Nellcor N-6000 User manual

SERVICE
MANUAL
PULSE
Caution:
NELLCOR®
OXIMETER
to
sale
by
MODEL
law
or
on
the
ULTRA
AND
N-6000
(U.S.)
order
CAP™
CAPNOGRAPH,
restricts
of a physician.
this
device
©
1993
Nellcor
Incorporated
25495
Hayward,
Incorporated
Whitesell
California
510
887-5858
1-800-NELLCOR
.
Street
94545
U.S.A.
028065A-0193
Corporate
Headquarters
European
Office
Asia/Pacific
Headquarters
Whitesell
USA
Tel
510-887-5858
Incorporated
Street
California
94545
Tel.
European
Northwest Nellcor
Hambakenwetering 5231 The
Tel.
Middle Nelleor
Black-&-Decker-Strasse W-6270
|
Tel.
Southern Nellcor
3,
78353
France Tel.
BV
DD
’s-Hertogenbosch
Netherlands
+31.73.426565
Regional
Europe
Europe
DD
‘s-Hertogenbosch
Netherlands
+31.73.426565
and
GmbH
+49
6126.5930
Sarl
rue
du
Petit
Jouy-en-Josas
+33.1.39.46.96.58
BV
Europe
Robinson
1
1
Europe
.
28
Cedex
Suite
Admiralty
18
Hong Kong
Tel.
1204C
Harcourt
+852.529.0363
Road
Tower
1
European
University
Coventry
United
Tel.
Interleuvenlann B-3001 Belgium
Tel.
Local
(UK)
of
Park
CV4
7EZ
+44.203.690220
(Belgium)
Leuven
+32.16.400467
NV/SA
62/8
.
ii
TABLE
OF
CONTENTS
11 12 13
2.1
2.2
2.3
2.4
2.5
3.1
3.2
3.3
3.4
Introduction.........................
Warnings,
Description..................,..,............,...
1.8.1
13.2
13.3
13.4
1.3.5
1.3.6
1.3.7
18.8
1.3.9
1.3.10
1.3.11
13.12 Principles
Overview.........................
PulseOximetrySubsystem.......................
2.2.1
2.2.2
2.2.8
2.2.4 - Measured Capnography N20/02
24.1
2.4.2
2.4.3.
2.4.4
2.4.5
2.4.6
2.4.7
.
Introduction.................
CO2
3.2.1
3.2.2
3.2.3
8.2.4
3.2.5
3.2.6
3.2.7
8.2.8
3.2.9
3.2.10 Oximetry
©
8.8.1 Detailed
3.4.1
AAA
Cautions,
StatusMessages..............................
Automatic
On-Screen
N-6000 Trend Automatic
Noninvasive
C-LOCK
Automatic
Functional
Standard
Pressure
N20 O2
Water
BTPS/ATPS Summary:
Calibrated
Analysis
Module
Sensor CO2
Memory......:...,...............,,,,,......
of
Subsystem
Compensation
Collision Collision
Module
bDigital.....................
Motor
Signal
Heater
Source....
Barometer...
StatusLEDs....................
Status
OximetryModule........................
Oximetry
Control........
Module
Oximetry
and Notes
and
Indicator.......................
and
Operation
Broadening
Vapor
Operation.........
22220
Self-Test
Menus..................,...,,,.......
and
Calibration..…..............,........,.,.......ss
..................
Oximetry
ECG
Synchronization
Operation.
ECG
Calibration..................
versus
versus
Gas
Reported
Amplifier..
LED
Module
Calculated
............................
............
Conditions
Broadening...........
Broadening.........................,.,...........ss
Effect...
Compensation.
Sensor
Details.
Hardware
Summary............
Block
Module
...
Indicators.
and
Custom
Synchronization
Fractional
CO2
μμ
Sensors.........................
Saturation
Compensation...
Values...
ΕΟΟ
....
Analysis
Analysis
Time..
Set-Up
for
Pulse
Saturation...
...
.
.
Oximetry..
....
...
...
レレ
くく
レト
issues
ニュ
レッ
くく
トー トト ッッ
ss
ρου
sense
とく
.. „12 ..
..
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„21
„22
ーー
. ..
..
.
..
..
.. ..
..
..
..
..
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ας
.
.
1-1 1-1 1-2
1-2 12
1-2
1-3
13 13 13 13 13 1-4
2-1 21 2-1
2-3 2-5 25
2-5
2-6 2-6 2-6 2-6 2-6 2-7
3-1 3-2 3-2 3-2
3-2
3-3 3-8
3-8
3-3
3-3 BA 3-4
3-4 3-6 3-6
TABLE
OF
CONTENTS
(continued)
3.5
3.6
4.1
4.2
4.3
4.4
5.1
5.2
5.3
6.1
6.2
”Disassempbly
7.1
7.2
7.3
8.1
8.2
8.3
9.1
Main
8.5.1
8.5.2
3.5.3
3.5.4
8.5.5
8.5.6
3.5.7
8.5.8
8.5.9
3.5.10
3.5.11
3.5.12
3.5.13 Power
3.6.1
3.6.2
3.6.3
3.6.4 Routine
Introduction............
Cleaning Changing Replacing Packing
Överview...........................
Repacking
Repacking Disassembly
Introduction............
6.2.1
6.2.2
6.2.3
6.2.4
6.2.5
6.2.6
6.2.7
6.2.8
6.2.9
Description.....................
COs
7.2.1
7.2.2 Calibration
Troubleshooting........................
Introduction.......
Advisory
Status Spare In
Processor Microprocessor Power. Reset Battery Internal Graphical
BEPROM..............
FLASH Real
Time
Audio
Charging Patient Front
Supply-Charger Power AC
Rectifier
+5
Volt
C-LOCK
Maintenance
Instructions............
Mains
or
Changing
and
PCB
Control.........
and
Watehdog......................
Backup
and
Clock....
Generation
Indicator................
Isolation
Panel
Supply
and
Logic
QRS
Shipping......
Section.......,...............,....,......,
and
Memory
External
..................,....,,.....,..,.
....
Power
and
Sync
Controller..
PCB Charger +12
volt
Input
......................
Input
the
Details.
Retention............
Serial
Supply...
Communications..
Theory
Power
Circuit...
....
In
Original
In
New
Guide........
Procedure
RemovinginstrumentCover...........................
Removing
Removing
Removing Removing Removing Removing Removing Removing
and
Calibration
Carton..
Carton
Front Panel
Power
Transformer..........
Oximetry
Main
Pull-Out
Speaker............................
............
and
C02
Processor
Assembly
Card
Supply-Charger
ConventionS Service Breath
and
Screen
Detection
Accuracy
and
and
Check
Conventions...................
of
Messages.
Messages.....
Parts........
го
ас
sise
ーー
...
essences
Details.........
of
Charger...........
Supply
Subassembly..
PCB...........................
.............................,................,.....
Assembly.
0
End-Tidal
Operation..
....
<
scccrcre*
CO2
ui
iii
Values..
ees
enten
ennen
eker
0040000400000
000000e0
..
en
.. .
. .. .. ..
72 7-6 8-1 8-1 8-6 8-7 9-1 9-1
iv
TABLE
OF
CONTENTS
(continued)
10
10.1 1
11.1
11.2 113 114 185
11.6.
11.7.
¡ACA
Overview.........
Specifications.............
Physical/Environmental.........
Components Controls
Connectors................
Performance.
Calibration.....
Airway
and
11.8 jectrical.
2
12.1
2-1 2-2 3-1 3-2 3-3 3-4 3-5 8-6
8-7 4-1 4-2
6-1 7-1
Schematic
Introduction...................,......,.................
Oxyhemoglobin Nondispersive Overall Oximetry LRD Input
Input
A:D
North
European Disassembly Failed
Block
Module
Driver
Signal
Amplifier,
Conversion
American
LED
essences
and
User
Interface..
Indicators...........
EP O KO KO R O R K
0
0000
Koh
OK S KO
RS O O
Diagrams..
see
LIST
OF
FIGURES
Dissociation
Infrared
Diagram..........................
Cireuit
Processing.
Synchronous
Circuits.......................,.......,,,...........
Circuits...................
Fuse
Аттапветейв.............
Fuse
Diagram..............
Атгапретейф...............
Digits
Curve..........................................
CO2
Block
レート
Analyzer..
Diagram...
ーーー・
Detector,
and
Filter/Amplifier
линии
нии
ини
тни
KOK
KK P KKK
низине
ss
KK O RR
oP P een
K R
0.0000
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PK O v
нение
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6
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Kone
..
.
7-1 8-1
The
United
OXISENSOR;;
The
4,770,179;
following
States
N-6000
Screen
are
trademarks
and
other
and
is
covered
4,802,486;
IndicatiomS
Guide
countries;
ULTRA
by
4,869,254; 4,928,692;
the
following
CAP,
of
Nellcor
which
レレ
ーー
patents:
トレ
ーー
トト
ーー
Incorporated:
which
is a
commercial
U.S.
4,934,372;
NELLCOR,
is
registered
Patent
and
スー
スト
ドー
くに
トー
which
in
the
trademark.
No.
4,621,643;
corresponding
トト
トト
トス
is
United
4,653,498;
スレ
(レレ トス
registered
4,700,708;
in
other
countries,
レト
in
ストー
the
SYMBOLS
O/O
Sc
nx
el
On/Standby
Pulse
tone
volume
C-LOCK
Low
alarm
signal
off
lost
FRONT
PANEL
eke
MENU
A
+
ni
Freeze
Menu
C-LOCK
alarm
in
in
use
on
use
κ
220/240V~ FRONT
PANEL
A
Battery
INSTRUMENT
Attention: manual!
charging
ONLY
Refer
to
operator’s
Type
BF
equipment,
(patient
electrically
isolated)
vi
SYMBOLS
AS
=
MO
À
ECG
fuse
input
On/Off
BF
Type
(patient
equipment,
electrically
isolated)
BACK
PANEL
O
<>
RS232
Fuse
replacement
Eguipotential
RS232inputoutput
ground
port
VOLT
PANEL
INSTRUMENTS
Instrument proof.
ONLY
not
anesthetic
VAN
Attention:
Refer
manual!
to
operator’s
vii
WARNINGS
The
N-6000 contains
.
[For
The from
connection,
must
be
protection
N-6000
is a patient-connected
potentially
the
no
performed
fire
dangerous
procedures
user-serviceable
by
qualified
personnel.
electrical
and
potentials
part
specifications
parts.
fuses
For
protection
only
Isolated
or
ground
contained
with
the
same
paths.
in
this
electrical
type
and
connectors
To
manual
the
integrity
must
the
be
adhered
all
of
this
to.
viii
1.1
INTRODUCTION
This
manual
and
capnograph,
personnel,
Note: service
language
screen,
and
then
who
This
screens.
option
press
press “LANGUAGE” from
the
left.
or
“ENGLISCH.”
The
N-6000
time
monitoring
carbon
.
SpO2 SpO2 numerically, shows
contains
information
model
have a technical
manual
the
If
to
Freeze
the
the
is
unit
English.
second
Press
this
is a compact,
of
is
noninvasively
(ETCO2),
which
while
the
patient’s
for
is
configured
To
reach
button
key
and
in
to
on
fourth
French
gain
oxygen
and
and
are
available
the
plethysmograph
relative
SECTION
I
Introduction
for
servicing
of
this
background
an
N-6000
for
the
language
the
front
soft
keys
and
access
microprocessor-controlled
saturation
respiratory
continuously
for a variety
pulse
strength
the
in
analog
configured
French
panel
from
to
the
language
rate
measured
is
displayed as
NELLCOR®
must
and
for
or
selection
while
the
the
left
in
pulse
(RR).
of
measured
ULTRA
be
done
by
electronics.
CAP™
qualified
English-language
the
technician
menu
main
at
selection
instrument
rate
using
from
monitoring
the
same
(PR),
Nellcor's
sites.
the
time.
above
menu
and
used
for
inspired
reusable
SpO2
values
main
screen
The
CO2
as a waveform, A bar
by
the
pulse
oximetry
pulse
displays
must
and
change
monitoring
is
displayed,
legend
the
fourth
select
“ANGLAIS”
continuous
or
adhesive
are
displayed
graph
circuits.
oximeter
the
soft
key
real-
end-tidal
indicator
ETCOs intubated exhalation
This
manual digital N-6000
maintenance
12
Before These proper
WARNING:
Caution: always
operator’s
WARNINGS,
you
terms
operation
technician.
Cautions
in
boldface
Note: A note
is
determined
patient’s
is
is
intended
monitoring
or
repair.
read
the
identify
A
gives
by
positioning
airway
displayed
for
(15
mm
numerically,
use
by
equipment.
manual
CAUTIONS,
N-6000
of
this
and
be
AND
information
instrument.
familiar
that
describes a condition
WARNINGS
are
describes a condition
type.
information
that
an
diameter).
while
authorized
with
NOTES
it
pertains
that
always
warrants
that
in
may
infrared
The
CO2
is
personnel
instrument
is
important
to
technician
may
result
boldface
result
attention.
mainstream amount
of
displayed
personnel,
must
have
operation
to
understand
and
in
injury
type
and boxed.
in
damage
CO2
sensor
CO2
as a waveform.
read
to
in
ahd
before
the
to the
the
instrument.
servicing
understood
attempting
following
patient,
across
at
the
and
an
end
of
analog
the
terms.
indicates
operator
Cautions
and
or
are
1-1
1.3
DESCRIPTION
The
following
1.3.1
The
N-6000
.
C02
*
provides a qualitative
9
Trends
paragraphs
and
features
and
plethysmographic
are displayed: respiratory
When
the
switch, a battery
1.3.2
Indicator
describe
Indicators
numeric
displays
indication
acquired
SpO2
rate
for
trend
alone;
all
SpOz,
operator connects
charging
the
N-6000
of
SpO2,
waveform
of
pulse
parameters,
CO2
trend
CO2,
pulse
the
indicator
and
list
PR,
RR,
displays:
strength
and
the
alone;
rate,
to
AC
SpO2
and
power
important
and
ETCO2:
and a pulse
at
the
oximetry
following
and
CO2
respiratory
and turns
features.
amplitude
five
trend
rate
on
the
bar
pulse
rear-panel
graph,
can
rate
and
which
be
on/off
Pulse pitch decreases. can
1.3.3
The moves apnea, priority the button
ALARM
function
Note:
Note:
rate
of
this
watch
or
of
alarm
alerts
SILENCE
disabled.
are
always
The
When
1.3.4
A
Status
status
alarm
identified
and
tone
This. early
the
and
has
when a sensor
the
alarm
temporarily. A flashing
the
operational.
SpO2
the
Messages
by a module
troubleshooting
oxygen
and
both
an
adjustable
state.
operator
indicator
and
ETCO2
French
function
is
displayed
the
problem.
saturation
with
listen
are
indicated variation system
for
encourages
SpO2
in
Alarms
and
limit
gets
disconnected.
Pressing
that
the
warns
alarms
language
the
ALARM
alarm
that
appear
is
chosen
The
ALARM
tone
one
on
indicators
and
disabled, a single tone
in
case
an
error
identifier
and
(See
an
error
VIII
SpO2,
tone
has
or
more
the
change
one
occurs
condition
code
for
with a tone
rising
prompt
as
saturation
corrective
simultaneously.
These
when
and
alarms
the
button
indicator
been
silenced
parameters
temporarily. A steady
from
green
or
more
of
the
every
three
number
more
that
information.)
that
increases
action
are
activated
of
the
turns
adjacent
have
had
and
unlike
to
red
parameters
minutes.
An
error
since
off
the
to
the
their
when
condition
each
and
the
pulse. falling
The
as
clinician
when a variable
loss
of
pulse
or
alarm
ALARM
audible
depend
ON
of
alarm
on
the
an
alarm
have
had
personnel
the
will
error
be
in
it
the
of
they
1.3.5
Automatic
The
test
takes
that
the allowing 45
seconds.
approximately
the
Self-Test
automatically
mainstream
If
an
error
“Troubleshooting,”
1.8.6
On-Screen
The
on-screen
at
the
bottom
function
MENU
1.8.7
The Once
1.3.8
The
button
N-6000
N-6000
configured,
Trend
N-6000 memory the
memory
memory
continues
key
can
can
while
Menus
menu
of
the
is
pressed,
to
power-on
Memory
stores
be
viewed
is
full,
be
viewed
the
is
for
more
guides
screen
and
the
custom
up
to
in
the
oldest
on
trend
and
performs a series
15
data
COz
after
sensor
to
detected, a status
information.)
the
operator
just
above
the
the
screen
the
top level
Custom
24
hours
30-minute,
the
data
displays a new
settings
alarm
data
of
trend
are
limits
sereen
are
being
menu,
can
2-hour, 4-hour,
automatically
and
Time
of
the
operator
and
internal
warm.
The
four
function keys
or
to
Set-Up
be
customized
will
always
data
for
can
be
printed.
diagnostic
turns
circuitry
CO2
sensor
appears.
all
system
menu
return
with
to
according
be
CO2,
SpO2,
erased
with a printer.
tests
when
on
the
are
(Refer
functions.
that
are
additional
the
main
in
place,
pulse
12-hour,
as
new
turned
monitor.
These
functioning
time
to
Menu
used
to
select
functions.
monitoring
to
institutional
even
after
rate,
and
or
data
are
on.
