Service Manual of PM-8000 Portable Patient Monitor (V2.0) 1-1
Respiratory Rate (RR)
Respiration Waveform
Oxygen Saturation (SpO2), Pulse Rate (PR)
SpO2 Plethysmogram
Systolic Pressure (NS), Diastolic Pressure (ND), Mean Pressure (NM)
Introduction
TEMP
IBP
PM-8000 provides extensive functions as visual & audible alarm, storage and report printout for
trend data, NIBP measurements, and alarm events, and drug dose calculation, etc.
Temperature DATA
IBP SYS, DIA, MAP
IBP waveform
II. Appearance
The POWER switch is on the right quarter of the front panel (②). The POWER indicator(④)
and the BATT indicator (③) light when the device is powered on. The ALARM indicator flashes or
lights when alarm occurs (①). Sockets for the sensors are on the right side. The recorder socket is on
the left side. Other sockets and power plug-in are at the back.。
Figure 1-1 Front view of PM-8000 Portable Patient Monitor
2.1 Screen display
The display of PM-8000 may be color or monochrome liquid crystal. (The monitor of PM-8000 is
available in both monochrome and color liquid crystal).Patient parameters, waveforms, alarm messages,
bed numbers, date, system status and error messages can be displayed on the screen.
The screen is divided into three areas: ← message area①; ↑ waveform area②; → parameter area
1-2 Service Manual of PM-8000 Portable Patient Monitor (V2.0)
Introduction
Figure 1-2 PM-8000 main screen
Message Area(①)
The Message Area is at the top of the screen and used to display operating state of the monitor and
status of the patient.
The messages and their meanings are:
【BED No】 Bed number of the patient being monitored
【3/1/2001】 Current date
【10:23:45】 Current time
【M/F】 Sex of the patient being monitored
【NAME】name of the patient being monitored. When the user is entering patient name,
the name will be displayed at this position. If no patient name is entered, this
position will be blank.
Other information in the Message Area comes up only with respective monitoring status. They are:
1. Signs indicating the operating status of the monitor and the sensors are displayed at the right side of
time numeric. When appears, this message will cover the sex and name information of the patient.
2. “
” Indicates that all sounds are disabled manually. It appears when SILENCE button is pressed
for more than 1 seconds.
3. “!
ALARM SETUP menu, this mark appears indicating that the operator has permanently closed the
Service Manual of PM-8000 Portable Patient Monitor (V2.0) 1-3
” is the sign indicating that the alarm volume is closed. When select the “OFF” option in the
Introduction
audio alarm function. This audio alarm function can resume only after the operator discharges the setup
of Close Alarm Volume.
′ NOTE ′
When “!
the operator should be careful in using this function. One method of discharging this
status is in the ALARM SETUP menu, select the item that the alarm volume is in
Non-close. Another method is to press the SILENCE button so as to make the mark
” sign appears, the system can not give any audio alarm prompt. Therefore,
change into a
restores the normal alarm status.
4. Alarm message is displayed always at the extreme right area on the screen.
5. When waveforms on the screen are frozen, “FREEZE” window appears at the bottom of the screen.
. Then press SILENCE button again, the system will immediately
Waveform/Menu Area(②)
Five waveforms can be displayed at the same time. The waveforms from up to down are: 2 channels of
to be displayed are user-selectable. Refer to Tracing Waveforms Selection in Operation Manual for
details.
The names of the waveforms are displayed to their left. The names of ECG and IBP are user-selectable.
Refer to Chapter ECG/RESP Monitoring and Chapter IBP Monitoring in Operation Manual for
details. Gain and filter of this ECG channel are displayed as well. A 1mv scale is marked on the right
of ECG waveform. The IBP waveform scale is displayed in IBP wave area. The three dot lines from up
to down respectively represent the highest scale, reference scale and lowest scale of the waveform.
These values can be manually set. Refer to Chapter IBP Monitoring in Operation Manual for IBP
setup.
