Mindray Datascope Passport User manual

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Service Manual

Datascope

Passport

5-Lead, 5L, LT, XG

Service Manual

Datascope

Passport

5-Lead, 5L, LT, XG

Table of Contents

Foreword ......................................................................................................................................v

Warnings, Precautions and Notes....................................................................................................v

Operation (5-Lead, 5L, LT and XG) ....................................................................................1 - 1

Introduction (5-Lead, 5L, LT) .......................................................................................................... 1 - 1

Controls, Indicators and Connectors (5-Lead, 5L, LT) ........................................................................ 1 - 3

Front Panel........................................................................................................................... 1 - 4

Left Side Panel...................................................................................................................... 1 - 9

Right Side Panel ................................................................................................................... 1 - 11

Remote Color Display............................................................................................................1-12

Operation (5-Lead, 5L, LT)............................................................................................................ 1 - 13

Setting-up / Turning Power On............................................................................................... 1 - 14

Factory - Default Control Settings ............................................................................................ 1 -15

Display................................................................................................................................ 1 - 16

Use of Menus....................................................................................................................... 1 - 23

Initiation of NIBP Measurements ............................................................................................. 1 - 25

ECG Acquisition................................................................................................................... 1 - 29

Invasive Pressure Acquisition.................................................................................................. 1-34

Sequence for Establishing SpO Sequence for Establishing SpO

............................................................................................. 1 - 34

with Nellcor® Pulse Oximetry ................................................. 1 - 39

Respiration Monitoring ..........................................................................................................1-42

Gas Monitoring.................................................................................................................... 1 - 43

Alarms ................................................................................................................................ 1 - 49

How to Set the Clock............................................................................................................. 1 - 53

User Configuration Mode ...................................................................................................... 1 - 53

Recorder (optional) ............................................................................................................... 1 - 54

Status Messages................................................................................................................... 1 - 57

Monitor Problem Solving........................................................................................................ 1-62

Connection to External Devices............................................................................................... 1 - 64

Menus................................................................................................................................. 1 - 64

Introduction (XG)......................................................................................................................... 1 - 77

Controls, Indicators and Connectors (XG)....................................................................................... 1-77

Front Panel........................................................................................................................... 1 - 79

Left Side Panel...................................................................................................................... 1 - 87

Right Side Panel ................................................................................................................... 1 - 90

Rear Panel ........................................................................................................................... 1 - 91

Remote Color Display (optional) ............................................................................................. 1 - 92

Gas Module (Optional)- Front Panel ........................................................................................ 1 - 93

Gas Module (Optional)- Rear Panel......................................................................................... 1 - 95

Operation (XG)........................................................................................................................... 1 - 97

Setting-up / Turning Power On............................................................................................... 1 - 99

Factory - Default Control Settings ............................................................................................ 1 -99

Display................................................................................................................................ 1 - 102

Use of Menus....................................................................................................................... 1 - 109

Initiation of NIBP Measurements ............................................................................................. 1 - 110

ECG Acquisition................................................................................................................... 1 - 115

Invasive Pressure Acquisition.................................................................................................. 1-118

Sequence for Establishing SpO

............................................................................................. 1 - 119

with Masimo® Pulse Oximetry ................................................ 1 - 124

with Nellcor® Pulse Oximetry .................................................. 1 - 127

Respiration Monitoring ..........................................................................................................1-132

Mainstream CO

Sidestream CO

Gas Monitoring........................................................................................... 1 - 134

Gas Monitoring............................................................................................ 1 - 139

Gas Module Option.............................................................................................................. 1-146

Alarms ................................................................................................................................ 1 - 149

How to Set the Clock............................................................................................................. 1 - 153

User Configuration Mode ...................................................................................................... 1 - 153

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 i

Ta ble of C onte nts

Recorder (optional) ............................................................................................................... 1 - 155

Status Messages................................................................................................................... 1 - 158

Monitor Problem Solving........................................................................................................ 1-168

Connection to External Devices (optional) ................................................................................ 1 - 172

Using the Passport XG with the Visa Central Station (optional).................................................... 1 - 172

Menus................................................................................................................................. 1 - 175

Theory of Operation.........................................................................................................2 - 1

Block Diagrams........................................................................................................................... 2 - 1

Detailed Circuit Descriptions......................................................................................................... 2 - 7

Interconnect Board................................................................................................................ 2 - 8

Frontend Board/Daughter Board ............................................................................................ 2 - 10

SpO2 Board......................................................................................................................... 2-26

CPU Board...................................................................... .............. ............... ............... ......... 2 - 40

Line Battery Board................................................................................................................. 2 - 49

+12 / -23.5 Volt Converter Board .......................................................................................... 2 - 54

Planar EL Panel Board ...........................................................................................................2-55

CO2 Interface Module .......................................................................................................... 2 -57

NIBP Module: NIBP Pneumatic Board...................................................................................... 2 - 59

Panel Board / Display Interface.............................................................................................. 2 - 63

Termination Board ................................................................................................................ 2 - 66

Specifications....................................................................................................................3 - 1

Performance Specifications........................................................................................................... 3 - 1

Power Pack Electrical Ratings........................................................................................................ 3 - 8

Environmental Conditions........................................................ .............. ....................................... 3 - 8

Physical Characteristics................................................................................................................ 3 - 8

Agency Compliance.................................................................................................................... 3 - 8

Repair Information ...........................................................................................................4 - 1

Introduction ................................................................................................................................ 4 - 1

Safety Precautions....................................................................................................................... 4 - 1

Troubleshooting Guidelines .......................................................................................................... 4 - 2

Equipment and Special Tools Required........................................................................................... 4-3

Disassembly Instructions ............................................................................................................... 4 - 3

Mounting Instructions.... .............. ............... .............. ............... .............. ............... ........................ 4 - 11

Rolling Stand Assembly Instructions......................................................................................... 4 - 11

Bedrail Hook Mount..............................................................................................................4-11

Bed Mount........................................................................................................................... 4 - 11

Passport Mounting - Rolling Stand/Wall Mount ........................................................................ 4 - 11

Power Supply Mounting......................................................................................................... 4 -11

How to Use the Remote Color Display Mounting Kit......................................................................... 4 - 15

Cable Assembly Details................................................................................................................ 4 - 16

Assembly and Schematic Diagrams...................................................................................5 - 1

Replacement Parts............................................................................................................ 6 - 1

Introduction ................................................................................................................................ 6 - 1

Available Replacement Parts and Sub-Assemblies............................................................................ 6 - 1

Product Variations and Options..................................................................................................... 6 - 1

Exchange Program...................................................................................................................... 6 - 2

Replacement Parts Pricing Information............................................................................................ 6 - 2

Ordering Information................................................................................................................... 6 - 2

Abbreviations ............................................................................................................................. 6 - 4

Calibration .......................................................................................................................7 - 1

Introduction ................................................................................................................................ 7 - 4

Warnings and Guidelines ............................................................................................................ 7 - 4

Test Equipment and Special Tools Required .................................................................................... 7 - 4

Inputs......................................................................................................................................... 7 - 4

Diagnostics and Calibration Procedure .......................................................................................... 7-5

NIBP Diagnostics.................................................................................................................. 7 - 5

ii 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

Table of Contents

Error Journal ........................................................................................................................ 7 - 11

Exception Stack Frame .......................................................................................................... 7-11

Communication Test..............................................................................................................7-11

Recorder.............................................................................................................................. 7 - 14

Voltage Test......................................................................................................................... 7 - 14

Display Test ......................................................................................................................... 7 - 14

Keyboard Test...................................................................................................................... 7 - 17

Diagnostics (Datascope SpO2 Installed).......................................................................... 7 - 18

SpO

SpO2 Diagnostics (Nellcor SpO

SpO2 Diagnostics (Masimo SpO

Installed).............................................................................. 7 - 20

Installed)............................................................................. 7 - 20

Power-Up Verification .................................................................................................................. 7 - 20

Initial Set-Up............................................................................................................................... 7 - 21

ECG Tests .................................................................................................................................. 7 - 21

IBP1 and IBP2 Verification............................................................................................................ 7 - 23

Temperature Verification .............................................................................................................. 7 - 23

Verification........................................................................................................................ 7 - 24

SpO

NIBP Verification......................................................................................................................... 7 - 24

Mainstream CO2 Adapter Calibration ........................................................................................... 7 - 24

Mainstream CO

Sensor Calibration Verification...................................................................... 7 - 25

Sensor Calibration....................................................................................... 7 - 25

Sidestream Pump Calibration........................................................................................................ 7 - 26

Sidestream CO2 Pump Verification / Calibration Procedure....................................................... 7 - 27

Sidestream Adapter Calibration.............................................................................................. 7 - 28

Sidestream CO2 Sensor Calibration Verification....................................................................... 7 - 29

Sidestream CO

Sensor Calibration........................................................................................ 7 - 29

Battery Operation Verification....................................................................................................... 7 - 30

Leakage Current Test ................................................................................................................... 7 - 30

Cosmetic Checks......................................................................................................................... 7 - 32

Special Options Menu ................................................................................................................. 7 - 32

Preventive Maintena nce....................................................................... .............................8 - 1

Preventive Maintenance Schedule.................................................................................................. 8 - 1

Mechanical / Physical / Visual Inspection...................................................................................... 8-1

Preventive Maintenance Kit - Install Kit Annually .............................................................................. 8-1

Perform Verification and NIBP Calibration - Annually....................................................................... 8 - 2

Perform Verification and CO

Pump Calibration - Annually .......................................................... 8 - 2

User Preventive Maintenance Introduction....................................................................................... 8-2

Care and Cleaning of Monitor ............................................................................................... 8 - 2

Care and Cleaning of Datascope Flexisensors and Datasensors ................................................. 8 - 2

Cleaning CO

Cleaning External CO

Cleaning Internal CO

Sensors and Adapters...................................................................................... 8 - 3

Sampling Components......................................................................... 8 - 3

Sampling Components.......................................................................... 8 - 3

Sterilization and Cleaning of Reusable Cuffs............................................................................ 8 - 4

Battery Replacement and Maintenance.................................................................................... 8 - 5

Recorder Paper Replacement.................................................................................................. 8 - 5

Care and Storage of Thermal Chart Paper............................................................................... 8 - 5

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 iii

Table of Contents

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Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 iv

Foreword Introduction

Foreword

This Service Manual is intended as a guide for technically qualified personnel during repair and calibration procedures for the Passport 5-Lead, 5L, LT and XG monitors. The information has been divided into the eight main sections as listed in the table of contents. A detailed table of contents of each section is also provided on the first page of each section.

This publication may have been updated to reflect product design changes and/or manual improvements. Any such changes to this manual would be accomplished by supply replacement pages and instructions for inserting them into the manual.

For Passport external communication protocols (Datasette revision T or greater) see Service Manual Supplements: P/N 0070-00-0302, Bedside-to-VISA Communication Protocol; P/N 0070-00-0304, Accutorr Communication Protocol; P/N 0070-00-0306, Passport Communication Protocol (EzEm) and P/N 00700-00-0307, Datascope Improved ASCII Protocol (DIAP).

NOTE: In order to ensure the proper performance of your

monitoring equipment and to prevent the voiding of the warranty , it is recommended that only parts and accessories provided by Datascope be u s e d with you monitor.

Warnings, Precautions and Notes

A WARNING is provided to alert the user to potential serious outcomes (death, injury, or serious adverse events) to the patient or the user.

A CAUTION is provided to alert the user to use special care necessary for the safe and effective use of the device. They may include actions to be taken to avoid effects on patients or users that may not be potentially life threatening or result in serious injury, but ab out which the user should be aware. Cautions are also provided to alert the user to adverse effects on this device of use or misuse and the care necessary to avoid such effects.

A NOTE is provided when additional general information is applicable.

NOTE: Unauthorized servicing may void the remainder of the

warranty. Check with the factory or with a local authorized Datascope representative to determine the warranty status of a particular instrument.

Warnings

WARNING: The use of remote displays will enla rge all waveforms and

may alter aspec t ratios dep endin g on the remote de vice and its set-up.

WARNING: Ensure that the conductive parts of ECG electrodes do not

contact other conductive parts including earth ground.

WARNING: Thoracic respiration measurement may inte rfer e wi th some

pacemakers. Refer to the pacemaker’s manual.

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 v

Introduction W arnings, Precau tions and Notes

WARNING: Do not use the following 3-Lead ECG cables with Passport 5L

(P/N, 0998-00-0126-xx) and 5L-CE (P/N, 0998-00-0131xx): 0012-00-0620-05, -06, -07, -08; 0012-00-0722-05, 06, -07, -08; 0012-00-0723-05, -06, -07, -08; 0012-000724-05, -06, -07, -08. The above 3-Lead cables contain a jumper wire which connects RL (right leg) to LL (left leg). As a result, when you view aVR, aVL and aVF you will see the appropriate ECG waveforms (even though you are using a 3-lead cable). However, there may be excessive noise on these waveforms which can corrupt the heart rate calculation. See Section 5 in the Operating Instructions for a list of the proper ECG cables.

WARNING: When equipped with Nellcor ® SpO

, use only Nellcor®

oxygen transducers including Nellcor® OXISENSOR™ patient dedicated adhesive sensors. Use of other oxygen transducers may cause improper oximete r pe rform ance.

WARNING: Tissue damage or inaccurate measurements may be caused

by incorrect sensor application or use, such as wr apping it too tightly, app lying supplemental tape, failing to inspect the sensor site periodically, or failing to position it appropriately. Carefully read the sensor directions for use, the Passport operating instructions, and all precautionary information before use .

WARNING: Excessive ambient light may cause inaccurate

measurements. Cover the sensor site with opaque materi al.

WARNING: Inaccurate measurements may be caused by incorrect

sensor application or use; significant levels of dysfunctio nal hemoglobins, (e.g., carboxyhemoglobin or methemoglobin); or intra-v ascul ar dy es such as i ndocy anine green methyl ene blue; exposure to excessive illumination, such as surgical lamps (especially ones with a x enon light source), bilirubin lamps, fluorescent lights, infrared heating lamp s, o r dire ct sunlight; excessive patient movement; venous pulsations; electro-surgi cal interference; and placement of a sensor o n an extremity that has a blood pressure cuff, arterial catheter, or intra-vascular line.

WARNING: In certain situations in which perfusion and signal strength

are low, such as in patients with thick or pigmented skin, inaccurately low SpO

readings will result. Verification of

oxygenation should be made, especially in preterm infants and patients with chronic lun g disease, before instituting any therapy or intervention.

WARNING: Insure that the conductive parts of ECG electrodes do not

contact other conductive parts including earth ground.

WARNING: Many patients suffer from poor peripheral perfusion due to

hypothermia, hypovolem ia, se vere vasoconstriction, reduced cardiac output, etc. These symptoms may cause a loss in vital sign readings.

vi 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

Introduction W arnings, Precau tions and Notes

WARNING: The site should be checked at least every eight (8) hours

(every four (4) hours with the Adult re-usable finger sensor). Ensure proper adhesion, skin integrity, and proper alignment. Nail polish and fungus may effect readings. Exercise ex t r eme caution with poorly perfused pa t i ents. Skin erosion and pressure necrosis can be caused when sensors are not frequently monitored. Assess the site ev ery two (2) hours with poorly perfused patients.

WARNING: Do not use the following 3-Lead ECG cables with Passport

XG (P/N’s 0998-00-0133-xx, 0998-00-0134-xx and 099800-0137-xx): 0012-00-0620-05, -06, -07, -08; 0012-000722-05, -06, -07, 08; 0012-00-0723-05, -06, -07, -08; 0012-00-0724-05, -06, -07, -08. The above 3-Lead cables contain a jumper wire which connects RL (right leg) to LL (left leg). As a result, when you view aVR, aVL and aVF you will see the appropriate ECG waveforms (even though you are using a 3-lead cable). However, there may be excessive noise on these waveforms which can corrupt the heart rate calculation. See Section 5 in the Datascope P/N’s 0070-00397, 0070-00-0440, 0070-00-0503 of the Passport Operating Instructions for a list of the proper ECG cables.

WARNING: If the sensor or patient cable is damaged in any way,

discontinue use immediately. To prevent damage do not soak or immerse the sensor in any liquid solution. Do not attempt to sterilize.

WA RNING: The maxim um sa mplin g ra te at the nasa l ca nnula i s 2 00 ml /

min. This device should not be used on patients whose breathing could be impaired by this vac u um flow rate.

WARNING: Connection of the Passport’s exhaust port to the hospital’s

waste gas scavenge system is recommended to prevent exposure of hospital personnel to the patient’s respiratory sample.

WARNING: In an intubated configuration, ensure all tubing connections

are tight. If tubing disconnects on the monitor side of the airway adapter, ventilator pressures cause inaccurate CO

waveforms and readouts to be displayed.

WA RNING: The maxim um sa mplin g ra te at the nasa l ca nnula i s 2 00 ml /

min. This device should not be used on patients whose breathing could be impaired by this vac u um flow rate.

WARNING: Connection of the Gas Module exhaust port (50) to the

hospital’s waste gas scavenge system is stro ngly recommended to prevent exposure of hospital personnel to the patient’s respiratory sample. Vacuum (negative pressure) should not exceed 1 mmHg at the Gas Module Pump Exhaust fitting (50). Excessive scavenge vacuum may result in damage to the Gas Module’s internal pum p.

vii 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

Warnings, Precautions and Notes Introduction

Cautions

CAUTION: Connection of non-isolated devices to the optional RS232

Connector on this unit may cause chassis leakage to exceed the specification standards.

CAUTION: Only use the Abbreviated Operating Check List if you are

CAUTION: Alway s at t a c h al l desired peripher al e qui pment prior to

CAUTION: Observe extreme cauti on on all patien ts (n eon a t es,

CAUTION: It is the users responsibility to confir m co rrect operation of

already familiar with this product. If not, please continue with the remainder of this chapter, Detailed Operating Instructions.

powering on the Passport. If required to attach more or change what is connected, turn the Passport off, attach what is needed, and then turn the Passport on again.

pediatrics, and adults) when NIBP is set to the Continuous Mode. A 5 minute limit is placed on continuous measurements. After 5 minutes the unit will take a measurement once every 5 minutes. Reports have been made of nerve injury occurring during use of automatically cycled blood pressure cuffs. See the Appendix, “Precautions when Using Automatically Cycled Blood Pressure Cuffs”.Observe extreme caution on all patients (neonates, pediatrics, and adults) when NIBP is set to the Continuous Mode. A 5 minute limit is placed on continuous measurements. After 5 minutes the unit will take a measurement once every 5 minutes.

Reports have been made of nerve injury occurring during use of automatically cycled blood pressure cuffs. See the Appendix, “Precautions when Using Automatic ally Cycl ed Blood Pressure Cuffs”.

the Passport with external devices. It is essential that a biomedical engineer verify correct operation of the Passport with an external device. Testing should include verification that the maximum delay for cardioversion synchronization does not exceed 60 ms (mon itor an d defibrillator). Cable should be labeled with the devices they have been te sted for use with.

CAUTION: Do not use this special “Y” shap ed power cable for any

devices other than the Passport and Gas Module II.

CAUTION: Vacuum (negative pressure) should not exceed 1 mmHg at

the Passport Pump Exhaust fitting (39). Excessive scavenge vacuum may result in an “OCCLUSION” message or damage to the Passport’s internal pump. The scavenge system if used must be on during calibrati on.

CAUTION: It is the users responsibility to confir m co rrect operation of

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 viii

the Passport XG with external devices. Before using this cable it is essential that a biomedical engineer verify correct operation of the Passport XG with an external device using this cable. Testing should include verification that the maximum delay for cardioversion synchronization does not exceed 60 ms (monitor and defibrillator). Cable should be labeled with the devices they have been tested for use with.

Introduction W arnings, Precau tions and Notes

CAUTION: When cleaning sensors do not use excessive amounts of

liquid. Wi pe the sensor surface with a soft cloth, dampened with the cleaning solution.

CAUTION: Using dark colored soaks may stain the cuffs. Test a single

cuff to ensure that no damage will occur. ETO sterilization may also be used.

