Mindray h-0070-00-0702_accutorr-v-service-manual-7-0 Accutor V Service Manual

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Accutorr® is a registered trademark of Mindray DS USA, Inc.

Masimo SET

Mindray

Nellcor

is a U.S. registered trademark of Tyco International Ltd.

SmarTemp

is a U.S. registered trademark of Masimo Corp.

is a trademark or a registered trademark of Shenzhen Mindray Bio-Medical Electronics Co., Ltd.

™

is a trademark of Shenzhen Mindray Bio-Medical Electronics Co., Ltd.

orm without permission of Mindray DS USA, Inc.

Accutorr V Service Manual 0070-10-0702

Table of Contents

Preface ....................................................................................................................................... v

Warnings, Cautions, and Notes..................................................................................................... vii

Warnings.................................................................................................................................... vii

Cautions ..................................................................................................................................... viii

Notes ......................................................................................................................................... x

Safety Designations ...................................................................................................................... xi

Product Limitations........................................................................................................................ xii

Unpacking................................................................................................................................... xiii

Symbols and Descriptions.............................................................................................................. xiii

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

Introduction ................................................................................................................................. 1 - 2

Controls and Indicators ................................................................................................................. 1 - 2

System Overview .........................................................................................................................1 - 2

Hardware Structure ......................................................................................................................1 - 4

Main Board ..........................................................................................................................1 - 5

Power Board ......................................................................................................................... 1 - 6

Key and Displays Board .........................................................................................................1-7

Parameter Boards .................................................................................................................. 1 - 8

SpO

Module ................................................................................................................1 - 8

NIBP Module ................................................................................................................. 1 - 9

Optional Temperature Module .........................................................................................1 - 9

Recorder............................................................................................................................... 1 - 10

Bar Code Scanner .................................................................................................................1 - 10

Specifications.................................................................................................................... 2 - 1

Introduction ................................................................................................................................. 2 - 2

NIBP Measurement.......................................................................................................................2 - 2

Blood Pressure....................................................................................................................... 2 - 2

Static Accuracy .....................................................................................................................2 - 2

Maximum Cuff Pressure ..........................................................................................................2-2

Cuff Inflation ......................................................................................................................... 2 - 3

Maximum Leakage.................................................................................................................2 - 3

Deflation Rate........................................................................................................................2 - 3

Update Period .......................................................................................................................2 - 3

Initial NIBP Pressure Setup and Range ......................................................................................2 - 3

NIBP Measurement Cycle ..............................................................................................................2 - 4

Cuff Inflation Time.................................................................................................................. 2 - 4

Cuff Pressure Automatic Check Algorithm ..........................................................................2 - 4

Automatically Adjusted Inflation Value after First Measurement .................................................... 2 - 5

Pulse Rate .............................................................................................................................2 - 5

SpO2 Measurement...................................................................................................................... 2 - 6

DPM SpO2 Module Performance.............................................................................................2 - 6

SpO2 ...........................................................................................................................2 - 6

Pulse Rate ......................................................................................................................2 - 6

Alarm setting range ........................................................................................................ 2 - 6

Masimo MS-2013 SpO

Performance ......................................................................................2 - 7

Accutorr V Service Manual 0070-10-0702 i

Table of Contents

SpO2 ............................................................................................................................2 - 7

Pulse Rate ......................................................................................................................2 - 8

Alarm Setting Range .......................................................................................................2 - 8

Nellcor NELL-3 SpO

SpO

............................................................................................................................2 - 9

Performance........................................................................................... 2 - 9

Pulse Rate ......................................................................................................................2 - 9

Alarm Setting Range .......................................................................................................2 - 9

Temperature ................................................................................................................................ 2 - 10

Display Area, Indicator, and Controller...........................................................................................2 - 10

Display Area.........................................................................................................................2 - 10

LCD ..............................................................................................................................2 - 10

7-Segment Digit Display ..................................................................................................2 - 11

Monochrome LED Indicator ..............................................................................................2 - 11

Power Indicator .............................................................................................................. 2 -11

Overlay and labeling .............................................................................................................2 - 11

Alarm Lamp .......................................................................................................................... 2 - 12

Keys..................................................................................................................................... 2 - 12

Patient Cable Connectors........................................................................................................2 - 13

Audio Indicator............................................................................................................................2 - 14

Pulse Tone Function................................................................................................................2 - 14

Multiple-Level Volume ............................................................................................................. 2 - 14

Real-time Clock ............................................................................................................................2 - 14

Standby Mode.............................................................................................................................2 - 15

Alarm Information ........................................................................................................................2 - 16

Basics...................................................................................................................................2 - 16

Alarm Notification ................................................................................................................. 2 - 16

Audio Alarm Pause, Audio Alarm Off, and Audio Alarm Silencing .............................................. 2 - 16

Configuration management ...........................................................................................................2 - 16

Barcode scanner .......................................................................................................................... 2 - 16

Troubleshooting................................................................................................................ 3-1

Introduction ................................................................................................................................. 3 - 2

Part Replacement..........................................................................................................................3 - 2

Monitor Status Check....................................................................................................................3 - 2

Technical Alarm Check .................................................................................................................3 - 3

Troubleshooting Guide..................................................................................................................3 - 4

Power On/Off Failures ..........................................................................................................3 - 4

Display Failure ...................................................................................................................... 3 - 4

LED Digital Display and Indication Lamp Failure ........................................................................3 - 4

Alarm Problems ....................................................................................................................3 - 5

Key Failure ..........................................................................................................................3 - 5

Recorder Failures...................................................................................................................3 - 6

Interface Failures ..................................................................................................................3 - 6

Power Supply Failures ............................................................................................................3 - 6

Network Related Problems .....................................................................................................3 -7

Software Upgrade Problems ...................................................................................................3 - 8

Bar Code Scanner Failures......................................................................................................3-8

ii 0070-10-0702 Accutorr V Service Manual

Table of Contents

NIBP Measurement Failures.....................................................................................................3 -9

SpO

Measurement Failure .................................................................................................... 3 - 9

Temperature Measurement Failures .........................................................................................3 - 9

Repair and Disassembly ...................................................................................................4 - 1

Tools...........................................................................................................................................4 - 2

Preparation for Disassembly ..........................................................................................................4 - 2

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

Separating the Front and Rear Halves of the Monitor ................................................................ 4 - 3

Disassembling the Front Housing Assembly ..............................................................................4 - 6

Removing the Main Rack Assembly .......................................................................................... 4 - 9

Removing NIBP Module .........................................................................................................4 -11

Removing the Main (CPU) Board ............................................................................................4 - 12

Removing the Power Board .....................................................................................................4 - 13

Removing the Battery Connector Assembly ................................................................................4 - 13

Removing the Fan and Speaker ...............................................................................................4 - 14

Removing the Power Socket ...................................................................................................4 - 15

Disassembling the Temperature Module....................................................................................4 - 16

Disassembling SpO

Disassembling a DPM SpO Disassembling a Masimo SpO Disassembling a Nellcor SpO

Modules .................................................................................................4 - 17

module .................................................................................4 - 17

module ............................................................................4 - 18

module .............................................................................4 - 19

Disassembling the NIBP Module .............................................................................................. 4 - 20

Removing the NIBP Pump ................................................................................................4 - 20

Removing the NIBP Dump Valve ....................................................................................... 4 - 20

Removing the NIBP Bleed Valve .......................................................................................4 - 21

Parts ................................................................................................................................5 - 1

Main Assembly ............................................................................................................................5 - 2

Front Assembly (Color LCD) ...........................................................................................................5 - 3

Front Assembly (Black-and-White LCD) ............................................................................................5 - 7

Rear Housing Assembly.................................................................................................................5 - 11

Main Bracket Assembly.................................................................................................................5 - 12

NIBP Assembly (Pump M6Q-100003- - -).........................................................................................5 - 14

NIBP Assembly (Pump 082-000056-00).......................................................................................... 5 - 17

Temperature Module Subassembly .................................................................................................5-20

Temperature Power Module Subassembly........................................................................................ 5 - 22

Test and Calibration..........................................................................................................6 -1

Introduction ................................................................................................................................. 6 - 2

Test Report ............................................................................................................................6 - 2

Recommended Frequency .......................................................................................................6 - 2

Visual Test ................................................................................................................................... 6 - 4

Power-on Test...............................................................................................................................6 - 4

NIBP Calibration .......................................................................................................................... 6 - 5

NIBP Accuracy Test ...................................................................................................................... 6 - 9

NIBP Leakage Test .................................................................................................................6 - 10

Test ...................................................................................................................................6 - 13

SpO

Accutorr V Service Manual 0070-10-0702 iii

SpO2 Test Under Normal Conditions .................................................................................6 - 13

SpO

Test in Motion Mode...............................................................................................6 - 13

Summary of Test Methods.................................................................................................6 - 14

DPM SpO Nellcor SpO Masimo SpO

..............................................................................................................6 - 14

..........................................................................................................6 - 14

.........................................................................................................6 - 14

Testing the Optional Temperature Module .................................................................................6 - 15

Nurse Call Performance Test....................................................................................................6-17

Bar Code Scanner Test ...........................................................................................................6 - 19

Electrical Safety Tests..............................................................................................................6 - 21

Enclosure Leakage Current Test .........................................................................................6 - 21

Earth Leakage Current Test ...............................................................................................6 - 21

Patient Leakage Current Test .............................................................................................6 - 22

Patient Auxiliary Leakage Current Test................................................................................6 - 22

Recorder Check .....................................................................................................................6 - 23

Software upgrade ..................................................................................................................6 - 24

1 - iv 0070-10-0702 Accutorr V Service Manual

Preface Introduction

Preface

This manual provides detailed information about the assembling, disassembling, testing, and troubleshooting of the equipment to support effective troubleshooting and repair. It is not intended to be a comprehensive, in-depth explanation of the product architecture or technical implementation. Observance of the manual is a prerequisite for proper equipment maintenance and prevents equipment damage and personnel injury.

Refer to the Accutorr V Operating Instructions: P/N 0070-00-0699-XX for information for operating this instrument.

This manual is based on the maximum configuration. Therefore, some contents may not be applicable. For questions, contact Service.

This manual is for biomedical engineers, authorized technicians, or service representatives responsible for troubleshooting, repairing, and maintaining the monitors.

Contents of this manual are subject to change without prior notice.

A password is required to access the service mode. The service password is 321.

The Accutorr V configurations are:

• Accutorr V with Nellcor® Pulse Oximetry—

includes NIBP, Nellcor SpO

• Accutorr V with Nellcor

includes NIBP, Nellcor SpO

a Trend Display, and Recorder

Pulse Oximetry and SmarTemp™—

SmarTemp, a Trend Display, and Recorder

• Accutorr V with Masimo SET® Pulse Oximetry—

includes NIBP, Masimo SpO2, a Trend Display, and Recorder

• Accutorr V with Masimo SET® Pulse Oximetry and SmarTemp™—

includes NIBP, Masimo SpO2, SmarTemp, a LCD, and Recorder

• Accutorr V with DPM Pulse Oximetry—

includes NIBP, DPM SpO2, a Liquid Crystal Display (LCD), and Recorder

• Accutorr V with DPM Pulse Oximetry and SmarTemp™—

includes NIBP, DPM SpO

SmarTemp, a Liquid Crystal Display (LCD), and Recorder

• Accutorr V with DPM NIBP and SmarTemp™—

includes NIBP, SmarTemp, a Trend Display, and Recorder

• Accutorr V with DPM NIBP only—

includes NIBP, a LCD, and Recorder

All Accutorr V configurations can be upgraded with a barcode scanner.

Masimo Patents: This device (MASIMO SpO2 Module) is covered under one or more of the following U.S. Patents 5,758,644, 5,823,950, 6,011,986, 6,157,850, 6,263,222, 6,501,975, and other applicable patents listed at: www.masimo.com/patents.htm. Possession or purchase of this device does not convey any express or implied license to use the device with replacement parts which would, alone, or in combination with this device, fall within the scope of one or more of the patents relating to this device.

Accutorr V Service Manual 0070-10-0702 v

Introduction Preface

Nellcor Patents: This device (Nellcor SpO2 Module) is covered under one or more of the following U.S. Patents Patent No. 5,485,847, 5,676,141, 5,743,263, 6,035,223, 6,226,539, 6,411,833, 6,463,310, 6,591,123, 6,708,049, 7,016,715, 7,039,538, 7,120,479, 7,120,480, 7,142,142, 7,162,288, 7,190,985, 7,194,293, 7,209,774, 7,400,919, and 7,212,847. Possession or purchase of this device does not convey any express or implied license to use the device with replacement parts which would, alone, or in combination with this device, fall within the scope of one or more of the patents relating to this device.

vi 0070-10-0702 Accutorr V Service Manual

Warnings, Cautions, and Notes Introduction

Warnings, Cautions, and Notes

Read and adhere to all of the warnings and cautions listed throughout this manual.

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

A CAUTION is provided to alert the user that special care should be taken for the safe and effective use of the device. They will include actions to be taken to avoid effects on patients or users that will not be potentially life threatening or result in serious injury, but about which the user should be aware.

A NOTE is provided when additional general information is available.

Warnings

WARNING: Internal Electrical Shock Hazard - This unit does not contain

any user-serviceable parts. Do not remove instrument covers. Refer servicing to qualified personnel. When the integrity of the protective earth conductor, in the installation or its arrangement, is in doubt, the equipment should be operated from its internal battery. Observe all CAUTION and WARNING labels on the unit.

WARNING: Possible explosion hazard. Do not operate machine near

flammable anesthetic agents or other flammable substances. Do not use flammable anesthetic agents (i.e., ether or cyclopropane.)

WARNING: Always place the unit on a flat, rigid surface or onto a

WARNING: To ensure proper performance and safety and to prevent

WARNING: Use only cuffs with approved quick connect type connectors.

