During repairs/service interventions,
observe the protective measures against
damage due to ESD.
*Marquette Hellige GmbH considers itself
responsible for the effects on safety ,
reliability, and performance of the equipment, only if:
-assembly operations, extensions,
readjustments, modifications, or
repairs are carried out by
Marquette Hellige GmbH or by
persons authorized by Marquette
Hellige GmbH,
-the electrical installation of the relevant room complies with the applicable national and local requirements,
and
-the instrument is used in accordance
with the instructions for use.
*This manual contains service information;
operating instructions are provided in the
operator’s manual of the instrument.
*This manual is in conformity with the
instrument at printing date.
*All rights are reserved for instruments,
circuits, techniques, and names appearing
in the manual.
11.Safety Analysis Test ..........................................................................................67
11.1. General introduction ...................................................................................67
11.2 Recommended Test Equipment ..................................................................67
11.3 Protective Earth Resistance Test ................................................................ 67
11.3.1 Leakage Current Measurement ......................................................68
11.3.2 Enclosure Leakage Current Test ....................................................68
11.3.3 Patient Leakage Current Test .........................................................69
12.Spare Parts Lists ............................................................................................... 71
13.Accessories: Car holder...................................................................................75
14.Appendix: Drawings
Revision History
December 1997Initial Release SW Version 4
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1. General Introduction
CardioServ Semi-Automatic and Manual
There are 2 CardioServ models: the semi-automatic and the manual defibrillator. Both models are available with a pacemaker and SpO2.
The manual CardioServ is a defibrillator designed to deliver synchronized and unsynchronized shocks. This requires the user to trigger capacitor charging and shock delivery manually.
The semi-automatic defibrillator is equipped with analysis software, which monitors the ECG
for arrhythmias (fibrillation and ventricular tachycardia). When the analysis is started by
pressing a key the ECG is analyzed. If the result of the analysis is positive, the capacitor is
charged to the preselected energy level. The semiautomatic operating mode can be terminated by pressing a key or inserting the dongle.
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2. General overview of CardioServ
2.1 Documentation and nomenclature of Marquette Hellige
instrument part Nos
2.1.1Configuration of instrument part No
The instrument part No comprises 8 digits, the first 6 digits determining the instrument
type, the last 2 digits the instrument version. The language is determined by configuration,
thus having no influence on the part No.
E.g. Instrument TypeVersion
CardioServ101 116 ..
without pacemaker101 116 03
with SPO
with pacemaker and SPO
2
2
101 116 04
101 116 05
2.1.2Configuration of the PCB part Nos
388 xxx yySpare part numbers for the operative PCBs.
The instrument documentation, e.g., reference diagrams, circuit diagrams and parts lists
are listed under this part No.
The 388 number is located on the barcode label.
Configuration of the barcode labels:
Consecutive number
Consecutive number barcodeTest mark
0000000219
388 011 513131C3
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Test number (batch)
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303 xxx yySpare part numbers for PCBs tested especially thoroughly
303 numbers are only given to PCBs where the level of testing applied to 388 PCBs is
inadequate for implementation when servicing in the field, or where only a complete set of
PCBs can be replaced in the field.
In addition to a barcode label (388 number) 303 part Nos also have an additional label with
a 303 number and are to be found in the spare parts list under this number.
389 xxx yyReplacement numbers for defective PCBs
Where servicing is required 389 PCBs are available for the replacement of some PCBs.
When using a replacement PCB (389 part No) the defective PCB is to be returned to the
Freiburg factory. Replacement PCB part Nos are included in the spare parts list.
389 PCBs have an additional adhesive label.
2.1.3 Instrument status documentation (nominal status)
Due to the hardware and software combination unambiguous documentation of the instrument assembly status is necessary, also in the event of repairs.
This documentation comprises the following documents and measures:
Master Record Index (MRI) (see Appendix)
This document is a component of this instrument documentation.
This document states the combination of permissible hardware and software for a particular instrument version. The permissible PCB Index is given in the Index column with each
update delivered. Further permissible PCB Indexes are given in the compatible column.
The PCB Index can be found in the PCB barcode label.
Product Status Index
This document is created during manufacture. The Product Status Index documents the
hardware/software product status.