The same menu always appears at a fixed area on the screen. When the menu is displayed, some
waveforms become invisible. The size of the menu is also fixed, covering the lowest 3, 4 or 5
waveforms. If the system exits the menu, the screen will restore its previous look.
The waveforms are refreshed in a user-set rate. Refer to the related chapters for details of sweep speed.
Parameter Area(③)
Parameters are displayed at a fixed position (①~⑩). They are (from top to bottom):
1-4 Service Manual of PM-8000 Portable Patient Monitor (V2.0)
Introduction
ECG
NIBP
SpO2
IBP
Figure 1-3 Main Screen
Heart Rate (①, Unit: bpm) ⎯
⎯
ST-segment analysis of Channel 1 & 2 (②, Unit: mv)
⎯
Arrhythmia (PVCs) events (③, Unit: event/min)
⎯
(From left to right) Systolic, Mean, Diastolic (④, Unit: mmHg or kPa)
⎯
SpO2 (⑤, Unit: %)
⎯
Blood Pressure: Systolic, Mean, and Diastolic values are displayed from left to right. (⑥,
Unit: mmHg or kPa)
RESP
⎯
Respiration Rate (⑦, Unit: breath/min)
TEMP
⎯
Temperature (⑧, Unit:℃ or ℉)
Service Manual of PM-8000 Portable Patient Monitor (V2.0) 1-5
Introduction
The above monitoring results are displayed in the Parameter Area.
The parameters refresh every second, except that the NIBP value refreshes each time when the
measurement is over.
User can select the monitor parameters, and the screen display will change accordingly.
Alarm indicator and alarm status:
In normal mode, no indicator lights.
In alarm mode, the alarm indicator lights or flashes. The color of the indicator indicates the alarm level.
2.2 Button Functions
Figure 1-4 PM-8000 Buttons and Knob
All the operations of PM-8000 can be performed through using the buttons and the rotary knob at the
bottom of the screen. Above the buttons are their respective names. They are (from left to right):
①POWER
Press to turn on/off the monitor.
②FREEZE
When in normal mode, press to enter Freeze mode to freeze all the waveforms
on the screen. When in Freeze mode, press to restore the waveform
refreshing.
1-6 Service Manual of PM-8000 Portable Patient Monitor (V2.0)
Introduction
③SILENCE
Press to suspend alarm for 3 minutes (it can be selected in ALARM SETUP
menu). Press this button for more than 1 seconds to disable all sound signals
(heart, beat, pulse tone, key sound), and audio alarm. A symbol “” displays
in the Message Area. Press this key again to restore all sound signals and
remove the “
” symbol.
NOTE:
If new alarm occurs under Alarm Suspension/Silence state,
Suspension/Silence state will change. For specific rules, see Chapter
Alarm.
NOTE:
Whether an alarm will be reset depends on the status of the alarm cause.
But by pressing SILENCE button can permanently shut off audio sound
of the ECG Lead Off and SpO2 Sensor Off alarm.
④REC/STOP
⑤START
⑥Rotary Knob
Rotary Knob
Press to start a real time recording. The recording time is set in RT
REC TIME of RECORD submenu (Refer to related sections for
details). Press during recording to stop the recording. When in
FREEZE mode, press to select the waveforms for report printout.
Refer to Chapter Recording for details.
Press to inflate the cuff to start a blood pressure measurement. When
measuring, press to cancel the measurement and deflate the cuff.
This knob can be used to select and change the settings. Operation
can be performed by turning it clockwise, counterclockwise or
pressing it down.
The square frame that moves when the knob is being turned is called "cursor". Operation can be
executed at any place where the cursor can stay. When no menu is displayed, turning the knob
clockwise can select following hot keys:
Service Manual of PM-8000 Portable Patient Monitor (V2.0) 1-7
Introduction
Channel 1 ECG lead
Channel 1 ECG gain
ECG filter
Channel 2 ECG lead
Channel 2 ECG gain
IBP Label
ECG menu
SpO2 menu
NIBP menu
IBP menu
RESP menu
TEMP menu
When the current cursor is placed at any of the first six items, the user can change the current settings.
