z Indicates an imminent hazard that, if not avoided, will result in death or serious
injury.
WARNING
z Indicates a potential hazard or unsafe practice that, if not avoided, could result in
death or serious injury.
CAUTION
z Indicates a potential hazard or unsafe practice that, if not avoided, could result in
minor personal injury or product/property damage.
NOTE
z Provides application tips or other useful information to ensure that you get the
most from your product.
1-1
Safety
1.1.1 DANGER
There are no dangers that refer to the product in general. Specific “Danger” statements may
be given in the respective sections of this manual.
1.1.2 Warnings
WARNING
z All installation operations, expansions, changes, modifications and repairs of this
product are conducted by Mindray authorized personnel.
z There is high voltage inside the equipment. Never disassemble the equipment
before it is disconnected from the AC power source.
z When you disassemble/reassemble a parameter module, a patient leakage current
test must be performed before it is used again for monitoring.
z The equipment must be connected to a properly installed power outlet with
protective earth contacts only. If the installation does not provide for a protective
earth conductor, disconnect it from the power line and operate it on battery power,
if possible.
z Dispose of the package material, observing the applicable waste control regulations
and keeping it out of children’s reach.
1.1.3 Cautions
CAUTION
z Make sure that no electromagnetic radiation interferes with the performance of the
equipment when preparing to carry out performance tests. Mobile phone, X-ray
equipment or MRI devices are a possible source of interference as they may emit
higher levels of electromagnetic radiation.
z Before connecting the equipment to the power line, check that the voltage and
frequency ratings of the power line are the same as those indicated on the
equipment’s label or in this manual.
z Protect the equipment from damage caused by drop, impact, strong vibration or
other mechanical force during servicing.
1-2
Safety
1.1.4 Notes
NOTE
z Refer to Operation Manual for detailed operation and other information.
1.2 Equipment Symbols
Attention: Consult
accompanying documents
(this manual).
CIS connector
Danger: High-voltage
Alternating current(AC)
Power ON/OFF
Battery indication
Zero key
Calibrate key
Measure/Standby
Check sensor
ESD warning symbol for Electrostatic sensitive devices.
Network connector
Defibrillator connector
Connector for satellite
module rack
Video output
Auxiliary output connector
USB connector
Equipotential terminal
CE marking
Type CF applied part. Defibrillator-proof protection against electric shock.
Type BF applied part. Defibrillator-proof protection against electric shock.
1-3
FOR YOUR NOTES
Safety
1-4
2 Theory of Operation
2.1 Introduction
This patient monitor is designed to monitor a fixed set of physiological parameters including
ECG, heart rate (HR), respiration (Resp), temperature (Temp), SpO
bispectral index (BIS) and respiration mechanics (RM) of single adult, pediatric and neonatal
patients.
), oxygen (O2), anesthetic gas (AG), impedance cardiograph (ICG),
2
, pulse rate (PR),
2
The patient monitor also:
Provides audible and visual alarm indications in case of patient or equipment problems.
Enables displaying, reviewing, storing and transferring of real-time data.
Incorporates multiple input devices such as buttons, knob, touchscreen, keyboard and
mouse.
Interfaces a clinical information system or central monitoring system.
Enables program upgrade over the network.
2-1
Theory of Operation
2.2 System Connections
2.2.1 Mounting the Patient Monitor
The patient monitor can be mounted on a wall bracket or on a trolley support. The wall
bracket or trolley support can be ordered optionally. Each type of mounting bracket is
delivered with a complete set of mounting hardware and instructions. Refer to the
documentation delivered with the mounting hardware for instructions on assembling mounts.
CAUTION
z Use mounting brackets we supply or approve. If other compatible mounting
bracket is used, be sure it can be safely used on the patient monitor.
z The mounting bracket should be installed by our qualified service personnel, or
engineers who have adequate knowledge on it.
z If other mounting solution is used, the installation personnel and the customer
should verify if it can be safely used on the patient monitor, and the customer
assume the responsibility for any risk resulting from that.
2-2
Theory of Operation
2.2.2 Connectors for Peripheral Devices
On the back of the patient monitor you will find all connectors for peripheral devices.
2
3
4
1. AC Power Connector: used to connect an AC power source (100 to 240 VAC, 50/60Hz).
2. Equipotential Terminal: used to connect the equipotential terminal of other equipment,
eliminating potential difference between different pieces of equipment.
3. SMR Connector: It outputs a 12V DC, used to connect the SMR.
5678
1
10
9
4. Video Output: It is a DVI-D connector used to connect a secondary display.
5. CIS Connector: It is a RJ45 connector used to connect a CIS.
6. Network Connector: It is a RJ45 connector used to connect an ethernet network or a PC.
7. Defibrillator Connector: It is a RJ11 connector used to connect a defibrillator.
8. Auxi Output Connector: It is a BNC connector used to output analog signals and nurse
call signals.
9. Secondary USB Connector: used to connect the mouse and keyboard of the secondary
display.
10. General USB Connector: used to connect any USB-compatible peripheral device.
2-3
Theory of Operation
2.3 Main Unit
The patient monitor consists of:
Input system: button board, knob, touchscreen, power switch and LED board
Output system: LCD panel, alarm LED board, recorder, speaker
Processing and communications system: main board, CIS assembly, integral module
rack
Power management system: battery, battery interface board, power module
Equipment interface system: USB interface board, DVI interface board and CF/WLAN
assembly.
Additionally, the patient monitor can also connect a satellite module rack (SMR), parameter
modules, mouse, keyboard, etc.
The following diagram illustrates the structure of the patient monitor.
2-4
Theory of Operation
2.3.1 Input System
Button board
The button board, located at the lower part of the monitor’s front panel, contains 6 keys and
provides connections for the following components to the main board:
Knob
Power switch & LED board
Touchscreen control board
Backlight board
Alarm LED board
The following diagram shows the button board connections.
Knob
The knob can be pressed, or rotated both clockwise and counter-clockwise. It is connected
with the button board.
Touchscreen
The touchscreen enables touch operations and can be calibrated. It is connected with the
touchscreen control board and main board.
Power switch & LED Board
The power switch & LED board controls the power supply for the main unit. It has three
LEDs, which respectively indicate the AC power status, battery status and monitor power
on/off status. It is connected with the button board.
2-5
Theory of Operation
2.3.2 Output System
LCD panel
The patient monitor adopts a high-resolution LCD panel. The LCD panel is connected with
the backlight board and the main board. It runs on power from a DC source, which originally
comes from the main board, and then goes to the backlight board through the button board,
and finally is delivered to the LCD panel by the backlight board.
Alarm Lamp
The patient monitor has two alarm lamps: physiological alarm lamp and technical alarm lamp.
The alarm LED board converts electric signals into visual signals and then sends the visual
signals to the front panel through the light guiding post. Physiological alarm lamp lights
either red or yellow whereas technical alarm lamp lights blue only.
Recorder
The recorder receives data coming form the main board and then sends them to the thermal
printhead for printing. The recorder has a hardkey (starting/stopping recordings) and a green
LED on its front. It is connected with the main board.
The following diagram shows its operating principle.
2-6
Theory of Operation
Module Description
Power interface Introduces a DC from the main board.
Power module
CPU Control the communications between modules.
Signal interfac
Motor drive circuit
Button board &
indicator interface
FPC interface
Converts the input power into voltages that fit each module and then
forwards them to each module.
Control the communications between the main board and the
recorder CPU.
Receives the control signals from the CPU and then forwards them to
the step engine.s
Sends key commands to the CPU and receive commands controlling
the indicators from the CPU.
Sends the thermal printhead information to the CPU and receives the
commands controlling the thermal printhead from the CPU.
Speaker
The speaker provides sound for alarms, key strokes, heart beats and pulse, and allows PITCH
TONE and multi-level tone modulation. It is connected with the main board and runs power
from a DC provided by the main board.