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Instrument Versions
These servicing instructions describe the manual CardioServ and the semiautomatic CardioServ VF
Manual CardioServ
101 117 01 CardioServ without pacemaker, without SPO2
101 117 03 CardioServ with pacemaker, without SPO2
101 117 04 CardioServ without pacemaker, with SPO2
101 117 05 CardioServ with pacemaker, with SPO2
101 117 02 CardioServ Esaote without pacemaker, without SPO2
101 117 06 CardioServ Esaote with pacemaker, without SPO2
101 117 07 CardioServ Esaote without pacemaker, with SPO2
101 117 08 CardioServ Esaote with pacemaker, with SPO2
101 117 09 CardioServ USA without pacemaker, without SPO2
101 117 11 CardioServ USA with pacemaker, without SPO2
101 117 12 CardioServ USA without pacemaker, with SPO2
101 117 13 CardioServ USA with pacemaker, with SPO2
CardioServ VF
101 117 21 CardioServ without pacemaker, without SPO2
101 117 22 CardioServ with pacemaker, without SPO2
101 117 23 CardioServ without pacemaker, with SPO2
101 117 24 CardioServ with pacemaker, with SPO2
101 117 29 CardioServ Esaote without pacemaker, without SPO2
101 117 30 CardioServ Esaote with pacemaker, without SPO2
101 117 31 CardioServ Esaote without pacemaker, with SPO2
101 117 32 CardioServ Esaote with pacemaker, with SPO2
101 117 25 CardioServ USA without pacemaker, without SPO2
101 117 26 CardioServ USA with pacemaker, without SPO2
101 117 27 CardioServ USA without pacemaker, with SPO2
101 117 28 CardioServ USA with pacemaker, with SPO2
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3. Functional Description
The Therapy System CardioServ comprises a defibrillator, a monitor ( LC display 240 * 320
pixels ), a printer and a power supply unit. These components are arranged in a casing. It is a
compact unit, which can also be implemented using a 230-V power supply system, even
without a battery. The unit has a pulsed 140-mA standard charge for the battery. Additional
versions available have an external pacemaker and an SpO2 module, separately or combined.
The Defi is switched on by turning the rotary switch to position ECG or energy levels automatic sequence 2 ... 360 J.
Following a self-test, which tests
- RAM data store
- ROM program memory
- Watchdog / Reset
- EEPROM permanent memory
- Display all Pixels on / off
- Time base of internal quartz crystal
- Energy charge from last shock
- Defective charge or Defib keys
- Position of energy selector switch
- Connected electrodes
- Pacemaker
- SpO2
the Defi is ready for operation. If an error arises, depending on the severity of the error, the
Defi is either on standby or not. Serious errors are watchdog, ROM or RAM errors. In the
case of minor errors, an error message appears, but the instrument can be rendered operative by pressing a key.
The Defi shock is delivered via exchangeable paddles. This permits the use of different electrodes, i.e., in addition to conventional electrodes, large-surface adhesive electrodes or internal electrodes, for example. Adhesive electrodes are used for the pacemaker. The CardioServ also has Start and Trigger buttons on the instrument.
The charge operation is actuated with the Charge key on the apex electrode (for internal and
adhesive electrodes on the instrument). During the charge operation, the accumulation of
energy is registered and when the selected energy level has been reached the energy to be
released appears on the display. An acoustic and visual display on the monitor indicates the
configured energy level has been reached. When the battery is fully charged or with linepower operation, charging at 360 J should take about 8 s.
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The buttons on both electrodes are pressed to trigger the defibrillation pulse (safety two-hand
operation). This means that the button on the apex electrode (or the corresponding one on
the instrument) has two functions:
- start the charge operation
- trigger defibrillation (together with the Trigger button)
The type of electrodes connected are recognized and, in the case of internal electrodes, the
energy is automatically limited to 50 joules.
Following defibrillation, the energy released is displayed on the screen for 6 seconds. Documentation output is by the printer.
Cardioversion (operating mode Sync) can proceed either via the paddles or a patient cable.
The operating mode Sync appears on the display and Sync marks are superimposed on the
display. Following cardioversion, for safety reasons, the CardioServ switches automatically
over to the unsynchronized operating mode, i.e., before each cardioversion the instrument
must be switched over to Sync.
The Defi can be configured for semi-automatic operation in three ways:
*As a semi-automatic instrument only (defibrillation only possible via analysis)
*Semi-automatic instrument which can be toggled to manual mode by pressing a key
*Semi-automatic instrument which can be reset into manual mode using a dongle
ECG signal pick-up is possible via the paddles or ECG cable. ECG is output on the LCD
display or by the built-in 50-mm printer.
