Philips 50 XM M1350B, 50 XMO M1350C User manual

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Obstetrical Care
SERVICE GUIDE
Series 50 XM
M1350B
Series 50 XMO
M1350C
Fetal/Maternal Monitors
FETAL MONITORING
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*M1350-9000U*
Part Number M1350-9000U
4512 610 04671
S
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Series 50 Fetal Monitors Series 50 XM (M1350B)
Series 50 XMO (M1350C)
SERVICE GUIDE
M1350-9000U
Printed in Germany October 2004
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Notice
Philips makes no warranty of any kind with regard to this material, including, but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Philips Medical Systems shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance or use of this material.
This document contains proprietary information that is protected by copyright. All rights are reserved. No part of this document may be photocopied, reproduced or translated to another language without prior written consent of Philips Medical Systems.
The information contained in this document is subject to change without notice.
Philips assumes no responsibility for the use or reliability of its software on equipment that is not furnished by Philips.
Purchase of this instrument confers no express or implied license under any Nellcor patent or copyright to use this instrument with any fetal oximetry sensor that is not manufactured or licensed by Nellcor.
Dinamap is a trademark of General Electric.Press-Mate is a trademark of the COLIN Corporation.
Federal Law (US) restricts this device to sale by or on the order of a physician.
Caution Failure on the part of the responsible individual hospital or institution employing the use of this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards.
1990-2004 Koninklijke Philips Electronics N.V.
All Rights Reserved.
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Contents
1. General Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
About this Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Who This Guide is For . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
What to do Next . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Conventions Used in This Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Unpacking and Checking the Shipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Initial Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Claims for Damage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Repacking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Optional Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Instrument Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Service Philosophy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Overview of the Service Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
About the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Overview of the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Cardio and Toco Channels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Maternal Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Recorder Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Setting Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Rear Panel (Slot Positions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
2. Pre-Installation Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Power Source Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Setting the Required Voltage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
3. Configuring the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Configuration Tasks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Configuring the Monitor Using Pushbuttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Printing and Clearing the Error Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Changing the Time Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Configuring the Monitor Using a PC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Installing the Service Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Connecting the PC to the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Loading the Service Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Using the Service Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Main Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Configuring the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Adjusting the Recorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Service Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
4. Getting Started (Basic Considerations and Operation) . . . . . . . . . . . . . . . . . . . . . . . . .39
Setting the Time and Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Changing the Time Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Contents iii
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Setting Paper Speed and Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Setting the Paper Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Setting the FHR Paper Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Switching Logic Off and On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Separating FHR Traces (“Twins Offset”). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Switching FMP Off and On. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
5. System Interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Monitor Rear Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Interface for Philips M2720A/M1310A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Functions for External Parameter Input . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Telemetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
External Parameter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Interface for Triplets Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52
RS232 System Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52
System Interface Option J12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
RS232/RS422 Dual Serial Interface Option J13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Connecting External Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Philips CMS, Philips 78352C/78354C, Dinamap 1846/8100, Datascope Accutorr Monitor. . . . . . . . . . . . . 57
COLIN BP-8800 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Nellcor N-200 or N-400 Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Philips V24/V26. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
External Device Baudrate Settings and Configurations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Philips CMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Philips 26/24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Philips 78352C and Philips 78354C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
COLIN BP-8800 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Dinamap 1846/8100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Datascope Accutorr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Nellcor N-200 and N-400 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
External Maternal Measurement on the FHR Trace. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
6. Quick Installation Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65
Carrying Out the Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
7. Upgrades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Overview of Upgrade Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Work Instructions at a Glance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Options at a Glance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Initial Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Claims for Damage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
What You Need . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Before You Start . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
8. Theory of Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
System Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Contents iv
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Booting and Self Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Operational Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
PSU (M1350-66502) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
CPU (M1350-66513) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
DSPII (M1350-66507) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
ROM (M1350-66506) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
DIF (M1350-66515) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
Frontend Board (M1350-66517) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Maternal Pulse Oximetry (SpO
) Board (M1350-66534) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
2
External Blood Pressure (NIBP) Board (M1350-66535) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Fetal Oxygen Saturation (FSpO
) Board
2
(M1350-66540). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Telemetry/System Interface (M1350-66536) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
OBMS Interface Board (M1350-66532) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Dual Serial Interface Board (M1350-66533) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
9. Safety, Maintenance, and Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Recommended Frequency of Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Cleaning the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .112
Performance Assurance Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Self Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Parameter Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Quick Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
Performance Assurance: NIBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Accuracy Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Leakage Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Linearity Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Service Tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
Cyclic Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
Permanent Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
Safety Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .117
Safety Test Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
When to Perform Safety Tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
How to Carry Out the Safety Tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
System Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .120
What is a Medical Electrical System?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
General Requirements for a System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
System Example . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
Regular Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
Mechanical Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
Recorder Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
Ultrasound Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
TOCO Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
IUP Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
Maternal SpO
ECG: M1364A Patient Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
ECG: M1365A Patient Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128
NIBP Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .131
NIBP Overpressure Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
2
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10. Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .133
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Operator Error Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
LCD Display Warning Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
Service Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .138
Error 500:
General Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Error 502:
Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140
Error 506:
ROM Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
Error 507:
DSPII Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Error 513:
CPU Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144
Error 515:
DIF Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Error 516 or 517:
Frontend Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146
Error 525 or 527: LED Display Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Error 526: LCD Display Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148
Error 532: System Interface Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149
Error 533: Dual Serial Interface Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150
Error 534: Maternal SpO
Error 535: NIPB Board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152
Error 536: Telemetry Interface Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
Error 540: Fetal SpO
Error 601: Recorder Paperfeed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
Error 602: Incorrect Type of Paper. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156
Ultrasound Parameter Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156
Direct ECG Parameter Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Maternal ECG Parameter Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Toco Parameter Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158
Maternal SpO Fetal SpO
Parameter Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
2
Parameter Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160
2
NIBP Parameter Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161
External Maternal Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162
Recorder Paper Sensing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
FSpO
Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164
2
Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
2
Board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
2
11. Removal and Replacement Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .165
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
Test/Inspection and Safety Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .166
Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166
Removing the Top Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
Rear Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
Removing the Power Supply Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
Removing the Power Supply Board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Replacing the Power Supply Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Replacing the Power Supply Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Fuses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
Boards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
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Backplane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173
Recorder Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174
Frontend Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176
Replacement of Frontend Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
Digital Interface Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178
Display Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
Removing and Replacing the Maternal Display Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
Exchanging the Display Assembly Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182
SpO
Cable and NIBP Connector Tubing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183
2
Front Panel Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184
Switch Boards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
Recorder Keys Board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
Function Switches Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
Loudspeaker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
12. Parts Lists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .187
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
Ordering Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188
13. Recorder Assembly and Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .197
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197
Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198
Replacing Specific Items . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200
Thermal Line Printer Head. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200
Full Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201
Paper Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202
Thermal Line Printer Assembly (TLP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202
Paper Tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202
Motor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203
Right Side Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204
Left Side Plate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204
Eject Mechanism and Base Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205
Full Re-assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206
Paper Eject Mechanism and Base Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206
Left Side Plate and Platen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206
Motor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208
Thermal Line Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208
Paper Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210
Final Stages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210
Recorder Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211
Replaceable Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212
14. Transducers and Patient Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215
Ultrasound Transducer (M1356A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215
Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 216
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 216
Contents vii
Page 10
Toco Transducer (M1355A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217
Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217
Specifications Toco Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217
DECG Transducer (M1357A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218
Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218
Parts List. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219
Cable Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219
DECG Legplate Adapter (M1347A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .219
Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219
MECG Transducer (M1359A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 220
Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 220
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 220
Parts List. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 220
Cable Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221
US/MECG Combi Transducer (M1358A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221
Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 222
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 222
Parts List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223
IUP Pressure Transducer (CPJ840J5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224
Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224
Patient Modules (M1364A and M1365A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225
Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225
Parts List. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227
A. Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229
General Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229
ESU, MRI and Defibrillation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230
Leakage Current. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230
Maximum Input/Output Voltages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .230
Service Socket . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .231
Protective Earth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .232
Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232
Spillage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233
Electromagnetic Compatibility (EMC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233
Emissions and Immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233
Electromagnetic Emissions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234
Electromagnetic Immunity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234
Finding Recommended Separation Distances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
Recommended Separation Distances from Portable and Mobile RF Communication Equipment . . . . . . . . . . . . 238
B. Manufacturer’s Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239
Manufacturer’s Responsibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239
Contents viii
Page 11
Manufacturers of Interfacing Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239
USA Law . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 240
Patient Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 240
Operating and Environmental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .240
Fetal Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .241
Maternal External Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 242
Maternal Pulse Oximetry (SpO2). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .243
Fetal Pulse Oximetry (FSpO
) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 244
2
Maternal ECG and Heart Rate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 245
Maternal Display Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 245
Numerical Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 245
Maternal Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 245
Instrument Displays. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .245
Mode Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 245
Ultrasound, External and Internal Toco. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246
Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .246
FHR (Cardio) Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246
Testing Facilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
Carts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .248
Contents ix
Page 12
x Contents
Page 13
Figures
Figure 1-1 Major Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Figure 1-2 Cardio and Toco Channels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Figure 1-3 Maternal Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Figure 1-4 Recorder Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Figure 1-5 Setting Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Figure 1-6 Rear Panel (Slot Positions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Figure 2-1 System Voltage and Fuse Values on the Rear Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Figure 2-2 Opening the Rear Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Figure 2-3 Voltage Selector Removal and Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Figure 3-1 Cable for an Industry Standard compatible PC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Figure 3-2 Service Socket . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Figure 4-1 Setting the Time and Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Figure 5-1 Sockets for Peripheral Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Figure 5-2 Telemetry Input Signal Allocations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Figure 5-3 External Parameter Definition 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Figure 5-4 External Parameter Definition 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Figure 5-5 External Parameter Definition 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Figure 5-6 External Parameter Definition 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Figure 5-7 RS232 System Interface Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Figure 5-8 System Interface Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Figure 5-9 Interface Cable M1350-61609 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Figure 5-10 COLIN Interface Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Figure 5-11 Dual Serial Interface: 9-Pin and 25-Pin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Figure 8-1 System Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Figure 8-2 Power Supply Board (PSU) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
Figure 8-3 CPU Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Figure 8-4 DSPII Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Figure 8-5 ROM Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Figure 8-6 DIF Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
Figure 8-7 Frontend Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Figure 8-8 Maternal SpO
Figure 8-9 External Blood Pressure Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Figure 8-10 Fetal SpO
Figure 8-11 Telemetry / System Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Figure 8-12 OBMS Interface Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Figure 8-13 Dual Serial Interface Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Figure 9-1 Recorder Test Pattern . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
Figure 9-2 Testing an Ultrasound Transducer using a Pen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
Figure 9-3 Position of Crystals in an Ultrasound Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
Figure 9-4 Checking an Ultrasound Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
Figure 9-5 Connecting the Pressure Gauge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
Figure 10-1 Troubleshooting Flowchart for the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Figure 10-2 LEDs in the Rear Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
Figure 10-3 LEDs on the DIF and Frontend Boards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
Figure 10-4 Troubleshooting: Error 500 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Figure 10-5 Troubleshooting: Error 502 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140
Figure 10-6 Power Supply Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
Figure 10-7 Troubleshooting: Error 506 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
2
Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
2
List of Figures xi
Page 14
Figure 10-8 Troubleshooting: Error 507 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Figure 10-9 Troubleshooting: Error 513 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144
Figure 10-10 Troubleshooting: Error 515 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Figure 10-11 Troubleshooting: Error 516 or 517 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146
Figure 10-12 Troubleshooting: Error 525 or 527 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Figure 10-13 Troubleshooting: Error 526 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148
Figure 10-14 Troubleshooting: Error 532 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149
Figure 10-15 Troubleshooting: Error 533 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150
Figure 10-16 Troubleshooting: Error 534 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
Figure 10-17 Troubleshooting: Error 535 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152
Figure 10-18 Troubleshooting: Error 536 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
Figure 10-19 Troubleshooting: Error 540 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
Figure 10-20 Troubleshooting: Error 601 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
Figure 10-21 Troubleshooting: Error 602 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156
Figure 10-22 Troubleshooting: Ultrasound Parameter Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156
Figure 10-23 Troubleshooting: Direct ECG Parameter Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Figure 10-24 Troubleshooting: Maternal ECG Parameter Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Figure 10-25 Troubleshooting: Toco Parameter Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158
Figure 10-26 Troubleshooting: Maternal SpO Figure 10-27 Troubleshooting: Fetal SpO
Parameter Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
2
Parameter Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160
2
Figure 10-28 Troubleshooting: NIBP Parameter Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161
Figure 10-29 Troubleshooting: External Maternal Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162
Figure 10-30 Troubleshooting: Recorder Paper Sensing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
Figure 11-1 Removing the Top Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
Figure 11-2 Removing the Power Supply Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
Figure 11-3 Removing the Power Supply Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Figure 11-4 Output Voltage from Power Supply Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
Figure 11-5 Replacing a Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
Figure 11-6 Removing the Backplane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
Figure 11-7 Replacing the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173
Figure 11-8 Removing the Recorder Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174
Figure 11-9 Removing the Frontend Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176
Figure 11-10 Removing the Display Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181
Figure 11-11 Removing the SpO
Cable and NIBP Connector Tubing . . . . . . . . . . . . . . . . . . . . . . . . 183
2
Figure 11-12 Removing the Front Panel Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184
Figure 11-13 Removing the Switch Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
Figure 12-1 Parts Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191
Figure 13-1 Component Names . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
Figure 13-2 Replacing the Thermal Line Printer Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200
Figure 13-3 Paper Table and Thermal Line Printer Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201
Figure 13-4 Motor and Side Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203
Figure 13-5 Eject Mechanism and Base Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205
Figure 14-1 Ultrasound Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215
Figure 14-2 Toco Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217
Figure 14-3 DECG Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218
Figure 14-4 MECG Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 220
Figure 14-5 US/MECG Combi Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221
List of Figures xii
Page 15
List of Figures xiii
Page 16
xiv List of Figures
Page 17
Tables
Table 1-1 Contents Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Table 1-2 Optional Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Table 3-1 Configuring the Monitor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Table 3-2 Configuration Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Table 3-3 Service Setting C10 Options (DSIF Configuration Options). . . . . . . . . . . . . . . . . . . . . . . . 23
Table 3-4 Service Setting C10 = 0 (DIP Switch Settings on the DSIF Board) . . . . . . . . . . . . . . . . . . . 23
Table 3-5 Service Setting C12 Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Table 3-6 Example of an Error Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Table 4-1 Types of Trace Paper Available . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Table 5-1 Telemetry Interface: Pin Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Table 5-2 System Interface: Pin Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Table 5-3 Pin 21: Output Voltage Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Table 5-4 9-Pin Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Table 5-5 25- Pin Connector. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Table 5-6 External Maternal Measurement Frequency. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Table 9-1 Parameter Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Table 9-2 M1350A/B/C: When to perform safety test blocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
Table 9-3 M1350A/B/C: Test and Inspection Matrix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Table 10-1 Noninvasive Blood Pressure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
Table 10-2 Pulse Oximetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
Table 10-3 Service Error Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
Table 10-4 Power Supply Board: Output from Connector Pins. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
Table 11-1 Fuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
Table 12-1 Parts List Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
Table 12-2 Replacement Parts List. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 188
Table 12-3 Display Assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190
Table 12-4 Replacement Parts: Transducer Cable Assemblies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190
Table 12-5 Part Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 192
Table 13-1 Replaceable Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212
Table 14-1 Cable Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219
Table 14-2 Cable Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221
Table 14-3 US/MECG Transducer: Cable Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223
Table 14-4 US/MECG Combi Transducer Parts List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223
Table 14-5 DECG/MECG Patient Module Parts List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227
Table 14-6 Electromagnetic Emissions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234
Table 14-7 Electromagnetic Immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234
Table 14-8 Conducted RF Immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236
Table 14-9 Radiated RF Immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 237
Table 14-10 Separation Distance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 238
Table 14-11 Philips Carts: Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248
Table 14-12 Philips Carts Replacement Parts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248
List of Tables xv
Page 18
xvi List of Tables
Page 19