When at any of the last six items, related parameter menu could be called up for setting changes.
2.3 Interfaces
For the convenience of operation, different interfaces are in different parts of the monitor.
Recorder is on the left side of the monitor while sockets for patient cables and sensors are on the right
side. See the figure below:
Figure 1-5 Right side view
1-8 Service Manual of PM-8000 Portable Patient Monitor (V2.0)
Introduction
This symbol means “BE CAREFUL". Refer to the manual.
Indicates that the instrument is IEC-60601-1 Type CF equipment. The unit displaying this
symbol contains an F-Type isolated (floating) patient applied part providing a high degree of
protection against shock, and is suitable for use during defibrillation.
Figure 1-6 Rear panel
Monitor interface for external: standard VGA color monitor.
Working mode: 640 × 480, 16 color, APA mode.
Signal: analog R G B 0.7 Vpp / 750 ohm
Hor. / Vert. TTL pos. / Neg.
Interface D-sub 15 pin
Pin 1. Red Video
Pin 2. Green Video
Pin 3. Blue Video
Pin 4. Ground
Pin 5. NC
Pin 6. Red Ground
Pin 7. Green Ground
Pin 8. Blue Ground
Pin 9. NC
Pin 10. Ground
Pin 11. NC
Service Manual of PM-8000 Portable Patient Monitor (V2.0) 1-9
Introduction
Pin 12. NC
Pin 13 Horizontal Sync.
Pin 14. Vertical Sync.
Pin 15. NC
Appliance: (Installation)
1) Install the VGA monitor at a place at least 1.5m away from the patient.(The VGA monitor
must be installed at least 1.5m away from the patient.)This monitor is used only as an
assistant monitoring device.
2) Plug the cable into proper socket before powering on the VGA monitor.
3) It is allowable to power on the VGA monitor and PM-8000 at the same time. Or power on
PM-8000 after turning on VGA monitor.
4) Adjust brightness and contrast properly.
(Socket ④)
Equipotential grounding terminal for connection with the hospital’s grounding system.
ANALOG OUTPUT (Socket ②)
Analog signal output terminal for connection with oscillometer and pen recorder.
The connection terminal is a BNC Jack.
Network Interfaces (Socket ①): Standard RJ45 Socket.
Warning
Through network interface only MINDRAY Clinical Information Center can be connected in.
Warning
Accessory equipment connected to the analog and digital interfaces must be certified according
to the respective IEC standards (e.g. IEC 60950 for data processing equipment and IEC 60601-1
for medical equipment). Furthermore all configurations shall comply with the valid version of
the system standard IEC 60601-1-1. Everybody who connects additional equipment to the signal
input part or signal output part configures a medical system, and is therefore responsible that the
system complies with the requirements of the valid version of the system standard IEC 60601-1-1.
If in doubt, consult the technical service department or your local representative.
2.4 Built-in rechargeable battery
PM-8000 Portable Patient Monitor is equipped with a rechargeable battery. The battery in the Monitor
can automatically recharge when AC INPUT is connected until it is full. A symbol “
1-10 Service Manual of PM-8000 Portable Patient Monitor (V2.0)
” is displayed
Introduction
on the bottom of the screen to indicate the status of recharging, in which the black part represents the
relative electric energy of the battery. If the battery is not installed in PM-8000, battery state will be
displayed as “
” to indicate the state. Under the cable socket is the battery slot with cover.
Warning
Don’t pull off battery when the monitor is working.
When operating on battery, the monitor will prompt alarm and shut off automatically when the energy
is low. When the electric energy is going out, the monitor will sound continuous level 1 alarm beeping
and display “BATTERY TOO LOW” in the Message Area. Connect the monitor to AC power at this
moment can recharge the battery while operating. If keep operating on the battery, the monitor will
shut off automatically (about 5 minutes since alarming) upon exhaustion of the battery.