A safety device ensures the discharge of the storage capacitor in the following situations:
-when defibrillation is not triggered 30 seconds after storage operation is complete,
-0.2 seconds after triggering defibrillation,
-immediately after switching back the energy selector switch during or after storage,
-when the battery voltage drops below a certain level,
-when the selected energy level still has not been reached after 32 seconds.
When switching to a higher energy level, the energy deficit is supplied by recharging.
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Pacemaker
The pacemaker is a transthoracic pacemaker operating in the Demand and Fix mode.
- Pulse width 40ms (20 ms)
- The frequency is between 0...180 P/min (> 150 P/min only 20ms pulse width)
- The current is between 0...200 mA
- Adjustment is in 5-unit intervals.
The pacemaker is operated using 6 keys on the control panel. One key switches the pacemaker on, one key changes the operating mode, the other keys are used to adjust the frequency and current. The defibrillator cannot be disabled as long as the pacemaker is
switched on. The adhesive electrodes of the Defi are used to release a pulse. This ensures a
rapid switch from defibrillator to pacemaker and back again.
SpO
2
SpO2 is based on one of the modules manufactured by Nellcor (MP204). This module is
located on the PCB Analog and receives its power supply from the latter. Measurement of the
oxygen saturation level and pulse frequency is made by this PCB.
Pulse frequency from 0...250 P/min
Saturation from 0...100%
We display the plethysmogram, saturation level and, when selected, the pulse frequency
instead of the HR.
Control options:
A battery charge check is performed under load application. The message charge battery
on the display means the battery needs recharging. At least five discharges at maximum
energy are still possible. (Possibly even considerably more)
Performance check of defibrillation is performed by discharging into the integrated 50-ohm
resistor.
Monitoring battery charge via the connector for power cord by the yellow LED. If the battery is
fully charged after 16 h, trickle charging ensues, the yellow LED is permanently lit up.
The monitoring function of the CardioServ records and monitors the ECG and oxygen saturation level. The cardiac-action potentials are fed to the ECG preamplifier via a 5-wire patient
cable. Selection can be made from 12 leads. The ECG curve is displayed on the LC screen
with an illuminated background. The heart rate obtained from the ECG signal is continuously
displayed on the screen.
Communication between the user and the instrument is via the keyboard and the LC screen.
These also serve to configure the default settings and functions (see Users Manual for further details).
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The PCBs have the following functions:
PCB Power Supply
This PCB supplies the 16.5-V instrument power supply. 10 A can be supplied for short-term
capacitor charging. It is a primary clock-rated wide-range power supply system. It operates
from 85 .. 264 V, at 49 ... 65 Hz. It is protected by 2 fuses in the primary circuit. One on the
PCB and one in the feed line.
PCB Analog
This PCB has several functional units.
The first unit accepts the ECG signals (patient input) received via the patient cable from the
patient. In accordance with its task, it is connected to the patient by a cable. It is thus
constructed as an application component isolated from other circuit components and the
circuit reference (floating). The tasks of this circuit component are:
- amplification of ECG signals
- lead selection (lead selector)
- identification and reporting of electrode defects
- identification and reporting of patient lead connection
- digitization and serialization of ECG data
- potential separation of the application component from the remaining circuit components
(floating)
- floating component power supply
- ECG trigger
- pacing-pulse detection
There are two of these circuit components on this PCB. Once for the ECG via paddles, once
for the ECG via patient cable.
A second unit provides floating separation and the power supply for SPO2.
