR NOTES
TROUBLESHOOTING
EAGLE 3000 PATIENT MONITOR
4 - 24 415397-003 PAGE REV C
Page 93
5
CALIBRATION
Adjustments........................................................................... 5-2
About calibration ........................................................ 5-2
Non-invasive Blood Pressure .................................................. 5-3
About the procedure ................................................... 5-3
Manufacturer recommendation ................................... 5-3
Test equipment ........................................................... 5-3
Calibration procedure ................................................. 5-4
End-Tidal CO
About the procedure ................................................. 5-11
Flow calibration ........................................................ 5-11
Manufacturer recommendation ................................. 5-11
Flow Calibration Test equipment............................... 5-11
Pretest Setup ............................................................ 5-11
Calibration procedure ............................................... 5-12
Barometric Pressure / CO2 sensor calibration .......... 5-15
Manufacturer recommendation ................................. 5-15
Test equipment ......................................................... 5-15
Pretest Setup ............................................................ 5-15
Calibration procedure ............................................... 5-16
........................................................................................ 5-11
2
EAGLE 3000 PATIENT MONITOR
PAGE REV C 415397-003 5 - 1
Page 94
ADJUSTMENTS
CALIBRATION
ABOUT CALIBRATION
Safety tests
This section summarizes the calibration for the monitor. Noninvasive blood pressure (NBP) is the only function that requires software calibration. The manufacturer recommends performing the NBP software calibration upon receipt of the monitor initially, and once each year thereafter. The NBP soft­ware calibration should also be performed whenever the monitor is opened for service purposes. This will ensure the pneumatic circuit plumbing has not developed any air leaks as a result of disassembly.
Leakage current tests, checkout procedures and hi-pot tests are recommended by the manufacturer if a circuit board has been repaired or replaced in the monitor. These can be found in Section 3: Maintenance.
EAGLE 3000 PATIENT MONITOR
5 - 2 415397-003 PAGE REV C
Page 95
NON-INVASIVE BLOOD PRESSURE
CALIBRATION
ABOUT THE PROCEDURE
MANUFACTURER
RECOMMENDATION
TEST EQUIPMENT
The overall accuracy of non-invasive blood pressure (NBP) readings by the monitor depend on the following:
the zero pressure reading, and
the voltage span of the NBP sensor in the monitor. This procedure provides a method of verifying these items are
accurate and also checks the NBP pneumatic circuit plumbing for leaks.
The manufacturer recommends performing this procedure upon initially receiving the monitor, before it is used on a patient, and once each year thereafter. Also, perform the procedure each time the monitor is opened for service or repair, simply to verify the NBP pneumatic circuit plumbing did not develop inadvertent air leaks.
The following items are required to successfully complete the NBP calibration procedure:
Manometer (Sensym PDM200M or mercury manometer),
NBP tube, pn. 414873-001,
NBP cuff, pn. 9461-301 (any size will work),
Something to wrap the NBP cuff around (PVC pipe or coffee can),
The table below lists items for connecting the NBP tube between the manometer and NBP cuff:
Description Part Number Qty
NBP cuff coupling 400787-001 1 NBP hose coupling 46100-002 1 NBP tee 4745-101 1 Manometer tubing 401582-001 2ft
WARNING
When the NBP cuff is used in this procedure, it must be tightly wrapped around a rigid cylinder or pipe. Do not put the NBP cuff around a human arm during the calibration procedures due to the potential for injury.
EAGLE 3000 PATIENT MONITOR
PAGE REV C 415397-003 5 - 3
Page 96
NON-INVASIVE BLOOD PRESSURE (CONT)
CALIBRATION
CALIBRATION PROCEDURE
Enter the proper password to
access the service menu
0106
SERVICE
MODE
1. Remove all cables except for the power cord from the monitor.
2. Apply power to the monitor.
Plug the power cord into a working AC power wall
receptacle and turn the monitor rear panel main power switch to the on (1) position,
Press the DISPLAY ON/OFF front panel control on the
monitor. The display should be on.
