Philips CMS service manual

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Philips CMS Patient Monitoring System

Service Guide

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Part No. M1046-9423L

Printed September 2002

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Notice

This document contains proprietary information which is protected by copyright. All Rights Reserved. Reproduction, adaptation, or translation withou t prio r written permission is prohibited, except as allowed under the copyright laws.

Philips Medical Systems Cardiac and Monitoring Systems 3000 Minuteman Road Andover, MA 01810 +1 (800) 934-7372

Publication number M1046-9423L Printed in Germany

Warranty The information contained in this document is subject to change without notice.

Philips makes no warranty of any kind with regard to this material, including, but not limited to, the implied warranties or merchantability and fitness for a particular purpose.

Philips 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.

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Printing History

New editions of this document will incorporate all material updated since the previous edition. Update packages may be issued between editions and contain replacement and additional pages to be merged by a revision date at the bottom of the page. Note that pages which are rearranged due to changes on a previous page are not considered revised.

The documentation printing date and part number indicate its current edition. The printing date and part number change when a new edition is printed.

Part Number M1046-9303F

First Edition ............................... ...... ....January 1996

Part Number M1046-9303G

Second Edition.....................................May 1997

Part Number M1046-9088G

Third Edition........................................January 1998

Part Number M1046-9303H

Fourth Edition......................................June 1998

Part Number M1046-9303K

Fifth Edition.........................................March 1999

Part Number M1046-9303L

Sixth Edition ........................................June 2000

Part Number M1046-9423L

Seventh Edition....................................September 2002

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Overview

Introduction The Philips CMS Patient Monitoring System Service Guide is a reference guide

featuring six chapters on how to test, troubleshoot, and repair the instrument.

The Philips CMS Patient Monitoring System and the Philips Anesthesia CMS Patient Monitoring System, as well as the Philips Neonatal CMS Patient Monitoring System will be referred to throughout this guide as the CMS.

Target Audience This reference guide is intended for hospital Biomedical Engineers and Technicians,

Philips Customer Engineers, Response Center Engineers, and Install a tion Planning Specialists who have experience servicing Philips patient monitoring devices or similar products.

Prerequisites In addition to this guide we recommend you to complete the Philips Patient Mon it or s

– Concepts Guide also contained in the Service Training Kit.

Course Objectives This guides objectives are:

• Identify the major units of CMS.

• Identify the controls and connectors of the major units of CMS.

• Identify the four operating modes of CMS.

• Connect the cabling of the CMS.

• Complete a Quick Check of the system.

• Perform Safety checks.

• Perform recommended maintenance.

• Perform a general inspection of the system.

• Clean the major units of the CMS.

• Perform Self-check procedures for CMS modules.

• Recognize a properly operating CMS.

• Identify symptoms of improper operation for the CMS.

• Use any symptoms or indications to identify a fault as being in the display module, computer module, or the plug-in parameter modules.

• Further isolate faults down to field-replaceable assemblies.

• Locate and understand the removal and replacement procedures for the CMS and ACMS.

• Provide a list of available parts for the CMS and ACMS.

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In This Guide

Chapter 1 - Introducing the CMS provides a physical/functional overview of the

monitor.

Chapter 2 - Testing & Maintaining the CMS describes h ow to test, m a intain and check that the instrument operates in an optimum condition.

Chapter 3 - Troubleshooting the CMS provides troubleshooting and diagnostic procedures for the monitor.

Chapter 4 - Troubleshooting the Plug-in Modules provides troubleshooting and self-test procedures for the parameter modules.

Chapter 5 - Repairing the CMS includes removal and replacement procedures for field replaceable parts.

Chapter 6 - Parts List for CMS lists replacement and exchange part numbers for the instrument.

Appendix A - Product Information gives a listing of the options for the monitor.

Appendix B - Conversion Charts gives relative conversion information.

Appendix C - Philips 15210B Calibration Unit gives service and installati on

information for this instrument used in calibrating plug-in modules.

Appendix D - CPC Programming Tool Manual

Glossary gives relevant definitions for the system

Index gives an alphabetical listing the contents of the guide.

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How to Use this Guide

Each chapter begins with a title which is followed by three sections: an opening statement, an objectives statement and a concepts listing. These three sections can be thought of as your guide to the chapter. They will tell you what you are going to find in the chapter, what you should take away from the chapter in the way of goals and terms, and concepts central to the chapter.

Chapters containing procedures will then proceed with a procedure overview table and the body of the chapter. The procedure overview table is your guide to the actual procedures in the chapter. It is designed to be used by an experienced user who needs a quick review of the procedure or a page number of a particular procedure.

The body of the chapter will cover all of the procedures associated with the task. In order to make the procedure easier to follow, we have kept the body of the text focused on the procedure at hand and pulled the extra information, which might be helpful to a new engineer, into the outside column. Here is a formatting example:

___________________________________________________________________

Example: Inspect the System Hardware

Inspecting the system on an annual basis will help you keep track of your system and identify pote ntial parts that need to be replaced.

No tools are required to perform this inspection.

Step 1 Examine the exterior of the unit for cleanliness and general physical

condition. Check that the plastic housings are intact, that all hardware is present and tight, and that there are no signs of spilled liquids or other serious abuse.

Step 2 Check fuse values and type against that marked on the chassis, and

ensure that a spare is provided.

Step 3 Inspect connectors of the module rack and ensure that the plug-in

modules are locked into place and do not slide out without first releasing the locking plate on the bottom of the module.

Step 4 Ensure all labeling is present and legible.

Step 5 Inspect all accessories external to the system such as transducers,

referring to the manufacturer’s documentation.

___________________________________________________________________

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Table of Contents

1. Introducing the CMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1

Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1

Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2

Main Display Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4

Objective . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4

Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4

Front Panel Controls and Connectors – CRT Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-7

Front Panel Controls and Connectors – Flatscreen Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-8

Rear Panel Controls and Connectors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-11

Slave Display Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-13

14" Slave Display Front Panel Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-14

14" Slave Display Rear Panel Controls and Connectors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-14

Handheld Keypad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-16

Objective . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-16

Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-16

Handheld Keypad Membrane Keyboard. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-17

Handheld Keypad Rear Cover. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-18

External Alarm Device M1109A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-18

Computer Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-19

Objective . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-19

Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-19

Brief Functional Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-20

Delivered Configurations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-21

Function Cards of the Computer Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-21

Function Card Placement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-22

EEPROM Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-28

Front Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-33

Rear Connectors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-35

Computer Module External Connector Pinouts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-36

Mounting the CMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-39

Connecting the CMS Cables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-39

To Connect the Computer Module and Plug-in Module Rack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-39

To Connect the CRT Display to the Computer Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-41

To Connect the Flatscreen Display to the Computer Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-42

To Connect the XGA-Compatible Display to the Computer Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-42

To Connect the Satellite Rack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-42

To Connect the Strip Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-42

To Connect the Handheld Keypad to the CRT Display Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-42

To Connect the Handheld Keypad to the External Alarm Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 -43

To Connect the External Alarm Device to the Computer Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-43

To Connect Printers and PCs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 -43

Configuring and Adjusting Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-45

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-45

Configuring the RS-232 Port. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-45

XGA Display Adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-46

Calibrating the Touch Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-47

Performing the Functionality Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-48

Configuring the Mouse or Trackball . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-49

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-49

Configuring the RS-232 Port. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-49

Performing the Functionality Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-49

Contents-ix

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Adjusting the Pointer Speed of the Mouse or Trackball (Optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-50

Integral Power Supply - Computer Module (M1046B). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-51

Integral Power Supply - Connectors and Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-51

Remote Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-52

Front Panel Controls - Remote Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-52

Remote Power Supply - Rear Controls and Connectors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-53

Fuse Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-54

Plug-in Module Racks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-55

Objective. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-55

Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-55

Front and Rear Connectors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-56

Plug-in Modules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-58

Objective. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-58

Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-58

Plug-In Module Control Panel Keys and Indicators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-59

Plug-in Module Pin-outs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-63

Operating Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-65

Objective. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-65

Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-65

Operating Rules to Remember . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-66

Identifying Monitoring Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-66

Identifying Demo Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-66

Identifying Configuration Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-67

Identifying Service Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-67

Changing Operating Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-68

2. Testing & Maintaining the CMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-1

Objectives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

Concepts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

Procedure Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

Test and Inspection Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

Safety Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11

Preventive Maintenance Procedure for the Philips M1180A #A01 and #A02 Wall Mount Assembly. . . . . . . . 2-15

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15

Step 1: Inspect visible fasteners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15

Step 2: Check maximum tilt range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-17

Step 3: Inspect mounting plate for movement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-17

General Inspections of the System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19

Objective. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19

Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19

Inspect the System Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19

Inspect the Cables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20

Inspect the Red Power Indicators (LEDs) of the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20

Inspect the Display CRT / LCD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-21

Inspect the Controls of the System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-22

Cleaning and Disinfecting Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-23

Objective. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-23

Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-23

General Cleaning of the System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-24

General Disinfecting of the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-25

Page 11

Cleaning the Recorder Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-26

Cleaning the Blood Analysis Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-27

3. Troubleshooting the CMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1

Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1

Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1

Procedure Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2

General System Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3

Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7

Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7

Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-8

Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14

Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14

Error Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14

What an Error Code Tells You . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15

Using Error Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15

Using Status Log Error Codes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16

Using Start-up Error Codes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16

How Device ID Codes and Error Codes Relate to Each Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-17

Identifying the Slot Number Using the Error Code Chart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-17

Device ID 16400 (or 4010H) Error Code Lists. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-18

CMS System Hardware Configuration Problems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-23

Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-23

Rules for Card Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-24

Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-25

CMS System Hardware/Software Problems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-27

Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-27

Loudspeaker Test at Power On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-27

CMS System RAM Problems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-27

Error Code Lists for Other Device IDs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-28

Error Code List for Specific Device IDs other than 16400 (4010H). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-30

Device ID Codes for Software. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-33

Local Jet Printer Configurations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-37

Accessing & Leaving Service Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-39

Facilities Available in the Service Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-40

Changing the Global Switches. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-40

Line Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-40

Control Panel Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-41

Settings Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-41

Setting the Altitude . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-42

Setting the Date and Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-42

French Homologation (French language CMS only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-42

Displaying the Status Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-42

RS-232 Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-42

Checking the Hardware and Software Revisions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-43

Power On Modes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-44

Display Alignment Patterns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-44

Network Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-45

Description of the Boot Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-48

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-48

Page 12

Summary of the Power On Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-49

4. Troubleshooting the Plug-in Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-1

Objectives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

Concepts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

Procedure Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Troubleshooting tcpO

To Troubleshoot the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Test Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7

Troubleshooting ECG and ECG/RESP Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9

To Troubleshoot the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9

Troubleshooting Pressure Problems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11

To Troubleshoot the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11

Troubleshooting NBP Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13

To Troubleshoot the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13

Using the Calibration Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15

Selecting NBP Measurement Characteristic. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15

Troubleshooting Cardiac Output Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-17

To Troubleshoot the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-17

Troubleshooting SpO

To Troubleshoot the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22

Troubleshooting SvO

To Troubleshoot the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-24

Troubleshooting FIO

To Troubleshoot the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-28

Troubleshooting Temperature Module Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-30

To Troubleshoot the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-30

Troubleshooting CO

To Troubleshoot the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-32

Troubleshooting Blood Analysis Module Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-35

To Troubleshoot the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-35

Troubleshooting EEG Module Problems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-40

To Troubleshoot the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-40

Troubleshooting BIS Module Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-43

To Troubleshoot the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-43

General Test Procedures for the BIS components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-48

Additional information available in the Service Mode Task Window. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-49

Compatibility Matrix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-51

Troubleshooting VueLink Module Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-52

M1032A VueLink Tests using VueLink Test Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-52

Performing Plug-In Module Self-Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-54

Objective. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-54

Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-54

Performing a Quick System Check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-54

Self-Test Procedure Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-55

Performing the ECG or ECG/RESP Module Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-57

Performing the M1006A/B Pressure Module Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-57

Performing the NBP Module Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-58

Performing the SpO

/tcpCO2 Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

/Pleth Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22

Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-24

Module Problems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-28

Module Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-32

/Pleth Module Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-58

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Page 13

Performing the Cardiac Output Module Self-Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-59

Performing the tcpO

Performing the SvO

Performing the FIO

Performing the CO

/tcpCO2 Module Self-Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-59

Module Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-60

Optical Stability Check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-60

Module Self-Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-61

Module Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-61

Performing the Temperature Module Self-Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 -62

Performing the Blood Analysis Module Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-62

Performing the Recorder Module Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-63

Performing the VueLink Module Self-Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-63

Performing the Data Management Database Self-Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-63

Performing the RS-232 Card Loopback Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-64

5. Repairing the CMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-1

Objective. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-1

Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-1

Procedure Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2

Display Module Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2

Differences Between Models. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2

M1092A and M1094A Removal and Replacement Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-3

Rear Cover. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-4

Power Fail Relay (French ICU Option). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-5

Power Fuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-6

Line Power Filter (M1094A Display) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8

Rear Enclosure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-9

Locking Cam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-10

Front Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-11

Human Interface Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-12

Membrane Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-13

Metal Cover. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-14

Fuse Assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-16

Switch-Mode Power Supply (M1092A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-18