The
system
tests
properly,
is
approximately
8,
items
an
are item.
Press
requirements,
power-down.
respiratory
segments.
Data
monitoring
self-
while
displayed
When
the
rate.
Trend
When
stored
a
in
1.3.9
Automatic
The
SpO2
subsystem
the
system
is
turned
whenever a new
calibrated.
1.3.10
If
external
90
by
By
choosing
power
on
using
(including w/BATTERY displays
.
When AC
the
the
life.
the
MAINS
MENU
operator
Calibration
of
on
oximetry
Operation
is
lost
its
rechargeable
the
GRAPHICS
GRAPHICS
all
waveforms,
OFF,
only
the
numerical
GRAPHICS
power,
button
reapplies
the
N-6000
and
periodically
sensor
or
transportable
is
internal
w/BATTERY
messages,
the
values
w/BATTERY
the
to
turn
the
AC power
is
fully
thereafter.
connected.
operation
battery.
w/BATTERY
of
option
will
only
to
the
self-calibrating.
It
Additionally,
The
capnography
is
necessary,
This
operating
power
ON
etc.)
will
blank
SpO2
is
blank
w/BATTERY
in
the
continue
during
and
ETCO2,
selected
when
saver
SYSTEM
to
the
option
is
calibrated
it
subsystem
the
N-6000
time
menu,
to
operate.
This
allows
be
OFF
unit
transfers
ON.
automatically
is
recalibrated
of
can
can
be
extended
the
By
choosing
operation.
up
to
and
the
to
The
automatically
the
N-6000
up
graphics
The
N-6000
180
unit
is
whenever
is
up
to
to
180
GRAPHICS
of
operating
power.
Press
when
on
1.3.11
Noninvasive
Oximetry
Noninvasive two
light-emitting
differences
infants,
1.3.12
children,
If a patient quality separate signal
for
from
synchronize
When
If SIGNAL N-6000
the
C-LOCK
ECG
LOST
is
not
diodes
in
tissue
is
moving
thickness
and
ECG
Synchronization
or
measurements
that
the
ECG.
The
the
SpOz
measurements.
ECG
synchronization
signal
is
lost
symbol
being
used.
oximetry
(LEDs)
or
Refer
has
poor
of
oxygen
N-6000
or
deteriorates
on
as
light
sources.
skin
pigmentation.
to
specific
for
perfusion,
saturation.
activity:
uses
the
ECG
is
used,
to
the
the
display.
obtain
sensor
Pulse
C-LOCK
When
an
QRS
the
point
No
measurements The
N-6000
Specific
directions
Oximetry
ECG
this
signal
C-LOCK
that symbol
it
IN
can
is
:
by
sensors
automatically
are
for
use
for
synchronization
is
used,
the
from
the
sensor
to
help
identify
USE
symbol
no
longer
displayed
be
if
used,
the
means
available
complete
can
N-6000
and
the
pulse
the
C-LOCK
C-LOCK
alone,
using
for
for
neonates,
information.
signal
receives
an
electrical
and
on
the
display.
of
two
the
2.1
OVERVIEW
This
2.2
PULSE
The
N-6000 plethysmography. sensor photodetector.
920
nm).
The
photodetector
absorption.
With
each hemoglobin The
N-6000
hemoglobin
In
principle, a pulse Absorption both
wavelengths
describes,
OXIMETRY
oximetry
has two
When
low-voltage
One
the light
heartbeat, a pulse
measures
that
is
also
in
subsystem
It
includes
LED
measures
from
red
is
saturated
oximeter
measured
SUBSYSTEM
light-emitting
emits
from
deoxygenated
and
in a value
terms,
is
based
an
‘electro-optical
red
light
the
LEDs
the
light
of
oxygenated
infrared
with
measures
when
pulsatile
SECTION
Principles
operating
on
the
diodes
(nominal
passes
that
hemoglobin absorption
for
the
passes
arterial.blood
the
light
arterial
arterial
II
of
Operation
principles
principles
sensor
(LEDs)
through,
absorption
and a microprocessor-based
as
660
nm)
the
flows
in
its
to
determine
blood
oxygen
for
the
of
spectrophotometry
light
sources,
and
the
other
sensor
which
relative
is
saturation
to
by
in
the
the
site,
part
indicates
the
sensor
red
and
percentage
and
and
and
one
photodiode
emits
infrared
of
the
light
red
and
infrared
site.
Oxygenated
infrared
of
functional
nonpulsatile
The
ratio
module. The
as
(nominal
is
absorbed.
absorption.
blood.
of
absorption
a
at
2.2.1
C-LOCK
When
an complex
with
length
relationship random
If
an optical C-LOCK
C-LOCK
provided
is
the
patient’s
of
the
ECG
pulse
ECG
signal
detected,
signal
ECG
Synchronization
ECG
the
pulse
and
movement
with
an
from
the
an
physiology
delay
is
relatively
is
used
to
identify
is
not
provided,
alone
is
used
synchronization
synchronization,
synchronizing
and
when
the
ECG
sensor
and
to
determine
pulse
the
and
an
is
with
the
“good”
or
if
that
detected
pulses
the
N-6000
SpO2
measurements.
patient’s
N-6000
electrical
at
location
and
signal
the
pulse
when
an
uses
an
perfusion
receives
signal
the
of
the
C-LOCK
reject
deteriorates
rate
adequate
is
two from
sensor
ECG
nonsynchronized
and
to
ECG
signal
This
poor.
the
site.
The
However,
synchronization,
so
that
initiate
ECG
signal
as a reference
enhances
that
ECG. A short
length
it
can
saturation
is
signal
for a given
artifacts
no
time
of
this
that
such
longer
measurements.
available.
point
activity:
after a QRS
delay
varies patient, time
as
be
used,
for
the
-
the
2-1
2.2.2
Automatic
The
oximetry calibrated connected. differences
Each
sensor
determined
calibration
obtained
2.2.3
by
Functional
Calibration
subsystem
each time
Also,
the
in
tissue
is
calibrated
and
resistor
that
versus
incorporates
it
is
turned
intensity
of
thickness
when
into a calibration
to
determine
Fractional
automatic
on,
at
periodic
the
and
pigmentation.
manufactured:
resistor.
the
appropriate
Saturation
calibration
intervals
LEDs
is
the
effective
calibration
thereafter,
adjusted
The
instrument’s
mechanisms.
and
automatically
mean
wavelength
coefficients
It
is
automatically
whenever a new
to
compensate
of
the
software
for
reads
the
measurements
red
this
sensor
for
LED
is
is
functional
the
N-6000
of
instruments
as a percentage
uses
two
SaO2.
carboxyhemoglobin
In
contrast, Oximeter measured Measured
Consequently, other
measurements
some
report
hemoglobin,
dysfunctional
to
instrument
can
functional
2.2.4
Measured
When oxygen
saturation
relationship
carbon
the
versus
the
calculated
(PaCO2),
measures
that
of wavelengths, It
does
not
or
methemoglobin.
laboratory
fractional
SaQ2-—~oxygenated
hemoglobins
directly
must
be
converted
saturation
Calculated
is
calculated
calculated
saturation
PO2 the
functional
the
hemoglobin
it
measures
detect
instruments
or
not
N-6000
functional
using
=
100 (%carboxyhemoglobin + %methemogiobin
SaO2,
fractional
SaO2.
that
oxygenated
significant
such
that
hemoglobin
are
included.
measurements
SaO2.
the
following
it
may
Functional
is
and
as
the
of
Instrumentation
hemoglobin
is
If
it
measures
equation:
fractional
measurements
SaQ2
of
transporting
deoxygenated.
dysfunctional
expressed
available
with
those
fractional
saturation
Saturation
from a blood
value
may
may
and
saturation
concentrations
not
gas
measurement
differ
from
have
been corrected
of
the
N-6000
2-1):
temperature,
and
of
the
SpO2
for
fetal
is
oxygenated
hemoglobin,
hemoglobin,
Laboratory
as a percentage
for
oxygen
of
Sa02,
~
pressure
measurement.
the
pH,
of
the
hemoglobin.
that
differ
hemoglobin
yielding
such
282
CO-
of
all
transport.
instrument,
those
x
of
arterial
This
variables
that
pressure
from
the
as
that
is
shift
of
2-2
100
pH
t
Temperature
+
PCO2
+
+
2,3-DPG
= ο
я
504
5
©
.
a
+
VA
0
ifs
4
+
+
nf.
+
7
;
+
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e
+
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est
pH
Temperature
PCO2
2,3-DPG
50
PO:
(mmHg)
=.
100
2.3
CAPNOGRAPHY
The
N-6000
present
sensor ventilator elbow into
Infrared
infrared
specific the versus
have
at
the
that
and
the
spectroscopy
light.
wavelengths
infrared
the
proportional
determined
The
CO2
detection
“optical
bench”),
wavelengths
During reaches
selectively second.
monitoring,
the
absorbed
Three
uses
nondispersive
end
of
exhalation
attaches
to a disposable
either
with
Of
the
respired
the
wye.
can
normally
of
spectrum
wavelength
to
by
that
the
concentration
comparing
mechanism
has
an
corresponding
light
narrow-band
by
measurements
Figure
2-1:
SUBSYSTEM
infrared
(ETCO2).
infrared
of a molecule
of
have
infrared
first
infrared
0602.
the
The
CO2
gases.
be
used
respired
is
overlapping
the
absorbance
used
to
an
passes
It
then
are
to
light
of
source
absorption
Oxyhemoglobin
spectroscopy
It
features a small
airway
adapter. endotracheal mainstream
measure
gases,
(i.e.,
have
(usually
unique
to.
absorption
the
absorbing
to
that
in
the
N-6000
that
peak
which
encounters
obtained
during
Dissociation
to
The
tube
sensor
the
concentration
only
CO2,
an
infrared displayed that
molecule.
molecule,
of a known
(commonly
is
optically
of
the
the
respiratory
was
selected
the
each
quantitatively
lightweight
airway
and
fits
as a graph
peaks.
filtered
CO2
rotation:
the
ventilator
on
top
N20,
and
spectrum).
However,
an
standard.
referred
spectrum
gas
wheel,
of
of
any
of
to
in
Curve
the
“mainstream”
is
inserted
the
molecule
water vapor
This
light
different the
to
as
provide a narrow
(see
the
airway
it
passes
which
or
and
that
selectively
absorption
absorbed
molecules
absorption
concentration
the
CO2
Figure
adapter.
wavelengths
many
amount
of
CO2
into
the
by a molecule
sensor
2-2).
does
not
absorbs
pattern,
may
of
light
can
band
Next
times
the
absorb
be
or
of
that
CO2
come
is
it
are
each
ο
wheel
A
sample
and
measurement
then
the
is
made when
detector
(i.e.,
light
the
light
passes
passes
the
the
open
respiratory
area
gas).
of
the
.
A
reference+sample containing a known respiratory
A
The
ratio,
determine
from
the
The
N-6000 assumed N-6000. expressed are
is
being
to
fully
The
N-6000 dynamically several ETCO?
The
value obtainable simply value ETCO2.
patient.
gas
and
dark
measurement
the
detector).
“reference+sample/sample”, the
CO2
analysis
measures
conditions
When
displayed
saturated
spontaneous
value,
of
ETCO2
This
units
as % dry
to
be
from
the
of
ETCO2
from
the
all
seen
measurement
CO2
concentration
gas
in
the
is
concentration
of
the
CO2
the
of
33° C and
of % (by
gas.
By
convention,
measured
on
the
conditions
and
N-6000
that best
within
in a stable
from a patient
front
counts
with
accurately
during
together
the
is
obtained
and
reference
made when
in
waveform
airway
fully
panel
(BTPS ) before
and
low
estimates
last 8 seconds ETCO2
cell).
light
is
then
respiratory
(capnograph).
pressure
saturated.
are
displayed
all
readings
and
LED
in
when
ETCO2
the
forced
to-display
exhalations.
value
when
then
strikes a solid
used
in
gas.
Respiratory
of
CO2
Barometric
on
of
corrected
units
of
being
displayed.
the
COz2
level
CO2
values
and
true
the
and
that
followed
counts
alveolar
ETCO2
displays
best
light
passes
the
detector
area
the
sensor-specific
rate
in
the
pressure
the
front
panel
CO2
posted
to
body
mmHg
crosses a threshold,
Hence,
all
breaths.
CO2
Unlike
value,
that
approximates
on
temperature
or
kPa,
when a ventilated
by a mechanical
value
conventional
the
through a reference
(i.e.,
light
passes
of
the
is
determined
airway
is
measured
LEDs,
the
the
values
is
the
N-6000
the
arterial
wheel
front-panel
(1.9.,
calibration
the
measured
(37°
C).
are
which
breath
capnometers
looks
for
value
for
PaCO
gas
no
light
equation
by
the
N-6000
at
normal
directly
also
is
value
the
the
by value
LED
When
with a higher
PCO2
converted
set
has
that
true
value
in
cell
to
the
is
the
2-4
Light
source
Figure
2-2:
!
Airway
adapter
Nondispersive
Infrared
filter
Chopper
wheel
Infrared
Reference gas
cell
Open
area
Photodetector
CO2
Analyzer
24
N20/O2
COMPENSATION
Unless
affect
To
oxide
screen
The
oxide in 20%
for
The provides there
The provides there
Finally,
barometric
changes.
compensated
the
ensure
with
menu
N-6000
and
O2
beyond
of
increase
every
first
is
zero
second
is
zero
barometric
the
the
for,
measurement
accurate
oxygen; and
measurements,
selections.
is
calibrated
20%
the
reference
in
O2.
20%
increase
compensation
necessary
error
under
compensation
correction
error
under
pressure
pressure
elevated
of
the
concentration
(2)
high
for
low O2
This
is
the
state
An
increase
in
N20.
level
correction
these
level
factor
for
these
no
levels
the
N-6000
compensation,
decreases
in
N20
50%
factor
high
levels
also
user
intervention;
of
oxygen
of
Compensation
mode
the
increases
for
high
conditions,
0%
conditions.
affect
(O2)
CO2
by a collision
provides
which
where
displayed
oxide
levels
of
O2.
Once
measured
the
and
two
levels
levels
COMP. = OFF.
the
of
oxide
N-6000
are
CO2
value
displayed
and
50%
N20.
and
60%
again,
CO2
automatically
oxide
(N20)
broadening
of
compensation:
user
selectable
the
reference
In
the
by
1.5%
of
CO2
value
When
oxygen. Selecting
when
Selecting
this
correction
this
correction
However,
in
the
via
state
1.6%
airway
(1)
of
0%
an
increase
for
every
of
COMP. = N20
is
applied,
COMP. = O2
is
applied,
in
for
these
The
following
conditions,
2.4.1
Standard
The
accuracy
CO2
in
38
mmHg),
errors
2.4.2
CO2 additional
from
mmHg
are
Pressure
barometric
exchanged
values
the
standard
for
paragraphs
as
pertains
Gas
specifications
air
and a barometric
required
Broadening
pressure
reported
residual
every
to
Conditions
(21%
O2),
for
barometric
pressure
in
molecular
is
automatically
on
both
errors
reference
5000-foot
N-6000
for
Compensation
may
change
operation.
the
N-6000
at
airway
pressure
pressure
collisions
the
main
be
observed
state
of
in
in-depth
refer
conditions
of
760
(altitude),
measured
alters
measured
monitoring
when
760
mmHg
altitude.
discussion
to
the
following
of
33
°C,
fully
mmHg.
CO2
the
Additional
N20,
02,
by a “pressure
absorption
and a compensation
screen
(sea
spectrum
and
the
reference
These
of
compensation
standard
saturated
corrections
and
broadening”
service screen.
gases
amount
conditions:
(water
water
vapor.
of
is
automatically
at
to
and
standard
test
vapor
and/or
CO2.
pressures
approximately
residual
In
the
However,
gas
is
pressure
in
which
to
different
+0.5
of
2-5
2.4.3
N20
Collision
Broadening
absorption eliminate causes standard correct
both mixture
2.4.4
Oxygen exchanged causes a decrease
Oxide
an
(N2O)
broadening”
spectrum
any
direct
increase
in
can
affect
effect
in
of
CO2.
The
absorption
measured
conditions. A software-selected
for
high
N20,
assuming a gas
the
N-6000
if
O2
Collision
(02)
the
02
can
in
molecular
main
monitoring
compensation
Broadening
affect
the
CO2
collisions
in
measured
conditions. A software-selected
high
O2,
assuming a gas
main
monitoring
compensation
2.4.5
Water
Water
vapor respiratory water
N-6000
are to
vapor
is
calibrated
automatically
verify
calibration,
sereen
option
Vapor
also
has
gas
is
(with a vapor
composition
and
the
is
selected.
Effect
an
effect
at
standard
pressure
to
include
compensated,
CO2
values
airway
the
CO2
measurement
which
of
CO2
energy
infrared
infrared
of
approximately
exchanged
narrow
energy
(user-selectable)
composition
screen
option
measurement
alters
CO2
and
on
is
selected.
the
absorption
of
approximately
by a “collision
(user-selectable)
of
60%
O2
(0%
on
CO2
sereen
measurements.
conditions
of
38
mmHg)
this
effect,
while those
reported
and
on
CO2
on
the
by
bandpass
by
of
50%
the
-0.75%
02
compensation
N20).
are
compensated
of
33°C,
causes
values
the
both
in
filter N20. +0.8%
N20
N20
screen
spectrum
CO2
In
normal fully
an
increase
reported
screen
screen
direct
absorption
molecular
used
in
However,
per
10%
increase
compensation
and
50%
are
compensated
broadening”
of
CO2.
per
10%
increase
option
values
for
use,
this
reported
it is
saturated.
in
on
the
are
not.
should
be
of
collisions
the
N-6000
N20
collision
in
option
O2.