3. Use the Trim Knob control to scroll to MONITOR SETUP in the monitor main menu and press the Trim Knob control to select it.
ALARM
CONTROL
PATIENT
DATA
MONITOR
SETUP
PATIENT:
DISCHARGED
4. Use the Trim Knob control to scroll to SERVICE MODE in the monitor setup menu and press the Trim Knob control to select it.
MAIN
MENU
WAVEFORMS
ON/OFF
UNIT ALARMS:
OFF
DISPLAY:
INDIVIDUAL
BRIGHTNESS:
100%
LEARN THE
MONITOR
PARAMETERS
ON/OFF
SOFTWARE
REVISION
GRAPH SETUP
SOFTWARE
COMPATIBILITY
MONITOR
DEFAULTS
SERVICE
MODE
5. A service menu password window will appear on the monitor display, as shown in the figure at the left. A password is required to prevent non-service personnel from accessing the service menus. The password is four numbers that represent the date that currently resides in a memory circuit within the monitor (please note that this may or may not be the correct date). In the password, the first two numbers, starting from the left, represent the day and the second two numbers represent the month of whatever date that currently resides in the memory circuits of the monitor. For example, the seventh day of the third month (June 1st) would be represented in the password as 0106 (ddmm). Note the date that is currently on the monitor display and follow these steps to enter the password;
Rotate the Trim Knob control to highlight the
password number that you would like to change.
To change the highlighted number, press the Trim
Knob control.
Rotate the Trim Knob control until the correct number
is displayed in the selected field.
To enter the number, press the Trim Knob control.
Repeat these steps until all password numbers are
correctly displayed.
Once you have entered the correct password numbers,
rotate the Trim Knob control to highlight SERVICE MODE in the enter password window.
Press the Trim Knob control one more time to enter
the password and access the service menus of the monitor.
EAGLE 3000 PATIENT MONITOR
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Page 97
NON-INVASIVE BLOOD PRESSURE (CONT)
CALIBRATION
Service menus
Enter the NBP calibration menus
The service menus should appear on the monitor display. These next steps guide you through the service menus associated with checking NBP calibration. If desired test results are not obtained, NBP calibration will be necessary.
6. Rotate the Trim Knob control to highlight CALIBRATE and press the Trim Knob control to select it. Next, rotate the Trim Knob control to highlight CALIBRATE NBP and press the Trim Knob control to select it.
MAIN
MENU
SOFTWARE
LEVEL
MAIN
MENU
PREVIOUS
MENU
REVIEW
ERRORS
PATIENT-MONITOR TYPE:
ADULT-ICU
CALIBRATE
NBP
CO2
SERVICE
ADMIT MENU:
STANDARD
SET UNIT
NAME
CALIBRATE
SET BED NUMBER
SET INTERNET
ADDRESS
STAR TEST
PATTERN
TIME AND
DATE
7. Rotate the Trim Knob control to highlight CAL ZERO OFF, and then press the Trim Knob control to select it.
NBP zero calibration
MAIN
MENU
PREVIOUS
MENU
CAL ZERO
OFF
CAL GAIN
OFF
CHECK CAL
OFF
8. Rotate the Trim Knob control to highlight START, and then press the Trim Knob control to select it. The CAL ZERO menu item will show that it’s IN PROGRESS, and when it’s done it will show that it’s OFF again.
MAIN
MENU
PREVIOUS
MENU
MAIN
MENU
PREVIOUS
MENU
CAL ZERO
OFF
CAL ZERO
IN PROGRSS
CAL GAIN
OFF
> START
STOP
CHECK CAL
OFF
MAIN
MENU
PREVIOUS
MENU
CAL ZERO
OFF
CAL GAIN
OFF
CHECK CAL
OFF
EAGLE 3000 PATIENT MONITOR
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Page 98
NON-INVASIVE BLOOD PRESSURE (CONT)
CALIBRATION
NBP calibration setup
9. Connect a cuff and manometer to the monitor as shown below.
NBP tubing, pn 414873-001
6-inch diameter PVC pipe (or 1-pound coffee can): Wrap the NBP cuff around this for tests.