CAUTION: When ironing o r pre ssin g the cuffs, be aware that the

Velcro® fasteners can melt at temperatures above 325°F, 162°C.

ix 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

Introduction W arnings, Precau tions and Notes

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x 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

1.0

Operation (5-Lead, 5L, LT and XG)

Contents of this Chapter ..................................................Page

1.1 Introduction (5-Lead, 5L, LT) ..................................... 1-1

1.2 Controls, Indicators and Connectors (5-Lead, 5L, LT) . 1-3

1.3 Operation (5-Lead, 5L, LT) ........................................ 1-13

1.4 Introduction (XG) ..................................................... 1-77

1.5 Controls, Indicators and Connectors (XG) ................. 1-77

1.6 Operation (XG) ........................................................ 1-97

1.1 In troduction (5-Lead, 5L, LT )

This section of the Service Manual provides general information about the Datascope Passport Monitors 5-Lead, 5L and LT. All functions, standard and optional, are described in this section. The pictures of the unit and the displays should be used as samples and may not be exactly as your unit appears. Table 1-1 on page 1-2 lists the functions available on the Passport 5-Lead/5L and the Passport LT.

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 1 - 1

Introduction (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

TABLE 1-1

PASSPORT 5L PASSPORT LT

FUNCTIONS* STANDARD OPTIONAL STANDARD OPTIONAL

NIBP

••

IBP

ECG

SpO2 - Datascope

SpO2 - Nellcor

Respiration

Recorder

Temperature

* For detailed instructions of each function see the Table of Contents for sections and page numbers.

NOTE: Sections 1.2 and 1.3 are included as a review of instrument

functions and operation, although the reader is encouraged to refer to the Operating Instructions, P/N 0070-00-0324, for more complete details.

••

•

••

1 - 2 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

Operation (5-Lead, 5L, LT and XG ) Controls, Indicators and Connectors (5-Lead, 5L, LT)

1.2 Controls, Indicators and Connectors (5-Lead, 5L, LT)

The keys on the front panel of the Passport Monitor are classified as single action, repeat action, or delayed action keys.

A single action key provides one action each time it is pressed, regardless of how long it is held.

A repeat action key provides the an action when pressed, then waits half a second before repeating the action until the key is released.

A delayed action key provides an action, but only after the key has been held pressed for a (key specific) period of time.

1. p and q (Set-up) 8. ZERO 1 (IBP) (Opt ional15. MUTE (Alarms)

2. SELECT (Set-up) 9. ZERO 2 (IBP) (Optional)16. TREND/RETURN (Trends)

3. END (Set-up) 10. START (NIBP) 17. TIME UP p and DOWN

q (Trends)

4. CENTRAL SILENCE (Optional)

5. LEAD (ECG) 12. DEFLATE (NIBP) 19. RECORD (Optional)

6. SIZE (ECG) 13. VOL UM E (A larms) 20. DC INPUT

7. FREEZE (ECG) 14. CHECK/RETURN

11. INTERVA L (NIBP) 18. BEEP VOLUME

21. DISPLAY

(Alarms)

PARAGRAPH NUMBER DESCRIPTION

1.2.1 Front Panel 1 - 21 1-4

1.2.2 Left Side Panel 22 - 30 1-9

1.2.3 Right Side Panel 31 - 34 1-11

1.2.4 Remote Color Display 1-12 12 - 14

CONTROL/DISPLAY NUMBER

PAGE NUMBER

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 1 - 3

Controls, Indicators and Connectors (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

1.2.1 Front Panel

ALARMS

VOLUME

CHECK RETURN

MUTE

Passport

TRENDS TREN D

RETURN

TIM E

TIME

Datascope

SET-UP

SEL ECT

2 3

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 2019

END

CENTRAL SILENCE

4 5

ECG IBP NI BP

LEAD

SIZ E

FREEZE

ZERO 1

START

ZERO 2

INTE RVAL

DEFLAT E

11 20

8 10

BEEP

VO LUM E

RECORD

D.C. INPUT

MODEL

FIGURE 1-1 Front Panel Controls

Introduction

The keys on the front panel of the Passport Monitor are classified as single action, repeat action, or delayed action keys.

A single action key provides one action each time it is pressed, regardless of how long it is held.

A repeat action key provides the an action when pressed, then waits half a second before repeating the action until the key is released.

A delayed action key provides an action, but only after the key has been held pressed for a (key specific) period of time.

NOTE: Only one key function will be recognized a t any time. The

Passport will ignore multiple key se lections.

All key actions are acknowledged by a key click, except for BEEP VOL and ALARM VOL. If a key is not available a double key click will sound.

1. p and q (UP and DOWN) (Set-Up)

Two repeat action keys used to move the highlighted screen cursor or change the setting/ value of a menu item. As the cursor is moved, the highlighted menu window is displayed.

2. SELECT (Set-Up)

A repeat action key used to select the function or value indicated by the highlighted cursor.

1 - 4 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

Operation (5-Lead, 5L, LT and XG ) Controls, Indicators and Connectors (5-Lead, 5L, LT)

3. END (Set-Up)

A single action key which causes the display to return to the main screen display (as specified in the DISPLAY section). This key is always available.

4. CENTRAL SILENCE (Optional)

A single-action k ey which m utes the a larms of the c orrespon ding cha nnel on the VISA Centra l Station. The amount of time the alarms are silenced, is determined by the VISA.

5. LEAD (ECG)

A single action key which selects the ECG lead to be displayed. Each depression of the key selects and displays the next ECG lead from the list. The list wraps around after the last entry is selected. Choices are: I, II, III, aVR, aVL, aVF or V.

6. SIZE (ECG)

A single action key which selects the ECG size to be displayed. Each depression of the key selects and displays the next ECG size from the list. The list wraps around after the last entry is selected.

7. FREEZE (Screen)

A single action key which enables or releases the screen freeze function. The freeze key stops or starts the ECG waveform (waveform 1), except when waveform 2 is used for cascaded ECG. When this is the case, pressing the freeze key the f irst time causes the currently displayed ECG waveform data to be transferred to waveform 2 and frozen. Waveforms 1 and 3 continue to move. Pressing FREEZE again causes waveform 2 to return to cascaded ECG.

8. ZERO 1 (IBP) (Optional)

A delayed action key which zeros the current pressure in the BP1 channel. If the transducer zero process is unsuccessful, “UNABLE TO ZERO” is displayed in the window containing BP value. This key is only available when a pressure transducer is present.

9. ZERO 2 (IBP) (Optional)

A delayed action key which zeros the current pressure in the BP2 channel. If the transducer zero process is unsuccessful, “UNABLE TO ZERO” is displayed in a temporary window within the parameter window. This key is only available when a pressure transducer is present.

10. START (NIBP)

A single action key which initiates an NIBP measurement. This function is not available if a measurement is in progress.

11. INTERVAL (NIBP)

A repeat action key which selects the interval setting for NIBP measurements. Values wrap around at the lowest/highest choices. Choices are: Off, Continuous, 1, 2.5, 5, 10, 15, 20, 30, 60, and 120 minutes. Five seconds after the selection is made and the key is released, the new interval takes effect.

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 1 - 5

Controls, Indicators and Connectors (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

12. DEFLATE (NIBP)

A single action key which stops any NIBP measurement in progress, including any timed measurement sequence, and deflates the cuff. When a timed measurement is stopped an “NIBP: DEFLATE” message followed by an “NIBP: IDLE” message displays in the NIBP message window until the timer mode is restarted by either pressing START or changing the interval.

13. VOLUME (Alarms and Alarm LED)

A repeat action key which adjusts the alarm volume in 5 steps. There is no off position for this tone. The tone wraps to the minimum volume once the maximum is reached. The red alarm bell LED illuminates when an alarm condition exists. Refer to “Alarms” on page 1-49.

14. CHECK/R ET UR N (Alarms)

A single action key which provides access to the alarm menu to view and select alarm values. Press SELECT to change the alarm values. Pressing CHECK/RETURN a second time or the END key, returns the display to the main screen and exits the alarm menu.

15. MUTE (Ala rms)

A single action and delayed action key which silences all currently alarming parameters or suspends all alarms. A single key press will silence the current alarm tone for 2 minutes. Any new alarms that occur while the alarm tone is muted will disable the mute and sound the

Alarm Mute

Symbol

alarm tone. An alarm mute symbol is displayed next to each muted parameter. The word Mute is displayed above the menu selections.

When the key is pressed and held for 3 seconds, all set alarms will be suspended for 2 minutes. This is indicated by the Alarm Mute Symbol and the words All Mute displayed above the menu selections.

When “Aud alm standby” is set to ON (in the User Configuration Menu), and the MUTE key is pressed and held for 4 seconds, all alarms are indefinitely suspended. This is indicated by the Alarm Mute Symbol in all parameter windows and the words Aud Alm Sby flashing above the menu selections.

The All Mute and Aud Alm Sby modes can be exited by pressing the mute key.

NOTE: When “Aud alm standby” is set to ON and the unit is power

off and then on again, the unit will power up in the Aud alm standby mode.

16. TRENDS/RETURN (Trends)

A single action and delayed action key which displays and clears trended data. The most recent page of data is displayed when the key is first pressed. Press this key a second time to view additional trended data. Pressing and holding the key for 3 seconds clears all trended data.

17. TIME UP p and q TIME DOWN (Trends)

Two repeat action keys which are used to scroll through the trend data.

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18. BEEP VOLUME

A repeat ac ti o n k ey w h ich ad j us ts th e bee p v ol u me in 5 s te ps plu s OFF. Wh en t h e m axi mu m volume is reached, the volume will wrap around to OFF , then to the minimum volume

19. RECORD (Optional)

A combination single action and delayed action key which initiates or stops a recording. Pressing the key once in itiates a printout. Holding the key pressed for three seconds, when waveforms are displayed, initiates a continuous printing of waveforms. Pressing the key while the printing is in progress, stops the recorder. The recorder prints either waveforms or trend data, depending on what is displayed (i.e. trend data is printed when trend list is displayed.). The Recorder Set-up will determine which waveform or waveforms are printed. The Recorder Set-up will also determine the Record Destination - Local (recording from th e Passport), Remote (recording from the VISA, no recording from the Passport), or Both (recording from the Passport and VISA).

NOTE: When a remote (VISA) recordin g is printe d, the information

that is printed is determined by the set-up in the VISA.

20. DC INPUT

A green LED used to indicate that the POWER Switch (33) is in the ON position.

MENU AREA

FIGURE 1-2 Display

ECG AREA

PARAMETER AREA

MULT I-FUNCTION AREA

MESSAGE AREA

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21. DISPLAY

The Display is used to present information which is divided into 5 graphic display areas. They are:

A. MENU Display Area B. ECG Display Area C. PARAMETER Display Area D. MULTI-FUNCTION Display Area E. MESSAGE Display Area

NOTE: Only one key function will be recognized a t any time. The

Passport will ignore multiple key se lections.

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1.2.2 Left Side Panel

SpO

CUFF

ECG /EK G

E.S.I.S.

All Patient Connections Electrica lly Isolat e d

IBP 1

PI 1

IBP 2

PI 2

Press to Open

Replace only with:

10cm

BATT.

FIGURE 1-3 Left Side Panel with Datascope SpO

24 25

25 26

Press to Op en

Replace only with:

10cm

BATT.

FIGURE 1-4 Left Side Panel with Nellcor® SpO

CUFF

ECG /EKG

All Patie nt Co nnections Electrica lly Isolate d

E.S.I.S.

IBP 1

PI 1

IBP 2

PI 2

SpO

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22. RECORDER (Optional)

A two trace thermal strip chart recorder with integral paper spool.

23. BATTERY PACK

Two internal, user replaceable, rechargeable, sealed lead acid batteries that provide power to operate the monitor when not connected to the power pack. The battery packs may be removed and replaced independently while the unit is operating.

24. CUFF

A connector used to attach the NIBP cuff assembly to the monitor.

25. SpO

An 8-pin DIN type or 9-pin sub miniature D (Nellcor) type female connector used to attach

the Sp

sensor assembly to the monitor.

26. T (Temperature)

A standard three wire phone jack used to mate with either the YSI series 400 or 700* temperature probes. The Passport automatically identifies which probe is connected.

27. ECG / EKG

A six-pin AAMI (ECG-D10/75) standard connector (AMP P/N 864900-1; Datascope P/N 0131-00-0079) used for patient cable connections.

*Feature applicable only if available installed in your unit.

28. IBP1 (Optional)

A six-pin male connector (Datascope P/N 0131-00-0094) used for Datascope specified pressure transducers listed in Chapter 5, Accessories.

29. IBP2 (Optional)

A six-pin male connector (Datascope P/N 0131-00-0094) used for Datascope specified pressure transducers listed in Chapter 5, Accessories.

30. CO

A 20 pin connector used to attach the CAPNOSTAT C

(Optional)

sensor to the monitor.

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1.2.3 Right Side Panel

FIGURE 1-5 Right Side Panel

31. DATASETTE

A user replaceable software cartridge used for installing updated software revisions.

32. DC POWER INPUT (CONNECTOR)

A four terminal connector to supply low voltage DC power to the unit and charge the batteries. The power pack provides power to the unit independent of battery installation.

33. J1

A communication interface connector used to conn ect the Passport to a VISA Central Station Monitor, Remote Color Display, Nurse Call, DPD Defibrillator or other peripheral devices.

34. POWER

A recessed rocker switch which interrupts power to the main unit but does not prevent charging of the batteries.

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1.2.4 Remote Color Display

REMOTE COLOR DISPLAY, REAR

Remote Color Display Interface Cable P/N 0012-00-0994

1. Connect Interface cable, P/N 0012-00-0994, to the Analog Input connector on the Remote Color Display.

2. Connect PASSPORT M onitor Video Interface cable, P/N 0012-00-0983. to the Remote Color Display Interface cable, P/N 0012-00-0994.

PASSPORT MONITOR , F RONT VIEW

assport Video Interface Cable

P P/N 0012-00-0983

3. Connect the PASSPORT Monitor Video Interface Cable to J1 on the PASSPORT Monitor

FIGURE 1-6 Remote Color Display

For instructions on mounting the remote display to a wall, refer to Operating Instructions.

WARNING: The use of remote displays will enla rge all waveforms and

may alter aspec t ratios dep endin g on the remote de vice and its set-up.

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1.3 Operation (5-Lead, 5L, LT)

Abbreviated Operating Check List

CAUTION: Only use the Abbreviated Operating Check List if you are

already familiar with this product. If not, please continue with the remainder of this chapter, Detailed Operating Instructions.

A. Setting-Up

1. Set POWER switch to OFF.

2. Connect, if desired, peripheral equipment (i.e., Remote Color Display, P.C., etc.).

3. Attach power pack and/or install charged batteries as needed.

4. Set POWER switch to ON.

5. Using the menus and keyboard, set (when appropriate) the following:

• Patient Size and Trend Clear • HR Information

• Set Up Information (speed, waveform • Sp

Information 2 and 3, etc.)

• ECG Information • Recorder Information (when available)

• Resp. Information • Alarm Limits

• Alarm Volume • NIBP Information

•Beep Volume •IBP Information

B. Initiating an NIBP Measurement

1. Select cuff.

2. Attach cuff hose to NIBP connector and place cuff on patient.

3. Select timer interval, if desired.

4. Select cuff pressure, if necessary.

5. Press START to begin an NIBP measurement.

6. Press DEFLATE to suspend measurement.

C. Establishing SpO

1. Select the appropriate sensor.

2. Attach sensor to Sp

3. Set either waveform 2 or 3 in the set-up menu to display the Sp

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connector and apply to the patient.

waveform, if desired.

Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

D. Establishing CO2 / CAPNOSTAT*

1. Plug sensor into the side of the monitor.

2. If a new CAPNOSTAT is used, calibrate the system.

3. Apply sensor to the breathing circuit.

4. Set Waveform 2 or 3 to CO

5. Set the Resp. Source to CO

* CAPNOSTAT is a tra demark of NOVAMETRIX, Inc.

E. Recording Information

1. Select wave to be recorded through Record Menu or if desired to record tabular trend,

press TREND/RETURN.

2. Press Record to start recording function.

3. Press Record again to stop the recording function.

F. Temperature Measurement

1. Attach the desired temperature probe to the Temperature connector on the side of the

Passport. The Passport automatically detects which probe is connected, 400 or 700 series.

Detailed Operating Instructions

This section of the Service Manual provides guidelines and step-by-step instructions for proper operation of the monitor. Numbers in parentheses ( ) relate to the displays and controls described in “Controls, Indicators and Connectors (5-Lead, 5L, LT)” on page 1-3

1.3.1 Setting-up / Turning Power On

1. Set the POWER switch (34) to OFF.

2. Attach any peripheral equipment, i.e., Visa Central Station, Remote Color Display.

CAUTION: Always attach all desired peripheral equipment pr ior to

3. Attach the power pack to the DC POWER INPUT connector (32). If battery operation is

required, ensure that two fully charged batteries are installed.

NOTE: If power pack is connected ensure that the screw is

4. Set the POWER switch (34) to ON.

Internal self tests will run and the display will come on. A “DIAGNOSTIC IN PROGRESS” message will display and once the self tests have been completed a “SELF TEST COMPLETE” message will display. After this the main screen is displayed.

If any failures occur, see “Status Messages” on page 1-57 for further instructions.

powering on the Passport. If required to attach more or change what is connected, turn the Passport off, attach what is needed, and then turn the Passport on again.

tightened so that the cord does not detach.

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1.3.2 Factory - Default Control Settings

The following are the factory initial (default) control settings. This is the state that the unit will power up in unless a “current configuration” has been saved from the set up menu.

TAB LE 1- 2 Default Settings

MENU FUNCTION DEFAULT SETTINGS

Patient Size Adult

Clear Trend Memory No Pacer Enhanc ement Off

Set-up Speed 25 mm/sec.

Resp Speed 12.5 mm/sec. Waveform 2 Cascade ECG Waveform 3 Pleth Resp Source ECG Powerup Settings No change

Record Wave Selection ECG

Record on Alarm No Recorder Destination Local

Alarms Low High

Heart Rate Off Off SpO

IBP1 Sys Off Off IBP1 Dia Off Off NIBP Sys Off Off NIBP Dia Off Off IBP2 Mean Off Off Resp Rate Off Off Apnea Delay Off Adult, Off Ped., 10 se c

ETCO

NIBP Start Pressure 180 mmHg Adult, 140 mmHg

IBP IBP1 Scale Range 150 mmHg

IBP2 Scale Range 37.5 mmHg Respiration Scale 3 cm/ohm HR Source Auto SpO

Trend Trigger NIBP

ECG Lead II

NIBP Interval Off Volume Beep Off

Pleth Scale* 3

Scale Range 40 Torr

Interval Timer 5 min

Size 1 cm/mV

Alarm 1

85 Off

Neonate Off Off

Ped., 120 mmHg Neonate

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TAB LE 1-2 D ef au lt Settings (Continued)

MENU FUNCTION DEFAULT SETTINGS

Temperature Scale ºF** HrSpO Audio Alarm de lay Audio Alarm delay Off Aud alm stand by Aud alm standby Off Serial Output T ype Serial Output Type Visa

Changes can be made and saved to these default settings. The default settings can also be restored. Refer to “Setting-up / Turning Power On” on page 1-14.

* If your unit is equipped with Nellcor® SpO2, there is no pleth scale adjustment. This is replaced with operat-

** Farhenheit is the default setting for English units only. All other language units default to Centigrade.

Size Hr SpO2 Size HR small, SpO2 large

ing mode options 1, 2, and 3.

1.3.3 Display

ECG AREA

MENU AREA

PARAMETER AREA

MUL TI-FUNCTION AREA

MESSAGE AREA

FIGURE 1-7 Window Layout

The Display is divided into five graphic areas as shown above. MENU Display Area - displays the main menu selections available with the cursor and

select keys, the battery symbol and the mute categories. ECG Display Area - displays the ECG trace, ECG information and pacer enhancement

status. P ARAM ET ER Display Area - displays the current values of patient parameters.