CO2
values
effect O2
collision
in
is
provided
on
gas
Under
measured
main
If
applying a dry
used
for
infrared
alters
is
chosen
the
broadening
N20
from
is
provided
reported
for
this
in
which
broadening
O2
from
to
both
the
if
the
that
these
conditions,
CO2
of
6%.
monitoring
comparison.
and
by
to
on
gas
energy
standard
for
N-6000
O2
The
screen
test
gas
a
to
2.4.6
BTPS/ATPS
The
N-6000 temperature adapter barometric
conversion
fully
is
measured
pressure.
to
saturated
screen values
2.4.7
Summary:
CO2 water a
dry
also
CO2
water
values
test
values
reported
vapor
gas
reported
vapor,
Compensation
and
deep
that
measured
pressure
fully
at
33
°C,
By
convention,
lung conditions
with a water vapor
do
not
have
these
Reported
correction).
is
to
the
and,
if
CO2
on
the That
in
the screen
on
the
selected,
saturated
fully
saturated
of
pressure
corrections
Values
is,
CO2
airway
main
monitoring
N20
and
respiratory
with a water
CO2
values
body
temperature
of
47
applied.
on
the
Main
screen
are values adapter
reported
(at
screen
O2.
gases
are
That
is,
vapor
are
reported
and
mmHg,
at
Monitoring
uncorrected
on
the
25
°C).
Corrections
have
at
standard
it
is
pressure
on
the
pressure
and
for
BTPS/ATPS
all
corrections
airway
that
of
38
main
monitoring
fully
saturated
barometric
screen for
are
N20
applied:
conditions
the
gas
in
mmHg,
at
pressure.
conditions
accurate
and
Oz,
if
BTPS/ATPS,
of
airway
the
airway
screen
after
37
(including
assuming
selected,
°C,
are
2.5
Each
CO2
sensor
temperatures.
components calibrated automatically
and
over
CALIBRATED
is
individually
The
N-6000
electronics
multiple
compensated
temperatures,
SENSOR
factory-calibrated
sensor
is
at a known
by
temperature
over
temperature-regulated
constant
so
that
temperature.
any
deviation
calibration
coefficients
multiple
to
42
°C,
Additionally,
from
gas
concentrations
which
the
42
°C
stored
keeps
the
the
sensor
set-point
with each
and
sensor
is
is
sensor
multiple
factory-
unit.
3.1
INTRODUCTION
This
provides
of
SECTION
Circuit
operation.
Analysis
Refer
HI
to
Figure
3-1,
the
bleck
diagram.
i
Oximetry
Sensor
Heater/Motor/IR
CO,
Sensor
LED
Drive
Output
Sensor
Output
Drive
Source | Module
Sensor Analog
Oximetr
>
>
Mo.
tule.
CO»
Optical
Isolators
»
Serial
Data
isolated
DC
T
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Serial
| 1
|
Power
1 1
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.
Data
>
Charger
Power
Transformer
Main
Processor
Battery
and
Supply Å
AC
Isolated
Audio
isolated
Power
Signals
Keyboard
y
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Battery
>
>
speaker
|
Serial
Loud-
Port
3.2
CO2
MODULE
The
CO2
module information modes
The
thermistor,
and
mainstream
acquires
to
the
send
sensor
sensor
and
non-volatile
Figure
CIRCUIT
main
DETAILS
CO2
data
processor,
information/status.
has
six
basic
memory.
3-1:
from
the
The
module
components:
AC
Block
mainstream
an
IR
Mains
Power
CO2
sensor
commands
and
from
the
detector,
communicates
processor
motor,
the
to
change
3.2.1
Sensor
Operation
The
IR
source
based
on
components: a filter,
The
filter frequency, other
molecules
The
airway tube
and
within
The path The energy
The can third
The
the
as
second
to
detector
be
determined
(dark)
CO2
condensation
because
the
allows
the
gas
the
sensor's
wheel
the
wheel phase
pass
phase
sensor
the
sensor’s
amount
emits
energy
of
the
only
attenuation
normally
sample
ventilator
light
is
rotates.
is
an
to
the
detector.
output
is
by
provides a zero
temperature
from
output
that
is
energy
energy
it
receives.
airway
gas
of a wavelength
is a disposable
circuit.
The
path.
split
into
three
The
first
comparing
during
is
elevated
on
the
is
affected
providing
the
directed
due
to
the
in
respired
airway
sensor
sections
phase
each
change
reference
to
airway
by
toward
In
the
the
light
path
and a chopper
within
presence
the
of
gas.
clips
or
to
phases
the
that
airway
has a reference
no
attenuation.
phase.
in
42°
windows,
temperature.
The
detector
for
recalibrating
C.
There
and
detector.
The
between
the
wheel.
CO2
absorption
CO2
molecules
is
inserted
adapter,
that
are
presented
cell
filled
The
third
amount output
are
of
CO2
from
the
detector.
two
to
maintain a stable
detector
are
generates a voltage
source
band
and
to
much
the
sequentially
with a known
phase
phase
is
one
for
doing
dark,
in
to
detector
detector
pass.
At
the
endotracheal
respired
to
amount
allowing
the
gas
phase
this:
two.
to
temperature
are
this
than
for
gas
the
light
of
CO2.
no
sample
The
keep
three
The
sensor maximum sensor
requires
As
the
3.2.2
The
CO2
and
barometric
3.2.3
The
module
stored with EEPROM
waveform. its
internal
power-up
available
some
motor
CO2
Module
module
Digital
in
U600.
the
main
U608,
EEPROM
A/D
determination
sequence
heater
temperature,
current;
speed,
Hardware
has
six
pressure
is
controlled
The
microprocessor
processor.
and
the
U603
converter
in
other
is
optimized
output
by
disabling
main
the
heater
the
heater
sections:
can
the
be
is
heater,
is
digital,
transducer/amplifier.
by
U602,
an
80C552
uses
The
microprocessor
sensor
sections
stores
to
determine
of
calibration
sensor
the
hardware.
to
keep
power
varied
in
software
temporarily
the
demands
re-enabled,
motor
microprocessor,
its
on-board
communicates
The
external
constants
temperature,
©
supply
to
disabled,
followed
control,
serial
port
A/D
for
the
match
on
by
the
and
the
the
power
activation
signal
amplifier,
te
communicate
serially
to
converter
barometric
to a minimum.
power
motor
is
supply
of
the
available.
started.
IR
at
11
MHz.
A/D
converter
is
used
to
digitize
The
microprocessor
pressure, and
The
As
the
This
are
minimized.
source
The
asynchronously
U605,
the
sensor
uses
fault
is
3-2
3.2.4
Motor
The
sensor’s
The
sense
signal
processor
3.2.5
Signal
The
converter. A positive microprocessor to
the
3.2.6
Heater
The
heater The
FET the
sensor temperature regulate inhibited
active
processor’s
chopper
coil
is
This
signal
The
motor
to
regulate
via
the
Amplifier
hybrid
and
bias
to
sensor
which
output
signal
is
converted
by
it
to
42°
by a comparator
as
the
sensor
internal
motor
amplified
is
the
MTRGATE
the
detector
used
hybrid
speed
consists
to
generate a synchronized
by
to
U607
properly,
bias
set
the
operating
servos
consists
is
filtered by
the
of a PWM
L600
to a proportional
the
microprocessor. The
C.
As a safety
temperature
A/D
converter
of
two
the
processor
controls
the
equivalent
signal.
contains
so
that
is
point
sensor
signal
signal
and
C614
software
precaution,
monitoring
reaches
for
fault
fixed
coils
for
synchronizing
the
amplitude
of a 30
the
necessary
its
output
of
to
the
photodetector. A negative
to
be
from
before
by the
regulates
the
PWM
the
48°
C.
The
determination.
on
the
stator
drive
voltage,
of
the
ms
circuitry
is
zero-referenced
the
sensor
referenced
the
processor
being
to
bench
the
output
temperature
heater output
and
three
magnets
and
to
processor
drive The
to
activity
signal
motor
can
the
and
using a filtered
bias
zero
volts.
switching a FET
to
the
power
voltage,
This applied
the
heater
this
voltage
override
is
available
on
the
rotor.
generate a motor
to
the
from
the
sense
be
disabled
sensor
in
the
PWM
power
The
is
to
the
output
by
the
detector
range
for
the
output
is
from
also
transistor.
temperature
translated
sensor
can
will
to
to
be
become
the
clock
the
in
to
a
3.2.7
Source
A
source
regulator
in
the
determination.
3.2.8
Barometer
The
barometer achieved The the
3.2.9
On reset turns
by
transducers
processor's
Status
LEDs
power-up,
and
the
on,
indicating a sensor temperature, LED
is
turned
Ifthe
CO2
module
exists,
the
RED
formed
is
by
The
source
back
generates a voltage
differential
internal
the
initialization
allowing
off,
LED
green
and
is
not
will
A/D
LED
sequence
the
sensor
the
green
receiving
flash
U615
and
is
controlled
to
the
microprocessor's
variations
is
converter
five
is
to
start
LED
is
commands
at a rate
R645
provides constant
by the
proportional
at
the
pressure
amplified
for
translation
times
momentarily,
taking
place.
condition.
measuring.
turned
on.
from
of 2 Hz.
microprocessor
internal
to
the
transducer
and
zero-referenced to a barometric
After
the
The
light
When
the
main
the
processor,
A/D
of
via
Q608
converter
atmospheric
with a constant
before
pressure
indicating
green
sensor
LED
on
is
that
until
or a sensor
83.3
mA and for
pressure.
being
reading.
the
flashes,
the
ready
to
to
the
IR
Q606.
The
fault
This
is
presented
processor
the
red
sensor
measure,
fault
condition
source
applied.
to
has
LED
the
red
Ifthe
COz
Ifthe
COz
LED
3.2.10
LED
module
module
at 2 Hz.
Status
has
no
finds
an
Summary
sensor
internal
connected
fault
to
it,
during
the red
LED
initialization,
the
at 1 Hz.
green
LED
is
on,
and
the red
Green
Réd
Green
Red
Red
Red
3.3
The
LED
flash
LED
on
LED
on
LED
flash 1 Hz
LED
flash 2 Hz
LED
flash,
OXIMETRY
following
Green
MODULE
discussion
blocks. A detailed
3.3.1
Oximetry
The
module signal, and
circuits
The
referred
pulse
in
following
blocks. A more
circuits
of
Module
drives
rate
values
the
host
discussion
detailed
the
module
to
on
BLOCK
is
an
discussion
the
oxygen
as
the
“SAT“
presented
system
for
is
given
discussion
can
be
Reset,
Sensor
Sensor
Sensor
No
System
overview
of
major
transducer
on
the
as
of
and
an
each into
Initialization
Active
Disconnect,
Communications
Fault
ANALYSIS
of
the
oximetry
functional
and
is
conditioned
monitor.
for
overview
the
conditions
This
external
of
block
following
Condition
(Measuring
Condition
or
Condition
module
blocks
the
signal
and
used
information
output
the
module
is
given
major
CO2)
Sensor
and
is
given
Fault
identifies
in
to
derive is
saturation
serially
conditioning.
and
identifies
in
the
following
functional
Condition
major
paragraph
from
the
percentage
to
major
paragraphs . The
3.4.
patient.
processing
This
ο 0ο
0ο 96
9 9
4
LED
Driver
Sensor
Input
Source
Input
A:D
Amplifier
Conversion
Assembly
Selection
and
Cireuits
|
Synchronous
Detector
Refer these
to
Figure
3-2,
“Oximetry
Module
Block
Diagram,”
for
the
relationship
of
Functional absent personnel
when
from
in
necessary.
En
Power
Option
Selector
Host
Power
Communications
Configuration
Jumpers
the
quick
layout
JP4
JP5
and
102
block
diagrams
understanding
to
the
Host
Power
`
or
schematic
κ
Support
Circuits
»
Comm
|:
Converter
Red_ADC
IR_ADC
Figure
3-2:
may
into
of
diagrams
Lines
A:D
Oximetry
employ a technigue
functional
ーー
Red
IR
sub
operation.
to
facilitate
Data
and
Control
Module
where
|
id
Saturation
some
components
This
is
intended
These
simplified
LED
Driver
Input
Amplifier
and
Synchronous
Detector
Signal
Input
Source
Selection
Block
to
to
diagrams
the
component
==
give
_
are
either
are
level
External
Pre-amp
Connector
JP3
JP1
Se
Connector
Circuits necessary
Refer operation.
Oxygen
transducer red physiologically
into
available configured
LED
in
Sensor
to
saturation
light
pulses
the
module
are
Driver
this
LED
at
the
not
to
accommodate
block
sequences
Assembly
2,
“Principles
data
selected
at
the
measurement
modulated
via
the
provided
oxygen
LED
to
of
Operation,”
monitor’s
with
are
emergent
the
transducers.
oxygen
drive
an
oxygen
developed
site.
Sensor
site. A photodiode
light
front-panel
transducers
as
saturation
for
additional
using a NELLCOR
LEDs
energy
sensor
The
module
Preamplifier
well
as
generate
in
the
at
the
site.
connector.
is
circuits
directly.
alternate
transducer
The
designed
at
about
oxygen
photodiode
to
switching
the
measurement
transducer
infrared
responds
connector
SAT
with
to
sensor
~
energy
to
the
signal
all
currently
JP1
ensure
site.
oxygen
pulses
is
are
the
and
The
signal
Input
SAT
gain artifacts, signal
is
accomplished
Amplifier
signal
and
and
is
conditioned
reduce
or
light,
by
Synchronous
by
eliminate
and
spurious
circuits
the
in
input
the
the
Detector
amplifier
of
electrical
filter
block.
and
the
synchronous
interference
Final
analog
detector
(such
things
conditioning
to
as
of
the
motion
SAT
The filter/amplifier
the circuit
The measurement in
8.3.1.6
Module
software.
3.4
This
Filters/Amplifiers
module
includes
circuits
multiplexed
block.
A:D
Conversion
A:D
conversion
site
the
saturation
Support
Circuits
operations
The
software
DETAILED
discusses
qualified
sufficiently
of
and
components
apply
as
two
separate
and
associated
SAT
block
with
calculation
are
OXIMETRY
The
digitizes
IR
and
algorithms.
controlled
also
provides
MODULE
the
major
personnel
to
locate
troubleshooting
such
as
functions.
active
gating
next
step
the
two
red
light.
by
an
80C552
diagnostics
functional
with
and
repair
the
microprocessor
filter
channels,
circuits
is
to
digitize
pulse
waveforms
Sensor
calibration
microprocessor
to
assist
ANALYSIS
the
blocks
necessary
malfunctions.
using
signal
IR
and
these
the
pulse
obtained
information
with
in
determining
of
the
information
The discussions
flow
analysis
and
power
red.
These
patient’s
waveforms
from
supporting
module
to
understand
where
circuits
low-pass
pulse
examining
is
also
module
in
possible.
are
addressed
waveform
in
the
A:D
digitized
hardware
The
module
circuits
converter
the
for
and
in
last,
or
from
use
is
the
as
to
8.4.1
Oximetry
The
module
resulting
measured
SAT
data.
transmitted
The
following
ο ο
99ο . 6 9
Refer
to
the
these
3-6
Module
is a self-contained
to
the
list
LED Input Input
and
The
saturation
host
Driver
Signal
Amplifier
calculates
system
in
locating a specific
Processing
and
Filters/Amplifiers
A:D
oximetry
Conversion
Circuits
module
assembly
the
percentage,
for
display,
Synchronous
schematic
that
provides
patient’s
pulse
alarm,
area
Detector
oxygen
oxygen
rate,
and
saturation
and
interface
of
interest.
(sheet 1 of
transducer
other
pertinent
processing.
7)
for
and
power,
pulse
rate
information
on
the
relationship
conditions
from
the
is
the
of
3.4.1.1
Refer detail
SAT wavelengths.
integral
under
The via the
coincident switches samples
The When frequency
though
This
is present
boundary
LED
to
Figure
during
signal
part
LED
DACBUS
of
frequency
both
negative
being
selected
in
drive
with
the
DAC
of
U3A.
at 0 V.
Driver
3-3
“LED
the
following
development
The
of
each
of
the
system’s
voltages
to
the
time
via
DAC
of
each
2710.6
Hz
by
either
Typically,
Driver
discussion.
requires
system
microprocessor.
are
developed
approximately
period
is
R2,
lines
being
signal
are
multiplexed
created.
R3,
that
the
Circuit,”
the
oxygen
each
LED
IRLED/
ORed
The
and
R4.
LED
line.
LED
drive
and
the
measurement
uses
two
light
transducer.
The
by
dual-DAC
0.5
VDC
is
selected.