Introduction

1

General Information

About this Guide

Who This Guide is For

What to do Next

This guide tells you how to install, service and repair a Series 50 XM Fetal/Maternal monitor or a Series 50 XMO Fetal/Maternal monitor. It describes all the system hardware and software, and tells you how to test the system and diagnose operating and service problems. It also tells you what upgrade paths are available and how to follow them.
It gives instructions for both a Series 50 XM Fetal/Maternal monitor and a Series 50 XMO Fetal/ Maternal monitor. The features available on the monitor you are installing or servicing depend on which options have been purchased. All instructions apply to a fully equipped monitor. If your monitor does not have a described parameter, then you can ignore that part of the instruction and skip to the next point.
The illustrations in this book show the Series 50 XMO Fetal/Maternal monitor, with the fetal
pulse oximetry
This guide is for technical personnel installing and servicing the monitor. They must have a good understanding of medical equipment installation procedures. Conventional current technical terms are used throughout this guide. Familiarity with such terms is assumed.
Familiarize yourself with the contents of this guide and the Instructions for Use before attempting to install or service the monitor.
1
(FSpO2) parameter and maternal parameters.

Conventions Used in This Guide

This guide uses the following conventions for notes, cautions, and warnings.
Warning A warning alerts you to a potential serious outcome, adverse event or safety hazard. Failure to
observe a warning may result in death or serious injury to the user or patient.
1. Currently not available in the U.S.A.
General Information 1
Page 20

Symbols

Caution A caution alerts you to situations where special care is necessary for the safe and effective use of the product. Failure to observe a caution may result in minor or moderate personal injury or damage to the product or other property, and possibly in a remote risk of more serious injury.
Note— A note calls your attention to an important point in the text.
Symbols used in this guide are:
Symbol Meaning
Equipotential Terminal
This symbol is used to identify terminals which are connected together, bringing various parts of an equipment or system to the same potential, not necessarily being earth potential (the value of potentials of earth may be indicated adjacent to the symbol).
International Caution Symbol
This symbol indicates that the operator should refer to the product instruction manual before beginning a procedure.
Protective Earth Terminal
This symbol identifies the terminal for connection to an external protective earth.
Positive Confirmation Symbol
!
This symbol against an item in a table means "applies to the item".
Not Applicable Symbol
-
This symbol against an item in a table means "not applicable".
2 General Information
Page 21

Unpacking and Checking the Shipment

Initial Inspection

The monitor and any supporting options ordered are supplied packed in protective shipping cartons. Before unpacking, visually check the packaging and ensure that there are no signs of mishandling or damage.
Open the package carefully and remove the instrument and accessories. Remove the accessories packed in the base before you dispose of the packing.
Check that the contents are complete and that the correct options and accessories have been delivered (refer to Table 1-1).

Claims for Damage

If the shipping cartons are damaged, contact the carrier.
If any of the equipment is damaged, contact both the carrier and your local Philips service organization for repair or replacement arrangements.

Repacking Retain the original packing carton and material, in case you need to return equipment to Philips

for service. If you no longer have the original packing materials, Philips can advise you on alternatives.
Table 1-1 Contents Checklist
2
Fetal and maternal
and
FSpO
2
M1350C
1 pack of 3
pieces
Description
Fetal Monitor M1350B M1350B
Fetal Accessories
SpO
Combined F
DECG adapter cable M1362B
External Toco Transducer (M1355A) 1111
Ultrasound Transducer (M1356A) 2222
ECG-only Patient Module (M1364A) with DECG cable M1362B 1 1 - -
MECG adapter cable M1363A for use with Patient Module (M1364A)
Reusable Transducer Belts (includes belt fastening buttons) (M1562A/B)
Transducer Knob Adapters (M1356-43203) 1 pack of 3
Fetal Scalp Electrodes 15133D (Europe) or 15133E (USA)
Fetal Scalp Sensor FS14 (M1366-60001) - - 1 1
/DECG/MECG Patient Module M1365A with
2
Fetal and maternal
--11
Only one transducer is supplied if option C01 was ordered
1111
4444
pieces
5555
Fetal only
(Option C03)
1 pack of 3
pieces
Fetal and
FSpO
M1350C (Option C03)
1 pack of 3
pieces
General Information 3
Page 22
Table 1-1 Contents Checklist
Fetal and
Description
Fetal and maternal
Fetal only
Fetal Monitor M1350B M1350B
(Option C03)
Fetal and
FSpO
M1350C (Option C03)
2
maternal
and
FSpO
M1350C
2
Maternal Accessories
Adult NIBP Cuff (M1574A) 1 - - 1
Large Adult NIBP Cuff (M1575A) 1 - - 1
NIBP monitor-to-cuff interconnect tubing (3.0m) (M1599A) 1 - - 1
Reusable adult finger
SpO
transducer M1191A and cable M1940A
2
1--1
Standard Accessories
Remote Event Marker (15249A) 1111
Power Cord
1111
(Part no. depends on country option)
Equipotential Cable
1111 8120-2961 (USA) 8120-4808 (Europe)
Fetal Recording Paper
1 pack 1 pack 1 pack 1 pack M1910A (USA/Canada) M1911A (Europe) M1913J (Japan)
Aquasonic Gel 40483A
1111
or Ultrasound Transmission Gel 40404A
Documentation
Instructions for Use (language as appropriate for your country)
Quick Reference Guide (language as appropriate for your country)
Service Guide (CD-ROM, English only)
Error Reference Card (English only) 1111
Sensor Placement Guide (for FSpO2) 0011
Pocket Guide to Fetal Monitoring (only supplied with English shipments)
1111
1111
1111
1111
4 General Information
Page 23

Optional Accessories

In addition to the items mentioned in the previous table, the following are delivered when the appropriate option has been ordered:
Table 1-2 Optional Accessories
Description Quantity Re-Ordering Number
IUP Pressure Transducer, including Transducer Holder CPJ84022.
IUP Sensor-Tip Pressure Catheters (disposable)
Adapter Cable for disposable IUP Sensor-Tip Pressure Catheters
Barcode Reader plus Barcode Booklet
Dual Serial Interface Board 1 M1350-66533
Cable (Serial) 1 M1350-61609 (for external devices)
OBMS/ODIS System Interface Board (inc. RS422)

Instrument Identification

1 CPJ840J5
1 box of 10 M1333A
1 M1334A
1 M1350-68730
1 M1350-66532
Philips uses a two-section serial number (“XXXXGOOOOO'') for instrument identification. This is located on labels attached to the monitor. One label is on the right side of the monitor, the other label is identical and attached to the base of the monitor. The first four digits are the Serial Prefix Number, and identify the modification standard of the instrument. The last five digits are the Serial Number of the instrument. The letter that separates the serial prefix and suffix designates the country in which the instrument was manufactured, “G'' = Germany.
3650GO2272
Serial Number
Serial Prefix
Country of Manufacture
General Information 5
Page 24

Service Philosophy

Any errors produced are marked on the trace paper with the symbol and a specific error message is shown on the monitor display. In addition, the errors are reported on the system error
log (see page 24 for instructions on how to print the error log). Read the error messages and system error log to determine whether the fault lies in the hardware or firmware. These problems can be repaired by board replacement or unit exchange. Do not attempt component-level board repair.

Overview of the Service Tests

The system contains resident tests to enable monitoring of system status and errors that occur.
" Power-On Self Test (see page 112)
This is invoked whenever the system is switched on.
" Performance Assurance Tests
Parameter Test (see page 112) This checks the processing of the signal from the transducers.
Quick Test (see page 114) This checks the display, recorder and complete instrument hardware and software.
" Service Tests
These are invoked by connecting the monitor to a PC and using a software service tool to assess, test and configure the system.
Cyclic Test (see page 116)
Permanent Test (see page 116)
" Safety Tests
These test the electrical safety of the monitoring system and must be carried out after upgrades and repairs. You must use a safety testing tool.
Instrument Safety Test (see page 120)
System Test (see page 120)
Safety Test Blocks (see page 119)
6 General Information
Page 25

About the Monitor

The monitor has five color- and mechanically-coded input sockets:
" Cardio 1/Combi for fetal heart rate (FHR) and fetal oxygen saturation (FSpO
" Cardio 2 for fetal heart rate
" Toco for uterine activity
" NPB for external blood pressure (NIBP)
" SpO
for maternal pulse oximetry
2
)
2
When a transducer is connected, the monitor automatically selects the correct operating mode. The unit can:
" monitor FHR using both direct ECG (DECG) and ultrasound (US)
" monitor maternal heart rate using ECG
" monitor twins using either DECG and ultrasound or dual ultrasound
" monitor uterine activity (Toco) externally or internally
" detect fetal movements (FMP) using ultrasound (optional)
" measure maternal blood pressure externally (optional)
" measure maternal pulse oximetry (optional)
" display maternal ECG waveform and record “snapshot” ECG waveform (optional)
" monitor FSpO
(optional)
2
A series of error messages appear in the instrument's display if certain measurements cannot be carried out. Built-in check facilities give you a greater monitoring confidence because most of the instrument functions can be checked quickly and easily.
The Performance Plus Package signal processing technique used by the instrument ensures that the information provided by the monitor is very accurate. Ultrasound FHR traces are comparable with direct ECG FHR traces and variability recorded in the ultrasound mode is almost identical to that recorded in the DECG mode.
The recorder uses a high resolution thermal array print head which gives a very reliable and good quality trace. Automatic annotation capabilities include time, date, paper speed and monitoring methods. Nursing notes can also be documented using an optional barcode reader.
Either of the monitors can be upgraded to include all parameters, depending on availability within the country of purchase.
General Information 7
Page 26