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MULTI-FUNCT I ON Display Area - displays additional waveforms and temporary boxes for menu functions.

MESSAGE Display Area - displays messages relating to NIBP, SpO2, CO2 and recorder operation.

1.3.3.1 Menu Display Area

FIGURE 1-8 Window Layout

The menu area displays the main menu selections available. These are accessed by using the UP p and DOWN q arrow keys (1) and SELECT (2) set-up keys. One of the menu item is always highlighted by the cursor. This window also contains the TIME, DATE, PATIENT SIZE and MUTE CATEGORY (when active) information.

For each patient size available there are different choices within the menu selections. T able 1-3 on page 1-18 indicates the choices for each menu set-up and also where there are different selections for each patient size.

A list of all menus and the selections available is provided in T able 1-2 on page 1-15. For a graphic representation of each of these menus, see “Use of Menus” on page 23.

NOTE: The “IBP”, “Recorder” and “CO2” menu items only appear

only on models equipped with these options.

NOTE: The display sample shown above may not be an exact

representation of your unit.

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TABLE 1-3 Menu List

MENU LIST MENU ITEM CHOICES

Patient Size Adult, Pediatric, Neonate

Clear Trend Memory No, Yes Pacer Enhancement On, Off

Setup Speed 12.5, 25, 50 mm/sec.

Resp Source Off, ECG, CO Resp Speed 3.125, 6.25, 12.5, 25 mm/sec. Waveform 2 BP1, ECG casc., Pleth., Resp., CO Waveform 3 BP1, BP2, Pleth., Resp., CO Power up Settin gs No Change, Save Cur rent, Restore Factory

Record Record on Alarm Yes, No

Wave Selectio n ECG, Pleth., Re sp., ECG and BP1, ECG and BP2, BP1

and BP2, ECG and Resp., CO

Record Destination Local, Remote Both

Alarm HR Low (Off, 30-100), High (Off, 100-250) bpm

SpO

Low (50-99), High (Off, 80-100) %

IBP1 Sys Adult: Low (Off, 5 - 130), High (Off, 70 - 240) mmHg

Ped.: Low (Off, 5-130), High (Off, 40 - 180) mmHg Neo.: Low (Off, 5-130), High (Off, 40 - 180) mmHg

IBP1 Dia Adult: Low (Off, 5 - 90), High (Off, 40 - 130) mmHg

Ped.: Low (Off, 5 - 50), High (Off, 50 - 100) mmHg Neo.: Low (Off, 5 - 50), High (Off, 50 - 100) mmHg

NIBP Sys Adult: Low (Off, 50 - 150), High (Off, 70 - 240) mmHg

Ped.: Low (Off, 15 - 130), High (Off, 40-180) mmHg Neo.: Low (Off, 15 - 130), High (Off, 40-180) mmHg

NIBP Dia Adult: Low (Off, 30 - 120), High (Off, 40 - 130) mmHg

Ped.: Low (Off, 10 - 50), High (Off, 50 - 100) mmHg Neo.: Low (Off, 10 - 50), High (Off, 50 - 100) mmHg

IBP2 (Mean) Adult: Low (Off, 2 - 100), High (Off, 5 - 150) mmHg

Ped.: Low (Off, 2 - 50), High (Off, 5 - 100) mmHg

Neo.: Low (Off, 2 - 50), High (Off, 5 - 100) mmHg Respiration Low (Off, 5 - 50), High (Off, 30 - 200) bpm Apnea Delay Adult Off, 10 -40 secs.

Ped. Off, 10 - 30 secs.

Neonate 10 - 20 secs. ETCO

Torr: Low (Off, 5 - 60), High (Off, 20 - 100) %: Low

(Off, 1 - 8), High (Off, 2 - 11) kPa: Low (Off, 1.0 -

8.0), High (Off, 2.0 - 11.0)

NIBP Start Pressure Adult: 100-260 mmHg

Ped.: 60-180 mmHg

Neonate: 40-120 mmHg

IBP BP1 Scale Range 37.5, 75, 150, 300 mmHg

BP2 Scale Range 37.5, 75, 150, 300 mmHg

Resp Scale 1, 2, 3, 4, 5 HR H R S ou r ce Auto, ECG, BP1, SpO SpO2

Pleth Size 1, 2, 3, 4, 5

(Standard)

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TABLE 1-3 Menu List (Continued)

MENU LIST MENU ITEM CHOICES

SpO2 (Nellcor)

(Capnostat)

Response Mode 1, 2, 3

CO2 Scale 40, 60, 100 Torr / 5, 8, 12 kPa / 5, 8, 12 % Start Zero Calibr atio n Yes, No Start Adapter Calibration Yes, No

O Compensation On, Off

Compensation 0, 21, 40, 60, 80, 100

1.3.3.2 ECG Display Area

FIGURE 1-9 ECG Display Area

The ECG Display Area contains the ECG waveform, the ECG size, scale, lead information, Pacer Enhancement ON/OFF message, and when appropriate a message indicating there is no ECG waveform available.

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• ECG SIZE - The ECG size displays a vertical bar and a “1 mV” label. The vertical bar is used as a reference to determine the size of the displayed ECG waveform. There are a total of 6 size settings for the vertical bar. Five size settings are 0.25, 0.5, 1, 2, 3 cm. The sixth setting is larger than the ECG waveform window and therefore the “1 mV” label is removed. The size that measures a 1 cm signal on the display is indicated by small line segments added to the top and bottom of the vertical bar (as shown above).

• ECG LEAD - The ECG lead display shows the current ECG lead selection. The lead display options are I, II, III, aVR, aVF, aVL, and V.

• ECG WAVEFORM - The display shows the ECG waveform at a user selected speed. This provides 4 seconds of data on the display (at 25mm/sec). The scale of the waveform is determined by the ECG size selected.

• LEAD F AULT MESSAGE - The lead fault message box displays “ECG Lead Fault” and is positioned over the area where the ECG waveform normally resides.

• PACER ENHANCEMENT - Factory default is “Pacer enh OFF” (pacer enhancement off). The OFF setting allows any pacer to appear as it normally would on the ECG waveform. When pacer enhancement is turned on via patient menu selection, detected pacers are enhanced and appear as full scale, narrow square waves.

• ESU INTERFERENCE MESSAGE- When a large high frequency noise component is present on the ECG waveform, the message “ESU Interference” is displayed. If both high frequency and 60 Hz noise are present, the “ESU Interference” message has priority over the “Interference” message to display. The “Artifact” message is also displayed in the Heart Rate window.

• INTERFERENCE MESSAGE- When a large 60 Hz noise component is present on the ECG waveform and the notch filter is enable, the “Interference” massage is displayed. Check the patient electrode connectors and the cable for proper connection. The message may be the result of using inappropriate 3-Lead cables. The “Artifact” message is also displayed in the Heart Rate window.

1.3.3.3 Multi-function Display Area

FIGURE 1-10 Multi-Function Display Area

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Displayed within the Multi-function Area of the screen are the:

A. Waveforms B. Trend Lists

Waveforms

The waveform display is the normal display in the multi-function area. The waveforms occupy the entire multi-function area.

This area is divided horizontally in two. These two areas are used for waveforms 2 and 3. The options for each waveform are listed in Table 1-3 on page 1-18. The scale information for invasive pressures consists of a 0 at the bottom of each window to

represent zero pressure level and the scale range value at the top of the window. The waveform provides four seconds of data when the selected speed is 25mm/sec.

NOTE: The display sample shown above may not be an exact

representation of your unit.

C. Trend Lists

FIGURE 1-11 Trend List Display

Pressing the TREND/RETURN key (15) displays the trend lists, as shown above. The trend lists take up the entire Multi-function area. To display additional parameters press the TREND/RETURN key (15) again. Pressing this key a third time returns the screen to normal. Pressing and holding the TREND/RETURN key (15) for 3 seconds will clear all trended data.

Each entry to the trend list is added to the bottom of list until the page is full. Eleven lines of data can be displayed on each page. The trend data memory is large enough to contain more than one page of data. When the most current page is full and new data is available, the top line of data in the window is removed (but kept in memory), the other lines of data are scrolled up and the new data is added as the last line of data in the window. To scroll through the data that is in memory press the TIME UP p and TIME DOWN q trend keys (16).

The trend lists display consists of a heading that includes the page #, the time, the parameters with their units, and the listed data in columns under the appropriate heading.

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Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

If no data is available for a particular column, dashes (—-) are displayed. If an NIBP measurement was attempted and a valid reading was unable to be obtained (xxx) will be displayed in the NIBP column.

If respiration is turned off, “OFF” is displayed in the respiration column.

NOTE: The IBP1 column displays only in models that are equipped

with the invasive pressure option.

The Trend Trigger and Interval are set in the User Configuration Trend menu. To clear the trend data, press and hold the TREND/RETURN key (15) for 4 seconds.

NOTE: Trend data will be stored in memory for 1 hour after the

unit has been powered down. After 1 hour the trend data will be cleared.

NOTE: The display sample shown above may not be an exact

representation of your unit.

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1.3.3.4 Parameters Display Area

FIGURE 1-12 Parameter Display Area

The parameters display area contains the current values of the patient parameters. The contents and the layout of the parameters area depends on how many invasive blood pressure transducers are connected to the monitor. The e xample above is with two transducers connected.

Within the NIBP parameter area the interval chosen is displayed and the elapsed time (ET) since the last NIBP measurement was taken is displaye d. If an ot her N IBP mea sur ement is not taken within 15 minutes the ET and the NIBP readings will change to dashes.

An “Artifact” message is displayed in the Parameter area (under the ECG Heart Rate) whenever 60 Hz noise or ESU Interference is present on the ECG waveform.

NOTE: The display sample shown above may not be an exact

representation of your unit.

1.3.3.5 Message Display Area

This area of the display contains messages relating to NIBP, SpO2, CO2 and recorder operation. Refer to “Status Messages” on page 1-57 for a complete list of these messages.

1.3.4 Use of Menus

The main m enus a re ac cesse d by u sing the U P p and DOWN q arrow keys (1), SELECT (2), and END (3) keys.The following is an example of how to set the menu options.

1. Using the UP p and DOWN q arrow keys (1), move the cursor to select the desired

main menu item.

NOTE: As the cursor is moved up and down the list of menu items,

view windows for each menu item are displayed.

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2. When the desired menu item is highlighted, (in this case SET-UP has been chosen) press

SELECT (2) to enter into the change window. When SELECT is pressed, the first item in the sub-menu will be highlighted.

3. To change the highlighted item use the UP p and DOWN q arrow keys (1). The

choices available are listed in the CHOICES bar. Once the desired choice is displayed, press SELECT (2) to enter it and move the cursor down to the next item in the sub-menu.

If no change is required to the highlighted item, press SELECT to move the cursor down to the next item on the list. Keep pressing SELECT until the required item to change is high-lighted.

1 mV

FIGURE 1-13

4. Press the END (3) key to return to the normal monitoring mode when all of the

sub-menu items have been set as desired.

END

FIGURE 1-14

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1.3.5 Initiation of NIBP Measurements

1.3.5.1 Manual Initiation of NIBP Measurements

1. Select a pressure cuff that is appropriate for the size of the patient using the chart below

as a guideline.

TABLE 1-4 Cuff Selections

LIMB CIRCUMFERENCE (CM)

45 - 66 Thigh * 0998-00-0003-05 30 - 47 Large Adult 0998-00-0003-02 0683-07-0001-01 24 - 36 Adult 0998-00-0003-01 0683-07-0001-02 18 - 27 Child 0998-00-0003-03 0683-07-0001-03 16 - 25 Small Child 0998-00-0003-04 0683-07-0001-04 10 - 19 Infant 0998-00-0003-06 6 - 11 Newborn 0998-00-0003-07 11 - 17 Neonatal, Size 3 0683-03-0003-02 9 - 13 Neonatal, Size 2 0683-03-0002-02 7 - 10 Neonatal, Size 1 0683-03-0001-02 6 - 8 Neonatal, Size 0 0683-03-0004-02

DESCRIPTION / CUFF NAME

DATASCOPE PART NUMBER

Reusable Disposable

COLOR CODED CUFFS**

46 - 66 Thigh - Brown 0998-00-0003-26 33 - 47 Large Adult - Grey 0998-00-0003-25 25 - 35 Adult - Tan 0998-00-0003-24 18 - 26 Child - Red 0998-00-0003-23 10 - 19 Infant - Green 0998-00-0003-22 6 - 11 New Born - Blue 0998-00-0003-21

* When using the thigh cuff , this product will not comply with AAMI accuracy standa rds. ** The limb circumferences of the Color Coded Cuffs adhere to the AHA guidelines for size.

A cuff that is too narrow for the limb will result in erroneously high readings. The correct size of the pressure cuff for a given patient has, among other considerations, a direct bearing on the accuracy of the obtained NIBP measurements. Base your selection of the cuff size on the limb circumference of the patient. T able 1-4 on p a ge 1-25 i nd i ca t es the available D at a s c op e cuffs for use with the Datascope Passport Monitor. The design dimensions of the cuffs and their intended uses are based on recommendations of the American Heart Association.

NOTE: See Optional Accessories in the Operating Instructions, for a

NOTE: Cuffs become more supple as they age and sometimes

detailed list of cuffs.

develop permanent folds that can leave temporary marks on the limb. Any cuffs that exhibit this effect should be replaced.

NOTE: Ensure that the pressure tubes are not compressed or

restricted.

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Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

The pressure on the limb may not fall to zero between measurements if the cuff is wrapped too tightly. Therefore, assure that the cuff is properly applied.

The skin is sometimes fragile (i.e., on pediatrics, geriatrics, etc.). In these cases, a longer timer interval should be considered to decrease the number of cuff inflations over a period of time. In extreme cases, a thin layer of soft roll or webril cotton padding may be applied to the limb in order to cushion the skin when the cuff is inflated. This measure may affect NIBP performance and should be used with caution.

2. Attach cuff hose to NIBP Connector (24).

3. Apply the cuff to the patient. To reduce errors, the cuff should be fitted snugly, with little

or no air present within the cuff. Be sure the cuff lies directly against the patient’s skin. No clothing should come between the patient and the cuff.

NOTE: The NIBP cuff should no t be placed on a limb that is being

utilized for any other medical proced u re . For ex am ple, an I.V. catheter or an SpO

sensor.

4. Select Patient Size through the PATIENT MENU as described in “Menus” on page 1-64.

Choices are ADULT, PEDIATRIC or NEONATE.

5. If necessary, enter the NIBP parameter menu to chang e the initial cuff inflation pressure.

Initial cuff inflation pressures depend on the PATIENT SIZE setting. The choices of cuff inflation are:

TABLE 1-5 Cuff Inflations

PATIENT SIZE SETTING INITIAL CUFF INFLATION VALUES

Adult 100 - 260 mmHg Pediatric 60 - 180 mmHg Neonate 40 - 120 mmHg

6. Press START (9) to begin an NIBP measurement.

NOTE: Inflate the cuff only after proper application to the patient’s

limb. Cuff damage can result if the cuff is left unwrapped and then inflated.

The cuff begins to inflate to the selected cuff pressure. After reaching the selected value the cuff begins to slowly deflate and the Datascope Passport Monitor collects oscillometric pulsations.

If the initial cuff inflation is found to be inadequate, the unit retries with a higher inflation pressure (+50 mmHg in the adult mode; +30 mmHg in the pediatric and neonate modes).

Have the patient remain still to avoid the introduction of unnecessary motion artifact. After the cuff pressure drops below the diastolic pressure, the results of the measurement are displayed.

If NIBP is the only parameter measured with the Passport, a heart rate can be derived from NIBP. The HR source menu selectio n must be in th e Auto mode (i.e., not se lected for EC G, IBP or SpO

1 - 26 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

) and no heart rate alarm limits are set. (see “Alarms” on page 1-49).

Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

If NIBP is a selected trend trigger, then NIBP and heart rate values are stored in trend lists. The NIBP and NIBP heart rate will be automatically removed from the display after 15 minutes have elapsed.

If another heart rate source is selected (ECG, IBP or SpO2)< before the 15 minute display time has elapsed, the NIBP heart rate will be replaced by the heart rate from the selected source.

To display heart rate from NIBP:

a. Choose AUTO for HR source. b. Discontinue monitoring of ECG, SpO

and IBP.

c. Set high and low heart rate alarms to off. d. Make a valid NIBP measure ment.

During or after an NIBP measurement, one of several advisory messages may be displayed. Refer to “Status Messages” on page 1-57, for their explanations.

7. If desired, press DEFLATE (12) to interrupt a measurement. The cuff will deflate.

1.3.5.2 Automatic Initiation of NIBP Measurements

Follow steps 1 - 5 in Section 1.3.5.1 on page 1-25.

6. Press INTERVAL (11) until the desired time displays. The choices are: OFF, continuous,

1, 2.5, 5, 10, 15, 20, 30, 60, and 120 minutes.

7. A measurement will be taken when the selected interval has elapsed. If an immediate

measurement is desired, press STAR T (10).

NOTE: If the monitor is in the interval mode when it is turned on,

no measurement will be taken until the “S TART” key is depressed. Subsequent measurements are referenced to the time the unit was turned on. See example in Section 1.3.5.5 on page 1-28.

NOTE: When the NIBP continuous interval is chosen, the Passport

will continually take back to back blood pressure readings. As a safety precaution, a five minute limit is placed on continuous measurements. After 5 minutes, the NIBP interval will automatically switch to measurements taken every 5 minutes.

Automatic Adjustment in the Timer Mode

In the timer mode, the unit adjusts the inflation pressure according to the prev ious reading of the systolic pressure. After the first measurement in the timer mode, the inflation pressure is the previous systolic +50 mmHg in the Adult Mode and +30 mmHg in the pediatric and neonate mode.

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 1 - 27

Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

Suspension of Automatic NIBP Feature

To suspend an automatically timed measurement sequence or to end a measurement cycle already in progress (deflate cuff):

1. Press DEFLATE (12).

To take an immediate measurement and resume a suspended timed measurement sequence:

2. Press START (10).

NOTE: Press DEFLATE (12) at any time to postpone a scheduled

CAUTION: Observe extreme cauti on on all patien ts (n eon a t es,

measurement or to terminate a measureme nt cycle already in progress.

1.3.5.3 NIBP Pressure Limit Fail Safe

If the cuff pressure is over-pressurized, the cuff will automatically vent to atmosphere and the NIBP message window reads CUFF OVERPRESSURE.

The unit must be turned off and back on again to reset the overpressure switch before any new measurements are taken.

1.3.5.4 Cuff Inflation Time

If the cuff pressure does not attain 20 mmHg within 40 seconds of the start of inflation or if the target pressure is not reached within another 60 seconds, then the cuff is vented and the “RETRY” or “UNABLE TO MEASURE” message will display in the NIBP message window.

1.3.5.5 START and DEFLATE Functions

The START and DEFLATE functions have the following effects on the timed measurement sequence.

• INTERVAL is set and you Press START (10):

An unschedu led me asur em ent is mad e. Taking thi s unscheduled measurement does not affect the timing of the interval cycle, therefore, the scheduled measurements will be taken as if there were no interruptions. Only one measurement is taken for each measurement cycle even if the unscheduled measurement coincides with the scheduled measurement.

1 - 28 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

• INTERVAL is set and you press DEFLATE (12):

The timed measurement is suspended and the cuff deflates.

• INTERVAL is set and you change the interval:

The measurement cycle is reset with the new interval. A measurement will be taken after the new interval has elapsed.