NBP cuff, pn 9461-301: Any size NBP cuff will be sufficient.
Coupling, pn 46100-002: Connects manometer tubing to NBP tubing.
3-way tee, pn 4745-101: Connects manometer tubing, NBP tubing and NBP cuff tubing.
Digital manometer, Sensym PDM200M: Note: A calibrated mercury manometer may be substituted.
Set up the manometer 10. Turn the manometer on and adjust the range switch to the
Manometer tubing, pn 401582-001: Approximately two feet in length.
1000␣ mmHg setting.
Coupling, pn 400787-001: Connects manometer tubing to NBP cuff tubing.
EAGLE 3000 PATIENT MONITOR
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Page 99
NON-INVASIVE BLOOD PRESSURE (CONT)
CALIBRATION
Start the gain calibration test
11. Rotate the Trim Knob control to highlight CAL GAIN OFF, and then press the Trim Knob control to select it.
MAIN
MENU
PREVIOUS
MENU
CAL ZERO
OFF
CAL GAIN
OFF
CHECK CAL
OFF
12. Rotate the Trim Knob control to highlight CAL GAIN OFF, and then press the Trim Knob control to select it.
MAIN
MENU
PREVIOUS
MENU
CAL GAIN
OFF
ENTER CAL PRESSURE
13. Rotate the Trim Knob control to highlight START, and then press the Trim Knob control to select it. The second line of text on the CAL GAIN menu item changes from HOLDING to INFLATING. Then, the monitor starts pumping up the pressure bulb or cuff—the audible whirring sound of the NBP pump motors will occur and an increase in displayed pressures on both the monitor and the manometer will be observed.
MAIN
MENU
PREVIOUS
MENU
MAIN
MENU
PREVIOUS
MENU
MAIN
MENU
PREVIOUS
MENU
CAL GAIN
OFF
CAL GAIN
HOLDING
ENTER CAL PRESSURE
CAL GAIN
INFLATING
ENTER CAL PRESSURE
> START
STOP
EAGLE 3000 PATIENT MONITOR
PAGE REV C 415397-003 5 - 7
Page 100
NON-INVASIVE BLOOD PRESSURE (CONT)
CALIBRATION
Verify the pneumatic circuit
plumbing does not have air leaks
Perform the software calibration
of the monitor
14. The pump shuts off at about 250 mmHg, and the pressure drops slowly to about 240 mmHg before stabilizing. The second line of text on the CAL GAIN menu item changes from INFLATING back to HOLDING. If the pressure continues to drop at a rate of 1 mmHg or more for every five seconds, there is a leak in the NBP plumbing. If there is a leak in the NBP plumbing, repair it and restart this calibration procedure.
MAIN
MENU
PREVIOUS
MENU
MAIN
MENU
PREVIOUS
MENU
CAL GAIN
INFLATING
ENTER CAL PRESSURE
CAL GAIN
HOLDING
ENTER CAL PRESSURE
15. Rotate the Trim Knob control to highlight ENTER CAL PRESSURE and press the Trim Knob control to select it.
MAIN
MENU
PREVIOUS
MENU
CAL GAIN
HOLDING
ENTER CAL PRESSURE
16. An ENTER CAL PRESSURE pop-up window will appear. Use the Trim Knob control to select a pressure value that is 1 mmHg lower than the current manometer reading.
MAIN
MENU
PREVIOUS
MENU
ENTER CAL PRESSURE
247
17. When the manometer falls to exactly the value that you selected in the pop-up window, press the Trim Knob control to enter the value.
EAGLE 3000 PATIENT MONITOR
5 - 8 415397-003 PAGE REV C
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