Switch-Mode Power Supply (M1094A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-20

Video/Philips-HIL Connector PCA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-22

M1094B Removal and Replacement Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-23

Rear Cover. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-23

Power Fuses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-24

Rear Enclosure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-26

Locking Cam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-27

Front Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-28

Human Interface Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-29

Membrane Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-30

Top Metal Cover and SMPS Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-32

Switch-Mode Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-33

M1095A Backlight Removal and Replacement Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-34

Backlight replacement procedure for M1095A Old-Color Version . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-35

Backlight replacement procedure for M1095A New-Color Version . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-38

Handheld Keypad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-41

Housing Assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-41

External Alarm Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-43

xiii

Page 14

Computer Module Removal and Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-44

Rear Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-45

DC/DC Converter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-46

Integral Rack - M1046A only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-47

Front Plastic Cover - M1046B only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-48

Power Fuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-48

Integral Power Supply - M1046B only. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-49

Sheet Metal Cover - M1046B only. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-51

Front Function Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-51

Rear Function Cards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-54

Side Cover. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-56

Top Cover. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-57

Backplane Board Assy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-58

Plastic Feet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-59

Locking CAM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-60

Module Rack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-61

Plug-In Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-61

Mounting Clamp. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-62

Plug-in Modules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-63

Snap Lock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-64

Plug-In Module Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-65

NBP Inlet Connector Insert. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-67

NBP Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-68

tcpO2/tcpCO2 Calibration Chamber Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-69

FIO2 Battery Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-70

Recorder Module Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-71

6. Parts List for CMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1

Objective . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1

Concepts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

14” CRT Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

Flatscreen Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10

External Alarm Device. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-14

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

Computer Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-15

Upgrade Tools and Miscellaneous Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-22

Plug-In Modules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-25

Plug-in Module Racks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-32

Handheld Keypad. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-32

Patient Connectors and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-34

General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-34

ECG & ECG/Respiration Module Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-34

Pressure Module Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-37

Non-Invasive Pressure Module Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-38

Cardiac Output Module Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-40

CO2 Module Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-41

Sidestream CO2 Module Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-42

SvO2 Module Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-42

FIO2 Module Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-43

xiv

Page 15

SpO2 Module Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-44

Temperature Module Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-44

tcpO2/tcpCO2 Module Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-45

Thermal Array Recorder Module Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-45

Blood Analysis Module Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-45

EEG Module Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-46

VueLink Test Module Parts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-46

A. Product Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

CMS Release E Beta. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

ACMS Release E Beta . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3

CMS Release F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5

ACMS Release F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7

NCMS Release F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9

CMS Release G. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-11

ACMS Release G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-13

NCMS Release G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-15

CMS Release A.0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-17

ACMS Release A.0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-19

NCMS Release A.0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-21

CMS Release B.0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-23

ACMS Release B.0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-25

NCMS Release B.0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-27

CMS Release C.0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-29

ACMS Release C.0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-31

NCMS Release C.0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-33

B. Conversion Charts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1

Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1

C. Philips 15210B Calibration Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1

Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1

Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1

Unpacking the Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1

Instrument Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2

Specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2

Operating Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3

Operating Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3

Fitting the Gas Cylinders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3

Storage of Gas Cylinders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3

Disposal of Used Gas Cylinders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3

Routine Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4

Changing the Gas Cylinders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4

Care and Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4

Theory of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-5

Gas Flow Performance Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-6

Test Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-6

Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-8

Parts List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-9

Page 16

D. CPC Programming Tool Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-1

Introducing the CPC Programming Tool. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-1

Parts Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-1

Power Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-2

Host Product Compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-2

Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-2

CPC Programming Tool Functional Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-3

Programming Card Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-3

Internal EEPROM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-3

VPP Converter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-4

DIP Switches. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-4

Service Port Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-4

Before Using the CPC Programming Tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-5

Using the CPC Programming Tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-6

Connect the Tool. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-6

Enter the Password . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-7

Create or Change the Password for the Tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-7

Edit the Monitor Serial Number (Philips Internal Only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-7

Clone User Settings with the Tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-8

Perform Upgrades with the Tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-8

Troubleshooting the Tool through Tool LED Patterns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-9

Troubleshooting the Tool through Monitor Error Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-9

Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Glossary-1

xvi

Page 17

Chapter 1 Introducing the CMS

This chapter gives a detailed description of the components and operating modes of the CMS, a modular patient monitor with networking and data management capabilities. The system can be upgraded with additional modules as needed, or you can interchange the modules between systems in your units.

This version of the CMS Service Guide introduces the new CMS Release C.0 range of monitors. The new options H03 or H04 (with version M1167A or M1177A) enable the use of an off-the-shelf XGA-compatible display as the main display. The new option H05 (M1167A/77A only) provides a touchscreen XGA display with an External Alarm Device and a RS232 Interface.

There are three versions of CMS corresponding to the three major types of application: CMS (for Critical and Cardiac Care), Anesthesia CMS (ACMS), and Neonatal CMS (NCMS).

The versions and models described by this guide are listed as follows (models indicated by asterisk were discontinued. (“(S)” indicates a non-US-model):

CMS: M1165A/66A/67A Models 54(S)*, 56(S), 64(S), 66(S) and 68(S)

CMS: M1175A/76A/77A Models 54*, 56, 66 and 68

ACMS: M1165A/66A/67A Models 74(S)*, 76(S), 84(S), 86(S) and 88(S)

ACMS: M1175A/76A/77A Models 74*, 76, 86 and 88

Introducing the CMS

Objectives

NCMS: M1166A/67A Models 34(S)*, 36(S)*, 44(S), 46(S)* and 48(S)

NCMS: M1176A/77A Models 34*, 36*, 46* and 48

All of these systems run on fully compatible hardware and are hereafter commonly referred to as the Monitor or CMS.

In order to meet the chapter’s goals, you should be able to:

• Identify the major units of CMS.

• Identify the controls and connectors of the major units of CMS.

• Identify the operating modes of CMS.

Introducing the CMS 1-1

Page 18

Concepts

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Concepts

CMS Release C.0 contains the following major units:

• Main Display Module - Main Display Modules are 10.4" Flatscreen Color, 14" CRT Color, 14" CRT Mono, or an off-the-shelf XGA-compatible display. The first three have an integrated Control Panel for the human interface; the XGA display option has the External Alarm Device with the Handheld Keypad for the human interface. See page 1-4.

• Independent Display Module - Independent Display Modules can be: 10.4" Flatscreen Color; XGA-compatible display; 14" CRT Color or 14" CRT Mono or 21" CRT Color without Control Panels. These displays are connected to the Computer Module by their own display controller and may display different information than the Main Display Module under software control. See page 1-13.

• Slave Display Module - Slave Display Modules are 14" CRT Color or 14" CRT Mono or 21" CRT Color without Control Panels. These displays can be daisy-chained to any CRT and display the same information as the display they are connected to. See page 1-13.

• Handheld Keypad - The Handheld Keypad is an input device connected to the HIL connector on the Main Display and is used to interact with patient data management and drug calculator software. With the XGA-compatible display options, the External Alarm Device complements the Handheld Keypad to give a full set of user controls. See page 1-16.

• Computer Module - The Computer Module contains the hardware and software for the processing functions of the monitor. Most of the external connections of the monitor are in the rear of the Computer Module. See page 1-19.

• Integral Power Supply - The Integral Power Supply, located in the new Computer Module (M1046B) in CMS products M1167A and M1177A that have the M1095A flatscreen (or an XGA-compatible) as the main display, provides the power for the Flatscreen Display, Computer Module and satellite-mounted Plug-in Modules. See page 1-51.

• Remote Power Supply - The Remote Power Supply, used with CMS models that have a flatscreen as the Main Display Module and a M1046A Computer Module, provides the power for the Flatscreen Display Module, Computer Module and Plug-in Modules. See page 1-52.

• Plug-in Module Rack (Integral or Satellite) - The Plug-in Module Rack is the interface between the Plug-in Modules and the Computer Module. Plug-in Module Racks can be integrated in the M1046A Computer Module or remotely located in the patient vicinity. See page 1-55.

• Plug-in Modules - The Plug-in Modules are the interface between the patient cables and the Plug-in Module Rack. Each Plug-in Module is responsible for specific types of patient measurement (pressure, temp, and so on). These types of measurement are also known as Parameters. The number and type of Plug-in Modules used will depend on the monitoring situation. See page 1-58.

The CMS monitors can be networked on the Philips Network (also known as SDN). If your system is connected to such a network you can receive information from other Philips monitors or send information to the Philips Central Stations.

1-2 Introducing the CMS

Page 19

Remote Displays

(color or monochrome)

8 Channel

RS232 Interface

to the Ohmeda

7800/7810/7900 Ventilator

to the Ohmeda

(Flatscreen)

Analog Output Interface

RS232 Interface

(standard)

Independent

(standard)

Anesthetic Gas Module

Display

(color and monochrome)

Independent Display

Digital Recorder Interface (4-Channel Reco rder M1117A )

(4-Channel Recorder M1117A)

M1026A

(CRT)

Independent Display

Interface

(color and monochrome)

(4 or 8 channels in color)

Interface

(color only)

(4 or 8 channels in color)

Satellite Racks

Independent Display

Interface

(color only)

Digital Recorder Interface

Main Display

M1046B

(8 or 6 slots)

Or XGA Display

Defibrillator Sync.

Network Interface

Monitoring Network Interface

Printer

“VueLink” M1032A

(link to external devices)

i-Stat

i-Stat Central

Central

Data Station

2nd RS232 Interface

Gateway

Monitoring

Network

Concepts

Introducing the CMS

Remote Displays

(color or monochrome)

8 Channel

RS232 Interface

to the Ohmeda

7800/7810/7900 Ventilator

Analog Output

Independent

Display

Interface

RS232 Interface

(standard)

Anesthetic Gas Module

Independent Display

Interface

(color or monochrome)

Digital Recorder Interfac e

(4-Channel Recorder M1117A)

M1026A

Main Display

(6 channels in monochrome,

4 or 8 channels in color)

M1046A with Integral

Rack

(8 slots)

Satellite Racks

(8 or 6 slots)

Defibrillator Sync.

Monitoring Network Interface

Printer

“VueLink” M1032A

(link to external devices)

CMS (Flatscreen) System Overview

Remote Displays

(color or monochrome)

i-Stat

Central Data Station

Gateway

Monitoring

Network

2nd RS232 Interface

M1165A/66A/75A/76A

CMS (CRT) System Overview

M1167A/77A

Figure 1-1 Philips CMS Patient Monitoring System

Introducing the CMS 1-3

Page 20

Main Display Module

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Main Display Module

The Main Display Module of the CMS can be a 10.4" Color flatscreen, a 14" CRT, or an offthe-shelf XGA-compatible display. CRT display-based CMSs can use either a Color CRT Display (M1094B or M1094A) or a Monochrome CRT Display (M1092A) as the Main Display Module. Slave CRT Displays can be daisy-chained from any other CRT displays. Additional independent displays, CRTs and flatscreens can be connected but they need their own display controller in the Computer Module allowing them to show different information than the main display under software control.

Flatscreen

Main Display

The main display (flatscreen or CRT) contains a consistent arrangement of indicators and keys on the Control Panel (human interface). There are two versions of the Control Panel and Handheld Keypad: Standard and Classic. The Classic is no longer available. The Standard Control Panel is available in supported local languages. Slave and independent displays have no Control Panel fitted.

CRT Main Display

Front Pan e l of Display Module

Objective

In order to meet this section’s goals, you should be able to:

• Identify the controls and connectors of the Display Module.

• Be familiar with the function of the controls and connectors of the Display Module.

Concepts

With the exception of Options H03/4, the Main Display Module can be either a flatscreen or CRT with a Control Panel on the front panel or bezel. The bezel contains the Control Panel, as well as the main power switch and the adjustments for brightness and contrast. The rear of the display is referred to as the rear panel and contains the rest of the adjustment controls and all of the connectors. The HIL Connector on the CRT Display is on the lower right-hand corner of the front panel.

Note: With Options H03/4 the Main Display Module is an XGA-compatible display and the Control Panel is the Handheld Keypad with External Alarm Device.

1-4 Introducing the CMS

Page 21

Main Display Module

Front Panel The plastic bezel on the front of the display that contains controls

and connectors, including the Control Panel and display adjustments.

Standard Control Panel

Classic Control Panel

The hardkeys, softkeys and alarm indicators of the Standard human interface (Release E or later). Includes Airway Gas/Ventilation key.

The hardkeys, softkeys and alarm indicators of the Classic human interface. Available with and without the SUSPEND key (see Parts List). Includes HELP key. The Classic Control Panel is not supported from CMS Release B.0.

HIL Connector The Human Interface Link (HIL) Connector on the Main Display is

used to attach the Handheld Keypad and uses Philips HIL protocol to transfer data to the system. The HIL Connector on the CRT Display, which is on the lower right-hand corner of the front panel, can be covered with a plastic insert when not in use.

Softkeys These are blank single-press keys used as selection controls to enter

Task Windows. They correspond to the softkey labels displayed above them on the screen.