Figure 1-7 Battery slot cover
III. Hardware principle
PM-8000 block diagram
TFT Disp lay
8.4 inchs
Main
Power
Input
X16
Power Supply P C B
J3
B a tte r y
VG A
interface
NET
In te rfa c e
Analog
output
800 X 600
X14
J6
X15
J5
J4
J2
TO X4
FAN
P14
P7(BDM)
P8
P5
P10
P13
NIBP
Module
Cuff
NIBP
P1
P4(TFT_DIGTAL)
P2(CRT)
P3(FOR 9000 VGA)
P12
P11
H o s t P .C .B .
P17(FOR 509C)
P15
P16
P6
P9
X5
ECG /
RESP/
TEM P
P.B.C.
X9X10X11X12
TEM P
ECG
ECG
TEMP
Cable
Sensor
X6X7
SPO 2
P.C.B.
SPO2
SpO2
Sensor
From J2
Key & Alarm P .C .B .
J7
X1
R ecorder M odule
X2
X3
R e c o rd e r P .S .
X4
X8
IB P
P.C.B.
IB P
IBP
Cable
Alarm
J9
J8
L E D
Speaker
Service Manual of PM-8000 Portable Patient Monitor (V2.0) 1-11
Introduction
Figure 1-8 PM-8000 connection diagram
Following are brief description of basic function and operating principle of each part.
3.1 Power board
PM-8000 power board specifications:
AC input voltage:100~240VAC
AC input current: <1.6A
AC voltage frequency: 50/60HZ
Two-way output voltage: 5V/12V, normal working current is 1.5A for 5V, 2A for 12V.
Two-way output voltage has functions of short-circuit, over-current and over-voltage protection.
The power board has reset function.
The power board can manage the charging process of lead-acid battery (12V/2.3AH). The
charging time is about 6 hours.
Schematic diagram of power board:
AC
input
AC/DC
Battery
and
Charging
Managerent
circuit
Figure 1-9 circuit diagram of PM-8000 power board
5VDC-DC
BUCK
converter
REC POWER
SOURCE
12V output
Voltage
test
Power on/off
control circuit
Testing key points:
Connect AC power (at this time, the Charge indicator of the battery should light on).
Test before power on the monitor.
Use multimeter to measure the DC voltage of the capacitor C12, which should be within the range
of 107 ~ 354V.
Use oscillograph to measure between the PIN1 of Q1 and the negative electrode of C12, a driving
1-12 Service Manual of PM-8000 Portable Patient Monitor (V2.0)
waveform with the frequency being about 110KHz should exist.
Use multimeter to measure the DC voltage of the capacitor C19, which should be 17.5V.
Use multimeter to measure the DC voltage of the capacitor C24, which should be 13.8V (voltage
after removing battery).
Use multimeter to measure the capacitor C47, which should be 5V.
Tests after powering on the monitor:
Use multimeter to measure the regulator ZD3 whose DC voltage should be 5V.
Use multimeter to measure the regulator ZD4 whose DC voltage should be 12V.
Use multimeter to measure the capacitor C54 whose DC voltage should be 17.2V.
3.2 PM-8000 main control board
Power supply
Introduction
Input voltage: +12V±5%;
+5V±5%;
The main control board uses the COLDFIRE series embedded microprocessor 5206e
manufactured by MOTOROLA Company. It also adopts 3.3V low-voltage power supply to reduce the
power consumption. Other main components on the main control board include: Flash, SRAM, FPGA,
network controller, etc, all of which require 3.3V power. The capacity of the Flash has been increased
to 2MB, which employs two parallel-connected 512Kx16 chips and therefore uses 32-bit character
width to support CPU to operate at the highest possible speed instead of accessing to DRAM for
operation. The main control board has also a 4MB memory, which is made up of two
parallel-connected 1M ×16-bit chips. Because no executing program is required to be loaded, only
one RTC is used. This chip uses one 225maH dry cell as the spare power supply. In addition, one 2KB
2
E
PROM is used to store parameters. The main control board supports a resolution of 800x600 and
provides three interfaces: a LVDS interface, a 6BIT DIGITAL interface, and a VGA interface. The
monitor displays both characters and waveforms in an overlapping way on the whole screen in the
same color. The characters and waveforms can be browsed in a scrolling way. The support system
needs 10 serial ports, and the baud rate (4800/9600/19.2k/38.4k/76.8k) can be online selected by
software and interface buffer drives. The main control board adopts the network controller AX88796
(3.3V, 10MHz), which has inside 16K high-speed buffer SRAM. The MAX5102 8-bit single-way D/A
converter is used to fulfil analog output. 5V and 12V stabilized voltage supplies are introduced from
the power board, and therefore 3.3V and 2.5V working supplies are respectively generated. Among
them, 2.5V is to be used for the internal verification of FPGA.