2.3.3 Processing and Communications System
Main Board
The main board is the heart of the patient monitor. It implements a series of tasks including
input & output control, data storage and processing, display processing, system control,
communication management, printing management and alarming, etc.
The main board comprises the CPU board and mother board. The following diagram shows
interfaces to other components.
2-7
Theory of Operation
The CPU board is an essential CPU system containing the CPU, FLASH, memory, realtime
clock, EEPROM, etc. It interfaces to the mother board only, which then provides interfaces to
all other external devices.
The mother board is in charge of connections and communications with other components
and provides the following interfaces:
LCD port: connects a built-in display.
Video output+network+ GPIO: connects the digital video interface board.
USB×2+RS422: connects the USB interface board.
Button board port: connects the button board.
Integral module rack port: connects integral module rack communication board.
Fan port: connects the fan.
Speaker port: connects the speaker.
Power module port: connects the power module.
CIS port: located at the back of the mother board for connecting the CIS components.
WLAN&CF port: connects the CF/ WLAN assembly.
Recorder port: connects the recorder.
2-8
Theory of Operation
Integral Module Rack
The patient monitor has two kinds of integral module rack: 2-slot and 5-slot. The integral
module rack consists of control board and communication board.
The control board is a NIOS II module located on the communication board. It implements
protocol conversion and infrared communication between the main unit and the parameter
modules.
The communication board can be a MPM type (2-slot type) or a 3-slot type. It consists of
infrared circuit, RS422 communication circuit and power circuit. The communication board
is connected with the main board.
Operating principle of the communication board is as follows:
The infrared circuit transmits and receives infrared signals, and controls signal intensity;
RS422 communication circuit implements signal conversion between serial signals and
RS422 signals;
Power circuit transfers 3.3VDC power supply to run the integral module rack and
12VDC power supply to run the parameter modules from the mother board.
2.3.4 Power Management System
Battery
The patient monitor uses two chargeable lithium-ion batteries (11.1 V, 4500 mAh). The
battery compartment door is located at the bottom of the patient monitor. The battery power
is introduced to the power module via the battery interface board, and then processed and
distributed to each component by the power module.
NOTE
z Two batteries must be used simultaneously when the patient monitor operates on
battery power. Otherwise, it may cause power supply protection.
Battery Interface Board
The battery interface board connects batteries to the power module, enabling charging and
discharging between the batteries and the power board.
2-9
Theory of Operation
Power Module
The power module is located at the back of the patient monitor. The main part of the power
module is the power board, which contains 4 PCBs: charging & power management board,
voltage drop DC inverter, voltage rise and drop DC inverter, and voltage drop 5 V CIS power
board.
The power module transforms the input power into DC and then forwards them to each
component of the patient monitor. The input power comes from either the batteries or an AC
source. The patient monitor will run power from the AC source whenever an AC source is
available. If the AC source becomes unavailable, the patient monitor will automatically
switch to the battery power. This does not affect the monitor’s operating status.
Power module has an AC input socket at its backside, and a socket at its front provides 4
connections to the batteries, main board, CIS components and USB interface board
respectively. The power module protects itself and the patient monitor by switching off AC
input or DC output in case of overcurrent, short circuit and overvoltage.The power module
provides 4 DC outputs:
Outputs Description
+3.3 V
+5.0 V
+5.0 V CIS Goes to the CIS assembly.
+12 V
The systematic principle diagram of the power module is as follows:
Goes to the mother board, CPU board, DVI interface board and integral
module rack.
Goes to the DVI interface board, recorder, CF storage card board and
USB interface board.
Goes to the recorder, LCD panel, integral module rack, parameter
modules and USB interface board.
2-10
Theory of Operation
The following diagram shows the pins of the power module socket (excluding the pins of the
battery power socket. On power board, pin 1 has a triangle symbol):
Pin ID Marking Description Cable
color
2, 4, 6, 7,
13, 15, 17
8 RXD Receives serial communications (the main board sends). Purple
9 TXD Sends serial communications (the main board receives). Brown
10 PCON
11 LCD-EN
12, 1 12 V
14, 3 5 V CIS
GND The output grounding terminal of the power board. Black
Power on/off control signal. It is a TTL pulse signal
inputted from the back board. Every time when the power
on/off switch is pressed (pulse of falling edge), a switch
between power “on” and “off” happens. The pulse
duration is no less than 0.1 s for power-on and no less
than 2 s for power off.
Backlight on/off control signal. The main board sends a
backlight on/off control signal to the power board through
the serial interface. The power board processes the
received signal and then outputs a high or low level
depending on the received signal.
The positive end of the 12 V DC coming from the power
board.
The positive end of the 5 V CIS coming from the power
board.
Blue
Green
Yellow
Purple
16, 5 5 V
18, 19 3.3 V
20 LED- AC AC power status indication signal White
21 LED- BAT Battery status indication signal. Grey
22 LCD-BR Backlight brightness control voltage. Brown
The positive end of the 5 V DC coming from the power
board.
The positive end of the 3.3 V DC coming from the power
board.
2-11
Red
Orange
Theory of Operation
2.3.5 Equipment Interface System
USB Interface Board
The USB interface board is compatible with such USB interfaces as USB2.0, USB1.1 and
USB1.0. It is connected with the main board and the power module. It receives 2 USB
differential signals coming from the main board and then distributes them to 10 USB
interfaces via 2 ISP1521 chips. Moreover, it provides RS232 and RS422 interfaces for
communication between the main board and the SMR. The USB interface board receives 5
VDC and 12 VDC inputs from the power module, of which the 5 VDC goes to the USB
interface board and the 12 VDC outputted to the SMR connector through a fuse.
2-12
Theory of Operation
DVI Interface Board
The DVI interface board is connected with the mother board and the CIS mother board. The
following diagram shows its interfaces to other components.
Interface Description
CIS Connector Connects the CIS mother board.
BNC connector Outputs analog signals and nurse call signals.
It is a standard RJ45 connector, providing 10/100 BASE-TX Ethernet
communications channels. It connects an Ethernet network or a PC.
It is a standard RJ45 connector for connecting a CIS network.
WLAN&CF assembly
The CF assembly serves the non-volatile CF storage card which is used for data storage and
transfer. It is connected with the mother board.
2-13
Theory of Operation
2.4 Parameter Module
Each parameter module consists of the module communication board, module power board,
module button board, parameter board, etc.
2.4.1 Module Communication Board
The module communication board allows a short delay when powering up the module and
adopts FPGA to enable infrared communications between the module and the module rack. It
has no electrical connections and is therefore isolated physically. It has an ID, which will be
send to the module rack according to the pre-defined baud rate when a module is plug into
the module rack.
2.4.2 Module Power Board
Some modules have no power board. There are two kinds of module power board:
1. Isolated power board: converts the 12 V DC into a 12 V isolated DC and a 5 V isolated
DC.
2. Non-isolated power board: converts the 12 V DC into a 5 V DC.
2.4.3 Parameter Board
The parameter board is a parameter measurement component, which is the most important
component of the parameter module.
2-14
Theory of Operation
2.5 Satellite Module Rack
The satellite module rack (SMR) is independent of the patient monitor, provides 8 slots for
mounting parameter modules. It has the following features:
It allows a parameter module to be plugged and unplugged with the patient monitor on.
This allows function extension and patient transfer.
It does not have its own power. It introduces 12 V DC from the patient monitor and then
supplies power to each parameter module via the contact screw.
It accomplishes communications protocol conversions between the patient monitor and
each parameter module, provides infrared communications for parameter modules, and
is responsible for detecting infrared communications malfunction for each parameter
module.
The following diagram shows the structure of the SMR.
2-15
FOR YOUR NOTES
Theory of Operation
2-16
3 Testing and Maintenance
3.1 Introduction
To ensure the patient monitor always functions normally, qualified service personnel should
perform regular inspection, maintenance and test. This chapter provides a checklist of the
testing procedures for the patient monitor with recommended test equipment and frequency.