Hardkeys These are single-press keys with labels used as selection controls.

Typically, a hardkey accesses the Selection Window of its label.

Introducing the CMS

Rear Panel The panel on the rear of the display that contains display controls

and connectors for power, HIL and video.

Introducing the CMS 1-5

Page 22

Main Display Module

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302mm

(11.9")

280mm

(11")

337mm

(13.5")

370mm

(14.6")

Flatscreen Main Display Module

63mm

(2.5")

CRT Main Display Module

451mm

(17.8")

333,5mm

(13.2")

XGA Flatscreen Display Module

408mm

76,7mm

(16.1")

(3.2")

1-6 Introducing the CMS

Page 23

Main Display Module

Figure 1-2 Display Modules with Dimensions

Front Panel Controls and Connectors – CRT Display

The controls and connectors on the front panel of the Display Module are shown below:

mar2bb.mif

CONFIRM

SILENCE /

SUSPEND

RESET

ALARMS/ VOLUME

SCREEN

OTHER

MONITOR

PATIENTS

MAIN

CHANGE

SETUP

REALTIME

SCEEN

RECORD

PROCEDURES

DELAYED RECORD

TRENDS/

MODULE

CALC

SETUP

AIRWAYS GASES/

VENTILATION

HIL

Control

Panel

(6)

Introducing the CMS

ON/OFF Switch

(1)

Power ON

Indicator

(2)

Figure 1-3 The Display Module Front Panel

Contrast

Control

(3)

Brightness

Control

(4)

Human

Interface Link

Connector

(5)

Table 1-1 Display Module Front Panel Controls and Connectors

Controls Function

1 ON/OFF Switch Used to turn the display On/ Off. This is the only power switch for the

system and it must be pushed in for power ON.

2 Power ON indicator Green LED, which is lit when the display is switched ON.

3 Contrast Control Rotary control, used to vary the contrast of the display.

4 Brightness Control Rotary control, used to vary the brightness of the display.

Introducing the CMS 1-7

Page 24

Main Display Module

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Table 1-1 Display Module Front Panel Controls and Connectors

Controls Function

5 HIL Connector Human Interface Link (HIL) connector is used to connect the

Handheld Keypad. This connector may be covered by a plastic insert when not in use.

6 Control Panel User interface of the Display Module.

Front Panel Controls and Connectors – Flatscreen Display

The controls on the front panel of the Flatscreen Display are shown below:

Figure 1-4 The Flatscreen Display Front Panel

Table 1-2 Flatscreen Display Front Panel Controls and Connectors

Controls Function

1 ON/OFF Switch Used to turn the display On/Off and used as the remote switch for

2 Brightness Control Rotary control, used to vary the brightness of the display.

3 Power ON indicator Green LED which is lit when the display is switched ON.

4 Control Panel User interface of the Display Module.

either the M1047A Remote Power Supply or the M1046B Computer Module integral power supply.

1-8 Introducing the CMS

Page 25

Main Display Module

Introducing the CMS

Alarm Indicators (2)

Silence/

Reset

Suspend

(3) (4)

(5)

Alarms/ Volume

Main

Screen

Other

Patients

Change

Screen

Softkeys (1)

50/140

Monitor

Setup

Realtime

Record

Procedures

Hardkeys (6-16)

Delayed

Record

Trends/

Calcs

Module

Setup

Airway Gases

Ventilation

(18)

Confirm

wclo12a7.tif

Arrow Keys (17)

Table 1-3 Standard Control Panel Controls

Controls Function

1 Softkey Selection controls for the softkey labels displayed above them on the screen. Softkeys

2 Alarm Indicators Indicates the color of the alarm: RED and YELLOW.

3 Used to silence an alarm and, if the cause has been eliminated, reset it.

4 Used to switch all alarms on/off.

Silence/ Reset

Suspend

5 Alarms Off Indicator Indicates that all alarms have been shut off.

bring up Task Windows.

6 Used to turn all alarms off/on and individual alarms on/off, adjust alarm limits and volume,

Alarms/Volume

limits, show the alarm messages and go to standby mode.

7 Used to view data and alarms between beds.

8 Used to change settings such as screen displays and patient type, setup OxyCRG (Standard

Other Patients

Monitor Setup

CMS only) and recording and make general configuration changes.

9 Used to perform Cardiac Output and Wedge Pressure measurements, make ST segment

Procedures

monitoring adjustments, review ST wave segments, admit and discharge patients, or end particular patient case and transfer patient data.

10 Used to view data in graphs and tables, do physiological calculations in graphs, print

Trends Calc

reports and mark events to view in graphs.

11 Used to set up and change settings for all modules that are plugged into the CMS.

12 Used to return the standard monitoring screen.

13 Used to freeze waves on the screen and change between screen layouts.

14 Used to start a realtime preset recording or a realtime selected recording.

15 Used to start a delayed recording.

16 Used to measure airway gases or show ventilator data.

Module Setup

Main Screen

Change Screen

Realtime Record

Delayed Record

Airway Gases

Ventilation

17 Arrow Keys Used to move highlighting and make selections in the Task Windows - only active when lit.

18 Used to confirm that the user input is correct - only active when lit.

Confirm

Introducing the CMS 1-9

Page 26

Main Display Module

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Alarm Indicators (2)

Silence/

Reset

Suspend

(3) (4)

Alarms Overview

Standard

Display

(5)

Screen

Softkeys (1)

50/140

Instrument Monitoring Patient

Config

Hardkeys (6-16)

MarkCapture Event

Procedures

Data

Record

(18)

Confirm

Parameters

Help

wclo12a7.tif

Arrow Keys (17)

Table 1-4 Classic Control Panel Controls

Controls Function

1 Softkey Selection controls for the softkey labels displayed above them on the screen. Softkeys

bring up Task Windows.

2 Alarm Indicators Indicates the color of the alarm: RED and YELLOW.

3 Used to silence an alarm and, if the cause has been eliminated, reset it.

4 used to switch all alarms on/off.

Silence/ Reset

Suspend

5 Alarms Off Indicator Indicates that all alarms have been shut off.

6 Used to turn all alarms off/on and individual alarms on/off, adjust alarm limits, show the

Alarms

alarm messages and go to standby mode.

7 Used to view data and alarms between beds.

8 Used to setup OxyCRG and recording, change between main screens and combinations of

Overview

Instrument Config

OxyCRG or Split Screen Trending, or to make general configuration changes.

9 Used to perform Cardiac Output and Wedge Pressure measurements, review ST wave

Monitoring Procedures

segments, admit and discharge patients, or transfer patient data.

10 Used to view data in graphs and tables, do physiological calculations in graphs and print

Patient Data

reports.

11 Used to setup and change settings for all modules that are plugged into the CMS.

12 Used to return to the standard monitoring screen.

13 Used to freeze the screen.

14 Used to display softkeys to mark events you can view in graphs and softkeys for cal signals.

15 Used to display softkeys to make delayed recordings or realtime recordings.

16 Used to provide information about tasks. NOTE: HELP below softkey label on screen

Parameters

Standard Display

Capture Screen

Mark Event

Record

Help

points to item you will get help for.

17 Arrow Keys Used to move highlighting and make selections in the Task Windows - only active when lit.

18 Used to confirm that the user input is correct - only active when lit.

Confirm

1-10 Introducing the CMS

Page 27

Main Display Module

)

Rear Panel Controls and Connectors

LOCATED ON RIGHT SIDE OF DISPLAY

EAST WEST

(5)

V SHIFT

(3)

H AMP

(4)

Figure 1-5 Rear Panel of the M1094B Display Module

Table 1-5 Main CRT Display Rear Panel Control and Connectors

V AMP

(2)

Human Interface

Link Connector

(11)

System Power

Connector

(8)

Local Power Connector

Fuses

Equipotential Grounding Terminal (12)

Video Termination Sw it c h ( 1

Video Out Connector (10)

Video In Connector (9)

(7)

(6)

rear1

Introducing the CMS

Controls and Connectors Function

1 Video Termination Switch Used to terminate the video signal at this display. This must be switched to the

75Ω position if only a main display is used. When a remote display is connected,

the video termination switch on the main display must be switched to High Imp.

2 V AMP Vertical amplitude control, used to adjust the height of the displayed video.

3 V SHIFT Vertical shift control, used to adjust the vertical position of the displayed video.

4 H AMP Horizontal amplitude control, used to adjust the width of the displayed video.

5 EAST WEST Used to adjust the pin-cushion effect of the displayed video.

6 Fuse Holders Two fuse holders for the line protection fuses, one for the higher operating voltage

range and one for the lower operating voltage range.

7 Local Power Connector 3-pin connector, used to input the local line voltage.

8 System Power Connector 15-pin “D” type connector, used to output the 60V dc supply to a similar connector

on the DC/DC converter in the rear of the Computer Module.

9 Video In Connector 9-pin “D” type connector, used to input the video signal to be displayed from the

display controller in the Computer Module (DSPC for monochrome or CDSPCVideo for color).

10 Video Out Connector 9-pin “D” type connector, used to output the video signal to be displayed on a slave

display.

Introducing the CMS 1-11

Page 28

Main Display Module

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Table 1-5 Main CRT Display Rear Panel Control and Connectors

Controls and Connectors Function

11 Human Interface Link

Connector

12 Equipotential Grounding

Termi na l

Equipotential

Grounding Terminal

(12)

System Power

Connector

(8)

Human Interface Link (HIL) connector, used to output the information from the Control Panel and the Handheld Keypad to the Utility CPU function card in the Computer Module.

Grounding stud connector, used to connect the Display Module to an equipotential grounding system, if required. The overall system is normally grounded at the grounding terminal on the Computer Module.

90 x 120

Human Interface Link

Connector

(11)

Local Power

Connector

(7)

Fuses

(6)

V AMP

(2)

M1092A

Limited MEDICAL

EQUIPMENT

x x x x x x

V SHIFT

LR 49394

CAUTION ATTENTION

VORSICHT

(3)

STANDARD NORME

C22 NO 12b

CATEGORIE

RISA

DE RISQUES

CLASS

HIL

tuv

871-8

VIDEO

CUIDADO

HIGH

IMP.

VIDEO

H AMP

(4)

EAST WEST

Video Out Connector

Video Termination

Video IN

Connector

(5)

(10)

Switch

(1)

(9)

mar5b

Figure 1-6 Rear Panel of the M1092A & M1094A Main Display Modules

1-12 Introducing the CMS

Page 29

Slave Display Module

Introducing the CMS

Figure 1-7 Rear Panel of the M1095A Main Display Module

Slave Display Module

Table 1-6 Flatscreen Rear Panel Controls and Connectors

Controls and Connectors Function

1 Brightness Control Adjusts the brightness of the display.

2 ON/OFF Switch Used to turn the display On/Off and used as the remote switch for either the

3 Combined Video In / Power

Connector

4 Human Interface Link Connector InThis Human Interface Link (HIL) connector is used to connect the handheld

5 Human Interface Link Connector

Out

M1047A Remote Power Supply or the M1046B Computer Module integral power supply.

This is a male SCSI connector with 25 pin pairs used to input the video signal and the 60 V DC line voltage.

keypad.

This Human Interface Link (HIL) connector is used to output the information from the handheld keypad and control panel to the Utility CPU function card in the computer module.

Introducing the CMS 1-13

Page 30

Slave Display Module

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Independent

Flatscreen Display

without Control Panel

Independent / Slave

CRT Display

without Control Panel

The CMS supports additional displays as either CRT Slave or Flatscreen and CRT Independent Display Modules. CRT Slave Displays connect directly to any CRT and display the same information as the CRT they are connected to. Independent Displays have their own display controller in the Computer Module and may display different information than the Main Display under software control. Slave and Independent Displays are intended as a visual reference and do not have a Control Panel. The information on the 21" slave display can be found in its accompanying manual. See also the Appendix, “Remote 21" Displays”.

14" Slave Display Front Panel Controls

Table 1-7 Slave Display Front Panel Controls

Controls Function

ON/OFF Switch Push button switch, used to turn the slave display ON and OFF.

This must be pushed in for power ON.

Power ON indicator Green LED which is lit when the display is switched ON.

Brightness Control Rotary control, used to vary the brightness of the display.

Contrast Control Rotary control, used to vary the contrast of the display.

14" Slave Display Rear Panel Controls and Connectors

Table 1-8 Slave Display Rear Panel Controls and Connectors

Controls and Connectors Function

Video Termination Switch Push button switch, used to terminate the video signal at this

display. This switch must be ON (in) or 75 the last in the chain. Otherwise the switch must be OFF (out) or High Imp.

Fuse Holders Holders for the line protection fuses.

Local Power Connector 3-pin connector, used to input the local line voltage.

Video In Connector Male 9-pin “D” type connector, used to input the video signal to

be displayed from the main Display Module.

Video Out Connector 9-pin “D” type connector, used to output the video signal to be

Equipotential Grounding Ter mi na l

displayed on another Slave Display Module.