A further circuit component controls high-voltage generation for the Defi shock. There is a
high-voltage capacitor on this PCB. The functions are as follows :
- safety control during charging and shock release (1st path : hardware)
- controlling storage operation and energy release, independent of the CPU
- controlling the high-voltage generator
- elimination of interference in the operating elements in the Defi electrodes
- conversion of the voltage and current signals into a frequency to measure energy
- activation and control of the high-voltage transformer
- generation of the emergency cutoff signal in the event of inadmissibly high voltage
- measurement of the high voltage on the primary winding of the high-voltage transformer
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- rectification of the high voltage
- protection of the high-voltage diode
- discharging the storage capacitor as a safety precaution
- measurement of the high voltage on the storage capacitor
- energy delivery via the high-voltage relay
A further unit organizes the entire instrument´s power supply. This is provided by the built-in
battery, the power supply unit or, optionally, from an external battery (e.g., ambulance power
supply system). It has the following tasks:
- switching instrument on/off
- automatic cutoff when battery voltage is too low
- monitoring the “charge battery” threshold
- power source selection: battery or power supply system
- charging the built-in battery by a special circuit independent of how high the supply
voltage is
PCB Digital
The PCB Digital is equipped with the microcontroller, which controls the entire instrument. It
comprises a Motorola 68332 microcontroller, RAM, EPROM, EEPROM, watchdog and I/O
ports. It has the following functions:
- safety control during charging and shock release (2nd path : software)
- displaying the ECG and text on the LC screen (delete bar procedure)
- processing the curves and texts for the printer controller for output onto paper
- 50 / 60-Hz filter (software)
- alarm management
Circuit component display :
- graphics controller to control the display, which ensures screen refresh
- display RAM
- generation of voltages for the LCD ( LCD power supply )
- generation of high voltage for background illumination
- Pal for chip select generation for display
- contrast adjustment
Circuit component real-time clock :
- real-time clock with lithium battery buffer and integrated quartz crystal
- Pal for chip select generation for clock
Circuit component 1-channel recorder :
- single-chip microcontroller to output data at thermal-array printhead
- monitoring printhead temperature
- motor control for paper transport
- switches off motor in the event of overload or underload
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- generation of power supply voltages for the recorder
- processing of all signals for the printer microcontroller
Further circuit components on the PCB are :
- generation of 5 V from 12 V via an integrated switching controller, short-circuit-proof and
protected against overvoltage by Transzorb diodes
- sound generator, frequency controlled by SW
- RS-232 interface, protected against overvoltage by Transzorb diodes. Interface integrated
into microcontroller, external conversion of level from 5 V to +- 12 V.
- energy selector switch, binary coded, delivers its information to PCB Analog and to the
microcontroller
- keyboard interface to connect the membrane keypad
- control of LEDs on the keypad
- watchdog
- reset generation, when +5-V supply drops below 4,65 V or exceeds 5,5 V
- RAM buffering by battery when instrument is switched off
- pacemaker functions integrated on PCB Digital
- serial hookup of pacemaker and microcontroller
- pacemaker conducts current when in operative mode only.
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3.1 Pcb. usage on different CardioServ ( 4.x ) Versions
CardioServ 101 117 29
Version 4.x
ESAOTExxx
without pacemaker /
without SPO2
CardioServ 101 117 30
Version 4.x
ESAOTExxx
with pacemaker /
without SPO2
CardioServ 101 117 31
Version 4.x
ESAOTExxxx
without pacemaker /
with SPO2
CardioServ 101 117 32
Version 4.x
ESAOTExxxx
with pacemaker /
with SPO2
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3.2 Important Servicing Note:
Replacing CardioServ PCBs
When CardioServ PCBs are replaced the technician must call up the self-test screen after
replacing the PCB. The new components are reported automatically in the software configuration. After restarting CardioServ recognizes the new components. This is important in the
case of SpO2 and Pacemaker. Further the Performance Check (see on Page 62) needs to
be accomplished.
Replacing PCB Digital
The identification numbers 0000 and 1111 are stored in the Eeprom of the PCB Digital for
CardioServ Manual and CardioServ VF, respectively.
The replacement PCB always has the identification number 0000 stored in the Eeprom for
CardioServ Manual.
If during servicing the replacement PCB Digital is inserted into a CardioServ VF, when it is
switched on the CardioServ is in the manual mode. The following combinations of keys are
required to switch the CardioServ from manual to semi-automatic operation.
1. Press F1 and F5 keys simultaneously: The function Configuration appears on the screen.
2. Press F3 and F4 keys simultaneously: The function Key Test appears on the screen.
3. Press the Analysis key.
4. Press F3 and F4 keys simultaneously.
The identification code for the CardioServ VF stored in the Eeprom of the PCB Digital is now
1111 and the CardioServ operates in the semi-automatic mode.
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4. Signal names
Interface Signals PCB DIGITAL <-> PCB ANALOG Connector
Note: I/O from processor 68332 viewpoint
Signal NameI/OMeaningLevelPolarity
ENSELD-ENSELAI/OSelection of energy level or device On/Off+5V---
TACHARGE----Charging signal from keypad+5Vhigh-active
TADISCHARGE----Discharge signal from keypad+5Vhigh-active
TAENABLEORelease signal for shock release via keypad+5Vhigh-active
CHARGE_ICharging OR signal from keypad and paddle+5Vlow-active
DISCHARGE_IDischarge OR signal from keypad and paddle+5Vlow-active