WARNING: The Accutorr V is not intended for use in a magnetic

WARNING: Danger of explosion if battery is incorrectly replaced.

WARNING: Do not use a damaged or broken unit or accessory.

Mindray approved stable mounting bracket.

the voiding of the warranty, only use authorized parts and accessories with the Accutorr V. Use of unauthorized accessories may result in erroneous readings.

resonance imaging (MRI) environment and may interfere with MRI procedures.

Replace only with the same or equivalent type recommended by the manufacturer. Dispose of used batteries according to the manufacturers instructions and local regulations. Batteries used in this device may present a risk of fire or chemical burn if mistreated. Do not incinerate battery, possible explosion may occur.

WARNING: Operation of the Accutorr V below the minimum amplitude

or value of patient physiological signal may cause inaccurate results.

Accutorr V Service Manual 0070-10-0702 vii

Introduction Cautions

WARNING: Use of accessories, transducers, and cables other than those

WARNING: Perform the decontamination or cleaning process with the

WARNING: Electrical safety tests are a proven means of verifying the

WARNING: Commercially available test equipment such as a safety

WARNING: Electrical safety tests should meet the requirements of the

WARNING: These electrical safety tests do not supersede local

WARNING: All devices using the AC mains and connected to medical

specified in the manual may result in increased Electromagnetic Emissions or decreased Electromagnetic Immunity of the Accutorr V. It can also cause delayed recovery after the discharge of a cardiac defibrillator.

unit powered down and power cord removed.

electrical safety of the monitor. They are intended for determining potential electrical hazards. Failure to identify these hazards in a timely manner may cause personnel injury.

analyzer can be used for electrical safety tests. Verify that the test equipment can be safely and reliably used with the monitor before use. The service personnel should acquaint themselves with the use of the test equipment.

latest editions of EN 60601-1 and UL 60601.

requirements.

equipment within patient environments must meet the requirements of the IEC 60601-1-1 medical electrical systems standard and should be put under electrical safety tests at the frequency recommended for the monitor.

Cautions

CAUTION: Observe extreme caution when a defibrillator is in use. Do

not touch any part of the patient, table, or monitor when a defibrillator is in use. The Accutorr V should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the Accutorr V should be observed to verify normal operation in the configuration in which it will be used.

CAUTION: The unit should be checked periodically for obstructed vents.

CAUTION: At the end of their life, dispose of the Accutorr V,

CAUTION: When equipped with Nellcor

CAUTION: When equipped with MASIMO

If an obstruction is found, refer the unit to qualified service personnel.

accessories, and single use supplies in accordance with local regulations. Dispose of packaging waste in accordance with local regulations.

oxygen transducers including Nellcor dedicated adhesive sensors. Use of other oxygen transducers may cause improper oximeter performance.

oxygen transducers including MASIMO LNOP

LNCS

patient dedicated adhesive sensors and MASIMO PC Series Patient Cable. Use of other oxygen transducers may cause improper Oximetry performance.

SpO2, use only Nellcor®

Oxisensor® patient

SpO2, use only MASIMO®

and MASIMO

viii 0070-10-0702 Accutorr V Service Manual

Cautions Introduction

CAUTION: Inaccurate readings may be caused by incorrect sensor

CAUTION: Route cables neatly. Ensure cables, hoses, and wires are

CAUTION: When cleaning sensors, do not use excessive amounts of

CAUTION: Recharge the Lithium ion battery while in the unit at room

application or use; significant levels of dysfunctional hemoglobins (i.e. carbohemoglobins or methemoglobin); or intra-vascular dyes such as indocyanine green or methylene blue; exposure to excessive illumination, such as surgical lamps (especially ones with a Xenon light source), bilirubin lamps, fluorescent lights, infrared heating lamps, or direct sunlight; excessive patient movement; venous pulsations; electro-surgical interference; and placement of a sensor on an extremity that has a blood pressure cuff, arterial catheter, or intra-vascular line.

kept away from patient’s neck to avoid strangulation. Keep floors and walkways free of cables to reduce risk to hospital personnel, patients, and visitors. If the sensor or patient cable is damaged in any way, discontinue use immediately.

liquid. Wipe the sensor surface with a soft cloth, dampened with the cleaning solution. To prevent damage, do not soak or immerse the sensor in any liquid solution. DO NOT ATTEMPT TO STERILIZE.

temperature. If using the Accutorr V in a hot environment, the Lithium ion battery may not charge when the unit is connected to the AC mains.

CAUTION: Remove the battery if the Accutorr V is not used for an

extended period of time.

CAUTION: The Communications Connectors on the Accutorr V are only

for use with IEC 60601-1-1 compliant equipment.

CAUTION: Never place fluids on top of this monitor. If fluid spills on the

unit, wipe clean immediately and refer the unit to qualified service personnel.

CAUTION: Before disassembling the monitor, eliminate static charges.

CAUTION: Properly connect the cables or wires when reassembling the

CAUTION: All tests should be performed by qualified personnel only.

CAUTION: Disconnect the monitor from the patient and make sure that

When disassembling the parts labeled with static-sensitive symbols, wear electrostatic discharge protection such as antistatic wristband or gloves. Follow the correct sequence to disassemble the monitor. Otherwise, the monitor may be damaged permanently. Disconnect all the cables before disassembling any parts. Take care not to damage any cables or connectors.

monitor to avoid short circuit. When assembling the monitor, select proper screws. If the wrong size screw is tightened by force, the monitor may be damaged and the screw or the part may not function as expected.

important data is saved before upgrading the monitor.

CAUTION: Do not shut down or power off the equipment when

upgrading the bootstrap program. Otherwise, it may cause the equipment to break down.

Accutorr V Service Manual 0070-10-0702 ix

Introduction Notes

CAUTION: Program upgrades should be performed by qualified

service personnel only.

Notes

NOTE: The Accutorr V should be operated only by trained and

qualified personnel.

NOTE: Use disposable and single use accessories only once.

NOTE: Place the equipment in a location where the screen can

easily be seen and the operating controls can easily be accessed.

NOTE: The instructions in this manual are based on the maximum

configuration.

NOTE: The optional Temperature module kit must be installed only

by trained personnel, and proper ESD prevention methods must be followed.

NOTE: Only devices specified by Mindray DS USA, Inc.

Bio-Medical Electronics Co. , Ltd shall be connecte

NOTE: When

NOTE: Disconnect the Accutorr V from the mains to isolate it from

the RS-232 connector is used for DIAP, barcode power must be set to OFF.

the mains power during an emergency.

/Shenzhen Mindray

d the RS-232 port.

x 0070-10-0702 Accutorr V Service Manual

Safety Designations Introduction

Safety Designations

Safety designations per IEC 60601-1 Standard:

Type of protection against electric shock Class 1 with internal electric power source.

Where the integrity of the external protective earth (ground) in the installation or its conductors is in doubt, the equipment shall be operated from its internal electric power source.

Degree of protection against electric shock Monitor - Type B applied part.

NIBP - Type BF defibrillation protected applied part. SpO

- Type BF protected applied part.

Temp - Type BF protected applied part.

Supply Connection 100 – 240 V

50/60 Hz

0.85 – 0.5 A

Mode of Operation Continuous

Protection Against Hazard of Explosion Not Protected (Ordinary)

Protection Against Ingress of Liquids IPX1

Degree of Electrical Connection Between Equipment and Patient

Degree of Mobility Portable

Equipment designed for direct electrical and non-electrical connection to the patient.

Accutorr V Service Manual 0070-10-0702 xi

Introduction Product Limitations

Product Limitations

Non-invasive blood pressure (NIBP) accuracy depends on the application of the proper cuff size. See Chapter 3.0 of the Operating Instructions for detailed information.

The Accutorr V will not operate effectively on patients who are experiencing convulsions or tremors.

The Accutorr V is a portable device intended for intra-hospital use.

If the pressure cuff is not placed at the patient’s heart level, the NIBP measurement may be subject to error, due to the hydrostatic effect.

The pulse rate data displayed on the Accutorr V is computed from the measurement of peripheral pulses (peripheral pulses taken only during a measurement cycle). The rate measured by the Accutorr V may differ from the rate of an ECG monitor. This is because the ECG is an electrical signal that may not always result in a peripheral pulse.

Administration of certain vasoconstrictor drugs (for example, norepinephrine), may reduce peripheral perfusion to a level that prevents the Accutorr V from taking pulse rate measurements.

Arterial compression, tricuspid regurgitation, or other conditions may reduce perfusion to a level that prevents the Accutorr V from taking pulse rate measurements.

The presence of arrhythmias may increase the time required to complete a measurement and may extend this time so that a measurement cannot complete.

The Accutorr V is not intended for use during CPR. The monitor uses an oscillometric technique based on normal peripheral circulation to compute blood pressure.

xii 0070-10-0702 Accutorr V Service Manual

Unpacking Introduction

Unpacking

Remove the instrument from the shipping carton and examine it for signs of shipping damage. Save all packing materials, invoice, and bill of lading. These may be required to process a claim with the carrier. Check all materials against the packing list. Contact the Customer Service Department (800) 288-2121 or (201) 265-8800 for prompt assistance in resolving shipping problems.

NOTE: The Accutorr V should only be shipped in its original

packing materials to avoid shipping damage.

Symbols and Descriptions

SYMBOL DESCRIPTION SYMBOL DESCRIPTION

Attention, Consult Accompanying Documents / Refer to Manual

Equipotentiality Equipotential grounding

Alternating Current (AC) Adult

Predictive Thermometer Connector

Type BF Equipment

Defibrillator-proof Type BF Equipment

Pediatric/Child

SpO

Accutorr V Service Manual 0070-10-0702 xiii

Connector Neonate

Electrical connectors Operating on battery power

Battery Manufacturer

Connected to AC mains

NIBP Connector

Power On/Off – Standby Recycle

Serial number Up key

Introduction Symbols and Descriptions

SYMBOL DESCRIPTION SYMBOL DESCRIPTION

REF

Part Number Confirm key

Patient Information key Down key

Main menu key Deflate Cuff key

Set alarms key Patient Size key

Start NIBP key Alarm Silence key

Display Tabular Trends/Pleth Wav e

NIBP interval key SP1

NC1 Nurse Call connector

RS-232 connector (Serial Port 1)

Print key (front panel) CS1 Network connector

Print key (recorder)

Alarm Silenced indicator on LCD display

Alarm Disabled indicator on LCD display

Audio Alarm Off indicator on LCD display

Classified by Underwriters Laboratories Inc. with respect to electric shock, fire and mechanical hazards, only in accordance with UL 60601-1, CAN/CSA C22.2 NO.601-1, IEC 60601-1-1, IEC 60601-2-30, IEC 60601-2-49.

xiv 0070-10-0702 Accutorr V Service Manual

1.0

Theory of Operation

Introduction.................................................................................................... 1 - 2

Controls and Indicators ................................................................................... 1 - 2

System Overview............................................................................................ 1 - 2

Hardware Structure......................................................................................... 1 - 4

Accutorr V Service Manual 0070-10-0702 1 - 1

Introduction Theory of Operation

1.1 Introduction

The Accutorr V monitors the following patient vital signs: non-invasive blood pressure (NIBP), pulse oxygen saturation (SpO2), pulse rate (PR), and temperature (Temp) for a single adult, pediatric, or neonatal patient. Temperature is measured using the optional Temperature Module.

1.2 Controls and Indicators

For information on controls, connectors, and indicators, refer to the Accutorr V Operating Instructions, Part Number 0070-10-0699-02.

1.3 System Overview

FIGURE 1-1 shows the relationship of the Accutorr V monitoring system’s mechanical, hardware, and software components.

FIGURE 1-2 shows the Accutorr V monitoring system’s PC board connections.

SYSTEM

MECHANICAL

MAIN UNIT

RECORDER

BATTERY

CHAMBER

TEMP

MODULE

CHAMBER

BARCODE SCANNER

SUPPORT

HARDWARE

MAIN BOARD

POWER BOARD

KEY &

DISPLAY

PAR AME TER

BOARDS

RECORDER

BOARD

BARCODE SCANNER

SOFTWARE

FIGURE 1-1 System Mechanical, Hardware, and Software Overview

SYSTEM

SOFTWARE

PARAMETER

SOFTWARE

UPGRADE

SOFTWARE

GATEWAY

SOFTWARE

1 - 2 0070-10-0702 Accutorr V Service Manual

Theory of Operation System Overview

PARAMETER RECEPTACLE

RECORDER

INLET

POWER

J4 J5

FAN

BATTERY

J2 J3 J4 J5

J8 J9

P3 P4

KEY & DISPLAY

BOARD

LCD

FIGURE 1-2 The System PCBA Connections

SpO

ISOLATION

POWER BOARD

MAIN BOARD

BDM

PORT

TEMP

ISOLATION

POWER BOARD

J10

SPEAKER

NIBP

J11 J12 J13

NETWORK CONNECTOR

NURSE CALL

RS232

Accutorr V Service Manual 0070-10-0702 1 - 3

Hardware Structure Theory of Operation

1.4 Hardware Structure

FIGURE 1-3 shows the Accutorr V’s Hardware Structure. The core of the system is the main board, which supplies power for all parameter modules. The parameter modules directly communicate with the main board. The the main board processes measurements and the status of all modules, and displays them through the key and display board.

SpO

NIBP MODULE

MODULE

TEMP MODULE

ISOLATION

POWER BOARD

COMMUNICATIONS

/POWER SUPPLY

BATTERY

KEY &

DISPLAY

BOARD

LED &

KEY

LCD

POWER SUPPLY

SPEAKER

COMMUNICATIONS

/POWER SUPPLY

RECORDER

ISOLATION

POWER BOARD

MAIN BOARD

FAN

ACCUTORR V

FIGURE 1-3 The Accutorr V’s Hardware Structure

NOTE: The SpO2 isolation power board does not apply to models

with DPM Pulse Oximetry.