Grounding stud connector, used to connect the system to an equipotential grounding system.

Ω if the slave display is

1-14 Introducing the CMS

Page 31

Front Panel

Slave Display Module

Introducing the CMS

BRIGHTNESS CONTROL

POWER ON INDICATOR

ON/OFF SWITCH

Rear Panel of M1092A and M1094A

Rear Panel of M1094B

CONTRAST CONTROL

LOCAL POWER CONNECTOR

FUSES EQUIPOTENTIAL GROUNDING

TERMINAL

VIDEO TERMINATION SWITCH VIDEO OUT CONNECTOR

VIDEO IN CONNECTOR

FUSES

EQUIPOTENTIAL

GROUNDING TERMINAL

LOCAL POWER

CONNECTOR

VIDEO OUT CONNECTOR

90 x 120

M1092A

Limited

MEDICAL

EQUIPMENT

LR 49394

x x x x x x

STANDARD NORME

C22 NO 12b

CATEGORIE

RISA

DE RISQUES

CLASS

CAUTION ATTENTION

CUIDADO

VORSICHT

HIL

tuv

871-8

VIDEO

HIGH

IMP. VIDEO

VIDEO TERMINATION SWITCH

VIDEO IN CONNECTOR

Figure 1-8 Slave Display Controls and Connectors

Introducing the CMS 1-15

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Handheld Keypad

The Handheld Keypad of the CMS is an external device used for inputting patient information and working with the drug calculator that is a part of the monitor. There are three released versions of the Handheld Keypad. The first release (M1106A) is called the Classic Handheld Keypad. The second release (M1106B) added the SUSPEND hardkey to the Classic Handheld Keypad. The current release (M1106C) is called the Standard Handheld Keypad and it contains the same number of keys as the M1106B but improves on the hardkey key labels and functionality to make them more user-friendly.

Note: Only the Standard Handheld Keypad (M1106C) is supported with Release B.0. The Classic Handheld Keypad (M1106A or M1106B) is not supported for use with Release B.0.

Objective

In order to meet this section’s goals, you should be able to:

• Identify the controls and connectors of the Handheld Keypad.

• Be familiar with the function of the controls and connectors of the Handheld Keypad.

Concepts

The Handheld Keypad provides remote access to all monitoring tasks. There are 55 domed buttons on the membrane keyboard which provides a fluid seal to make cleaning easier. A coiled cable is used to connect the keypad to the master or main display, or to the External Alarm Device.

Membrane Keypad

Standard Control Panel

Classic Control Panel

HIL Connector Human Interface Link (HIL) Connector is used to connect the

Alphanumeric Keys

1-16 Introducing the CMS

The plastic bezel on the front of the Handheld Keypad that contains the controls and connectors, including the Control Panel and alphanumeric keypad.

The hardkeys, softkeys and alarm indicators of the Standard user interface (Release E or later).

The hardkeys, softkeys and alarm indicators of the Classic user interface. Available with and without the SUSPEND key (see Parts List).

Handheld Keypad to the Main Display, or to the External Alarm Device. Information is transferred to the system using Philips HIL protocol.

These are single-press keys used to input patient information and drug calculations into the monitor.

Page 33

Handheld Keypad

210/140

Handheld Keypad Membrane Keyboard

All of the softkeys and hardkeys on the Display Module are also found on the Handheld Keypad. See Table 1-3 and Table 1-4 and for descriptions of these keys. In addition, the Philips Handheld Keypad has keys for alphanumeric data entry.

Softkeys

Airway Gases/

Ventilation

Confirm

keypada1

Standard Hardkeys

Confirm Key

Arrow Keys

Alphanumeric

Keys

Handheld Keypad Connector

Silence/Reset

Key

Suspend Key

Space Key

Shift Key

M1106C

Silence/

Reset

Suspend

Space

Shift

Alarms/ Other Volume

Main

Screen

Patients

Change

Screen

A 7

FGH 4

Monito r

Setup

Realtime Delayed Record Record

D .

I X

Procedures

PQR

Trends/ Module

Calcs Setup

Introducing the CMS

Figure 1-9 Handheld Keypad Controls and Connector

Table 1-9 Handheld Keypad Standard Control Panel

Standard Control Panel Function

Space

Shift

Alphabet Characters (A - Z) These characters can be entered only in alpha mode (when the LED on the Shift key is lit).

Punctuation Marks (, .) The punctuation marks can be entered only in numeric mode (when LED on Shift key is

Numeric Characters (0 - 9) These characters can be entered only in numeric mode (when LED on Shift key is not lit).

Arithmetic Operators (+ - * /) These characters can be entered only in numeric mode (when LED on Shift key is not lit).

Decimal Point (.) The decimal point can be entered only in numeric mode (when LED on Shift key is not lit).

Handheld Keypad Connector (Philips-HIL)

Used to enter spaces between numbers or letters

Used to switch between alpha and numeric mode. The LED is lit when keypad is in alpha mode.

not lit).

This connector fits into the Philips-HIL connector on the lower right corner of the Display Module.

Introducing the CMS 1-17

Page 34

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Handheld Keypad Rear Cover

The rear cover of the Handheld Keypad contains a magnet to secure it to the keypad mounting bracket or to the External Alarm Device.

External Alarm Device M1109A

Yellow Alarm

Red Alarm indicator

indicator

Alarms-Off indicator

Green LED

On-Off Switch

Keypad Mounting Bracket

eadevice.hpg

Remote On-Off to Computer Module

HIL to Computer Module

HIL to Keypad

Universal Mounting Clamp

The External Alarm Device, for use with off-the-shelf XGA displays, provides visual and audible alarm indicators. It has a bracket to hold the Handheld Keypad. It also provides an on/off switch to remotely control the M1046B CMS Computer Module.

CAUTION Always locate this device in such a way that the speaker at the rear and the lights

on the front are not blocked.

1-18 Introducing the CMS

Page 35

Computer Module

Computer Module (M1046A)

with integral rack

Computer Module

Introducing the CMS

The Computer Module of the CMS contains the hardware and software for the processing functions of the monitor. It can be thought of as the heart of the system. It distributes all the power, clocks and data for the whole system. There are several released configurations for the function cards of the Computer Module. Your configuration will depend on the version of software and hardware your monitor is running and the options it is supporting. All of the function cards connect to the Computer Module backplane, whether from the front or from the rear of the unit. Function cards that require external connections are located in the rear of the Computer Module.

Objective

In order to meet this section’s goals, you should be able to:

Computer Modu le (M1046A)

with integral blank rack

Computer Module (M1046B)

with integral power supply

• Identify the connectors of the Computer Module

• Be familiar with the functions of the Computer Module.

Concepts

The Computer Module of CMS is not fitted with any controls, just connectors. The front of the M1046A Computer Module can be mounted with an integral plug-in module rack or a blank rack. Each rack contains an internal rack connector used to output information from the rack to the Rack Interface function card placed in slot 18 of the computer module. All of the other connections for the Computer Module are in the rear and will depend on the options and revision of your monitor.

Integral Plug-in Module Rack

Blank Rack The blank rack is used to cover the front of the Computer Module

Integral Power Supply

The integral plug-in module rack fits in the front of the Computer Module (M1046A) and holds plug-in modules. It contains a rear connector that is used to output information from the rack to the Computer Module.

(M1046A) when a satellite plug-in module rack is being used. It contains a rear connector that is used to output information from the rack to the Computer Module.

The integral power supply is used to power the Computer Module (M1046B), a satellite plug-in module rack, and a flatscreen main display without the need for a Remote Power Supply. It connects to the REMOTE_SWITCH card in the Computer Module to allow the flatscreen display to control the Computer Module power.

Backplane The backplane of the Computer Module contains the connections for

the front and rear function cards.

Introducing the CMS 1-19

Page 36

Computer Module

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CPC Flash Port This port is located on the Configurable Processor Card (CPC) in slot 12

and is the connector for the CPC Programming Tool.

M1046A with Integral Blank Rack

370mm

(14.6")

451mm

(17.8")

156mm

(6.2")

M1046A with Integral Rack & Parameter Module

156mm

(6.2")

370mm (14.6")

491mm (19.3")

M1046B with Integral Power Supply

156mm

(6.2")

370mm

(14.6")

451mm

(17.8")

Figure 1-10 Computer Module Dimensions

Brief Functional Overview

The Philips CMS Patient Monitoring System is a loosely coupled multi-processor system containing several CPU cards. They can communicate with each other but do not have access to each other’s memory. They can only exchange information in the form of messages.

The backplane can be functionally sectioned into three logical parts or buses, the Message Passing Bus, the Local Bus and the Utility Bus.

Message Passing Bus

Local Bus This is the local communication system. It is a buffered processor bus

This is the global communication bus for the system, and is used for communications between CPU cards as well as to intelligent interface cards (for example, RS232 Interface and the display controllers). This bus appears on all the connectors.

that allows access to local memory cards, SRAM and EPROM that contain software for the exclusive use of the master processor.

The local bus appears on all the connectors on the backplane but is interrupted to connect groups of connectors into local clusters.

1-20 Introducing the CMS

Page 37

Computer Module

Utility Bus This includes functions required by the whole system; for example,

power and clock signal distribution. This bus appears on all the connectors.

Local Clusters The local bus is connected to all the connectors in the backplane but

it is interrupted to form clusters that share a connection to the same local bus. There are 10 local clusters in the backplane with varying numbers of connectors.

Delivered Configurations

The versions and models described by this guide are listed as follows (models indicated by asterisk were discontinued. “(S)” indicates a non-US-model):

CMS: M1165A/66A/67A Models 54(S)*, 56(S), 64(S), 66(S) and 68(S)

CMS: M1175A/76A/77A Models 54*, 56, 66 and 68

ACMS: M1165A/66A/67A Models 74(S)*, 76(S), 84(S), 86(S) and 88(S)

ACMS: M1175A/76A/77A Models 74*, 76, 86 and 88

NCMS: M1165A/66A/67A Models 34(S)*, 36(S)*, 44(S), 46(S)* and 48(S)

NCMS: M1175A/76A/77A Models 34*, 36*, 46* and 48

Introducing the CMS

The CMS products M1167A and M1177A use the Computer Module (M1046B).

There are three types of Application CPU Cards used in the Systems: M1054 (10 MHz) and M1051 (15 MHz) and M1053 (40 MHz CPC Card).

Function Card placement in the Backplane is dependent upon the variant of the System and the type of Application CPU Cards. Card placements for all variants of the CMS are illustrated in Table 1-10 Function Card Placement on page 1-23

Function Cards of the Computer Module

The function cards are interconnected by the backplane within the Computer Module; refer to the Concepts Guide for a full functional description of the backplane and its theory of operation. The function cards are mounted on both sides of the backplane and may be located either in the front of the Computer Module (even-numbered connectors) or the rear (odd-numbered connectors). The local clusters of the backplane are colorcoded on the Computer Module, so that they can be easily identified. On the rear of the backplane, to the left of connector 21, there is a triple-sized gap. This is the only place where the dc-dc converter can be located.

The newer Computer Module (M1046B) has an integral power supply. As a result these Computer Modules have additional function cards. These additional cards are described in Table 1-10 Function Card Placement on page 1-23.

Introducing the CMS 1-21

Page 38

Computer Module

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Function Card Placement

Function Card Placement in the backplane of the Philips monitor is dependent upon the following (“(S)” indicates the non-US-models):

1.The monitor model:

•CMS: Models 54 (S), 56 (S), 64 (S), 66 (S), 68 (S)

•ACMS: Models 74 (S), 76 (S), 84 (S), 86 (S), 88 (S)

•NCMS: Models 36 (S), 44 (S), 46 (S), 48 (S)

2.Type of processor cards used:

•10 MHz CPU cards M1054-66501

•15 MHz CPU cards M1051-66501

•40 MHz CPC card M1053-66515

3.Type and combination of display controllers used:

•M1066-66501 DSPC (Monochrome)

•M1066-66531 DSPC (Monochrome)

•M1066-66543 DSPC (Monochrome with integrated DSPC-lang)

•M1072-66521 CDSPC-CTRL (Color) together with M1072-66501 CDSPC-VIDEO

•M1072-66531 CDSPC (Color)

•M1072-66543 (Color with integrated DSPC-lang)

•M1074-66501 DSPC-FLAT (Flatscreen color)

•M1074-66502 DSPC-FLAT (Flatscreen color)

•M1074-66503 DSPC-FLAT (Flatscreen Color with integrated DSPC-lang)

•M1075-66503 XGA DSPC (XGA with integrated DSPC-lang)

1-22 Introducing the CMS

Page 39

Computer Module

200 x 90

Using 15MHz Application CPUs

Introducing the CMS

Front Slots

Gray

4 6

Blue

Green

12 14 16 18

Blue Strip s

20 22

Green Strips

Use the following tables to determine the location of the function cards for your system.

