This manual is provided for the purpose of servicing the NELLCOR N-200
pulse oximeter. It is provided without charge by Nellcor Incorporated. This
manual contains unpublished proprietary information and is not to be
copied, transmitted, or used for any other purpose. Additional copies are
available upon request by writing the Company at the address below.
WARNING: The NELLCOR N-200 pulse oximeter contains no user-servicable parts. For protection against electrical hazard, refer all servicing to qualified personnel.
WARNING: For continued protection against fire hazard, replace fuses only with the same
type and rating.
WARNING: The NELLCOR N-200 pulse oximeter is a patient-connected medical device. An
isolated patient connector is provided to protect the patient from potentially dangerous
electrical potentials or ground paths. To protect the integrity of this connection, the procedures and part specifications contained in this manual must be adhered to.
SECTION 10. INDEX _____________________________________________________________
6-1
7-1
8-1
10-1
NELLCOR, OXIBAND, DURASENSOR, OXISENSOR and C-LOCK are trademarks of Nellcor Incorporated.
SECTION 1
INTRODUCTION
This manual covers test and repair of the NELLCOR® N-200 pulse oximeter. The N-200 is identified by its two-piece construction. The front part of the N-200 is the monitor; the back part of the
N-200 is the powerbase. The monitor receives, processes, and stores patient pulse data; the
powerbase provides AC power to the monitor and drives peripheral display and recording devices.
Communication between monitor and powerbase is provided by a bi-directional optical link.
This manual is provided to qualified service personnel for the purpose of maintaining and repairing
the NELLCOR N-200 pulse oximeter. Dangerous voltages are exposed when the cover is
removed, certain components are critical to maintain patient isolation, and improper repair procedures can adversely affect the instrumentʼs calibration. For the protection of service personnel and
patients, the procedures described in this manual are only to be performed by qualified service
personnel.
Repair and testing of the instrument exposes service personnel to potentially hazardous voltages, and improper repair or adjustment may affect the accuracy or patient protection associated
with the instrument. Where appropriate, warnings or cautions have been included in the text of
this manual. The term “WARNING” is used to bring attention to a procedure or precaution that is
important to ensure the safety of the service personnel or possibly the patient. The word
“CAUTION” brings attention to a procedure that should be carefully followed in order to prevent
damage to the instrument or an error in calibration or performance. It is important that these warnings and cautions be read carefully and followed.
1–1
SECTION 2
DESCRIPTION OF THE INSTRUMENT
The NELLCOR N-200 pulse oximeter is intended for continuously monitoring arterial oxygen
saturation and pulse rate. The measurement is made noninvasively by applying a reusable clip-on
or disposable adhesive-attached sensor to a finger or other site on the patient to be monitored.
The instrument is a portable unit, weighing about 8 pounds total, with a self-contained battery
intended for operation for periods of up to 2 hours during power failures or transport. The battery is
recharged whenever the unit is connected to AC power, and is fully recharged in 14 hours.
Front panel controls allow adjustment of the beeper volume, alarm volumes, alarm disabling, and
adjustment of alarm limits for high and low oxygen saturation, and high and low pulse rate. A connector is located on the front panel for connection of the patient module assembly. The
standard patient cable is 4 meters in length and is terminated by a module containing a preamplifier and sensor and ECG connectors. The entire patient module assembly is isolated from ground
with a maximum leakage current of 10 microamperes. This provides safety for the patient from
currents generated by faulty equipment, e.g., defibrillators or electrosurgical units.
WARNING: To assure continued patient safety, the patient module or sensors must not
be replaced with any parts other than those designated or manufactured by Nellcor
Incorporated.
A number of patient safety and labor-saving features are incorporated into the N-200:
• C-LOC
the ICU or the NICU.
• Three operating modes provide different averaging times, adapting the N-200 for use in the
presence of varying levels of patient activity.
• The N-200 is equipped with two sets of default alarm limits, one for use in monitoring adults
and one for neonates.
• Twelve hours of oxygen saturation and pulse rate data are stored in the trend memory, and
one hour of saturation, pulse rate, and pulse perfusion data are stored in the event memory.
These data can be provided to a variety of analog or digital output devices.
• Noninvasive
light-emitting diodes as light sources. Specific sensors are available for use on neonates,
infants, children, and adults.
• Patented automatic calibration mechanisms are incorporated in the N-200 (U.S. Patent
4,621,643 and others pending). The N-200 automatically calibrates itself each time it is turned
on, at periodic intervals thereafter, and whenever a new sensor is connected. Instrument
sensitivity changes automatically to accommodate a wide range of tissue thicknesses and skin
pigmentations.
K™ ECG synchronization enhances performance in high-motion environments, such as
NELLCOR sensors obtain measurements by optical means alone, using two
2–1
Internally, the monitor contains five printed circuit boards (PCBs), the battery, and a speaker.
The largest circuit board (mounted on the top cover of the monitor) is the processor PCB, which
contains the analog processing circuitry and the microprocessor with its associated circuitry. The
power supply PCB is located on the back of the monitor. The battery charger PCB is located along
the left side of the instrument chassis when viewed from the front. The display and driver PCBs
are located immediately behind the front panel and contain the LED displays and front-panel
switches.
The powerbase contains a power supply transformer, a mother PCB and three daughter PCBs.
The mother PCB is mounted vertically at the front of the powerbase (facing the monitor); the
daughter PCBs are mounted horizontally and mate to the mother PCB. Details of instrument assembly and disassembly are found in Section 4.
2–2
SECTION 3
THEORY OF OPERATION
Theory of operation is presented in two parts. First, a general overview of the N-200ʼs capabilities
and the physical principles of its operation is presented. Next, the details of circuit operation are
discussed.
3.1. GENERAL THEORY
The NELLCOR N-200 provides continuous, noninvasive, self-calibrated measurements of both
functional oxygen saturation and pulse rate.
The instrument combines the principles of spectrophotometric oximetry and plethysmography.
It consists of an electro-optical sensor that is applied to the patient and a microprocessor-based
monitor that processes and displays the measurements. The electro-optical sensor contains two
low-voltage, low-intensity light-emitting diodes (LEDs) as light sources and one photodiode as a
light receiver. One LED emits red light (approximately 660 nm) and the other emits infrared light
(approximately 920 nm).