ETHERNET

RS232

NURSE CALL

1 - 4 0070-10-0702 Accutorr V Service Manual

Theory of Operation Hardware Structure

1.4.1 Main Board

FIGURE 1-4 shows the main board, which provides resources and support for the overall system. It controls the LCD, LED, keyboard, speaker, and recorder. It also communicates with parameter modules and connectors. The main board also controls communication with the speaker, the recorder, and all external connectors.

WATCHDOG

RTC E2 PROM

ETHERNET

NURSE CALL

SPEAKER

PHY RTL8201

CPU

AUDIO PROCESS

CIRCUIT

FLASHSDRAM

1.5V

LINEAR POWER

3.3V LCD

5.0V 12V LED KEY

SERIAL PORT 0

FPGA

RS232 IC

RS232

SERIAL PORT 1:

NIBP

SERIAL PORT 2:

SpO

SERIAL PORT 3:

TEMP

SERIAL PORT 4:

RECORDER

FIGURE 1-4 Main Board Principle Diagram

The main board communicates with all parameter modules and the recorder through an FPGA extended serial port.

The main board supplies information using FPGA to the key and display board. It drives the display, detects the keys, and implements the user interface.

The main board controls the alarm indicator using FPGA.

The main board controls the speaker to give audible alarms, key tones, and Pitch Tone.

The main board provides the nurse call connection, network connection, and R232 connection.

The real-time clock is implemented by the RTC chip. The RT clock is powered by the AC mains, battery, or button cell on the main board. The button cell ensures the continuous working of the clock in the event that the AC mains and batteries are not available.

SDRAM stores running program instructions and data temporarily. The system memory and trend data memory is flashed. The device configuration memory is EEPROM.

Accutorr V Service Manual 0070-10-0702 1 - 5

Hardware Structure Theory of Operation

1.4.2 Power Board

The power board, shown in FIGURE 1-5, converts the input power (AC mains or battery) to different working voltages for other boards. It also charges the battery.

INPUT

EMI

FILTER

RECTIFIER

& FILTER

PMW

CONTROLLER

FLYBACK

CONVERTER

CURRENT

DETECTION

COUPLER

FEEDBACK &

ISOLATION

CIRCUIT

FIGURE 1-5 Power Board Principle Diagram

RECTIFIER

& FILTER

0VP&0PP

16.8V DC/DC

CONVERTER

DC/DC

CONVERTER

CHARGING

CIRCUIT

DC/DC

CONVERTER

SWITCH CIRCUIT

PCON

0VP&0CP

BATTERY

0VP&0CP

12V

OUTPUT

3.3V

OUTPUT

The AC flows through the EMI filter and the rectifier and filter. The rectifier and filter converts the AC to 16.8V DC voltage by the Flyback converter. The 16.8V DC voltage is the main input to the DC/DC converters and charging circuit. The DC/DC converters convert 16.8V DC to 12V, 5V, and 3.3V DC. The charging circuit charges the lithium battery. When the Accutorr V is not connected to the AC mains, the battery supplies power to the DC/DC converters.

The 16.8V DC output is protected against over-voltage and over-power. The 12V, 5V, and

3.3V DC outputs are protected against over-voltage, short-circuit, and over–current.

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Theory of Operation Hardware Structure

1.4.3 Key and Displays Board

The key and displays board, shown in FIGURE 1-6, provides the user interface. The board contains the LCD module, 7-segment digital display, LED indication lamp, and keys.

LCD

SIGNAL

ADV

3.3V

VSB

FSTN LCD

MODULE

KEY MATRIX

3.3V

DISABLE

LED

CPLD

Switch

START-UP

CIRCUIT

LED&KEY

DETECTION

FIGURE 1-6 Key and displays Board Principle Diagram

The LCD module adjusts brightness and contrast (only for black-and-white LCD display).

NOTE: The monitor with color LCD does not have “Contrast ”

setting item in the common setup menu.

The 7-segment digit units display parameter data.

The AC indicator is driven by the ADV output from the power board, and the working status indicator (built in the Power On/Off key) is driven by 3.3V voltage. The battery indicator is jointly controlled by the flash control signal, ADV signal, and VBC signal.

The keypad contains the power ON/OFF key and the other 13 function keys.

Accutorr V Service Manual 0070-10-0702 1 - 7

Hardware Structure Theory of Operation

1.4.4 Parameter Boards

1.4.4.1 SpO

FIGURE 1-7 shows the SpO2 module parameter board diagram.

WATC HDOG

DRIVE DAC

Module

LED DRIVE

CIRCUITRY

SENSOR

/RST

WDI

GAIN CONTROL

CIRCUITRY

PROGRAMMABLE

GAIN CIRCUITRY

CPU

OFFSET DAC

OFFSET

AMPLIFIER

DRAM

FLASH

ISOLATED SERIAL

IN/OUTPUT PORT

4KV ISOLATED

POWER SUPPLY

+3.3V +5V

-5V

A/D

CONVERTER

HOST

+12V

FIGURE 1-7 SpO

The SpO

sensor collects the pulsing red and infrared light signals transmitting through the

Module Principle Diagram

finger or toe, and processes the collected signals to create the measured result. The SpO2 module controls the LED drive circuit and the amplifying circuit gain corresponding to the finger or toe perfusions and transmittances.

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Theory of Operation Hardware Structure

1.4.4.2 NIBP Module

FIGURE 1-8 shows the NIBP module parameter board diagram.

CUFF

MANIFOLD

VALVES

AND PUMP

PRESSURE

SENSOR

FOR

PROTECT

PRESSURE

SENSOR

PRESSURE

SIGNAL

AMPLIFIER

CIRCUITS

FOR

PROTECT

VALV E

CIRCUIT

PRESSURE

SIGNAL

PRESSURE

SIGNAL

AMPLIFIER

CIRCUITS

MOTOR CONTROL FEEDBACK SIGNAL

PUMP AND

CONTROL

OVER

PRESSURE

PROTECT

CIRCUIT

WATC HDOG

A/D

CONVERTER

FLASH DRAM

CPU

ASYCHRONOUS

SERIAL

COMMUNICATION

FIGURE 1-8 NIBP Module Principle Diagram

The Accutorr V calculates NIBP values using the oscillometric method of noninvasive blood pressure measurement. These measurements correspond to comparisons with auscultatory values, measured using the fifth Korotkoff sound within ANSI/AAMI SP10 standards for accuracy.

1.4.4.3 Optional Temperature Module

FIGURE 1-9 shows the Temperature module parameter board diagram.

PROBE

RECOGNIZE

CIRCUIT

TEMPERATURE

DETECT

CIRCUIT

A/D

CIRCUIT

PROBE

HEAT

CIRCUIT

CPU SYSTEM

(ROM & RAM

WATCHDOG)

FIGURE 1-9 Optional Temperature Module Principle Diagram

The Temperature Module uses a thermistor as a sensor for measuring temperature. The resistance of a given thermistor is nonlinearly relative to the temperature. The Temperature Module measures the resistance of the thermistor and converts it into temperature.

Accutorr V Service Manual 0070-10-0702 1 - 9

POWER

& SIGNAL ISOLATE CIRCUIT

MAIN

BOARD

Hardware Structure Theory of Operation

1.4.5 Recorder

The recorder receives data from the main board and sends it to the thermal printhead for printing. It has a button to start or stop printing and a green LED to indicate the presence or absence of paper.

1.4.6 Bar Code Scanner

The bar code scanner reads one-dimensional and two-dimensional bar codes to simplify admitting a patient. The bar code scanner communicates with the monitor. The serial port supplies it with power. The scanner’s serial port is defined in the following table:

PIN DEFINITION

2Barcode_RX

3Barcode_TX

5GND

9VCC5VDC

The monitor’s serial port is defined in the following table:

PIN DEFINITION

2 Monitor_TX

3 Monitor_RX

5GND

9VCC5VDC

Basic settings of the bar code scanner are listed in the following table:

HOST PARAMETERS BAR CODE SCANNER FACTORY DEFAULT

Baud Rate 9600 9600

Data Bits 8 8

Stop Bits 1 1

Calibration bit 0 0

Handshaking None None

USER PARAMETERS BAR CODE SCANNER FACTORY DEFAULT

Beeper Tone Medium Medium

Beeper Volume Medium High

Trigger Mode Level Auto Aim

Parameter Scanning Disable Enable

DATA FORMAT BAR CODE SCANNER FACTORY DEFAULT

Prefix Value 7013 <CR><LF> 7013 <CR><LF>

Suffix 1 Value Suffix 2 Value

Scan Data Transmission Format <PREFIX><DATA><SUFFIX 1><SUFFIX 2> Data only

7013 <CR><LF> 7013 <CR><LF>

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Theory of Operation Hardware Structure

To change parameter settings, scan the following bar codes in sequence.

1. Set parameter defaults:

2. Set beeper volume:

3. Set trigger mode:

4. Set scan data transmission format:

Accutorr V Service Manual 0070-10-0702 1 - 11

Hardware Structure Theory of Operation

5. Disable parameter scanning:

1 - 12 0070-10-0702 Accutorr V Service Manual

2.0

Specifications

Introduction..............................................................................................2 - 2

NIBP Measurement ...................................................................................2 - 2

NIBP Measurement Cycle ..........................................................................2 - 4

SpO2 Measurement..................................................................................2 - 6

Temperature .............................................................................................2 - 10

Display Area, Indicator, and Controller .......................................................2 - 10

Audio Indicator ........................................................................................2 - 14

Real-time Clock ........................................................................................2 - 14

Standby Mode .........................................................................................2 - 15

Alarm Information.....................................................................................2 - 16

Configuration management .......................................................................2 - 16

Barcode scanner ......................................................................................2 - 16

Accutorr V Service Manual 0070-10-0702 2 - 1

Introduction Specifications

2.1 Introduction

The Accutorr V monitors patient vital signs (including non-invasive blood pressure (NIBP), pulse oxygen saturation (SpO2), and pulse rate (PR)) for a single adult, pediatric, or neonatal patient. It also monitors oral or rectal mode temperature (Temp) for a single adult or pediatric patient; or axillary mode temperature for a single neonate, adult, or pediatric patient using the optional Temperature Module.

2.2 NIBP Measurement

The NIBP module is used to measure the systolic pressure, diastolic pressure, and mean pressure in the neonatal, pediatric, and adult modes. The Accutorr V calculates NIBP values using the oscillometric method of noninvasive blood pressure measurement. These measurements correspond to comparisons with auscultatory values, measured using the fifth Korotkoff sound within ANSI/AAMI SP10 standards for accuracy.

2.2.1 Blood Pressure

PARAMETER PATIENT SIZE RANGE

Systolic pressure measurement Adult

Pediatric Neonate

Diastolic pressure measurement Adult

Pediatric Neonate

Mean pressure measurement Adult

Pediatric Neonate

Measurement accuracy Mean error: <±5 mmHg

Standard deviation: <±8 mmHg

Measurements outside of the stated ranges are not guaranteed to be accurate.

55 – 235 mmHg 55 – 160 mmHg 45 – 120 mmHg

30 – 200 mmHg 30 – 150 mmHg 20 – 100 mmHg

30 – 235 mmHg 30 – 160 mmHg 20 – 120 mmHg

2.2.2 Static Accuracy

Measurement range: 0 – 300 mmHg Static pressure measurement accuracy: ±3 mmHg

2.2.3 Maximum Cuff Pressure

Normal Use Over Pressure Protection

In normal use, the over-pressure detection is controlled by software. Once the cuff pressure exceeds the threshold, the software enables the system to deflate the cuff.

Adult 300 mmHg

Pediatric 200 mmHg

Neonate 150 mmHg

Single Fault Over-pressure protection

2 - 2 0070-10-0702 Accutorr V Service Manual

Specifications NIBP Measurement

In single fault conditions, the hardware controls the cuff deflation to prevent the cuff pressure from exceeding the following ranges:

Adult 330 mmHg

Pediatric 220 mmHg

Neonate 165 mmHg

2.2.4 Cuff Inflation

The Non-Invasive Blood Pressure inflation source brings a volume of 200 ccs to a pressure of 300 mmHg in less than or equal to 10 seconds

2.2.5 Maximum Leakage

The Non-Invasive Blood Pressure Cuff driver allows a pressure drop to be, at most, 1 mmHg in 10 seconds as measured with a 200 cc volume at differential pressures of 250 mmHg, 150 mmHg, and 50 mmHg.

2.2.6 Deflation Rate

The Non-Invasive Blood Pressure Cuff venting mechanism in adult mode vents a volume of 500 cc, reduced from a pressure of 260 mmHg to a pressure of 15 mmHg in a maximum of 10 seconds.

The Non-Invasive Blood Pressure Cuff venting mechanism in neonatal mode vents a volume of 500 cc, reduced from a pressure of 150 mmHg to a pressure of 5 mmHg in a maximum of 5 seconds.

2.2.7 Update Period

The Non-Invasive Blood Pressure Parameter has an update period of one (1) second.

2.2.8 Initial NIBP Pressure Setup and Range

The initial pressure is adjustable, and should be set to the following default values:

PATIENT TYPE DEFAULT INITIAL PRESSURE ADJUST RANGE

Adult 180 mmHg 100 – 280 mmHg

Pediatric 140 mmHg 60 – 180 mmHg

Neonate 100 mmHg 40 – 120 mmHg

Manual pressure changes in increments of 5 mmHg.

Accutorr V Service Manual 0070-10-0702 2 - 3

NIBP Measurement Cycle Specifications

2.3 NIBP Measurement Cycle

There are two different modes of measurement operation: manual and interval modes. The manual mode requires the operator to initiate the measurement cycle.