For example, with the interval set to five minutes:

TABLE 1-6 Interval Sequence

TIME MODE/TIMER INTERACTION RESULT

9:45 Unit turned on with interval set to 5 minutes. No measurement taken 9:52 Start key pressed Measurement taken 9:55 Timer requests a measurement Measurement taken 10:00 Not in Deflate mode and timer requests a measurement Measurement taken 10:04 Deflat e mode is entered Deflate message is

10:05 Timer requests a measurement Measurement is skippe d 10:07 Interval is changed to 10 min. Interval timing is reset 10:17 Timer requests a measurement Measurement taken

displayed on display

1.3.6 ECG Acquisition

The patient ECG signal is acquired with a patient cable and skin electrodes. The type of skin electrode and technique of applying the electrodes are major factors in determining the quality of the signal obtained. Use high quality, silver-silver chloride electrodes. These are designed to acquire the ECG with excellent base line stability, recovery from defibrillation, and minimum artifact from patient movement.

WARNING: Ensure that the conductive parts of ECG electrodes do not

contact other conductive parts including earth ground.

1. For optimal skin contact, thoroughly prep patient skin for electrode placement by doing

the following.

• Shave hair from electrode sites.

• Cleanse skin thoroughly with alcohol to remove skin oils.

• Dry with a rough towel or gauze to remove dry skin.

• Attach electrodes to lead wire first before placing onto patient.

NOTE: Using more than one type of electrode on the same patient

should be avoided because of variations in electrical resistance.

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 1 - 29

Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

2. Use the ESIS choke cable if an electro-surgical device is to be used on the patient.

3. Plug patient cable into the ECG (27) connector.

An ECG waveform should now be present on the screen and the heart rate read-out should now be functional.

4. Select desired lead setting by pressing the front panel ECG LEAD key (5). Lead II is

automatically selected at power-up.

5. Select desired ECG size by pressing the front panel ECG SIZE key (6). An ECG of 1cm/

mV is automatically selected at power-up.

6. If cascaded ECG is desired in waveform 2, use the Set-up menu, Section 1.3.4, to

choose this option.

7. Choose HR source for rate meter from HR menu. Choices are: ECG, BP1, SpO

AUTO. AUTO selects the source from a hierarchy (ECG, IBP1, SpO

) of what is currently

, or

monitored. If no HR source is found, then an alarm tone is sounded.Press BEEP VOLUME (18) to set the volume of the systole beep.

WARNING: Thoracic respiration measurement may inte rfer e wi th some

pacemakers. Refer to the pacemaker’s manual.

Messages Associated with ECG Leads

“Lead Off”

• The Passport will display the message “Lead Off” to indicate when ECG monitoring is inoperative.

“ECG Lead Fault”

• When ECG lead I, II or III is being monitored, a lead fault sensed by RA, LA, or LL will cause the “ECG Lead Fault” message to display.

• When lead aVR, aVL, or aVF is being monitored, a lead fault sensed by RA, LA, LL, or RL will cause the “ECG Lead Fault” message to display. When the specified 3-Lead cable is used, the “ECG Lead Fault” message will display because the RL lead is not available.

• When ECG V lead is being monitored, a lead fault sensed on RA, LA, LL, RL or C will cause the “ECG Lead Fault” message to display. When the specified 3-Lead cable is used, the “ECG Lead Fault will display because the RL and C is not available.

WARNING: Do not use the following 3-Lead ECG cables with Passport 5L

(P/N, 0998-00-0126-xx) and 5L-CE (P/ N, 09 98- 00-0131-xx): 0012-00-0620-05, - 06, - 07, - 08; 0012-00-0722-05, -06, -07 ,

-08; 0012-00-0723- 05, - 06, - 07, - 08; 001 2- 00- 0724-05, -06,

-07, -08. The above 3-Lead cables contain a jumper wire which connects RL (right leg) to LL (left leg). As a result, when you view aVR, aVL and aVF you will see the appropriate ECG waveforms (even thoug h you are using a 3-lead cable). However, ther e may be excessive no i se on these waveforms which can corrupt the heart rate calculation. See Section 5 in the Operating Instructions for a list of th e proper ECG cables.

1 - 30 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

1.3.6.1 Adult Electrode Placement For 5 Lead ECG Monitoring

White

Green

Blac k

Brown V Lead (any posit ion)

Red

FIGURE 1-15 5-Lead Electrode Placement

• Place black electrode on left shoulder under clavicle.

• Place white electrode on right shoulder under clavicle.

• Place red electrode on lower left abdomen under the sixth rib.

• Place green electrode on lower right abdomen under the ribs.

• Place the brown lead in any one of the V lead (V1 - V6) positions, see Figure 1-17 on

page 33.

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 1 - 31

Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

Description of V-Lead Placeme nt

V2 V3

FIGURE 1-16 V-Lead Electrode Placement

• V1-Fourth intercostal space, right sternal border.

• V2-Fourth intercostal space, left sternal border.

• V3-Midway between V2 and V4 on a line joining these 2 locations.

• V4-Fifth interspace in mid-clavicular line.

• V5-Fifth interspace in anterior axillary line.

• V6-Fifth interspace in mid-axillary line.

V V V

1 - 32 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

For Lead II ECG Monitoring

White

Black

Red

FIGURE 1-17 3-Lead Electrode Placement

(standard configuration)

For Lead II ECG Monitoring

• Place black electrode on left shoulder under clavicle.

• Place white electrode on right shoulder under clavicle.

• Place red electrode on lower left abdomen under the sixth rib.

• Place lead select on lead II.

White

Black

Red

FIGURE 1-18 3-Lead Electrode Placement

(for MCL)

For MCL

• Place white electrode on left shoulder under clavicle.

• Place black electrode on right sternal border, 4th intercostal space.

• Place red electrode on midaxillary line, 5th intercostal space.

• Select lead I for monitoring.

• For MCL, select lead II for monitoring.

1.3.6.2 Neonatal Electrode Placement

White

FIGURE 1-19 Neonatal Electrode Placement

Lead placement on the neonate with a three lead set is directed towards obtaining the best respiration waveform. The thoracic impedance is measured between the RA and LA electrodes therefore, the electrodes must be placed across the chest from each other to optimize measurement of chest movement.

Red

Blac

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 1 - 33

Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

1.3.7 Invasive Pressure Acquisition

1. Plug the pressure transducer into the PRESSURE TRANSDUCER connector (28) or (29) on the side panel.

2. To establish a monitoring site introduce an arterial pressure catheter into the patient’s artery in accordance with standard hospital procedures. “Best practice,” as determined by the medical community, should be observed.

NOTE: The arterial pressure catheter should not be used on a limb

that is being utilized for any other medical procedure. For example, an I.V. catheter o r an SpO

sensor.

3. Connect catheter line with flushing device to the pressure transducer.

4. Zero pressure transducer as follows:

Initially, a “TRANSDUCER NOT ZEROED” message is displayed in the parameter window, indicating the need to zero the transducer.

a. Open transducer vent to atmosphere. b. Press ZERO (8) or (9) and hold for a minimum of one second.

After one second has elapsed, an audible click will sound, and the automatic zero process is complete. The pressure display should indicate zeros.

NOTE: If the transducer offset shoul d e xcee d 120 mmHg, it w ill not

be possible to automatically ze ro the transducer. Pressure values will be —- and an “UNABLE TO ZE RO ” message replaces the “TRANSDUCER NOT ZEROED” message.

5. Close the pressure transducer vent from atmosphere and check that the pressure

waveform is displayed on the screen.

6. Select the desired pressure scale in the IBP Menu. The choices are: 37.5, 75, 150, or 300 mmHg.

7. Flush arterial line at regular intervals per standard hospital procedure.

NOTE: Pressure transducers are protected against the effects of

1.3.8 Sequence for Establishing SpO

defibrillation and electrocautery.

To obtain SpO2 measurements, SpO2 Heart Rate, and the plethysmographic waveform from the Passport Monitor (including units equipped with Nellcor® SpO

1. Select the appropriate sensor for the patient. Guidelines for the selection of Datascope sensors are provided in the Table 1-7 on

page 1-38.

2. Plug the patient cable into the SpO

Connector (25) on the left side panel.

3. Apply sensor and connect to cable.

NOTE: Do not place the sensor on an extremity with an invasive

1 - 34 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

catheter or blood pressure cu f f in place.

Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

4. The digital SpO2 values and SpO2 heart rate will be displayed in the SpO2 parameter window.

5. If a pleth waveform is desired, enter the set-up menu as described in Section 1.3.4, Use of Menus, to display it as waveform 2.

6. To change the size of the waveform displayed select the SpO2 menu and chose the desired size. Choices are: 1, 2, 3 or 4.

7. Press BEEP VOLUME (18) to set the volume of the SpO2 beep.

1.3.8.1 Datascope Pulse Oximetry Sensors

A. Introduction

A wide range of Datascope sensors are available for connection to Datascope Passport Monitors equipped with Datascope SpO monitoring needs on patients ranging from neonates to large adults.

The DATASENSOR is intended for short-term adult monitoring. The FLEXISENSOR® SD, available in five different sizes, provides both short-term and long-

term monitoring for large adults, adult ear, adults, pediatrics, infants, and neonates. The FLEXISENSOR® SD is used when the DATASENSOR is not convenient or suitable.

. The sensors cover both short-term and long-term

The ear sensor is intended for long-term adult monitoring. A range of disposable bandages are available for use with the FLEXISENSOR® SDs. They

are available in 3 styles, SENSOR GUARD™ (used for large adults, adults and pediatrics), Coban with SENSOR GUARD™ (used for infants) and LIGHTGUARD™ (used for neonates).

Use of the sensors does not cause any penetration of the skin, nor is there any electrical contact or transfer of excessive heat to the patient.

The sensor is composed of a light emitting diode (emitter) and a photo diode (detector). The emitter discharges two colors (wave lengths) of light into the patient’s extremity (finger, toe, ear). The detector receives that amount of light not absorbed by the blood or tissue components. The Passport then uses the relative absorption of the two light wavelengths to compute and display SpO

and Rate measurements

• electrocautery noise (ESU) noise • good motion artifact rejection

• tracking of weak peripheral • pulse levels

• rejection of ambient light • Can be re-sterilized (ETO sterilization - 3

times)

• patient isolation • ease of application and removal

• long term patient comfort

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Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

The key benefits of the sensors are:

• Electroc au tery Nois e (E S U ) Rejection - The sensor configuration of both the

DATASENSOR and the FLEXISENSOR® SD provide uninterrupted monitoring and absence of false alarms during the use of ESU (ESU can be set at any power level). This design prevents electro-surgical noise entering the monitor, via the sensor, and interfering with unit operation.

• Monitoring Restless Patients - Motion artifact rejection is achieved in several ways.

1. The sensor design used with their recommended bandages assures a snug fit of the sensor to the patient.

2. Light emitting diodes (LEDs) and detectors gather a strong signal from the patient.

3. Software in the Passport evaluates the shape of each pulse and automatically rejects

noisy and unreliable pulses.

4. When in the presence of motion, the software adjusts the “averaging-period”, increasing it to a maximum of 15 seconds during motion, and automatically reducing it during quiet periods to obtain a fast response. This combination reduces the number of monitoring interruptions and false alarms from patient motion.

• Tracking of Weak Peripheral Pulse Levels - Many patients suffer poor peripheral

perfusion du e t o h ypo t he rmi a, hy p ov o le mi a, re du ce d ca r di a c o ut p ut, e t c. Th e Pa ss p ort i s designed to automatically increase its gain to track patients with poor peripheral perfusion.

• Rejection of Ambient Light - Many monitoring situations involve high levels of

ambient light, i.e., operating room lights, neonatal phototherapy, heat warmers, etc. The PASSPORT Monitor, sensors, and bandages each contribute to the rejection of ambient light. The monitor automatically measures and corrects for high levels of ambient light. The enclosed design of the DATASENSOR prohibits the interference of high levels of ambient light on adults with sensor operation. And the opaque material used in the composition of the bandages, which are used with the FLEXISENSOR® SD, helps keep out ambient light.

• Patient Comfort - The FLEXISENSOR® SD line is designed to work with a disposable

bandage of three styles (SENSOR GUARD™, Coban and LIGHTGUARD™) which conform comfortably and safely to the particular patient’s anatomy.

B. Sensor Selection and Application

Selection of a specific se nsor is based on the patient’s size, physical condition, and expected monitoring duration. General guidelines for the selection of a sensor are provided in the T able 1-7 on page 1-38. Instructions for the application of a sensor to a patient are provided in each sensor package.

C. Sensor Connection to the Passport Monitor

1. Align the cable connector on the sensor assembly with the SpO

Patient Connector (25)

on the Passport Monitor.

2. Push the cable connector into the SpO2 Patient Connector (25). Confirm that the cable connector is securely in place.

NOTE: To obtain maximum cable use, do not twist the cable

1 - 36 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

connector when attaching to or disconnecting from the Passport Monitor.

Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

D. Sensor Inspection

Before use, always inspect sensors, cables, and connectors for damage, i.e., cuts and abrasions. Do not use the sensor, cable or connector if damaged. Replace with a good working sensor.

For long sensor life:

• Do not drop on the floor, or give other sharp shocks to the sensor(s).Between use, store

the sensors in the optional FLEXISENSOR® SD Organizer, accessory pouch, or coil the sensor cable and store on the side of the Passport using the optional cable retainer. For accessory part number information see Section 5 in the Operations Manual.

• Avoid running any cart, bed, or any piece of equipment over the sensor cable.

• Avoid strong pulls on the sensor cable (10 lbs/4kg).

• Watch for cracks in the DATASENSOR housing.

• Watch for cracks, cuts, rips, fogging, or signs of moisture in the FLEXISENSOR® SD.

E. Sensor Performance

For the BEST performance of all Datascope sensors:

• DO NOT PLACE any sensor on an extremity with an arterial catheter or blood pressure

cuff in place. Placement of an arterial catheter or blood pressure cuff on an extremity may obstruct n o rmal blood flow. False pulse rate informati o n ma y result if the F LE X IS E N S O R ® SD is placed on that same extremity. Place the sensor on the limb opposite the site of the arterial catheter or blood pressure cuff.

• Encourage the patient to remain still. Patient motion may affect the sensor’s performance.

If it is not possible for the patient to remain still, replace the sensor bandage on the FLEXISENSOR® SD to assure good adhesion, or change the site of the DATASENSOR.

• Check the DA TASENSOR site every 2 hours and check the FLEXISENSOR® SD site every

8 hours on adults and every 4 hours on neonatal patients for indications of skin abrasions, sensor displacement, sensor damage, or circulation impairment. Check the sensor site every 4 hours if the ear clip is used. If necessary, remove and reapply the sensor. If any of the above mentioned indications occur, immediately remove the sensor and find an alternate site.

NOTE: Check the sensor site more frequently on infant and active

patients.

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Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

• Incorrect placement can also reduce the acquired sensor signal, and therefore

compromise performance. Select an alternate site (toe) or use a FLEXISENSOR® SD if the sensor can not be placed on the patient’s finger correctly or if the fingernails interfere with the acquisition of a reliable signal.

• Use of the DATASENSOR is not recommended for long-term monitoring (4-6 hours). For

monitoring situations exceeding 4-6 hours, either reposition the DATASENSOR every 2-4 hours to a different site (finger/toe) or use a FLEXISENSOR® SD with its appropriate bandage.

• Do not over-tighten the sensor bandages. Excessive pressure on the monitoring site can

affect SpO

readings and may reduce readings below true SpO2. Excessive pressure can

also result in pressure necrosis and other skin damage.

• Sensor configuration provides uninterrupted monitoring in the following situations:

Electro-cautery Noise - ESU rejection is designed into the sensors. Motion Artifact - The monitor’s software adjusts the “averaging period” increasing it

during motion and reducing it during inactivity. This decreases the number of monitoring interruptions and false alarms.

Weak Peripheral Pulses - The monitor’s gain is automatically increased to track pulses on patients with decreased peripheral perfusion.

•SpO

measurements may interfere with Magnetic Resonance Imaging (MRI) procedures.

is calibrated to display functional saturation.

TABLE 1-7 Sensor Selections

LARGE

SENSORS

Approximate Patient Weight

Where Used Fi n g ers, Toes Finge rs , Toes Fin gers, Toes Feet, Palms,

Long or Short Term Monitoring

ESIS Include d Included Included Included Inc luded Included Included Reusable Yes Up to 20

Bandage Type

**Part Numbers Sensors

Bandages

ADULT (LA) ADULT (A)

>80kg/>176 lbs

Long and Short Term

Uses Adhesive,

Disposable

0998-000076-06

0683-000409-01

* Non-adhesive bandages are recommended for premature infants to minimize prenatal skin damage. ** See Accessories, Chapter 5, for more detailed information *** Additional choices: 0060 -00- 0026-02 (10’ sensor cable) 0020-00-0071-01 (3’ sensor cable plus 7’ extension

cable)

30 -90kg/ 66 - 198 lbs

Long and Short Term

Y es Up to 20 Uses

Adhesive, Disposable

0998-000076-05

0683-000409-02

PEDIATRIC (P)

10 - 40kg/22

- 88 lbs

Long and Short Term

Yes Up to 20 Uses

Adhesive, Disposable

0998-000076-04

0683-000409-03

INFANT (I)

4.5 - 10kg/ 10 - 22 lbs

Big Toes Long and

Short Term

Yes Up to 20 Uses

NonAdhesive*, Disposable

0998-000074-03

0683-000415

NEONATE (N)

Up to 5kg/Up to 11 lbs

Feet, Palms, Heel,Calf

Long and Short Term

Yes Up to 20 Uses

NonAdhesive* Disposable

0998-000074-04

0683-000440

ADULT EAR (AE)

>40kg/>88 lbs

Adult Ear Fingers, Toes

Long and Short Term

Y es Up to 20 Uses

N/A N/A

0998-000074-05

N/A N/A

DATASENSOR

40+ kg/90+ lbs

Short Term

Yes 6-Months

0600-000026-01 (3" sensor cable)***

1 - 38 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

1.3.9 Sequence for Establishing SpO2 with Nellcor® Pulse Oximetry

1. Select the appropriate sensor for the patient (Table 3-1 on page 3-4).

2. Plug the sensor directly into the SpO

or if necessary, use a Nellcor® EC-4 or EC-8 sensor extension cable.

* This feature applicable only if available / installed in your unit.

connector located on the side panel of the moni tor

NOTE: Do not place the sensor on an extremity with an invasive

WARNING: When equipped with Nellcor ® SpO

WARNING: Tissue damage or inaccurate measurements may be caused

WARNING: Excessive ambient light may cause inaccurate

WARNING: Inaccurate measurements may be caused by incorrect

catheter or blood pressure cu f f in place.

, use only Nellcor® oxygen transducers including Nellcor® OXISENSOR™ patient dedicated adhesive sensors. Use of other oxygen transducers may cause improper oximete r pe rform ance.

measurements. Cover the sensor site with opaque materi al.

WARNING: In certain situations in which perfusion and signal strength

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 1 - 39

are low, such as in patients with thick or pigmented skin, inaccurately low SpO oxygenation should be made, especially in preterm infants and patients with chronic lun g disease, before instituting any therapy or intervention.

readings will result. Verification of

Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

3. The digital SpO2 value will be displayed in the Parameter Window.

4. If a pleth waveform is desired, enter the set-up menu as described in “Use of Menus” on

page 23 to display it as Waveform 2.

5. Press the BEEP VOLUME (18) to set the volume of the SpO

beep.

1.3.9.1 Nellcor® Sensors

Nellcor® provides a family of sensors suitable for a wide variety of clinical settings and patients. Specific sensors have been developed for neonates, infants, children, and adults. OXISENSOR™ oxygen transducers are sterile adhesive sensors with optical components mounted on adhesive tape. OXIBAND® oxygen transducers and the DURAFORM™ oxygen transducer system are reusable sensors that are applied with disposable adhesive. The DURASENSOR® DS-100A adult digit oxygen transducer is a reusable sensor with its optical components mounted in a plastic casing. The Nellcor® RS-10 reflectance oxygen transducer is an adhesive sensor for application to forehead or temple.

NOTE: Nellco r ® , OXIBAND® and DURASENSOR® are r eg istered

trademarks of Nellcor® Incorporated. OXISENSOR™ and DURAFORM™ are tradem arks of Nellcor Incorporated.