When the light from the LEDs is transmitted through the tissue at the sensor site, a portion of the
light is absorbed by skin, tissue, bone, and blood. The photodiode in the sensor measures the light
that passes through, and this information is used to determine how much light was absorbed. The
amount of absorption remains essentially constant during the diastolic (nonpulsatile) phase and is
analogous to the reference measurement of a spectrophotometer.
With each heart beat, a pulse of oxygenated arterial blood flows to the sensor site. This oxygen
ated hemoglobin differs from deoxygenated hemoglobin in the amount of red and infrared light that
it absorbs. The N-200 continuously measures absorption of both red and infrared light and uses
those measurements to determine the percentage of functional hemoglobin that is saturated with
oxygen.
When the pulsatile blood is present, the light absorption at both wavelengths is changed by the
presence of that blood. The NELLCOR N-200 then corrects the measurements during the pulsatile flow for the amount of light absorbed at the initial measurements. The ratio of the corrected
absorption at each wavelength is then used to calculate functional oxygen saturation.
3.1.1. C-LOCK ECG Synchronization
When the N-200 is provided with ECG input, it is receiving two signals that independently reflect
cardiac activity: one from the sensor and the other from the ECG. This enhances the performance
of the instrument in the presence of patient movement, as discussed below.
There is a time delay between the electrical and mechanical activity of the heart. When an ECG
QRS-complex is detected, a pulse will be detected at the sensor site a short time later. The length
of this delay varies with the heart rate, the patientʼs physiology, and the location of the sensor.
The N-200 measures this time delay, and, after a few pulse beats, calculates the average delay
between the occurrence of the R-wave and the detection of the optical pulse by the sensor. This
average delay is used to establish a “time window” during which the optical pulse is expected at
the sensor site.
-
3–1
A pulse that is received within this time window is considered a real pulse and is processed. A
pulse that is received outside the time window is considered an artifact and is rejected. Both the
average delay and the time window are recalculated with each pulse beat to adjust for changes in
the patientʼs physiology. If the ECG signal is irregular or noisy, then the optical pulse alone is used
to determine pulse rate and initiate saturation calculations. Since artifacts often appear independently in the ECG and pulse signals, this method provides the most stable measurement of pulse
rate and saturation.
If either the optical pulse or the ECG signal is markedly degraded or lost, the appropriate alarm
activates and C-LOCK ECG synchronization is suspended. It will resume once both inputs have
been re-established.
3.1.2. Automatic Calibration
Patented automatic calibration mechanisms are incorporated into the N-200 pulse oximetry
system (U.S. Patent 4,621,643 and others pending). Each sensor is calibrated when it is manufactured: the effective mean wavelength of the red LED is determined, coded into a calibration
resistor, and then checked. That calibration resistor is read by the N-200 software to determine the
calibration coefficients that are used for the measurements obtained by that sensor.
The N-200 is automatically calibrated each time it is turned on, at periodic intervals thereafter, and
when a new sensor is connected. Also, the intensity of each LED in the sensor is adjusted auto
matically to compensate for differences in tissue thickness.
3.1.3. Functional vs. Fractional Saturation
-
Because the N-200 measures functional oxygen saturation, it may produce measurements that dif
fer from those of instruments that measure fractional oxygen saturation.
Functional oxygen saturation is defined as oxygenated hemoglobin expressed as a percentage of
the hemoglobin that is capable of transporting oxygen. Because the N-200 uses two wavelengths
to measure saturation, it measures only oxygenated and deoxygenated (i.e., functional) hemoglobin. It does not detect the presence of significant amounts of dysfunctional hemoglobin, such as
carboxyhemoglobin or methemoglobin.
In contrast, some other laboratory instruments, such as the IL-282 CO-Oximeter, report fractional
oxygen saturation values. Fractional saturation is defined as oxygenated hemoglobin expressed
as a percentage of total hemoglobin, whether or not that hemoglobin is available for oxygen
transport. Dysfunctional hemoglobin species are included in this calculation. Consequently, when
measurements from the N-200 are compared with those from another instrument, it is important to
consider whether the other instrument is measuring functional or fractional saturation.
3.1.4. Measured vs. Calculated Saturation
When oxygen saturation is calculated from blood gas PaO2, the calculated value may differ from
the oxygen saturation measurement of the N-200. This is because an oxygen saturation value
that has been calculated from blood gas PaO2 has not necessarily been correctly adjusted for
the effect of variables that shift the relationship between PaO2 and saturation. These variables
include temperature, pH, PaCO2, 2,3-DPG, and the concentration of fetal hemoglobin. Refer to
the Operatorʼs Manual for additional information.
-
3–2
3.2. CIRCUIT-LEVEL DESCRIPTION
Refer to Section 9 for the instrument schematic and block diagrams. The major circuit sections
consist of:
• the patient module
• the analog processing circuitry and microprocessor circuitry
• the front panel display logic
• the battery charger and power supply
• the instrument powerbase, which contains the data communications interface circuitry.
Since the measurement of oxygen saturation requires light of two different wavelengths, two LEDs
(one IR and one red) are used to generate light, which is passed through the tissue at the sensor
site into a single photodiode. The LEDs are illuminated alternately with a four-state clock. The
photodiode signal, representing light from both LEDs in sequence, is amplified and then separated
by a two-channel synchronous detector, one channel sensitive to the infrared light waveform and
the other sensitive to the red light waveform. These signals are then filtered to remove the LED
switching frequency as well as electrical or ambient noise, and then digitized by an analog to digital (A:D) converter. This digital signal is then processed by the microprocessor to identify individual
pulses and compute the oxygen saturation from the ratio of the pulse seen by the red wavelength
compared to the pulse seen by the IR wavelength.
Throughout this section and on the schematics, active low logic signals are designated by an overbar above the signal name (for example, “SIGNAL”).
3.3. PATIENT MODULE
The patient module contains preamplifiers for the saturation (SAT) and electrocardiogram
(ECG) signals (refer to SCHEMATIC PATIENT MODULE PCB). Power for the circuitry is ± 15 V
generated by the processor board.
The drive current for the pair of sensor LEDs is supplied from the instrument, generated on the
processor board (VIR and VRED on SCHEMATIC PROCESSOR PCB, SHEET 4). This waveform
is a bipolar current drive which is passed through the patient module to the back-to-back sensor
LEDs. A positive current pulse drives the IR LED and a negative current pulse drives the red LED.
The drive current is controlled by a feedback loop on the processor board in response to photodetector response.