The interval mode follows a configured plan of automatically initiated measurement cycles, using the follow selections:

OFF (manual), STAT, or 1, 2, 3, 5, 10, 15, 20, 30, 60, 120, 240 minutes

NOTE: When the NIBP STAT interval is selected, the Accutorr V

takes back to back (one right after the other) blood pressure readings. As a safety precaution, there is a five minute or 10 measurement limit for continuous NIBP measurements. After 5 minutes or 10 measurements, the NIBP module automatically switches to the mode in use before NIBP STAT was selected. This reduces the chance of surface vessel rupture (petechia).

The maximum adult and pediatric measurement cycle is 180 seconds.

The maximum neonatal measurement cycle is 90 seconds.

The NIBP module adjusts the inflation pressure automatically according to the systolic pressure of the last measurement. If the first measurement is unsuccessful, the subsequent inflation pressures change to 50 mmHg higher than the previous systolic pressure in adult or pediatric mode, and 40 mmHg higher than the previous systolic pressure in neonate mode. (The subsequent inflation pressure should be greater than the systolic pressure in the previous measurement).

2.3.1 Cuff Inflation Time

If the cuff pressure does not attain 15 mmHg within 20 seconds for adult and pediatric patients, or 15 mmHg within 10 seconds for neonate patients from the start of inflation, the Accutorr V retries measuring up to three times. If the target pressure is not reached after three retries, the cuff is deflated, and a status code displays.

2.3.1.1 Cuff Pressure Automatic Check Algorithm

If the monitor cannot inflate the cuff to the Pressure Threshold within the expected time period, the monitor deflates the cuff, cancels the measurement, shuts off the pump, and displays the message “Unable to Measure”. The cancellation occurs based on the following tables.

OPERATING MODE PRESSURE THRESHOLD DURATION

Adult and Pediatric 15 mmHg 20 sec. 3

Neonate 15 mmHg 10 sec. 3

NUMBER OF RETRIES

OPERATING MODE

Adult, Pediatric, Neonate 60 mmHg 3

2 - 4 0070-10-0702 Accutorr V Service Manual

TARGET INFLATION PRESSURE

NUMBER OF RETRIES

Specifications NIBP Measurement Cycle

2.3.2 Automatically Adjusted Inflation Value after First Measurement

In the Interval and Stat modes, the inflation value of the next measurement will be automatically adjusted by the NIBP module based on the systolic value of the previous reading. After the first unsuccessful measurement, the subsequent inflation value will be the previous systolic pressure reading plus P2:

Adult Mode: P2 = 50

Pediatric Mode: P2 = 50

Neonate Mode: P2 = 40

2.3.3 Pulse Rate

Accuracy: ±3 BPM or ±3%, whichever is greater.

Resolution: 1 BPM

PATIENT TYPE PULSE RANGE

Adult 35 – 245 BPM

Pediatric 35 – 245 BPM

Neonate 70 – 245 BPM

Measurements outside of the stated ranges are not guaranteed to be accurate.

±10 mmHg

Accutorr V Service Manual 0070-10-0702 2 - 5

SpO2 Measurement Specifications

2.4 SpO2 Measurement

When configured with the DPM SpO2 module, NELLCOR NELL-3 SpO2 module, or MASIMO MS-2013 SpO2 module, the Accutorr V can perform SpO2 measurements.

The SpO2 measurement function complies with the requirements of ISO9919.

2.4.1 DPM SpO2 Module Performance

The DPM SpO2 accuracy has been validated in human studies against arterial blood sample reference measured with a CO-oximeter. Pulse oximeter measurements are statistically distributed, and only about two-thirds of the measurements can be expected to fall within the specified accuracy compared to CO-oximeter measurements.

2.4.1.1 SpO

Range: ........................................................................................... 0 – 100%

Resolution: .................................................................................... 1%

Accuracy in the static condition:

PATIENT TYPE

Adult or pediatric ±2 digits Undefined

Neonate ±3 digits Undefined

2.4.1.2 Pulse Rate

Range: ........................................................................................... 20 – 254 BPM

Resolution: .................................................................................... 1 bpm

Accuracy in the static condition:

PATIENT TYPE PR RANGE ACCURACY

Adult / Pediatric / Neonate 20 – 254 bpm ± 3 digits

RANGE

SPO

70% TO 100% 0 – 69%

2.4.1.3 Alarm setting range

SPO2 MODULE

DPM SpO

2 - 6 0070-10-0702 Accutorr V Service Manual

module 50 – 100% 0 – 254 bpm

SPO

Specifications SpO2 Measurement

2.4.2 Masimo MS-2013 SpO2 Performance

This section details the performance measurements of the Masimo MS-2013, which is designed in accordance with the requirements of the interface of the Masimo MS-2013 board. The Accutorr V interface complies with the requirements of the Masimo MS-2013 board communication protocol.

2.4.2.1 SpO

Compatible Sensors:

See Section 6.6 for a list of compatible sensors.

Measurement range: 1 – 100%

Resolution:

Accuracy no motion conditions:

PATIENT TYPE

Adult ±2 digits Undefined

Pediatric ±2 digits Undefined

Neonate ±3 digits Undefined

Accuracy During motion conditions:

PATIENT TYPE

Adult ±3% Undefined

Pediatric ±3% Undefined

Neonate ±3% Undefined

SPO

RANGE: 70% – 100% SPO2 RANGE: 1% – 69%

SPO

RANGE: 70% – 100% SPO2 RANGE: 1% – 69%

SpO

response time:

Under the condition that the PR is 75 BPM and the averaging is 8 seconds, the maximum response time for the SpO

value to increase from 60% to 95% is 20 seconds.

Low Perfusion Performance:

LOW PERFUSION CONDITION

% LIGHT

TRANSMISSIBILITY

> 0.02% > 5% ± 2 digits ± 3 digits

Accutorr V Service Manual 0070-10-0702 2 - 7

SPO

ACCURACY

PR ACCURACYPULSE AMPLITUDE

SpO2 Measurement Specifications

2.4.2.2 Pulse Rate

Resolution: 1 BPM

Update frequency: 1 Hz

Range and Accuracy:

PATIENT TYPE PR RANGE

Adult/Pediatric/Neonate 25 – 240 BPM ± 3 digits ± 5 digits

1 The Masimo MS-2013 pulse oximeter with an LNOP- Adt sensor was validated for no motion accuracy

in human blood studies on healthy adult volunteers in induced hypoxia studies in the range of 70% to 100% SpO one standard deviation. Plus or minus one standard deviation encompasses 68% of the population.

2 The Masimo MS-2013 pulse oximeter with LNOP- Adt sensor has been validated for motion accuracy in

human blood studies on healthy adult volunteers in induced hypoxia studies while performing rubbing and tapping motions at 2 to 4 Hz. At an amplitude of 1 to 2 cm and non-repetitive motion between 1 to 5 Hz at an amplitude of 2 to 3cm in induced hypoxia studies in the range of 70% to 100% SpO a laboratory co-oximeter and ECG monitor. This variation equals plus or minus one standard deviation. Plus or minus one standard deviation encompasses 68% of the population.

3 The Masimo MS-2013 pulse oximeter with LNOP-Neo and Neo Pt sensors has been validated for neona-

tal motion accuracy in human blood studies on neonates while moving the neonate’s foot at 2 to 4 Hz at an amplitude of 1 to 2 cm against a laboratory co-oximeter and ECG monitor. This variation equals plus or minus one standard deviation. Plus or minus one standard deviation encompasses 68% of the population.

4 The Masimo MS-2013 pulse oximeter has been validated for low perfusion accuracy in bench top test-

ing against a Biotek Index 2 simulator and Masimo’s simulator with signal strengths of greater then

0.02% and transmission of greater than 5% for saturations ranging from 70 to 100%. This variation equals plus or minus one standard deviation. Plus or minus one standard deviation encompasses 68% of the population.

against a laboratory co-oximeter and ECG monitor. This variation equals plus or minus

2.4.2.3 Alarm Setting Range

ACCURACY IN

STATIC

CONDITION

ACCURACY IN

MOTION

CONDITION

against

2,3,4

SPO2 MODULE

MS-2013 SpO

2 - 8 0070-10-0702 Accutorr V Service Manual

module 50 – 100 20 – 250 bpm

SPO

Specifications SpO2 Measurement

2.4.3 Nellcor NELL-3 SpO2 Performance

This section details the performance measurements of the NELL-3 pulse oximeter (integrated OxiMax measurement technique), which is designed in accordance with the requirement of the interface of the Nellcor NELL-3 board. The SHIP (Standard Host Interface Protocol) mode is used.

2.4.3.1 SpO

Compatible Sensors:

See Section 6.6 for a list of compatible sensors

Measurement Range and Accuracy:

SENSOR

MAX-A, MAX-P, and MAX-I ± 2% Undefined

OxiCliq A, OxiCliq N, OxiCliq P and OxiCliq I ±2.5% Undefined

D-YS, DS-100A, OXI-A/N and OXI-P/I ± 3% Undefined

MAX-R, D-YSE and D-YSPD ± 3.5% Undefined

1 When sensors are used on neonatal subjects as recommended, the specified accuracy range

2 Neonatal accuracy specifications are based upon testing neonatal sensors on healthy adult volun-

ACCURACY

70% – 100% 0% – 69%

increases by ± 1 digit, to account for the theoretical effect on oximeter measurements of fetal hemoglobin in neonatal blood.

teers in induced hypoxia studies, in the range of 70-100% SpO into account published literature which predicts that there may be a small difference in % SpO reported by the oximeter when measurements from adult and fetal blood with 100% fetal hemoglobin are compared. Fetal hemoglobin is present in concentrations varying from 10% to 90% in neonatal blood, and this percentage declines over time. As the percentage of fetal hemoglobin in neonatal blood declines, the theoretical effect on accuracy due to this source is reduced

. The specified accuracy also takes

1,2

2.4.3.2 Pulse Rate

MEASUREMENT RANGE ACCURACY

20 – 250 BPM ±3 BPM

251 – 300 BPM Undefined

2.4.3.3 Alarm Setting Range

SPO2 MODULE SPO

Nell-3 SpO

Accutorr V Service Manual 0070-10-0702 2 - 9

module 50 – 100 20 – 250 bpm

PULSE RATE

Temp er at ur e Specifications

2.5 Temperature

MODE

monitor 25

predict 35

MEASUREMENT RANGE ACCURACY

C – 44

(77

F – 111.2º F)

C – 43

(95

F – 109.4º F)

C (77º F) – 32º C

(89.6

F), not including

C (89.6º F)

C (89.6º F) – 44ºC

(111.2

F), including

C (89.6º F)

Not defined typically 10 s – 12 s

±0.2

C (±0.4ºF) <60 s

±0.1

C (±0.2ºF)

2.6 Display Area, Indicator, and Controller

On the front panel of the Accutorr V, there are a panel display area, a red/yellow LED group (on the top of the device), a set of buttons, and patient cable connectors. Refer to Chapter 2 of the Accutorr V Operating Instructions (P/N 0070-10-0699-XX).

2.6.1 Display Area

The display area includes 1 LCD, 7 groups of 7-segment digit display, and 7 groups of monochrome LED indicators.

TYP ICAL MEASUREMENT TIME

from the moment when temperature “----” displays dynamically

2.6.1.1 LCD

Monochrome FSTN Matrix: 320×160

Color TFT Matrix: 480×272

LCD type

SIZE AND

RESOLUTION DISPLAYED CONTENTS NOTE

The brightness and contrast of the LCD are adjustable.

Only brightness of LCD is adjustable.

dot pitch: 0.24×0.24

dot pitch:

0.16125×0.16125

Startup screen, menus/ dialogs, time and date, prompt messages, patient ID, patient size, trend data (including scroll bar), SpO waveform, and time to the next NIBP measurement

2 - 10 0070-10-0702 Accutorr V Service Manual

Specifications Display Area, Indicator, and Controller

2.6.1.2 7-Segment Digit Display

Seven groups of 7-segment digit displays display the systolic pressure (red LED), diastolic pressure (red LED), mean pressure/cuff pressure (red LED), SpO temperature (red LED), and NIBP interval (red LED).

(green LED), PR (red LED),

2.6.1.3 Monochrome LED Indicator

Seven groups of monochrome LED indicators display or indicate the pulse strength (green LED), ADULT–PEDIATRIC–NEO (patient type)–(green LED), Pulse Rate Source (SpO NIBP)–(green LED), F/C (unit of temperature)–(red LED), silence function (yellow LED), NIBP measurement status (green LED), and temperature measurement type (red LED).

2.6.1.4 Power Indicator

AC power indicator Green LED

Illuminates when the Accutorr V is connected to the AC mains.

Battery indicator Green LED

On/Standby indicator Green LED

2.6.2 Overlay and labeling

• The front panel overlays are displayed in English and extended to other languages.

• The labeling is displayed only in English.

• Startup screen, menu fonts, and LCD prompting characters can be changed through a software upgrade. The default start logo is Accutorr V.

• The format of the date can be set in the maintenance mode: Chinese style (year - month day), European style (day - month - year), American style (year - day - month).

• Display of NIBP data:

• The LCD display order is: systolic pressure data, diastolic pressure data, and mean

pressure data. For legibility, a “/” separates the data of the three pressures.

• Data displayed by LED digit displays: The systolic pressure data and diastolic pressure

data (in the same fonts) are displayed in parallel. The font of the mean pressure data is smaller than the systolic pressure data and diastolic pressure data, and displays next to them.

Illuminates when the unit is on and the battery is inserted.

Flashes when the battery voltage is too low.

Illuminates when the device is powered on or in standby mode.

Darkens when the device is shut down.

Accutorr V Service Manual 0070-10-0702 2 - 11

Display Area, Indicator, and Controller Specifications

2.6.3 Alarm Lamp

• The monitor provides 2 alarm priority levels: high level alarms or low level alarms.

• The Alarm lamp is on the front panel of the monitor. It is a group of (red/yellow) LED indicators.