(U4
or
multiplexed
and
at
U4
(pins 3 and
LED
drive
This
driver
This
U3A's
is
necessary
signal
schematic
site
sources,
The
LED
U1.
on
their
The
pin
16)
signal
in
output
has a peak-to-peak
to
be
illuminated
IR
and
LEDs
are
Initially,
and
at
U4
is
the
to
both
respective
microprocessor
pins 2 and
is
1355.3
15) a four-phase sammed LED
drive
is
zero
(sheet 2 of
red.
These
alternately
is
discussed
DACs
alternately
(U4
15.
Hz,
with a negative 5 V.
having a negative
during
any
normal
value
of
7)
with
specific
LED
pulsed
in
U1
are
(pins 4 and
pin
1).
This
with a 25%
LED
drive
the
times
0.5 V with
for
below.
closes
signal
when
additional
light
are
on
and
off
instructed
18) FET
duty
voltage.
that
the
cycle.
with
no
LED
may
lower
in
an
a
be
Initially, each
of
High
background
neonates)
As
mentioned
of
182
us.
Phase
Phase Phase Phase
LED. REDLED. red
*
LEDs
1 2 3 4
drive
(R)
and
indicate
both
LED
the
individual
may
cause a reduction
previously,
IR Both
_
Red Both
Figure
the
3-2
IR
(©)
LEDs
interconnection
pin
drive
levels
LED
the
LED
on
LEDs
LED
LEDs
switching
illustrates
in
are
intensities
light/energy
in
LEDs
off
on
off
is
accomplished
the
relationship
the
sensor
diagram).
in
the
(the
sensor
(0.5
V),
to
compensate
and/or
The
translucent
LED
intensity.
in a four-phase
by
Qi
of
these
LEDs
are
shown
numbers 2 and 3 on
connector.
but
may
for
measurement
measurement
sequence.
components
as
be
Q6
they
and
and
appear
either
as
site
lighting
sites
Each
phase
lines
their
electrically
side
of
the
processor
variables.
(such
has a time
IRLED
association
the
back-to-back
found
and
in
the
in
period
with
the
3-7
REDLED
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Attached
The
four-phase
REDLED
all via biased
The
ground
turned
LED
than
This
driver intensity
to
bridge
R5
and
by
IR
LED
on.
LED
intensity blood
is
accomplished
U3A.
LED
both
sides
are
pulsed
transducers
R6.
G3
the
(I)
lights
to
the
drive
Ri,
is
pulsed
The
resulting
configuration
is
oxygen
is
to
keep
This
changes.
drive
of
the
low
to
are
and
A4
lines.
when
level
from
Q3,
IR
low.
Q6
critical.
levels
the
Intensity
can
by
using
has a very
Figure
signal
bridge
cause
turned
are
LED,
is
presented
their
off.
reverse-biased
turns
U3A,
flow
TP2
the
Q2,
off,
signal
that
variations
high
3-3:
via
R31
respective
Q1
and
IRLED/
and
Q2
and
to
allowing
is
from
the
the
SAT
developed
rejection
LED
to.
U3A.
to
Q2
are
by
conduction
is
turned
Vec.
The
Q4
ground
proper
during
the
same
Driver
Q4
LEDs
is
to
LED
of
The
resulting
and
R36
to
light.
reverse-biased
pulsed
on.
The
red
LED
LED
on
The
LED
as
the
input
across
power
R1
supply
drive
to
Q3.
When
directly
of
Q5
and
low.
Q5
turns
resulting
(R)
lights
to
the
drive
RI, Q4, red
time
caused
driver
as a constant
is a
potential
both
Q6,
which
off, current when
level
LED,
by
to
lines
that
is
inputs
by
the circuit
IRLED
are
at a logic
the
are
forward-
allowing
flow
from
U3A,
Q1
Vce.
any
source
regulator.
feedback
could
is
and
inputs
Q3
to
from
signal
and Q6
The
other
(U3A,
cause
high,
back-
Its
pin
3).
to
is
3-8
Refer
discussion.
Input
to
Figure
SAT
to
gs7v-LRIR
0V
=15V
LEMO
+15V
VCALIN2
——
Signal
3-4
Signal
Inamp
4
Processing
and
the
oximetry
16
HA,
isl
o—o
6
e
8 | |
11
9
|
|
Ref
2.5V
As
U21B
6
module
o
3 6
schematic
diagram(sheet 3 of
=
7
50
R16
7)
«2
us
OXZ
-
las
R44
язв [ [8-57
while
JP1
+
4
Sensor
r
1
T
fui
this
Sensor
me
7
l
|
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The
SAT
signal
red
and
IR
light phase the
The
(pins 1 and the results energy presence
An
controlled
sensor
time-multiplexed,
photodiode
undistorted amplitudes wave with a frequency steady-state dependent
artifact
site.
4)
to
in
the
output
on
the
photodiode.
of
light
may
peak-to-peak
background
on
the
energy.
is
developed
at
the
measurement
LED
cycling,
intensity-modulated
the
high-impedance
current.
saturation
vary
The
of
U8
or
energy
amplitude
above DC.
measurement
Figure
by
the
the
patient's
noninverting
having
This
from
signal
The
light
an
bias
any
at
the
IR
is
proportional
DC
or
site
3-4:
Input
photodiode
site.
The
input
input
8.57 V maximum
prevents a no-light
source
the
input
and
red
offset
(negative
Peak-to-peak
oxygen
Signal
in
the
oximetry
emergent
oxygen
photodiode of
causes
saturation,
saturation,
U8,
which
of
U8
is
U8's
amplifier phases) to
LED
emergent
from
Processing
light
intensity
and
the
performs
biased
positive
condition
output
is
with a frequency
amplitude
pulse
is
current-to-voltage
to
8.57 V by
offset
in
from
to
move
essentially a square
light
intensity,
the
+8.57 V bias
amplitude,
responding
is a
direct
pulse
into
R38
the
clamping
in a negative
of
2710.6
point)
and
result
the
and
U8
wave
Hz.
plus
is
in
the
non-steady-state
to
the
emergent
of
occurring
module
R44.
dependent
signal
via
conversion
This
of
any
at
+15
direction.
(the
actual
The
square
any
artifact
are
the
four-
JP1
light
V.
The
on
at
for
or
The
remainder
of
this
is
connected establishes a consistent LED
drive
The
circuits
percentage
pocket
tester
pulse
simulated
via
the
current-to-voltage
DC
and
pulse
oximeter
SAT
signal
sensor
converter
of
Frequency:
Modulation:
discussion
set
simulates
81%
rate
to
the
of
values
the
+1
digit
is
dependent
module
from
the
input
to
JP1
U8,
the
approximately
Hz
peak-to-peak
0.666 Hz
that a NELLCOR
input
for
discussion
sensor
(80%
pocket
(pins 1 and
signal
on
+8.5
photodiode
to
82%)
LED
tester
has
V
(40
in
place
of a normal
and
comparison.
output
and a pulse
switching
is
4)
on
the
the
following
amplitude,
rate
to
circuit
approximately
cycles/minute)
pulse
The
for
an
rate
of
40
+1
bpm
and
will
be
different
the
board.
SAT
After
characteristics:
0.02
oximeter
module
This
conditions
adult
with
(39
to
41
on
conditioning
conditioning
V
an
oxygen
bpm).
other
by
tester
the
Note
Simply
2710.6
stated, a SAT
Hz,
modulated
approximately
The
remaining
number
_is
part in
buffer
Returning
signal
is
connected
of a voltage
the
U21B.
to
is
detector.
Refer schematic
The
Input
to
SAT
Figure
signal intensities overloading to
ensure
20
mV.
oxygen
from
to
the
monitor,
This
the
analysis
Amplifier
3-5,
must
or
the
combination
the
photodiode
signal-to-noise
by
U7
signal
produced
by
an
extremely
saturation
the
RCAL
the
with
R16
input
resistor
RCAL
on
the
calibration voltage
of
the
module
U10A
and
“Input
(sheet 4 of
be
monitored
to
the
Synchronous
Amplifier,
7)
for
continuously
of
LED
in
the
figures.
and
associated
components,
by
the
low-amplitude
requirement
value
resistor
PCB.
connects
Power
(VCALIN2)
where
next
U8
conditioning
Detector
Synchronous
additional
detail
intensity
However,
The
task
is a low-amplitude,
0.666
Hz
is
the
wavelength
in
the
for
this
is
communicated
is
used
as
the
stage,
Detector,
and Filter/Amplifiers,” and
during
and
controlled
and/or
which
background
LED
intensity
of
compensating
multiplexed
square
sensor
JP1
wave,
of
the
or
PT-2500.
pin 6 and
is a 2.5 V reference
to
the
preamplifier,
input
amplifier,
the
following
to
light/energy
must
be
kept
for
excessive
the
SAT
signal
changing
red
LED.
amplitude
This
When a sensor
ground
to
become
developed
microprocessor
note
that
the
and
synchronous
discussion.
excessively
high
from
as
high
as
light
is
while
it
is
at
via
SAT
the
LED
possible
still
DC-
Initially the enough range. monitor
LED
LED
to
To
the
3-10
intensity
energy
drive
negative
and/or the
SAT
the
is
set
at
external
signal
amplitude
excursion
light
energy
amplitude
from
exceeding
of
the
SAT
safe
level
is
excessive,
envelope
U8’s
(50
mA)
the
into
the
negative
upon
DC
offset
negative
supply
power-up.
at
the
region
of
voltage,
output
U8’s
U7
is
If
the
total
of
U8
could
operating
employed
of
be
to
Compare
SAT
8s.57V-
ον
1
:
Signal
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of
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and
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Filter/Amplifiers
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the
output
the
output
controls
necessary.
of
the
e
Gain 8 OV.
10
Gain4
IR
ADC
are typical
human
waveforms
signal
is
approaching
of
LED
2710.6
“eo
Hz
wavelorms
exceed
UTA
intensity.
Hz
LADE
va
IRADO
V.
0
of
negative.
—10
its
saturation
V
The
After
the
LED
coupling coupled frequency noise
The
operational DAC gain
The is
used
U7B
U7B
amplified
(indicating (COMPAREZ) microprocessor
to
U13B, a bandpass
roll-off
on
either
signal
is
signal
is
amplifier
impedance
1/255
is
by
the
is
employed
is a positive
SAT
excessive
intensity
the
at
side
then
over
or
0.004.
then
microprocessor
to
peak
signal
initiates
may
control
offset effect
260
kHz.
of
the
introduced
U13A.
255
detector
pulses.
amplifier
artinn
reduce
requirements
of
DC
filter
with a gain
The
filter
SAT
signal
to a programmable
Amplifier
discrete
to
the
gain
steps.
full-gain
as
the
sense
amplified
that
produces a DC
If
the
positive
gain),
ta
reduce
of
only
amplifier
the
are
met,
or
steady-state
of
one,
passes
frequency.
gain
The
is
point
SAT
the
gain
controlled
U14B,
to
signal
output
excursions
microprocessor,
the
programmable
one
of
the
the
SAT
low-frequency
SAT
signal
circuit,
by
microprocessor
gain
of
which
determine
at
channels.
has a gain
the
output
proportional
of
the
which
signal
which
input
energy
roll-off
the
of
is
coupled
artifact.
Hz)
consists
of
the
to
the
saturation
is
monitoring gain.
The
at
200
and
effectively
of
8-bit
adjustment
is
1.
The
51.
The
gain
input
amplifier.
positive
signal
If
exceed
the
necessary,
through
Hz,
output
requirements.
C55.
signal
and
high-
DAC
U9
of
of
excursion
+10
output
of
the
is
the
U14B
V
This
then
and
of
the
U7B
3-11
The
SAT
signal multiplexed alternate
activity
is
format
excursions
at
the
then
and
is
essentially a square
or
modulation
measurement
to
the
represents
of
this
site.
synchronous
wave
the
emergent
signal
represent
detector.
at
2710.6
light
from
the effect
The
Hz.
signal
The
one
of
of
is
still
in
peak-to-peak
the
LEDs
the
patient’s
its
original
amplitude
(IR
or
red).
saturation
of
and
Synchronous reclaim U14A,
and amplifier voltage
amplifier
with a gain
The
microprocessor
of
the
four-phase represented represented original
effect
on
detection
the
patient's
associated
configured
follower.
with a gain
of
1.
by
the
by
the
the
filter/amplifier
There
а.
Filters/Amplifiers
are
three
a.
Gating
b.
IR
Filter/amplifier
e.
Red
Gating
conditions
pulse
waveform
When
resistors
so
that
the
of
1.
comprise
it
can
positive
When
©
controls
clock
IR
and
LED
level
and
The
channels.
circuits
Filter/amplifier
U10B
mentioned
red
LED
off
times
polarity. A comparison
output
in
of
the
demodulation
the
SAT
signal
component
the operate input
this
input
of
as
U14A
is
i
via
the
SATIN
in
the
LED
on
times
(phases 2 and
the
synchronous
in a manner
relatively
synchronous
two
different
is
grounded
not
grounded,
line,
and
drive
discussion.
are
inverted
4)
are
permitted
of
detector
(filtering)
such
free
detector.
circuits:
by
the
closes
The
by
the
to
8-8
is
block:
that
of
artifact
The
detector
an
inverting
U10B,
device
the
the
becomes a voltage
switch
result
detector.
pass
and
8-9
to
the
subsequent
and
interference.
is
an
amplifier,
device
is
during
is
that
the
The
the
detector
illustrates
inputs
of
filtering
can
U10B,
operational
and
an
inverting
follower
phases 1 and
values
values
at
their
the
resulting
the
IR
and
red
a
3
Refer
to
Figure
this
discussion.
FET
switches
information. and
red
off
3-5
and
U15A/B
Phases 1 and 3 constitute
time
segments.
processor-controlled
switch
pairs when
in
each
switches
3-12
the
are
and
gate
to
schematic
employed
The
the
signal
to
separate
the
gate
in
time
sequence
exclusively
input
bus
(sheets 4 and
the
IR
and
red
so
that
are
open.
5.of
IR
information
on
time
IRGATE
with
the
and
the
four-phase
filter/amplifier
7) for
in
the
segments,
REDGATE)
additional
SAT
signal
and
phases 2 and
to
LED
drive
input
does
from
U15A/B
control.
not
see
during
the
red
4,
the
are
The
an
open
IR
During follow after 70 after
70 During the phase 3 and level
of
signal
The possible time. is
excludes
b.
Refer
discussion.
The
10 respond the
Converter.
the
time
one
the
beginning
us
of
IR
ON
the
beginning
us
of
IR
the
time
microprocessor
into
the
phase 4 and
level
reason
artifacts
Photodiodes
experienced.
this
IR
Filter/Amplifier
to
Figure
IR
filter/amplifier
Hz and a
to
the
filter/amplifier
period
on
the
of
phase 1 and
signal
OFF
continues
red
continues
into
for
gating
Using
potential
total
low-frequency
level
of
phase 2 and
signal
that
phases 3 and 4 of
for
filter/amplifier.
the red
only
occurring
only
3-5
and
'
gain
of
that
phases 1 and 2 of
bus,
the
processor
continues
into
the
IR
continues
level
into
the
U15B
70
for
filter/amplifier.
an
the
error
the
4.
twice.
us,
or
to
The
70
1s
or
the
last
70
during
schematic
The
The
the
exponential
last
70
from
the
is
an
active
filter
IR
filter/amplifier
the
to
us
pulse
the.
2710.6
for
filter/amplifier.
for
IR
filter/amplifier.
the
2710.6
The
first
end second the
end
us
of
each
first
112
change
of
the
measurement.
low-pass
cannot
modulation,
U15A
70
lis,
70
us,
Hz
saturation
strobe
of
phase
3.
gate
of
phase
phase
us
of
the
when
photodiode
(sheet 5 of
type
track
the
pulse
or
or
Hz
saturation
twice.
The
first
to
the
end
of
The
next
gate
to
the
end
of
signal
pulse
comes
This
gates
pulse
4.
This
into
the
phase
the
energy
7)
for
with a 3
high-frequency
reproducing
waveform
112
the
comes
gates
the
filter/amplifier
due
to
from a sudden
after
additional
dB
the
output
signal
strobe
phase
phase
1.
strobe
sensor
roll-off
pulse
2.
follow
us
after
last
70 us
112
us
last
70
photadiade
the
diode
LED
pulse
patient's
is
(IR
ON
pulse
This
This
one
after
us
is
has
point
and
IR
comes
gates
the
comes
of
to
LED
input,
pulse
112-us
gates
the
on
beginning
RED
ON
the
beginning
RED
OFF
eliminate
settling
state
settled,
during
at
this
approximately
but
waveform
to
the
OFF)
112
last
last
the
bus,
of
signal
change
does
A:D
us
at
The
input
signal
112
us
space
(phases 1 and
in
the
same
filter/amplifier.
measurement patient
These gain
offset intensity result saturation
The
positive
ensure +2.5
pulse
pulse
of
approximately
of
the
of
the
patient’s
that
mV
input,
The
site.
modulation
pairs
resulting
at
the
measurement
(density,
pulse
the
waveform
which
level,
to
the
IR
filter/amplifier,
2).