The detector photodiode generates a current proportional to the amount of light received. SAT
preamplifier U2 is a current to voltage (I:V) converter in an inverting configuration that converts the
DETECTOR current to a SAT voltage signal. The conversion ratio is 250 mV/µA. Voltage
regulator VR1 biases the preamplifier to approximately +8.5 V output for 0 current input. This bias
increases the swing of the I:V converter to an effective output swing of +8.5 V to -10 V. The ad
ditional voltage headroom is necessary for high ambient light conditions.
-
3–3
Instrumentation amplifier U1 preamplifies the ECG signal. Gain of the amplifier is set for approxi
mately 30. Neon lamps DS1, DS2, and DS3 are used to protect U1 from potentially damaging
high-energy pulses which may result from defibrillation procedures. Series resistors R1 and R2
provide further isolation from high transient currents. Diodes CR1 through CR4 shunt high-voltage
transients to the low-impedance power supplies. Resistors R3 and R4 pull the input signal lines to
the power supply voltage levels when an ECG signal lead has become detached.
-
Common mode signals A1 and A2 from U1 are summed through R9 and R10, amplified, and in
verted through operational amplifier U2. The output of U2 is fed back to the patient to maintain the
patient at a constant potential and eliminate common mode signals from the input sensing leads.
The ECG signal from U1 goes directly to the processor board.
The sensor contains a calibration resistor that codes the wavelength of the red LED mounted in
the sensor. Because the wavelength of the red LED varies from one sensor to another, an error
would result in the computation for oxygen saturation if not corrected for by the calibration resistor. This calibration resistor is connected directly through the instrument cable assembly to the
processor board. Since the patient module assembly is used close to the patient environment, it is
potted in epoxy to prevent any damage from moisture and is not repairable. In the event of failure
or damage to the sensor contacts or to the cable or connector itself, the entire assembly must be
replaced.
3.4. PROCESSOR PCB
The processor PCB contains most of the active circuitry in the N- 200, both analog and digital.
Refer to SCHEMATIC PROCESSOR PCB, SHEETS 1 through 4, in the following discussion.
3.4.1. Digital Section
The digital section of the N-200 processor PCB is shown on SCHEMATIC PROCESSOR PCB,
SHEET 1.
3.4.1.1. Microprocessor Subsection
-
The processing power of the N-200 pulse oximeter is contained within a standard 8088 minimummode microprocessor RAM/ROM configuration. Program memory is contained in one 64K x 8
EPROM (U21) while the 32K x 8 system RAM (U15) provides a data buffer, stack, scratchpad, and
trend and event data memory functions. The RAM is mated to a clock/calendar socket, which provides time and date information used during trend and event recording, as well as battery back-up
to prevent data loss when the instrument is in standby.
Processor (U8) pins 9 through 16, designated AD0-AD7, are multiplexed to alternately present the
low-order address byte and a data byte. On the first clock cycle of an instruction, an address is
present on these lines. The ALE signal (U8, pin 25) pulses high to latch the lower byte of the ad
dress in transparent octal latch U33. In the following clock cycles, data can flow bidirectionally on
these lines.
The upper 4 address lines of U8 (A16 through A19) are also multiplexed, alternately carrying
address and status information. Only the uppermost bit (A19) is used in the N-200 for address decoding. This pin (U8, pin 35) is at logic high when the system is addressing ROM space, and low
when it is addressing RAM or performing input/output (I/O) functions. The processorʼs ALE signal
latches this bit in flip-flop U3.
3–4
-
3.4.1.2. Memory Map
The entire processor system is memory mapped. That is, all devices on the 8088 data bus are ac
cessed (read from or written to) at specific memory locations in the 1 Mbyte memory range.
The upper 512 kbytes of memory are considered ROM space; the lower 512 kbytes are considered RAM and I/O space. ROM resides in the top 64 kbytes of memory, with the program
starting at hex FFFF0 after reset. Since only 64 kbytes of the ROM space are actually used, images of the 64 kbyte ROM are repeated up to the 512 kbyte limit because memory is not uniquely
decoded.
RAM begins at address 0 and extends for 32 kbytes. I/O functions reside directly above RAM,
starting at address hex 8000. The I/O select lines coming from U17 and U23 are 16 addresses
apart, ranging from hex 8000 to hex 80F0.
3.4.1.3. Wait State Generator
Two D-type flip-flops in U1 form a wait-state generator. A wait state of one clock cycle is generated
whenever I/O is addressed (that is, whenever a peripheral device is accessed). Accessing RAM
(addresses between 0 and 32k) generates no wait state.
3.4.1.4. Clock Generator
U2 produces a processor clock with the correct duty cycle, as well as a peripheral clock which
drives UART U16 and the two timer chips U34 and U38. Because the 8088 processor U8 requires
a 33% duty cycle clock, the crystal oscillator runs at 22.1184 MHz, three times the desired frequency. U2 divides the 22.1184 MHz signal by three and provides the correct duty cycle to U8.
-
A reset circuit composed of R1, CR1, and C19 ensure that U2, pin 11, is held low immediately
following power-up. This maintains the logic at a known state while the power supplies and crystal
oscillator stabilize.
3.4.1.5. Timer Circuits and UART
Additional peripheral devices include two 82C53 triple counter/timer chips U34 and U38 and UART
device U16. The 82C53 sections control:
1. Display update interrupts to the 8088 at a 2.5 ms rate (also provides for real time references
within the system program).
2. Baud rate for the 8251 UART (U16), which drives an optical data link for communication
between the monitor and powerbase. The baud rate is set at 19.2 kbaud.
3. Audio frequency generation for the alarm beeper (TONE).
4. Clock frequency for the ECG switched-capacitor notch filter (NCLK).
5. Pattern generator clock frequency (the pattern generator is composed of U39, U35, and U28),
which controls synchronous circuit operations.
3–5
3.4.1.6. Pattern Generator
The pattern generator (U39, U35, and U28) provides software selectable timing patterns used to
control sync detector gating, LED control, and power supply synchronization triggers.
In operation, a preprogrammed bit pattern in EPROM U35 is continuously cycled through by counter U39, clocked by the divided down processor clock output. One of eight patterns can be selected through address lines A8-A10 on U35 through octal latch U40. Additional latch U28 serves
to “de-glitch” the EPROM outputs by holding the last output byte while the counter steps to the
next address. Various patterns within the EPROM are used to select LED/sync detector sampling
speeds along with real time calibration patterns and diagnostic timing.