The service personnel should perform the testing and maintenance procedures as required and
use appropriate test equipment.
The testing procedures provided in this chapter are intended to verify that the patient monitor
meets the performance specifications. If the patient monitor or a module fails to perform as
specified in any test, repairs or replacement must be done to correct the problem. If the
problem persists, contact our Customer Service Department.
CAUTION
z All tests should be performed by qualified service personnel only.
z Care should be taken to change the settings in [User Maintenance] and [Factory
Maintenance] menus to avoid loss of data.
z Service personnel should acquaint themselves with the test tools and make sure
that test tools and cables are applicable.
3-1
Testing and Maintenance
3.1.1 Test Report
After completing the tests, service personnel are required to record test results in this table
and report them to Mindray Customer Service Department.
Test Equipment
Name Model/PN Expiry Date
Test Record
No. Test Item Test Site Test Results
1
2
Conclusion
Pass/Fail: Tested by: Date:
3.1.2 Recommended Frequency
Check/Maintenance Item Frequency
Visual test 1. When first installed or reinstalled.
Power on test 1. When first installed or reinstalled.
2. Following any maintenance or the replacement of any
main unit parts.
Mainstream
CO
test
2
Microstream
CO
tests
2
/
Leakage test Sidestream and
Calibration
1. If user suspects that the measurement is incorrect.
2. Following any repairs or replacement of respective
module.
3. At least once every two years.
Resp test /
NIBP tests
Performance test ECG tests
Calibration
Accuracy test
Leakage test
Calibration
3-2
SpO2 test /
C.O. test /
Temp test /
BIS test /
RM test /
ICG test /
Testing and Maintenance
Performance test IBP tests
Pressure calibration
Nurse call relay
performance test
Analog output
performance test
Electrical safety
tests
Touchscreen
calibration
Performance test AG tests
Calibration
/
/
Enclosure leakage
current test
Earth leakage
current test
Patient leakage
current test
Patient auxiliary
current test
/ 1. When the touchscreen appears abnormal.
1. If user suspects that the measurement is incorrect.
2. Following any repairs or replacement of AG module.
3. At least once every year
If user suspects that the nurse call or analog output does
not work well.
1. Following any repair or replacement of the power
module.
2. At least once every two years.
2. After the touchscreen is replaced.
Recorder check / Following any repair or replacement of the recorder.
3.2 Visual Test
Inspect the equipment for obvious signs of damage. The test is passed if the equipment has no
obvious signs of damage. Follow these guidelines when inspecting the equipment:
Carefully inspect the case, the display screen and the buttons for physical damage to
Inspect the SMR and parameter modules for mechanical damage.
Inspect all external connections for loose connectors, bent pins or frayed cables.
Inspect all connectors on the equipment for loose connectors or bent pins.
Make sure that safety labels and data plates on the equipment are clearly legible.
3-3
Testing and Maintenance
3.3 Power On Test
This test is to verify that the patient monitor can power up correctly. The test is passed if the
patient monitor starts up by following this procedure:
1. Insert two batteries in the battery chamber and connect the patient monitor to the AC
mains, the AC mains LED and battery LED light.
2. Press the power on/off switch to switch on the patient monitor. The operating status
LED lights up, and the technical and physiological alarm lamps light blue and red
respectively.
3. After the start-up screens are displayed, the system sounds a beep indicating the self test
on alarm sounds is passed. At the same time, the technical alarm lamp turns yellow, and
then turns off together with the physiological alarm lamp. This indicates that the self test
on alarm lamps is passed.
4. The patient monitor enters the main screen and start-up is finished.
3.4 Module Performance Tests
3.4.1 Mainstream CO2 Tests
Follow this procedure to perform the test:
1. Connect the mainstream CO
rack.
2. Enter the [CO2 Setup] menu to set [Operating Mode] to [Measure]. Wait for CO
module warmup.
3. Select [Start Zero Cal.] in the [CO2 Setup] menu. If zero calibration fails, the prompt
information [CO2 Zero Failed] is displayed. If it passes, the baseline of waveform
returns to zero.
4. Set [Apnea Time] to 10 s in the [Adjust CO2 Limits] menu.
5. Blow to the CO
alarm message [CO2 Apnea] is displayed on the screen.
sensor to generate a CO2 waveform. Hold the sensor for 10 s and the
2
module with the sensor and plug the module in the module
2
2
6. Disconnect the CO
displayed.
sensor, verify that prompt information [CO2 Comm Stop] is
2
3-4
Testing and Maintenance
3.4.2 Sidestream and Microstream CO2 Module Test
Leakage test
Follow this procedure to perform the test:
1. Plug the module in the module rack.
2. Enter the [CO2 Setup] menu to set [Operating Mode] to [Measure]. Wait for CO
module warmup.
3. Block the gas inlet completely.
Sidestream: Check that alarm message [CO2 FilterLine Err] is displayed on the
screen in 3s. Block the gas inlet for another 30s, if the alarm message does not
disappear, the module does not leak.
Microstream: Check that alarm message [CO2 Purging] is displayed on the screen
in 3s. Block the gas inlet for another 30s, if alarm message [CO2 FilterLine Err]
is shown, the module does not leak.
Calibration
Tools required:
A gas bottle with 5% CO
T-shape connector
Tubing
gas
2
2
Follow this procedure to perform a calibration:
1. Make sure that the CO
module has been warmed up or started up.
2
2. Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the
required password→[Maintain CO2 >>].
3. In the [Maintain CO2] menu, select [Zero].
3-5
Testing and Maintenance
4. Connect the gas bottle with the tubing using a T-shape connector as shown below.
Check the airway and make sure there are no leaks.
Open to the air
Gas valve
Tubing
Monitor
Gas bottle
5. Vent the tubing to the CO
6. In the [Calibrate CO2] menu, enter the vented CO
7. In the [Maintain CO2] menu, the measured CO
opening the gas valve.
2
concentration in the [CO2] field.
2
concentration, barometric pressure,
2
sensor temperature and current flowrate are displayed. After the measured CO2
concentration becomes stable, select [Calibrate CO2] to calibrate the CO
module.
2
8. If the calibration is finished successfully, the message [Calibration Completed!] is
displayed. If the calibration failed, the message [Calibration Failed!] is displayed.
Perform another calibration.
3.4.3 ECG Tests
ECG Performance Test
Tool required:
Patient simulator
1. Connect the patient simulator to the ECG/Resp connector on the module.
2. Set HR output to 80 bpm in the ECG simulator.
3. The displayed HR value should be 80 ± 1 bpm for 3- and 5-lead ECG monitoring, 80 ± 2
bpm for 12-lead ECG monitoring.
3-6
Testing and Maintenance
ECG Calibration
The ECG signal may be inaccurate due to hardware or software problems. As a result, the
ECG wave amplitude becomes greater or smaller. In that case, you need to calibrate the ECG
module.
1. Select the ECG parameter window or waveform area→[Filter]→[Diagnostic].
2. Select [Main Menu]→[Maintenance>>].
3. Select [Calibrate ECG]. A square wave appears on the screen and the message [ECG Calibrating] is displayed.
4. Compare the amplitude of the square wave with the wave scale. The difference should
be within 5%. You can also print out the square wave and the wave scale if necessary.
3.4.4 Resp Performance Test
Tool required:
Patient simulator
1. Connect the patient simulator to the Resp connector on the module.
2. Configure the simulator as follows: base impedance line 1500 Ω; delta impedance 0.5 Ω,
respiration rate 40 rpm.