Overview of the Monitor

Figure 1-1 Major Parts
1. Monitor On/Off Switch 9. Function Key
2. Monitor On/Off Light 10. Telemetry Indicator
3. Recorder Keys 11. FSpO
4. Recorder 12. Opening Recess
5. Maternal Parameters (optional) 13. Socket for Remote Event Marker
6. Cardio 2 Channel 14. Setting Keys
7. Toco Channel 15. Service Socket
8. Cardio 1/Combi Channel
parameter (optional)
2
8 General Information
Page 27

Cardio and Toco Channels

ta4.tif
Figure 1-2 Cardio and Toco Channels
1. Toco Display shows uterine activity.
2. Fetal SpO
display shows fetal pulse indicator, signal quality, alarm status, and cross channel
2
verification plus indicator.
3. Cardio Display shows the FHR.
4. Signal Quality Indicator shows the quality of heart rate signal detected by the transducer:
Green (optimum).
Yellow (fair to potentially poor).
Red (unacceptable).
5. Function Key selects menus for:
FMP, twins offset, logic, FHR alert and FSpO
2
returns to normal display.
6. MECG Indicator shows when MECG is being measured through this channel. (Indicator
location different for Series 50 XM).
7. Fetal SpO
display shows current value of FSpO2.
2
8. Speaker Lamp shows which heartbeat is heard from the loudspeaker.
9. Volume Keys set the volume and select the channel to which you are listening. Changes
current setting of FMP, twins offset, logic, FHR alert and FSpO
alarms.
2
10. Recess for use when tilting the display.
General Information 9
Page 28
11. Remote Event Marker Socket for connecting remote event marker (15249A)
12. Cardio 1/Combi Transducer Socket. You can connect:
•FSpO
/ECG combined patient module (M1365A)
2
ECG only patient module (M1364A)
An ultrasound transducer (M1356A).
A DECG transducer (M1357A).
A US/MECG Combi transducer (M1358A).
An MECG transducer (M1359A).
13. Toco Transducer Socket. You can connect:
An external Toco transducer (M1355A).
An IUP transducer (1290C or M1333A).
14. Toco Baseline Key zeroes the Toco display and trace to 20 units (when monitoring uterine
activity externally) or 0 units (when monitoring uterine activity internally).
15. Cardio 2 Transducer Socket for connecting:
ECG only patient module (M1364A)
US transducer (M1356A)
DECG transducer (M1357A)
MECG transducer (M1359A)
10 General Information
Page 29

Maternal Parameters

Figure 1-3 Maternal Parameters
1. NBP Cuff Socket. You can connect:
An NBP cuff interconnect tubing (M1599A) and cuff (M1574A).
2. SpO
Transducer Socket. You can connect:
2
•An SpO
transducer (M1940A adapter cable connected to M1191A transducer).
2
3. Softkeys for operating and setting maternal parameters. They are:
selects modes and alarm limits for NBP.
selects modes and alarm limits for MHR.
selects modes and alarm limits for SpO
.
2
4. Reset Key (yellow)
One short press
Acknowledges warning message
Acknowledges alarm
One press, held for two seconds (from maternal main screen only)
Accesses volume and contrast setup
Two presses within one second (from maternal main screen only)
Displays current maternal alarm limits
5. SpO
Value indicates the current reading for patient's oxygen saturation level.
2
General Information 11
Page 30
6. MHR Icon indicates source of MHR
indicates heart rate value taken from MECG measurement.

Recorder Keys

indicates pulse rate value taken from SpO
indicates average pulse rate taken from NIBP measurement.
7. Maternal Heart Rate shows current heart rate or pulse rate.
8. Systolic Value shows the value for the systolic parameter of the most recent external blood
pressure measurement.
9. Diastolic Value shows the value for the diastolic parameter of the most recent external blood
pressure measurement.
measurement.
2
Figure 1-4 Recorder Keys
1. Recorder On/Off Light. On when the recorder is switched on. Flashes when monitor detects
five or fewer pages remaining in the pack or if the paper runs out.
2. Recorder On/Off Key.
Single press turns recorder on/off
2-second press starts NST timer. Recorder must be off.
3. Event Marker Key. Press to record an event on the paper. Acknowledges all alerts and
alarms.
4. Paper Advance Key. Press once to advance the paper automatically to the next fold. Press a
second time to stop paper before fold. Tear paper at fold. Never pull paper to advance it.
5. Paper-Eject Key. Press once to unlock the drawer, and then press a second time and hold to
remove the paper.
12 General Information
Page 31

Setting Keys

Figure 1-5 Setting Keys
1. Time and Date Key. Used when changing the time and date. Press to show the current time
in the Cardio 1/Combi and Toco displays, to cycle through the settings to be changed (hours, minutes, day, month and year) and to return to the normal display.
2. Paper Speed Key. Used when changing the paper speed. Press to show the current paper
speed in the Cardio 1/Combi display, and to return to the normal display.
3. Test Key. Used to start monitor self test.
General Information 13
Page 32

Rear Panel (Slot Positions)

.
3
1A1
Figure 1-6 Rear Panel (Slot Positions)
Slot
Number
1 Power Supply with Power Cord Connection, including Equipotential Grounding Point (1A)
2 ROM Board (M1350-66506)
3 CPU Board with Barcode Reader Interface (M1350-66513)
4 Telemetry Interface Connector (M1350-66536) and System Interface Connector (RS232) (lower)
If the monitor has NIBP:
5 & 6 External Blood Pressure Board (M1350-66535). Optional. Connected to Slot 5, but physically
7 Digital Signal Processor (DSPII) (M1350-66507).
If the monitor does not have NIBP:
5 Slot empty (there is a single slot cover in this case).
6 Digital Signal Processor-CoP Board (M1350-66505). Optional. (Note: only in conjunction with
7 Digital Signal Processor-CPU Board (M1350-66504). Optional. (Only with M1350-66505)
Other monitor options:
8 Maternal SpO
9 OBMS/ODIS Analog Interface (optional) (M1350-66532). Optional.
10 Dual Serial Interface (DSIF) (M1350-66533), External Fetal Pulse Oximeter/Adult Pulse Oximeter
11 Fetal SpO
Description
occupies both Slot 5 and Slot 6 (there is a double slot cover in this case).
M1350-66504.
OR Digital Signal Processor (DSPII) (M1350-66507). Optional. Here, Slots 5 and 6 are empty.
Board (M1350-66534). Optional.
2
Interface (M1350-66534). All optional.
Board (M1350-66540). Optional.
2
2
45 78
6
9
10
11
Note— The DIF board (M1350-66515) is located in Slot 0 inside the monitor (not visible
from the rear).
14 General Information
Page 33

Power Source Requirements

The monitor can be operated from an ac source of 100 to 120 or 220 to 240 volts (±10%) at 50Hz or 60Hz (±5%). The system will be set to the correct voltage at the factory.
Prior to installing the system, check that the systems voltage has been set correctly. The voltage and fuse values are shown on the rear panel.
2

Pre-Installation Checks

Figure 2-1 System Voltage and Fuse Values on the Rear Panel
Caution If the voltage has been set incorrectly you must reset it before you connect the system to the local line power supply. See “Setting the Required Voltage” on page 16. Ensure that you use the correct fuse for the voltage setting.
Pre-Installation Checks 15
Page 34

Setting the Required Voltage

1. Using a flat blade screwdriver, open the panel on the rear of the monitor.
pin1sca.tif
Figure 2-2 Opening the Rear Panel
16 Pre-Installation Checks
Page 35
2. Remove the voltage selector drum, turn it to the voltage required, and replace it.
pin2sca.tif

Installation

Figure 2-3 Voltage Selector Removal and Replacement
3. Close the rear panel and check that the correct voltage setting is shown (see Figure 2-1).
For installation instructions, please refer to the Instructions for Use.
Pre-Installation Checks 17
Page 36
18 Pre-Installation Checks
Page 37

Introduction

3

Configuring the Monitor

This chapter describes the tasks you must carry out to configure the monitor. This involves the following service tasks:
" Configure the monitor
" Configure the recorder
" Print and clear the error log
" Set the time and date format to the local standard
Some configuration tasks can be completed by connecting a PC to the monitor, some by using pushbuttons on the monitor itself. Most can be performed using whichever method is more convenient for you: see Table 3-1 for a list of tasks and methods. To find out how to set the time, date, and paper speed, see Chapter 4.
Configuring the Monitor 19
Page 38

Configuration Tasks

The following table shows you which configuration actions can be carried out using pushbuttons on the monitor and which can be carried out using a PC connected to the service socket.
Table 3-1 Configuring the Monitor
Configure the time format Yes Yes
Configure the date format Yes Yes
Configure the IUP format Yes Yes
Configure the paper format Yes Yes
Configure the recorder print offset Yes Yes
Configure the recorder heat adjust Yes Yes
Alert acknowledgment at marker button Yes No
Task Buttons PC
Run the cyclic test
No
1
No
Read the options installed No Yes
Read the Error Log No Yes
Print the Error Log
Clear the Error Log
Ye s
Ye s
2
2
Yes
Yes
3
Write the serial number and set the options No Yes
Configure the language option Yes No
Enable alert acknowledgement Yes No
Note Output to System Yes No
NIBP paper save mode Yes No
MECG trigger click volume Yes No
response time Yes No
FSpO
2
FSpO
Inop alarm Yes No
2
FSpO
alarm volume Yes No
2
1. However you can run the Permanent Test, which is similar. See “Printing and Clearing the Error Log” on
page 24.
2. See “Printing and Clearing the Error Log” on page 24.
3. To print the error log from a PC, first save the error log from the pegserv tool as a text file.
20 Configuring the Monitor
Page 39

Configuring the Monitor Using Pushbuttons

You can set the time format, date format, IUP scale, paper format, recorder scale offset, recorder heat and language option using pushbuttons. To change a setting:
1. Disconnect all transducers from the Monitor and disconnect or switch off Telemetry.
2. While pressing , press . The display shows C01 in the US1/US display and 0 or 1 in the Toco display.
3. Toggle through the menu by pressing or until you arrive at the menu item you want to change. The menu items and their settings are shown in Table 3-2.
4. Press to change the setting (0 or 1).
5. Press to store the new settings. If yo do not press any keys for about 15 seconds, the settings will be automatically stored.
Table 3-2 Configuration Options
Menu Setting Options Default
C01 Time Format 0=AM/PM
1=24-hour
C02 Date Format 0=US (month/day/year)
1=Europe (day.month.year)
C03 IUP Format 0=mmHg
1=kPa
C04 Paper Format 0=US (30-240)
1=Europe (50-210)
C05
C06 Recorder Heat Adjust
C07 Language Option 1=US International
C08
Recorder Print Offset 0 to 11
0 to 11
Recorder Marker
1
2
0=right 11=left
0=minimum 11= maximum
2=French 3=German 4=Dutch 5=Spanish 6=Italian 10=Japanese 13=Chinese (simplified) 17=Russian
0=normal 1=system acknowledge
1
0
0
0
0
11
1
0
C09 Note Output to System
(Roman 8)
C10 DSIF Refer to Table 3-3 0
0=transmission off 1=transmission on
1
Configuring the Monitor 21
Page 40
Table 3-2 Configuration Options
Menu Setting Options Default
C11 External Toco gain 0=100% External Toco gain
1=50%
C12 Refer to Table 3-5
C13 OBMS and Telemetry/
System boards
3
0=RS422 System Interface on OBMS
board active
1=RS232 System Interface on Telemetry/System board active
C14 Analog fetal movements 0=off
1=on
C16 NIBP paper save mode 0=off
1=on
C17 MECG trigger click volume 0=off
1=quiet 2=medium 3=loud
C18
(XMO only)
C19
(XMO only)
C20
(XMO only)
response time
FSpO
2
FSpO
Inop alarm 0=off
2
FSpO
alarm volume 0=off
2
4
0=slow 1=fast
1=on
1=quiet 2=medium 3=loud
0
1
0
0
2
1
0
2
1. To find the correct setting, connect a Toco transducer to the monitor and then change the setting until the trace is recording 20 units on the paper. Because of the 8-second time-out feature, and the delay between changing the setting and seeing the change on the paper, you may have to repeat this procedure to set the offset.
2. If the alert acknowledgement function is on, the fetal monitor adds the alert acknowledgement function on the recorder marker button. This alert acknowledgement is given only to the central station after a request from the central station (communication is via the digital interface.)
3. With this setting you can switch the control between the RS232 port on the new Telemetry/System board M1350-66536 and the RS422 port implemented on the System Interface board M1350-66532. If only one of them is built into the fetal monitor this one will be active regardless of the setting.
4. Response mode is an output-average filter. You can select whether the monitor averages samples over a short time (approximately 10 seconds) or longer period (approximately 50 seconds). The times vary according to the heartrate and signal quality and those quoted here are valid for good signal quality and a heartrate in the 120 bmp range. The fast response mode, because it requires fewer samples, allows you to see sudden changes
in output more easily. Fast response mode is indicated on the trace by .
22 Configuring the Monitor
Page 41
Table 3-3 Service Setting C10 Options (DSIF Configuration Options)
Connector 1 (9pin) Connector 2 (25 pin) C10 Option
See Table 3-4
Dinamap 1846/8100 Nellcor N-200 1
Colin BP-8800 Nellcor N-200 2
78352/4C Nellcor N-200 3
Accutorr - all models Nellcor N-200 4
Philips CMS, all models Philips 26/24 Series
Dinamap 1846/8100 Nellcor N-400 11
Colin BP-8800 Nellcor N-400 12
78352/4C Nellcor N-400 13
Accutorr - all models Nellcor N-400 14
Philips CMS Philips 26/24 Series
1
Nellcor N-200 5
Nellcor N-400 15
0
1. The service setting C10=0 ensures the compatibility of older monitors with external devices and will not normally be needed with the M1350B and M1350C
Table 3-4 Service Setting C10 = 0 (DIP Switch Settings on the DSIF Board)
Connector 1 9 pin female
Dinamap 1846 (600Bd)
Philips CMS and Philips 26/24 Series (9600Bd)
Accutorr (9600Bd)
Colin BP-8800 (4800Bd)
78352/4C (9600Bd)
Connector 2
25 pin female
Nellcor N-200 (2400Bd) !!!!! XXX
Nellcor N-200 (2400 Bd) " ! ! !
Nellcor N-200 (2400Bd)
Nellcor N-200 (2400Bd)
Nellcor N-200 (2400Bd)
12345678
! " ! !
" " ! ! ! X X X
! ! " !
Switch Settings
! X X X
! X X X
! X X X
Configuring the Monitor 23
Page 42
Table 3-5 Service Setting C12 Options