Selecting a Sensor

Sensors are designed for specific sites on patients with designated weight ranges. To select the appropriate sensor, consider the patient’s weight, level of activity, adequacy of perfusion, which sensor sites are available, whether sterility is required, and the anticipated duration of monitoring.

Cleaning and Re-use

Do not immerse any OXISENSOR™, DURASENSOR®, OXIBAND®, or DURAFORM™ oxygen transducer, the Nellcor® RS-10 oxygen transducer, or any Nellcor® adhesive in water or cleaning solution. Clean DURASENSOR®, OXIBAND®, and DURAFORM™ oxygen transducers, and the Nellcor® RS-10 oxygen transducer by wiping with a disinfectant such as 70% alcohol. Do not sterilize by irradiation, steam, or ethylene oxide. Use a new OXIBAND® adhesive wrap or FORM-A adhesive bandage for each patient. Do not resterilize OXISENSOR™ oxygen transducers.

Performance Considerations

T o ensure optimal performance, use an appropriate sensor, apply it as directed, and observe all warnings and cautions.

If excessive ambient light is present, cover the sensor site with opaque material. Failure to do so may result in inaccurate measurements. Light sources that can affect performance include surgical lights, especially those with a xenon light source, bilirubin lamps, fluorescent lights, infrared heating lamps, and direct sunlight.

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If poor perfusion affects instrument performance, and the patient weighs more than 50 kg (110 lbs.), consider using the OXISENSOR™ R-15 adult nasal oxygen transducer. Because the R-15 obtains its measurements from the nasal septal anterior ethmoid artery, an artery supplied by the internal carotid, this sensor may obtain measurements when peripheral perfusion is relatively poor. For low peripheral perfusion, consider using the Nellc or® RS-10 reflectance oxygen transducer, which is applied to the forehead or temple.

If patient movement presents a problem:

• Verify that the sensor is properly and securely applied.

• Use a new sensor with fresh adhesive backing.

• Move the sensor to a less active site.

• Use a type of sensor that tolerates some patient motion, such as the OXISENSO R™ D-25, D-20, N-25, or I20 oxygen transducer.

TABLE 1-8 Nellcor® Sensor Family

SELECTION GUIDE

Patient Size >30 kg >50 kg <3 kg >40 kg 1-20 kg 10-50 kg >40 kg Duration of Use Short or

Sterility Sterile Patient Activity Limited

D25/D25L ADULT

Long Ter m

Activity OXISENSOR

adult digit oxygen transducer

1 In an unopened, undamaged package.

R-15 ADULT

Short or Long Ter m

Sterile

Inactive Limited Activity Limited Activity Limited

OXISENSOR adult nasal oxygen transducer

N-25 NEONATAL

Short or Long Term

Sterile

OXISENSOR neonatal oxygen transducer

I-20 INFANT

Short or Long Term

Sterile

OXISENSOR infant digit oxygen transducer

D-20 PEDIATRIC

Short or Long Term

Sterile

Activity OXISENSOR

pediatric d igit oxygen transducer

RS-10 ADULT

Short Term

Non-sterile Limited

Activity RS-10

reflectance oxygen transducer

All Nellcor® accessories and sensors must be purchased form Nellcor® Inc., 25495 Whitehall Street, Hayward, Ca. 94545. To contact Nellcor®, call 1-800-NELLCOR.

1.3.9.2 Special Features Automatic Calibration

The oximetry subsystem incorporates automatic calibration mechanisms. It is automatically calibrated each time it is turned on, at periodic intervals thereafter, and whenever a new sensor is connected. Also, the intensity of the sensor’s LEDs is adjusted automatically to compensate for differences in tissue thickness.

Each sensor is calibrated when manufactured; the effective mean wavelength of the red LED is determined and encoded into a calibration resistor in the sensor plug. The instrument’s software reads this calibration resistor to determine the appropriate calibration coefficients for the measurements obtained by that sensor.

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Oximetry Operating Modes

The Passport’s three operating modes for SpO2 enable it to make accurate measurements despite differing levels of patient activity. In all three modes, the Passport updates its measurements with every pulse beat. Data from the most recent beat replaces data from the earliest beat and new averages are determined and displayed. The three modes are: 1 (default setting), 2, and 3.

1. the default operating mode, uses a 5 to 7 second averaging time and is useful in

situations in which the patient is relatively inactive.

2. this mode uses a 2 to 3 second averaging time and therefore is more affected by patient

motion. It is useful for special applications that require a fast response time, such as sleep studies.

3. this mode uses a 10 to 15 second averaging time and consequently is least affected by

patient motion. In this mode, pulse rate is not displayed and there is no pulse tone.

Pleth Auto Scal in g

The Pleth waveform is automatically scaled when using Nellcor® SpO2. There is no adjustment that can be made to the pleth waveform size.

Changing Operating Modes

T o change from 1 to 2 or 3, select SpO2 in the menu and toggle through the choices of 1, 2, and 3 using the up and down arrow keys. Press SELECT (2) then END (3) to lock the choice in and return to monitoring mode. See “Use of Menus” on page 23 for details on using menus.

The operating mode will be displayed in the pleth waveform window.

1.3.10 Respiration Monitoring

The Passport Monitor offers two kinds of respiratory monitoring: thoracic impedance and

waveform. Either method may be used to ensure that the patient in not apneic, and both

methods offer certain benefits and limitations.

WARNING: Thoracic respiration measurement may inte rfer e wi th some

pacemakers. Refer to the pacemaker’s manual.

1.3.10.1 Thoracic Impedance

The Passport Monitor presents a small electrical signal across the RA and LA ECG limb leads. This signal changes as the patient’s chest wall rises and falls during the breath cycle. The advantage of the thoracic impedance method is that respiration is obtained non-invasively and without any extra cost. Disadvantages include loss of signal when “choke blocks” are utilized, possible cardiac interference, and missed apneic events.

Choke blocks are electrical filters that may be used in electro-cautery environments where ECG interference can be substantial. These filters remove the electro-cautery noise, but also block the signal used by the Passport Monitor to measure respiration.

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The filling and emptying of the heart chambers can interfere with the thoracic impedance signal, so called cardiovascular artifact (CVA), such that the respiratory signal matches the heart rate. The Passport warns the operator when the respiration value equals the heart rate by displaying the CVA message.

If the patient’s airway is obstructed and the patient attempts to breath, then the chest wall can move and create a respiratory signal even though no gas flow is occurring to the patient.

1.3.10.2 CO2 Waveform

When used with the mainstream CO2 analyzer the Passport may use the breath waveform to report the respiration rate by measuring the actual breaths per unit time. The advantage of the CO occur if the patient is actually breathing. The disadvantage to the CO2 waveform method is that intubation is required.

waveform method is that the signal is a direct result of respiration and can only

1.3.10.3 Respiration Monitoring on the Passport

1.3.10.3.1 Thoracic Impedance

1. Select the SET-UP menu.

2. Select WAVEFORM 3 and set to RESP (if waveform desired).

3. Select RESP SOURCE and set to ECG.

4. Press the END key (3).

1.3.10.3.2 CO2 Waveform (requires optional mainstream CO2)

1. Select the SET-UP menu.

2. Select WAVEFORM 3 and set to CO

3. Select RESP SOURCE and set to CO

4. Press the END key (3).

(if waveform desir ed).

1.3.11 Gas Monitoring

The Passport offers the Capnostat mainstream method of measuring respiratory rate and end tidal CO2. Capnostat requires a hardware option within the Passport Monitor. It utilizes a large lumen adapter which is placed directly into the endotracheal tube.

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1.3.11.1 Sequence for Establishin g Ca pnostat CO

1. Plug the CO2 sensor into the Passport connector. The “Sensor Warming Up” message i s

displayed.

2. Select CO2 as the Resp. Source in the Setup Menu.

3. Snap a clean airway adapter into the U-shaped sensor . Align the line on the bottom of

the adapter with the line on the bottom of the sensor.

4. Position the airway adapter between the endotracheal tube and the Y-piece of the

breathing circuit.

5. After the Passport has detected valid breaths, it will display numbers for ETCO

and Respiratory Rate.

6. Select the CO

waveform to be displayed on Waveform 2 or Waveform 3 using the

Setup Menu.

7. If desired the CO2 waveform scale can be changed by entering the CO2 menu. See

Section 1.3.4, “Use of Menus” for details.

8. The CO2 menu also has provisions for N2O and O2 compensation.

NOTE: See “User Configuration Mode” on page 53 for Barometric

NOTE: See “CO

Pressure and CO

Messages (only units equipped with Capnostat

)” on page 60 for more details on mes sages.

Units selection.

1.3.11.2 Adapter Calibration

Adapter calibration compensates for the optical differences between the adult and neonatal airway adapters.

, Inspired

Adapter calibration needs to be performed each time the type of airway adapter is switched. For example: if switching from using an adult to a neonatal or neonatal to an adult adapter a calibration is needed (not if switching from an adult adapter to another adult adapter). Adapter calibration shoul d also be performed if the message “Check Adapter” displays.

To perform an adapter calibration:

1. Place the sensor and airway adapter away from all sources of CO

(including the

patient’s and your own exhaled breath, and ventilator exhaust valves).

2. Choose Start Adapter Cal - Yes from the CO2 menu. (See “Use of Menus” on page 23.)

NOTE: If the monitor detects changing CO2 levels (breaths) during

an adapter calibration, an “ A dapter Cal Failure” message displays. Remove the source of CO calibration.

and repeat the

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1.3.11.3 Adapter Selection

Selection of an airway adapter is based on the diameter of the patient’s endotracheal tube. There are two sizes of airway adapters available:

• Adult Airway Adapter (P/N 0103-15-0003). For use on patients with endotracheal tube

diameters greater than 4.0 mm.

• Neonatal Airway Adapter (P/N 0103-15-0013). For use on patients with endotracheal

tube diameters less than or equal to 4.0 mm.

1.3.11.4 Use of Adult Airway Adapter

The adult airway adapter should be used when monitoring patients with endotracheal tube diameters greater than 4.0 mm.

1. Verify the windows are clean and dry. Clean or replace the adapter if necessary.

2. Snap the airway adapter into the Capnostat® sensor. Align the line on the bottom of the

airway adapter with the line on the bottom of the Capnostat®. Press the sensor and airway adapter together until they “click”.

3. If necessary, perform an adapter calibration. See “Adapter Calibration” on page 44.

4. Place the Capnostat® / airway adapter assembly between the elbow and the ventilator

circuit wye.

NOTE: For optimal results, DO NOT place the airway adapter

between the endotracheal tube and the elbow, as this may allow patient secretions to block the adapter windows.

Position the airway adapter with it’s windows in a vertical and NOT a horizontal position . This helps keep patient secretions from “pooling” on the windows.

To prevent “rain-out” and moisture from draining into the airway adapter, DO NOT place the airway adapter in a gravity dependent position.

To Patient

Adult Airway Adapter

Wye

To Ventilator

Cable Clip

CAPNOSTAT CO Sensor

Elbow

FIGURE 1-20 Adult Airway Adapter

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5. Check that the connections have been made correctly by verifying a proper CO2

waveform (capnogram) on the monitor display.

NOTE: The CO2 waveform is displayed by choosing CO2 as

Waveform 2 or 3 and the Resp. Source in the Setup menu

6. The sensor cable should face away from the patient. To secure the sensor cable safely

out of the way, attach the sensor cable holding clips to the airway tubing, then connect the sensor cable to the clips.

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1.3.11.5 Use of Neonatal Airway Adapter

The neonatal airway adapter should be used when monitoring patients with endotracheal tube diameters less than or equal to 4.0 mm.

1. Verify the windows are clean and dry. Clean or replace the adapter if necessary.

2. Snap the airway adapter into the Capnostat® sensor. Align the line on the bottom of the

airway adapter with the line on the bottom of the Capnostat®. Press the sensor and airway adapter together until they “click”.

3. If necessary, perform an adapter calibration. See “Adapter Calibration” on page 44.

4. Place the Capnostat® / airway adapter assembly between the elbow and the ventilator

circuit wye.

NOTE: Position the airway adapter with it’ s windows in a vertical

and NOT a horizontal position . This helps keep patient secretions from “pooling” on the windows.

To prevent “rain-out” and moisture from draining into the airway adapter, DO NOT place the airway adapter in a gravity dependent position.

To Patient

Neonatal Airway Adapter

To Ventilator

CAPNOSTAT CO Sensor

Wye

FIGURE 1-21 Pediatric Airway Adapter

For routine maintenance of airway adapter, separate the system between the endotracheal tube and the airway adapter. Lavage and suctioning of the airway can then be performed without fluids and mucous accumulating on the neonatal airway adapter window.

5. Check that the connections have been made correctly by verifying a proper CO2

waveform (capnogram) on the monitor display.

NOTE: The CO2 waveform is displayed by choosing CO2 as

Waveform 2 or 3 and the Resp Source in the Setup menu.

6. The sensor cable should face away from the patient. To secure the sensor cable safely

out of the way, attach the sensor cable holding clips to the airway tubing, then connect the sensor cable to the clips.

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1.3.11.6 CO2 Sensor Calibration Verification

Calibration can be verified at anytime and should be verified at least once a week. To verify calibration:

1. Verify the Passport is turned on and the Capnostat® is connected and warmed-up.

2. Place the Capnostat® sensor onto the REF (reference) cell. The reference cell is the one

farthest from the side of the monitor. The sensor cable should face away from the Passport.

3. The “Sensor on Reference Cal” message is displayed and the reference value is

displayed in the ETCO

window. The value should be between 36 and 40 Torr.

FIGURE 1-22 Reference Cell

1.3.11.7 CO2 Sensor Calibration

The Capnostat® CO2 sensor does NOT need to be calibrated at each monitor power up. Calibration of a sensor is required the first time a particular sensor is connected to a

particular monitor and when the monitor requests it. Once a sensor is calibrated, the Passport can be turned off and on, the sensor can be

unplugged and reconnected, without having to recalibrate. However, if a second sensor is connected in place of the original, the second sensor must be calibrated and if the original sensor is used again, it too will have to be recalibrated.

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To perform a Capnostat® sensor calibration:

1. Verify the Passport is turned on and the Capnostat® is plugged in and warmed-up.

2. Place the Capnostat® onto the ZERO cell.

3. The “Sensor on Zero Cell” message is displayed.

4. Select Start Zero Cal - Yes from the CO

menu. The “Zero Cal in Progress” message is

displayed. The "Zero Cal Complete" message is displayed when complete and a 0 value is displayed.

5. Remove sensor from the zero cell and place onto the airway adapter.

FIGURE 1-23 Zero Cell

1.3.12 Alarms

The Datascope Passport Monitor provides high and low alarm limits for heart rate (HR), systolic pressure (BP1/NIBP Sys), diastolic pressure (BP1/NIBP Dia), mean pressure (BP2 Mean), respiration rate, ETCO

, and SpO2. An alarm for apnea delay is also provided.

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1.3.12.1 Setting Parameter Alarm Limits

1. Using the UP p and DOWN q arrow keys (1) select ALARM from the menu window.

When ALARM is highlighted an ALARM MENU is displayed in the multi-function area. A sample of this alarm menu is shown in Figure 25.

FIGURE 1-24 Alarm Menu

2. Using the UP p and DOWN q arrow keys (1) and SELECT (2) keys (as described in

“Use of Menus” on page 23) set parameter limits as desired.

1.3.12.2 Alarm Limits

All of the alarm limits have an “OFF” position with the exception of low SpO2 and apnea in the neonate mode. A separate table of alarm limit settings are maintained for each patient size. When the patient size is changed the appropriate table is automatically used. See Table 1-9 on page 1-50 for alarm ranges.

TABLE 1-9 Alarm Limits

ALARM PARAMETERS

PARAMETERS ADULT PED/NEONATE ADULT

Heart Rate (bpm) Off, 100-250 Off, 100-250 Off, 30-100 Off, 30-100 IBP1 Sys (mmHg) Off, 70-240 Off, 40-180 Off, 5-130 Off, 5-130

Full Battery Symbol

Low Battery Symbol

IBP1 Dia (mmHg) Off, 40-130 Off, 50-100 Off, 5-90 Off, 5-50 NIBP Sys (mmHg) Off, 70-240 Off, 40-180* Off, 50-150 Off, 15-130 NIBP Dia (mmHg) Off, 40-130 Off, 50-100 Off, 30-120 Off, 10-50 IBP2 Mean

(mmHg)

(%) Off, 80-100 Off, 80-100 50*-99 50*-99

SpO

Resp Rate (rpm) Off, 30-200*+ Off, 30-200*+ Off, 5-50 Off, 5-50

* These alarm parameters may be set outside the accurate measurement range. Refer to the specifications,

Chapter 6, for accuracy ranges.

+ Respiration rate measureme nt range is limited to 2 - 150 rpm when Mainstream CO

source. Values above 150 rpm will be displayed as 150 rpm..

HIGH LO

PED/ NEONATE

Off, 5-150 Off, 5-100 Off, 2-100 Off, 2-50

is selected as the rate

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TABLE 1-9 Alarm Limits (Continued)

ALARM PARAMETERS

HIGH LO

PARAMETERS ADULT PED/NEONATE ADULT

Apnea Delay (sec)

Off, 20-100 Off, 5-60 O ff, 5-60 ETCO Off, 2-11 Off, 1-8 Off, 1-8 ETCO Off, 2.0-11.0 Off, 1.0-8.0 Off, 1.0-8.0

* These alarm parameters may be set outside the accurate measurement range. Refer to the specifications,

Chapter 6, for accuracy ranges.

+ Respiration rate measureme nt range is limited to 2 - 150 rpm when Mainstream CO

source. Values above 150 rpm will be displayed as 150 rpm..

NOTE: The alarm parameters that are highlighted in grey are

Off, 10-40 Off, 10-30 (Ped) /

available only in models that are equipped with the invasive pressure option.

The ETCO2 alarm is available only in models that are equipped with the CO2 option.

1.3.12.3 Alarm Violations

There are three types of alarm situations. They are Parameter Alarms, a Heart Rate Fault Alarm, and an Apnea Alarm.

NOTE: The heart rate alarm tone has a different pitch than other

alarms.

10 - 20 (Neo)

PED/ NEONATE

ETCO2 (Torr) Off, 20-80

(%) Off, 2-11

(kPa) Off, 2.0-11.0

is selected as the rate

A. Parameter Alarms

An alarm condition exists if the parameter is equal to or is outside the high/low limit range. When an alarm limit is violated, the following actions occur:

• The alarm LED (12) flashes.

• The alarm tone is sounded (unless it is muted with the MUTE key (14)).

• The recorder prints the currently selected waveform (if Record On Alarm is selected from

the Recorder menu).

NOTE: On the waveform printouts that are caused by alarm

situations, a bar is printed above the alarming area. On trend printouts, the value that has caused an alarm is printed with square brackets around it. If the recorder is printing a waveform and an alarm situation occurs, the currently printing waveform will be completed and then the alarm waveform printout will be printed.

• The violated parameter is displayed in reverse graphics in the parameter window.

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B. Heart Rate Fault Alarm

The Heart Rate Fault Alarm occurs if the selected heart rate source is no longer able to detect a heart rate. This may be due to an ECG lead fault, a problem with an SpO

sensor, or

various other reasons. This alarm is only active if a low heart rate limit is set. The alarm operation is the same as for a parameter alarm. The heart rate value will be dashes (“—-”) and inverted. A further message from a lead fault or SpO

fault may be present to help

diagnose the problem.

NOTE: Only the value displayed in the heart rate window is use d

to determine heart rate alarm conditions.

C. Apnea Alarm

The Apnea Alarm is active when the respiration function is enabled. The Apnea Alarm is violated when a breath is not detected for a longer period of time than the apnea delay specified in the Alarm Menu. The alarm operation is the same as for a parameter alarm.

D. General Alarms

• ALAR MS OFF - If alarms are not set on any one parameter, an alarm bell off symbol will

be displayed next to the numerical data for that parameter.

NOTE: Both the high and low alarm must be set for a particular

parameter for the bell symbol to go away.

• VOLUME KEY - Increases or decreases the intensity of the alarm.