Table 1-10 Function Card Placement

1 3 5 7

9 11 13 15 17 19

Rear Slots

Yellow

Red

Red Strips

DC-DC Converter

Using 10MHz Application CPUs

CDSPC_CTRL

EPROM MASTER

EPROM SLAVE

FRONT

BLANK or

CDSPC_CTRL #2

APP_CPU

SRAM

APP_CPU

(Model 68 only)

RACK_IF

APP_CPU

Software Release A

REAR

DSPC or

CDSPC_VIDEO

APP_CPU

DSPC #2 or

CDSPC_VID #2

HDLC_IF (If pre se nt )

APP_CPU

RS232_IF (if present)

UTIL_CPU

SDN_IF (if present)

DC/DC CONVERTER

EPROM MASTER

FRONT

BLANK or

CDSPC_CTRL

CDSPC_CTRL #2

APP_CPU

(Model 68 only)

SRAM

EPROM SLAVE

RACK_IF

APP_CPU

REAR

DSPC or

CDSPC_VIDEO

APP_CPU

DSPC #2 or

CDSPC_VID #2 HDLC_IF (if present)

APP_CPU

RS232_IF (if present)

UTIL_CPU

SDN_IF (if present)

DC/DC CONVERTER

Introducing the CMS 1-23

Page 40

Computer Module

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Table 1-10 Function Card Placement

Software Release B

Using 10MHz Application CPUs

FRONT

DSPC or

BLANK or

CDSPC_CTRL

EPROM MASTER

CDSPC_CTR #2

APP_CPU

SRAM

EPROM SLAVE

APP_CPU

(Model 56 with #C10,

66 with #C10, or 68)

RACK_IF

APP_CPU

CDSPC_VIDEO

DSPC_KANJI (if presen

APP_CPU

DSPC #2 or

CDSPC_VID #2

HDLC_IF (If presen

APP_CPU

RS232_IF (if present)

ANALOG_IF (if present)

UTIL_CPU

SDN_IF (if present)

DC/DC CONVERTER

Software Release C (15 MHz APP_CPUs)

Models 54(S)/64(S) and Models 56(S)/66(S) without #C26

REAR

DSPC #1 or

CDSPC_VID #1

DSPC_LANG

(KANJI, TAI or PRC)

15 MHz APP_CPU

DSPC #2 or

CDSPC_VID #2 HDLC-IF

15 MHz APP_CPU

RS232_IF

ANALOG_IF

UTIL_CPU

SDN_IF

19 21

DC/DC CONVERTER

BLANK or

CDSPC_CTRL #1

EPROM MASTER

CDSPC_CTRL #2

15 MHz APP_CPU

EPROM SLAVE

RACK_IF

APP_CPU

FRONT

SRAM

REAR

Using 15MHz Application CPUs

FRONT

BLANK or

CDSPC_CTRL

EPROM MASTER

CDSPC_CTR #2

APP_CPU

(Model 68 only)

SRAM

EPROM SLAVE

RACK_IF

APP_CPU

Models 56(S)/66(S) with #C26 and Model 68(S)

FRONT

BLANK or

CDSPC_CTRL #1

EPROM MASTER

CDSPC_CTRL #2

15 MHz APU_CPU

SRAM

EPROM SLAVE

15 MHz APU_CPU

RACK_IF

15 MHz APP_CPU

REAR

DSPC or

CDSPC_VIDEO

DSPC_KANJI (if present)

APP_CPU

DSPC #2 or

CDSPC_VID #2 HDLC_IF (if present)

APP_CPU

RS232_IF (if present)

ANALOG_IF (if present)

UTIL_CPU

SDN_IF (if present)

19 21

DC/DC CONVERTER

REAR

DSPC #1 or

CDSPC_VID #1 DSPC_LANG.

(KANJI, TAI or PRC)

15 MHz APP_CPU

DSPC #2 or

CDSPC_VID #2 RS232_IF #1

15 MHz APP_CPU

RS232_IF #2 or

DSPC #3 (only 68(S)) ANALOG_IF

UTIL_CPU

SDN_IF

HDLC_IF

DC/DC CONVERTER

Rel_b.m

200 x 90

1-24 Introducing the CMS

Page 41

Computer Module

200 X 90

Table 1-10 Function Card Placement

Upgrade Backplane to Release C (without CPC)

The table below shows the slot locations and quantity of 10 MHz (M1054-66501) and 15 MHz (M1051-66501) APP_CPUs for those Philips CMS Patient Monitoring System that have been upgraded from software release A or B with 10 MHz CPU’s exclusively, to software release C without CPC.

APP_CPU Slot Location and Quantity

A54S/A66S 51, 8, 11, 14, 22

A56S,/A66S 5

A56(S)/A66(S) (#C10) 5

A56(S)/A66(S) (#C26) 5

1 This is a 15 MHz CPU. 2 The systems that have been upgraded from

software release B to software release C with existing C10 will contain a 10 MHz processor in slot 16. If C10 is added to a Software Release C monitor, there will not be a 10 MHz processor in slot 16.

, 8, 11, 14, 22

, 8, 11, 14, 162, 22

, 8, 11, 14, 161, 22

Rel. C+ to Rel. G 15 MHz APP_CPU Requirements

Model Slot 22 Slot 4

Standard CMS

A68(S) Required Extra card

A56(S)/A66(S) Required

A54(S)/A64(S) Extra card Extra card

Anesthesia CMS (from Rel. E

)

A88(S) Required Required

A76(S)/A86(S) (#C25) Required Required

A76(S)/A86(S) without (#C25) Extra card Extra card

A74(S)/A84(S) (#C24) Required Extra card

A74(S)/A84(S) w/o (#C24) Extra card Extra card

Neonatal CMS (from Rel. F)

A36(S)/A46(S)/A48(S) Required Extra card

a. Not required in certain earlier releases.

Extra card

Introducing the CMS

CDSPC_CTRL #1

15 MHz APP_CPU

CDSPC_CTRL #2

15 MHz APP_CPU

Software Release C+ or D (40 MHz CPC)

Models 54(S)/64(S) and Models 56(S)/66(S)

FRONT

BLANK or

40 MHz CPC

RACK_IF

REAR

DSPC #1 or

CDSPC_VID #1 DSPC_LANG

(KANJI, TAI or PRC)

DSPC #2 or

CDSPC_VID #2

RS232_IF

ANALOG_IF

UTIL_CPU

SDN_IF

HDLC_IF

DC/DC CONVERTER

FRONT REAR

BLANK or

CDSPC_CTRL #1

15 MHz APP_CPU

CDSPC_CTRL #2

40 MHz CPC

RACK_IF

15MHz APP_CPU

Models 56(S)/66(S) with #C26 and Model 68(S)

DSPC #1 or

CDSPC_VID #1

DSPC_LANG

(KANJI, TAI or PRC)

DSPC #2 or CDSPC_VID #2

RS232_IF #1

RS232_IF #2 or

DSPC #3 (only 68(S))

ANALOG_IF

UTIL_CPU

SDN_IF

HDLC_IF

* An extra CPU may be left in for future use.

DC/DC CONVERTER

Introducing the CMS 1-25

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Table 1-10 Function Card Placement

Software Release E or E

FRONT

BLANK or

CDSPC_CTRL #1

15 MHz APP_CPU

CDSPC_CTRL #2

40 MHz CPC

RACK_IF

15 MHz APP_CPU

10 12 14 16 18 20 22 24

REAR

DSPC #1 or

2 4 6 8

CDSPC_VIDEO #1 DSPC_LANG #1

3 5

DSPC #2 or

CDSPC_VIDEO #2

RS232_IF #1

(KANJI, TAI or PRC)

15 MHz APP_CPU

CDSPC_CTRL #2

ANALOG_IF or

DSPC #3 (o nl y model 88)

RS232 IF #2

UTIL_CPU

SDN_IF

HDLC_IF

DC/DC CONVERTER

40 MHz CPC

100/140

15 MHz APP_CPU

bacone1.tif

* If upgraded (to F) may still have CDSPC_CTRL #1.

Software Release F

FRONT

* BLANK

RACK_IF

2 4 6

8 10 12 14 16 18 20 22 24

1 3 5 7

9 11 13 15 17 19

21 25

REAR

DSPC #1 or CDSPC #1 or DSPC_FLAT #1

DSPC_LANG #1

(KANJI, TAI or PRC)

DSPC #2 or CDSPC #2 or DSPC_FL AT #2

RS232_IF #1

ANALOG_IF or DSPC #3 or DSPC_FLA T #3 or CDSPC #3

RS232 IF #2

UTIL_CPU

SDN_IF HDLC_IF

DC/DC CONVERTER

(only model 88)

M1046A Computer Module

FRONT

DSPC #1 or

* BLANK

15 MHz APP_CPU

CDSPC_CTRL #2

2 4 6 8

40 MHz CPC

12 14

100/140

RACK_IF

16 18 20

15 MHz APP_CPU

bacone1.tif

* If upgraded (to G) may still have CDSPC_CTRL #1.

22 24

CDSPC #1 or DSPC_FLAT #1 DSPC_LANG #1

3 5

DSPC #2 or

CDSPC #2 or DSPC_FLAT #2

RS232_IF #1

ANALOG_IF or

DSPC #3 or DSPC_FLAT #3

or CDSPC #3

RS232 IF #2

UTIL_CPU

SDN_IF

HDLC_IF

DC/DC CONVERTER

REAR

(KANJI, TAI or PRC)

Software Release G

15 MHz APP_CPU

CDSPC_CTRL #2

REMOTE_SWITCH

40 MHz CPC

(only model 88)

100/140

15 MHz APP_CPU

AUX_CONNECTOR

bacone1.tif

M1046B Computer Module

FRONT

BLANK

2 4 6 8

REAR

DSPC_FLAT_NON_ASIA #1 or

DSPC_FLAT_ASIA # 1

3 5

DSPC #2 or

CDSPC #2 or DSPC_FLAT #2

RS232_IF #1

RACK_IF

12 14 16 18 20

ANALOG_IF or

DSPC #3 or DSPC_FLAT #3

or CDSPC #3

RS232 IF #2

UTIL_CPU

SDN_IF

HDLC_IF

22 24

DC/DC CONVERTER

(only model 88

1-26 Introducing the CMS

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Computer Module

Table 1-10 Function Card Placement

Software Releases A.0 to C.0

M1046A Computer Module

Systems with M1066-66531 or M1066-66543** (DSPC) or

M1072-66531 or M1072 -66543 M1074-66501 ( D SPC_FLAT) or M1074-66502 (DSPC_FLAT)

FRONT

40 MHz CPC #2

2 4 6 8

REAR

DSPC #1 or

CDSPC #1 or DSPC_FLAT #1 DSPC_LANG #1

(JAP, PRC, ROC, GRK, POL, RUS, CZE)

DSPC #2 or

CDSPC #2 or DSPC_FLAT #2 RS232_IF #1

40 MHz CPC #1

100/140

RACK_IF

15 MHz APP_CPU

For future use – if upgraded

12 14 16 18 20 22 24

ANALOG_IF or DSPC #3 or CDSPC #3

or DSPC_FLAT #3(only model 88)

RS232 IF #2

UTIL_CPU

SDN_IF

HDLC_IF

DC/DC CONVERTER

** with these controllers no DSPC_LANG is require

(CDSPC) or

M1046B Computer Module

Systems with M1074-66501(DSPC_F LAT) or

FRONT

40 MHz CPC #2

4 6

REMOTE

40 MHz CPC #1

12 14

100/140

RACK_IF

16 18 20

15 MHz APP_CPU

*For future use – if upgraded

AUX

22 24

M1074-66502 (D SPC _ FLAT)

REAR

DSPC_FLAT #1or DSPC #1

DSPC_LANG #1

(JAP, PRC, ROC, GRK,

POL, RUS, CZK)

DSPC #2 or CDSPC #2 or

DSPC_FLAT #2 RS232_IF #1

ANALOG_IF or DSPC #3 or CDSPC #3

or DSPC_FLAT #3(only model 88) RS232 IF #2

UTIL_CPU

SDN_IF

HDLC_IF

DC/DC CONVERTER

Introducing the CMS

M1046A Computer Module

Systems with M1066-66501 (DSPC) or

CDSPC_CTRL #1

40 MHz CPC #2

CDSPC_CTRL #2

40 MHz CPC #1

100/140

RACK_IF

15 MHz APP_CPU

For future use – if upgraded.

M1072-66521 (CDSPC_CTRL) + M1072-66501 (CDSPC_VIDEO)

FRONT

2 4 6

8 10 12 14 16 18 20

22 24

REAR

DSPC #1 or

CDSPC_VIDEO #1 DSPC_LANG

3 5

DSPC #2 or

CDSPC_VIDEO #2 RS232_IF #1

ANALOG_IF or DSPC #3 (only model 88)

RS232 IF #2

UTIL_CPU

SDN_IF

HDLC_IF

DC/DC CONVERTER

(JAP, PRC, ROC)

M1046B Computer Module

Systems with M1075-66503 (XGA_DSPC) or

M1074-66503 (DSPC_FLAT)

FRONT

40 MHz CPC #2

REMOTE

40 MHz CPC #1

12 14

100/140

RACK_IF

16 18

15 MHz APP_CPU

* For future use – if upgraded.