Printing and Clearing the Error Log

NST Timer
No No No 0
Yes No No 1
Yes Yes No 2
No No Yes 3
Yes No Yes 4 (default)
Yes Yes Yes 5 (Japan)
To print or clear the error log:
1. Disconnect all transducers from the monitor and disconnect, or switch off, Telemetry.
2. Make sure the recorder is on.
3. While pressing press
C01 is shown in the US1/US display.
0 or 1 is shown in the Toco display.
Auto Recording
Off
Acoustic Paper
Out Alert
Option \
Number
4. Press again to select the Function Menu:
A01 (Print the Error Log) is shown in the US1/US display. To print the Error Log, press . The display shows nnn nnn nnn.
Press again to select A02 (Clear the Error Log). To clear the Error Log, press . The display shows nnn nnn nnn.
24 Configuring the Monitor
Page 43
The following shows an example of an error log
Table 3-6 Example of an Error Log
506 0005 98/09/14 11:27 98/09/14 16:53 FIC 0540 0008 98/09/14 11:27 98/09/14 16:54 E1C6 0005 98/09/14 11:27 98/09/14 16:53 021A 0002 98/09/14 16:24 98/09/14 16:25 OPTIONS FMP UStwin, Fet.Alert, DATE: SW_REV INSTR_ID 95/09/15/ C.01.00 M1350C 2445G35213 BOARDS Pos. 00 515 ID_2 Pos. 01 502 Pos. 02 506 Pos. 03 513 Pos. 04 536 ID_2 Pos. 05 Pos. 06 Pos. 07 507 Pos. 08 Pos. 09 Pos. 10 540 Pos. 11 SERVICE SETTINGS: C01 01 C02 01 C03 00 C04 00 C05 00 C06 02 C07 03 C08 00 C09 01 C010 02 C011 01 C012 02 C013 00 C014 00 C016 01 C017 00 C018 01 C019 00 C20 00 FSP02 SW_REV: NPB FMHP 5.0.1 NPB FSPO2 ERRORS: 540 0002 98/09/14 11:27 98/09/14 16:53
Configuring the Monitor 25
Page 44
The error log is divided into seven sections that contain the following information:
Section 1
1. The error code For example 506
2. The number of times the error has occurred. For example 0005 (note that the error counter uses hexadecimal notation)
3. The date and time the error first occurred. For example 98/09/14 11:27
4. The date and time the error last occurred. For example 98/09/14 16:23
The remaining lines in section 1 (if any) beneath the factory information code (FIC) are not errors. Take no action.
Section 2
All built in options in the fetal monitor are written. For example Fet.Alert indicates fetal alerting.
Section 3
This shows information about the monitor itself:
DATE SW_REV INSTR_ID
Current date
1
Software revision Product number
and monitor serial number
1. This is taken from the monitor's internal clock.
Section 4
The final three digits of all boards connected into the fetal monitor. For example in Pos.05 is board M1350-66536.
Section 5
The complete configuration made using the monitor's push buttons is listed for easy validation and documentation.
Section 6
The revision number of the FSpO
software.
2
Example:
NPB FMHP 5.0.1
Nellcor Puritan Bennett
Fetal Monitor
Manufacturer
Software revision number
Section 7
The error code, occurrences, and times and dates thereof are shown specifically for the FSpO
2
board in exactly the same way as other boards are displayed in Section 1 of the error log.
26 Configuring the Monitor
Page 45

Changing the Time Format

To change the time format from AM/PM format to 24-hour format, do the following:
1. Disconnect all transducers from the Monitor and disconnect or switch off Telemetry.
2. While pressing press .
3. Press to change the setting to 1.
4. Press Test to store the new settings.
Full details about changing the time and date formats are given in Chapter 4.

Configuring the Monitor Using a PC

The service software kit (M1360C Option 875, part number M1360-68875) allows you to carry out various extended configuration and service functions on the monitor. Contact your Philips Sales Office for details.
The service software disk can be run on an industry standard PC. There is also an adapter cable (M1360-61675) to connect the monitor to the PC.
Figure 3-1 Cable for an Industry Standard compatible PC
Configuring the Monitor 27
Page 46

Installing the Service Program

Before you install the program, ensure that the serial port COM1 is set up as follows:
Transmission Rate 9600 BPS Parity None Word length (bits) 8 Stop-bits 1
This is done by giving the mode command (mode com1:96,N,8,1) at the DOS prompt. Refer to your MS-DOS Manual for details.
To i ns t al l t he p ro g ra m:
1. Switch on the PC.
2. Create a directory for the program files. For example, to create a directory called service, at the DOS prompt type in:
md service
and press .
3. Insert the program disk into drive A.
4. At the DOS prompt type A: and press .
5. At the A: prompt, type:
copy pegserv.exe c:\service
Serial Interface
Connection
and press . Where service is the directory you created to contain the program files. The program is copied to c:\service
Make sure that the serial interface configuration on the PC is set up as follows:
Datacom-Configuration Parameter Serial Transmission Rate (BPS) 9600 Word Length (bits) 8 Stop-Bits 1 Parity None %ON / %OFF Pacing Off CTS Line Regard DSR Line Regard DCD Line Ignore Power to Interface Off
28 Configuring the Monitor
Page 47

Connecting the PC to the Monitor

Connect the cable from the PC to the service socket (1). If you are using an HP PC, use only the COM1 port.
xmofull1.gif
Figure 3-2 Service Socket

Loading the Service Program

1. Switch on both the monitor and the PC.
2. Now load the program.
If you are using the PC in DOS mode, do one of the following.
If the program files are contained in a directory, change to that directory and enter:
pegserv
If you want to load the program from drive A (or another drive):
i. Insert the program disk into drive A (or other).
ii. Select DOS-Commands and press .
iii. At the DOS prompt type A: and press .
iv. Type pegserv and press .
If you are using Windows 95/98/NT:
Start the service program by double-clicking on the pegserv icon or on the filename
pegserv.exe
3. The program is now loaded and ready for use.
Configuring the Monitor 29
Page 48

Using the Service Program

When the program has been loaded onto your PC, the main menu is displayed. (If the menu is not displayed, an error message is displayed along the bottom of the screen.)

Main Menu

Series 50 Fetal Monitor Configuration and Service Software Rev A.nn.nn
MESSAGE: Select with >cursor keys< or >E, S, D, X< then press <ENTER> to execute!!
Main Menu
Configuration Settings Recorder Adjustments Service Menu Exit
To select an item from the menu, move the cursor to the item you require and press :
" Use the arrow keys , , , keys on the keypad, or the E, S, D or X keys to
move the cursor.
Messages are displayed along the bottom of the screen while the Service Program is working, for example:
Reading Recorder Adjustments from the Monitor.
Reading Serial Number from the Monitor.
Clearing the Error Log.
30 Configuring the Monitor
Page 49
Configuring
the Monitor
Series 50 Fetal Monitor Configurat ion and Service Softw are Rev A.nn.nn
Configuratio n Setting:
Function : Actual Settin g is Select Paper Scale : US US EU Time Format : AM/PM AM/PM 24h Date Format : US US EU IUP Scale : mmHg mmHG kPA
MESSAGE: Select with >cur sor keys< or >E, S, D, X< the n press <ENTER> to exec ute!!
To change a setting:
1. Using the appropriate keys, move the cursor to the selection you require.
2. Press .
To return to the Main Menu:
1. Move the cursor to Return to Main Menu.
2. Press .
Example
On the screen above, the actual setting of the paper scale is US. To change this to EU, move the cursor to EU in the Select column and press . The program will reconfigure the monitor
for the European paper scale.
The settings on your monitor may be different from those shown.

Configuring the Monitor 31

Page 50

Adjusting the Recorder

The Recorder Heat-Adjust is to compensate for different tolerances in the paper.
Series 50 Fetal Mo nitor Configuration and Service So ftware Rev A.nn.nn
Recorder Adju stments:
Recorder Heat Adjust: Actual Value is: |
Recorder Zero Adjust: Actual Value is: |
Return to Main Menu
MESSAGE: Select with >cursor keys< or >E, S, D, X< then press <ENTER> to execute!!
Selected Value is |
|……………|
Min Max
Selected Value is |
|……………|
Left Right
To change a setting:
1. Using the appropriate keys, move the cursor to the new value you require.
2. Press .
To return to the Main Menu:
1. Move the cursor to Return to Main Menu.
2. Press .
Example
On the screen above, the actual value of the recorder zero-adjust is Left. To change this to Right, move the cursor to Right in the Selected Value is: column and press .
The program will adjust the recorder accordingly. The values shown on your monitor may be different from those shown.
32 Configuring the Monitor
Page 51
Service Menu To select an item from the menu, move the cursor to the item you require and press .
Note Before you select Cyclic Test, you must connect ultrasound, Toco and DECG transducers to
the monitor.
The serial number and software revision of your monitor may be different from those shown.
Series 50 Fetal Mo nitor Configurat ion and Service Software Rev A.nn.nn