3.4.2. Analog Front End and LED Current Drive
The analog circuitry and LED drive circuitry is shown on SCHEMATIC PROCESSOR PCB
SHEET 2.
3.4.2.1. Main Analog Signal Flow
The SAT signal from the patient module passes through a 50 kHz low-pass filter (one quarter
of quad operational amplifier U27 in a 2-pole Butterworth configuration). The signal is then AC
coupled to another U27 op amp, configured as a gain stage with unity gain. A variable attenuator
composed of Digital-to-Analog Converter (DAC) U44 and amplifier U32 is followed by a noninvert
ing amplifier (U32) with gain of 51. Together, the two circuits provide a programmable variablegain function that can vary between 0 and 51. This gain is called INAMP (input amplifier) gain.
In operation, the composite signal is always maximized by the operating software such that the
largest possible signal is fed into the next stage of synchronous demodulation; this helps optimize
the signal/noise (S/N) ratio.
Voltage regulator VR3 provides a low-noise 5 V DC supply for U44.
3.4.2.2. Sync Detector
The INAMP stage drives sync detector U32. If the SATINVERT signal is at logic low, U32, pin 10,
is pulled to ground potential, and the stage becomes an inverting amplifier with unity gain. When
SATINVERT is high, the stage becomes a noninverting voltage follower. Trimpot R123 is used to
equalize the magnitudes of the inverting and noninverting gains.
-
3.4.2.3. Demultiplexer
The output of the sync detector drives both halves of U14. U14 demultiplexes the signal synchronously with the IRGATE and REDGATE steering pulses. Low-pass filters (R47 and C14; R52 and
C30) suppress switching transients. The signal in each channel is then buffered by a unity-gain
amplifier and low-pass filtered by two active-filter stages (each with two poles at approximately
20 Hz). The filters are slightly overdamped to improve step response.
The last stage in each channel is an offset amplifier with gain, which offsets the signals by a small
positive voltage (approximately 0.25 V). This voltage is derived from VREF (set at 10 V) and the
voltage dividers R50 and R46 (R80 and R74). Since the Analog-to-Digital Converter can only pro
cess 0 to 10 V signals, the positive bias provides a reference floor for analog-to-digital conversion
stages that follow to ensure that the total chain offset errors of the op amps can never drive the
outputs negative. Because the RED channel has twice the gain of the IR channel, the offset seen
at TP10 is twice that seen at TP9 when no signal input is present.
3–6
-
3.4.2.4. Logic Flags
Several flags are produced in the analog section of the processor PCB that instruct the processor
to vary circuit parameters (gain and LED drive currents) so that signal levels are kept safely below
those which would saturate on-board electronics.
LEDHI The SAT signal coming from the patient module can range from +8.5 V to -10 V with
out saturating the patient moduleʼs analog amplifiers. Comparator U20 compares the
filtered (and halved) SAT signal to a -5 V reference. When the signal drops too low
(SAT less than -10 V), the signal is too close to the patient moduleʼs negative power
rail. This condition sets the LEDHI flag, which interrupts the processor. The processor
then reduces the LED drive currents to avoid signal saturation.
INAMPHI Following the INAMP programmable gain section, another comparator (U20) gener
ates the INAMPHI interrupt. This circuit compares the signal to a 10 V reference.
When the INAMP gain is set too high, the signal level exceeds 10 V, and the
INAMPHI flag is set. The processor then reduces the gain of the INAMP stage to
lower the signal level.
LEDLOW If a sensor is exposed to bright light, the output of the patient module is driven nega
tive an amount proportional to the ambient light exposure. This condition occurs
because the ambient light causes an increase in the photodetector current from the
sensor. The I:V converter in the patient module converts the increased current to a
negative voltage.
When comparator U20 senses negative-going voltage signals more positive than its
-5 V reference, it sets LEDLOW high. The processor polls the LEDLOW flag and
increases drive current to the LEDs when LEDLOW is high for improved S/N ratio.
This condition occurs when the patient removes the sensor from high ambient light
exposure. A delay of up to 30 seconds is provided to prevent the LED current from
changing in frequently changing ambient light conditions. The delay is implemented by
passing the SAT signal through a fast-attack/slow-decay circuit formed by R95, R96,
C74, CR8, and U27 before it reaches comparator U20. The orientation of diode CR8
causes the circuit to be sensitive only to negative-going signals.
-
-
-
3.4.2.5. LED Drive Circuitry
The analog switches in U19 allow the gating of separate drive voltages (VRED and VIR) for the
red and IR LEDs so that the two LEDs can be run at different intensities. VRED and VIR are determined by the SAT signal level from the photodetector/patient module and set by the sample/hold
subsection (SCHEMATIC PROCESSOR PCB SHEET 4, U18 and U11) on the processor board.
Control signals RED and IR come from the pattern generator (SCHEMATIC PROCESSOR PCB
SHEET 1, U28). Drive circuitry converts the VRED and VIR voltages to drive currents.
The voltage level at TP8 is translated to current for LED drive via a bridge driver circuit consist
ing of error amplifier U32 and the six signal transistors Q2 through Q7. The bridge output (J3 pins
7 and 9) goes to the back-to-back IR/red LEDs of the sensor assembly. In operation, the signals
RED and IR select IR or red LED drive, determining the half of the bridge circuit that is active and
forward biasing either the red or IR LED; Q3 and Q6 act as current boosters for U32, while Q2,
Q4, Q5, and Q7 steer the current flow. The current through the LEDs is sensed by resistor R12
and fed back to pin 13 of error amp U32, thus maintaining a constant current proportional to voltage at TP8 and independent of the +5 V supply that powers the bridge. Maximum LED current is
approximately 50 mA.
3–7
-
3.4.3. ECG Front End
Refer to SCHEMATIC PROCESSOR PCB SHEET 3 in the following discussion.
3.4.3.1. Active Filters
The ECG signal from the patient module is conditioned by 5 stages of active filtering. The total
gain of the chain of active filters is approximately 32.
The ECG is first low-pass filtered by U12 and associated circuitry. The two filter poles are set at
40 Hz and the gain is equal to 1.
U6 is a switched-capacitor notch filter with a gain of 0.32. Capacitor switching frequency (NCLK) is
derived from timer IC U34 (PROCESSOR PCB SHEET 1), and is set by the processor to remove
AC power line interference. (See Section 3.4.3.4., Power Line Frequency Sensing.)