AUX

22 24

REAR

XGA_DSPC #1 or DCPC_FLAT

3 5

XGA_DSPC #2 or DSPC #2 or

CDSPC#2 or DSPC_FLAT #2 RS232_IF #1

ANALOG_IF or XGA_DSPC or DSPC #3 or CDSPC #3

or DSPC_FLAT #3(only model 8

RS232 IF #2

UTIL_CPU

SDN_IF

HDLC_IF

DC/DC CONVERTER

Introducing the CMS 1-27

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EEPROM Numbers

The part numbers listed in the table below are for cross-reference purposes only. Order a blank EEPROM (1818-4869) and reprogram it using the relevant upgrade programming tool.

Table 1-11 CMS EEPROM/CPU Matrix (M1059-85xxx)

Releases A to G

CMS Model XX 10MHz Monitors 15 MHz Monitors 40 MHz CPC Monitors

Rel A Rel B Rel C Rel A Rel B Rel C Rel C Rel D Rel E Rel Eβ Rel F Rel G

A54(S)/A64(S) `231 '251 '301 `241 `261 '341 '441 '541 ‘641 ‘741 ‘841 ‘943

A54(S)/A64(S) (C02) `234 '254 '301 `244 `264 '341 '441 '541 ‘641 ‘741 ‘841 ‘943

A54(S)/A64(S) (C03) '237 '257 - '247 `267 - - - - - - -

A54(S)/A64(S) (C05) - - '303 - - '343 '443 '543 ‘643 ‘743 ‘843 ‘943

A54(S)/A64(S) (C10) - '271 '304 - `281 '344 '444 '544 ‘644 ‘744 ‘844 ‘949

A54(S)/A64(S) (C02,C10) - '274 '304 - '284 '344 '444 '544 ‘644 ‘744 ‘844 ‘949

A54(S)/A64(S) (C03,C10) - '277 - - '287 - - - - - - -

A54(S)/A64(S) (C05,C10) - - '309 - - '349 '449 '549 ‘649 ’749 ‘849 ‘949

A56(S)/A66(S) `232 '255 '321 `242 `265 '361 '461 '561 ‘661 ‘761 ‘861 ‘963

A56(S)/A66(S) (C02) `235 `255 '321 `245 `265 '361 '461 '561 ‘661 ‘761 ‘861 ‘963

A56(S)/A66(S) (C03) '238 '258 '322 `248 `268 '362 '462 '562 ‘662 ‘762 ‘862 ‘966

A56(S)/A66(S) (C05) - - '323 - - '363 '463 '563 ‘663 ‘763 ‘863 ‘963

A56(S)/A66(S) (C10) - '275 '324 - `285 '364 '464 '564 ‘664 ‘764 ‘864 ‘969

A56(S)/A66(S) (C26) - - '325 - - '365 '465 '565 - - - -

A56(S)/A66(S) (C03,C05) - - '326 - - '366 '466 '566 ‘666 ‘766 ‘866 ‘966

A56(S)/A66(S) (C03,C10) - '278 '327 - '288 '367 '467 '567 ‘667 ‘767 ‘867 ‘971

A56(S)/A66(S) (C03,C26) - - '328 - - '368 '468 '568 - - - -

A56(S)/A66(S) (C05,C10) - - '329 - - '369 '469 '569 ‘669 ‘769 ‘869 ‘969

A56(S)/A66(S) (C10,C26) - - '330 - - '370 '470 '570 - - - -

A56(S)/A66(S) (C03,C05,C10) - - '331 - - '371 '471 '571 ‘671 ‘771 ‘871 ‘971

A56(S)/A66(S) (C03,C10,C26) - - '332 - - '372 '472 '572 - - - -

A68(S) `233 '256 - `243 `266 '381 '481 '581 ‘681 ‘781 ‘881 ‘981

A68(S) (C02) `236 '256 - `246 '266 '381 '481 '581 ‘681 ‘781 ‘881 ‘981

A68(S) (C03) '239 '259 - `249 `269 '382 '482 '582 ‘681 ‘781 ‘881 ‘981

A68(S) (C10) - '276 - - `286 '384 '484 '584 ‘681 ‘781 ‘881 ‘981

A68(S) (C03,C10) - '279 - `289 '387 '487 '587 ‘681 ‘781 ‘881 ‘981

1-28 Introducing the CMS

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Table 1-12 CMS EEPROM/CPU Matrix (M1059-xxxxx)

Releases A.0 to C.0

System Model Options Rel. A.0 Rel. B.0 Rel. C.0 Rel. C.1

64/64S Standard -80040 -80140 -80242 -80342

C04 -80041 -80141 -80243 -80343 C12 — -80142 -80242 -80342 C04, C12 — -80143 -80243 -80343 C80 -80042 -80140 -80242 -80342 C04, C80 -80043 -80141 -80243 -80343

56/56S and 66/66S (Rel.B.0 and C.0)

68/68S Standard -80080 -80180 -80282 -80382

Standard -80060 -80160 -80262 -80362 C04 -80061 -80161 -80263 -80363 C12 — -80162 -80262 -80362 C04, C12 — -80163 -80263 -80363 C80 -80062 -80160 -80262 -80362 C04, C80 -80063 -80161 -80263 -80363 J26 -80070 -80170 -80272 -80372 J26, C04 -80071 -80171 -80273 -80373 J26, C32 — — -80274 -80374 J26, C04, C32 — — -80275 -80375 J26, C12 — -80172 -80272 -80372 J26, C04, C12 — -80173 -80273 -80373 J26, C80 -80072 -80170 -80272 -80372 J26, C04, C80 -80073 -80171 -80273 -80373

C04 -80081 -80101 -80283 -80383 C12 — -80182 -80282 -80382 C80 — — -80282 -80382 C04, C80 -80083 -80101 -80283 -80383 J28 -80090 -80190 -80292 -80392 J28, C04 -80091 -80111 -80293 -80393 J28, C32 — — -80294 -80394 J28, C04, C32 — — -80295 -80395 J28, C12 — -80192 -80292 -80392 J28, C80 -80092 -80190 -80292 -80932 J28, C04, C80 -80093 -80111 -80293 -80393

Introducing the CMS

Introducing the CMS 1-29

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Table 1-13 ACMS EEPROM/CPU Matrix (M1059-87xxx)

Rel. E to G

ACMS Model XX 40 MHz CPC Monitors

Rel E Rel E

A74(S)/A84(S) ‘641 ‘741 ‘841 ‘943

A74(S)/A84(S) (C05) ‘643 ‘743 ‘843 ‘943

A74(S)/A84(S) (C24) ‘644 ‘744 ‘844 ‘949

A74(S)/A84(S) (C05,C24) ‘649 ‘749 ‘849 ‘949

A76(S)/A86(S) ‘661 ‘761 ‘861 ‘963

A76(S)/A86(S) (C03) ‘662 ‘762 ‘862 ‘966

A76(S)/A86(S) (C05) ‘663 ‘763 ‘863 ‘963

A76(S)/A86(S) (C25) ‘665 ‘765 ‘865 ‘971

A76(S)/A86(S) (C03,C05) ‘666 ‘766 ‘866 ‘966

A76(S)/A86(S) (C03,C25) ‘668 ‘768 ‘868 ‘972

A76(S)/A86(S) (C05,C25) ‘671 ‘771 ‘871 ‘971

A76(S)/A86(S) (C03,C05,C25) ‘672 ‘772 ‘872 ‘972

A88(S) ‘681 ‘781 ‘881 ‘981

A88(S) (C11) - ‘880 ‘980

β Rel F Rel G

1-30 Introducing the CMS

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Table 1-14 ACMS EEPROM/CPU Matrix (M1059-xxxxx)

Rel. A.0 to C.0

System Model Options Rel. A.0 Rel. B.0 Rel. C.0 Rel. C.1

84/84S (Rel. C.0) Standard — — -81242 -81342

C79 — — -81243 -81343

76/76S and 86/86S (Rel.B.0 and C.0)

88/88S Standard -81080 -81180 -81282 -81382

Standard -81060 -81160 -81262 -81362 C79 -81061 -81161 -81263 -81363 C12 — -81162 -81262 -81362 C12, C79 — -81163 -81263 -81363 C80 -81062 -81160 -81262 -81362 C80, C79 -81063 -81161 -81263 -81363 J26 -81070 -81170 -81272 -81372 J26, C79 -81071 -81171 -81273 -81373 J26, C12 — -81172 -81272 -81372 J26, C12, C79 — -81173 -81273 -81373 J26, C80 -81072 -81170 -81272 -81372 J26, C79, C80 -81073 -81171 -81270 -81370 J26, C32 — — -81274 -81374 J26, C79, C32 — — -81275 -81375

C79 -81081 -81181 -81283 -81383 C12 — -81182 -81282 -81382 C12, C79 — -81183 -81283 -81383 C80 -81082 -81180 -81282 -81382 C79, C80 -81083 -81181 -81283 -81383 J28 -81090 -81190 -81292 -81392 J28, C79 -81091 -81191 -81293 -81393 J28, C32 — — -81294 -81394 J28, C32, C79 — — -81295 -81395 J28, C12 — -81192 -81292 -81392 J28, C12, C79 — -81193 -81293 -81393 J28, C80 -81092 -81190 -81292 -81392 J28, C79, C80 -81093 -81191 -81293 -81393 J28, C11 -81095 -81190 -81292 -81392 J28, C11, C79 -81096 -81191 -81293 -81393 J28, C11, C80 -81097 -81190 -81292 -81392 J28, C11, C79, C80 -81098 -81191 -81293 -81393

Introducing the CMS

Introducing the CMS 1-31

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Table 1-15 NCMS EEPROM/CPU Matrix (M1059-85xxx)

Releases F and G

NCMS Model XX 40 MHz CPC Monitors

Rel F Rel G

A36(S)/A46(S) ‘860 ‘960

A36(S)/A46(S) (C10) ‘870 ‘970

A48(S) ‘880 ‘980

Table 1-16 NCMS EEPROM/CPU Matrix (M1059-xxxxx)

Releases A.0 to C.0

System Model

44/44S Standard — — -80220 -80320

48/48S Standard -80000 -80100 -80200 -80300

Options

C04 — — -80221 -80321

C04 -80001 -80101 -80201 -80301

C80 -80002 -80100 -80200 -80300

C04, C80 -80003 -80103 -80201 -80301

J28 -80010 -80110 -80210 -80310

J28, C04 -80011 -80111 -80211 -80311

J28, C80 -80012 -80110 -80210 -80310

J28, C04, C80 -80013 -80111 -80211 -80311

C32 — — -80214 -80314

C04, C32 — — -80215 -80315

Rel. A.0

Rel. B.0

Rel. C.0

Rel. C.1

1-32 Introducing the CMS

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Computer Module

Front Connectors

The front of the Computer Module contains two function cards with connectors, the Rack Interface card connector in slot 18 and the CPC card connector in slot 12 in later releases. The Rack Interface connector is used to collect output for the Computer Module from the plug-in module rack (integral or blank) and the CPC Flash port is used by the CPC Programming Tool for programming functions. Most models contain a Sheet Metal Cover over the front function cards. The cover has two ports for access to the front connectors.

FRONT FUNCTION CARDS

SIT BEHIND SHEET METAL COVER

CPC FLASH

PORT

Introducing the CMS

INTEGRAL RACK

Figure 1-11 M1046A Computer Module Front Connectors

RACK INTERFACE

CONNECTOR PORT

SHEET METAL

COVERING THE FRONT

FUNCTION CARDS

Introducing the CMS 1-33

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Front Connectors on Computer Module M1046B

There are extra connectors on the front of the M1046B Computer Module with an integral power supply.

Remote Switch This connects the integral power supply to the backplane of the

computer module and allows the flatscreen display to control the power for the Computer Module.

FE-Link &ECG sync

These connectors are found on the AUX_CONNECTOR card in slot 24 to allow access to the RACK_IF card in slot 18 behind the power supply. An ECG adapter allows you to connect to the ECG sync connector through a hole in the front plastic cover.

CPC Connector

ECG Adaptor FE-Link Connector

Remote_Switch Connector

Rack_IF

Remote_Switch

Function Card

Figure 1-12 M1046B Computer Module Front Connectors

Rack-IF Connector

ECG Connector

FE-Link Connector

Aux_Connector Function Card

1-34 Introducing the CMS

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Computer Module

Rear Connectors

The rear panel of the Computer Module will have several connectors. The number and the type of connectors present is dependent upon which function cards are fitted in the Computer Module backplane. Any unused rear backplane function card slots are fitted with blank slot covers. A typical Computer Module rear panel is shown below.