Service Menu

Serial Number : 2948G00010 Software Revision : A.02.03
Cyclic Test Read options Read ErrorLog Clear ErrorLog Write Ser.nr./ Set Options Fetal Heart Rate Alerting
MESSAGE: Select with >cursor keys< or >E, S, D, X< then press <ENTER> to execute!!
Return to Main Menu
Running the Cyclic
The Cyclic Test is a continuous Self Test. Any errors are written to the Error Log and can be read
Test
using Read ErrorLog. Press any key to stop the test and return to the Service Menu. During the test the keys on the front of the monitor are disabled.
Series 50 Fetal Mo nitor Configuration and Service So ftware Rev A.nn.nn
CYCLIC TEST is st arted It starts a contin uous self test of the mo nitor
Press any key to sto p this test Read ErrorLog to see the errors that occurred while sel f testing
MESSAGE:
Configuring the Monitor 33
Page 52
Reading the Options This lists the options installed on the monitor. Press any key to return to the Service Menu. The
options on your monitor may be different from those shown.
Series 50 Fetal Monitor Configuration and Service Sof tware Rev A.nn.nn
Implemented Options :
- Fetal Movement Profile
- External Twin Monitoring
MESSAGE: Press any KEY to continue!
Reading the Error
Log
This displays the error log. (See Chapter 10 for a list of error log messages.)
> PAGE 1 < Errorlog of : 2948G00010
Err. Count 1st Date+Time last Date+Time Code nnnn yy/mm/dd HH:MM yy/mm/dd HH:MM |-| |--| |------.----| |------.----|
Use >W< to Write ErrorLog Data to File >ErrLog.DAT< use CursorKey >Down< or >X< to see next Page, <ENTER> to leave
The error log lists:
" The monitor's serial number.
" The error code and the number of times the error has occurred.
" The date and time the error first occurred.
" The date and time the error last occurred.
Up to 16 error messages can be displayed on a screen. To see the next or previous screen, use the s or t keys on the keypad, or the E or X keys. At the end of the Error Log, No more Data
34 Configuring the Monitor
Page 53
Clearing the Error
Log
available is displayed.
Press to print a page on LPT1.
Press to return to the Service Menu. To write the error log data to a file, press the W key. The data is then stored as ERRLOG.DAT in
the directory containing PEGSERV.EXE. The data is stored as ASCII characters, and therefore the file can be printed using the DOS Command print ERRLOG.DAT. The file is overwritten each time you press the W key.
Series 50 Fetal Mo nitor Configurat ion and Service Soft ware Rev A.nn.nn
Service Menu
Serial Number : 2948G00010 Software Revision : A.02.03
Cyclic Test Read options Read ErrorLog Clear ErrorLog Are you sure? Write Ser.nr./ Set Options Fetal Heart Rate Alerting
Return to Main Menu MESSAGE: Select with >cursor keys< or >E, S, D, X< then press <ENTER> to execute!!
The confirmation message Are You Sure? asks if you do want to clear the error log:
" Press Y to clear the error log, OR
" Press N.
You then return to the Service Menu.
Configuring the Monitor 35
Page 54
Writing the
Serial Number
You can write the serial number to the monitor only if you have replaced the CPU Board with an exchange board. The serial number can be written only once to the exchanged board. If you accidently enter the wrong serial number, you can reset it using an access code obtainable from your Philips Response Center or from the Philips Technical Marketing Intranet page, “Softserver.”
Series 50 Fetal Mo nitor Configurat ion and Service Soft ware Rev A.nn.nn
NOTE: resettin g the Serial Number is protected by Acce ss Code
Serial Number : 3151G00026
Type in 4 digit code from factory TME and press <ENTER>
MESSAGE:
>----<
To write the serial number:
1. Using the keyboard, type in the serial number of the monitor. This is printed on the side and on the bottom of the monitor
2. Press .
A confirmation message asks if the serial number is correct:
Press Y if it is, OR
Press N and retype the serial number.
You then go to the Set Options Screen to reset the options for the monitor.
36 Configuring the Monitor
Page 55
Series 50 Fetal Mo nitor Configurat ion and Service Soft ware Rev A.nn.nn
Select Options according to the labels on the monitor
Option: Actual Setting is : Selection: #C.01 TWIN: OFF OFF ON #C.02 FMP: OFF OFF ON Write Options
MESSAGE: Select with >cursor keys< or >E, S, D, X< then press <ENTER> to execute!!
To select an option:
1. Using the appropriate keys, move the cursor to the selection you require.
2. Press .
To write the options to the monitor and return to the Main Menu:
1. Move the cursor to Write Options.
2. Press .
A confirmation message asks if the selected options are correct.
Configuring the Monitor 37
Page 56
Enabling/
Disabling FHR
Alerting
This screen enables you to enable or disable the fetal heart rate alerting. To change this configuration you must enter an access code, which is available from your Philips Response Center or from the Technical Marketing “Softserver” page on the Philips Intranet. There are two different access codes, one enables the alerting, and the second disables alerting.
Series 50 Fetal Mo nitor Configurat ion and Service Soft ware Rev A.nn.nn
NOTE: Changin g the Alert Option is pr otected by Access Co de !
Alert Option is EN ABLED. Do you want to DISABLE the Alert op tion?
Press <Y> for YES or <N> for NO!
MESSAGE:
To enable or disable the alerting, enter the specific code to enable or disable the alerting.
38 Configuring the Monitor
Page 57
Getting Started (Basic Considerations

Setting the Time and Date

You can view and change the time, the date and the paper speed using the following keys:
Figure 4-1 Setting the Time and Date
4
and Operation)
" Clock key displays the time (1).
" Paper speed displays the paper speed (2).
" Volume keys change the time, date and paper speed (3).
To set the time and date:
1. Press and release to display the current time. The Cardio 1/Combi display flashes to show that the hour can be changed.
2. Press or to set the hour. Press and hold the keys to change the setting more quickly.
3. Press and release and the Toco display flashes to show that the minutes can be changed.
4. Press or to set the minutes.
5. Repeat the procedure:
To set the month (in North America) or the day (in other countries).
To set the day (in North America) or the month (in other countries).
To set the year.
6. Press and release to return to the normal display.
You can also change the format of the time and date using the optional Barcode Reader and the feature setting barcodes supplied with it.

Getting Started (Basic Considerations and Operation) 39

Page 58

Changing the Time Format

To change from 12-hour to 24-hour format, enter TIME FORMAT 24H (MILITARY) from the feature setting sheet.
To change from 24-hour to 12-hour format, enter TIME FORMAT AM/PM from the feature setting sheet.
To change from Day.Month.Year to Month/Day/Year format, enter DATE FORMAT NORTH AMERICAN from the feature setting sheet.
To change from Month/Day/Year to Day.Month.Year format, enter
DATE FORMAT EUROPEAN from the feature setting sheet.
If the batteries are not changed when they become low or empty of charge, the settings will return to their default values: the date is set to 04.04.44 and the time is set to either 00.00 (European Format) or 12:00A (US Format).

Setting Paper Speed and Scale

Setting the Paper Speed

The paper speed can be 1, 2 or 3 cm/min. The default for North America is 3 cm/min; the default for other countries is 2 cm/min. A change in paper speed will result in a change in the appearance of an FHR trace, care must be taken to ensure ALL monitors in your institution are consistently set at the same speed.
The ACOG technical bulletin on FHR monitoring states that “accurate pattern recognition is difficult if not impossible at 1 cm/min and that 1 cm/min is only recommended for more economic screening. When FHR abnormalities arise, the faster paper speeds will enhance FHR pattern recognition.”
Use the Paper Speed Key to display the current paper speed and to return to the normal display. You also return to the normal display automatically if you don't press any key for a few seconds. When you return to the normal display, the new paper speed is set, and the time, date, speed and monitoring modes are printed on the paper.
To set the paper speed:
1. Press and release to display the current speed.
2. Press or to set the speed.
3. Press and release to return to the normal display.
40 Getting Started (Basic Considerations and Operation)
Page 59

Setting the FHR Paper Scale

All chart paper available for the monitor is 2-channel chem/thermal paper, containing 150 numbered pages per pack. Each page is 100mm long and 151mm wide. Several configurations are available, each with a 0 - 100 labor scale.
Table 4-1 Types of Trace Paper Available
Product
Number
FHR
Scale
Color of
Grid
FMR
Filing
System
Packs
per Case
European KPa scale
Highlighted
Three Lines
M1910A 30 - 240 Orange No 40 No Yes
M1911A 50 - 210 Green No 40 Yes No
M1913A 50 - 210 Green No 40 No Yes
Caution Using recorder paper that is not approved by Philips can damage the monitor. This type of damage will not be covered by warranty.
Some monitor configurations come with a fetal monitoring record (FMR) management system. Included in the FMR system are labels that facilitate a total management system for organized storage and retrieval of patient records.
If you wish to use paper with a different FHR scale (for example, 50 - 210 bpm instead of 30 - 240 bpm) you can change the paper scale settings:
1. Using the service software (see “Using the Service Program” on page 30).
2. Using pushbuttons (see “Configuring the Monitor Using Pushbuttons” on page 21).
Getting Started (Basic Considerations and Operation) 41
Page 60

Switching Logic Off and On

The default setting for arrhythmia logic is on. To change the setting, do the following:
" Connect a DECG transducer to the Cardio 1/Combi or Cardio 2 socket.
" Press repeatedly until is displayed.
" The Signal Quality Indicator shows:
RED if logic is OFF.
•GREEN if logic is ON.
" Press or to change the setting.
" Press repeatedly to return to the normal display.
You also return to the normal display automatically if you do not press a key for a few seconds.

Separating FHR Traces (“Twins Offset”)

Twin monitoring is an option.
To help with the interpretation of traces with similar baselines, you can separate them.

Using Keys

Using the
Barcode Reader
" Connect two fetal heart rate transducers to the Cardio 1/Combi and Cardio 2 sockets.
" Press repeatedly to display .
" The Signal Quality Indicator shows:
RED if the traces are NOT SEPARATED.
GREEN if the traces are SEPARATED.
" Press or to change the setting.
" Press repeatedly to return to the normal display.
You also return to the normal display automatically if you do not press a key for a few seconds.
Enter “Twins Offset'' from the barcode sheet.
42 Getting Started (Basic Considerations and Operation)
Page 61

Switching FMP Off and On

FMP is an option.
The default setting for FMP is on.

Using Keys To change the setting, do the following:

" Connect a transducer to the Cardio 1/Combi socket.
" Press repeatedly until is displayed.
" The Signal Quality Indicator shows:
RED if FMP is OFF.
GREEN if FMP is ON.
" Press or to change the setting.
" Press repeatedly to return to the normal display.
You also return to the normal display automatically if you do not press a key for a few seconds.
Using the
Barcode Reader
Enter FMP Off or FMP On from the barcode sheet.
Getting Started (Basic Considerations and Operation) 43
Page 62
44 Getting Started (Basic Considerations and Operation)
Page 63

Monitor Rear Panel

5

System Interfaces

Figure 5-1 Sockets for Peripheral Devices
1. Interface for optional barcode reader.
2. Interface for Philips Avalon CTS Cordless Fetal Transducer System (M2720A) and Series 50 T Fetal Telemetry System (M1310A). See “Connecting External Devices” on page 56 and “Interface for Philips M2720A/M1310A” on page 46 for details.
3. System interface for connection to 80225A/80235A OBMS System and/or M1340A Fetal Trace Transmitter or M1370A ODIS System (optional). See “System Interface Option J12” on page 53 for details.
4. Serial RS232/RS422 system interface for connection of maternal monitors such as Philips CMS. See “RS232/RS422 Dual Serial Interface Option J13” on page 55 for details.
5. RS232 digital system interface for connection to a Philips OB TraceVue system or an IBM compatible PC. See the table “RS232 System Interface” on page 52 for details.
6. Serial RS232/RS422 system interface for connection of Nellcor N-200 maternal SpO monitor (and N-400 fetal SpO
See “Rear Panel (Slot Positions)” on page 14 for a description of the board positions.
System Interfaces 45
monitor for an M1350 XM without fetal SpO2).
2
2
Page 64

Interface for Philips M2720A/M1310A

The Telemetry interface allows connection to the Philips Fetal Telemetry Systems. Full functionality is provided by the Philips Avalon CTS Cordless Fetal Transducer System (M2720A) and Series 50 T Fetal Telemetry System (M1310A) with monitor software revision higher than A.04.00.
The pin allocations for the various signals are shown below.
printelem.hpgl
Figure 5-2 Telemetry Input Signal Allocations
For details of which parameters are supported with each monitor/interface combination, refer to "Monitoring Using External Devices" in the Instructions for Use.
46 System Interfaces
Page 65
Table 5-1 Telemetry Interface: Pin Connections
Pin Signal Function 1 (Telemetry)
Function 2 (External
Parameter)
1 HR2 HR-LF 2 MECG Analog: Input
2 -12V Max. 100mA: Output
3 +5V Max. 100mA: Output
4 +12V Max. 100mA: Output
5S1
6S2
S3
Telemetry on (L)
DECG Inop (L)
1
:Input
1
Ext Par On (L)
1
INOP (L)1: Input
: Input
8 S4 DECG Mode Ext Par Code MSB (scaling): Input
9 S5 Reserved Mode Ext Par Code LSB (scaling): Input
10 S6
11 S7
12 S8
13 S9
US Mode (L)
IUP Mode (L)
Toco Ext Mode (L)
1
: Input Cardio Channel (L1): Input
Toco Channel (L
1
1
Input
1
): Input
14 HR1 (HR-LF) FHR low frequency 1
15 Toco Toco dc: Input
16 Ext Par Ext Par Analog: Input
17 Gnd Analog Signal Gnd Signal Gnd
18 Gnd
19 Mark
Telemetry Marker on (L)
1
20 FMP on Telemetry FMP on
21 FM Telemetry Fetal Movement event on
22
reserved (L)
1
23 N.C. (if ID) New Interface= Do not
connect Old Interface= connect to Gnd
24 Gnd
25 S10
HR2 Mode = MECG Mode (L)
1
1. If pin 5 is high (telemetry is off) the other inputs have different functions. Tele On (pin 5=L) and Ext.para.on
(pn 6=L) are not allowed at the same time. HCMOS threshold: L = Low = 0 to 1.5V H = High = 3.5 to 5V
System Interfaces 47
Page 66
Ext. Par. Code Recorder Toco scale Recorder Philips scale (US) (EU)
MSB LSB Sensitivity 0..100 Sensitivity 30..240 50..210
0 0 1V/100 units 0V 1V 1V/100bpm 0.0V 2.1V 0.0V 1.6V
0 1 1V/100 units 0V 1V 1V/100bpm 0.3V 2.4V 0.5V 2.1V
1 0 2V/100 units -1V 1V 1V/100bpm 0.0V 2.1V 0.0V 1.6V
1 1 10V/100 unit -5V 5V 1V/100bpm 0.0V 2.1V 0.0V 1.6V

Functions for External Parameter Input

Telemetry Pin 1 HR 2--MECG Analog Input.