A second 2-pole, 40-Hz low-pass filter follows the notch filter. This filter removes the switching
transients inherent in switched capacitor filter U6.
A high-pass filter (U12) with gain of 101 and cutoff frequency 0.5 Hz follows the second low-pass
stage. Because this filter stage has a long time constant, a processor control input (ECGZERO)
resets the filter by discharging the filter capacitors. Reset occurs under the following conditions: if
a lead comes loose from the patient (or the ECG signal is contaminated by patient muscle contrac
tions), the ECG signal baseline can be driven into a railed condition. This occurs because of the
high (approximately 1000) combined gain of the patient module and ECG front end filters. When
the ECG baseline rises too much, the processor temporarily brings ECGZERO low to reset the
filter.
-
3.4.3.2. Offset Amplifier
An offset amplifier (U12) biases the filtered ECG signal by +5 V so that the A:D converter can digi
tize the entire waveform (the A:D converter can only process positive analog signals). The output
of the offset amplifier (ECGʼ) is digitized by the A:D converter and provided as a data output by the
powerbase.
3.4.3.3. Detached Lead Indicator
A 3-stage circuit composed of absolute-value amplifier U5, voltage comparator U4, and D-type
flip-flop U3 generates the LEADOFF flag. The circuit examines the condition of the ECG signal at
the input to the switched-capacitor notch filter U6, after it has undergone one stage of lowpass
filtering.
A detached lead is sensed as follows: within the patient module, a biasing resistor network drives
the ECG signal to one of the supply rails (±15 V) if one or both ECG signal leads becomes
detached from the patient. If the signal is driven to the negative supply rail, it is converted to a
positive voltage by absolute value amplifier U5. The output of this circuit is compared to a 10 V
reference by comparator U4. A voltage in excess of 10 V drives the output of U4 low, setting and
latching flip-flop U3 through NAND gate U10. When the flip-flop has latched, the LEADOFF logic
signal is set high, notifying the processor that a lead has come loose. When the processor polls
LEADOFF and discovers that it is at a logic high, it stops using the ECG R-wave as a gating
mechanism and lights an LED on the instrument front panel to notify the user that the ECG signal
has been lost.
-
3–8
The processor clears the flip-flop with CLRLO after a high LEADOFF signal has been recognized.
NAND gate U10 is provided to latch the flip-flop during brief (intermittent) lead-off conditions.
3.4.3.4. Power Line Frequency Sensing
The mains power AC signal going into the power supply board is transformed to 9.2 VRMS and
sensed by one-volt-crossing comparator U20. The one-volt-crossing detector produces the logic
signal AC, which interrupts the processor at the frequency of the AC power line. This signal is used
to set notch filter U6 to the line frequency, automatically adjusting for 60 Hz or 50 Hz power.
3.4.4. A:D/D:A Subsection
The A:D/D:A subsection is shown on SCHEMATIC PROCESSOR PCB SHEET 4.
The A:D/D:A subsection performs both analog to digital and digital to analog conversions. A unique
feature of the design is the ability to subtract variable DC offsets and post-amplify signals prior to
A:D conversion. This allows for accurate measurements of small modulation levels on large DC
levels without slow-response AC coupling.
3.4.4.1. A:D Conversion
The sequence of a typical A:D conversion routine is as follows:
A) The 8088 processor selects an analog channel for conversion by writing to 8-to-1 analog
multiplexer U24. Signals available for conversion are:
IRʼ the demultiplexed and filtered IR detector channel signal
REDʼ the demultiplexed and filtered RED detector channel signal
ECGʼ the filtered ECG waveform
VCALʼ the filtered voltage from the calibration resistor within the sensor
VPS the power supply voltage, used to determine whether the system is running on
AC
power or batteries and to check the battery voltage when the instrument is operat-
ing
on battery power
ISEG a voltage level from the display driver board, used to detect bad segments or
light
bars on the display during power-up test
VREF approximately 10 V reference voltage used for board alignment
GROUND analog ground potential used for board alignment.
B) Set programmable amplifier U30 gain by writing to latch U42.
3–9
C) Set desired analog offset value to be subtracted at U25, pin 2, by writing two bytes (low byte,
high nybble) to 12-bit bus-compatible DAC U43 (12 bits, 0-10 V).
D) Now a scaled analog value is present at the output of programmable gain amplifier stage
U37, pin 1, (TP3). The offset voltage has been subtracted by differential amplifier U25 and
amplified by programmable amplifier U30 and U37. The total range of programmable gain is
1/8 to 16.
E) Triggering the sample and hold line (S/H) causes U36 to hold the scaled voltage for A:D con
version.
F) The 8088 processor begins executing a successive approximation routine (SAR).
G) The SAR performs a binary search sequence by setting up a voltage on the D:A
converter U43 which is compared to the held signal voltage via comparator U29. The result of
this comparison is polled by the processor via buffer U41.
H) The SAR continues until the least significant bit has been set. Each 12-bit conversion is
accomplished in approximately 100 µs.
3.4.4.2. D:A Conversion
The analog sample/hold circuits formed by analog demultiplexer U18 and quad operational amplifier U11 are used to update and store the following four analog signals:
• VIR, which controls the IR LED brightness
• VRED, which controls the red LED brightness
• VOLUME, which controls the speaker volume.
• RWTHRESHOLD, not used.
-
In operation, the processor sets up an analog voltage on analog demultiplexer U18, pin 9, by
writing to DAC U43. U18 is enabled through U18, pin 3, and the processor selects which output
is written with address lines A0 through A2. When U18 is enabled, the voltage at U18, pin 9, is
routed to one of the four outputs S1 through S4, charging storage capacitor C39, C41, C42, or
C43. When U18 is disabled, the capacitor voltage is held by the very low leakage follower op amp
U11 until the next update.
3.4.5. Timing and Control
Most processor timing and control flags are generated in circuits shown on SCHEMATIC
PROCESSOR PCB SHEET 2 and 3. Processor timing is affected by two types of logic flags:
• Polled processor I/O signals
• Processor interrupts, which may occur asynchronously.
Many of these flags are discussed elsewhere in this section and all are summarized below.