XGA or

Introducing the CMS

Table 1-17 Computer Module Rear Connectors

Connector Function

1 System Power Connector

(DC/DC Convertor)

2 Equipotential Grounding

Termi na l

3 SDN Connectors

(SDN Interface)

4 Human Interface Connector

(Utility CPU)

5 Nurse Paging Relay output Mini-phone jack, used to connect to the hospital's Nurse Paging System.

6 Analog Interface Connector 37-pin “D” type connector configured as shown in Figure 1-13, used to output

15-pin “D”-type connector, used to input the 60V dc from either a Main CRT Display Module or the Remote Power Supply Module if a flatscreen is used as the main display. For M1046B: The 60V dc is supplied from an integral power supply and a shorting stub MUST be installed in this connector for the system to function correctly. Note: Daisychaining is not permitted with the M1046B.

Used to connect the Computer Module to the hospital's grounding system.

Philips connectors, used to input/output information to/from a SDN network.

Human Interface Link (HIL) connector, used to input the information from the Control Panel in the Main Display Module and the Handheld Keypad.

information to analog devices.

Introducing the CMS 1-35

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Table 1-17 Computer Module Rear Connectors

Connector Function

7 RS232 Connectors

(RS232 Interface)

8 HDLC Connector Used to connect to a STRIP recorder, M1117A.

9Video Out Connector

(CDSPC-Video or DSPC)

10 PS ON/OFF connector

(DSPC_Flat or CDSPC-XGA)

11 Video Out Connector

(Flatscreen or XGA)

NOTE

No connection can be made to the following cards:

Two 25-pin “D” type connectors configured as shown in Figure 1-14, used to output information to a printer or computer systems. Only the upper connector (port 2) can be used to output RS232 information to printers.

9-pin “D” type connector, used to output information to be displayed on the Display Module. See Table 1-19 on page 1-37 lists the connector pinouts.

Used to control remotely the 60V DC output of the Remote Power Supply Module. For M1046B with an integral power supply, this connector is not used except for the XGA display configuration in which it is connected to the External Alarm Device

Used to output information to be displayed on the Flatscreen Display Module (25pin) or XGA Display (15-pin), and also to output 60V DC to the Flatscreen Display Module. Table 1-19 Video / Power Connector on page 1-37 lists the connector pinouts.

• APP_ CPU

• CDSPC_CRTL

• EPROM (including character set EPROMs, for example, Kanji)

• SRAM

Computer Module External Connector Pinouts

The following table lists the signals and appropriate notes for the pins on the Video Out Connector (CRT).

1-36 Introducing the CMS

Table 1-18 Video Out Connector

Pin\No Signal Notes

1 Sync 1 (H sync - positive TTL level)

2 -

3 Red signal (1 V peak positive)

4 Green signal (1 V peak positive)

5 Blue signal (1 V peak positive)

6 Sync 2 (L sync - positive TTL level)

7 -

8 -

9 Ground

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Computer Module

The following table lists the signals for the pins on the Video Out connector (M1095A Flatscreen). For the Video/Power input a male ‘SCSI’ connector with 25-pin pairs is used.

Note that an XGA display uses a standard 15-pin connector.

Table 1-19 Video / Power Connector

Pin Pair Signal

1 / 26 Red 0

2 / 27

3 / 28

4 / 29

5 / 30

6 / 31

7 / 32

8 / 33

9 / 34

10 / 35

11 / 36

12 / 37

13 / 38

14 / 39

15 / 40

16 / 41

17 / 42 ID_0 / ID_1

18 / 43 ID_2 / ID_GND

19 / 44

20 / 45 GND

21 / 46 free

22 / 47

23 / 48 FEPWR / FECOM (+60V)

24 / 49 FEPWR / FECOM (+60V)

25 / 50 Remote ON/OFF to Power Supply

Red 1

Red 2

Red 3

Green 0

Green 1

Green 2

Green 3

Blue 0

Blue 1

Blue 2

Blue 3

HSYNC

VSYNC

BLANK

Backlight ON/OFF

Pixel Clock

Introducing the CMS

Note: The shaded areas are differential signals.

Introducing the CMS 1-37

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shield (chassis grou nd)

analog ground analog ground analog ground

analog ground analog ground

reserved

reserved digital ground digital ground digital ground digital ground

digital ground digital ground digital ground digital ground

37 36 35 34 33 32 31 30 29 28 27 26 25 24 23 22 21 20

18 17 16 15 14

13 12 11

9 8 7 6 5 4 3

analog channel 8 analog channel 7 analog channel 6

analog channel 5 analog channel 4 analog channel 3 analog channel 2 analog channel 1 reserved digital port 7: digital port 6: digital port 5: digital port 4: digital port 3: digital port 2: digital port 1: digital port 0: shield (chassis grou nd)

low output = alarm recording active (for 20 sec.) high output = no alarm recording

low output = no alarm recording high output = alarm recording active (for 20 sec.)

low output = no INOP high output = INOP

low output = no active alarm high output = active alarm

low output = main alarms on high output = all alarms suspended

low output = no ECG INOP high output = ECG INOP

low output = no active ECG alarm high output = active ECG alarm

low output = ECG alarms on high output = ECG alarms off

analcon.mif

Figure 1-13 Analog Interface Connector

Shield

Transmitter (TXD)

Receiver (RXD)

Request To Send (RTS)

Clear To Send (CTS)

Data Set Ready (DSR)

GND

Data Carrier Detect (DCD)

T422A T422B

n/c n/c n/c

12345678910111213

n/c

141516171819202122232425

n/c n/c n/c R422B n/c Data Terminal Ready (DTR) n/c Ring Indicator (RI) n/c n/c R422A

Figure 1-14 RS232 Connector

dtype.mif

1-38 Introducing the CMS

Page 55

Mounting the CMS

For the latest mounting options available for your system, please refer to the following website: http://www3.medical.philips.com/resources/hsg/docs/en-us/custom/ pmd_ms_index_generic.asp

Connecting the CMS Cables

Once the CMS is mounted, the cables need to be connected. This section details the procedures for connecting the terminated cable-ends to the local equipment and faceplates as necessary.

Mounting the CMS

Introducing the CMS

The connections to the Computer Module and PlugIn Mod ule Rack are made using fully terminated cables from either other equipment or from Faceboxes/ Faceplates

The connections that can be made on the CMS are detailed for each component of the system in turn.

To Connect the Computer Module and Plug-in Module Rack

The following figure shows all the possible connections to a Computer Module and the Plug-in Module Rack. The rack has an input on the left (female 20-way LNL) and an output on the right (male 20-way LNL).

Figure 1-15 Computer Module and Rack Cable Connections

Introducing the CMS 1-39

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Connecting the CMS Cables

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1. When the Computer Module and CRT Display Module are stacked together, only the ground

NOTES

cable from the Display Module needs to be connected to the local grounding system.

2. The M1046B Computer Module allows access only to the Defib. Sync on the front cover. The Satellite Rack is connected to the connector on the metal cover and a mains power cable is connected to the integral power supply behind the plastic cover.

3. The M1046B Computer Module has standoffs for the feet and locking cam to allow space to route the Satellite Rack and power cables under the Computer Module to the rear. See page 1-35.

1-40 Introducing the CMS

Page 57

Connecting the CMS Cables

The connections to the Master Display Module are made using fully terminated cables from either other equipment or from Faceplates/ Faceboxes.

To Connect the CRT Display to the Computer Module

The following figure shows all the possible connections to the M1092A, M1094A, and M1094B 14-inch Display Modules.

HIL to handheld keypad

M1094B Display Unit

M1092A and M1094A Display Units

Introducing the CMS

DC/DC to

Computer Module

HIL from

Computer Module

Video to

Slave Display

Computer Module

To local Ground

Video to

To Mains

Power

To local Ground

DC/DC to

Computer Module

To Mains Power

Video to

Computer Module

HIL from

Computer Module

Video to

Slave Display

Figure 1-16 Display Module Cable Connections

NOTE When a 14" Display is used as a slave, the connections for DC/DC and Philips-HIL are NOT

used.

Introducing the CMS 1-41

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Connecting the CMS Cables

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To Connect the Flatscreen Display to the Computer Module

Video/Power cable

HIL cable to Handheld Keypad

HIL cable to Computer Module

Figure 1-17 Flatscreen Display Module Cable Connections

The head of the 10m video cable is shrink-wrapped to facilitate passing through a narrow conduit. To connect the video cable, remove the shrink-wrap and assemble the two halves of the housing around the cable head, taking care to ensure that the cable hangs downwards.

The handheld

eypad can only be

used with a Master

isplay Module.

To Connect the XGA-Compatible Display to the Computer Module

Connect the video cable of the display to the Video Out Connector of the Computer Module.

To Connect the Satellite Rack

Connect the male end of the cable to either the Computer Module or the Rack Output connector on another Satellite Rack and connect the female end of the cable to the Rack Input connector on this Satellite Rack.

To Connect the Strip Recorder

The connection to the strip recorder is made using a fully terminated cable connected to either a faceplate or directly to the HDLC Interface card on the rear of the Computer Module.

To Connect the Handheld Keypad to the CRT Display Module

Remove the small plastic insert on the Master Display Module (to the front right of the brightness and contrast controls). This exposes the Philips-HIL connector.

Insert the handheld keypad connector (with prongs down) into the Philips-HIL connector on the Master Display Module. This is located in the lower front right-hand corner. The connector clicks into place.

1-42 Introducing the CMS

Page 59

Connecting the CMS Cables

m p

To Connect the Handheld Keypad to the External Alarm Device

HIL to Keypad

HIL cable

Connect the HIL connector of the Keypad to the corresponding connector of the External Alarm Device.

NOTE To connect any of the three cables to the External Alarm Device, you must first remove

the connector cover. When the cables are plugged in, replace the cover.

Introducing the CMS

To Connect the External Alarm Device to the Computer Module

Connect the Alarm Device’s Philips-HIL connector to the Philips-HIL connector of the Computer Module using the HIL cable provided. Connect the Alarm Device’s On/Off Switch connector to the On/Off Switch connector of the Computer Module using the remote switch cable provided.

Consult the central station service

anual for a list of

rinters which can be used at the central station.

NOTE Printers must only be connected to the Computer Module using the cable options (for

To Connect Printers and PCs

The CMS can print reports locally or at the central station. The printers must support Philips PCL Layer 3 Printer Commands. Local printers are connected to the RS-232 card in the rear of the Computer Module. Printers without serial port require a serial-to-parallel converter (Philips Part Number 5962-4340). This applies, for example, to the HP DeskJet 695C and the HP LaserJet 6P. Note that laser printers must contain at least 2 MB of RAM in order to be used with the CMS.

example, a 1.5m cable option M1181A #A50): all M1181A #A5** option numbers are for RS232/422 cables.

For detailed information on how to configure local printers, please refer to “Local Jet Printer Configurations” on page 3-37.

Introducing the CMS 1-43

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Connecting the CMS Cables

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Connecting External Computer Systems

An external personal computer can be connected to the CMS via the RS232 connector (port 1): this option (#J13) is the Medical Computer Interface capability. If a second RS232 card is supported in your monitor, the PC can then be connected through the RS232 connector (port 3). Refer to the RS232 Computer Interface Programming Guide for a comprehensive description of the option's capabilities.

With Option #J13, the following parameter module data can be accessed: All wave, numeric and alarm data. All external device data interfaced by the CMS through VueLink.

NOTE Personal Computer Systems must only be connected to the RS232 connector on the

Computer Module using the cable options (for example, a 1.5m cable option M1181A #A50).

1-44 Introducing the CMS

Page 61

Configuring and Adjusting Displays

Introduction

When a new display is connected to the CMS, it needs to be adjusted so that all information is visible. If you are connecting a standard XGA display, please refer to the section entitled “XGA Display Adjustments” on page 1-46.

When a new touchscreen display is connected to the CMS, it needs to be configured and calibrated. After the display has been configured and calibrated, a functionality test must be performed. This procedure comprises of:

• RS-232 port configuration.

• Check and fine tuning of screen adjustment.

• Touch screen configuration and calibration.

Configuring and Adjusting Displays

Introducing the CMS

If you are connecting a standard touchscreen display, please follow the instructions in

Configuring the RS-232 Port

To configure an appropriate RS-232 port for the Touch Screen

Step 1 Switch to Configuration Mode and press:

Monitor Setup RS232 Touch

→ →

The following table shows the supported RS-232 configuration settings of one card:

Table 1-20 RS-232 Configuration Settings

Upper Port Lower Port Upper Port Lower Port

Computer Off Computer On Touch Computer On

Touch Computer Off Mouse Mouse AGM AGM VENT VENT

AGM Computer Off VENT Computer Off

Touch Touch Mouse Mouse VENT AGM

Introducing the CMS 1-45

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Configuring and Adjusting Displays

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Step 2 Restart the CMS.

The RS-232 interface is now configured for Touc h operation and the new softkey is available from the window when in Configuration Mode.

Monitor Setup

Touch Setup

NOTE Once Touch or Mouse configurations are made, the CMS Monitor must be restarted in

order to activate the new configuration settings.

NOTE Multiple AGM, VENT, Touch or Mouse configurations are not supported.

XGA Display Adjustments

When setting up the M1097A XGA color flatscreen display, make sure that the whole image (all pixels) is visible on the display.