Analog Signal Specification:
" Ri > 10 k
" U max = ±6 Vpp, min = 40 mVpp
MECG Mode (L) Input (pin 25) should be set to L (0V).
Pins 2, 3 and 4. Supplies for small peripheral instruments, earth connections through pins 18 and
24. Maximum current allowed 100mA.
Pin 5 (S1) Telemetry on (L). monitor goes to Telemetry Mode.
" Telemetry display field is lit.
" Transducer must be removed from the front panel connectors. If they are not removed,
appears in the display above the transducer socket.
" Status bits pin 7 (S3) to pin 13 (S9) and pin 25 (S10) are activated through the connection
to ground (pins 18 to 24) and have function 1 (Telemetry).
" Pin 6 (S2) must be High, if not appears in the display.
" Each transition of S1 starts a complete mode annotation at the recorder.
Pin 7 (S3) DECG inop.
Pin 8 (S4) DECG Mode.
Pin 9 (S5) Reserved Mode.
Pin 10 (S6). US-Heart rate mode programming for Telemetry input signal.
Pin 11 (S7). Not used with Telemetry.
Pin 12 (S8). IUP Mode (L).
Pin 13 (S9). Toco Ext Mode (L). Toco mode programming. Activated Toco mode will be
displayed on the front panel.
48 System Interfaces
Page 67
Pin 14 HR 1 Fetal Heart Rate INPUT. Input signal depends upon the selected HR mode. The table below gives details of the input signals for each of the HR modes.
Fetal Heart Rate Mode Input signal Pin 14
US (S6 Low level) Doppler LF signal
Ri > 10 k
Umax = ±3.5 Vpp
min = 35 mVpp
Pin 15 TOCO - DC INPUT
Ri > 10 k
Input range = -3 V to +2 V Sensitivity = -1 V Full scale
Pin 17. Signal ground for pins 14 and 15.
Pin 18 - 24. Ground for supply and status bits S1 to S10 activation. System outputs will be
controlled in the telemetry mode as in the front mode.
Pin 25. MECG - Mode. Input > (L). MECG mode programming. Activated MECG mode will be displayed on the front panel. The input signal from pin 1 (MECG Analog Input) will be processed by the instrument.

External Parameter

Pin 6 (S2) External Parameter ON (L). The external parameter is printed on the recorder in addition to the front mode information.
" Pin 5 (S1) must be High, if not appears in the display.
" Status bits S3 to S7 have function 2.
Pin 7 (S3) INOP (L). Printer disabled for the external parameter.
Pin 8 (S4) MSB and Pin 9 (S5) LSB. External parameter code.
Ext. Par. Code Definition
MSB LSB
0 0 1 (see Figure Definition 1)
0 1 2 (see Figure Definition 2)
1 0 3 (see Figure Definition 3)
1 1 4 (see Figure Definition 4)
System Interfaces 49
Page 68
psm11sca.tif
Figure 5-3 External Parameter Definition 1
HR Channel: 1 V/100 bpm TOCO Channel: 1 V/100 Toco units
Positive input voltages only; when the paper scaling limits are exceeded the external parameter will no longer be recorded.
psm12sca.tif
Figure 5-4 External Parameter Definition 2
HR Channel: 1 V/100 bpm TOCO Channel: 1 V/100 units
50 System Interfaces
Page 69
psm13sca.tif
Figure 5-5 External Parameter Definition 3
psm13sca.tif
Figure 5-6 External Parameter Definition 4
When the paper scaling limits are exceeded the external parameter is recorded as a straight line on the limit.
Pin 10 (S6) Cardio Channel (L). External parameter will be printed on the Cardio Channel.
Pin 11 (S7) Toco Channel (L). External parameter will be printed on the Toco channel. One and
only one of either S6 or S7 has to be selected otherwise is displayed on the right hand Cardio 2 display.
System Interfaces 51
Page 70
Pin 16 External Parameter Input
Ri > 10 k
Uin (max ±5 V) See external parameter code definition (pin 8, pin 9).
The external parameter is recorded but does not appear at the display and system interface output. The digital serial interface can provide the external parameter signal.

Interface for Triplets Monitoring

Connect the M1360-61671 triplets cable to the 25 pin connector on the telemetry interface or telemetry system interface of the M1350A or M1350B/C, and to the system interface of either the 8040A or the 8041A. Refer to the Instructions for Use for details.

RS232 System Interface

The 9 pin RS232 Telemetry interface system connector provides a digital interface protocol to permit connection to a Philips Series 50 OB TraceVue system or an IBM compatible PC.
rs232sys.hpg
Figure 5-7 RS232 System Interface Connector
52 System Interfaces
Page 71
Note If an OBMS Board (M1350-66532) is plugged in at the same time as the Combined Telemetry/
Digital System Interface Board (M1350-66536), the digital interface on the Telemetry Board is switched off as per default. See Chapter 5 for information on how to activate RS232. If the Software Revision installed is earlier than A.04.01 the RS232 system interface will remain inactive.

System Interface Option J12

The system interface is provided for connection to the Obstetrical Display Information System (ODIS), and the Obstetrical Information Management System (OBMS) Central Stations.
The pin allocations for the various signals are shown below.
Figure 5-8 System Interface Connections
The following table lists the pin numbers, the signals at each pin and the signal details. If a Telemetry/System Interface M1350-66536 is connected at the same time, you should check the correct setting of C13. See Chapter 5 for the correct setting.
System Interfaces 53
Page 72
Table 5-2 System Interface: Pin Connections
Pin Signal Signal Details
1 HR2 Output 1 V/100 bpm ±40mV (0V if not valid) R_out = 100
2 Not connected
3 RS422 Output + Digital Serial Output
4 Toco Status Output Toco external/No Toco (L)
5 HR1_valid Output When heart rate is valid, output is high.
6 Not connected
7 Not connected
8 Not connected
9 Not connected
10 Not connected
11 HR1-Mode 10V Output US=0.6V / AECG=5V / DECG=6.7V
12 Ground Analog Signal Ground
13 Toco 10V 1 V/10 Toco-units ±100mv
14 HR2-Mode 10V Output US=0.6V / MECG=5V / DECG=6.7V
15 RS422 Output - Digital Serial Output
16 Flash 1 Pulse (H) > 100ms (Digital Signal)
17 RS422 Input + Digital Serial Input
IUP (H) (Digital Signal)
/ INOP=8.5V
R_out = 100
/ INOP=8.5V
18 RS422 Input - Digital Serial Input
19 Instrument ON/OFF Open PNP Collector
R_i = 22k; (ON=Conducting)
20 External Marker 0V=On (Output)
1
21
*
FHR1 Analog Output 1V/100bpm ±30mV R_out=100
22 External Test Input When input is low, external test is on.
23 Instrument ID 2.5V Regulated
24 Chassis Ground Chassis ground
1. In the event of a “paper end” or an “FHR coincidence” condition, an analog signal is applied to Pin 21 FHR 1 output. This lasts approximately 600msec and is repeated every minute while the condition remains. The exact output voltage values are shown in the following table.
Internal Pullup 5k
R_i = 100
54 System Interfaces
Page 73
Table 5-3 Pin 21: Output Voltage Values
FHR
Coincidence
Bit
0 0 0 3.500 - 3.650 3.575
0 0 1 3.650 - 3.800 3.725
0 1 0 3.800 - 3.950 3.875
0 1 1 3.950 - 4.100 4.025
1 0 0 4.100 - 4.250 4.175
1 0 1 4.250 - 4.400 4.325
1 1 0 4.400 - 4.550 4.475
1 1 1 4.550 - 4.700 4.625
Paper
End
Bit
Reserve
Bit

RS232/RS422 Dual Serial Interface Option J13

The Dual Serial Interface board provides data communication between the Philips monitor and external devices. A model 8801 adapter is required from Critikon before the Dinamap 8100 can be connected to the interface socket on the Philips monitor. External parameters are transmitted/ printed only if the monitor has no internal parameters installed.
Voltage
Range
Pin21
Output
Supported External Devices External Maternal Parameters Fetal
NIBP SpO
Philips M1165A/1166A/1175A/1176A CMS/ V24/V26
Philips 78352C/78354C Compact Configurable Monitor (CCM)
COLIN Press-Mate/Nippon Colin Yes No No Yes No
Listmini Model BP-8800 Yes No No Yes No
Datascope Accutorr 3, 4 Yes No No Yes No
Dinamap 1846/8100 NIBP Monitor Yes No No Yes No
Datascope Accutorr 3SAT, 4SAT Yes Yes No Yes No
Nellcor Oxygen Saturation monitor (N-200) No Yes No Yes No
Nellcor OxiFirst Fetal Oxygen Saturation
monitor (N-400)
1. An MHR measurement is provided in conjunction with maternal NIBP or SpO
2
Ye s
Ye s
No No No No Yes
Yes
2
Yes
Temp
2
2
2
Ye s
Ye s
2
2
2
monitoring.
MHR
2
Ye s
2
Ye s
1
FSpO
2
No
No
System Interfaces 55
Page 74
2. Only if this parameter is installed on the external device.
Measurement Priority Measurements made by internal maternal parameters (SpO MHR) take precedence above the same measurements made by an externally connected device.
The MHR measurement obtained from the SpO obtained from the NIBP measurement.

Connecting External Devices

The supported external devices are connected to the monitor via the Dual Serial interface at the rear of the monitor. External devices connected to socket 1 that can monitor SpO over the
Warning Before connecting an external device to the monitor, connect the equipotential grounding
point (3) to earth potential. Use the grounding cable supplied with the monitor. The power cord of the external device must be plugged into a wall-mounted power outlet - not into an extension block.
The Dual Serial Interface has two sockets: see Figure 5-1.
Nellcor OxiFirst Oxygen Saturation monitor (N-200).
, NIPB, and
2
measurement has higher priority than the MHR
2
have priority
2
1. Use socket 1 (9 pin) for connecting:
" Philips M1165A/1166A/1175A/1176A CMS, all models
" Philips 78352C/78354C Compact Configurable Monitor.
" Dinamap 1846/8100 NIBP Monitor.
" COLIN Press-Mate/Nippon Colin Listmini Model BP-8800.
" Datascope Accutor 3, 4, 3SAT and 4SAT.
2. Use socket 2 (25 pin) for connecting:
" Nellcor Maternal Oxygen Saturation monitor (N-200) and Nellcor OxiFirst Fetal
Oxygen Saturation monitor (N-400)
.
56 System Interfaces
Page 75

Philips CMS, Philips 78352C/ 78354C, Dinamap 1846/ 8100, Datascope Accutorr Monitor

To connect either a Philips CMS, a Philips 78352C or 78354C, a Dinamap 1846/8100, or a Datascope Accutorr monitor follow the instructions below. The screws for the Philips CMS and Philips 78352C or 78354C are metric and should be tightened by hand only, and not with a screwdriver.
" Use interface cable M1350-61609.
" Connect the 9-pin end of the cable to the Philips Series 50 XM or XMO monitor.
" Connect the 25-pin end of the cable to the external device.
" Secure the interface cable by the screws at the cable connectors.
Figure 5-9 Interface Cable M1350-61609
COLIN BP­8800
To connect a COLIN BP-8800 Monitor to a Philips Series 50 XM or XMO monitor:
" Use the interface cable supplied by the COLIN Corporation with the NIBP monitor.
" Connect the 9-pin end of the cable to the Philips Series 50 XM or XMO monitor.
" Connect the 15-pin end of the cable to the COLIN.
" Secure the interface cable by the screws at the cable connectors.
Figure 5-10 COLIN Interface Cable
System Interfaces 57
Page 76

Nellcor N-200 or N-400 Monitor

To connect a Nellcor N-200 or N-400 monitor to the Philips Series 50 XM or XMO monitor:
" Use the interface cable M1350-61609.
" Connect the 25-pin end of the cable to the Philips Series 50 XM or XMO monitor.
" Connect the 9-pin end of the cable to the Nellcor N-200 or N-400.
" Secure the interface cable by the screws at the cable connectors.
" Set the dip switches on the rear panel of the Nellcor N-400 fetal SpO
monitor to:
2
Up: 4, 8
Down: 3, 6, 7,
This selects a baud rate of 2400 and an output format of “Conversation”. The positions of the other dip switches do not matter.
The following tables list the pin numbers, the signal at each pin and the signal details.
Table 5-4 9-Pin Connector
Pin Signal Signal Details
1 - Connected to pin 4
2 RxD (RS232) Received data input
3 TxD (RS232) Transmitted data output
4 Connected to pin 1
5 GND Signal ground
Table 5-5 25- Pin Connector
Pin Signal Signal Details
2 TxD (RS232) Transmitted data output
3 RxD (RS232) Received data input
RxD-1 (RS422) Received differential data input +
7 GND Signal ground
9 TxD-1 (RS422) Transmitted differential data output +
10 TxD-2 (RS422) Transmitted differential data output -
18 RxD-2 (RS422) Received differential data input -
58 System Interfaces
Page 77
Figure 5-11 Dual Serial Interface: 9-Pin and 25-Pin

Philips V24/ V26

To connect a V24/V26 to the Philips Series 50 XM or XMO monitor:
" Use the interface cable M1353-61614.
" Secure the interface cable by the screws at the cable connectors.
System Interfaces 59
Page 78

External Device Baudrate Settings and Configurations

Philips CMS

Baudrate: 9600
Startbit: 1 Parity: None
Databits: 8 TX/RX: High/Low
Stopbits: 1 Computer: On
Cable: M1350-61609 only
Port: Any port may be used, but ensure the above settings are stored
to the Philips CMS in configuration mode.