3.4.5.1. Polled Processor Flags
3–10
Buffer U41 allows the 8088 processor to poll the following logic flags:
SWITCH indicates the state of the front panel switch (logic low indicates ON position)
LEADOFF indicates that an ECG lead has become detached, and that the ECG signal from the
patient module was near saturation level as a result
LEDLOW indicates that LED drive currents should be increased to increase SAT S/N ratio
DACMP the output of voltage comparator U29, used in SAR A:D conversion
Four jumpers W2, W3, W4, W5, which are selectively installed to place the processor in various
diagnostic modes.
3.4.5.2. Interrupt Processor Flags
AC interrupts the processor at the frequency of the AC power line
LEDHI instructs the processor to decrease the LED drive currents in the presence of ambient
light to avoid SAT signal saturation
INAMPHI indicates that the INAMP gain is set too high. The processor then reduces the gain of
the INAMP stage to lower the signal level to avoid saturation
TxRDY signals that UART U16 is ready to transmit another character
RxRDY signals that UART U16 has received a new character
INT real-time interrupt from interrupt controller U22
3.5. FRONT PANEL DISPLAY
Front panel display is accomplished by two circuit boards:
• Driver PCB, which contains drive circuitry for the display LEDs
• Display PCB, which contains the display LEDs and pushbuttons.
3.5.1. Driver PCB
The driver circuit board is shown on SCHEMATIC DRIVER PCB. Refer to this schematic in the
following discussion.
During power-up, CR2, R10, and C11 provide a short-duration reset pulse to all latches on the
driver board. This reset pulse clears all front-panel display elements.
Two different mechanisms are used to drive the display:
• digit and bargraph drivers
3–11
• drivers for the lightbars used with other front-panel indicators such as “PULSE SEARCH” and
“AUDIO ALARM OFF.”
3.5.1.1. Digit and Bargraph Drivers
A total of 8 components comprise the digit and bargraph displays (DIGIT 0 through DIGIT 5,
BARGRAPH 0 and BARGRAPH 1). The drive signals for these displays are multiplexed.
Latch U12 and decoder U13 are used to select which digit or bargraph to update. Latch U10 and
driver U11 determine which segments within the selected digit or bargraph are illuminated.
3.5.1.2. Lightbar Drivers
The lightbars are driven by latch circuitry and are not multiplexed. U3 and U8 drive lightbars with
the following signals:
DP lights decimal point in the 7-segment digital displays
ALMINH lights AUDIO ALARM OFF lightbar
N/C not connected
PLSSRCHLO with PLSSRCHHI, lights PULSE SEARCH lightbar
PLSSRCHHI with PLSSRCHLO, lights PULSE SEARCH lightbar
LOWSAT lights LOW SAT lightbar.
U2 and U9 drive the remaining lightbars with the following signals:
HISAT lights HIGH SAT lightbar
LOWRATE lights LOW RATE lightbar
HIRATE lights HIGH RATE lightbar
BATLO lights LOW BATT lightbar
BATON lights BATT IN USE lightbar
ECGLOST lights ECG LOST lightbar
ECGON lights ECG IN USE lightbar
Decoder U6 takes the select line from the processor (DISPLAY) and the three low address lines
from the processor (A0, A1, and A2) and uses them to select a latch for display updating.
3.5.1.3. Front Panel Controls
Decoder U6 also lets the processor select octal buffer U1, which reads the state of inputs
BUTTON 0 through BUTTON 4 and control knob rotation information relayed through UP/DOWN
(U/D) counter U5.
The control knob consists of a two channel optical chopper, with the two channels mechanically
3–12
90 degrees out of phase to each other, and a dual channel optical slot detector. Schmitt trigger
inverters U4 are used to clean up the signals from the knob, one inverter per channel. Channel A
provides the clocking pulse for U/D counter U5; Channel B provides the direction (U/D) signal.
The phase relationship between the two channels provides an UP or DOWN count command to
the counter, depending on which way the knob is turned (clockwise rotation results in count-up
commands).
To detect a change in the U/D counter, the processor reads the twos-complement value of the
counterʼs output and adds it to its accumulated turns count. After it accumulates the counter value,
the processor generates a signal into the LOAD line of U5 to clear it for the next count value.
3.5.1.4. Power-Up Display Element Test
Differential amplifier U7 senses the power return line of driver ICs U8, U9, and U11 by monitoring
the voltage across resistor R9. The sensed voltage is proportional to the current flowing through
the driver ICs. The voltage is amplified with a gain of 10 and is provided to the A:D converter as
signal ISEG (PROCESSOR PCB SHEET 4, U24). The processor digitizes ISEG and uses it during
the power-up display test to determine whether any display element has a shorted or open LED
segment.
3.5.1.5. Speaker Driver Circuit
The sample/hold VOLUME signal from the processor (SCHEMATIC PROCESSOR PCB SHEET 4,
U11) controls the amount of current going into the speakerʼs SPEAKER(+) lead. The TONE signal
(SCHEMATIC PROCESSOR PCB SHEET 1, U38 and U9) switches FET Q2 to alternately connect
or disconnect the SPEAKER(-) lead from ground. The frequency of the TONE signal determines
the pitch of the sound produced. The harsh-sounding square wave of TONE is softened by filter
capacitor C6. Diode CR1 suppresses transients from the inductive speaker load. Transistor Q1
supplies a current boost for the U7 operational amplifier.
3.5.2. Display PCB
The display circuit board is located immediately behind the front panel and contains the numeric
LEDs, the LED indicator lamps, the control buttons and the control knob, as well as associated
current limiting and pull-up resistors.
3.6. POWER SUPPLY PCB
The power supply circuitry is shown on the SCHEMATIC POWER SUPPLY PCB drawing.
The power supply board contains two switching power supplies in flyback converter configuration.
The supplies are capable of providing 2 A at +5 V, 100 mA at +18 V, and 100 mA at -18 V.
Pulse width modulator (PWM) U2 controls the +5 V supply; PWM U4 controls the +18/-18 V supply. The PWMs sense the DC output voltages through their INV (pin 1) inputs and control the pulse
width at the gates of switching FETs Q2/Q4 and Q3. Voltage regulator VR1 provides 5 V power
and a 5 V reference to the two PWMs. Schmitt inverters U3 provide low impedance active current
drive to the somewhat capacitive gates of the FET switching transistors, minimizing drain rise and
fall times.
3–13
Also resident on the power supply board is one half (monitor side) of the powerbase-monitor optical link, formed by diode DS1 and phototransistor Q1.