3. The displayed Resp value should be 40 ± 2 rpm.
3-7
Testing and Maintenance
3.4.5 NIBP Tests
NIBP Accuracy Test
Tools required:
T-shape connector
Approprating tubing
Balloon pump
Metal Vessel with volume 500 ± 25 ml
Reference manometer with accuracy 1 mmHg
Monitor
Tubing
Connector for NIBP cuff
Balloon pump Metal vessel
Follow this procedure to perform the test:
1. Connect the equipment as shown above.
2. Before inflation, the reading of the manometer should be 0. If not, disconnect the airway
4. Set [NIBP Pressure] to 150 mmHg in the [NIBP measurement circuit]. Raise the
pump output to 150 mmHg. After the pressure value is stabilized, select the [Calibrate]
button to start the calibration.
5. Set patient category to [Adu/Ped] in the [overpressure protection circuit], raise the
pressure to 330 mmHg. Then, select [Calibrate] to start the calibration.
6. Set the patient category to [Neo] in the [overpressure protection circuit], raise the
pressure to 165 mmHg. Then, select [Calibrate] to start the calibration.
7. Calibration result is displayed in the [Calibrate NIBP] menu. If calibration fails, Check
the system connection and perform calibration test again.
3-10
Testing and Maintenance
3.4.6 IBP Tests
IBP Performance Test
Tool required:
Patient simulator
1. Connect the patient simulator to the pressure connector on the module.
2. Set the pressure value of patient simulator to 0.
3. Press the Zero Key on the module to start a zero calibration.
4. Configure the patient simulator as P(static)=200 mmHg.
5. The displayed value should be 200 ± 2 mmHg.
6. If the value is beyond tolerance, calibrate the pressure module.
3. Switch the patient simulator to Mode 1 and then start ICG measurements.
4. After the measurement becomes stable, document the measured values.
5. Switch the patient simulator to mode 2 and then start ICG measurements. After the
measurement becomes stable, document the measured values.
6. Check that measured values meet the simulator configuration
3.4.13 AG Tests
AG Performance Test
Tool required:
Gas bottle with a certain standard anesthetic gas. Gas concentration should meet
AA>1.5%, of which AA represents an anesthetic agent
T-shape connector
Tubing
1. Plug the AG module in the module rack. Enter [AG Setup] menu and set [Operating
Mode] to [Measure].
2. After the AG module warmup is ready, block the gas inlet of the AG module. Alarm
message [AC Airway Occluded] is displayed.
3. Connect the equipment as shown below.
4. Open and close the gas valve repeatedly at an interval of 3 seconds. The AA value
displayed should meet product specification.
3-15
Testing and Maintenance
BIS Performance Test
The AG module can incorporates the features of the BIS module, refer to 3.4.10 BIS Test for
test procedures.
O2 Performance Test
Tool required:
Gas bottle with 100% O
2
T-shape connector
Tubing
The AG module can incorporates the features of the O
module, refer to AG Performance
2
Test above for test procedures.
AG Calibration
Tools required:
Gas bottle, with a certain standard gas or mixture gas. Gas concentration should meet
the following requirements: AA>1.5%, CO
represents an anesthetic agent.
T-shape connector
Tubing
Reservoir bag
>1.5%, N2O>40%, O2>40%, of which AA
2
Follow this procedure to perform the calibration:
1. Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the
required password→[Calibrate AG >>].
2. Check the airway and make sure that there are no occlusions or leaks.
Vent the sampling tubing to the air and check if the [Current FlowRate] and [Set
FlowRate] are approximately the same. If the deviation is great, it indicates that
there is an occlusion in the tubing. Check the tubing for an occlusion.
Block the gas inlet of the tubing. The [Current FlowRate] shall fall rapidly and
the system prompt that the tubing is blocked. Otherwise, it indicates that there are
leakages in the tubing. Check the tubing for leakages.
3-16
Testing and Maintenance
3. Connect the gas bottle, reservoir bag and the tubing using a T-shape connector as shown
in the figure below.
Gas valve
Tubing
AG module
Reservoir
Gas bottle
4. Open the gas valve and vent a certain standard gas or mixture gas.
5. In the [Calibrate AG] menu, the concentration and flowrate of each measured gas are
displayed.
If the difference between the measured gas concentration and the actual one is
tolerable, a calibration is not needed.
If the difference is great, a calibration should be performed. Select [Calibrate >>]
to enter the calibrate menu.
6. Enter the vented gas concentration. If you use only one gas for calibration, set other
gases’ concentration to 0.
7. Select [Start] to start calibration.
8. If the calibration is finished successfully, the message [Calibration Completed!] is
displayed. If the calibration failed, the message [Calibration Failed!] is displayed.
Perform another calibration.
3-17
Testing and Maintenance
3.5 Nurse Call Relay Performance Test
Tools required:
Multimeter
1. Connect the nurse call cable to the Auxiliary Output Connector of the patient monitor.
2. Enter Demo mode. Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]
→enter the required password→[Others >>]→[Auxiliary Output]→[Nurse Call].
3. Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the
required password→[Others >>]→[Nurse Call Setup >>]. Enable all alarm level and
alarm type options. Set [Contact Type] to [Normally Open]
4. In [Nurse Call Setup >>] setup menu, set [Signal Type] to [Pulse]. Trigger an alarm
and measure the output contact with the multimeter. The output should be square waves
with an interval of 1s.
5. In [Nurse Call Setup >>] setup menu, set [Signal Type] to [Continuous]. Trigger an
alarm and measure the contact output with the multimeter. The output should be
continuous high level.
3.6 Analog Output Performance Test
Tool required:
Oscillograph
1. Connect the oscillograph to the Auxiliary Output Connector of the patient monitor.
2. Enter Demo mode. Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]
→enter the required password→[Others >>]→[Auxiliary Output]→[Analog Output].
3. Select [Main Menu] →[Analog Output Setup]. Switch Analog Output [On], and then
test the ECG and IBP signals from the Analog Output Connector.
4. The waveforms displayed on the oscillograph should closely resemble those displayed
on the patient monitor.
3-18
Testing and Maintenance
3.7 Electrical Safety Tests
WARNING
z Electrical safety tests are a proven means of verifying the electrical safety of the
patient monitor. They are intended for determining potential electrical hazards.
Failure to find out these hazards timely may cause personnel injury.
z Commercially available test equipment such as safety analyzer, etc. can be used for
electrical safety tests. Be sure that the test equipment can be safely and reliably
used with the patient monitor before use. The service personnel should acquaint
themselves with the use of the test equipment.
z Electrical safety tests should meet the requirements of the new edition of standards
EN 60601-1 and UL60601.
z These electrical safety tests do not supersede local requirements.
z All devices using the AC mains and connected to medical equipment within patient
environments must meet the requirements of the IEC 60601-1 medical electrical
systems standard and should be put under electrical safety tests at the frequency
recommended for the patient monitor.
Electrical safety tests are intended to check if potential electrical hazards to the patient,
operator or service personnel of the equipment. Electrical safety test should be performed
under normal ambient conditions of temperature, humidity and pressure.
The electrical safety test plan described hereafter takes 601 safety analyzer as an example.
Different safety analyzers may be used in different areas. Be sure to choose applicable test
plan.
Connection of the equipment is shown below:
3-19
Testing and Maintenance
Tools required:
Safety analyzer
Isolation transformer
3.7.1 Enclosure Leakage Current Test
1. Connect the 601 safety analyzer to an AC power supply (264 V, 60 Hz).
2. Connect SUM terminal of the applied part connection apparatus to RA input terminal of
601 safety analyzer, another terminal to the applied part of EUT.
3. Connect the EUT to the analyzer’s auxiliary output connector using a power cord.
4. Attach one end of the red lead to the “Red input terminal” of the analyzer, and the other
end to tinsel over the enclosure of the EUT.
5. Power on the 601 safety analyzer and then press the “5-Enclosure leakage” button on
the analyzer’s panel to enter the enclosure leakage test screen.
6. Under normal condition, the enclosure leakage current should be no greater than 100 µA.
Under single fault condition, it should be no greater than 300 µA.