Philips 26/24

Baudrate: 9600
Startbit: 1 Parity:None
Databits: 8 TX/RX: High/Low
Stopbits: 1ComputerOn
Cable: M1353-61614

Philips 78352C and Philips 78354C

COLIN BP­8800
Baudrate: 9600 Switches: SW5 Open
Startbit: 1SW6 Closed
Databits: 8 Parity: None
Stopbits: 1
Cable: M1350-61609
Port: Only port B (sometimes referred to as port 2) can be used if
the Philips 78352C or 78354C is configured to 9600 Baud.
Baudrate: 4800
Startbit: 1
Databits: 8 Parity: Even
Stopbits: 1
Cable: Supplied by the COLIN Corporation
60 System Interfaces
Page 79

Dinamap 1846/ 8100

Datascope Accutorr

Nellcor N-200 and N-400

Baudrate: 600
Startbit: 1
Databits: 8 Parity: None
Stopbits: 1
Cable: M1350-61609
Baudrate: 9600
Startbit: 1
Databits: 8 Parity: None
Stopbits: 1
Cable: M1350-61609
Baudrate: 2400
Startbit: 1
Databits: 8 Parity: None
Stopbits: 1
Cable: M1350-61609
System Interfaces 61
Page 80

External Maternal Measurement on the FHR Trace

Annotations on the trace of measurements made by external devices are always prefixed with an asterisk, *. Maternal measurements made by the 50 XM/XMO monitor itself have higher priority than maternal measurements made by a device externally connected to it.
Table 5-6 External Maternal Measurement Frequency
Parameter
Measurement Printout
Interval
Internal External
SpO
2
NIBP
MECG Waveform On demand Not available
Temperature Not available 5 minutes
1. If you are using automatic mode to measure maternal blood pressure, with a short interval between repetitions, not all measurements will be recorded on the paper.
5 minutes
Each measurement
1
If you monitor maternal NIBP only, an MHR measurement is printed at the same time as the NIBP measurement. If you monitor SpO
the maternal SpO
measurement, every 5 minutes.
2
, an MHR measurement is printed at the same time as
2
If you set the NIBP monitor to automatic mode, you must leave a minimum time interval between each measurement. This time interval depends upon the paper speed setting.
Paper Speed Minimum Time Interval
1 cm/min 3 minutes.
2 cm/min 2 minutes.
3cm/min 1 minute.
62 System Interfaces
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Troubleshooting

You can use the following tables for solving general application problems and product-specific problems that may occur. For solving general technical problems, refer to the troubleshooting flowcharts.
Problem Possible Causes Solutions
General
Not all maternal NIBP measurements are printed on the trace and the NIBP Monitor is in automatic mode.
Incorrect SpO
or Temperature measurements. The monitor has been switched on before the
2
Problem Possible Causes Solutions
No maternal SpO2 and no MHR measurements
are printed on the trace.
Problem Possible Causes Solutions
No FSpO2 annotation after Rec On in Toco grid.
mat HR and mat SpO
of trace.
appear as printout instead
2
The time interval between each measurement is too short.
appropriate sensor was applied.
Nellcor N-200 Maternal SpO2 Monitor
The Nellcor monitor is powered by the internal battery. (Battery power symbol is lit.)
Wrong DIP switch configuration of N-200 monitor.
Nellcor N-400 Fetal SpO2 Monitor
Wrong DIP switch configuration of N-400 monitor.
Wrong setting of C10.
No FSpO
Wrong C10 setting.
transducer plugged in.
2
Set the minimum time interval according to paper speed. (See previous pages in this Chapter).
Apply sensor 5 minutes before the monitor is switched on.
Switch on the AC power at the rear of the monitor. (Battery power symbol is not lit.) See also “FSpO2 Monitor” on page 164 for FSpO
troubleshooting instructions.
Check DIP switch configuration of N-200 monitor (see page 58).
Check DIP switches (see page 58).
Change C10 setting.
Connect transducer.
Change C10 > 10.
2
System Interfaces 63
Page 82
Philips CMS and Philips 26/24 Series
Problem Possible Causes Solutions
No maternal measurements are printed on the trace.
No MHR measurement is printed on the trace. Incorrect parameter source. If the SpO
No maternal temperature is printed on the trace. TEMP1 is not labeled T1.
Mat.HR 0 and Mat.SpO
on the trace.
0% values are printed
2
The parameters are switched off.
Incorrect interface cable.
Incorrect Philips CMS software revision.
Other RS232 external devices are blocking the communication to the Fetal Monitor.
Incorrect configuration of the RS232 port.
Temperature sensor is not connected to module TEMP1.
The Nellcor and the Philips CMS are connected in parallel and the Nellcor front power supply switch is in the off position and the rear power supply switch is in the on position.
Switch on the parameters in the Parameters On/ Off menu. (See the Operating Guide supplied with the Component Monitoring System.)
Ensure the interface cable M1350-61609 is used. (This number is printed on both ends of the cable.)
Ensure the Philips CMS has Revision C (or higher) software.
Disconnect all other RS232 external devices, except the fetal monitor from the Philips CMS and turn the power supply switch for the Philips CMS off. Wait at least 10 seconds, then turn the Philips CMS power supply switch on again.
Check Philips CMS settings and refer to Philips CMS Service Documentation.
HR/PULSE source to PLETH.
Change TEMP1 label to T1.
Check the cable connection of the temperature sensor.
Ensure the Nellcor power supply switches (front and rear) are both on or both off. Alternatively, disconnect the Nellcor monitor completely (see also page 164).
/PLETH module is plugged in, set the
2
64 System Interfaces
Page 83

Carrying Out the Checks

After you have installed the monitor, perform the following checks listed below:
1. Ensure you have loaded some paper and connected the power cord.
2. Turn the monitor on.
3. Check that the paper speed, and time and date are configured.
4. With no transducers connected, press .
You should see the following:
DISPLAY: All parts of the display are lit followed by all mode symbols. These will flash alternately for about 10 seconds.
RECORDER: During the test the recorder speed will automatically set to 3cm/min and a test pattern will be printed on the recorder paper to verify the condition of the thermal print head and if the printer is correctly configured. See Figure 9-1. Recorder Test Pattern, for a sample recorder test pattern.
6

Quick Installation Checks

5. Perform the Parameter Test as described in “Parameter Test” on page 112.
6. Check the Barcode Reader is correctly connected as outlined in Chapter 3.
The previous checks should verify the operation of the monitor. More complete tests, such as transducer tests, are given later in this book.
Quick Installation Checks 65
Page 84
66 Quick Installation Checks
Page 85

Introduction

This chapter tells you how to upgrade the monitors, which options require which steps, and how to restore the monitor’s original configuration. Many of the upgrade options (especially those whose option number begins with “C”) require very similar steps to upgrade them, as you will see from the tables.

Overview of Upgrade Options

There are many different upgrades possible. The following table shows you the upgrade option numbers (upgrade option and part numbers are prefixed with M1360) and gives a brief description of their function.
7

Upgrades

Existing Configuration
Series 50 XM Series 50
add
Second US/Cardio channel C01 C01 C01 C01
Fetal Movement Profile C02 C02 C02 C02
Maternal parameters only C04 C03 not applicable C30
FSpO
only C31 C34 C32 not applicable
2
FSpO2 and maternal parameters C33 C35 not applicable not applicable
latest software release S01 S01 S01 S01
RS232 Interface (for Philips OB TraceVue) or Telemetry Interface
Combined analog/digital system interface for OBMS and ODIS
Maternal parameter interface to connect external patient monitor
Series 50
IX
J10 not applicable not applicable not applicable
J12 J12 J12 J12
J13 J13 J13 J13
without
maternal
parameters
with
maternal
parameters
XMO
without
maternal
parameters
Upgrades 67
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Work Instructions at a Glance

Each upgrade is described in a series of work instructions. Not all upgrades require all the work instructions. The following table shows you exactly which instructions you must follow for the upgrade you are performing.
Work Instruction
Upgrade
option
C01
C02
C03
C04
C30
C31
C32
C33
C34
C35
S01
J10
J12
1 2 3 4 567 8 910
---------
---------
!!!
-
!!!!
!!!
-
!!!!
!!!
-
!!!!
!!!
!!!
!!
!!
!!
------
------
--------
-
-
!!
-
--- -
!!
-
--- -
!
!!!
-
--- -
!
!!!
-
!!
!
!!
!
!
!!! ! !
!
!
!
!
-
-
-
-
-
-
-
-
-
-
J13
68 Upgrades
!!
------
!
-
Page 87

Options at a Glance

The following table gives you an overview of what is involved in each upgrade option. All “Cxx” upgrades include a mandatory CPU firmware upgrade for the ROM board.
Option Adds..... Factory ships..... You must.....
C01 second US/Cardio
• upgrade key • upgrade and test the monitor
channel
C02 Fetal Movement Profile
C03 maternal parameters to
an XM without maternal capability
C04 maternal parameters to IX• installed new base assembly
• new display
• NIBP board
• SpO
board
2
• new CPU firmware (4 EPROMs)
• new CPU firmware (4 EPROMs)
• use original base assembly
• fit new display
• connect NIBP and SpO2 and fit both boards
• upgrade ROM board with new CPU firmware
• configure and test monitor
• transfer original cover, recorder, power supply and ROM board to new base assembly
• upgrade ROM board with new CPU firmware
• configure and test monitor
C30 maternal parameters to
an XMO without maternal capability
C31 FSpO
only (no
2
maternal parameters) to an IX
C32 FSpO2 to an XM that
already has maternal capability
• new display
• NIBP board
• SpO
board
2
• new CPU firmware (4 EPROMs)
• installed new base assembly
• new CPU firmware
• new display
• FSpO
board
2
• new CPU firmware (4 EPROMs)
• use original base assembly
• fit new display
• connect NIBP and SpO2 and fit both boards
• upgrade ROM board with new CPU firmware
• configure and test monitor
• transfer original cover, recorder, power supply and ROM board to new base assembly
• upgrade ROM board with new CPU firmware
• configure and test monitor
• use original base assembly
• fit display assembly
• Fit FSpO
board
2
• upgrade ROM board with new CPU firmware
• configure and test monitor
C33 maternal parameters and
FSpO
to an IX
2
• installed new base assembly
• new CPU firmware (4 EPROMs)
• transfer original cover, recorder, power supply and ROM board to new base assembly
• upgrade ROM board with new CPU firmware
• configure and test monitor
C34 FSpO
without maternal capability
C35 FSpO
parameters to an XM without maternal capability
only to an XM
2
and maternal
2
• FSpO2-only display
• FSpO
board
2
• new CPU firmware (4 EPROMs)
• new display
• FSpO
board
2
• NIBP board
• SpO
board
2
• new CPU firmware (4 EPROMs)
S01 latest software • new CPU firmware (4
EPROMs)
• use original base assembly
• fit FSpO
board
2
• fit new display
• upgrade ROM board with new CPU firmware
• configure and test monitor
• use original base assembly
• connect NIBP and SpO
• fit FSpO
board
2
and fit boards
2
• fit new display
• upgrade ROM board with new CPU firmware
• configure and test monitor
• upgrade ROM board with new CPU firmware
• upgrade NIBP board with new firmware
• new NIBP firmware
J10 RS232 interface for OB
TraceVue, or Telemetry interface
J12 combined analog/digital
• RS232/Telemetry board
• new CPU firmware (4
• upgrade ROM board with new CPU firmware
• Fit new board. Series 50 IX only.
EPROMs)
• Analog/digital interface board • Fit new board
system interface for OBMS and ODIS
Upgrades 69
Page 88
Option Adds..... Factory ships..... You must.....
J13 maternal parameter
interface
• Interface Board
• CPU firmware (4 EPROMs)
• Cable to link monitor to exter­nal device
• Fit new interface board
• upgrade ROM board with new CPU firmware

Initial Inspection

The upgrades are supplied packed in protective shipping cartons. Before unpacking, visually check the packaging and ensure there are no signs of mishandling or damage. Using the table above, ensure that you have received the correct components for the upgrade option number, check that the contents are complete and that you have the correct upgrade.