3.7. BATTERY CHARGER PCB
The battery charger PCB is shown on the SCHEMATIC BATTERY CHARGER PCB drawing. The
battery charger PCB contains two major circuits:
• ON/STDBY control circuitry
• Battery charger circuitry
3.7.1. ON/STDBY Control Circuit
The ON/STDBY control circuit is shown on the bottom portion of the schematic.
The ON/STDBY switch J1 is shown in the ON position. It does not switch power. Rather, it
provides a logic control signal (SWITCH) that is polled by the main processor through a tri-state
buffer (U41 on SCHEMATIC PROCESSOR PCB SHEET 4). When the processor senses a change
in switch position from ON to STDBY through this signal, it executes a shutdown procedure. The
ON mode is activated by bringing the gate of FET switch Q1 high, which provides a low impedance connection between power supply ground (labeled “P”) and signal ground. STDBY mode is
activated by cutting off Q1. Power supply voltage, VPS, may be either the battery voltage or the
rectified and filtered AC voltage from the powerbase, depending on the mode of operation.
In the following sections, the circuit is examined as the ON/STDBY switch is moved first from ON
to STDBY, and then as the instrument is returned to the ON state.
3.7.1.1. ON State
In the ON state, capacitor C2 is discharged. The combination of R5 and C2 forms a watchdog
timer that ensures processor control over instrument power. If C2 is allowed to recharge, pin 8 of
U1 will go low, flip-flop U2 will be cleared, the gate of Q1 will go low, and the connection between
power and signal grounds will be broken.
The processor keeps C2 from recharging by placing a negative pulse on the power supply enable
line (PSEN) at least once every 150 ms. The pulse is AC-coupled through capacitor C1, its rising
edge producing a narrow positive-going pulse on U1, pins 1 and 2. The resulting low pulse on U1,
pin 3 periodically discharges C2 through diode CR4. Capacitor C1 ensures that only active transitions on PSEN, not static highs or lows, have an affect on the watchdog timer. The N-200 is thus
placed in the STDBY state if an abnormal condition “hangs” the processor.
3.7.1.2. ON to STDBY
The ON to STDBY transition can occur either by placing switch J1 in position 1 (STDBY), or in
response to a decline in battery voltage below approximately 5.6 V.
Placing J1 in the STDBY position causes the voltage on the polled SWITCH signal to rise. If this
occurs, or if battery voltage falls below 5.6 V, the processor blanks the front-panel displays and
executes an infinite loop routine that does not involve pulsing PSEN. As a result, watchdog timer
capacitor C2 is not discharged, U1, pin 9, voltage rises, U1, pin 8, voltage falls, and flip-flop U2
3–14
is cleared. The resulting logic low at U2, pin 5, shuts off FET Q1, placing the instrument in the
STDBY state.
3.7.1.3. STDBY State
With the front panel switch in the STDBY state, VPS charges capacitor C5, and the SWITCH
signal is maintained at logic high. SWITCH voltage is clamped to logic levels by protection zener
diode CR8. Zeners CR1 and CR3 perform similar functions elsewhere in the circuit.
In STDBY, capacitor C2 is charged to 5 V through resistor R5.
3.7.1.4. STDBY to ON State
When the switch is moved to the ON position, C5 discharges through R7 and provides a momentary positive voltage pulse to Schmitt NAND gate U1, pins 4 and 5. In response, U1, pin 6, falls
to logic low, discharging capacitor C2 through diode CR5, and setting D-type flip-flop U2. When
the flip-flop is set, U2, pin 5, goes to logic high, placing positive voltage on the gate of FET switch
Q1. Positive gate voltage on Q1 creates a low-resistance path between signal ground and power
ground. As the switched voltage pulse from C5 discharges through R7, U1, pin 6, returns to a
logic high, and C2 (the watchdog timer) begins recharging. The processor again begins to periodically discharge C2 to maintain the instrument in the ON state.
3.7.1.5. Voltage Regulator
Micropower voltage regulator U3 provides 5 V power to the battery charger PCB. Battery charger
and ON/STDBY sensing circuitry is always on as long as the battery maintains sufficient voltage.
Total current drain for the circuits on this board is approximately 40 µA.
3.7.1.6. Power-On Time Delay
A time delay provided by CR2, R6, and C3 at the gate of Q1 allows the power supplies to return
to ground potential on occasions when the switch is cycled rapidly. Without this time delay, cycling
the switch from ON to STDBY and back to ON might not allow the power supply voltage to fall far
enough to generate a reliable power-up reset pulse to the processor (SCHEMATIC PROCESSOR
PCB, SHEET 1, power-up reset circuit R1, CR1, and C19).
3.7.2. Battery Charger Circuit
Battery charger circuitry is shown in the upper part of the schematic.
AC power VCB+ and VCB- (12.5 VRMS) is taken from one of the power supply transformer secondary windings. It is rectified through diode bridge CR6 and filtered by C7 to provide a positive
voltage for voltage regulator VR1. Current sensing resistor R15 provides current limiting through
Q2 and Q3, cutting output voltage when current draw increases above 375 mA. Trimmer potentiometer R12 adjusts the nominal battery charging voltage to 7.1 V at TP5.
Diode CR9 prevents back-discharge through the regulating circuit when AC power is removed.
With AC power disconnected, battery voltage can vary between 6.6 V and 5.6 V.
3.8. POWERBASE
3–15
The powerbase contains electronics for data communications for the N-200. It is composed of a
mother PCB and three daughter PCBs.
3.8.1. Mother PCB
The mother board is shown in the SCHEMATIC MOTHER PCB POWERBASE.
The mother board provides power for the rest of the powerbase electronics. Bridge rectifier U2
charges filter capacitor C1. The AC voltage supplied at AC(±) is typically 7.5 V RMS. Voltage regu
lator U3 and current booster Q1 form a linear regulator that lowers the rectified AC voltage
to +5 V.
Portions of the powerbase analog circuitry require ±15 V power. DC:DC converter U1 derives
these voltages from the +5 V supply. U4 and U5 regulate these voltages down to ±12 V for use in
the RS232 serial port.
Diode CR1 and phototransistor Q2 form one half (powerbase side) of the powerbase-monitor optical link.
3.8.2. Upper and Lower Daughter PCBs
The upper and lower daughter PCBs comprise the digital portion of the powerbase electronics.