3.7.2 Earth Leakage Current Test
1. Connect the 601 safety analyzer to an AC power supply (264 V, 60 Hz).
2. Connect SUM terminal of the applied part connection apparatus to RA input terminal of
601 safety analyzer, another terminal to the applied part of EUT.
3. Connect the EUT to the analyzer’s auxiliary output connector using a power cord.
4. Power on the 601 safety analyzer and then press the “4-Earth leakage” button on the
analyzer’s panel to enter the earth leakage test screen.
5. Under normal condition, the earth leakage current should be no greater than 300 µA.
Under single fault condition, it should be no greater than 1000 µA.
3-20
Testing and Maintenance
3.7.3 Patient Leakage Current Test
1. Connect the 601 safety analyzer to an AC power supply (264 V, 60 Hz).
2. Connect SUM terminal of the applied part connection apparatus to RA input terminal of
601 safety analyzer, another terminal to the applied part of EUT.
3. Connect the EUT to the analyzer’s auxiliary output connector using a power cord.
4. Power on the 601 safety analyzer and then press the “6-Patient leakage” button on the
analyzer’s panel to enter the Patient leakage test screen.
5. Repeatedly press the “Applied Part”button to measure AC and DC leakage alternatively.
DC leakage reading is following by “DC”.
6. Under normal status, the patient leakage current should be no greater than 10 µA. Under
single fault condition, it should be no greater than 50 µA.
3.7.4 Patient Auxiliary Leakage Current Test
1. Connect the 601 safety analyzer to an AC source (264 V, 60 Hz).
2. Connect the equipment under test (EUT) to the analyzer’s auxiliary output connector
using a power cord.
3. Connect the sensors of the applied part to the applied part connection apparatus, whose
RA-P terminal is connected to 601 safety analyzer’s RA terminal (which is turned on)
and SUM terminal to 601 safety analyzer’s LA terminal. RA terminal is switched to on.
4. Power on the 601 safety analyzer and then press the “8-Patient Auxiliary Current Test”
button on the analyzer’s panel to enter the patient auxiliary current test screen.
5. Repeatedly press the “Applied Part”button to measure AC and DC leakage alternatively.
DC leakage reading is following by “DC”.
6. Under normal status, the patient auxiliary leakage current should be no greater than 10
µA. Under single fault condition, it should be no greater than 50 µA.
3-21
Testing and Maintenance
3.8 Touchscreen Calibration
1. Select the [Cal. Screen] QuickKey or select [Main Menu]→[Maintenance >>]→[User
Maintenance >>]→enter the required password→[Cal. Touchscreen].
2. The
3. Select, in turn, the central point of the
4. After the calibration is completed, the message [Scr een Calibration Completed!] is
displayed. Select [Ok] to confirm the completion of the calibration.
symbol will appear at different positions of the screen.
symbol.
3.9 Recorder Check
1. Print ECG waveforms. The recorder should print correctly and printout should be clear.
2. Set the recorder to some problems such as out of paper, paper jam, etc. the patient
monitor should give corresponding prompt messages. After the problem is removed, the
recorder should be able to work correctly.
3. Switch automatic alarm recording for each parameter ON and then set each parameter’s
limit outside set alarm limits. Corresponding alarm recordings should be triggered when
parameter alarms occur.
3-22
Testing and Maintenance
3.10 Factory Maintenance
3.10.1 Accessing Factory Maintenance Menu
To access the factory maintenance menu, select [Main Menu]→[Maintenance >>] →
[Factory Maintenance]and then enter the required password.
The [Factory Maintenance] menu is shown below.
3.10.2 Drawing Waves
There are two methods to draw waves: Color and Mono.
Color: selecting Color will have smoother waveforms.
Mono: selecting Mono will have a wider viewing angle.
3.10.3 Recorder
To enable/disable the recorder, select [Recorder] and toggle between [On] and [Off].
CAUTION
z The recorder is disabled if [Recorder] is switched off in the [Factory Maintenance]
menu.
3-23
Testing and Maintenance
3.10.4 Software Version
Selecting [Software Version] will show software version information. The display of
[Software Version] menu is as follows:
3.10.5 Monitor Information
Selecting [Monitor Information] will show the status of the patient monitor. Monitor
information is displayed as follows:
3.10.6 Calibrate NIBP
For details, refer to section 3.4.5 NIBP Tests .
3-24
Testing and Maintenance
3.11 Program Upgrade
You can upgrade the software of the patient monitor by downloading the upgrade software
through network. At the same time, you can view the upgrade status log. The upgrade
software can directly run on a portable PC or desktop PC. Through the network or by
connecting the patient monitor to a PC via a crossover network cable, you can upgrade the
following programs:
Boot program
System program
Multilingual library
BMP files (including screen icons, start-up screens, standby screens)
General configurations (including passwords, company logo)
System functional configuration
FPGA program
Integral module rack program
Satellite module rack program
Parameter module programs: MPM, IBP module, C.O. module, Mindray CO
RM module
For details, refer to help and instructions for program upgrade.
module,
2
CAUTION
z Disconnect the patient monitor from the patient and make sure the important data
are saved before upgrade.
z Do not shut down or power off the equipment when upgrading the boot program.
Otherwise, it may cause the equipment to break down.
z Program upgrade should be performed by qualified service personnel only.
NOTE
z After upgrading the boot program, re-upgrade the system program and other
programs to ensure compatibility.
z Make sure the version of the upgrade package is you desired one. If you want to
obtain the latest upgrade package, contact Mindray Customer Service Department.
3-25
FOR YOUR NOTES
Testing and Maintenance
3-26
4 Troubleshooting
4.1 Introduction
In this chapter, patient monitor problems are listed along with possible causes and
recommended corrective actions. Refer to the tables to check the patient monitor, identify and
eliminate the troubles.
The troubles we list here are frequently arisen difficulties and the actions we recommend can
correct most problems, but not all of them. For more information on troubleshooting, contact
our Customer Service Department.
4.2 Part Replacement
Printed circuit boards (PCBs), major parts and components in the patient monitor are
replaceable. Once you isolate a PCB you suspect defective, follow the instructions in 5 Repair and Disassembly to replace the PCB with a known good one and check that the
trouble disappears or the patient monitor passes all performance tests. If the trouble remains,
exchange the replacement PCB with the original suspicious PCB and continue
troubleshooting as directed in this chapter. Defective PCB can be sent to us for repair.
To obtain information on replacement parts or order them, refer to 6 Parts .
4.3 Patient Monitor Status Check
Some troubleshooting tasks may require you to identify the hardware version and status of
your patient monitor.
1. To view the information on system start time, self check, etc., select [Main Menu]→
[Maintenance >>]→[Monitor Information>>].
2. You can also view the information on the monitor’s current status by selecting [Main
Menu]→[Maintenance>>]→[Factory Maintenance>>]→enter the required password
→[Monitor Information>>].
4-1
Troubleshooting
4.4 Software Version Check
Some troubleshooting tasks may require you to identify the configuration and software
version of your patient monitor.
1. To view information on the system configuration and system software version, Select
[Main Menu]→[Maintenance>>]→[Software Version>>].
2. You can also view the information on system software version and module software
version by selecting [Main Menu]→[Maintenance>>]→[Factory Maintenance>>]→
enter the required password →[Software Version>>].
4.5 Technical Alarm Check
Before troubleshooting the patient monitor, check for technical alarm message. If an alarm
message is presented, eliminate the technical alarm first. For detailed information on
technical alarm message, possible cause and corrective action, refer to the patient monitor’s
Operation Manual.
4.6 Troubleshooting Guide
4.6.1 Power On/Off Failures
Symptoms Possible Cause Corrective Action
The patient
monitor fails to
start. AC LED
or battery LED
does not light
AC mains not connected
or battery too low
Power supply protectionRefer to 4.6.9 Power Supply Failures .