• During a high alarm, the red LED, of which the duty cycle is 50%, flashes at a frequency of 1.4 – 2.8 Hz (84 times per minute).

• During a low alarm, the yellow LED illuminates continuously.

• In case a high alarm and a low alarm occur simultaneously, only the red LED flashes.

NOTE: The audio alarm indication complies with EN60601-1-8.

2.6.4 Keys

There are 14 keys on the front panel of the monitor.

KEYS DESCRIPTION

Turn the monitor on, off, or switch to standby. In the operating state, press and hold for less than 1 second to switch the device to the

On/Standby indicator

Start NIBP

standby or press and hold for 2s to turn the device off.

Press to start an NIBP measurement.

Deflate

Silence

Set Alarms

Interval

Display

Patient Info

Patient Size

Up Arrow

During an NIBP measurement, stops the measurement. Also, suspends interval mode until the next time NIBP Start is pressed.

Start recording trend data/real-time waveform. Press again to stop recording. When recording trend data, press and hold for less than 1 second to record the current data displaying on the LCD, or press and hold for 2 seconds to record all data of the current patient.

This button has dual functions: Press and hold for less than 1 second to pause an audio alarm (parameters in alarm continue to flash). Press and hold for 2 seconds to silence an alarm.

Sets alarm parameters.

Sets the measurement mode and time interval. Option: STAT mode, Off, and interval mode (options: 1, 2, 3, 5,10, 15, 20, 30, 60, 120, and 240 minute intervals). In the Off mode, perform measurement manually.

Press to view the menu options.

Press to switch between the normal views, PLETH waveform.

Press to automatically create a patient ID.

Press to change patient size

Press to perform menu operations on the LCD.

Down Arrow

2 - 12 0070-10-0702 Accutorr V Service Manual

Specifications Display Area, Indicator, and Controller

2.6.5 Patient Cable Connectors

The patient cable connectors include the NIBP connector, SpO2 connector, and the optional thermometer connector.

CABLE CONNECTOR DESCRIPTION

NIBP Cuff

The NIBP cuff connector label is .

SpO

Temperature probe

The SpO2 connector label is SpO2.

• Connects the DPM, Masimo, or Nellcor cable. The Label is SpO manufacturer name.

with the

• Apply standard round DPM 6 pin connector (same as used on Trio) to the monitor configured with the DPM SpO

board.

• Apply the Masimo connector to the monitor configured with the MS-2013

board.

SpO

• The monitor configured with the Masimo SpO the Masimo SET registered trademark.

board must be labeled with

• Apply the Nellcor connector to the monitor configured with the Nell-3 SpO board.

• The monitor configured with the Nellcor SpO Nellcor mark.

board must be labeled with the

The Temperature probe connector label is T1.

• Uses optional Mindray Smartemp predictive temperature module.

• The connector of temperature probe (oral/axillary or rectal) is labeled “T1”.

• The oral/axillary probe is blue, and the rectal probe is red.

Accutorr V Service Manual 0070-10-0702 2 - 13

Audio Indicator Specifications

2.7 Audio Indicator

A built-in speaker sounds audio alarms, button tones, and pulse tones.

The Accutorr V supports pitch tone and multiple-level volume.

2.7.1 Pulse Tone Function

The pitch of the pulse tone is modulated according to the SpO2 value, and the frequency increases as the SpO

The monitor can perform automatic 22-level modulation of the pulse tone’s pitch.

value increases.

2.7.2 Multiple-Level Volume

There are 11 alarm levels. The alarm may be disabled or set to a level between 1 and 10.

2.8 Real-time Clock

Range 0:0:0, 2001 – 23:59:59, 2099

Accuracy At 21 ±3

Resolution 1second

The real-time clock is powered by an independent battery and functions when the device is powered off.

C, ±1 min/month

2 - 14 0070-10-0702 Accutorr V Service Manual

Specifications Standby Mode

2.9 Standby Mode

• To enter the standby mode, the monitor must be disconnected from the patient and receive no physiological signals from a patient with no low-battery alarm.

• To enter the standby mode, press and confirm the operation in the pop-up dialog.

• After the monitor enters the standby mode:

• The LCD and the LEDs no longer display data.

• The SYS. LEDs Display flashes — — —.

• The current monitoring configuration and history data are saved.

• All current alarms are cleared.

• The NURSE CALL function is disabled. The NURSE CALL function is re-enabled when

the monitor resumes in normal mode.

• The connection with the central monitoring system stays the same as before entering

the standby mode.

• To resume normal mode:

1. Press any key on the front panel.

2. Confirm the resume operation at the confirm dialog. After confirming the resume

operation, the monitor exits the standby mode and enters the normal mode. If the operation is not confirmed within 30 seconds, the system automatically selects Cancel, and the monitor stays in the standby mode.

• In the following conditions, the monitor exits the standby mode and enters the normal mode:

• The monitor receives SpO

• The predictive temperature sensor is removed from its sheath.

• The monitor is powered by battery, and a low-battery alarm occurs.

• Once the monitor enters the normal mode:

• The alarm function is re-enabled.

• The history data, patient information, and other settings from before the monitor

entered the standby mode are restored.

• Data communication is restored.

• The LCD displays.

• The LEDs display parameter data.

• Saving trend data starts.

physiological signals for 5 seconds.

Accutorr V Service Manual 0070-10-0702 2 - 15

Alarm Information Specifications

2.10 Alarm Information

2.10.1 Basics

• There are two types of alarms:

• Physiological alarms: The physiological parameters of the monitored patient

exceed the specified ranges, or the physiological exceptions of the patient cannot be judged according to a single physiological parameter.

• Technical alarms: The patient cannot be monitored normally and accurately due to

faults in manual operation, technical faults, or faults in the monitor.

• The high priority alarm indicates only physiological alarms and a low battery alarm.

• The low priority alarm indicates only technical alarms, other than low battery.

• The Accutorr V provides functionality for selecting the upper limit and lower limit of each physiological alarm.

2.10.2 Alarm Notification

1. When an alarm occurs, the system notifies the user through the speaker, alarm indicator, relevant 7-segment LED digit displays, and LCD status bar.

2. When alarms of multiple levels occur simultaneously, the system notifies the user of the alarm with the highest level through the speaker and alarm indicator.

3. If the hospital Nurse Call system is available and connected to the monitor, the user can be notified of relevant alarms through the Nurse Call system.

2.10.3 Audio Alarm Pause, Audio Alarm Off, and Audio Alarm Silencing

The monitor provides functionality for pausing (disabling) an audio alarm for 120 seconds. After 120 seconds, the audio alarm notification functionality resumes. The user can resume the audio alarm notification at any time. An alarm causes the monitor to terminate the paused state.

• The monitor provides the ability to turn the audio alarm off globally. During audio alarm off, a remind signal reminds the user every minute.

• The monitor provides the ability to silence an alarm. The monitor automatically exits the alarm silenced status if a new technical or physiological alarm occurs.

2.11 Configuration management

The monitor provides a factory configuration and a user configuration. The monitor loads the selected configuration when it is switched on. If no user configuration exists, the factory configuration is automatically loaded.

2.12 Barcode scanner

The monitor can admit a patient using the barcode scanner.

2 - 16 0070-10-0702 Accutorr V Service Manual

3.0

Troubleshooting

Introduction.................................................................................................... 3 - 2

Part Replacement............................................................................................ 3 - 2

Monitor Status Check ...................................................................................... 3 - 2

Technical Alarm Check.................................................................................... 3 - 3

Troubleshooting Guide .................................................................................... 3 - 4

Accutorr V Service Manual 0070-10-0702 3 - 1

Introduction Troubleshooting

3.1 Introduction

This chapter details potential monitor issues with possible causes and corrective actions. For additional information on troubleshooting, contact service.

3.2 Part Replacement

Printed circuit boards (PCBs), major parts, and components in the monitor are replaceable. Isolate a PCB suspected to be defective, follow the instruction to replace it, and retest. If the trouble remains, exchange the replacement PCB with the original suspicious PCB and continue troubleshooting as directed in this chapter.

3.3 Monitor Status Check

Some troubleshooting tasks may require identifying the hardware version and status of the monitor.

To view the system software version and FPGA version:

1. Press .to display the SYSTEM SETUP dialog as shown in FIGURE 3-1.

2. Press or to highlight MAINTENANCE.

FIGURE 3-1 SYSTEM SETUP Dialog

3. Once MAINTENANCE is highlighted, press to display the MAINTENANCE

dialog as shown in FIGURE 3-2.

FIGURE 3-2 MAINTENANCE dialog

4. Press or to highlight VERSION.

3 - 2 0070-10-0702 Accutorr V Service Manual

Troubleshooting Technical Alarm Check

5. Once VERSION is highlighted, press to display the VERSION dialog as shown

in FIGURE 3-3.

FIGURE 3-3 Example VERSION dialog

6. Press or to highlight TOTAL RUN TIME or MODULE VERSION.

7. Once the selection is highlighted, press to display the data.

8. Press to exit to the MAINTENANCE dialog.

3.4 Technical Alarm Check

If a technical alarm message displays on the LCD, eliminate the technical alarm first, then troubleshoot according to the following instructions. For additional information on technical alarm messages, possible causes, and corrective actions, refer to the Accutorr V Operating Instructions.

Accutorr V Service Manual 0070-10-0702 3 - 3

Troubleshooting Guide Troubleshooting

3.5 Troubleshooting Guide

3.5.1 Power On/Off Failures

SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTIONS

The monitor fails to start. AC LED or battery LED does not light

AC mains not connected or battery too low

Power supply protection Refer to Power Supply Failures.

Cables defective or poorly connected

Power switch and LED board defective

Power module defective Replace the power module.

Main board Defective Replace the main board.

Confirm that the AC mains is properly connected and that the battery capacity is sufficient.

• Confirm that the cables from the power switch and the LED board to the keyboard, keyboard to the main board, and the power module to the main board are correctly connected.

• Confirm that the cables and connectors are not damaged.

Replace the power switch and LED board.

3.5.2 Display Failure

SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTIONS

The display is black or blank, but the monitor still works correctly.

Images overlapped or distorted

Cables defective or poorly connected

Backlight defective Replace the LCD.

LCD defective Replace the LCD.

FPGA error Update or upgrade FPGA.

Cables defective or poorly connected

• Confirm that the cables from the display to the main board are correctly connected.

• Confirm that the cables and connectors are not damaged.

• Confirm that the cable from the display to the main board is correctly connected.

• Confirm that the cables and connectors are not damaged.

3.5.3 LED Digital Display and Indication Lamp Failure

SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTIONS

LED digital display or indication lamp display abnormally.

Signal wires damaged • Confirm that the LED signal wires are correctly

LED digital display or indication lamp damaged

connected.

• Confirm that the cables and connectors are not damaged.

Replace the LED digital display or indication lamp.

3 - 4 0070-10-0702 Accutorr V Service Manual

Troubleshooting Troubleshooting Guide

3.5.4 Alarm Problems

SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTIONS

The alarm lamp does not light or is extinguished, but alarm sounds

Alarm does not sound, but alarm lamp lights properly

Cables defective or poorly connected

Key and display board failure

Main board failure Replace the main board.

Audio alarm disabled

Cable defective or poorly connected

Audio program error identified in the system program

Speaker failure Replace the speaker.

Main board failure Replace the main board,

• Confirm that the cables from alarm LED board to keyboard and keyboard to main board are properly connected.

• Confirm that the connecting cables and connectors are not damaged.

Replace the key and display board.

1. Press to display the SYSTEM SETUP dialog as shown

in FIGURE 3-1.

2. Press or to highlight MAINTENANCE.

3. Once MAINTENANCE is highlighted, press to

display the MAINTENANCE dialog as shown in FIGURE 3-2.

4. Press or to select USER MAINTENANCE.

5. Once USER MAINTENANCE is highlighted, press to

display the USER MAINTENANCE dialog.

6. Enter the required password.

7. In the pop-up menu, set the [MIN ALARM VOL] to a value

other than zero.

• Confirm that the cable between speaker and main board is properly connected.

• Confirm that the connecting cables and connectors are not damaged.

Upgrade system programs.

3.5.5 Key Failure

SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTIONS

Keys do not work Cables defective or

poorly connected

Keyboard failure Replace keyboard.

Accutorr V Service Manual 0070-10-0702 3 - 5

• Confirm that the cable between keyboard and main board is properly connected.

• Confirm that the connecting cables and connectors are not damaged.

Troubleshooting Guide Troubleshooting

3.5.6 Recorder Failures

SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTION

No printout Recorder module

disabled

Paper reversely installed Re-install the paper roll.

Cable defective or poorly connected

Recorder power supply failure

Recorder failure Replace the recorder.

Poor print quality or paper not feeding properly

Paper roll not properly installed

Dirty thermal print head • Confirm that the thermal print head and the paper roller do

Recorder failure Replace the recorder.

• Confirm that the recorder status LED is on.

• If yes, reset the recorder. If no, check for other possible causes.

• Confirm that the cable between recorder and main board is appropriately connected.

• Confirm that the connecting cables and connectors are not damaged.

Confirm that the power module outputs 5V DC and 16.8V DC correctly.

Stop the recorder and re-install the paper roll.

not contain foreign matter.

• Clean the thermal print head with an appropriate detergent.

3.5.7 Interface Failures

SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTION

No nurse call signals are issued

Bar code scanner unable to be used

Incorrect function settings

Main board failure Replace the main board.

Bar code scanner failure Refer to Bar Code Scanner Failures.

Serial port failure Replace the main board.

1. Press to display the SYSTEM SETUP dialog as

shown in FIGURE 3-1.

2. Press or to highlight MAINTENANCE.

3. Once MAINTENANCE is highlighted, press to

display the MAINTENANCE dialog as shown in FIGURE 3-2.