• MUTE - Silences all currently alarming parameters for 2 minutes. Any new alarms that

occur, while an alarm tone is muted, will disable the mute and sound the alarm. An alarm mute symbol (a loudspeaker with a cross through it) is displayed next to each muted alarm. The word MUTE is displayed above the menu selections area during this time. The alarms may be suspended for 2 minutes by pressing and holding the MUTE key (14) for 3 seconds. Alarms suspended is indicated by displaying the alarm mute symbol in reverse graphics. The words ALL MUTE are displayed above the menu selections area during this time. When the Audio Alarm Standby mode has been enabled and the MUTE key (14) is pressed and held for 4 seconds, all alarms are indefinitely suspended. This is indicated by a flashing alarm mute symbol in all parameter windows and a flashing “AUDIO ALARM STANDBY” message is displayed above the menu selections. Press MUTE to activate alarms.

1.3.12.4 Battery Indicators

When the monitor is powered from the battery, a battery symbol will display. When the battery charge is low, but not below the cutoff voltage, the low battery symbol will

display and a beep is generated every 3 seconds.

NOTE: Approximately 15 minutes of operating time remains w hen

Battery recharge time is 16 hours.

NOTE: Recorder is not operational when the battery charge is low.

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the low battery symbol displays.

Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

1.3.13 How to Set the Clock

1. Enter the User Configuration Mode. (See Section 1.3.14.)

2. Use the UP p and DOWN q arrow keys (1) to select Date or Time in the User

Configuration Menu. Press the SELECT Key (2) to choose that menu item . The current choice is highlighted.

3. Use the UP p and DOWN q arrow keys (1) to select a new setting. Once the desired

choice is highlighted, press the SELECT key (2).

4. To save this setting press the SELECT key (2) and then the END key (3).

Repeat for each menu item that needs to change.

1.3.14 User Configuration Mode

The Trend Configuration, Time/Date, Temperature Scale, Heart Rate/SpO2 Size Select, Alarm Audio Delay, Audio Alarm Standby, Serial Output Type, and CO changed in the User Configuration Mode. This function is only available at power up and not during normal operation. The User Configuration Mode is accessed via a special power-up sequence.

settings may

To enter the User Configuration Mode:

1. Turn the POWER switch (34) ON.

2. After the “DIAGNOSTIC IN PROGRESS” message is displayed, press and hold the

FREEZE key (6) until a second beep is heard (approximately 2 seconds). The User Configuration Mode will display.

The operation of the menu system is the same as the operation of the menu system during normal operation (See Section 1.3.4). To access normal operation when u ser configuration is complete, either time-out (no Set-Up key pressed within 1 minute) or press the END (3) key for 3 seconds. The following table describes the User Configuration Mode menu structure:

TABLE 1-10 User Configuration Menu List

USER CONFIG. MENU MENU ITEM CHOICES

Date Year 0 to 99

Month 1 to 12 Day 1 to 31

Time Hours 0 to 23

Minutes 0 to 59

Trend Trigger Alarms, NIBP*, Interval, NIBP and

Interval 1, 2.5, 5*, 10, 20, 30, 60, 120

Temperature Scale Fahrenheit, Centigrade CO

Barometric Pressure 500 to 800 mmHg

Units TORR, kPa**, %

Interval, I n terval and Alarms, Interval and NIBP, Interval and NIBP and Alarms

mins.

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TABLE 1-10 User Configuration Menu List

USER CONFIG. MENU MENU ITEM CHOICES

HR SpO2 Size Size Change HR Large/SpO2 Small, HR Small/

Alarm Audio Delay Delay Off*, 4, 6, 8 sec. Audio Alarm

Standby Serial Output Type Protocol VISA*, ACCUTORR, Message,

Function Off*, On

SpO

DIAP

Large*

For a graphic representation of the configuration menus see sections 1.3.19.11 through

1.3.19.19.

* Factory default settings. ** kPa is not available when VISA is selected as the serial output type.

The Trend Trigger setting is what causes new data to be stored in the trend memory. It may be set to trigger whenever there is an alarm, an NIBP measurement is performed, the trend timer expires (interval), or may be set to trigger at any combination of these items. The trend interval is only used when trend is triggering on interval, and it is used to set the time between interval triggers. The trend interval is independent of the NIBP interval.

The temperature scale can be changed between Fahrenheit and Centigrade. The HR SpO2 size change option allows the user to select a large SpO2 reading compared

to HR or vice versa. The Alarm Audio Standby allows the user to enable (or disable) this feature (see section

3.13.3). The Serial Output Type allows the user to select the communication protocols for interfacing

with other specialized equipment: VISA, ACCUTORR (sends data the same way as an ACCUTORR), message (for diagnostic purposes) with the Passport Monitor.

Once the unit is in the User Con figuration Mode, the time and/or date can be changed using the set-up keys as described in Section 1.3.4, “Use of Menus”.

1.3.15 Recorder (optional)

The Datascope Passport Recorder can provide a permanent record of a patient’s: systolic pressure, diastolic pressure, mean pressure, heart rate, SpO temperature. It is a two trace thermal strip chart recorder with an integral paper spool. The recorder uses plain white thermal paper 5 cm wide (see Section 4.7 for replacement instructions).

All grid patterns and data are printed by the recorder.

, CO2, respiration and

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1.3.15.1 Operation of Printer

1. Using the UP p and DOWN q arrow keys (1) select RECORDER from the main menu.

When RECORDER is highlighted a RECORDER MENU is displayed in the multi-function area. A sample of this menu is show below.

FIGURE 1-25 Recorder Menu

2. Press SELECT (2) to enter the RECORDER MENU.

3. Using the UP p and DOWN q arrow keys (1) and SELECT (2) keys (as described in

“Use of Menus” on page 23) set the desired waveforms or trend to be printed.

4. Press RECORD (19) to initiate a printing or stop a printing when one is in progress.

When RECORD (19) is pressed to initiate a printing, a 16 second strip is printed. The 16 second strip consists of 8 seconds of prior and 8 seconds of post waveform from when RECORD (19) is pressed. If a continuous printing is required, press and hold RECORD (19) for 3 seconds (until a beep is heard). Press RECORD again to stop a real time printing.

NOTES:

• When the ECG is frozen and RECORD (19) is pressed, the recorder prints the frozen

displayed ECG.

• If the RECORD key (19) is pressed for 3 seconds while the ECG is frozen, the recorder

prints a continuous real-time ECG waveform.

• If the RECORD key (19) is pressed while List Trend is displayed (and the ECG waveform is

not frozen), the recorder prints the list trend report.

• See Section 4.7, in the Operating Instructions, of paper installation.

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Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

1.3.15.2 Printer Formats Single waveform format:

ECG and pleth waveforms are automatically positioned in the center of the chart paper. Invasive pressure and respiration waveforms are relative to the lower border. The four centimeter waveform area has a grid pattern printed as follows: 100% darkness on 1 cm grid with 50% darkness on 2 mm grid.

The upper and lower borders have the date, time and physiologic parameters currently available as well as the ECG size and lead configuration the recorder is printing. All parameters include their units.

FIGURE 1-26 Sample Printout, Single Waveform

Two waveforms separate field format:

The two waveforms are printed in a separate field format with two centimeters assigned to each waveform. The waveforms do not overlap. Grids are printed as for one waveform.

The upper and lower borders are printed as for the single waveform.

FIGURE 1-27 Sample Printout, Two Waveform

Trend list format:

The list trend data is printed with text running along the length of the strip. If more than one page of data is available then all additional pages are printed along the length of the strip.

1 - 56 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

FIGURE 1-28 Sample Printout, Trend List Format

NOTE: On waveform printouts that are caused by alarm situations

(Record on Alarm must be selected YES in the Recorder menu), a bar is printed above the alarming area. On trend printouts and in annotations, the value that has caused an alarm is printed with square brackets around it. If the recorder is printing a waveform and an alarm situation occurs, the currently printing waveform will be completed and then the alarm waveform printout will be printed.

NOTE: IBP1 and IBP2 data is printed only when models are

equipped with the invasive press ure option.

1.3.16 Status Messages

The monitor uses the Message Display Area to provide messages to the user relating to monitor status. The following lists these messages and a description of the message. The messages are grouped by function.

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 1 - 57

Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

1.3.16.1 NIBP Measurement Messages

MESSAGE REASON SOLUTION

NIBP: IDLE Displayed while system is idle. Press START to take a single

NIBP: DEFLATE Displayed while the timer

mode is stopped, usually by pressing the DEFLATE key.

NIBP: INTERVAL Displayed in the interval

between two timed measurements.

NIBP: INITIALIZING The NIBP system is being

initialized.

NIBP: FAILURE The NIBP system has detected

a potential error.

NIBP:MEASURING C UF F Displaye d during a

measurement to show the cuff pressure.

NIBP:RETRY MOTION Measurement has been

attempted but no reading was possible due to detec ted motion and the retry limit has not been reached.

NIBP:RETRY PUMP HIGHER A measurement has been

attempted but no reading was possible due to pulse detection at highest cuff pressure and the retry limit has not been reached.

NIBP:RETR Y A measurement has been

attempted but no reading was possible.

NIBP:UNABLE TO MEASURE* An unsuccessful measurem ent

cycle has been completed.

NIBP:CUFF OVERPRESSURE The internal hardware cuff

pressure check valve has been tripped.

measurement. Press INTERVAL to select an interval and start timed measurements.

Press START to take an immediate measurement and resume timed measurements.

Press DEFLATE to suspend timed measurements. Press INTERVAL to ch ang e timer to OFF to stop timer.

Wait until initialization is complete, indicated by NIBP: IDLE message. Initialization may take up to 3 minutes from power up.

Power cycle unit . If me ssage reappears, call Service.

Press DEFLATE to suspend a measurement and deflate the cuff.

Retry will be attempted. Have patient remain still.

Retry will be attempted. Check that appropria te patient size is se t . Pr es et initial inflation pressure.

Retry will be attempted. Check for leaks and qual ity of peripheral pulses . Decrease patient movement. Switch cuff to anot her limb.

Switch cuff to anot her limb. Decrease patient movement. Press START to retry. Be prepared to auscultate BP manually.

Power cycle unit . If me ssage reappears, call Service.

• Always have an alternate method of BP verification available.

• On vasoconstricted patients, failure to evacuate air from the cuff can distort BP

measurement.

• Do not place cuff on extremity that has an IV.

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Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

• Arm should be at heart level.

* The presence of arrhythmias may increase the time required to complete a measurement and may extend

this time to a point where a measurement cannot b e com p le te d.

1.3.16.2 SpO2 Messages

MESSAGE REASON SOLU TION

NO SENSOR No sensor is conn ecte d to the mon itor. Attach sensor cable to

SpO

SENSOR OFF Senso r may no t be connec ted to the

SpO

patient.

INTERFERENCE Noise detected on the pulse signal

SpO

prevents pulse discrimi nati on.

PULSE SEARCH Hardware settings are being adjusted in

SpO

order to discriminate a pulse waveform.

WEAK PULSE Detected patient pulse is margina l. Change site.

SpO

NO PULSE No detectable pulse is measured.

SpO

CHECK SpO

SpO

SENSOR Insufficient light is received by the sensor

detector, or the sensor has a malfunction.

PR UNDER 30 Detected pulse rate is below thir ty be ats

per minute.

PR OVER 250 Detected pulse rate is ab ove 250 beats

SpO

per minute.

UNCALIBRA TED Detec t ed SpO2 falls below calibrated

SpO

SYSTEM CHECK Self tes t is being performed. Wait for completion of

SpO

FAILURE ROM ch ecksum fail. RAM tes t fail. Filter

SpO

range.

mismatch. Offset mismatch.

the monitor. Check patient

connection. Decrease patient

motion, check sensor. Change to site where

pulse is stronger if patient is vasoconstricted. Change or readjust sensor if loose.

Check alignmen t of emitter and detector or change sensor.

Check patient status. Check alignmen t of sensor. Reapply sensor.

Check patient status. Decrease patient motion. Reapply sens or.

Check patient status. Check sensor.

self test. Power cycle unit. If

message reappe ars, call Service.

The following messages pertain to Nellcor SpO2 Operation.

MESSAGE REASON SOLUTION

SpO

SYSTEM CHECK

SpO

SENOSR

PULSE

SpO

PULSE

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 1 - 59

Self test is being performed. Wait for completion of

self test.

No sensor is connected to the monitor. Attach sensor cable to

the monitor.

Hardware settings are being adjusted in order to discriminate a pulse wavef or m .

Change to site where pulse is stronger if patient is vasoconstricted. Change or readjust sensor if loose.

No detectable pulse is measured.

Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

MESSAGE REASON SOLUTION

SpO2 FAILURE ROM checksum fail. RAM test fail.Filter mismatch.

Offset mismatch.

SpO

DIAGNOSTIC S

Passport is in Nellcor Diagnostics Mode. Wait for completion of

Power cycle unit. If message reappe ars, call Service.

diagnostics.

• Adm inistration of certain vasoconstrictive drugs, i.e. norepinephrine, may reduce

peripheral perfusion to a level that prevents SpO

measurements.

• Arterial compression, tricuspid regurgitation, or irregular heart rhythms may reduce

perfusion and prevent SpO2 measurement.

• Intra-vascular dyes, depending on concentration, may affect SpO

measurements.

1.3.16.3 Recorder Messages (only units equipped with recorder)

MESSAGE REASON SOLUTION

RECORDER DOOR OPEN The door of the record er is not closed. Close recorder door. RECORDER PAPER OUT The roll of recorder paper is used up. Replace with a new roll

of paper.

1.3.16.4 CO

Messages (only units equipped with Capnostat CO2)

MESSAGE REASON SOLUTION

: INITIALIZI NG This message usually ap pears at power

: NO SENSOR No CO2 sensor is connected to the

: SENSOR

WARMING UP

:CHECK ADAPTER The CO2 sensor is not correctly placed on

: CHECK SENSOR The CO2 sensor is out of calibration or

up. The CO and is performing internal self tests prior to operation.

monitor.

The CO2 sensor has not reached i ts operating temperature. Either the monitor was just turned on or the senso r wa s recently plugged in or the sensor was removed from the adap ter or calibration cells.

the airway adapter or a different type of airway adapter has been connected or the adapter is dirty or damaged.

damaged.

subsystem has bee n re set

W ait for t he m ess age t o go away. It takes about 15 seconds for the CO subsystem to initialize.

Attach the CO2 sensor to the CO (30).

W ait for t he m ess age t o go away. It takes up to five minutes for the sensor to

Check the instal lation and condition of the airway ad ap ter. Clean or replace the adapter if necessary. An adapter calibration should be performed if the message persis ts. This is accessed through the CO

A zero calibration should be performed if the message pers ists. This is accessed through the CO

menu.

connector

menu.

1 - 60 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

MESSAGE REASON SOLUTION

CO2: SENSOR ON REFERENCE CELL

: SENSOR ON

ZERO CELL

The CO2 sensor is positioned on the reference cell. This is located on the sensor cable adjacent to the connector. The

reading should range from 36 to

ETCO

40 Torr when on this cell. The CO2 sensor is positioned on the zero

cell. This is located on the sensor cable adjacent to the connector. The ETCO reading shoul d be 0 when on this cell.

The sensor should be removed from the reference cell and placed back on the airway ad ap ter.

After completing the calibration, the sensor should be removed from the zero cell and pl aced back on the airwa y adapter.

: ZERO CAL IN

PROGRESS

The CO2 sensor is placed on the zero cell and a CO for the zero calibration to complete. Zero

calibration is in progress.Wait

:ADPTER CAL IN

PROGRESS

calibration takes less than 30 seconds.

:ADPTER CAL IN

PROGRESS

A CO2 adapter calibration has bee n requested and is in progress.

Wait for the adapter calibration to compl ete . Adapter cal takes less than 30 seconds.

: ZERO CAL

FAILURE

: ADAPTER CAL

FAILURE

: CAL F AILED -

INSERT ZERO CELL

The zero calibrati on was not completed successfully. The zero calibration may have been requested when the sensor had not completed warming up.

The adapter calibration was not completed succ essfully. The adapter calibration may have been re que ste d when the sensor had not completed warming up or the sens or wa s not correctly installed on the ai rway adapter.

A zero calibrat ion was attempted while the sensor was not attached to the zero cell.

Wait for the unit to complete warming up. Repeat the zero calibration.

Wait for the unit to complete warming up or check the instal lation of the sensor on the airway adapter. Repeat the adapter calibration.

Attach the sensor to the zero cell and repeat the zero calibration. The zero cell is located on the sensor cable adjacent to the connector.

: CAL F AILED -

INSERT ADAPTER

An adapter cal ibration was attempted while the sensor was attached to the zero or reference cell.

Remove the sensor from the zero or referen c e cell and attach it to the air-way adapter. Repeat the adapter cal.

: ZERO CAL

COMPLETE

The zero calibration has been su ccessfully completed.

Remove the CO2 sensor from the zero cell and place back on the adapter to continue monitoring.

: ADAPTER CAL

COMPLETE

The adapter calibrat io n has been successfully completed.

Normal operat ion. The message is removed after a few seconds.

: FAILURE The CO2 subsystem has failed. Cycle the power on the

monitor to determine if the problem pe rsists. If the message returns then the unit needs to be serviced.

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 1 - 61

Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

1.3.16.5 Monitor Operation Messages

The following messages pertain to the operation of the monitor.

MESSAGE REASON SOLUTION

DIAGNOSTICS IN PROGRESS

SELF TEST COMPLETE

Poor electrode site preparation. Excessive cautery (ESU) noise.

LEAD FAULT Lead off of patient. Check electrodes / leads. INTERFERENCE Poor electrode site preparation.

ARTIF ACT A 50 or 60 Hz noise is detected on the

Self test is being performed. Wait for completion of se lf- te st. S ee

Diagnostics OK. ESU INTERFERENCE

Excessive high frequency noise. Check site; rearrange electrodes.

Improper lead selection.Excessive 50 or 60 Hz noise.Wrong 3-Lead cable may be in use.*

ECG waveform. The displayed heart rate may not be correct.

Section 3.1.

Change electrodes. Use ECG cable with choke.

Check site. Change L ead selection. Use proper ECG cable.

* See section 1.3.6 for more details on ECG cable s.

1.3.17 Monitor Problem Solving

This guide is provided to establish the possible causes and solutions to some monitoring problems.

PROBLEM REASON SOLUTION

No trace for a desired parameter

Wandering ECG -Respiration artifact. -Try a different base line lead

Noisy ECG trac es -Loose or dry electrodes.

Low Amplitude ECG

Excessive Electrosurgical Interference

AC Noise -Gain set too high (set through SIZE key).

Intermittent Signal -Connections not tight and properly

-Improper attachment of transducer to monitor.

-Faulty transducer.

-Defective el ectrode wires.

-Patient cable or leads are routed too close to other electri ca l dev i ces.

-Electrode could be positioned over a bone or muscle mass.

-Inadequate skin prep prior to applicatio n of electrode.

-Electrodes dry.

-Patient cable entwined with cables of other electrical devices.

secured.-Electr odes dry.

-Cable or lead wires dam a ge d.

-Check transducer connection.Try a different transducer.

configuration.

-Apply new electrod es .-Replace wires as necessary.

-Eliminate 60Hz interference.

-Use ECG cabl e w it h built-in filter block.

-Reposition electrodes.

-Press ECG SIZE key.

-Repeat skin p rep an d elec trode placement pro c edures.-Add additional gel to electrodes.

-Readjust as necessary.

-Re-prep skin and apply fresh, moist electrodes.

-Separate patient cable from all other cables.

-Ensure proper connection. (Electrode to lead, lead to cable, cable to monitor.)

-Re-prep skin and apply fresh moist electrodes.

-Check with continuity t est er.

1 - 62 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

PROBLEM REASON SOLUTION

Excessive alarms: heart rate, lead fault

Low Amplitude ECG Signal

Trace Not Moving -F R EE Z E ke y m ay h ave been pressed. - P ress the FREEZE key to

Temperature Probes not Working

Display Appears to be Off

Disabled Alarm Tone , QRS Tone, or Other Function

ECG Base Line With No Waveform

Base Line Wander -Patient moving excessively.