Claims for Damage

Follow the instructions in the section “Unpacking and Checking the Shipment” on page 3 if the shipping cartons show signs of damage.

What You Need

Upgrading a monitor requires simple tools:
" pozidrive screwdriver size 1 " safety test equipment " PC for configuration " Configuration software “pegserv.exe” " Cable to link PC to fetal monitor

Before You Start

Warning Disconnect the electrical power to the monitor before you remove any component. Follow
the necessary electrostatic discharge (ESD) procedures throughout the upgrade process.
70 Upgrades
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Instruction 1 Verifying Monitor for Upgrade
Before you start the upgrade process, ensure that you are upgrading the correct monitor and that it is working properly.
Options Requiring this Procedure
C01 C02 C03 C04 C30 C31 C32 C33 C34 C35 S01 J10 J12 J13
--
!!! ! !!!!!!!!
1. Check the monitor’s serial number as described in the section on “Instrument Identification” on page 5.
When you have upgraded the monitor, remove the old serial number labels from the monitor and replace them with the new labels supplied in the upgrade pack.
2. Ensure that the monitor you are about to upgrade works correctly. Perform a Quick Test and a Parameter Test on the monitor. These are detailed in Chapter 9.
If the monitor does not successfully complete its service tests, do not upgrade it. Make appropriate arrangements for its repair. It is more expensive in time and money to troubleshoot after an upgrade.
Instruction 2 Checking Current Configuration
The first step in the upgrade process for all upgrade options is checking the current configuration. You do this by printing the error log to provide you with a record of the current configuration. After you have finished upgrading the monitor, you will need this record to help you to restore the initial configuration. See page 24 for instructions on printing the error log.
Options Requiring this Procedure
C01 C02 C03 C04 C30 C31 C32 C33 C34 C35 S01 J10 J12 J13
--
Upgrades 71
!!! ! !!!!!!!!
Page 90
Instruction 3 Removing the Top Cover
p
See “Removing the Top Cover” on page 167 for instructions.
Options Requiring this Procedure
C01 C02 C03 C04 C30 C31 C32 C33 C34 C35 S01 J10 J12 J13
--
!!!!!!!!
Instruction 4 Using the New Base Assembly
When you upgrade a Philips Series 50 IX monitor, you receive a new base unit that is fully fitted with the options that were ordered. All you have to do is transfer some components from the original monitor into the new base unit and perform a firmware upgrade. From the original monitor, you must reuse the cover, the power supply, the recorder and the ROM board.
Options Requiring this Procedure
C01 C02 C03 C04 C30 C31 C32 C33 C34 C35 S01 J10 J12 J13
---
Reusing the Power Supply
!
To remove the power supply from the monitor:
-
!
!
-
------
----
sm20sca.tif
72 Upgrades
Page 91
1. Undo the four screws at the rear of the power supply.
2. Pull the power supply out of the rear of the monitor.
3. Put the power supply into the new card cache of the upgrade kit. This is basically a reversal of the above procedure. Hold the ON/OFF switch (on the front of the monitor) as this can be dislodged while inserting the power supply. If you have trouble locating the power supply into the rear of the monitor, remove and check that the pins connecting the supply to the backplane are not bent. Reinsert the power supply (see page 14 for the correct location).
Reusing Boards
Depending on the configuration of the original monitor, you may have to swap up to three other boards from the original monitor into the new one. The technique for removal and replacement is the same for all of the boards. These boards are:
" Telemetry interface
" Dual serial interface
" OBMS interface
1. Undo screws (1) and (2) at the top and bottom of the board.
2. Move lever (2) upwards and pull the board out of the rear of the monitor.
2
1
psm23sca.tif
3. Put the reused board(s) into the appropriate slot(s). See page 14 for details.
4. Replace and tighten the screws.
Upgrades 73
Page 92
Using the
p
Existing Recorder
To swap the existing recorder to a new unit, follow the instructions in the section on “Recorder Assembly” on page 174.
sm26sca.tif
Then replace the cover on the monitor, using the four screws you reserved earlier.
Labeling 1. Stick the option indicator label (which indicates whether the monitor has FMP and/or twin
capability) beneath the remote event marker socket.
2. Place the upgrade serial number label on the righthand side of the cover so that it can be easily seen.
74 Upgrades
Page 93
Instruction 5 Removing the Display Assembly
To remove the display panel you need first to remove the front end board, and then the digital interface board. This applies to upgrades to XM and XMO monitors.
Options Requiring this Procedure
C01 C02 C03 C04 C30 C31 C32 C33 C34 C35 S01 J10 J12 J13
--
A Removing the Front E n d Board
B Removing the Digital Interface Board
!
See “Frontend Board” on page 176 for instructions on how to remove the frontend board.
!
-
-
!
-
!!
----
difboard.hpg
1. Disconnect all the cables:
loudspeaker cable (1)
power LED connector (2)
recorder switch board connector (3)
recorder sensing board connector (5). Unlock the flex layer connector by pulling it slightly forwards.
Upgrades 75
Page 94
recorder stepper motor (6)
frontend board connector (7)
backplane flat cable (13)
2. Disconnect the recorder print head (4) from the recorder assembly.
3. Remove the two screws (8) and (11) that hold the board in place.
4. Slide the digital interface (DIF) board towards the rear of the monitor before lifting the board up, to give the marker connector a “chance”.
5. Remove the label from the front end connector area. Score carefully around the connectors in the area with a flat bladed knife. Do not allow any adhesive to remain on the front panel.
C Removing
See “Display Assembly” on page 180 for instructions on how to remove the maternal display panel.
the Maternal Display Panel
Next Step If your upgrade is Option C03, C30 or C35 go to “Adding SpO2 and NIBP Capability” on page
77.
If your upgrade is Option C32 or C34, now go to “Adding an FSpO2 Board” on page 79.
76 Upgrades
Page 95
Instruction 6 Adding SpO2 and NIBP Capability
m
This adds maternal pulse oximetry and blood pressure measurement capability.
Options Requiring this Procedure
C01 C02 C03 C04 C30 C31 C32 C33 C34 C35 S01 J10 J12 J13
--
!
!
-
- ---
!
----
atcable.hpg
1. Remove the two plastic parts that pad the two holes already prepared for the NIBP and SpO
connectors (screws 1 and 2).
2
2. Remove the three cover-blanks that cover slots 4 and 5 (NIPB) and 9 (SpO of the monitor.
3. Fix the NIBP tubing and SpO2 cabling, with their connectors, to the front panel. Do not force the screws drilled into the plastic on the front panel.
Upgrades 77
), from the rear
2
Page 96
4. Replace the DIF board into the monitor, checking that the marker connector is raised
s
through the front end. Reconnect all the cables.
5. Secure the earth connection mounting (2) to hold the SpO
cable in place and to ensure the
2
correct shielding.
6. Place the SpO
cable and the NIBP tubing in wide soft curves from the front to the rear card
2
cache and feed them through the appropriate slots.
7. Insert the SpO2 and NIBP boards halfway into the appropriate slots at the rear of the monitor. Connect the tubing and the cable and then fully insert the boards. Screw the boards
into position with the provided screws.
8. Attach the self-adhesive holders fixing cable and tubing (1) to the top of the card cache so that it allows any subsequent exchange of the boards without removing the top cover. Make sure that the cable and tubing lie in a soft curve without any crossover on top of the card cache.
po2nib.tif
9. Put the frontend board back into the monitor, sliding it towards the front to click the connectors back into their clips. Ensure that all connectors are fully inserted (check this from the front) before you screw the board back in place.
10. Replace the top cover, ensuring that the cable and tubing are not squeezed.
Next Step If your upgrade is Option C32, C34 or C35, go to “Adding an FSpO2 Board” on page 79.
If your upgrade is C03, C30, or C34, go to “Upgrading ROM Board EPROMs” on page 80.
78 Upgrades
Page 97
Instruction 7 Adding an FSpO2 Board
This adds fetal pulse oximetry capability.
Options Requiring this Procedure
C01 C02 C03 C04 C30 C31 C32 C33 C34 C35 S01 J10 J12 J13
-----
1. Replace the DIF board into the monitor, checking that the marker connector is raised through the front end. Reconnect all the cables.
2. Put the frontend board back into the monitor, sliding it towards the front to click the connectors back into their clips. Ensure that all connectors are fully inserted (check this from the front) before you screw the board back in place.
3. Remove the cover blank from slot 9 at the rear of the monitor.
4. Insert the FSpO
5. Screw the board into position with the screws provided.
6. Carefully remove the existing product label from the front of the monitor. The existing label says either “Series 50 IX” or “Series 50 XM”. Replace this with the label that says “Series 50 XMO”(1).
board into the monitor. There is no tubing or cabling to connect.
2
!!!!!
----
xmolabel.gif
7. Go to “Upgrading ROM Board EPROMs” on page 80.
Upgrades 79
Page 98
Instruction 8 Upgrading ROM Board EPROMs
Most upgrades require new EPROMS. You must fit them now and then reconfigure the monitor. For upgrade S01 this is the only procedure you need.
Options Requiring this Procedure
Board C01 C02 C03 C04 C30 C31 C32 C33 C34 C35 S01 J10 J12 J13
ROM
Board
NIBP
Board
--
- - --- - ----
1. Undo screws (1) at the top and bottom of the ROM Board.
2. Move lever (2) upwards and pull the board out of the rear of the monitor.
3. Using a flat-blade screwdriver, replace the EPROM set, according the diagram below.
!!! ! !!!!!!
!
---
!
-
pegsm34.hpg
4. Push the board back into the slot inside the rear of the monitor.
5. Replace the screws and tighten securely.
6. Stick the label (3) provided with the new EPROMS onto the board as shown.
7. Perform the appropriate safety tests, and initiate the monitor’s self test before allowing the monitor to be used on a patient.
80 Upgrades
Page 99
8. Carefully attach the new label with the additional holes for the NIBP and SpO
connectors
2
to the front panel.
9. If your S01 upgrade includes a new ROM for the NIBP board, follow these instructions:
a. Remove the NIBP board from the monitor. There is no need to remove the cover.
b. Undo the screws at the top and bottom of the NIBP board, which is in Slots 4 and 5 at
the rear of the monitor.
c. Move the lever upwards and pull the board out of the rear of the monitor.
d. Disconnect the part of the NIBP tubing that leads to the display panel at the front of
the monitor (1)
e. Remove screws (2) and (3) from the NIBP tubing board and gently ease the board
forwards so you can access the NIBP board beneath.
2
3
NIBP tubing board
NIBP
NIBP Board
tubing
f. Lever the NIBP EPROM gently off the board using a flat bladed screwdriver and
replace it with the upgrade EPROM.
NIBP EPROM
NIBP Board
1
g. Replace the NIBP tubing board and tighten the screws.
h. Reconnect the NIBP tubing that leads to the display panel.
i. Slide the NIBP board into the rear of the monitor and refasten the screws.
Upgrades 81
Page 100
Instruction 9 Reconfiguring the Monitor
When you exchange EPROMs on the ROM board you must rewrite the new serial number and restore the original options configuration (Twins, FMP, Fetal Alerting).
Options Requiring this Procedure
C01 C02 C03 C04 C30 C31 C32 C33 C34 C35 S01 J10 J12 J13
--
Restoring Service Settings Using Pushbuttons
!!! ! !!!!!
1. If you have not yet done so, print the error log (see “Printing and Clearing the Error Log” on page 24). This will serve as a useful record of the current monitor configuration.
2. Enter the new serial number from the serial number labels (included in this upgrade kit). This must be done using the service software: see “Writing the Serial Number” on page 36 for instructions. A serial number can be written only once to the exchanged board. If you accidentally confirm an incorrect serial number you can reset it using an access code obtainable from your Philips Response Center.
3. You will be prompted for the option configuration. You can set all the option settings using the pushbuttons, as described in “Writing the Serial Number” on page 36. Using the error log you printed previously, ensure that you restore only those options that the customer had before you commenced the upgrade.
4. Double check the settings carefully. If you accidentally confirm an incorrect serial number you can reset it using an access code obtainable from your Philips Response Center.
5. Step back to the main menu of the service program and select “Configuration Tasks” to set the paper speed, time format, and so forth, or perform the self tests, or read the error log. You will find detailed instructions for all these tasks in Chapter 3, “Configuring the Monitor.”
Using the data from the error log you must now restore the customer’s original service settings. Of course, if you have added new functionality, you should ensure that default settings for the new parameter(s) are satisfactory for the customer and if not, change them. See “Configuring the Monitor Using Pushbuttons” on page 21 for instructions on changing the settings.
---
82 Upgrades
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