The
This
leaves a 476
The
are
expressed
dimension,
waveform
pulse
individual
and
artifacts
2.
low-frequency
guarantees a minimum
The
does
to
signal
site.
in
at
the
not
next
two
us
amplitudes
pulse
at
the
first
is
then
The
peak-to-peak
the
Beers-Lambert
and
the
IR
filter/amplifier
next
step
move
as
explained
phases
period
pair
the
of
two
pulse
is
to a negative
(3
until
are
proportional
amplitudes
measurement
identical
to
waveform
Law,
to
digitize
positive
above, and the
the
amplitude
level,
offset
is
two
4)
are
gated
next
pair
to
are a function
site.
filter/amplifier last
stage,
is
proportional
of
which
the
is
waveform
the
final
of
0.05
70
of
IR
the
emergent
which
the
used
amplifier
V.
at
us
pulses
into
the
red
pulses
of
the
has a gain
due
patient’s
to
calculate
IR,
must
in
the
A:D
the
separated
filter/amplifier
is
gated
light
at
low-frequency
each
to
the
pulse
oxygen
always
circuits.
stage
input
by
into
the
the
having
of
1.
The
waveform
be
at
To
has
a
a
a
IR
DC
LED
is
a
a
3-13
с.
Red
Filter/Amplifier
Refer
to
Figure
discussion.
The
red
filter/amplifier approximately input, pulse coupled
The by a 112 filter/amplifier
pulses emergent low-frequency
but
waveform
to
input
ps
are
does
the
A:D
signal
space
gated
light
10
in
at
3-5
and
the
Hz
and a total
to
the
at
the
filter/amplifier
Converter.
to
the red
(phases 3 and
the
same
into
the
red
the
measurement
pulse
schematic
is
low
filter/amplifier,
4).
filter/amplifier.
modulation
an
active
gain
of
frequency
The
next
This
site.
low-pass
8.
The
as
two
leaves a 476
The
and
(sheet 5 of
type
filter
cannot
pulse
The
red
explained
phases
The
individual
artifact
at
7)
for
additional
with a 3
modulation,
filter/amplifier
previously,
(1
and
us
time
pulse
pulse
the
measurement
dB
track
the
2)
are space amplitudes
pair
amplitudes
roll-off
high-frequency reproducing
pulse
is
gated
until
two
into the
site.
70
the
are
during
point
at
the
waveform
us
pulses
IR
next
proportional
are a function
this
LED
patient’s
output
separated
pair
of
pulse
is
red
to
the
of
the
These
gain offset intensity result saturation.
The level, the
+2.5
Refer during
The
C-LOCK host module
a
pulse
of
approximately
of
the
at
of
the
pulse
waveform
waveform
mV
input,
to
the
SpO2
instrument,
to
timing
reference.
pairs
are
2. resulting the
the
does
which
following
measurement
Is a hard-wired
low
measurement
expressed
at
the
next
step
not
move
guarantees a minimum
3-3, 3-4,
discussion.
from
the
are
an
software
to
the
The
signal
frequency
site.
in
the
red
filter/amplifier
is
to
digitize
into a negative
3-5,
and
the
external
is
listed
timing
requirements
first
of
two
is
then
The
Beers-Lambert
controlled
and
pulse ECG
pulse
peak-to-peak
the
waveform
schematic
monitor.
identical
to
waveform
amplitude
Law
positive
by
below:
necessary
offset
high)
transmitted
The
rising
filter/amplifier
the
last
stage
is
proportional
of
the
and
is
used
in
RED,
the
measurement
the
final
of
0.50 V at
(sheets 4 and 7 of
logic
lines
to
edge
of
to
pulse
having a gain
due
to
patient’s
to
caleulate
must
amplifier
the
from
the
saturation
this
pulse
recognition
pulse
be
at a positive
stage
7)
for
microcontroller
is
each
having
of
2.
The
the
LED
waveform
oxygen
To
ensure
input
additional
used
by
the
using
a
DC
that
has
U5.
The
via
ECG
is
a
the
as
a
The
time
(fast regarding for
two
controls
3-14
the
oceurrence
data)
the
source
Isa
of
of
after a real-time
result
transmission
an
ECG
timing
input
over
ECG
synchronization,
of
microcontroller
of
the
IR
pulse
the
bi-directional
input
output
on
and
off
can
also be
the
module
is
received.
PWM1/
levels
transmitted
communication
will
not
ANDed
into
the
IR
to
the
module
link.
To
accept
with
hard-wired
output
CMT1.
filter/amplifier.
using
the
confusion
logic
real-
inputs
IRLED/ level
at
U4B
From
microcontroller
and
the
direction
output
of
CMSR4. applied
IRLED/
to
the
controls
sensor
the
LEDs.
selection
of
the
LED
drive
REDGATE/
REDGATE/
at
SATIN through
Refer additional
A:D
conversion
“output.
filter/amplifier waveform configuration
RESISTORS.
U20's
the
controls
From
U4A
and
From
U10B.
A:D
Conversion
to
Figure
Channel 1 accommodates
from
of
output
bit
Is a result
the
microcontroller
the
microcontroller
3-6,
“A:D
during
is
accomplished
channel.
the
IR
quad
stream
on
U5
for
of
transmission
Conversion
this
Channel 2 accommodates
filter/amplifier
FET
switch
multiplexing
the
conditioning
microcontroller
of
the
output
direction
output
discussion.
by a dual-channel
either
CMSR5.
CMSR3.
Circuits,”
VCAL1
channel.
U24A,
is
determined
line.
prior
B,
to
output
red
to
C, D.
The
transmission
PWM1/
on
and
REDLED/controls
the
sensor
SATIN
and
the
schematic
device
These
either
selections
FET
switching
by
or
logic
ANDed
off
levels
LEDs.
controls
(U20)
the
analog
VCAL2
signal
line
to
the
with
output
into
the red
the
selection
synchronous
that
produces a multiplexed
pulse
are
is
is
host
or
determined
controlled
system’s
CMTO.
filter/amplifier.
of
detector
(sheet 6 of
waveform
the
analog
by
by
logic
which
directly
the
LED
action
7)
for
from
the
pulse
the
signal
determines
to
processing
drive
serial
red
ον
VA
V
RESISTORS
VCAL1
RED_ADC
:
IR_ADC
VCAL
2
> 8
U7A
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1
p
U19
2.5V
Ref
TT
2
3
24A
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11,
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11
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6
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3-6:
2
5
10
7
A:D
Conversion
Circuits
20
19
24
13 15
.
Channel
U20
Dual
Seal
Output
ADCDATA
ADCCHN
3-15
3.4.1.7
Support
Circuits
a. b.
a.
Communications
Refer
to
In signals
CTS
to
RESET
RXD
TXD
The
checked
No
during
addition
communication
transmission
circuits
Figure
for
Communications Processor
3-7,
the
to
the
supply
at
the
clear
to
data
transmission
is
an
input
is
the
is
the
transmitted
errors
and
retry
the
Circuits
“Support
following
voltages
module
send
is a logic
data
data
link
the
presence
capability
following:
Circuits,”
discussion.
provided
connection
from
low)
line
data
is
and
the
schematic
to
the
module
to
the
instrument.
signal
to
is
the
from
the
the
saturation
line
from
bi-directional-asynchronous
of
an
included.
low)
processor
the
saturation
error
is
considered
from
the
These
transmitted
to
effect a reset
to
(sheet 7 of
power
to
the
in
be
evidence
7)
for
additional
module
the
Transmissions
there
are
as
follows:
by
the
saturation
of a hardware
are
four
instrument
are
problem.
data
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Function
CF
05
Clock
and
oe
Timing
Reference
and
Supply
Inputs
VO
P5
(0..7)
and
Signal
Test
Inputs
VOP5(0.7)
Control
Lines
Reset
Circuit
U110,U17D,E,F
Figure
800552
O
Po
Address
Data
VO
PI
Function
Control
VO
PS
Memory
Address
YO
P3
Host
Communications
Control
|
3-7:
Support
(0..7)
and
Lines
(0..7)
Lines
(0..7)
Lines
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Circuits
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RESET
3-16
b.
Processor
Circuits
Refer
Module
by
to
octal
Figure
support
latch
DACBUS.
The
system
reset
3.5
MAIN
Refer section.
8.5.1
Microprocessor
Microprocessor reprogrammable
stored
while
A16
and
all
peripherals.
8.5.2
Power
operates
and
buffer
PROCESSOR
to
the
in
U204,
the
unit
the
block
lower 8 address
3-7
for
additional
circuits
UZ.
functions
consist
U16, a serial-to-parallel
using
an
for
PCB
of
80C552
11
MHz
the
communication
CIRCUIT
U200
is
an
which
is
off.
U205
is a
U201
and 128K x 8 and
U210B
lines.
U206
during
microcontroller
shift
the
register,
erystal-controlled
DETAILS
3-1)
and
schematic
The
main
U203.
S-RAM.
latch
Temporary
U204
the
multiplexed
acts
as a buffer/driver
following
converts
link.
diagrams
is
discussion.
US,
ROM
U6,
serial
oscillator.
stored
and
Sections
in
in
FLASH
semi-nonvolatile
from
address/data
for
the
and
data
the
bus
data
RAM
U12,
to
parallel
U11
and
12
while
(electrically
information
system
from
bus
U200
between
all
served
data
U17
and
U200
for
the
this
is
create
and
Pressing RY1
to
pull
mains
U208A,
and
Power switch. to for
Power
power
R200,
to
R203,
may
This
decrease
U207A,
may
condition
The
power
is
The
third
drops
below
When
R226 goes
the
presents
low,
volts.
the
front-panel
in.
RY1
to
be
and
Q200
is
be
causes
the
also
be
U200
down
controller
way
to
power-down
9.5
volts.
U220
and
via
D211
power
C202
preset
forward-biased,
C208
it
to
is
via
power
to
secondary
form a Power-On
pin
to
from
the
to
be
discharged
on
C203
be
reset.
from
may
remove
also
monitored
by
R275
and
P205.
the
Pin 2 of
U220
drops
pin 3 with
clears
U207A.
switch
from
biases
either
regulators
Reset
guarantee
providing
unit
in
that
three
below
the
input
the
unit
if
power
R276
is
to
approximately
by
set
by
the and
is
to
approximately
The
software
A301
into
conduction
the
internal
U302
and
(POR)
this
hold-in
ways.
threshold
the
microprocessor
taking
system limited
pulse
flip-flop
bias
First,
R201
and
on
PCSOFF
via
an
by
D215
U220.
approximately
9.5
volts,
3.9V.
Once
the
cutout
via
R314
or
U303.
of
approximately
will
be
set
on
power-up.
to
Q301
to
maintain
the
user
may
press
D203.
If
the
button
U208C, a clock
requests
it
when a low
low;this-clears-U207A
A/D
converter
on
to a 0-5 V signal that
This
3.9 the
set
point
device volts voltage
from
is
is
10
low
volts,
and
the
600
system
the
is
pulse
U102.
if
formed
plus
D203, rectified
ms,
AC
This
power.
front-panel held long
will
be
generated
through-D211.
Switched
is
routed
the
reference
by
R225
pin 6 of
or
minus
pulse
D204 _ |
power
enough
system
to
the
U221.
and
U220
0.5
is
3-17
Resetting U200,
low.
informing
At
this
discharges
3.5.3
Reset
On
power-up,
by
by
U208F charges RESET neither U209 action dog
some
C209,
low.
of
approximately 1 second
again
timers
intervention
U207A
point,
and
Watchdog
C209
RES
and
is
after
With
the
watchdog
causes
again.
causes
it
C204
low.
used
that
power-down is
R203
is
initially
U200
to
reset
U207A
and
approximately
RESET
RESET
With
this
this
cycle
the
only
R204,
discharged
takes
both
low,
C207
later,
to
go
done,
will
pin 6 to
is
remaining
removing
RESET
watchdog
100
and
is
satisfied
RES
low
and
C209
repeat
go
high,
imminent.
base
bias
by
D210,
high
while
circuits
ms
RES
is
C208
are
before
is
driven
discharge
is
once
again
continuously.
initiating
Resetting
drive
for
from
Q200
which
high
free
either
low
its
via
enough
to
via
C207
free
initially
RES
D205
start
C207
D206, and C208, to
an
NMI
U207A
Q200.
input
and
to
charging
or
charge
(nonmaskable
also
causes
After
about 1 second,
the
puts
U200
is
LOW.
D208.
After
U200.
C208
reach
which
discharges
effectively
U207A
relay
to
into a reset
This
signal
power-up
This
R206
the
threshold
resetting
R207.
interrupt)
pin 5 to
C204
drop
out.
condition
is
inverted
R207
in
turn
takes
and
R209.
value
C209.
This
the
Unless
there
to
go
If
of
watch
is
Watchdog
generated
approximately first U212B FAILED divide-by-two This
trips
for
reset
pulse
ever
signal
FAILTONE
the
600
divider.
microprocessor
The
two
independent
C206.
The
first
The
second
and
key
communicate
If
P209 timer timer
3.5.4
The
Power If
system
draw
PCB.
is
will
to
allow
backup
to
U204
its
power
watchdog
U200
properly
shorted,
be
disabled.
Backup
power
forward-biases,
are
power
ms.
is
not
the
goes high,
signal
has
encountered a system
by
U212B.
control section
Since
the
This
eighth
this
is
routed
by
count, removes
watchdog
watchdog
the
is
applied,
from
providing
timer
and
to
first
If
the
and
is
for
the
timer
is
connected
U102
are
U102,
watchdog
P211
is
watchdog
Memory
to
U204
is
supplied
D213
+5 volt
backup
is
This
device
reset,
pulse
U212B.
U210A
when
to
the
described
Each
the
main
above.
to
the
microprocessor
reset
is
clocked,
clear
condition
to
failure.
timers
or
are
connected
to
in
constant
should
U102
timer
shorted,
satisfied
to
U200
U102,
communications,
fail,
will
be
disabled.
this
will
pulse counter.
Retention
U222, a micro-power
and
U219
(Real-Time
via
D213
and
D214,
is
forward-biased
power
As
from
the
system
the
is
reset
on
During
transition
latching
from
run,
divides a 3,906
amplifier
by
positive-going
via
U207B,
which
the
controls
system
If
keep
pulses
shunt
regulator,
Clock)
which
and
D214
power
battery.
power-up
power-up,
is
only
after
power-up
the
FAILED
U212A,
and
edges
which
the
front-panel
and should
will
be
P210
is
shorted,
from
satisfying
to 3 volts
are
low-voltage
is
falls
off,
D213
via.
the
POR
signal
POR
is
held
active
about
100
ms
wide,
is
counted,
which
Hz
clock
the
forms a single-bit
When
is
configured
down
user
that
to
C205
to
output
U200
fail
to
reset.
the
second
the
first
watchdog
via
R228.
U222
regulates
as set
by
R229
and
drop
Schottky
U204
reverse-biases
for
the
and
if
the
as
a
1953
Hz.
the
and
port.
displays
watchdog
a
R230.
to
and
D214
With
system
On
power-down causes low.
3-18
the
power
Q204
applied,
loses
on
Q204’s
Q204
is
drive
when
collector
forward-biased
the 5 volt
to
fall
off
supply
by
U221,
has
and takes
which
the
is
set
to
approximately
to
approximately
PFAIL
input
to
4.5
U219
3.9
volts.
volts.
(RTC)
This
PFAIL
to
off during
8.5.5
U213
is
the
RAM,
state,
system
Internal
is a guad
also
maintaining
communications CO2
And
SpO2 U217. RS-232
C215.
needed
U217
generates + and —10
port
from
The
remainder
to
meet
connected
PFAIL
reset
conditions.
and
External
UART
the
PCBs,
system
of
RS-232
to
U204’s
data
low
CE2
integrity.
until
the
Serial
(Universal
U200
Asynchronous
and
and
the
Volt
+5
volt
U217
provides
input/output
line;
when
During
reset
reset,
cycle
Communications
the
front-panel
rear
panel
RS-232
supplies
supply
via
the
necessary
needed
an
infernal
specifications.
this
line
Q205
is
complete.
Receiver
connector.
to
generate
level
goes
low,
conducts
This
to
Transmitter).
and
The
the
charge
pump
translations
accesses
effectively
enhances
It
provides
key
PCB
RS-232
port
that
uses
and
are
hold
9204
data
processor,
is
buffered
needed
C212,
C213,
limiting
inhibited
in
the
integrity
the
by
by
the
and
Serial PCBs, lights which circuit
saturated,
pulled
communications
is
accomplished
when
the
of
the
optocoupler
the
low.
Communications and
U208E.
The
quad
UART power (EEPROM).
3.5.6
The buffers.
during enables accessed
Power
apply 5 volts
control,
Each
Graphical
front-panel
This
is
U216’s
by
is
line
to
input
data
drive
data
output
with
the
also.
provides
FLASH
of
these
needed operation. outputs
to
the
low.
This
the
to
the
CO2
and
line
to
four
is
the
low.
identical
buffer
provides a faster
line,
which
additional
memory
and
going
circuits
connects
the
The
allows
low.
is
power
U232B
activates a FET
display.