Cables defective or
poorly connected
Power switch & LED
board defective
Power module defective Replace the power module.
Check that AC mains is properly connected or
battery capacity is sufficient.
1. Check that the cables from power switch & LED
board to button board, button board to main board,
and power module to main board are correctly
connected.
2. Check that cables and connectors are not
damaged.
Replace the power switch & LED board.
Mother board Defective Replace the mother board.
4-2
Troubleshooting
4.6.2 Display Failures
Symptoms Possible Cause Corrective Action
Integrated
display is blank
but the patient
monitor still
works correctly.
Secondary
display does not
function.
Secondary
display displays
snows or
flashing specks
Cables defective or
poorly connected.
Backlight board
defective
Power module defective Replace the power module.
Display defective Replace the display.
Cables defective or
poorly connected.
DVI interface board
defective
Cables defective or
poorly connected.
1. Check that cables from the display to the mother
board and from the backlight board to the button
board/display are correctly connected.
2. Check that the cables and connectors are not
damaged.
Replace the backlight board.
1. Check that the cable between the display and the
patient monitor is correctly connected.
2. Check that the cables and connectors are not
damaged.
Replace the DVI interface board.
1. Check that the cable between the display and the
patient monitor is correctly connected.
2. Check that the cables and connectors are not
damaged.
overlapped or
distorted
Touchscreen
does not
response
DVI interface board
defective
The mother board is
damaged.
FPGA error. Update or upgrade FPGA. Images
Cables defective or
poorly connected.
Touchscreen disabled
Replace the DVI interface board.
Replace the mother board.
1. Check that the cable between the display and
mother board is correctly connected.
2. Check that the cables and connectors are not
damaged.
Check if there is a symbol
[Measurements] QuickKey. If yes, press the
[Measurements] QuickKey for more than 3s to
enable the touchscreen.
shown above the
4-3
Troubleshooting
Cables defective or
poorly connected.
Touchscreen control
board defective
Button board defective. Replace the button board.
Touchscreen defective. Replace the touchscreen
Mother board defective Replace the mother board
Touch position
invalid
Touchscreen not
calibrated
4.6.3 Module Rack Failures
1. Check that the cables from the touchscreen to the
touchscreen control board, the touchscreen control
board to the button board, and the button board to
the mother board are correctly connected.
2. Check that the cables and connectors are properly
connected
Replace the touchscreen control board
Calibrate the touchscreen
Symptoms Possible Cause Corrective Action
SMR
SMR cannot
identify
parameter
modules
Extension Cable
defective or poorly
connected
Defective parameter
module
Wrong communication
board software revision
Module (in some slots)
unrecognized
1. Check that the cable between SMR and main unit
is properly connected
2. Check that the connecting cables and connectors
are not damaged.
3. Check that contact screws on SMR are tightly
screwed and properly contact the SMR.
Replace the suspicious parameter module with a
known good module. Check if the patient monitor
identifies the replacement module. If yes, it means
that the original one is defective.
Upgrade the program of the module or SMR.
1. Replace the Nios II module.
2. Replace the 8-slot module rack communication
board.
4-4
Troubleshooting
Power supply failure 1. Check if the voltage between two contact screws
in any slot reaches 12V DC. If yes and the
parameter module functions, the PCB assembly in
SRM might fail.
2. If there is no 12 V sent to the SMR, check that
the power module output voltage to the USB
interface board reaches 12V. If yes, the fuse on the
USB interface board might blow. Replace the USB
interface board.
Cable defective or
poorly connected
Nios II module loose or
failure
SMR interface board
failure
SMR communication
board failure
USB interface board
failure
Mother board failure Replace the mother board.
Integral module rack
Integral module
rack cannot
identify
parameter
modules
Module failure Replace parameter module. If a new module is
Cable defective or
poorly connected
1. Check that the cable between SMR interface
board and communication board is properly
connected.
2. Check that connecting cables and connectors are
not damaged.
1. Check that Nios II module is correctly plug ed
2. If the symptom persists, replace the Nios II
module.
Replace the SMR interface board.
Replace the SMR communication board.
Replace the USB interface board.
identified, the original one is defective.
1. Check that the cables from 3-slot module rack
communication board to MPM module rack
communication board, module rack to mother board
are properly connected.
Wrong communication
board software revision
Module (in some slots)
unrecognized
2. Check that connecting cables and connectors are
not damaged.
Upgrade the program of the module or Integral
module rack.
3. Replace the Nios II module.
4. Replace the corresponding module rack
communication board.
4-5
Troubleshooting
Power supply to integral
module rack abnormal
3-slot or MPM module
rack communication
board failure
Nios II module failure Replace the Nios II module.
Mother board failure Replace the mother board.
4.6.4 Alarm Problems
1. Check if voltage between two contact screws in
any slot reaches 12VDC. If yes and the parameter
module functions, PCB assembly in the SMR might
fail.
2. If there is no 12V sent to the integrated module
rack, check that power module output voltage to
mother board reaches 12V DC. If yes, mother board
might fail.
Replace the 3-slot or MPM module rack
communication board.
Symptoms Possible Cause Corrective Action
The alarm lamp is
not light or
extinguished but
alarm sound is
issued
No alarm sound is
issued but alarm
lamp is light
Cable defective or
poorly connected
Alarm LED board
failure
Button board failureReplace the button board.
Mother board failureReplace the mother board.
Audio alarm
disabled
Cable defective or
poorly connected
1. Check that cables from alarm LED board to
button board and button board to mother board are
properly connected.
2. Check that connecting cables and connectors are
not damaged.
Replace the alarm LED board.
Select [Main Menu]→[Maintenance >>]→[User
Maintenance >>]→enter the required password→
[Alarm Setup >>], and then in the popup menu,
set [Alm Sound] to [On].
1. Check that cable between speaker and mother
board is properly connected.
2. Check that connecting cables and connectors are
not damaged.
FPGA audio logic
error
Speaker failure Replace the speaker.
Mother board failureReplace the mother board.
Upgrade the audio logic part of the FPGA program.
4-6
Troubleshooting
4.6.5 Button and Knob Failures
Symptoms Possible Cause Corrective Action
Buttons do not
work
Knob does not
work
Cable defective or
poorly connected
Button board failureReplace button board.
Cable defective or
poorly connected
Knob failure Replace the knob encoder.
Button board failureReplace the button board
1. Check that cable between button board and
mother board is properly connected.
2. Check that connecting cables and connectors are
not damaged.
1. Check that cables from knob to button board, and
button board to mother board are properly connected
2. Check that connecting cables and connectors are
undamaged.
4.6.6 Recorder Failures
Symptoms Possible Cause Corrective Action
No printout
Recorder module
disabled
1. Check if the recorder status LED lights
2. If yes, enable the module in [Factory Maintenance] menu. Otherwise, check for other
possible causes.
Poor print quality
or paper not
feeding properly
Paper reversed Re-install the paper roll.
Cable defective or
poorly connected
Recorder power
supply failure
Recorder failure Replace the recorder.
Paper roll not
properly installed
Print head dirty 1. Check the thermal print head and the paper roller
Recorder failure Replace recorder.
1. Check that cable between recorder and mother
board is properly connected.
2. Check that connecting cables and connectors are
not damaged.
Check if the power module outputs 5 V DC and 12V
DC correctly.
Stop the recorder and re-install the paper roll.
for foreign matter.
2. Clean the thermal print head with an appropriate
clean solution.
4-7
Troubleshooting
4.6.7 Interface Failures
Symptoms Possible Cause Corrective Action
No analog signals or
nurse call signals are
issued
Device with USB port
does not function
(Assume that the
peripheral devices are
good)
Respective output
disabled
DVI interface board
cable loose
DVI interface board
failure
Mother board failure Replace the mother board.
Cable defective or
poorly connected
1. Select [Main Menu]→[Analog Output Setup]→set [Analog Output] to [On].
Battery failure Replace battery and recharge the replacement
1. Check that the cable is correctly
connected.