3.8.2.1. Upper Daughter PCB
-
In the upper daughter PCB, 8085 processor U5 is driven by a 6.144 MHz crystal. A watchdog timer
comprised of U6, C7, CR1, R5, Q1, R6, and C8 monitors the Serial Output Data (SOD) signal from
U5, pin 4. If SOD does not produce a positive pulse within any 100 ms period, the watchdog timer
sets the trap pin (U5, pin 6) which causes the 8085 to reset to address 0. Delay circuit CR2, R9,
and C10 provides reset on power up.
Addresses presented on the multiplexed address/data bus of U5 are held by latch U2 when ALE
(U5, pin 30) pulses high. 16-kbyte EPROM U4 is mapped starting at address 0, and 8-kbyte RAM
U3 is mapped starting at HEX 4000. I/O for the upper daughter PCB is memory-mapped.
Addresses are decoded on the lower daughter PCB.
Buffer U1 reads several digital signals:
• Four switches S1 through S4:
—S1 and S2 (ZERO and FULL) set zero and full-scale on all analog outputs
—S3 (TREND) initiates a TREND printout
—S4 (EVENT) initiates an EVENT printout
• Jumpers W1 and W2, which, when installed, place the system in various diagnostic modes
• SCALE, which is the output of switch SW1 (SCHEMATIC MIDDLE DAUGHTER PCB
POWERBASE), sets the SAT analog output range (0-100% or 50-100%)
3–16
• ECGTRIG, which is generated with every R-wave when an external ECG monitor is used
U6 and U7 provide address decoding for all devices in the powerbase. I/O functions begin at HEX
8000.
Timer circuit U4 generates the real-time interrupt RST7.5 (U4, pin 10). U4 also produces the baud
rates for UARTs U2 and U5. U5 drives the powerbase side of the monitor-powerbase optical link
at 19.2 kbaud. Circuit elements associated with U5 provide signal conditioning for transmitting and
receiving on the optical communication link. The linkʼs LED and phototransistor are shown on the
SCHEMATIC MOTHER PCB POWERBASE drawing.
U5, pin 23 (RTS) is set low in software when the instrument is in an alarm condition, producing a
logic high on U8, pin 11 (ALMOUT).
UART U2 drives the external RS232 interface and the fiber-optic output CR1. Level translator
U3 performs the voltage level shift required for the TTL-RS232 interface. RxRDY (U2, pin 14) is
returned to the main processor as RST5.5. Baud rates for both UARTs are derived from timer U4
(pins 13 and 17).
Buffer U1 reads 8-bit DIP switch S1, which is used to select the baud rate and data transmission
format.
Connector J8 is a 9-pin miniature D type for the RS232 data link.
3.8.3. Middle Daughter PCB
The middle daughter board (shown on SCHEMATIC MIDDLE DAUGHTER PCB POWERBASE)
contains all of the analog circuitry for the powerbase. For purposes of discussion, the board can
be divided into two portions:
• the sample/hold circuit, with its associated DAC and analog demultiplexer
• the ECG input circuit with self-adjusting threshold. This circuit triggers processor U5 on the
upper daughter board whenever an external ECG signal appears
3.8.3.1. Sample/Hold Circuit
Bus-compatible 8-bit DAC U5 is provided with a reference voltage of approximately -10 V by negative voltage regulator U6. Potentiometer R11 trims the output voltage of U1, pin 6, to
+10.00 ± 0.02 V when DAC gain is set to maximum (the U1-U5 combination inverts the reference
voltage). Switch SW1 selects a full scale analog output voltage of 1 V or 10 V by switching in the
voltage divider formed by R2, R5, and R6.
U4 is a 1-to-8 bus-compatible analog demultiplexer. DAC output at U4, pin 9, feeds through to the
selected output: U4 pin 5, 6, 7, or 8. Each output drives a separate sample/hold circuit made up of
storage capacitors C4 through C7 and FET-input operational amplifiers U2 and U3. Zener diodes
3–17
at the outputs of the sample/hold amplifiers protect against external short-lived transients. The
1 kohm output resistors quell oscillations which may occur when driving highly capacitive loads.
3.8.3.2. ECG Output
The ECG sample/hold channel is bidirectional. It differs from the other three channels in that the
output signal is AC coupled (at a corner frequency of 0.5 Hz) to unity-gain buffer U2. Resistor
R12 buffers the output of the unity-gain buffer when signals enter the ECG bidirectional port (J3).
Incoming ECG signals are AC coupled through C16 and R25 to two parallel circuits:
• unity-gain buffer U3
• a peak follower circuit (composed of U2, CR9, C17, R27, and U3) with slow decay that stores
the peak value of the R-wave from one peak to the next.
3–18
SECTION 4
TROUBLESHOOTING AND ASSEMBLY GUIDE
This section first discusses some potential difficulties, their possible causes, and suggestions
for resolving them that do not require disassembly of the instrument. If the difficulty persists
after following these suggestions, proceed to the subsections on detailed troubleshooting
and disassembly. Refer if necessary to Section 5, Testing and Calibration. If qualified service
personnel are not available, contact Nellcorʼs Technical Service Department at 1–800–NELLCOR
or 415 887-5858.
NOTE: Instrument must be operating on AC power for the powerbase to be functional.
NOTE: To reset the powerbase microprocessor, disconnect and reconnect AC power.
4.1. INITIAL TROUBLESHOOTING PROCEDURES
1. The instrument does not turn on.
• The AC power is not connected and the battery is discharged. Connect to AC power. If
the problem persists, check the AC fuse. If this does not resolve the problem, contact qualified service personnel or Nellcorʼs Technical Service Department.
2. The instrument operates on AC power but not on the battery.
• The battery is discharged. Fourteen hours are required to completely recharge the
battery.
• The battery pack is defective or the battery fuse is open. Contact qualified service
personnel or Nellcorʼs Technical Service Department.
• The battery charger is defective. Contact qualified service personnel or Nellcorʼs Technical
Services Department.
3. The instrument operates on AC power, but the BATT IN USE indicator is always on.
• The powerbase is disconnected from the monitor.
• The instrument is not receiving AC power because the power cord is defective, is not
connected, or is connected to a defective AC outlet. Replace the power cord, connect to
AC power, or try another AC outlet.
• The AC fuse on the rear panel is defective. Replace the fuse (see Section 4.4.1.).