SpO2
PCBs,
optocoupler
This
in
turn
transistor.
turn
is
normally
and
VO
capability
discussed
to
the
to
the
are
to
by
switch
which
causes
The
off
response,
held
high
key
PCB
below.
system’s
by
taking
the
Q202
are
patient-connected
circuits.
the
optocoupler's
68-ohm
When
processor
for
such
power
bus
via
enable
into
line
saturation,
on
the
The
LED
pull-down
the
buffer
the
is
buffered
.
things
source
U215
may
sensing,
and
be
input
of
U215 when
Power
isolated
in
the
optocoupler
transistor
resistor
in
to
the
transistor
4.7K
with
as
the
U216,
high;
which
pulls
resistor,
U216B,
and
which
to
conserve
this
in
the
the
Supply-Charger
turn
on,
is
is
U208D,
of
U214
are
tri-state
power
turn
is
PCB
to
3.5.7
.
U214
device
serial
EEPROM
is
an
is
accessed
number
electrically
serially
(if
original
erasable
from
programmable
port
pins
on
and
total
ROM
U213
hours
that stores
and
stores
in
operation.
such
the
data
user's
as
default
user
default
settings.
settings,
The
3-19
3.5.8
FLASH
The
firmware
that
do
not
need
to
be
performed, responsible programming, power
turn
3.5.9
from
driven
Real-Time
Memory
is
stored
to
be
which
for
accepting
U218
supplies
unregulated
from
U213.
Clock
in
U201
and
U203.
from
the
enables a small
completely
the
supply
12
VSW
new
volts
via
These
software
needed
Q203,
to
accept a new
of
software
via
the
for
reprogramming.
which
is
are
electrically
program.
to
remain
rear
driven
panel
into
saturation
reprogrammable
U201
allows a partial
resident.
RS-232
U218
This
connector.
receives
via
software
During
its
Q201,
which
erase
is
is
System primary U222, then
time
which
internally
XTAL202,
C218
while
3.5.10
Audio
Timer 1 of
output goes converter voltage This
C271. a
3.5.11
The
turned mains
3.5.12
enable
low.
output
signal
The
bridge
Charging
front
on.
transformer.
The
for
amplifier
is
provided
battery.
also
switches
which
observing
Generation
U200
is input. outputs
the
value
from
is
then
low
pass
Indicator
panel
Q300
charging
Isolation
by
The
regulates
power
over
is a 32.768
the
buffered
used
to
generate a selected
U230
is a tri-state
of
U230
the
ladder
AC-coupled
filter
serves
that
drives
LED
This
signal
Power
U219.
to
the
kHz
are
into
via
the
is
Supply
When
is
regulated
to
the
system
crystal.
32.768
8-bit
connected
U230.
C225
only
to
rear-panel
driven
mains
is
also
available
the
unit
system
+5
The
kHz
SRAM
volt
signal
frequency
latch
to
an
As
the
varies
slow
to
U231
the
by
Q212, which
power
is
is
powered-down,
down
to 3 volts
for
may
at
U219
be
TP1.
square
that
holds a value written
R-2R
square
ladder
wave
zero
from
volts
via a low-pass
square
wave’s
receives
to
U200
to
the
via
unit
U213
U219
receives
by
the
micropower
When
the its
for
wave
that
that
U200
gates
and
the
filter
formed
leading and
directly.
base
drive
by
and
D201.
its
power
is
timebase
timing
is
provided
by
serves
accuracy
U200 when
as a D/A
U230,
programmed
by
R263,
trailing
via
D201
for
AC
power shunt
from
regulator applied, from
to
U230's
PCSVOL
the
resultant
D/A
R264
edges.
when
from
the
the
U219
via
value.
and
U231
Q300
is
is
Isolated cireuit
flyback
signal secondary
set
by
C228
62.5K
U213.
Secondary regulated
:
unregulated —42
power
PCB.
configuration.
back
+8
the
operating
coupling a divided
for
U233.
Hz
regulation
down
volt
volt
supply
3-20
U233
to
U233,
volt
is
supplied
is a current
which
supply
system
This
reset
The
isolated
from
the +8 volt
U236
and
for
the
to
the
CO2
mode
Transistor
is
of
Q211
sets
the
accomplished
the
secondary
clock
synchronization
power
is
supplied
by
supply
U237
provide + and —15
CO2
PCB
is
and
SpO2
switched
is a sense-FET
by
+8
supplied
pulse
supply
conventional
via
U235,
filtered
by
subsystems
power
supply
switching
volt
by
modulating
U211
resets
may
be
disabled
linear
The
volt
C243.
via a power
controller
that
point
of
The
via
C230
the
R-C
regulators.
—5
volt
supplies
supply
that
provides a mirrored
T200.
optocoupler
switching
to
R-C
timer
by
saturating
frequency
timing
and
The
supply
for
is
the
SpO2
regulated
drives
regulation U239.
components
forces
Q210,
+5
volt
PCB.
T200
current
R291
is
set
it
to
lock
which
logic
by
U238
An
unregulated
on
the
via
Q211
output
of
the
is
at
R277 to
is
supply
from
main
ina
used
to
62.5
kHz
and
the
driven
is the
by
8.5.18
Front
Panel
Controller
U102
is a programmable
the
front-panel provided segment decode low, selected When a key
which
As used
used briefly, by
As a participant
watchdog
computer watchdog
an
D100
by
is
driven
which
which
in
senses
mentioned
to
read
to
detect
all
LED
U102
to
determine
for
trip.
provides
U103
is
the
previously,
the
an
fashion.
power-down.
dual-color
which
by
Q112.
should
drives
to
the
+5
key
and
switch
if
any
of
if
in
the
watchdog
extended
The
system
isolation
single-chip
LED
displays and
is a seven
be
selected
one
of
volt
the
associated
U102
the
the
If
U102
period
reset
of
the
power
microprocessor
open
during
the
transistors
The
and
also
contains
via a voltage
segments
through R102
lit.
system
should
of
signal
time
is
switch
U102
ever
it
will
routed
signal
programmed
to
scan
the
key
collector
limiting
the
multiplex
Q100-Q109
drive
is
the
an
on
fail
to
Darlington
is
provided
into
selected, a common
main
microprocessor
PCB
8-bit
on
the
light.
On
causing a slight
provides a watchdog
fail,
or
should
shut
down
and
to
U102
so
that
so
that
it
can
to
PCB
for
by
R115-R122.
cycle
and
saturation.
also
A/D
converter.
main
power-up
healthy
it
fail
to
cause
the
the
entire
be
monitored
key
the
presses.
transistor
drive
the
This
line
of
the
is
the
This
PCB.
each
drop.
This
signal
communicate
system
system
by
multiplexing
array.
U100
The
and
drive
eighth
U101
appropriate
connects
key
driven
the
switches.
back
to
event.
converter
Additionally,
is
illuminated
to
to
reset
resets
U102
with
the
main
the
via
together
to
detect
is
a
for
is
output
U102
is
it
is
read
main
in
for
3.6
POWER
3.6.1
Power
The
Power
SUPPLY-CHARGER
Supply-Charger
Supply-Charger
charger, synchronization Supply-Charger
3.6.2
AC
Rectifier
The
power
bridge
output driver frequency reverse labeled
The
output
pin
1,
transformer's
rectifier
is
fed
directly
and
is
configured
is
set
blocking
VBAT
via
R326,
which
connects
blocking
+5
volt
input
circuitry.
schematic
and
+12
D303,
and
to
at
66 k HZ
diode
D307
on
schematics.
is
(0.2
O,
the
diode
Theory
PCB
logic
and
diagram.
volt
AC
secondary
6800
as a buck
(nominal)
(and + term
at a nominal
1%, 3 W),
2.5A
rear-panel
D308
to
PCB
of
Operation
contains
The
schematics
LF
filter
charging
converter
via
the
common
these three
power
(20
capacitor
switching
with a 330
C305.
The
of
the
battery)
500
mA
limit
fuse
to
of
power
basic
of
these
VAC)
C303.
and
the
circuits
is
input
The
regulator
pH
(L300)
output
to
set
is
set.
via
potentiometer
resistor.
the + terminal
switching
analog
are
via
U301.
output
at
+14.25
VBAT
of
the
relay
shown
P303
+25
This
charge
is
fed battery.
RY1.
AC
rectifier
of
C-LOCK
on
the
to
.8
ampere
volts
DC unregulated
device
has a built-in
inductor.
volts
at
the
R312.
This
from
the
It
is
and
27048,
full-wave
The
to
PCB
via
also
connected
+12
volt
ECG
Power
NPN
switching
of is
the
P304
3-21
Unregulated switched Supply through
Base
LOW NPN secondary and
3.6.3
PNP
current,
by
MAIN
transistor
+5
Volt
DC,
during
VSW
PCB
switching
for
Q301
PCB
Q300.
is
to
base
Logic
and
AC
and
via
transistor
turn-on,
Q300
present.
of
Q300.
operation
VBAT
P300
or
to
Q301.
is
provided
pin
P300
is
turned
That
AC
Power
is
also
diode
unregulated
the
Main
through
pin
9.
AC
on,
is
rectified
Supply
Processor
R314
on/off
power
AC
P300
via
D304
to
to
the
PCB.
.
when
recognition
pin 7 low
and
RY1
rest
RY1’s
PWRON
D305,
common
of
the
coil
when
filtered
°
via
power
is
energized
control
is
provided
D309. circuits
line
RY1
from
is
by
AC transformer
by
RC
R308
supplies
on
Power
VBAT
switched
and
C304,
on
Energizing as
the maximum limit
The operating
is
fixed
FET
Q303,
its
gate Processor of
+10 V (derived
The turn-on the
heavy
than
3.6.4
Power regulator. to
gain
buffer
diodes
RY1
charger.
output
value
is
about
frequency
by
fed
by
PCB
control),
time
load
demanded
the
+5.0 V supply’s
power-up
C-LOCK
for
QRS
quad
U302's
R301.
and
D300
and
R318
the
is
low
from
of
cycle.
Sync
operational
input The U300B
D301. for A and B sections point
so
that a negative
of
U300B, peak positive-going value.
to
CINT
D302,
the
R304,
next.
pulse,
is
connected
This
input
The
differences
is
much
4.5
amperes,
is.set
by
and
R319.
+5.0 V supply.
and
the
FET
Q302
is
turned
VSW).
approximately
by
the
current
Input
limit
amplifier
input
peak
comes
is
then
follower.
The + inputs
and
R325,
R310
C301,
sets
CINT,
R305,
the
threshold
when
to
the
supply
Main
to
the
+5
volt
are:
the
operating
C311
Vacuum
is
90
and
A303
off.
off
ms
value,
U300
at
2.5
fluorescent
gate
When
and
gate
is
determined
during
This
is
developed
limit by
NTKE
its
heavy
from P302, a rear-panel
AC-coupled
The
of
U300A,
for
for
and
U300C)
the
input
Processor
B,
U300
for
comparator
signal
input
and D are
D.
These
is
not
stores
PCB,
switcher
frequency
continuous,
R316
is
controlled
PWR,
by
is
R327
to
load
.
by
U302, a three-terminal
C300
to
is
biased
dividers
needed. The
the
peak
U300D.
the
via
P300
circuit.
(0.25
power
by
P300
pin
and
less
than
lasts
for
miniature
two
parallel
to 4 volts
to
set
peak
value
of
The
comparator’s
threshold
pin
8,
The
basic
is
and
the
O,
1%, 3 W).
is
switched
NPN
Q302,
10,
is
to
rise
C314.
This
4.0
amperes,
about
20
phone
circuits,
+4.0 V by
the
amplifiers’
follower
the
C-LOCK
set
by
for
at
95 k Hz,
Output
by
When
to
D313's
timing
which
to
30
ms
+8.0
jack,
U300A
by
back-to-back
dividers
input
output
the
previous
processing.
is
the
same
'
N-channel
Q302
is
low
(via
Main
zener
value
acts
to
is
less
during
volt
R300
unity
zener
R302,
R303
operating
(composed
from
one
produces
peak
on,
keep
the
a
3-22
4.1
INTRODUCTION
The
N-6000 institution. 8,
“Troubleshooting,”
resolving
4.2
CLEANING
reguires
Nellcor,
them.
no
however,
discusses
INSTRUCTIONS
Routine
recommends
potential
other
SECTION
IV
Maintenance
than
that
which
replacing
difficulties, their
the
monitor's
is
mandated
possible
by
the
operator's
every 2 years.
and
suggestions
for
Caution:
To
clean
the
top,
its
accessories.
chassis.
4.3
CHANGING
The
N-6000 indicated voltage
1.
2.
8.
4.
5.
setting:
Turn
Open
blade
Set
housing.
Orient
Orient
Do
not
the
N-6000’s
and
Do
MAINS
operating
by a white
the
Mains
the
power
screwdriver
aside
the
the
selector
the
indicator
the
surfaces,
front
surfaces
not
allow
marker
AC
ON/OFF
entry
or
cover/fuse
card
pin
N-6000
any
must
module
block
so
so
in
dampen a cloth
lightly.
liquid
INPUT
match
near
switch
cover tool.
assembly
that
the
that
it
points
liquid
Do
not
to
penetrate
the
the
to
the
(located
and
or
use
with a commercial,
spray
switches,
local
mains
AC
mains
OFF
position
next
pull
the
up
when
or
pour
AC
power
to
the
is
readable
the
or
abrasive
nonabrasive
any
liquid
connectors,
power
and
power
ratings.
cord
receptacle.
then
cord
selector
at
disconnect
the
cleaners.
directly
or
connector)
card
is
on
openings
The
To
change
the
straight
readable
and wipe
the
N-6000
in
the
power
using a small
at
out
the
cord.
of
the
or
is
6.
7.
8.
Insert the
Verify
Changing
the
power
that
cord
the
the
the
power
selector card
connector,
proper
Fuse,”
fuse
in
entry
and
is
installed.
this
section.
module
back
the
edge
cover,
into
the
containing
If
the
then
housing,
fuse
needs
verify
that
the
desired voltage
to
be
replaced,
the
indicator
side
of
pin
the
card
first.
refer
shows
facing
to
“Replacing
the
toward
or
4-1
4A
REPLACING
To
or
OR
change
CHANGING
the
fuse
THE
FUSE
arrangement
from
North
American
to
European
1.
2.
Disconnect
Open
the
Loosen
Remove
Change
the
the
the
European
operating
Insert
Tighten
fuse
screw
the
power
screw
fuse
fuse
fuses
on
220
block
and replace
AC
entry
by
block
or
are
V~.
and
power
cord.
module
two
turns
by
fuse
arrangement
required.
slide
Fuse
cover
by
using a small
counterclockwise.
up,
then
as
back
the
block
cover.
onto
Jumper
the
screw
bar
away
shown
and
blade
screw
from screw and
in
fuse
4-1
in
the
pedestal.
and
4-2.
driver
up
Note
or
any similar
from
the
that
two
holder
tool.
pedestal.
when
Cover
Figure
4-2;
Jumper
European
bar
Fuse
Fuse
Arrangement
5.1
OVERVIEW
This
loss
or
damage
contains
should
not
be
available, a suitable
To
must
Department the
5.2
If
available,
1.
2.
Nellcor’s
facilitate
be
issued
RGA
REPACKING
Place
with
packaging
Label
carton
the
before
for
use
Technical
repair
an
RGA
IN
the
in
with
Packing
instructions
packed covered
carton
or
the
ORIGINAL
original
tape.
carefully;
by
should
Services
replacement
instrument
carton
original
shipping
SECTION
and
Shipping
for
returning
the
be
used.
Additional
Department.
process, a returned
is
returned.
Be
sure
to
mark
CARTON
and
foam
and
return
the
N-6000
to
follow
warranty.
Contact
the
materials.
packaging
addresses
V
Instructions
for
repair
the
instructions
If
the
original
packing
shipping
and
and
materials
goods
authorization
Nelicor's
carton
Pack
the
place
in
RGA
or
replacement.
in
this
shipping
may
Technical
and
any
shipping
The
carton
be
(RGA)
is
purchased
number
Services
shipping
as
follows:
Seal
may
not
forms
carton
result
with
5.8
REPACKING
If
the
original
1.
Place
the
2.
Locate a corrugated
3.
Fill
the
4.
Place
the
5.
Seal
the
6.
Label
carton
IN
carton
bottom
unit
carton
NEW
CARTON
is
not
available,
and accessories
cardboard
of
the
carton
on
the
layer
with
with
shipping
shipping
with
of
tape.
and
use
the
following
in
carton
at
least 2 inches
material
return
addresses
bags.
with
and
procedure:
at
least
of
fill
the
box
and
RGA
200
psi
material.
completely.
bursting
strength.
5-1
6.1
INTRODUCTION
This
troubleshooting.
6.2
DISASSEMBLY
includes
procedures
Refer
to
PROCEDURE
Figure
Disassembly
for
disassembling
6-1
when
SECTION
VI
Guide
the
N-6000
this
procedure.
when
required
for
or
Tools
Note:
6.2.1
1.
2.
3.
4.
Required:
This
removing
and
to
remove
first
Removing
Disconnect
Place
Remove
Turn
rear.
procedure
then
the
The
AC
the
when
Instrument
power
instrument
screws
instrument
Small Medium Small
1/4-inch 5/16-inch 5/16
open
is
listed
the
assembly Oximetry power
Power
input
Supply-Charger
reassembling
cord,
upside
from
instrument
over,
cross-head
cross-head
flat-blade
nut
driver
nut
driver
end
wrench
in
order
listed
in
and
CO2
assembly
the
Cover
sensors,
down
on
pull
handle
screwdriver
screwdriver
screwdriver
of
disassembly,
the
prior
step.
subassembly.
must
be
PCB.