Service Manual of PM-8000 Portable Patient Monitor (V2.0) 1-13
Introduction
3.3 Structure diagram
FPGA
RTC/E2PRO
M/Watch
Display
driving
circuit
Interrupt
manageme
nt circuit
DRAM
CPU
Multi-way
serial
Figure 1-10 Structure diagram
3.4 Description
Flash/
SRAM
Network
controller
Audio
alarm/spare
battery
3.3V low-voltage power supply component is adopted. The external power is 5V, which is converted
by the DC/DC converter into 3.3V and 2.5V, the latter voltage being especially used for FPGA. The
main control board are connected with the external devices via following interfaces and input: the
power supply connected with the interface board, the 9-way serial port, TFT interface, analog VGA
interface, network interface, analog output and a spare serial port, etc. The BDM interface is reserved
on the board for the aim of software testing and download.
■ CPU
It use Coldfire5206e. Clock rate is 54MHz, working voltage is 3.3V.
■ FLASH
It use tow parallel-connected 512Kx16 FLASH memories. The output terminal PP1 of CPU is used to
realize write-protection of FLASH. It is effective in low-level state.。
■ DRAM
PM-8000 main control board uses two parallel-connected 1Mx16 DRAM, which construct 4M address
space.
■ Display
The resolution is 800x600. Frequency is 38MHz. It works in an appropriate SVGA mode. VRAM
adopts 16-bit structure and is divided into character screen and waveform screen. On the left side of the
1-14 Service Manual of PM-8000 Portable Patient Monitor (V2.0)
Introduction
character screen is the corresponding waveform screen. The right side to the character screen is used to
display data and flashing alarms. The user can select color and dot energy. Besides the user can scroll
the waveform for clear and complete observation.
■ LVDS interface
Through the way of time-sharing sampling, the LVDS interface converts multi-way CMOS/TTL
signals into one-way low-voltage double-frequency difference signals, which are further to be output to
the outside). LVDS interface is generally realized by special integrated circuit. The special LVDS chip
used for display is DS90CF363A. This chip converts 18-way display pixel signals and 3-way display
control signals with a total of 21-way messages into 3-way LVDS signals. Four ways of difference
signals including these 3 ways of signals and a way of phase-locked frequency are transmitted to the
display screen. On the one side of the screen, these signals are restored for driving the screen. The
working frequency of DS90CF363A is 20~65MHz.
■ Reset and parameter storage
The main control board uses an integrated chip CS124C161, which has the functions of both power-on
reset and parameter storage. This chip has a E
2
PROM with the capacity of 2K. It can be used to
on-line modify and store various nonvolatile parameters of the host. The power-on reset and
WATCHDOG functions are used to realize reset function of the main control board. When J1 is open
circuit, the software can also disable WATCHDOG by using the output wire PP0 of CPU in order to
realize the selftest of WATCHDOG. The bus interface of this chip is I
2
C.
■ Data storage
The Main control board uses one non-power-down SRAM having its internal battery to store
monitoring data. Its capacity is 2M.
■ Network controller
The network controller adopts special chip AX88796. Its working clock is 25MHz. It also has internal
16K high-speed buffer SRAM. The data bus of this chip is 16-bit width.
Service Manual of PM-8000 Portable Patient Monitor (V2.0) 1-15
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