4. Press or to select NURSE CALL.

5. Once NURSE CALL is highlighted, press to

display the NURSE CALL dialog.

6. Select desired nurse call output.

3.5.8 Power Supply Failures

SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTION

Fluctuating battery voltage Battery failure Replace battery.

Cable defective or poorly connected

Power board failure Replace the power board.

• Confirm that the cable between battery interface board and power module is correctly connected.

• Confirm that the cables and connectors are not damaged.

3 - 6 0070-10-0702 Accutorr V Service Manual

Troubleshooting Troubleshooting Guide

SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTION

Battery fails to be fully charged

Battery unable to be recharged

No +3.3 V output • Power supply protection

No +5.0 V output

No +12 V output

Battery failure Replace battery.

Cable defective or poorly connected

Power board failure Replace the power board.

Battery damaged Replace battery and recharge the replacement battery.

Cable defective or poorly connected

Power board failure Replace the power board.

• Power board failure

• Confirm that the cable between battery interface board and the power module is properly connected.

• Confirm that the connecting cables and connectors are not damaged.

If the replacement battery can be recharged, the original one fails.

• Confirm that the cable between battery interface board and the power module is properly connected.

• Confirm that the connecting cables and connectors are not damaged.

• Turn off the monitor then restart it.

• If the problem remains, disconnect the AC mains for 5 seconds and reconnect it, then restart the monitor.

• If the problem still remains, replace power board.

NOTE: If the power module fails, it may damage other components

NOTE: If the parameter module, recorder, or bar code scanner

(e.g. the monitor suddenly shuts down during the start-up). In this case, troubleshoot the power module using the procedure described in the previous table.

malfunctions, check if the operating voltage is correct.

3.5.9 Network Related Problems

SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTIONS

The monitor can not connect to the CMS.

Frequent dropouts and network disconnections

No connection to LAN • Confirm that the cables and connectors are in good

condition and that the monitor is connected to the network.

• Confirm that the hub and switch facilities are correctly configured.

Improper LAN cable connection

Incorrect IP address configuration

Confirm that the LAN cable is connected. The LAN cable must not be longer than 50 m.

Check for IP address conflict. Reconfigure IP address.

Accutorr V Service Manual 0070-10-0702 3 - 7

Troubleshooting Guide Troubleshooting

3.5.10 Software Upgrade Problems

SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTIONS

Bootstrap upgrade fails Power failure or unintended

power off during bootstrap upgrade

Program upgrade fails Incorrect network connection • Confirm that the monitor is connected to the

Wrong upgrade package has been downloaded

Incorrect IP address configuration

Return the main board to the factory for repair.

network.

• Confirm that the hub or the switcher is functioning.

• Confirm that the net cables are of the right type and have been connected correctly.

Incorrect upgrade package .mup files were used. Select package according to the program to upgrade.

Configure a fixed IP address in range as specified for the monitor. Do not upgrade a program while the monitor is connected to a network.

3.5.11 Bar Code Scanner Failures

SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTIONS

Bar code scanner does not work

Bar code scanner cannot decode the target bar codes

Scanned characters incorrectly displayed on the monitor

Bar code scanner not powered on

Incorrect interface cables used

Loose Interface cables Confirm that the interface cables are attached securely.

Bar code scanner not programmed correctly.

Unreadable bar code Check if bar codes of the same type can be decoded.

Scanner and bar code at improper distance and angle

The monitor’s bar code recognition configuration does not meet the format of the target bar code.

Scanner serial port output incorrectly set

1. Press to display the SYSTEM SETUP dialog as

shown in FIGURE 3-1.

2. Press or to highlight MAINTENANCE.

3. Once MAINTENANCE is highlighted, press to

display the MAINTENANCE dialog as shown in FIGURE 3-2.

4. Press or to select USER MAINTENANCE.

5. Once USER MAINTENANCE is highlighted, press

to display the USER MAINTENANCE dialog.

6. Enter the required password.

7. Set [BARCODE POWER] to [ON] in the menu to switch

on the bar code scanner.

Replace interface cables.

Re-program the bar code scanner to decode the specified bar codes.

Aim the scanner at the bar code and adjust the distance between the scanner and the bar code.

Download the correct bar code recognition configuration for the monitor.

Configure the scanner’s serial port output according to the host serial port settings.

3 - 8 0070-10-0702 Accutorr V Service Manual

Troubleshooting Troubleshooting Guide

3.5.12 NIBP Measurement Failures

SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTIONS

Unable to start NIBP measurement

Cuff inflation/deflation failure

Cables detective Confirm that the cables between NIBP module and the

main board are in good condition.

Main board failure Replace the main board.

Pump or valve damaged Replace the NIBP module.

Air tubing occluded Replace the air tubing.

3.5.13 SpO

SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTIONS

Unable to measure SpO

Measurement Failure

SpO2 sensor failure Replace the SpO2 sensor.

Cables defective Confirm that the cable between the SpO

SpO

module failure Replace the SpO2 module.

Main board failure Replace the main board.

the main board is in good condition.

3.5.14 Temperature Measurement Failures

SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTIONS

Unable to measure patient temperature

Temperature probe damaged Replace the Temperature probe.

Cables detective Confirm that the cable between the Temperature

module and the main board is in good condition.

Main board failure Replace the main board.

module and

Accutorr V Service Manual 0070-10-0702 3 - 9

Troubleshooting Guide Troubleshooting

This page intentionally left blank.

3 - 10 0070-10-0702 Accutorr V Service Manual

4.0

Repair and Disassembly

Tools ............................................................................................................. 4 - 2

Preparation for Disassembly............................................................................. 4 - 2

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

Separating the Front and Rear Halves of the Monitor ......................................... 4 - 3

Disassembling the Front Housing Assembly ....................................................... 4 - 6

Removing the Main Rack Assembly................................................................... 4 - 9

Removing NIBP Module .................................................................................. 4 - 11

Removing the Main (CPU) Board ..................................................................... 4 - 12

Removing the Power Board.............................................................................. 4 - 13

Removing the Battery Connector Assembly......................................................... 4 - 13

Removing the Fan and Speaker ........................................................................ 4 - 14

Removing the Power Socket ............................................................................ 4 - 15

Disassembling the Temperature Module ............................................................. 4 - 16

Disassembling SpO2 Modules ......................................................................... 4 - 17

Disassembling the NIBP Module .......................................................................4 - 20

Accutorr V Service Manual 0070-10-0702 4 - 1

Tools Repair and Disassembly

4.1 Tools

During disassembly and replacement, the following tools may be required:

• Phillips screwdrivers

• Wire cutters

• Sharp nose pliers

• Metric wrenches

• Metric nut drivers

4.2 Preparation for Disassembly

Before disassembling the monitor: stop monitoring patients, turn off the monitor, disconnect all the accessories and peripheral devices, remove the battery, and disconnect the monitor from the mains power supply.

CAUTION: Before disassembling the monitor, eliminate static charges.

CAUTION: Properly connect the cables or wires when reassembling the

monitor to avoid short circuits. When assembling the monitor, select proper screws. If the wrong size screw is tightened by force, the monitor may be damaged and the screw or the part may not function as expected.

4 - 2 0070-10-0702 Accutorr V Service Manual

Repair and Disassembly Disassembly

4.3 Disassembly

4.3.1 Separating the Front and Rear Halves of the Monitor

1. If the monitor is not configured with an Optional Temperature module, proceed to

step 2. If the monitor is configured with an Optional Temperature module:

a. Remove the two (2) M3×6 cross-head screws (as shown in Figure 4-1).

M3x6 cross-head screw

FIGURE 4-1 Remove two (2) M3x6 cross-head screws.

b. Disconnect the Temp cable connector from the PCBA as shown in Figure 4-2.

Temp cable connector

FIGURE 4-2 Disconnect the Temp cable connector.

Accutorr V Service Manual 0070-10-0702 4 - 3

Disassembly Repair and Disassembly

2. Remove the four (4) M3×8 cross-head screws (as shown in Figure 4-3).

M3x8 cross-head screw

FIGURE 4-3 Remove four (4) M3x8 cross-head screws.

3. Release the clips (as shown in Figure 4-4) on the front and rear housings.

FIGURE 4-4 Release the clips.

Clips

4 - 4 0070-10-0702 Accutorr V Service Manual

Repair and Disassembly Disassembly

4. Disconnect the cables and air tubing connecting the front and the rear housings.

5. Separate the front and the rear housings (Figure 4-5).

Cable Connector

Tubing Connection

Cable Connector

FIGURE 4-5 Separate the front and rear housings.

NOTE: Exercise care when separating the front and the rear

housings. Be sure not to damage the cables and connectors.

Accutorr V Service Manual 0070-10-0702 4 - 5

Disassembly Repair and Disassembly

4.3.2 Disassembling the Front Housing Assembly

1. Remove the six (6) M3×6 cross-head screws (as shown in Figure 4-6), and remove the

key board.

M3x6 cross-head screw

Black-and-White LCD Front Housing Assembly

M3x6 cross-head screw

M3x6 cross-head screw M3x6 cross-head screw

Color LCD Front Housing Assembly

FIGURE 4-6 Remove six (6) M3x6 cross-head screws.

4 - 6 0070-10-0702 Accutorr V Service Manual

Repair and Disassembly Disassembly

2. Remove the four (4) M3×8 cross-head screws (as shown in Figure 4-7).The monitor with

color LCD does not need this step.

M3x8 cross-head screw

FIGURE 4-7 Remove four (4) M3x8 cross-head screws.

3. Disconnect the flexible cables on the button board.

4. Remove the LCD.

5. Remove the two (2) M3×6 cross-head screws (as shown in FIGURE 4-8), and take out

the SpO

rack.

M3x6 cross-head screw

FIGURE 4-8 Remove two (2) M3x6 cross-head screws.

Accutorr V Service Manual 0070-10-0702 4 - 7

Disassembly Repair and Disassembly

6. Remove the screw (as shown in FIGURE 4-9) to remove the SpO2 module from the SpO2

rack.

Screw

DPM SpO

Module

Masimo SpO

FIGURE 4-9 Remove the screw.

7. Remove the two (2) screws for the

8. Take out the SpO

signal cable.

Screw

Module

SpO2 signal cable (as shown in Figure 4-10).

Screw

Nellcor SpO2

Module

Screw

FIGURE 4-10 Remove two (2) screws.

9. For DPM SpO

only, unscrew the plastic nut for the DPM SpO2 signal cable (as shown in

Figure 4-11).

Plastic Nut

FIGURE 4-11 For DPM SpO

4 - 8 0070-10-0702 Accutorr V Service Manual

only, unscrew the plastic nut.

Repair and Disassembly Disassembly

4.3.3 Removing the Main Rack Assembly

1. Remove the two (2) M3×6 cross-head screws (as shown in Figure 4-12).

2. Take out the recorder by pushing the clips inward.

M3x6 cross-head screw

Clip

FIGURE 4-12 Remove two (2) M3x6 cross-head screws.

3. Unplug the two (2) cable connectors (as shown in Figure 4-13) from the recorder.

Cable Connector

FIGURE 4-13 Unplug two (2) cable connectors.

Accutorr V Service Manual 0070-10-0702 4 - 9

Disassembly Repair and Disassembly

4. If the device is not configured with an optional Temperature module, skip to Step 6.

5. If the device is configured with an optional Temperature module, remove the

Temperature module board.

FIGURE 4-14 Remove optional temperature module board.

6. Remove the six (6) M3×6 cross-head screws (as shown in Figure 4-15).

7. Take out the main rack assembly.

FIGURE 4-15 Remove six (6) M3x6 cross-head screws.

M3x6 cross-head screw

4 - 10 0070-10-0702 Accutorr V Service Manual

Repair and Disassembly Disassembly

4.3.4 Removing NIBP Module

1. Unplug the NIBP module from the CPU Board (as shown in Figure 4-16).

Unplug the NIBP module

FIGURE 4-16 Unplug the NIBP module.

2. Remove the three (3) M3×6 cross-head screws (as shown in Figure 4-17).

3. Take out the NIBP rack.

M3x6 cross-head screw

FIGURE 4-17 Remove three (3) M3x6 cross-head screws.

Accutorr V Service Manual 0070-10-0702 4 - 11

Disassembly Repair and Disassembly

4.3.5 Removing the Main (CPU) Board

1. Unplug the Main board power cable from the power supply as shown in FIGURE 4-18.

2. Cut the tie wrap to the speaker as shown in FIGURE 4-18.

Cable Connector

Cable Tie

FIGURE 4-18 Unplug the Main board cable connector and cut one (1) tie wrap.

3. Unplug the speaker cable (J10) from the Main board (see FIGURE 4-19).

4. Unplug the recorder cable (J8) from the Main board (see FIGURE 4-19).

5. Take out the main board by removing the four (4) M3×6 cross-head screws (as shown in

FIGURE 4-19).

M3x6 cross-head screw

Recorder Cable Speaker Cable

M3x6 cross-head screw

FIGURE 4-19 Unplug (2) two cable connectors and remove four (4) M3x6 cross-head

screws.

4 - 12 0070-10-0702 Accutorr V Service Manual

Repair and Disassembly Disassembly

4.3.6 Removing the Power Board

1. Unplug the battery connector cable.

2. Remove the power board by removing the three (3) M3×6 cross-head screws (as shown

in Figure 4-20).

3. Unplug the remaining cable connectors (fan, AC mains connector, and Main (CPU)

board) from the Power board.

M3x6 cross-head screw

FIGURE 4-20 Remove three (3) M3x6 cross-head screws.

4.3.7 Removing the Battery Connector Assembly

Remove the three (3) M3×6 cross-head screws (as shown in Figure 4-21).

FIGURE 4-21 Remove three (3) M3x6 cross-head screws.