The
instrument.
and
other
external
bench
cover.
side
top.
of
cover
with
magnetic
with
magnetic
but
some
The
cover
Other
assemblies from
transformer
connections
away
from
tip
tip
assemblies must
be
may
the
rear
panel
must
be
from
chassis,
may
then
be
and
instrument,
and
slide
be
first,
cover
the
out
and
off
if
of
the
to
the
6.2.2
Removing
Note:
Removing
the
real-time
replacing
WARNING: Dangerous
1.
2.
Disconnect
3.
Pull
clock.
the
battery.
Use
voltages
tie-wraps
the
To
are
straight
causes
leads.
up
and
all
data
loss,
when
inside
out
trend
removing
the
to
chassis.
of
chassis.
information
the
N-6000
or
replacing
in
this
and
custom
on
AC
the
operating
defaults
power
condition.
to
while
with
be
lost
removing
AC
power
and
resets
and
applied.
6.2.3
Removing
1.
Disconnect
2.
Remove
8.
Pull
assembly
4.
Pull
subassembly
5.
Disconnect
6.
Pull
the
Note:
When
replacing
subassembly’s
horizontal
6.2.4
1.
2.
tabs
Removing
Disconnect
Remove PCB.
Oximetry
ribbon
screw
from
out
cables
of
away
cable
from
subassembly
subassembly,
enclosure.
in
place.
Secure
Main
Processor
all
cable
screws
from
and
CO2
from
right
slots on
from
front-panel
up
and
Snap
the
the
PCB
connectors
four
Subassembly
Main
Processor
side.
side
panel.
oximetry
out
of
the
be
sure
vertical
tab
assembly
from
of
Main
side.
to
place
in
the
with
Main
Processor
PCB.
input
connector.
the
flexible
side
panel
the
screw.
Processor
PCB
first,
PCB.
and
and
two
insulation
then
snap
screws
from
inside
the
two
center
the
of
3.
6.2.5
1.
2.
3.
4.
6.2.6
Note:
1.
2.
3.
6.2.7
1.
Lift
Main
Processor
Removing
Remove
Pull
Disconnect
Pull
Removing
The
Turn
Remove
Pull tray
Removing
Front-Panel
screws
panel
away
the
panel
away
Pull-Out
front
panel
instrument
screws
away
three
Using a 5/16-inch
PCB
from
the
ribbon
and
out
Card
must
be
upside
from
chassis.
nut
up
and
Assembly
the
front
cable
of
the
Tray
moved
down.
tray
to
away
panel
about
connectors.
chassis.
away
remove
from
to
the
an
inch.
from
nuts
chassis.
at
the top
before
and
on the
removing
to
rear
tray.
panel.
2.
6-2
Pull
away
from
panel.
6.2.8
Removing
Power
Supply-Charger
PCB
Using a 1/4-inch
1.
Pull
2.
3.
4.
5.
6.2.9
1.
2.
assembly
Disconnect
Remove
Lift
Power
Removing
Using a 5/16-inch chassis
Pull
transformer
nut
away
cable
connector
screws
Supply-Charger
Transformer
nut
and
from
rear
Power
driver
AC
input
remove
from
PCB
and
nuts
panel
Supply-Charger
and
fuse
holder
up
and
5/16
assembly
clear
out
open
up
of
and
PCB
of
chassis.
end
and
AC
input
the
Power
to
out
of
chassis.
power
leads.
remove
assembly
Supply-Charger
nuts
to
rear
panel.
PCB.
transformer
to
6-3
6-1
Diagram
Figure
Disassembly.
N-6000
7.1
DESCRIPTION
This
section
troubleshooting “Disassembly
describes
and
testing
repair
for
and
are
found
cover
Testing
calibration
in
SECTION
and
Calibration
procedures
8,
“Troubleshooting.”
instructions.
VII
for
the
N-6000.
Also
Instructions
refer
to
for
6,
Table Freeze
pressing
Note
7.2
7.2.1
The assumed
7-1
describes
the
that
the
COz2
DISPLAY
N-6000
For temperature display
These
conditions
vapor,
expressed
to
gas.
Thus,
always
conventions,
then
pressing
CONVENTIONS
Screen
measures
conditions
The
N-6000
on
the
37° C body
in
units
(Body
Temperature,
are
the
front-panel
screen
described,
is
being
refers
displays,
although
screens,
the
soft
key.
and
the
front-panel
displayed
to
may
are
of
37° C
measures
temperature
of
mmHg
however,
to
laboratory
cause
second
To
return
not
available
Conventions
pressure
body
barometric
and
or
kPa,
Pressure,
on
the
front-panel
the
the
test
and
confusion.
from
the
and
fourth
to
the
main
until
of
CO2
(PCO2)
temperature
pressure
Saturated,
assumption
conditions.
appropriate
the
values
always
No
correction
pressure.
display,
main
soft
keys
monitoring
the
COz
and
are
are
or
refers
is
for
monitoring
(counting
sensor
in
the
directly.
When
also
converted
BTPS)
always
the
before
the
measured
to
to
BTPS
different
screen
the
has
warmed
airway
breath
By
convention,
to
be
measured
PCO2
is
being
conditions
made
that
is
made.
monitoring
far
left
press
fully
being
to
fully
displayed.
value
within
dry gas
Thus,
by
pressing
key
the
MENU
up.
saturated
all
from a patient
displayed
saturated
is
expressed
the
at
the
and
the
as
key.
at
normal with
readings
on
breath
When
as
patient's
room
test
and
of
and
the
units
%
screen
For
example,
saturated front-panel by
barometric approximately gas will the
On
the adapter mmHg mmHg
gas
is
being
read
be
approximately
screen
other
at
the
(5%
times
and
kPa,
if a patient
with a true
will
pressure
1% lower
at
conditions
8%
hand,
same
760),
and
if
dry
barometric
8%
at
sea
deep
read
minus
values
lower
dry
gas
and
5.1
higher
level
(barometric
lung
end-tidal
38
mmHg,
water vapor
for
mmHg
of
room
gas
input.
with
5.0%
pressure
kPa.
The
in % for
pressure
PCO2
5.1
kPa,
and
and
kPa
temperature
the
gas
source
CO2
from a tank
of
760
mmHg,
front-panel
the
same
equal
of
38
mmHg
5.3 % (% pressure). due
to
the
and
is
dry.
(the
patient)
is
being
the
to
760
into
the
equals
The
The
is
screen
will
read
mmHg)
the
screen
actually
to
approximately
airway
pressure
screen
assumption
screen
fully
the
displays
is
exhaling
of
CO2
will
will
fully
adapter,
read
that
in
airway
be
5.0%,
1%
higher
the
the
%
but
38
in
Although patient values monitoring a patient,
front-panel
722
The from
spontaneous of
ETCO2,
The
obtainable simply
value
ETCO2.
patient.
the
monitoring
are
Breath
N-6000
the
value
of
of
ETCO2
The
above
used
for
Detection
and
N-6000
ETCO2
from
the
all
seen
result
and
is a stable
conventions
laboratory
and
with
that best
within
monitoring, ignore display.
and
counts
low
together
the
during
the
and
estimates
ETCO2
may
seem
testing. A good
and
values
ETCO2
counts
last 8 seconds
of
End-Tidal
when
of
values
all
the
forced
to
value
confusing,
rule
the
When
CO2
the
GO2
CO2.
When a patient
followed
true
alveolar
exhalation.
the
ETCO2
and
displays
that
best
they
allow
of
thumb
screen
Values
level
by a mechanical
accurately.
CO2
Unlike
value,
approximates
is
is
dry
crosses a threshold
on a ventilator
value
conventional
the
that
accurate
that
the
used
for
gas
in a test
breath
is
the
N-6000
the
arterial
|
readings
front-panel
bench
testing.
setup,
set
dynamically
has
with a higher
capnometers
looks
for
value
for
PaCO2
during
When
ignore
value
that
the
the
true
value
.
both
the
value
in
the
Software SERVICE
BOOT
EEPROM
C02
SPO2
ROM
BOARD
BOARD
Parameter
soft
BOARD
Screen
key)
ROM
ROM
ROM
Table
(press
7-1:
Screen
Function
FLASH
bootstrap
FLASH version:
operating
COz EPROM
LED
controller microcontroller software
SpO2 EPROM
memory
loader
software
Main
software
subsystem
display/keyboard
subsystem
Indications
software
software
Normal
Range
and
Tolerance
CO
BOARD
STATUS
(press
CO2
soft
CO2
key)
board
status
0300
with
normal
sensor
operation.
connected
and
Table
7-1:
(continued)
Screen
Indications
RAW
BENCH
BARO.
C02
IN
RATIO
TEMP
PRESSURE
(operator-selected
IN
MMHG
units)
Calculated peaks amount
Sensor
pressure
Uncompensated
CO2
units
ratio
used
to
of
CO2
temperature
barometric
in
current
of
bench.
determine
present.
detected
display
Varies
0.5 characteristics and
This
42.0° the the error temperature Otherwise, 39° C after 7 minutes
precaution.
Displays pressure correcting for
Displays
selected
This
Body Saturated
temperature
screen from the
sensor
to
0.9.
is
microprocessor-regulated
C.
bench
is
generated
calibration.
value
Temperature,
the
monitor.
to
This
is
up detects a breath.
the
in
mmHg
percentage
CO2
units
is
and
ETCO2
on
should
to
temperature
once
temperature
barometric
that
value
(mmHg,
not
compensated
is
25"
C,
may
value
typically
bench
reading.
not
vary
An
the
bench
46.0°
C.
drops
as a safety
is
used
readings
in
operator-
kPa,
or
Pressure,
that
the
The
be
different
displayed
to
once
and
to
for
and
%).
for
by
Press
CO2
VALUES
HIGH
PEAK
DETECTOR
HEATER
MOTOR
and
SPEED
then
MORE
CO2
Bench
A
bias
Heater
Bench
signal
motor
speed
One
of
two
Typically
and
will
Will
vary
„used
to
compensate
gains.
This
heater
with ambient
This
bench typically
is
the in
room
is
the
motor
bench
3.5 V with
vary
sensor
voltage applied
the
temperature;
it
is
period
30.0
waveform
no
with
temperature.
to
sensor and
for
readings
sensor
typically 2 V.
in
head.
of
rotation
milliseconds.
ms;
+5:
peaks.
CO2
present,
is sensor are 1 to 2 V.
to
the
It
varies
at
25°
C
of
the
It
ms.
is
7-3
Table
7-1:
(continued)
Sereen
Indications
BIAS
LOW
SOURCE
HEAT
MOTOR
Press
CO2
VALUES
SENSOR
PEAK
CONT.
POT
REV.
and
then
SENSOR
Bias
Bench
IR
Heater
Indicates of format
Signal
source
of
sensor
electronic
revision
EEPROM
number
term
for
motor
level
data
Used
to
set
the
voltage.
One
of
two
bench
voltages. varies present
The
this source voltage-regulated. A typical reading
Used and
temperature.
Used data
It
is
typically 2 V
with
the
amount
and
with
will
in
varies
to
in
vary
slightly
is
current-regulated,
is
2.5
V.
regulating
based
will
vary
determine
the
Sensor
detector
waveform
and
of
CO2
temperature.
to
the
the
temperature
on
0-255;
there
setting.
how
to
interpret
Memory
bias
peak
-
the
not
is
no
SENSOR
SERIAL
LAST
Press
NUMBER
CAL
TIME
DATE
FAIL
DATA
Sensor
Sensor
Last
Indicates
Relative LED
run
serial
calibration
displays
time
number
failed
date
LED
draw
Indicates
run
Electronic
Used
sensor
Should
non-zero
LED
Figure
the
Used
of
draw Number currently
total
time;
units
sensor
as
an
indication
calibration.
normally
number
digit.
7-1
shows
failed
LED
to
indicate
for
each
varies
on
accumulated
are
in
hours.
serial
be
indicates a failed
how
all
to
of
zeros;
number.
last
~
determine
digit.
relative
LED
with
the
what’s
sensor
date
any
digit.
of
Press
SPO2
Table
7-1:
(continued)
Screen
Indications
CALIB.
INAMP
RED
IR
LED
Press
BOARD
SERIAL
HOURS
LED
MORE
INDEX
GAIN
DRIVE
DRIVE
NUMBER
IN
OPERATION
and
then
MAIN
Sensor Index
Input
Red
Infrared
N-6000
Amplifier
LED
N-6000
Calibration
Gain
Drive
LED
Drive
serial
run
number
time
Shows
resistor
Shows input
Relative applied
the
in
amplifier.
amount
to
255.
Relative applied is 0 to
Electronic
N-6000;
EEPROM
processor
Indicates the
amount
to
255
this
main
value the
SpO2
the
red
the
infrared
serial
number
on
the
total
hours
board.
of
the
of
Range
of
power
LED.
of
power
number
is
original
board.
in
calibration
the
SpO2
is 0 to
Range
LED.
stored
255.
being
is 0
being
Range
of
the
in
main
operation
an
to
of
Press
POWER
DC
BATTERY
AC
MAINS
SUPPLY
VOLTAGE
Unregulated voltage
Shows
power
DC
supply
source
When indicates supplied regulators.
Indicates
rechargeable charged over about power
Shows
unregulated
to
present
13
V;
the
10 V.
is
off.
either
the
on
AC
mains,
battery. A freshly-
indicates a little
system
ON
system
voltage
shuts
only
or
OFF.
of
down
when
°
at
AC
0000000000000000000000
tin
in
gl
it
iti
5 6 7 8 9
7.
Middle
8.
Right
9.
Left
10.
Right
11.
Alarm
1.
2.
3.
4.
5.
6.
Left
1
2
SpOz, Middle Right Left
COz, Right Left
SpOz,
8 4
SpOa,
SpOz,
red
COa,
red
red
red
red
green
it
CO,
ia
it
10
1
SpOz,
SpOz,
green
CO2,
green
silence
green
green
Service
Pairs
|
Failed
display
digits
screen
7.3
CALIBRATION
Check
VIII,
resolving
To
1.
2.
the
mainstream
“Troubleshooting,”
them.
check
the
Ina
well-ventilated
plug
the
Turn
the
monitoring
the
MENU DSABLE Note:
The
8.
Let
the
4. . Usingthe MENU Press
the
back
to
AND
CO2
mainstream
sensor
mainstream
the
into the
screen
ALL
function
MENU
the
CO2
UNITS
monitoring
ACCURACY
sensor
discusses
room,
ON
and
is
displayed.
the
ALARMS
key.
key
CO2
SYSTEM
function
Figure
Non-zero
of
the
potential
follow
let
the
Use
Press
may
not
sensor
run
change
function
key
7-1:
CHECK
N-6000
difficulties,
these
the
mainstream
device
function
the
warm
the
MENU
the
MENU
be
available,
in
this
units
key,
until
the
Failed
indicate
at
least
steps:
up
key,
the
to
depending
condition
of
measurement
then
selector
LED
Digits
failure.
once a year
their
possible
CO2
sensor
(approximately
button
to
return
to
the upon
for 15
minutes.
of
the
SYSTEM is
on
“%",
to
ensure
causes,
to
an
45
seconds)
all
function
monitoring
custom
CO2
to
“%
VARIABLES
then
press
its
accuracy.
and
airway
followed screen.
CO2":
function
MENU
suggestions
until
the
by
settings.
press
the
key.
button
for
and
press
the
to
get
5.
6.
7-6
To
view
fourth
Wait
15
air.
Check
CO2
soft
keys
simultaneously;
SCREEN
minutes,
the
sensor
or
simulate a few
enter
should
then
temperature;
the
(2)
now
be
thereading
press
SERVICE;
displayed.
of
it
should
to
deactivate
(1)
CO2
be
press
IN
+42
the
(3)
press
%.
CO2
+0.25°
sensor
then
CO2
should
C.
cool-down
press
The
be
at
safety
CO2
0%
the
second
BOARD
ーー
to
0.3%
the
airway
feature.
and
with
room
Introduce a 10%
N-6000.
Note:
The
GSTK-6000
COz
temperature.
displayed.
In
room
air,
the
must
be
5.0
+0.3%.
the
Tf
desired,
key.
If
Services
should
this
the
mainstream
Department
quantity
values
The
ETCO2
screen
displayed
ETCO2
With
be
10.0
can
for
of
CO2
of a known
calibration
on
value
is
compensated.
10%
must
CO2
+0.4%.
be
CO2
sensor
assistance.
gas
kit)
into
the
be
0.0%
introduced
by
is
not
within
concentration
the
airway
screen
to
under
The
0.3%.
the
are
user
With
the
same
FREEZE
not
must
specifications,
(preferably
adapter.
Note
compensated
identify
5%
CO2
introduced,
barometric
call
then
the
from
the
for
the
proper
pressure
the
a
water
the
PRINT
Technical
on
the
vapor
or
value
conditions,
SCRN
There
1.
are
The levels
The
label additional then
To
.
Note: system continuously,
The
seen a breath
should
three
first
factor
(room
air
second
says
factor
5.0% mainstream
the
gas
source's
avoid
these
Use
calibration gravimetrics Make
concentration.
sure
Gas-sampling
provides
third
factor
rise
to
that
occur
is
conducting
is
not
0%
is
use
of a source
but
contains
CO2
accuracy
difficulties,
gas
all
connections
test
calibrated
at a low
is
by
42°
that
the
breathing
C.