2. Check that connecting cables and
connectors are not damaged.
battery. If the replacement battery can be
recharged, the original one fails.
4-9
Troubleshooting
No +3.3 V output
No +5.0 V output
No +5.0 V CIS output
No +12 V output
Cable defective or
poorly connected
Power board failure Replace power board
Power supply protection
Power board failure
1. Check that cable between battery interface
board and power module is correctly
connected.
2. Check that cables and connectors are not
damaged.
1. Turn off the monitor then restart it.
2. If the problem remains, disconnect the AC
mains for 5 s and reconnect it, then restart the
patient monitor.
3. If the problem still remains, replace power
board.
NOTE
z When the power module has a failure, it may cause problems to other components,
e.g. the monitor suddenly breaks down during start-up, as the power module may
have a power supply protection. In this case, troubleshoot the power module per
the procedure described in the table above.
z Components of the main unit, SMR and parameter modules are powered by the
power module. In the event that a component malfunctions, check if the operating
voltage is correct. Refer to 2 Theory of Operation for the operating voltage and
measurement points of each com p onent.
4-10
Troubleshooting
4.6.10 Network Related Problems
Symptoms Possible Cause Corrective Action
The patient monitor
cannot be connected to
a CIS.
No connection to LAN 1. Check that the cables and connectors are in
good condition and that the network is
correctly connected.
2. Check that the hub or switch is correctly
configured.
CIS assembly failure 1. Restart the patient monitor, check that a
beep is heard and the CIS fan runs normally
after the system starts up.
2. After starting, select [Main Menu]→
[Maintenance>>]→[User Maintenance>>]
→ enter the password required. In the [User
Maintenance] menu, [CIS Maintenance]
shall be enabled and switching between
normal monitor screen and CIS screen is
possible.
3. If step 1 and 2 fail, check the CIS fan
assembly for damage and if the power supply
to the CIS assembly is correct. If both of
them work correctly, replace the CIS
assembly.
Frequent dropouts and
network disconnects
The patient monitor is
connected to a LAN
but cannot view other
patients under the
View Others mode
DVI interface board
failure
Incorrect LAN cable
connection
Incorrect IP address
configuration
Incorrect LAN cable
connection
Excessive requests for
viewing the patient
monitor at the same time
Incorrect IP
configuration
CIS assembly failure Replace CIS assembly.
Replace DVI interface board.
Check LAN cable connection. LAN cable
shall not be longer than 50 m.
Check for IP address conflict. Reconfigure IP
address.
Check LAN cable connection. LAN cable
shall not be longer than 50m.
A patient monitor can only be viewed by 4
other patient monitors at the same time under
the View Others mode. The excessive view
requests system will be ignored.
Check for IP address conflict. Reconfigure IP
address.
4-11
Troubleshooting
4.6.11 Software Upgrade Problems
Symptoms Possible Cause Corrective Action
Boot file upgrade failsPower failure or
unintended power off
during boot file upgrade
Program upgrade fails
Incorrect network
connection
Wrong upgrade package
has been downloaded
Incorrect IP address
configuration
Return the CPU board to factory for repair.
1. Check that network connector, not CIS
connector, on the patient monitor is used.
2. Make sure that the hub or switch run
normally. Check that net twines are of the
right type and have been connected correctly.
Upgrade package shall be .pkg files. Select
package according to system requirement.
Configure a fixed IP address in range C as
specified for the patient monitor. We
recommend not to upgrade a program when
the patient monitor is connected to a network
with multiple PCs.
4-12
5 Repair and Disassembly
5.1 Tools
During disassembly and replacing, the following tools may be required:
Phillips screwdrivers
Small flat-bladed screwdrivers
Contact spanner
Tweezers
Sharp nose pliers
Sleeve
5.2 Preparations for Disassembly
Before disassembling the monitor, finish the following preparations:
Stop monitoring the patient, turn off the monitor and disconnect all the accessories and
peripheral devices.
Disconnect the AC power source and take out both of the batteries.
Pull off all the modules in the integral module rack. If the SMR is connected, disconnect
the SMR from the monitor and then remove all the modules in it.
WARNING
z Before disassembling the monitor, be sure to eliminate the static charges first.
When disassembling the parts labeled with static-sensitive symbols, make sure you
are wearing electrostatic discharge protection such as antistatic wristband or
gloves to avoid damaging the equipment.
z Put the cables or wires in place when reassemble the monitor to avoid short circuit.
z When assembling the monitor, be sure to select proper screws. If an unfit screw is
tightened by force, the monitor may be damaged and the screw or the part may fall
off during use to cause unpredictable damage or human injury.
5-1
Repair and Disassembly
z Be sure to follow the correct sequence to disassembly the monitor. Otherwise, the
monitor may be damaged permanently.
z Be sure to disconnect all the cables before disassembling any parts. Be sure not to
damage any cables or connectors.
z Be sure to place the monitor face up when disassembling it. Otherwise, the screen
or the knob may be scratched or damaged.
5.3 Basic Disassembly
5.3.1 Disconnecting the Base
NOTE
z Be sure to disassemble the base first before proceeding with other parts.
z Be sure to place the monitor face up when disassembling it. If lay the monitor face
down, be sure the surface is non-abrasive and static-free. Otherwise, the screen or
the knob may be scratched or damaged.
1. Place the monitor face up and unscrew the four M4×12 screws, as shown in the figure
below.
5-2
Repair and Disassembly
2. Pull out the base and then unplug the two cables marked in the picture, one connecting
the Power Switch & LED board and the button board, and the other connecting the
battery interface board and the power supply assembly.
NOTE
z Exercise care when pulling the base out. Be sure not to damage the cables and
connectors.
5-3
Repair and Disassembly
5.3.2 Separating the Front and Rear Half of the Monitor
1. Keep the monitor (without the base) face up. Disconnect the cables marked in the
picture, one connecting the LCD panel and the mother board, and the other connecting
the button board and the mother board.
2. Carefully place the monitor face down. Pry up the four screw covers with a small
flat-bladed screwdriver and unscrew the four M3×12 screws exposed. Then unscrew the
M3×12 screw in the handle.
5-4
Repair and Disassembly
NOTE
z Press the cover with a thumb when prying it.
3. Lift the rear cover assembly to separate it from the front cover assembly.
5-5
Repair and Disassembly
5.4 Further Disassembly
5.4.1 Removing the Power Switch & LED Board
1. Locate the cable marked in the picture and disconnect it from the power switch & LED
board.
Left Clip
Right Clip
2. Release the clips with fingers. At the same time pinch the power switch & LED board,
push it to the left and take it out along with the power switch.
NOTE
z Exercise care whe releasing the clips.
z When installing the LED board along with the power switch, put it on the left clip,
unclech the right clip to the right direction slightly, and then press it down.
5-6
Repair and Disassembly
5.4.2 Disconnecting the Knob Encoder
1. Disconnect the cable that connects the knob encoder and the button board. Then
unscrew the two M3×6 screws and take out the knob encoder.
5.4.3 Removing the Button Board
1. Locate the cables marked in the picture and disconnect them from the button board.
5-7
Repair and Disassembly
2. Unscrew the three PT3×8 screws and take out the button board.
5.4.4 Removing the LCD Assembly
CAUTION
z Do not touch the LCD screen.
z Disassemble the LCD screen in an environment as dust-free as possible.
1. Disconnect the cables that connect the following parts.
The backlight board and the button board.
The touchscreen control board and the button board.
The alarm lamp board and the button board.
The touchscreen and the touch screen control board
5-8
Repair and Disassembly
2. Unscrew the two M3×6 screws and take out the screen assembly carefully. If it is
necessary to take the touchscreen control board out separately, remove the cables
connecting to the button board and touchscreen first.