M3x6 cross-head screw

Accutorr V Service Manual 0070-10-0702 4 - 13

Disassembly Repair and Disassembly

4.3.8 Removing the Fan and Speaker

1. Cut the cable ties on the fan, speaker, and the main rack.

2. Remove the fan cushion (as shown in Figure 4-22).

Fan Cushion

FIGURE 4-22 Remove the Fan Cushion.

3. Remove the three (3) M3×25 cross-head screws (as shown in Figure 4-23).

4. Remove the fan.

5. Remove the speaker from the main rack.

FIGURE 4-23 Remove Three (3) M3x25 cross-head screws.

M3x25 cross-head screw

4 - 14 0070-10-0702 Accutorr V Service Manual

Repair and Disassembly Disassembly

4.3.9 Removing the Power Socket

1. Remove the retaining nut securing the grounding post (as shown in Figure 4-24).

2. Remove the grounding terminal.

Retaining Nut

FIGURE 4-24 Remove the retaining nut.

3. Remove the two (2) M3×8 cross-head screws (as shown in Figure 4-25).

4. Remove the power socket.

M3x8 cross-head screw

FIGURE 4-25 Remove Two (2) M3x8 cross-head screws.

Accutorr V Service Manual 0070-10-0702 4 - 15

Disassembly Repair and Disassembly

4.3.10 Disassembling the Temperature Module

1. Remove the two (2) M3×6 cross-head screws (as shown in Figure 4-26).

2. Take the cover plate off.

M3x6 cross-head screw

FIGURE 4-26 Remove Two (2) M3x6 cross-head screws

3. Remove the three (3) M3×6 cross-head screws (as shown in Figure 4-27).

4. Remove the Temperature module board.

5. Remove the mylar sleeve.

M3x6 cross-head screw

FIGURE 4-27 Remove three (3) M3x6 cross-head screws.

4 - 16 0070-10-0702 Accutorr V Service Manual

Repair and Disassembly Disassembly

4.3.11 Disassembling SpO2 Modules

4.3.11.1 Disassembling a DPM SpO

1. Remove the M3×6 cross-head screw (as shown in FIGURE 4-28).

M3x6 cross-head screw

FIGURE 4-28 Remove one M3 X 6 cross-head screw

2. Remove the SpO

board. (as shown in FIGURE 4-29)

module

FIGURE 4-29 DPM SpO

Accutorr V Service Manual 0070-10-0702 4 - 17

board and isolated power supply.

Disassembly Repair and Disassembly

4.3.11.2 Disassembling a Masimo SpO2 module

1. Remove the isolation power board by removing the three (3) M3 nuts (as shown in

Figure 4-30).

2. Remove the three (3) M3×6 cross-head screws.

M3 Nut M3x6 cross-head screw

M3 Nut

M3x6 cross-head screw

M3 Nut

M3x6 cross-head screw

FIGURE 4-30 Remove three (3) M3 nuts, and three (3) M3x6 cross-head screws.

3. Remove the SpO

FIGURE 4-31 Masimo SpO

board.

board and isolated power supply.

4 - 18 0070-10-0702 Accutorr V Service Manual

Repair and Disassembly Disassembly

FIGURE 4-32 Masimo isolated power supply.

4.3.11.3 Disassembling a Nellcor SpO2 module

1. Remove the M3×6 cross-head screw (as shown in FIGURE 4-33) to separate the SpO2

module from its isolated power supply (as shown in FIGURE 4-34).

M3x6 cross-head screw

FIGURE 4-33 Remove one (1) M3x6 cross-head screw.

FIGURE 4-34 Nellcor SpO

board and isolated power supply.

Accutorr V Service Manual 0070-10-0702 4 - 19

Disassembly Repair and Disassembly

4.3.12 Disassembling the NIBP Module

4.3.12.1 Removing the NIBP Pump

1. Unplug the pump cable connector from the NIBP board.

2. Disconnect the tubing.

3. Cut the two tie wraps holding the NIBP pump as shown in FIGURE 4-35.

4. Remove the pump.

Pump Tubing

Tie Wraps

FIGURE 4-35 Cut two (2) tie wraps.

4.3.12.2 Removing the NIBP Dump Valve

1. Unplug the dump valve cable connector from the NIBP board.

2. Disconnect the tubing.

3. Remove the two (2) screws on the bottom of the NIBP rack as shown in FIGURE 4-36.

4. Remove the dump valve.

Pump Cable Connector

Screw

FIGURE 4-36 Remove two (2) screws.

4 - 20 0070-10-0702 Accutorr V Service Manual

Repair and Disassembly Disassembly

4.3.12.3 Removing the NIBP Bleed Valve

1. Unplug the bleed valve cable connector from the NIBP board.

2. Disconnect the tubing.

3. Remove the two (2) screws as shown in FIGURE 4-37.

4. Remove the bleed valve.

Screws

FIGURE 4-37 Remove two (2) screws.

Accutorr V Service Manual 0070-10-0702 4 - 21

Disassembly Repair and Disassembly

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4 - 22 0070-10-0702 Accutorr V Service Manual

5.0

Parts

Main Assembly .............................................................................................. 5-2

Front Assembly (Color LCD) ............................................................................. 5-3

Rear Housing Assembly................................................................................... 5-12

Main Bracket Assembly ................................................................................... 5-13

NIBP Assembly (Pump M6Q-100003- - -)........................................................... 5-16

NIBP Assembly (Pump 082-000056-00) ............................................................ 5-19

Temperature Module Subassembly .................................................................... 5-22

Temperature Power Module Subassembly .......................................................... 5-24

Accutorr V Service Manual 0070-10-0702 5 - 1

5 - 2 0070-10-0702 Accutorr V Service Manual

ITEM PART NUMBER DESCRIPTION 1 801-6101-00003-00

801-6101-00023-00

Front Shell Assembly (B&W) Front Shell Assembly (Color)

2 M6G-020015- - - Hose Silicone,1.6mmODX0.8mmID 10m/per 3 M04-004012- - - Screw, Crosshead M3×6 4 6101-30-46616 Main Bracket Assembly 5 801-6101-00011-00 Recorder module package 6 M04-000605- - - Screw, Pan Head Phillips M3X8 7 6101-20-46742 Rear Overlay (6101) 8 9211-20-87369 AC Inlet Retainer Clip 9 801-6101-00010-00 Rear Housing Assembly 10 M04-002505- - - Screw M3×6

Main Assembly Parts

5.1 Main Assembly

FIGURE 5-1 Main Assembly

Accutorr V Service Manual 0070-10-0702 5 - 3

ITEM PART NUMBER DESCRIPTION

— 115-016544-00 * Front Assembly Service Kit (Color LCD) Includes all parts

below:

11 0010-20-12194 Machine Pneumatic Socket Subassembly 12 043-001894-00 Front Bezel (Color LCD) 13 6101-20-46722 Alarm Light Cover (6101) 14 6101-20-46723 Silicon Keypad (6101) 15 6101-20-46762 Key Pad Fixer 2 16 M04-051003- - - Screw, Pan Head Phillips PT2.0X6 17 M04-021000- - - Flat Washer 18 6101-20-46743 Key Pad Fixer (6101)

Parts Front Assembly (Color LCD)

5.2 Front Assembly (Color LCD)

FIGURE 5-2 Front Bezel Assembly

5 - 4 0070-10-0702 Accutorr V Service Manual

NOTE: * To upgrade the Black & White LCD requires FRU# 801-6101-00023-00. Included in this FRU are: FRU# 801-

6101-000211-00 (Main board), 009-002037-00 (LCD signal cable), 042-004637-00 (Ferrite Fixer Plate), 051-000875-00 (Display and Key panel), 049-000280-00 (Color LCD Rubber), 021-000056-00 (LCD) for the new assembly, and 115-016544-00. Please refer to the figures 5 -2, 5-4, 5-5 and 5-12.

Front Assembly (Color LCD) Parts

Accutorr V Service Manual 0070-10-0702 5 - 5

ITEM PART NUMBER DESCRIPTION 19 6101-20-46734 SpO2 Mounting Bracket (6101) 20 6101-30-46622 Nellcor SpO2 module package 21 801-0010-00002-00 Nellcor SpO2 Board 22 801-6101-00017-00 Nellcor Power Isolation Board 23 801-0010-00018-00 Nellcor SpO2 Flex Cable 24 6101-20-46719-51 Nellcor SpO2 Interface Bracket 25 6101-30-46621 Masimo SpO2 Module Package 26 801-6101-00016-00 Masimo SpO2 Board 27 801-6101-00015-00 Masimo Power Isolation Board PCBA 28 801-0010-00019-00 Masimo SpO2 Flex Cable 29 6101-20-46720-51 Masimo SpO2 Interface Bracket

ITEM PART NUMBER DESCRIPTION 30 6101-30-46620 DPM SpO2 Module Package 31 801-9211-00108-00* DPM SpO2 Isolation Board* 32 801-9211-00107-00* DPM SpO2 Board* 33 801-6006-00029-00 DPM SpO2 Signal Cable 34 6101-20-46718-51 DPM SpO2 Interface Bracket 35 6101-20-46733 DPM SpO2 Interface Bracket Plate

* Upgrading the 9006 SpO2 module to the 9008 SpO2 module requires FRU# 801-9211-00107-00, 801-9211-00108-00, 6101-20-46734.

Parts Front Assembly (Color LCD)

FIGURE 5-3 SpO2 Assembly

5 - 6 0070-10-0702 Accutorr V Service Manual

ITEM PART NUMBER DESCRIPTION 3 M04-004012- - - Screw, Crosshead M3×6 36 801-6101-00022-00* 6101 Display and key panel PCBA (Color)*

(FRU# 801-6101-00023-00 contains these parts.)

37 6101-20-46763 Ferrite Fixer Plate Isolation Sheet 38 042-004637-00* Ferrite Fixer Plate (Color LCD)*

(FRU# 801-6101-00023-00 contains these parts.)

39 0000-10-10996 Spring Strip * Upgrading the Black-and-White LCD assembly to the new Color LCD assembly requires FRU# 801-6101-00021-00(Main board),009-002037-00(LCDsignal cable), 042-004637-00(Ferrite

Fixer Plate), 051-000875-00(Display and Key panel), 049-000280-00(Color LCD Rubber), 021-000056-00(LCD) for the new assembly. Please refer to the figures 5 -2, 5-4, 5-5 and 5-12.

Front Assembly (Color LCD) Parts

FIGURE 5-4 Display/Keyboard Assembly

Accutorr V Service Manual 0070-10-0702 5 - 7

Parts Front Assembly (Color LCD)

ITEM PART NUMBER DESCRIPTION 3 M04-004012- - - Screw Crosshead M3×6 41 6101-20-46732 Grounding Washer (6101) 42 049-000280-00* Color LCD Rubber* 43 021-000056-00* LCD panel TFT 3.5inch 272*480 3.3V*

047-005560-00 047-005561-00 047-005562-00 047-005563-00 047-005564-00 047-005565-00

40 047-005559-00

Front Overl Front Overlay (6101), Italy Front Overlay (6101), French Front Overlay (6101), German Front Overlay (6101), Spanish Front Overlay (6101), Portuguese Front Overlay (6101), Dutch

ay (6101), English

* Upgrading the Black-and-White LCD assembly to the new Color LCD assembly requires FRU# 801-6101-00021-00 (Main board), 009-002037-00 (LCD signal cable), 042-004637-00 (Ferrite Fixer Plate), 051-000875-00 (Display and Key panel), 049-000280-00 (Color LCD Rubber), 021-000056-00 (LCD) for the new assembly. Please refer to the figures 5 -2, 5-4, 5-5 and 5-12.

FIGURE 5-5 Front Shell Assembly

5 - 8 0070-10-0702 Accutorr V Service Manual

ITEM PART NUMBER DESCRIPTION

— 115-016543-00 Front Assembly Service Kit (Black &

White) Includes all parts below:

11 0010-20-12194 Machine Pneumatic Socket Subassembly 44 6101-20-46710 Front Bezel (6101) 13 6101-20-46722 Alarm Light Cover (6101) 14 6101-20-46723 Silicon Keypad (6101) 15 6101-20-46762 Key Pad Fixer 2 16 M04-051003- - - Screw, Pan Head Phillips PT2.0X6 17 M04-021000- - - Flat Washer 18 6101-20-46743 Key Pad Fixer (6101)

Front Assembly (Black and White LCD) Parts

5.3 Front Assembly (Black and White LCD)

FIGURE 5-6 Front Bezel Assembly

Accutorr V Service Manual 0070-10-0702 5 - 9

ITEM PART NUMBER DESCRIPTION 19 6101-20-46734 SpO

Mounting Bracket (6101)

20 6101-30-46622 Nellcor SpO

module package

801-0010-00002-00

Nellcor SpO

Board

22 801-6101-00017-00 Nellcor Power Isolation Board 23

801-0010-00018-00

Nellcor SpO

Flex Cable

24 6101-20-46719-51 Nellcor SpO

Interface Bracket

25 6101-30-46621 Masimo SpO

Module Package

26 801-6101-00016-00 Masimo SpO

Board

ITEM PART NUMBER DESCRIPTION 27 801-6101-00015-00 Masimo Power Isolation Board PCBA 28

801-0010-00019-00

Masimo SpO

Flex Cable

29 6101-20-46720-51 Masimo SpO

Interface Bracket

30 6101-30-46620 DPM SpO

Module Package

801-9006-00001-00

DPM SpO

Board

801-6006-00029-00

DPM SpO

Signal Cable

34 6101-20-46718-51 DPM SpO

Interface Bracket

35 6101-20-46733 DPM SpO

Interface Bracket Plate

Parts Front Assembly (Black and White LCD)

FIGURE 5-7 SpO2 Assembly

5 - 10 0070-10-0702 Accutorr V Service Manual

Front Assembly (Black and White LCD) Parts

ITEM PART NUMBER DESCRIPTION 3 M04-004012- - - Screw, Crosshead M3×6 45 M04-011002- - - Hex Locknut with Conical Washer M3 46 0000-10-10997 LCD Module FSTN 320x160 LED White Backlight 47 6101-30-46609 Display Keyboard PCBA 48 6101-20-46752 Ferrite Fixer Plate 49 6101-20-46763 Ferrite Fixer Plate Isolation Sheet 50 M04-004015- - - Screw, Pan Head Phillips with Washer M3X8 51 M04-021024- - - Large Washer 52 6006-20-39502 LCD Display Back Plate

FIGURE 5-8 Display/Keyboard Assembly

Accutorr V Service Manual 0070-10-0702 5 - 11

ITEM PART NUMBER DESCRIPTION 3 M04-004012- - - Screw Crosshead M3×6 53 6101-20-46732 Grounding Washer (6101) 54 047-002718-00

6101-20-46741-52 6101-20-46741-53 6101-20-46741-54 6101-20-46741-55 6101-20-46741-56

Front Overlay (6101), English Front Overlay (6101), French Front Overlay (6101), German Front Overlay (6101), Spanish Front Overlay (6101), Portuguese Front Overlay (6101), Dutch

Parts Front Assembly (Black and White LCD)

FIGURE 5-9 Front Shell Assembly

ITEM PART NUMBER DESCRIPTION

— 801-6101-00010-00 Complete Rear Cover

Service Kit. Includes all parts below, except 8016101-00009-00.