Repeat
during
CO2.).
the
test
The
this
test
of
4.6%).
One
sensors.
is
the
following
from a known
are
kit
GSTK-6000
gases
CO2
for
flow
rate
sensor
the
tests.
test
that
in a room
room
CO2
that
way
to
If
they
all
and
precautions
Leaks
is
available
use
in
verifying
of
35
is
not
operating
airway
can
result
containing
must
be
well-ventilated.
does
not
match
check
this
is
are
consistently
gas
source
must
be
preferably
of
NBS
room
from
calibration.
cc/minute.
at
42°
adapter a few
in
unfavorable
significant
its
label
to
sample
the
high
should
observed:
traceable
air
will
decrease
Nellcor.
This
Gases
C.
Ensure
times.
The
situations:
background
(example:
canister
or
consistently
be
tried.
and
measured
gas-sampling
are
that
the
sensor
sensor’s
CO2
gas
canister
with
low,
by
a
CO2
has
temperature
8.1
INTRODUCTION
This
them.
interference,
There
and
those
second
If
the
following
can
7,
are
that
be
“Test
describes
two
kinds
cause
caused
such
as
table
does
and
Calibration,”
potential
of
malfunctions:
behavior.
by
external
that
from
not
Troubleshooting
The
an
electrosurgical
describe
the
for
additional
SECTION
symptoms,
those
first
kind
such
as
problem,
VIII
probable
that
cause
the
is a result
improper
unit.
refer
indications.
sensor
to
the
instrument
of
internal
use
and
suggestions
component
or
external
not
to
electrical
description
for
resolving
at
all,
failures;
in
the
Symptom
Instrument
Instrument the
battery.
SpO2
pulse
tracking
the
cannot
operates
amplitude
pulse:
be
no
turned
on
AC
power
indicator
values
Table
on,
but
is
not
are
displayed,
8-1:
Troubleshooting
not
on
*
9
*
The
*
The
.
The
Check
*
Guide
Probable
to
If
the
indicator
check
of
12
hours
the
battery.
the
Sensor plugged
Department.
sensor
or
in.
Cause
AC
power
the
the
problem,
Services
may
is
required
fuse
may
or
the
and
sensor
sensor
extension
Check
and
verify
that
charging
is
off
AC
fuse(s).
Department.
be
discharged. A minimum
to
be
Nellcor’s
them.
indicator
and
the
If
this
completely
open.
extension
Nellcor's
Check
Technical
cable
may
cable:
may
the
is
does
recharge
it.
be
not
be
9
The
sensor
damaged.
or
extension
them.
cable
may
be
SpO2
pulse
amplitude
tracking
the
(continued).
SpO2
pulse
amplitude tracking saturation
the
and
pulse:
pulse:
pulse
indicator
no
values
indicator
zero
rate.
Table
is
not
are
displayed
is
not
for
8-1:
oxygen
Troubleshooting
(continued)
Check
+
SpO2
'
Connect a NELLCOR the
Sp02 should should
9
Connect a NELLCOR sensor optical other.
.
the pulses If
they
defective;
.
The
sensor
.
patient.
*
The
patient’s
instrument
Check C-LOCK
instrument
try
OXISENSOR
Guide
module
sensor
be
40+1
be
81+1,
input
connector.
sensor
LED
intensity
an
oscilloscope
Main
Processor
should
do
not,
replace
máy
Check
perfusion
to
the
condition
ECG
on sensor
operation:
input
connector.
and
the
saturation
sensor
to
Move
away
from
and
appear
the
oximetry
it.
be
improperly
should
on
probe
to
PCB.
5V
the
oscilloscope
module
application.
may
be
detect
an
acceptable
of
the
patient;
synchronization;
yourself
R-15.
or
site; or
on
try
pocket
tester
Pulse
the
SpO2
the
LEDs
toward
pin 1 of
logic-level
is
probably
too
poor
pulse.
use
test
the
to
rate
and
each
U229
trace.
to
the
for
the
patient;
8-2
9
Check
SpO2
module
operation
as
listed
above.
Pulse there
amplitude
is
no
oxygen
indicator
saturation
Table
8-1:
tracks a pulse,
or
pulse
rate.
Troubleshooting
(continued)
but
©
The
allow
and the patient; test
OXISENSOR
Guide
patient's
the
instrument
pulse
rate
pulse
bar).
use
the
instrument
perfusion
(fewer
Check
C-LOCK
on
R-15.
may
to
measure
than
two
the
condition
ECG
be
too
low
to
saturation
to
three
bars
on
of
the
synchronization;
else;
or
try
the
SpO2
and/or
pulse
rapidly; pulse
Displayed that
of
ECG
pulse
monitor.
rate
amplitude
rate
does
indicator
not
correlate
erratic.
with
*
+
Excessive impossible
pattern.
check
properly
use
sensor
tolerates
If
applied,
C-LOCK
to a new
more
averaging
Excessive
impossible
pattern.
check
properly
use sensor
tolerates
If
applied,
C-LOCK
to a new
more
averaging
Excessive impossible pattern.
check properly use
sensor
tolerates
If
applied,
C-LOCK
to a new
more
averaging
for
motion
the
instrument
possible,
the
and replace
ECG
site;
mode
to
patient
for
motion
the
instrument
possible,
the
and
ECG
site;
mode
to
for
motion
the
instrument
possible,
the
and
ECG
site;
mode
to
may
be
making
to
find
keep
the
sensor
is
securely
it if
necessary;
synchronization;
use a sensor
or
set
10-15
keep
sensor
may
the
is
synchronization;
use a sensor
or
set
10-15
may
keep
the
sensor
is
that
the
SpO2
(Mode
be
making
to
find patient securely
it
if
necessary;
that
the
SpO2
(Mode
be
making
to
find patient securely
it
if
necessary;
synchronization;
use a sensor
or
set
10~15
the
that
SpOz
(Mode
the
pulse
still;
and
move
3).
the
pulse
still;
and
move
3)
the
pulse
still;
and
move
3).
it
the
it
the
it
the
The
notch,
which measurement site.
If
C-LOCK artifact on
the
or
poor
ECG
for
may
have a pronounced
causes
ECG
monitor.
that
the
to
synchronization
signal
Adjust
of
ECG
monitor.
pulse
rate
Try
ECG
may
Refer
dicrotic
sensor
is
in
use,
be
leads
to
an
to
the
8-3
SpO2
measurement
the
value
calculated
determination.
does
not
correlate
from a blood
Table
gas
8-1:
Troubleshooting
(continued)
with
.
Guide
The
calculation adjusted relevant
for
PaCO2, hemoglobin. have
been
relevant
variables. saturation CO-Oximeter
may
not
the effects
of
2,3-DPG,
Check
appropriately
In
general,
values
are
not
measurements.
have
been
pH,
temperature-
or
fetal
calculations
corrected
calculated
as
reliable
correctly
-
for
as
direct
SpOz
does
Oximeter.
not
correlate
with
laboratory
CO-.
Accuracy application dysfunctional dyes, movement, electrosurgical of a sensor pressure intravascular warnings, operator’s directions
Fractional
+
converted
the
comparison
well
functional
oximeters, Laboratory multi-wavelength
fractional
measurements functional The
equation found Section requires oximeter simultaneously
supply.
can
be
or
use,
hemoglobins,
bright
light,
venous
interference,
on an
cuff,
arterial
line.
and
cautions
for
use.
measurements
to
functional
was
as
two-wavelength
saturation.
such
282
CO-Oximeter
saturation.
must
measurements
used
in
the
“Principles
II
of
this
that
the
measurement
affected
significant
excessive
pulsations,
extremity
catheter,
in
and
in
measurements
made.
Multi-wavelength
as
the
Instrumentation
oximeters,
Fractional
be
converted
to
make
blood
sampling
be
from
the
by
incorrect
levels
intravascular
and
placement
that
has a blood or
all
instructions,
this
the
SpO2
may
not
The N-6000,
oximeters,
and
to
for
comparison.
this
conversion
of
Operation”
Close
correlation
and
obtained
same
arterial
sensor
of
the
sensor
have
been
before
as
in
pulse
is
8-4
Table
8-1:
Troubleshooting
(continued)
Guide
ETCO?2
value
obtained
ETCO2
waveform
does
from
or
value.
not
blood
window
match
gas
is
pC02
not
showing a C02
values
Ventilation/perfusion
clinically physiologic
Check
circuit
N20
for
at
may
present;
situation.
leaks
in
the
airway
be
present;
consider
the
mode.
Elevated
compensation
The the
Sensor
the
the
N-6000
patient
levels
N-6000
may
system
for
be
GSTK-6000.
may
be
CO2/SpO2
may
not
airway;
of
O2
mode.
status
out
of
in
the
monitoring
be
connected
verify
connections,
mismatching
patient’s
adapter.
use
N20
may
be
may
have
messages.
calibration;
SpO2
mode;
mode.
secure
may
ventilation
compensation
in
use;
use
an
error;
verify
change
correctly
and
proper
O2
check
with
to
the
be
to
CO2
module
check
the
Water may
may
have
for
condensation
sapphire
ADAP-UC,
an
status
or
windows;
as
required.
internal
messages.
secretions
clean
error;
or
82
ADVISORY
MESSAGES
Advisory messages the
AIRWAY
+.
CO2/Sp02
¢.
COz
+.
PULSE
*
messages
are
no
are
displayed
longer
displayed
on
ADAPTER
The
airway
indicates
adapter.
Other
electromechanical
SENSOR
If
the
sensor physiological sounds.
To
SENSOR
The
CO2
sensor
requires a short
SENSOR
NOT
is
removed,
signal
clear
WARMING
may
time
SEARCH
Indicates
is
initially
displayed lost, ALARM
that
the
connected
without a tone.
an
alarming
by
the
OCCLUDED
that
causes
CONNECTED
has
this
alarm,
UP
be
at a temperature
period
UP
SpO2
sensor
to
the
pulse
search
button
the
the
the
system
screén
CO2
SENSOR
to
and
will
bench
obstructions
NOT
been detected and
press
the
ALARM
that
to
warm
up
to
If a valid
is
displayed
is
connected
and
physiological
condition
not
is
twice.
information
disappear
signal
is
CONNECTED
the
sensor
is
below
the
desired
during
but
no
to
the
pulse
activated.
to
the
when
the
the
due
to
sapphire
is
removed,
button
the
specified
operating
pulse
this
is
temperature.
time
being
detected.
patient, a pulse
is
detected
To
clear
this
operator.
underlying
an
obstruction
is
displayed.
an
audio
twice.
operating
search
and
then
alarm,
Advisory
reason
or
for
of
the
internal
If
a
alarm
range
and
The
CO2
When a sensor
the
press
is
pulse
the
is
8-6
TREND
.
This
have contact
any function
CUSTOM
.
This factory continue.
representative
DATA
occurred
Nellcor’s
DEFAULTS
LOST,
is
if
key
is
settings
for
ERROR
displayed
the
battery was Technical to
clear
LOST,
displayed
ERROR
will
Nellcor's
125
at
power-up
disconnected.
Services
the
126
at
power-up
be
used.
Technical
information.
if
stored
If
Department
and
continue.
if
the
custom
Press any
Services
trend
data
the
or
Nellcor’s
function
key
Department
have been
has
not
lost.
been
representative.
settings
to
or
have been
clear
the
Nellcor's
This
may
replaced,
Press
lost;
the
and
8.3
STATUS
A
status identified troubleshooting the
case
8.3.1
Main
MESSAGES
by a module
of a defective
System
is
the
Errors
problem.
displayed
identifier
Most
submodule,
when
and
the
an
an
error
submodule
error
condition
error
code
messages
number
can
will
be
be
An
that
automatically
error
will
by
pressing
condition
assist
disabled.
any
will
be
personnel
function
in
key.
In
Exror
“104
122 125 126
8.3.2
Error
8.3.3
Error
Code
101 102 103
CO2
Code
201 202 205 206 210
C02
Code
Subsystem
CO2
C02 CO2 CO2
C02/host
Sensor
Errors
Meaning
Meaning
RAM ROM
Noritake
TREND
LED
EEPROM
Custom
Errors
nin
RAM ROM
analog general
error error
out
RAM
error
error
data
error
defaults
error error
error
communications
error
hardware
error
R
Turn
ON/STANDBY 20 message personnel For function
R
The
automatically operational.
then
personnel
regarding
R
nded
the
N-6000
seconds,
error
then
persists,
or
conditions
key
nded
capnography
retry.
or
the
ded
C
off
by
turn
Nelicor’s
125
to
continue.
C
subsystem
halted and
Cycle
mains
qualified
Nelicor’s
capnography
C
ive
Acti
pressing
Wait
it
back
representative.
and
ive
is
power
representative
ive
the
at
least
on.
If
the
qualified
126,
press
Acti
is
not
on
subsystem.
Acti
any
and
off,
250 252 260 261
262
CO2
Sensor
CO2
Sensor
COz
Sensor
CO2
Sensor
This
monitoring
drops
below
more.
COz
Sensor
‘This
above more.
EEPROM
Temperature
Temperature
if
36°
Temperature
if
46” C for
Failure.
sensor
C for
sensor
30
Error.
Failure.
Too
Low.
while
temperature
30
Too
High.
while
temperature
The
operational
CO2 CO2 the
airway
heat
or
an
external service representative repaired.
Retry
or
error
Technical
capnography
or
sensor
continues
Disconnect,
Try
adapter.
cold
being
personnel
to
(see
Services
subsystem
of a problem
Check
applied
or
Nellcor's
have
the
procedure
to
persist,
Department.
is
then
CO2
for
to
the
qualified
CO2
above).
not
with
the reconnect sensor.
excessive
sensor
Clean
sensor
If
the
Nellcor’s
the
from
8-7
8.3.3
CO2
Sensor
Errors
(continued)
Error
270
280
290
8.3.4
SpO2
Error
301 302 310
Code © Meaning
C02
Sensor
Range.
This
fast
C02
Sensor
Mismatch.
This
sensor
EEPROM Nellcor indication
sensor’s
Subsystem
Code
Sensor
‘Meaning
SpO2 SpO2 Sp02/host
low
Errors
RAM
ROM
Motor
Speed
or
too
motor
slow.
Manufacturer
ID
stored
does
ID.
It
in
not
also
match
may
of a fault
signal
fault.
error error
communications
Out
when
is
ID
when
the
monitor’s
be
in
the
of
the
the
the
an
error
Recommended
The
capnography operational CO2
CO2
the
airway
is
illuminated.
an
obstruction. personnel have
Retry
error
Technical
R
The
Nellcor's
oximetry
or
the
CO2
sensor
continues
nd
oximetry
qualified
representative
subsystem.
Corrective
subsystem
Disconnect, Try
adapter.
Nellcor's
(see
Services
of a problem
Check
Check
sensor
procedure
to
persist,
AC
subsystem
Action
is
not
then
reconnect
CO2
that
the
the
qualified
representative
repaired.
contact
Department.
A
*
is
not
operational.
personnel
regarding
with
the
Clean
IR
source
path
for
to
If
the
Nellcor’s
-
or
the
the
8-8
9.1
INTRODUCTION
This
section
lists
N-6000
spare
parts,
SECTION
Spare
both
Parts
electrical
IX
and
mechanical.
Description
Main
Processor Power Display
CO2
Oximetry
Display...............
Battery.......................
Transformer
Bezel. Speaker
Bezel Upper Lower
Chassis.................
Pull-OutCardTray........................
Supply-Charger
Controller
Module
Assembly......
Assembly
Keypad..............................
Bracket.......
RearPanellugwithhardware..........................
Rubber
Cover/Handle
Handle
Handle
Power
Sensor Harness Ribbon Ribbon Ribbon Ribbon
RibbonCable,34-Conductor.........................................
A Display Fuse
Filter........................
Filter
TiltStandFoot..............................
Mounting
..............
Entry
Door..............
Cable, Cable, Cable, Cable,
Shield....
Bezel
PCB.......................,,,...,,.,,.,,.,,
PCB
Lei
PGB.................................
..............
Module...
Assembly
.
N
...
... ...
..
Bracket.
Foot
Module..
Assembly......
IN
Assembly
Holder.........
Assembly..
Clips...
10-Conductor...
14-Conductor...............
26-Conductor, 26-Conductor,
ea
5-1/2
1-3/4
ーー
inch.. inch..
een
トー
Le
トト
erene
トト
eee
トー
44e
nk
トー
eee
ドー
トー
トト いい
...
P O K Pe K R K Ren
トト
トット
oenesssse
ーー
...
いて
ον
o ...
tee ...
... ...
...
... ーー
...
ων
ας
Part
026414 026413 026419
026418
MP-203
026420 026417 026416 026415 026421 024612 024613 024614 024615 024616
024617
025409
024620
024622 024623 026422 024646 024630 024635 024636 024637 024638
024639 024640
,
024642 024626 024676 024677
025398
Number
9-1
10.1
This
OVERVIEW
contains
PCB
drawings,
SECTION
Component
component
X
Location
location.
Drawing
Oximetry CO2
Module
Main
Processor
Power
Supply-Charger
Module
Component
Component
PCB
Component
Location
Location
PCBComponentlocation.................................
...............
...........
Location..........
e
eee
Page
10-3
10-5
...
10-9
10-7
10-1
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