Damped Invasive Waveform

Recorder Report Appears Totally Blank

Resp. Waveform Too Large

Resp. Waveform Too Small

-Electrodes dry.

-Alarm limits set too close to patient’s normal heart rate.

-R-wave wrong si ze .- E x c es si v e patient movement or muscle tremor.

-Gain set too low. (Set through SIZE key. )

-Skin improperly prepared.

-Possibly not patient’s normal complex.

-Electrode could be positioned over a bone or muscle mass.

-Poor contact from probes to body. Check the body surface contact

-Mains power sw itch may not be on.-Unit may not be plugged into an AC outlet.

-If used as a portable, battery pack may be drained.

-Mute key pressed.

-Beep volume low.

-Gain control not set high enough. Set through SIZE key.

-Lead wires and patient cable not fully inserted into proper receptacle.

-Cable or lead wires dam a ge d.

-Patient’s respiration.

-Electrodes dry.

-Static build up around patient.

-Air bubbles in tubing.-Kinked catheter.

-Catheter against will of blood vessel.

-Blood in tubing.

-Thermal paper may be ins talle d incorrectly. (up-side down)

-Scales set inapprop ri ate ly. -Change scale via me nu.

-Patient br eathing shallo w or turned on side.

-Scale set inappropriately.

-Re-prep skin and apply fresh, moist electrodes.

-Readjust.

-Must be twice the amplitude of other part of waveform.

-Reposition electrodes and secure with tape if necessary.

-Readjust as required.

-Abrade skin.

-Check with 12 lead electrocardiogram.

-Reposition electrodes.

unfreeze the trace.

at the probe tip. Reposition or apply thermoconductive gel.

-Check main s power switch on side panel.

-Check power cord (Is it plugged in?).

-If battery pack is drained, plug into an AC outlet to recharge the battery. A period of 16 hours is require d for a full charge.

-Check for alarm mute symbol.

-Increase beep volume.

-Readjust as required.

-Check insertion.

-Check with lead continuity tester.

-Secure lead wi res an d ca bl e t o patient.

-Reposition electrodes.

-Re-prep skin and apply fresh moist electrodes.

-Check with hospital engineer.

-Eliminate air from tubing.

-Slightly alter position of catheter.

-Check for leaks at connector.

-Pump pressure bag up to 300 mmHg.

-Remove paper and re-install with paper fee ding off of the spool from the bottom.

-Change lead position to better detect respira tions.

-Change scale.

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 1 - 63

Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

PROBLEM REASON SOLUTION

False Apnea Alarm

“CK Lead” Message

“CVA” Message -Can be caused by shallow breathing or an

No Resp. Waveform or Rate Displayed

Waveform Acquisition F ai l u re

-Apnea delay may be improperly set.

-Patient may be having frequent episodes of CVA.

-Scale size may be too low .

-Due to increased impedance.

-Chest hair under electrodes.

-Dried electrode gel.

-Electrode off.

-Lead off.

-Cracked lead wires

-Poor skin prep.

apnea event.

-Patient not connected to a patient safety cable.-Respiration parameter is “OFF”.

-Patient connected using Patient ESIS Choke/Cable.

-Front End Failure

-External Supply Failure-+12/-23 Volt Board Failure

-CPU Board Failure Interface Boar d F ailure (optional)

-CO

-Choose another apn ea delay.

-Reposition electrodes to better detect respira tions.

-Prep chest.

-Change elec trodes.

-Replace el ec t rode.

-Replace lead.

-Replace lead wires .

-Clean and abrade skin before applying electrodes.

-Check the patient - adjust scales or leads if nec es sa ry.

-Turn respiration on (“OFF” will be displayed in resp. window).Check that proper patient cable is used.

-Use 3-lead Patient Cable - non ESIS. (See Accessories, section

5.1.)

-Replace Front End Board.

-Check External Supply Output voltage.

-Replace F1 fuse on +12/-23 Volt Board.

-Replace CPU Board.

-Replace CO

Interface Board

1.3.18 Connection to External Devices

The Passport provides a high level ECG waveform output from the J1 connector (33). The output specifications are listed in section 6.1.

CAUTION: It is the users responsibility to confir m co rrect operation of

1.3.19 Menus

This section contains all the menus used in the Passport. A sample of each menu with each menu item highlighted is provided. For each menu item highlighted, the Choices bar indicates the available selections. The menu Instructions bar indicates the available actions to take. See “Use of Menus” on page 23 for detailed instructions on menu operation.

1 - 64 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

1.3.19.1 Patient Menu

Size: Changing the patient size will adjust the Passport for monitoring adults, pediatrics or neonates. The alarm limit selections will change accordingly. The Passport displays the patient size in the menu display area.

Clear Trend Memory: Choosing “Yes” deletes all the stored trend data. Pacer Enhancement: Set to ON to display the pacer signal as a full scale square wave.

CHANGE PATIENT

Size: Clea r trend memory: Pacer Enhancement:

Choices: ADULT, PED, NEO

= Adjust valve

SELECT = Enter/move

Adult

No OFF

END = quit

CHANGE PATIENT

Size: Clear trend memory: Pacer Enhancement:

Choices: Yes, No

= Adjust val ve

SELECT = E nter /mov e

CHANGE PATIENT

Size: Clear trend memory: Pacer Enhancement:

Choices: enhance ON/OFF

= Adjust val ve

SELECT = E nter /mov e

FIGURE 1-29 Patient Menu

Adult

OFF

END = quit

Adult No

OFF

END = quit

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 1 - 65

Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

1.3.19.2 Set-up Menu

Speed: Sets the speed of the ECG and IBP waveforms. Resp Speed: Sets the speed of the Respiration waveform. Waveform 2/3: Set the type of waveform to display. Resp Source: Set which source will be used for the Respiration information. Powerup settings: Select save current to keep all configured items for the next time the

Passport is powered on. Select restore factory to return to the factory default settings.

CHANGE SET-UP Waveform 2: Waveform 3: Auto Display IBP1:

Auto Display IBP2:

Auto Display CO2:

Powerup settings: Choices: IBP1, Casc, ECG, Pleth, Resp,

CO2

= Adjust valve

SELECT = Enter/move

CHANGE SET-UP Waveform 2:

Waveform 3: Auto Display IBP1: Auto Display IBP2: Auto Display CO2: Powerup settings:

Choices: IBP1, IBP2, Pleth, Resp, CO2

= Adjust valve

SELECT = Enter/move

CHANGE SET-UP

Waveform 2:

Waveform 3: Auto Display IBP1: Auto Display IBP2: Auto Display CO2: Powerup settings:

Choices : W a ve f o rm 2, Waveform 3, Of f

IBP1

PLETH Waveform 2 Waveform 3 Waveform 3

No change

EXIT = quit

IBP1

PLETH

Waveform 2 Waveform 3 Waveform 3

No change

EXIT = quit

IBP1 PLETH

Waveform 2

Waveform 3 Waveform 3

No change

CHANGE SET-UP Waveform 2: Waveform 3: Auto Display IBP1:

Auto Display IBP2:

Auto Display CO2:

Powerup settings: Choices: Waveform 3, Off

= Adjust valve

SELECT = Enter/move

CHANGE SET-UP Waveform 2:

Waveform 3: Auto Display IBP1: Auto Display IBP2: Auto Display CO2: Powerup settings:

Choices : W a ve f o rm 2, Waveform 3, Of f

= Adjust valve

SELECT = Enter/move

CHANGE SET-UP

Waveform 2:

Waveform 3: Auto Display IBP1: Auto Display IBP2: Auto Display CO2: Powerup settings:

Choices: no change, save, restore

IBP1 PLETH Waveform 2

Waveform 3

Waveform 3 No change

EXIT = quit

IBP1 PLETH Waveform 2 Waveform 3

Waveform 3

No change

EXIT = quit

IBP1 PLETH Waveform 2 Waveform 3 Waveform 3

No change

= Adjust valve

SELECT = Enter/move

EXIT = quit

= Adjust valve

SELECT = Enter/move

EXIT = quit

FIGURE 1-30 Set-up Menu

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Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

1.3.19.3 Recorder Menu

Wave Selection: Set the waveform or waveforms to be printed. Record on Alarm: Set to ON for a recording to be printed each time an alarm situation

occurs. Record Destination: Set where the print out will occur. Local - from the Passport, Remote -

from the Visa, Both - from both the Passport and the Visa.

CHANGE RECORDER

Wave Selection: Record on Alarm: Record Destination

ECG, Pleth , Res p, EC G & IB P1 , EC G & IBP2, IBP1 & IBP2, CO2, E CG & RESP

= Adjust valve

SELECT = Enter/move

ECG

No Local

END = quit

CHANGE RECORDER

Wave Selection: Record on Alarm: Record Destination

Choices: Yes, No

= Adjust valve

SELECT = Enter/move

CHANGE RECORDER

Wave Selection: Record on Alarm: Record Destination

Choices: Local, Rem ote, B oth

= Adjust valve

SELECT = Enter/move

FIGURE 1-31 Recorder Menu

ECG

Local

END = quit

ECG No

Local

END = quit

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 1 - 67

Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

1.3.19.4 Alarm Menu

The alarm menu provides access to change the settings for all available parameter alarms.

CHANGE ALARMS

HR: SpO2: IBP1 Sys: IBP1 Dia: NIBP Sys: NIBP Dia: IBP2 Mean: Respiration: Apnea Delay: ETCO2:

Low: OFF, 30-100 High, OFF, 100-25 0

SELECT = Enter/move

CHANGE ALARMS

HR: SpO2: IBP1 Sys: IBP1 Dia: NIBP Sys: NIBP Dia: IBP2 Mean: Respiration: Apnea Delay: ETCO2:

Low: 50-99 High, OF F, 85-10 0

SELECT = Enter/move

CHANGE ALARMS

HR: SpO2: IBP1 Sys: IBP1 Dia: NIBP Sys: NIBP Dia: IBP2 Mean: Respiration: Apnea Delay: ETCO2:

Low: OFF, 5-130 High, OFF, 70-240

SELECT = Enter/move

High

Low

OFF

OFF OFF

OFF

OFF OFF

OFF

= Adjust valve

Low High OFF

OFF

OFF OFF

OFF

OFF OFF

OFF

= Adjust valve

High

Low OFF

OFF

OFF OFF

OFF

OFF OFF

OFF

= Adjust valve

BPM %

mmHg mmHg mmHg mmHg mmHg RPM sec

EXIT = quit

BPM %

mmHg mmHg mmHg mmHg mmHg RPM sec %

EXIT = quit

BPM % mmHg mmHg mmHg mmHg mmHg RPM sec %

EXIT = quit

CHANGE ALARMS

HR:

SpO2:

IBP1 Sys:

IBP1 Dia:

NIBP Sys:

NIBP Dia:

IBP2 Mean:

Respiration:

Apnea Delay:

ETCO2:

Low: OFF, 5-9 0 High, OFF, 4 0 -130

SELEC T = Enter/move

CHANGE ALARMS

HR:

SpO2:

IBP1 Sys:

IBP1 Dia:

NIBP Sys:

NIBP Dia:

IBP2 Mean:

Respiration:

Apnea Delay:

ETCO2:

Low: OFF, 50-150 High, OFF, 70-240

SELEC T = Enter/move

CHANGE ALARMS

HR:

SpO2:

IBP1 Sys:

IBP1 Dia:

NIBP Sys:

NIBP Dia:

IBP2 Mean:

Respiration:

Apnea Delay:

ETCO2:

Low: OFF, 30- 1 20 Hi g h, OFF, 40-130

SELEC T = Enter/move

Low OFF

85 OFF

OFF

OFF OFF OFF OFF OFF OFF

= Adjust valve

Low OFF

85 OFF OFF

OFF

OFF OFF OFF OFF OFF

= Adjust valve

Low OFF

85 OFF OFF OFF

OFF

OFF OFF OFF OFF

= Adjust valve

High

OFF OFF OFF OFF OFF OFF OFF OFF

OFF

High

OFF OFF OFF OFF OFF OFF OFF OFF

OFF

High

OFF OFF OFF OFF OFF OFF OFF OFF

OFF

EXIT = quit

BPM % mmHg mmHg mmHg mmHg mmHg RPM sec %

FIGURE 1-32 Alarm Menu

1 - 68 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

Alarm Menu Continued

CHANGE ALARMS HR:

SpO2: IBP1 Sys: IBP1 Dia: NIBP Sys: NIBP Dia: IBP2 Mean: Respiration: Apnea Delay: ETCO2:

Low: OF F , 2-1 0 0 High, OFF , 5 -15 0 SELECT = Enter/move

Low OFF

85 OFF OFF OFF OFF

OFF

OFF OFF OFF

= Adjust valve

High OFF

OFF OFF OFF OFF OFF OFF OFF

OFF

BPM % mmHg mmHg mmHg mmHg mmHg RPM sec

EXIT = quit

CHANGE ALARMS HR:

SpO2: IBP1 S y s: IBP1 Dia: NIBP Sys: NIBP Dia: IBP2 Mean: Respiration: Apnea Delay: ETCO2:

Range: OFF, 10-40 SELECT = Enter/move

Low OFF

85 OFF OFF OFF OFF OFF OFF

OFF

= Adjust valve

High OFF

OFF OFF OFF OFF OFF OFF OFF

OFF

BPM % mmHg mmHg mmHg mmHg mmHg RPM sec %

EXIT = quit

CHANGE ALARMS HR:

SpO2: IBP1 Sys: IBP1 Dia: NIBP Sys: NIBP Dia: IBP2 Mean: Respiration: Apnea Delay: ETCO2:

Low: OF F , 5-5 0 High, OF F, 3 0 -2 00 SELECT = Enter/move

FIGURE 1-33 Alarm Menu

1.3.19 .5 NIBP Me nu

Start Pressure - Change the start pressure to affect the pump up pressure of the NIBP cuff. The range shown is for the adult patient size. The rang e fo r pediatrics is 60-180 mmHg , an d t he range for neonates is 40-120 mmHg.

Start P ressure:

Range: 100-260 m m Hg

= Adjust valve

SELECT = Enter/mo ve

High

Low OFF

OFF OFF

OFF OFF OFF OFF OFF OFF

OFF

BPM % mmHg mmHg mmHg mmHg mmHg RPM sec

EXIT = quit

85 OFF OFF OFF OFF OFF

OFF

OFF OFF

= Adjust valve

CHANGE NIBP

CHANGE ALAR MS

HR: SpO2: IBP1 Sys: IBP1 Dia: NIBP Sys: NIBP Dia: IBP 2 Mean: Respiration: Apnea Delay: ETCO2:

Low: OFF, 2-11 High, OFF, 1-8

SELECT = Enter/move

180 mmHg

EXIT = quit

Low OFF

85 OFF OFF OFF OFF OFF OFF

OFF

= Adjust valve

High OFF

OFF OFF OFF OFF OFF OFF OFF

OFF

BPM %

mmHg mmHg mmHg mmHg mmHg RPM sec %

EXIT = qu it

FIGURE 1-34 NIBP Menu

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 1 - 69

Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

1.3.19.6 IBP Menu

IBP1 Scale, IBP2 Scale - Sets the full scale value of the display.

CHANGE IBP

IBP1 Scale: IBP2 Scale:

Choices: 37.5, 75, 150, 300 mmHg

= Adjust valve

SELECT = Enter/mo ve

CHANGE IBP

IBP1 Scale: IBP2 Scale:

Choices: 37.5, 75, 150, 300 mmHg

= Adjust valve

SELECT = Enter/mo ve

150 mmHg

mmHg

37.5

EXIT = quit

150 mmHg

mmHg

37.5

EXIT = quit

FIGURE 1-35 IBP Menu

1.3.19.7 Resp Menu

Scale - Sets the scale of the Resp waveform.

Scale: Choices: 1, 2, 3, 4, 5

= Adjust valve

SELECT = Enter/move

FIGURE 1-36 Resp Menu

1.3.19.8 HR Menu

Source - Select which sour ce is used for the heart rate reading. The Auto selection uses a built in algorithm to automatically choose the strongest heart rate source.

Source:

C h o ice s : Auto, ECG, IBP1, S p O2

= Adjust valve

SELECT = Enter/move

CHANGE RESP

END = quit

CHANGE HR

AUTO

END = quit

FIGURE 1-37 HR/ECG Menu

1 - 70 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

1.3.19.9 SpO2 Menu / Nellcor SpO2 Menu

Pleth Size - Sets the scale of the plethysmograph waveform. Mode - Sets the scale of the plethysmograph waveform on units with Nellcor.

CHANGE SPO2 Pleth Size: Choices: 1, 2, 3, 4

= Adjust valve

SELECT = Enter/move

Mode: Choices: 1, 2, 3

= Adjust valve

SELECT = Enter/move

FIGURE 1-38 SpO

1.3.19.10 CO2 Menu

CO2 Scale - Select the size of the displayed CO2 waveform. Start Zero Calibration - Select Yes to initiate the calibration of the sensor. Start adapter cal - Select Yes to initiate the calibration of the airway adapter with the sensor. N

O Compensation - Select ON to compensate for interference caused by nitrous oxide

present in the gas being analyzed.

END = quit

CHANGE SPO2

END = quit

O2 Compensation - Select ON to compensate for interference caused by oxygen present in the gas being analyzed.

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 1 - 71

Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

CO2 Scale: Start Zero Calibration: Start adapter cal: N2O Compensation: O2 Compensation:

Choices: 5, 8, 12 %

SELECT = Enter/mo ve

CO2 Scale: Start Zero Calibration: Start adapter cal: N2O Compensation: O2 Compensation:

Choices: Yes, No

SELECT = Enter/mo ve

CO2 Scale: Start Zero Calibration: Start adapter cal: N2O Compensation: O2 Compensation:

Choices: Yes, No

SELECT = Enter/mo ve

CHANGE CO2

= Adjust valve

CHANGE CO2

= Adjust valve

CHANGE CO2

= Adjust valve

0-8%

No No OFF 21%

EXIT = quit

0-8%

No OFF 21%

EXIT = quit

0-8% No

OFF 21%

EXIT = quit

CO2 Scale: Start Zero Calibration: Start adapter cal: N2O Compensation: O2 Compensation:

Choices: ON, OFF

SELECT = Enter/move

CO2 Scale: Start Zero Calibration: Start adapter cal: N2O Compensation: O2 Compensation:

Range: 0 - 100 %

SELECT = Enter/move

CHANGE CO2

= Adjust valve

CHANGE CO2

= Adjust valve

0-8% No

OFF

21%

EXIT = quit

0-8% No

No OFF

21%

EXIT = quit

FIGURE 1-39 CO2 Menu

User Configuration Menu

The User Configuration Menu is accessed during the power-up sequence. See “User Configuration Mode” on page 53 for complete details.

1.3.19.11 User Configuration - Date Menu

Year, Month, Day - Use the up and down arrow keys (1) to set each item to the appropriate number.

USER CO NFIGURATI ON

Press & hold the END key for 3 sec, to leave configuration mode.

Date

Time Trend Temp Hr SpO2 size Alarm Audio delay Aud alm standby Serial output t ype CO2

FIGURE 1-40 Date Menu

CHANGE DATE

Year:

Month:

Day:

= Adjust valve

SELECT = Ent er/move

NIBP: Idle

4 27

END = quit

SPO2

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Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

1.3.19.12 User Configuration - Time Menu

Hours, Minutes - Use the UP p and DOWN q arrow keys (1) to set each item to the appropriate number.

USER CONFIGURATION

Press & hold the END key for 3 sec, to leave configuration mode.

Date

Time

Trend

Temp Hr SpO2 size Alarm Audio delay

Aud alm standby

Serial output typ e

CO2

CHANGE TIME

Hours: Minutes:

= Adjust valve

SELECT = Enter/move

EXIT = quit

NIBP: Idle

FIGURE 1-41 Time Menu

1.3.19.13 User Configuration - Trend Menu

Trend Trigger - Choose the events that when they occur causes the current parameter information to be stored in the trend memory. The selections for multiple triggers are: (Interval, NIBP, and Alarms), (Interval and NIBP), (Interval and Alarms) or (NIBP & Alarms).