3. Unscrew the six M3×6 screws. Then remove the cables connecting the backlight board
to the LCD screen and to the button board and take out the backlight board by
unscrewing the two M3×6 screws on the backlight board.
5-9
Repair and Disassembly
4. Unscrew the eight M3×6 screws and take the screen assembly out carefully. To prevent
the screen from being contaminated by dust, do not touch the screen.
Do not touch the
LCD panel
5-10
Touchscreen
Repair and Disassembly
5.4.5 Removing the Alarm Lamp Board
1. After removing the LCD panel, disconnect the cable that connects the alarm lamp board
and the button board, and then remove the alarm lamp board on which there is no screw.
NOTE
z Exercise care when removing the alarm lamp board because it may be adhered to
the LCD assembly (as shown in the upper-right figure).
5-11
Repair and Disassembly
5.4.6 Removing the Main Board
1. Pull out all the connectors on the mother board. There are numbers beside the
connectors, which are listed below.
Number Connected to
J1 Power module
J3 Fan
J4 Integral module rack
J5 Button board
J6 DVI interface board
J7 LCD panel
J8 Recorder
J9 WLAN&CF assembly
J10 CIS assembly
J11 USB interface board
J12 Speaker
J22/J23 CPU board, which is connected to the mother board with a socket
5-12
Repair and Disassembly
2. Unscrew the four M3×6 screws as shown in the figure above and take out the main
board that includes the mother board and the CPU board.
3. Unscrew the four M2.5×6 screws and separate the mother board from the CPU board.
Be sure not to damage the socket that connects the two boards. There is a battery on the
CPU board.
Battery
5.4.7 Removing the CF/WLAN Assembly
1. Unscrew the two M3×6 screws.
5-13
Repair and Disassembly
2. Lift the CF/WLAN assembly and pull it out.
NOTE
z When reassembling the CF/WLAN assembly, be sure to align it with the WLAN
slot. Otherwise, it may be unable to be assembled into position.
3. Unscrew the four M3×6 screws and separate the CF storage card from the PCMCIA
card.
Socket
NOTE
z Be sure not to damage the socket that connects the two boards.
5-14
Repair and Disassembly
5.4.8 Removing the Fan
1. Disconnect the connector that connects the fan and the mother board. Then unscrew the
three M3×6 screws and remove the fan.
5.4.9 Removing the Speaker
1. Disconnect the connector that connects the speaker and the mother board. Then unscrew
the two M3×6 screws and remove the speaker.
CAUTION
z When installing a speaker, be sure to keep the cable from the press bar. Otherwise,
the speaker may be short-circuited.
5-15
Repair and Disassembly
5.4.10 Removing the Interface Board Assembly
1. Unscrew the four M3×6 screws and remove the interface board assembly.
2. Unscrew the screws beside the DVI socket. Then unscrew the two M3×6 screws in the
holes. After that, pull out the DVI interface board.
Screws beside DVI socket
Two M3×6 Screws in Holes
5-16
Repair and Disassembly
3. Unscrew the two M3×6 screws and take out the USB interface board upwards.
NOTE
z Before removing the USB interface board, the DVI interface board must be
removed first.
z Be careful not to damage the insulation between the DVI interface board and the
USB interface board. If it is damaged, stick a new one.
5.4.11 Removing the Power Supply Assembly
1. Disconnect the cables from the socket of the power supply.
NOTE
z For some cables, you have to release the clips on it before disconnecting them.
5-17
Repair and Disassembly
2. Unscrew the two M4×20 screws. Be sure to hold the power supply assembly to prevent
it from falling when unscrewing the screws.
3. Lift the power supply assembly slightly to separate it from the two shafts on the rear
cover and then remove the assembly.
Shafts
5-18
Repair and Disassembly
4. Unscrew the two M3×12 screws and remove the cover of the power supply.
5. Unscrew the two M3×6 screws. pry out the board with a small flat-bladed screwdriver in
the gap between the power supply board and the housing. Then turn the board over and
unplug the cables from it.
5-19
Insulator
Repair and Disassembly
AC Input Filter
Equipotential Pillar
NOTE
z Because the power supply board may be adhered to the insulator, be careful not to
damage the parts, connector and cables when prizing it.
5.4.12 Removing the Integral Module Rack
The following disassembling procedure takes the 5-slot module rack as an example. You can
disassemble other types of module rack by referring to this procedure.
1. Disconnect the cable that connects the integral module rack and the mother board.
Remove the two bolts and unscrew the M3×6 screw.
Bolts
5-20
Repair and Disassembly
2. Pry the snaps out about 1mm away with a small flat-bladed screwdriver. Then insert the
small flat-bladed screwdriver into the position marked in the picture and pry it out about
1mm so that the module rack becomes disengaged from the back cover.
3. If the module rack still engages with the back cover, insert a small flat-bladed
screwdriver into the position marked in the picture and pry it out about 1mm to release
the hidden snap between the integral module rack and the back cover. Then pull out the
module rack.
5-21
Repair and Disassembly
MPM Communication Board3-slot module Rack Communication Board
CAUTION
z Be sure to release the hidden snaps first when removing the integral module rack.
Otherwise, the monitor will be damaged.
4. Release the three clips on the 3-slot module rack communication board and remove the
Nios II module.
5-22
Repair and Disassembly
Nios II module
5.4.13 Removing the Recorder
1. Open the recorder door and unscrew the two M3×6 screws.
5-23
Repair and Disassembly
2. Pull the two clips in the directions as indicated and meanwhile pull out the recorder.
NOTE
z Be sure not to damage the connecting cables or connectors when pulling out the
recorder.
3. Unscrew the M3×6 screw and remove the cables marked in the picture.
5-24
Repair and Disassembly
4. Unclench the two clips and meanwhile take out the recorder drive board. Pay attention
to the snap in the front.
Snap
5-25
Repair and Disassembly
5. Pull out the press bar upwards about 1mm and then pull off the flexible cable. Remove
the cable that connects the drive board and the button board. Unscrew the PT2×6 screw
and remove the drive board’s grounding cable. Then take out the recorder drive board.
Press bar
5-26
Repair and Disassembly
6. Unscrew the two PT2×6 screws and take out the thermal printhead. Then unscrew the
two PT2×6 screws and remove the recorder’s button board.
7. Remove the recorder mounting bracket by pulling out the recorder mounting bracket
from the right side first.
Recorder mounting bracket
5-27
Repair and Disassembly
8. Hold and then pinch the recorder housing so that the recorder housing becomes
disengaged from the monitor housing. Then take out the recorder housing.
NOTE
z When pinching the recorder housing, take care not to damage the recorder
housing.
z When reassembling the recorder housing and the recorder mounting bracket,
install the recorder mounting bracket first and meanwhile be sure the two clips are
in right position. Otherwise, the recorder cannot be installed correctly.
5-28
Repair and Disassembly
5.5 Removing the SMR Assembly
1. First remove the 4 screw covers and then unscrew the 4 M3×8 screws.
Right-side board
2. Pull off the left- and right-side boards. Be sure to place the rubber loop in position when
reassembling the right board.
Left board
5-29
Repair and Disassembly
3. From the left side, remove the cable that connects the module rack interface board and
the 8-slot module rack communication board. Then take off the SMR cover.
4. Unclench the two clips and take out the module rack interface board. Be sure not to
damage the snap slot on the left side.
5. Remove the cable that connects the 8-slot communication board and the LED board, the
LED indicator and the light tube.
5-30
Repair and Disassembly
6. Unclench the clips and take out the Nios II module. Then unscrew the six M3×6 screws
and remove the 8-slot module rack communication board.
5-31
Repair and Disassembly
7. Use the sleeve to unscrew the hexagon nut and countersunk external toothed lock
washer assembly which can be further separated into the washer, springlet and contact
screw.
Washer Springlet
Hexagon nut and countersunk external
toothed lock washer assembly
Contact screw
5-32
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