51 M04-021024- - - Large Washer 55 DA6H-20-22831 Foot Cushion 56 801-6101-00009-00 Battery Door (6101) and

Battery Door Link

57 M04-000802- - - Flat Washer 58 M04-003105- - - Tapping Screw PT3×8 59 6101-20-46751 Recorder Bracket (6101) 60 6006-20-39418 Speaker Spacer 61 6101-20-46713 Handle Cover (6101)

— 047-002714-00 Rear Label

5 - 12 0070-10-0702 Accutorr V Service Manual

Rear Housing Assembly Parts

5.4 Rear Housing Assembly

FIGURE 5-10 Rear Housing Assembly

Accutorr V Service Manual 0070-10-0702 5 - 13

ITEM PART NUMBER DESCRIPTION 3 M04-004012- - - Screw, Crosshead M3×6 62 6101-20-46725 Main Bracket (6101) 63 6101-20-46736 Power Supply Board Isolation Sheet (6101) 64 6101-20-46735-51 I/O Overlay (6101) 65 6006-20-39451 Main Board Insulating Plate 66 0000-10-10996 Spring Strip 67 6101-20-46738 Battery Box Isolation Sheet (6101) 68 6101-20-46753 Battery Hook Torsion Spring

ITEM PART NUMBER DESCRIPTION 69 7000-20-24365 Torsion Spring 70 6006-20-39486 Battery Bar Setscrew 71 6101-20-46739 Fan Gasket (6101) 72 M04-051172- - - Screw, Flat Head Phillips M3X25 73 6101-20-46731 Fan Binder Plate (6101) 74 801-9201-00001-00 Fan (KDE1204PKV3) 75 6006-20-39379 Speaker Spacer 76 801-6006-00048-00 Speaker and Cables 77 801-6006-00019-00 Lithium Battery Connector Assembly 78 2102-20-17166 Protective Ground Label 79 M04-004401- - - Hex Nut, M6 80 M04-004504- - - Spring Washer 81 M04-021003- - - Flat Washer 82 0509-20-00098 Grounding Terminal 83 M04-000405- - - Screw, Crosshead M3×8 84 6006-21-39386 Power Board AC Input cable

Parts Main Bracket Assembly

5.5 Main Bracket Assembly

FIGURE 5-11 Main Bracket Assembly

5 - 14 0070-10-0702 Accutorr V Service Manual

ITEM PART NUMBER DESCRIPTION 3 M04-004012- - - Screw, Crosshead M3×6 45 M04-011002- - - Nut, M3 with Spring Washer 85 6101-30-46601 AC-DC Power Supply PCBA 86 M04-000106- - - Bolt, M3×7 87 6101-20-46611 Keyboard Power Cable 88 6006-20-39492 Recorder Power Cable 89 6101-30-46618 NIBP Assembly

ITEM PART NUMBER DESCRIPTION 90 6006-20-39381 Recorder Signal Cable 91 6006-20-39380 Host Board Power Cable 92 6006-20-39384

009-002037-00*

LCD Signal Cable (for B&W LCD) LCD Signal Cable (for color LCD) *

93 M09A-20-62081 Communication Cable from Host Board to Isolation Board 94 6006-20-39382 SpO

Module Cable

95 6006-20-39383 Keyboard Signal Cable 96 M05-010R03- - - Button Battery Lithium 3V35mAh D12.5x2.0 97** 801-6101-00001-00

801-6101-00021-00*

Main Board (for B&W LCD) Main Board (for color LCD)*

* Upgrading the Black-and-White LCD assembly to the new Color LCD assembly requires FRU# 801-6101-00021-00 (Main board),009-002037-00 (LCD signal cable), 042-004637-00 (Ferrite Fixer Plate), 051-000875-00 (Display and Key panel), 049-000280-00 (Color LCD Rubber), 021-000056-00 (LCD) for the new assembly. Please refer to the figures 5 -2, 5-4, 5-5 and 5-12.

Main Bracket Assembly Parts

FIGURE 5-12 Main Bracket Assembly

Accutorr V Service Manual 0070-10-0702 5 - 15

NOTE: **After replacing the Main Board, a System Reconfiguration should be performed by following this

procedure: While the monitor is powered on, press and hold the MENU key for two seconds. While the MENU key is still depressed, press and hold the power ON/OFF key. Verify that the message “Clear system config and restarting” appears. Release the MENU and ON/OFF keys. The monitor will shutdown and restart. Then the message “Checking system config...” appears. After the monitor is successfully configured, the message “System configure succeed. Restarting...” is displayed and the monitor shuts down and restarts automatically.

Parts Main Bracket Assembly

ITEM PART NUMBER DESCRIPTION 10 M04-002505- - - Screw, M3×6

5 - 16 0070-10-0702 Accutorr V Service Manual

NIBP Assembly (Pump M6Q-100003- - -) Parts

5.6 NIBP Assembly (Pump M6Q-100003- - -)

Accutorr V models with serial numbers lower than S/N A7503017K9 are configured with the old NIBP pump (083-000056-00).

FIGURE 5-13 NIBP Assembly (Pump M6Q-100003- - -)

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ITEM PART NUMBER DESCRIPTION 98 M04-051004- - - Screw, PT2.6×6 99 801-6100-00019-00 NIBP PCBA Module 100 A21-000002- - - Tubing, Silicone,1/8"X1/4" X100ft,2800546-100 101 S1-0378-02-0004 Filtered Orifice Restricto 102 S1-0008-10-0206 Tubing, Silicone,1/16"X3/16",TYGON 3350 (1foot) 103 3001-10-07066 T-Connector 104 6101-20-46756 NIBP Bracket Manifold 105 6101-20-46755 NIBP Manifold 106 6101-20-46610 Cable, Main Board to NIBP Module Board

102

103

102

104

105

101

106

100

NIBP Assembly (Pump M6Q-100003- - -) Parts

FIGURE 5-14 NIBP Pneumatics (Pump M6Q-100003- - -)

Accutorr V Service Manual 0070-10-0702 5 - 18

* Upgrading the old pump (082-000056-00) to the new rolling pump (M6Q-100003- - -) requi FRU# 801-6101-00018-00 (pump kit), 047-001582-00 (label), and 042-001417-00 (bracke See section 5.7 (pg. 5-19) ‘‘NIBP Assembly (Pump 082-000056-00)’’ for the old pump assem

ITEM PART NUMBER DESCRIPTION 107 047-001582-00* NIBP Bracket Label* 108 M04-051137- - - Screw, M2×4 109 M90-000002-00 Insulation Washer F2 110 042-001417-00* NIBP Bracket*

(FRU# 801-6101-00018-00 contains these parts.*)

111 M6Q-100003- - - Rolling Pump 112 6101-20-46761 Pump Cushion 113 082-000057-00 Valve Solenoid 114 M04-004905- - - Screw, M3×18 115 082-000058-00 Valve — 009-000588-00 Pump connection cable — A90-000031- - - Cable Tie CHS-4x150mm

113

114

115

110

111

112

114

115

111

Parts NIBP Assembly (Pump M6Q-100003- - -)

FIGURE 5-15 NIBP Mechanical (Pump 082-000056-00)

ITEM PART NUMBER DESCRIPTION 10 M04-002505- - - Screw, M3×6

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NIBP Assembly (Pump 082-000056-00) Parts

5.7 NIBP Assembly (Pump 082-000056-00)

FIGURE 5-16 NIBP Assembly (Pump 082-000056-00)

5 - 20 0070-10-0702 Accutorr V Service Manual

100

101

103

102

104

105

106

100

NIBP Assembly (Pump 082-000056-00) Parts

FIGURE 5-17 NIBP Pneumatics (Pump 082-000056-00)

Accutorr V Service Manual 0070-10-0702 5 - 21

* Upgrading the old pump (082-000056-00) to the new rolling pump (M6Q-100003- - -) requires FRU# 801-6101-00018-00 (pump kit), 047-001582-00 (label), and 042-00141700 (bracket). See section 5.6 (pg. 5-16) ‘‘NIBP Assembly (Pump M6Q-100003- - -)’’ for the new rolling pump assembly.

ITEM PART NUMBER DESCRIPTION 116 6101-20-46737 NIBP Fram Overlay (6101) 108 M04-051137- - - Screw, M2×4 109 M90-000002-00 Insulation Washer F2 117 6101-20-46730 NIBP Bracket (6101) 118 082-000056-00* Pump* 112 6101-20-46761 Pump Cushion — 801-6101-00002-00 Pump Kit (includes pump 082-000056-00 and cushion

6101-20-46761)

113 082-000057-00 Valve Solenoid 114 M04-004905- - - Screw, M3×18 115 082-000058-00 Valve

116

108

109

117

118

112

113

114

115

Parts NIBP Assembly (Pump 082-000056-00)

FIGURE 5-18 NIBP Mechanical (Pump 082-000056-00)

Accutorr V Service Manual 0070-10-0702 5 - 22

ITEM PART NUMBER DESCRIPTION 10 M04-002505- - - Screw, M3×6 119 6101-20-46759 Temp Module Water Ingress Blocker 120 801-6006-00044-00 Temp Measurement Board Subassembly 121 6101-20-46716 Temp Module Inner Cover

121

120

119

Parts Temperature Module Subassembly

5.8 Temperature Module Subassembly

FIGURE 5-19 Temperature Module Subassembly

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ITEM PART NUMBER DESCRIPTION 122 6101-20-46717 Temp Probe Cover Holder 123 6101-20-46715 Temp Module External Cover 124 6101-20-46724 Temperature Probe Holder Ring (6101) 125 M04-003905- - - Screw, Phillips PT3×6

125

124

123

122

Temperature Module Subassembly Parts

FIGURE 5-20 Temperature Module Subassembly

Mindray h-0070-00-0702_accutorr-v-service-manual-7-0 Accutor V Service Manual

Specifications and Main Features

Frequently Asked Questions

User Manual

Preface

Warnings, Cautions, and Notes

Warnings

Cautions

Notes

Safety Designations

Product Limitations

Unpacking

Symbols and Descriptions

Theory of Operation

1.1 Introduction

1.2 Controls and Indicators

1.3 System Overview

1.4 Hardware Structure

1.4.1 Main Board

1.4.2 Power Board

1.4.3 Key and Displays Board

1.4.4 Parameter Boards

1.4.4.2 NIBP Module

1.4.4.3 Optional Temperature Module

1.4.5 Recorder

1.4.6 Bar Code Scanner

Specifications

2.1 Introduction

2.2 NIBP Measurement

2.2.1 Blood Pressure

2.2.2 Static Accuracy

2.2.3 Maximum Cuff Pressure

2.2.4 Cuff Inflation

2.2.5 Maximum Leakage

2.2.6 Deflation Rate

2.2.7 Update Period

2.2.8 Initial NIBP Pressure Setup and Range

2.3 NIBP Measurement Cycle

2.3.1 Cuff Inflation Time

2.3.1.1 Cuff Pressure Automatic Check Algorithm

2.3.2 Automatically Adjusted Inflation Value after First Measurement

2.3.3 Pulse Rate

2.4 SpO2 Measurement

2.4.1 DPM SpO2 Module Performance

2.4.1.2 Pulse Rate

2.4.1.3 Alarm setting range

2.4.2 Masimo MS-2013 SpO2 Performance

2.4.2.2 Pulse Rate

2.4.2.3 Alarm Setting Range

2.4.3 Nellcor NELL-3 SpO2 Performance

2.4.3.2 Pulse Rate

2.4.3.3 Alarm Setting Range

2.5 Temperature

2.6 Display Area, Indicator, and Controller

2.6.1 Display Area

2.6.1.1 LCD

2.6.1.2 7-Segment Digit Display

2.6.1.3 Monochrome LED Indicator

2.6.1.4 Power Indicator

2.6.2 Overlay and labeling

2.6.3 Alarm Lamp

2.6.4 Keys

2.6.5 Patient Cable Connectors

2.7 Audio Indicator

2.7.1 Pulse Tone Function

2.7.2 Multiple-Level Volume

2.8 Real-time Clock

2.9 Standby Mode

2.10 Alarm Information

2.10.1 Basics

2.10.2 Alarm Notification

2.10.3 Audio Alarm Pause, Audio Alarm Off, and Audio Alarm Silencing

2.11 Configuration management

2.12 Barcode scanner

Troubleshooting

3.1 Introduction

3.2 Part Replacement

3.3 Monitor Status Check

3.4 Technical Alarm Check

3.5 Troubleshooting Guide