Interval - Each time the selected time interval has elapsed, the parameter information is stored in the trend memory.

NOTE: Interval or multiple triggers must be selected as the trend

trigger. The selections within the range are: 1, 2.5, 5, 10, 20, 30, 60 or 120 minutes.

US E R CON F IGURATION

Press & hold the END key for 3 sec, to leave configuration mode.

Date/Time

Trend

Temperature

Hr SpO2 Size

larm Audio Delay Audio Alarm Standby Serial Output Type CO2 Colo r S etti n g s

Trigger: Interval :

Ch o ices : Inte rv al, NIBP , Alarm s or multiple trigge rs

= Adjust valve

SELE C T = Ente r/move

CHANGE TREND

NIBP

5 min

EXIT = quit

SPO2

NIBP: Idle

SPO2

US E R CON F IGURATION

Press & hold the END key for 3 sec, to leave configuration mode.

Date/Time

Trend

Temperature Hr SpO2 Size

larm Audio Delay Audio Alarm Standby Serial Output Type CO2 Colo r S etti n g s

Trigger: Interva l :

Range: 1 - 120 min

= A d just valve

SELECT = Enter/move

CHANGE TREND

NIBP: Idle

NIBP

5 min

EXIT = quit

SPO2

FIGURE 1-42 Trend Menu

Passport 5-Lead, 5L, LT, XG Service Manual 0070-00-0420 1 - 73

Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

1.3.19.14 User Configuration - Temperature Menu

Temperature Scale - Select the temperature to be measured in fahrenheit or centigrade units.

USER CONFIGURATIO N

Press & hold the END key fo r 3 s ec, to leave co nfi guration mode.

Date/Time Trend

Temperature

Hr SpO2 Si ze

Alarm Audio Delay

udio Alarm Standby

Serial Output Type CO2

Temperature Scale: Choices: Fahrenheit, Centigrade

= Adjust valve

SELECT = Enter/move

CHANGE TEMP

Fahrenheit

EXIT = quit

NIBP: Idle

SPO2

FIGURE 1-43 Temperature Menu

1.3.19.15 User Configuration - HR SpO2 Size Menu

Hr SpO2 size - Re-sizes the HR and SpO2 display areas.

USER CONFIGURATION

Press & hold the END key for 3 sec, to leave configuration mode.

Date/Time Trend Temperature

Hr SpO2 Size

Alarm Audio Delay

udio Alar m Standby Serial Output Type CO2

FIGURE 1-44 Hr SpO

CHANGE HR SPO2 SIZE

Hr SpO2 Size:

Choices: HR larger, smaller

= Adjust valve

SELECT = Enter/move

HR small, SpO2 large

NIBP: Idle

Size Menu

EXIT = quit

SPO2

1.3.19.16 User Configuration - Alarm Audio Delay Menu

Alarm Audio delay - Set to 4, 6 or 8 seconds to delay the tone of an alarm for the selected amount of time.

USER CONFIGURATION

Press & hold the END key for 3 s ec, to leave configuration mode.

Date Time Trend Temp Hr SpO2 size

Alarm Audio delay

Aud alm standby Serial output type CO2

FIGURE 1-45 Audio Alarm delay Menu

1 - 74 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

CHANGE ALARM A UDI O DELAY

Alarm Audio delay:

Choices: OFF, 4,6,8 sec

= Adjust valve

SELECT = Enter/move

NIBP: Idle

OFF

END = quit

SPO2

Operation (5-Lead, 5L, LT and XG ) Operation (5-Lead, 5L, LT)

1.3.19.17 User Configuration - Audio Alarm Standby Menu

Aud alm standby - When this function is set to ON, pressing and holding the MUTE key for 4 seconds will indefinitely suspend the alarms.

USER CONFIGURATION

Press & hold the END key for 3 se c, to leave configuration mode.

Date Time Trend Temp Hr SpO2 size Alarm Audio delay

Aud alm standby

Serial out put type

CO2

CHANGE ALARM STANDBY Aud alm standby: Choices: ON/OFF

= Adjust valve

SELECT = Enter/move

OFF

END = quit

NIBP: Idle

SPO2

FIGURE 1-46 Audio Alarm Standby Menu

1.3.19.18 User Configuration - Serial Output Type Menu

Serial output type - Select the communication protocols for interfacing with other specialized equipment.

USER CONFIGURATION

Press & hold the END key for 3 sec, to leave configuration mode.

Date

Time Trend

Temp

Hr SpO2 size

Alarm Audio delay Aud alm standby

Serial output type

CO2

FIGURE 1-47 Serial Output Type Menu

CHANGE SERIAL OUTPUT TYPE

Serial output t ype:

Choices: Visa,Accutorr,Msg,Diap

= Adjust valve

SELECT = Enter/move

Visa

END = quit

NIBP: Idle

SPO2

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Operation (5-Lead, 5L, LT) Operation (5-Lead, 5L, LT and XG)

1.3.19.19 User Configuration - CO2 Menu

Barometric Pressure - Allows the facility to adjust to the current pressure. CO2 Units - Allows the facility to select the units of measure.

USER CONF IGURATION

Press & hold the END key for 3 sec, to leave configuration m od e.

Date

Time Trend

Temp

Hr SpO2 size

Alarm Audio delay Aud alm standby

Serial output type

CO2

Press & hold the END key for 3 sec, to leave configuration m od e.

Date

Time Trend

Temp

Hr SpO2 size

Alarm Audio delay Aud alm standby

Serial output type

CO2

Barometric Pressure: CO2 Units:

Range: 500 - 800 mmHg

= Adjust valve

SELECT = Enter/move

Barometric Pressure: CO2 Units:

Choices: Torr, %

= Adjust valve

SELECT = Enter/move

CHANGE CO2

760 mmHg

END = quit

NIBP: Idle

SPO2

USER CONF IGURATION

CHANGE CO2

760 mmHg

END = quit

NIBP: Idle

SPO2

FIGURE 1-48 CO

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Operation (5-Lead, 5L, LT and XG ) Introduction (XG)

1.4 In troduction (XG)

This section of the Service Manual provides general information about the Datascope Passport XG Monitor.

Section 1.5 on page 1-77 and Section 1.6 on page 1-97 are included as a review of instrument functions and operation, although the reader is encouraged to refer to the Operating Instructions, P/N 0070-00-0397, for more complete details.

1.5 Controls, Indicators and Connectors (XG)

This section of the O perating Instructions iden tifies and describes each control and display of the Datascope Passport XG Monitor.

Refer to the paragraph and page numbers listed below for the location of specific controls and displays.

Step-by-step instructions for operation of the monitor are provided in “Operation (XG)” on page 1-97.

The following is a list of all the controls, connectors and indicators and their item numbers. The item number refers to the call outs on the drawings within this chapter of the manual. If looking for a particular item, locate it on this list and then use the table below to determine the page where it can be found.

1. p and q (Set-up) 9. FREEZE (ECG) 17. LIMITS (Alarms)

2. SELECT (Set-up) 10.ZERO 1 (IBP) (Optional) 18. MUTE (Alarms)

3. EXIT (Set-up) 11.ZERO 2 (IBP) (Optional) 19. DISPLAY (Trends)

4. ADMIT (Central) (Optional) 12.CO

5. DISCHARGE (Central)

(Optional)

6. SILENCE (Central) (Optional)

7. LEAD (ECG) 15.DEFLATE (NIBP) 23. BATTERY CHARGING

8. SIZE (ECG) 16.VOLUME (Alarms/Alarms

13.START (NIBP) 21. BEEP VOLUME

14.INTERVAL (NIBP) 22. PRINT (Optional)

PUMP (Optional) 20. p and q (Trends)

LED

24. DISPLAY

LED)

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Controls, Indicators and Connectors (XG) Operation (5-Lead, 5L, LT and XG)

PARAGRAPH NUMBER DESCRIPTION

CONTROL/DISPLAY NUMBER

PAGE NUMBER

1.5.1 Front Panel 1-24 1-79

1.5.2 Left Side Panel 25 - 34 1-87

1.2.3 Right Side Panel 35 - 39 1-90

1.5.4 Rear Panel 40 1-91

1.5.5 Remote Color Display (opt ion al) 1-92

1.5.6 Gas Module (Optional)- Front

41-43 1-93

Panel

1.5.7 Gas Module (Optional)- Rear

44-51 1-95

Panel

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Operation (5-Lead, 5L, LT and XG ) Controls, Indicato rs and C onne c tors (XG)

1.5.1 Front Panel

SET UP

CENTRAL

DISCHARGE

ADMIT LEAD

SILENCE

ECG IBP

SIZE

FREEZE

SELECT

EXIT

ZERO 1

ZERO 2

CO2 PUMP

HOLD 3 SEC. TO STOP

NIBP

START

INTERVAL

DEFLATE

ALARMS

VOLUME

LIMITS

MUTE

TRENDS

DISPLAY

HOLD 3 SEC. TO CLEAR

BEEP

VOLUME

FIGURE 1-49 Front Panel Controls

Introduction

The keys on the front panel of the Passport XG Monitor are classified as single action, repeat action, or delayed action keys.

A single action key provides one action each time it is pressed, regardless of how long it is held.

A repeat action key provides an action when pressed, then waits half a second before repeating the action until the key is released.

A delayed action key provides an action, but only after the key has been held pressed for a (key specific) period of time.

NOTE: Only one key function will be recognized a t any time. The

All key actions are acknowledged by a key click, except for BEEP VOLUME and ALARM VOLUME. If a key is not available a double key click will sound.

Passport XG will ignore multiple key selections.

1. p and q (UP and DOWN) (Set-Up)

Two repeat action keys used to move the highlighted screen cursor or change the setting/ value of a menu item. As the cursor is moved, the highlighted menu window is displayed.

2. SELECT (Set-Up)

A repeat action key used to select the function or value indicated by the highlighted cursor.

3. EXIT (Set-Up)

A single action key which causes the display to return to the main screen display (as specified in the DISPLAY section). This key is always available.

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Controls, Indicators and Connectors (XG) Operation (5-Lead, 5L, LT and XG)

4. ADMIT (Central) (O pt ional)

A single action key which transmits an admit command to the VISA Central Station.

5. DISCHARGE (Central) (Optional)

A single action key which transmits a discharge command to the VISA Central Station.

6. SILENCE (Central) (Optional)

A single-action k ey which m utes the a larms of the c orrespon ding cha nnel on the VISA Centra l Station. The amount of time the alarms are silenced, is determined by the VISA.

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Operation (5-Lead, 5L, LT and XG ) Controls, Indicato rs and C onne c tors (XG)

Front Panel (Continued)

SET UP

SELECT

EXIT

CENTRAL

ADMIT LEAD

DISCHARGE

SILENCE

ECG IBP

SIZE

FREEZE

ZERO 1

ZERO 2

CO2 PUMP

HOLD 3 SEC. TO STOP

NIBP

START

INTERVAL

DEFLATE

ALARMS

VOLUME

LIMITS

MUTE

TRENDS

DISPLAY

HOLD 3 SEC. TO CLEAR

BEEP

VOLUME

7. LEAD (ECG)

8. SIZE (ECG)

A single action key which selects the size of the display ed ECG waveform. Each press of th e key selects and displays the next ECG size which wraps around after the last size is selected. A vertical bar is placed in front of the ECG waveform. This vertical bar is used as a reference to determine the size of the displayed ECG waveform.

9. FREEZE (Screen)

A single action key which enables or releases the screen freeze function. The freeze key stops or starts all waveforms, except when waveform 2 is used for cascaded ECG. When this is the case, pressing the freeze key the first time causes the currently displayed ECG waveform data to be transferred to waveform 2 and frozen. Waveforms 1 and 3 continue to move. Pressing FREEZE again causes waveform 2 to return to cascaded ECG. The f reeze key is also used to enter the user configuration menu. See “User Configuration Mode” on page 1-153 for further details.

10. ZERO 1 (IBP) (Optional)

A delayed action key which zeros the current pressure in the BP1 channel. If the transducer zero process is unsuccessful, “UNABLE TO ZERO” is displayed in the IBP1 data window. This window is only available when a pressure transducer is present.

11. ZERO 2 (IBP) (Optional)

A delayed action key which zeros the current pressure in the BP2 channel. If the transducer zero process is unsuccessful, “UNABLE TO ZERO” is displayed in the IBP2 data window. This window is only available when a pressure transducer is present.

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Controls, Indicators and Connectors (XG) Operation (5-Lead, 5L, LT and XG)

12. CO2 PUMP (Optional)

A single action key which turns on the sidestream CO

pump and initiates an adapter and

pump calibration. Holding this key for 3 seconds turns the pump off.

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Operation (5-Lead, 5L, LT and XG ) Controls, Indicato rs and C onne c tors (XG)

Front Panel (Continued)

SET UP

SELECT

EXIT

CENTRAL

ADMIT LEAD

DISCHARGE

SILENCE

ECG

SIZE

FREEZE

IBP

ZERO 1

ZERO 2

CO2 PUMP

HOLD 3 SEC. TO STOP

NIBP

START

INTERVAL

DEFLATE

14 13

ALARMS

VOLUME

LIMITS

MUTE

TRENDS

DISPLAY

HOLD 3 SEC. TO CLEAR

BEEP

VOLUME

13. START (NIBP)

A single action key which initiates an NIBP measurement. This function is not available if a measurement is in progress.

14. INTERVAL (NIBP)

15. DEFLATE (NIBP)

16. VOLUME (Alarms and Alarm LED)

17. LIMITS (Alarms)

A single action key which provides access to the alarm menu to view and select alarm values. Press SELECT to change the alarm values. Press the LIMITS key again to access additional alarm parameters (when the Gas Module is installed). To return the display to the main screen, press the EXIT key.

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Controls, Indicators and Connectors (XG) Operation (5-Lead, 5L, LT and XG)

18. MUTE (Al a rms)

A single action and delayed action key which silences all currently alarming parameters or suspends all alarms. A single key press will silence the current alarm tone for 2 minutes. Any

new alarms that occur while the alarm tone is muted will disable the mute and sound the Alarm Mute Symbol

alarm tone. An alarm mute symbol is displayed next to each muted parameter. The word

Mute is displayed above the menu selections.

When the key is pressed and held for 3 seconds, all set alarms will be suspended for 2

minutes. This is indicated by the Alarm Mute Symbol and the words All Mute displayed

above the menu selections.

When “Aud io alarm st andby” is set to ON (in the User Configuration Menu), and the MUTE

key is pressed and held for 4 seconds, all audio alarms are indefinitely suspended. This is

indicated by the Alarm Mute Symbol in all parameter windows and the words Aud Alm Sby

flashing above the menu selections.

NOTE: When “Aud alm standby” is set to “ON and active on

power up,” the unit will power u p in the Aud alm standby mode. All audio alarms will be muted.

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Operation (5-Lead, 5L, LT and XG ) Controls, Indicato rs and C onne c tors (XG)

Front Panel (Continued)

SET UP

SELECT

EXIT

CENTRAL

ADMIT LEAD

DISCHARGE

SILENCE

ECG

SIZE

FREEZE

IBP

ZERO 1

ZERO 2

CO2 PUMP

HOLD 3 SEC. TO STO P

NIBP

START

INTERVAL

DEFLATE

ALARMS

VOLUME

LIMITS

MUTE

20 19

TRENDS

DISPLAY

HOLD 3 SEC. TO CLEAR

BEEP

VOLUME

19. DISPLAY (Trends)

A single action and delayed action key which displays and clears trended data. The most

recent page of data is displayed when the key is first pressed. Press this key a second time to

view additional trended data. Pressing and holding the key for 3 seconds clears all trended

data.

20. p and q (Trends)

Two repeat action keys which are used to scroll through the trend data.

21. BEEP VOLUME

A repeat ac ti o n k ey w h ich ad j us ts th e bee p v ol u me in 5 s te ps plu s OFF. Wh en t h e m axi mu m

volume is reached, the volume will wrap around to OFF , then to the minimum volume.

22. PRINT (Optional)

A combination single action and delayed action key which initiates or stops a recording.

Pressing the key once in itiates a printout. Holding the key pressed for three seconds, when

waveforms are displayed (see Section 1.6.18 on page 1-155), initiates a continuous printing

of waveforms. Pressing the key while the printing is in progress, stops the recorder. The

recorder prints either waveforms or trend data, depending on what is displayed (i.e. trend

data is printed when trend list is displayed.). The Recorder Set-up will determine which

waveform or waveforms are printed. The Recorder Set-up will also determine the Record

Destination - Passport (recording from the Passport), Central (recording from the VISA, no

recording from the Passport), or Both (recording from the Passport and VISA).

NOTE: When a remote (VISA) recordin g is printe d, the information

that is printed is determined by the set-up in the VISA.

23. BATTERY CHARGING LED

A green LED used to indicate that the batteries are charging.

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Controls, Indicators and Connectors (XG) Operation (5-Lead, 5L, LT and XG)

24. DISPLAY

ECG AREA

MENU AREA

PARAMETER AREA

MULT I-FUNCTION AREA

MESSAGE AREA

FIGURE 1-50 Display

The Display is used to present information which is divided into 5 graphic display areas.

They are:

A. MENU Display Area

B. ECG Display Area

C. PARAMETER Display Area

D. MULTI-FUNCTION Display Area

E. MESSAGE Display Area

See Section 1.6.3 on page 1-102 for details.

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Operation (5-Lead, 5L, LT and XG ) Controls, Indicato rs and C onne c tors (XG)

8 9

1.5.2 Left Side Panel

Press to Open

SpO

CUFF

All Patient Connections Electrically Isolated

ECG/EKG

E.S.I.S.

IBP 1

PI 1

IBP 2

PI 2

PUMP INPUT

28 29 30

32 33 34

2 2

3 3

FIGURE 1-51 Left Side Panel with Datascope SpO

Press to Open

CUFF

All Patient Connections Electrically Isolated

ECG/EKG

E.S.I.S.

IBP 1

PI 1

IBP 2

PI 2

PUMP INPUT

28 29

2 2

3 3

SpO

FIGURE 1-52 Left Side Panel with Nellcor® SpO

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Controls, Indicators and Connectors (XG) Operation (5-Lead, 5L, LT and XG)

32 33 34

3 3

Press to Open

CUFF

All Patient Connections Electrically Isolated

ECG/EKG

E.S.I.S.

IBP 1

PI 1

IBP 2

PI 2

SpO

PUMP INPUT

FIGURE 1-53 Left Side Panel with Masimo SpO

25. RECO RDER (Optional)

A two trace thermal strip chart recorder with integral paper spool.

26. BATTERY PACK

Two internal, user replaceable, rechargeable, sealed lead acid batteries that provide power

to operate the monitor when not connected to the power pack. The battery packs may be

removed and replaced independently while the unit is operating.

27. CUFF

A connector used to attach the NIBP cuff assembly to the monitor.

28. SpO

An 8-pin DIN type, 9-pin sub miniature D (Nellcor) type female connector or 14-pin sub

miniature D (Massimo) type female connector used to attach the SpO

sensor assembly to the

monitor.

29. T (Temperature)

A standard three wire phone jack used to mate with either the YSI series 400 or 700

temperature probes. The Passport XG automatically identifies which probe is connected.

30. ECG / EKG

A six-pin AAMI (ECG-D10/75) standard connector used for patient cable connections.

31. IBP1 (Optional)

A six-pin male connector used for Datascope specified pressure transducers listed in Chapter

5, Accessories of the Passport Operating Instructions Manual.

32. IBP2 (Optional)

A six-pin male connector used for Datascope specified pressure transducers listed in Chapter

5, Accessories of the Passport Operating Instructions Manual.

1 - 88 0070-00-0420 Passport 5-Lead, 5L, LT, XG Service Manual

Mindray Datascope Passport User manual

Specifications and Main Features

Frequently Asked Questions

User Manual