To test this and to make any adjustments:

Step 1 Go to Service Mode by pressing followed by .

Step 2 Enter the password and select , then press .

Monitor Setup

Service Confirm

Operating Modes

Step 3 When the main screen is displayed, press the fourth (middle) function key on the

keypad.

You should see lines on the display, showing a cross right through the middle of the screen and a frame bordering the whole screen.

Step 4 If you do not see the whole frame, adjust the display accordingly.

1-46 Introducing the CMS

Page 63

Configuring and Adjusting Displays

NOTE If you are adjusting a touchscreen monitor, please do a new calibration to make sure that

the screen responds in the expected way.

Calibrating the Touch Screen

Once the RS-232 interface is configured for Touch operation, the CMS is able to communicate with the touch screen. If there is a communication problem between the CMS and the touch screen, the following message will be displayed:

Touch Operation Not Available - Check Setup

If communication is possible but the touch screen has not been calibrated, the following message will be displayed:

Touch Operation Not Calibrated - Check Setup

Introducing the CMS

To calibrate the touch screen:

Step 1 Switch to Configuration Mode and press:

Monitor Setup Touch Setup

The

Touch Screen Setup window is displayed with a list of the step to be followed.

Step 2 Press the key on the touch screen to start calibration of the

→

Start Calibr

touch screen.

Step 3 Tap the active (bright) cross sign target. Each target will in turn become active.

Repeat the selection of each active target until all 5 targets have been selected. Calibration will now be carried out internally.

Step 4 If calibration is successful, the following message is displayed:

Introducing the CMS 1-47

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Configuring and Adjusting Displays

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Calibration completed, press <store settings>

Step 5 Press the softkey.

Store Settings

Performing the Functionality Test

After successfully calibrating the touch screen, complete the following test to check that the performance of the touch screen is correct:

Step 1 Switch to Monitoring Mode. Icons for

trol

should be seen on the screen.

Step 2 Touch the

Suspend button repeatedly. The alarms should switch between

Alarms Switched ON and Alarms Suspended.

Step 3 Touch the

should be displayed.

Step 4 In the

Suspend Alarms

Switched ON

Control Panel button. The Control Panel task window

Control Panel task window, repeatedly touch the

softkey. The alarms should switch between

and Alarms Suspended.

Silence/Reset, Suspend and Con-

Alarms

Step 5 Touch outside the

dow.

Step 6 Touch any location on the screen.

Step 7 Check to see that a sign (+ or x) is displayed at the location that was touched.

Step 8 Repeat calibration if the confirmation sign is not acceptably close to the location

that was touched and test again.

Control Panel task window should close the task win-

1-48 Introducing the CMS

Page 65

Configuring the Mouse or Trackball

Introduction

When a new mouse or trackball is connected to the CMS, the RS-232 port it is connected to, needs to be appropriately configured. After the RS-232 interface has been configured the mouse or trackball is operational. However, the response speed of the mouse or trackball can be adjusted.

Configuring the RS-232 Port

To configure an appropriate RS-232 port for the mouse or trackball

Step 1 Switch to Configuration Mode and press:

Configuring the Mouse or Trackball

Introducing the CMS

Monitor Setup RS232 Mouse

Table 1-20 RS-232 Configuration Settings on page 1-45 shows the supported RS-232 configuration settings of one card:

Step 2 Restart the CMS.

The RS-232 interface is now configured for Mouse operation and the new

Mouse Setup Monitor Setup

Configuration Mode. Once Touch or Mouse configurations are made, the CMS Monitor must be restarted in order to activate the new configuration settings.

NOTE Multiple AGM, VENT, Touch or Mouse configurations are not supported.

→ →

softkey is available from the window when in

Performing the Functionality Test

After connecting a mouse or trackball, complete the following test to check that the performance of the mouse or trackball is correct:

Step 1 Switch to Monitoring Mode.

Icons for

Silence/Reset, Suspend and Control should be seen on the

screen.

A cursor sign (+ or x) is displayed and should move when the mouse/trackball is

moved.

A black or white border should be visible on or around any accessible target.

Introducing the CMS 1-49

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Configuring the Mouse or Trackball

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Step 2 Click the Suspend button repeatedly. The alarms should switch between

Alarms Switched ON and Alarms Suspended. There should also be a

“click” sound when clicking into this field.

Step 3 Click the

Control Panel button. The Control Panel task window

should be displayed.

Step 4 In the

Step 5 Click outside the

Control Panel task window, repeatedly click the

Suspend Alarms

Switched ON

softkey. The alarms should switch between

and Alarms Suspended.

Control Panel task window should close the task window.

Alarms

Step 6 Move the cursor to any location on the screen. The cursor sign should change

shape (+ or x) depending on whether or not it is placed over an active target.

Adjusting the Pointer Speed of the Mouse or Trackball (Optional)

Once the RS-232 interface is configured for Mouse operation, the CMS is able to communicate with the mouse or trackball and normal operation is possible. The pointer speed of the mouse or trackball can however be adjusted if desired.

To adjust the response of the mouse or trackball:

Step 1 Switch to Configuration Mode and press:

Monitor Setup Mouse Setup

The

Mouse Setup window is displayed with a list of the step to be followed.

→

Step 2 Adjust the speed of the mouse by use of the

arrows.

Step 3 Press the softkey.

Store Settings

Select Speed up and down

1-50 Introducing the CMS

Page 67

Integral Power Supply - Computer Module (M1046B)

The M1046B Computer Modules use a flatscreen M1095A or XGA display as the main display. The power supply previously located in the Remote Power Supply is replaced by an Integral Power Supply located in this Computer Module (M1046B).

Note: Daisy-chaining is not permitted with the M1046B Computer Module.

Integral Power Supply - Connectors and Controls

Power Indicator

(1)

Introducing the CMS

Remote_Switch

Card Connector

(2)

Figure 1-18 Integral Power Supply Connectors and Controls

Table 1-21 Integral Power Supply Controls and Connectors

Controls and Connectors Function

Fuse Holders

(3)

Power Connector

(4)

1 LED mains power indicator This indicates that the Integral Power Supply is connected to the local power.

2 REMOTE_SWITCH card connector This is a cable-end connector, used to connect the Integral Power Supply to the

REMOTE_SWITCH card in the Computer Module.

3 Fuse Holders Two fuse holders for the line protection fuses. (2 x 3.15 A H)

4 Local Power Connector This is a 3-pin connector, used to input the local line voltage.

Introducing the CMS 1-51

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Remote Power Supply

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Remote Power Supply

The CMS can use the flatscreen M1095A as the main display instead of a CRT display and the M1046A Computer Module. For older CMS models (prior to the introduction of the M1046B Module), the power supply located in the main CRT display is replaced by a Remote Power Supply.

Front Panel Controls - Remote Power Supply

The controls on the front panel of the Remote Power Supply are shown below:

Figure 1-19 Remote Power Supply Front Panel

Table 1-22 Remote Power Supply Controls and Connectors

Controls Function

1 ON/OFF Switch Used to turn the Remote Power Supply ON/OFF.

2 Power ON indicator Green LED which is lit when the power supply is switched ON.

1-52 Introducing the CMS

Page 69

Remote Power Supply

Remote Power Supply - Rear Controls and Connectors

The controls on the rear panel of the Remote Power Supply are shown below:

Figure 1-20 Remote Power Supply Rear Panel

Table 1-23 Remote Power Supply Rear Panel Controls and Connectors

Controls and Connectors Function

1 Remote ON/OFF Input This cable connects the Power Supply to the video interface board (located in

the CMS Computer Module). It is a female “modular jack” connector with 6pins, used to input the power supply output ON/OFF signal from the Flatscreen Display.

Introducing the CMS

2 60 V DC (120W max) Output This is a female 15-pin Sub-D-Type connector, used to output the 60 V dc line

voltage to the Computer Module.

3 Fuse Holders Two fuse holders for the line protection fuses.

4 Local Power Connector This is a 3-pin connector, used to input the local line voltage.

5 Equipotential Grounding Terminal This is a grounding stud connector, used to connect the system to an

equipotential grounding system.

Introducing the CMS 1-53

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Fuse Values

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Fuse Values

All CRT Display Modules, main and slave, remote power supply and the integral power supply, contain system fuses. The fuse values for each are recorded on a label near the fuse holders. The following table gives the fuse values for the CRT Display Modules, the Remote Power Supply, and the integral power supply located in the M1046B Computer Module and refers you to the page number that contains an illustration showing the fuse positions.

Table 1-24 CMS Fuses

Line Voltage

100-120 V

CRT Display Type / Power Supply Type

Fuse Rating

M1092A Mono CRT Display (Main / Slave) 2 x T4.0 A 2110-0365 2 x T2.0 A 24220862

M1094A Color CRT Display (Main / Slave) 2 x T4.0 A 2110-0365 2 x T2.5 A 24220861

M1094B Color CRT Display (Main / Slave) 2 x T4.0 A 2110-0365 2 x T3.15 A H 242208610239FMI 1-12 / 1-15

M1047A Remote Power Supply 2 x T4.0 A 2110-0365 2 x T3.15 A H 242208610239FMI 1-53

M1046B Integral Power Supply 2 x T3.15 A H 2110-1025 2 x T3.15 A H 242208610239FMI 1-51

Part

Number

Fuse Rating

Line Voltage

200-240 V

Part Number

VDE UL

5096FMI

0219FMI

24220860 1266FMI

24220861 0009FMI

Page Location

1-12 / 1-15

1-54 Introducing the CMS

Page 71

Plug-in Module Racks

The Plug-in Module Rack of the CMS is the interface between the Plug-in Modules and the Computer Module. The racks can be either integral, located in the M1046A Computer Module or satellite, located in the patient vicinity connected by a cable to the rack interface of the Computer Module (M1046A or M1046B). Satellite Racks can also be daisychained, depending on how many modules your system can support. Three plug-in module racks are currently supported by the monitor: 8-slot integral rack, M1043A, 8-slot Satellite Rack M1041A and 6-slot rack of the Philips Component Transport System, M1276A.

A blank rack is also available for the M1046A Computer Module. The blank rack is used if you do not require plug-in modules to be placed close to the Computer Module. The blank rack acts as the connection between the Satellite Rack and the Computer Module.

Objective

Plug-in Module Racks

Introducing the CMS

In order to meet this section’s goals, you should be able to:

• Identify the connectors of the plug-in module racks.

• Be familiar with the function of the plug-in module racks.

Concepts

The plug-in module racks of CMS are not fitted with any controls, just connectors. The function of the rack is to connect the plug-in modules to the Computer Module. A standard CMS integral rack contains eight slots for plug-in modules. Modules can be single-width modules or double-width modules so the number per rack depends on which plug-in modules are being used. To accommodate more modules, you can daisy-chain Satellite Racks to the rack in the Computer Module. The number of monitoring slots supported depends on the model of your monitor.

Integral Rack The integral rack is a plastic rack that sits in the front of the M1046A

Computer Module and connects the plug-in modules to the system. It contains a rack interface connector, a defibrillator connector, module connectors and a rear internal rack connector.

Satellite Rack The Satellite Rack is a plastic rack that is remote to the Computer

Module and connects plug-in modules to the system. It connects by a cable to a rack interface connector to route the data between the plug-in modules and the Computer Module. It contains input and output rack interface connectors and module connectors, but it does not have a defibrillator connector.

Blank Rack The blank rack is a plastic rack that sits in the front of the M1046A

Computer Module and provides connections for a defibrillator and

Introducing the CMS 1-55

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Plug-in Module Racks

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Satellite Racks to the system. It is used if you do not require plug-in modules to be placed close to the M1046A Computer Module.

Front and Rear Connectors

Internal Rack Connector (Rear)

(4)

Module

Connectors

(3)

Figure 1-21 Integral Plug-in Module Rack M1043A

Defibrillator

Connector

(2)

mar3a

Rack Interface

Connector

(1)

Table 1-25 Plug-in Module Rack Connectors

Connector Function

1 Rack Interface

Connector

2 Defibrillator

Connector

3 Module Connectors Female plug-in module connectors, used to input the information from the

4 Internal Rack

Connector

Female interface connector, used to daisy-chain Satellite Racks.

0.25" phone socket, used to output an ECG wave to synchronize a defibrillator and provide an input for the defibrillator marker signal. It is also used as an output of ECG waveforms during the specification tests. See Parts List for ECG-Sync Cables.

plug-in modules to the integral rack.

Rack Interface connector (located on rear of the integral rack or blank rack), used to output the information from the rack to the Rack Interface function card placed in slot 18 of the Computer Module.

1-56 Introducing the CMS

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138mm

(5.5")

93mm

(3.7")

Plug-in Module Racks

Introducing the CMS

Rack Input Connector (Rear)

(5)

Rack Output Connector (Rear)

(6)

418mm

(16.5")

Figure 1-22 Satellite Plug-in Module Rack M1041A with Parameter Modules

Table 1-26 Plug-in Module Rack Connectors

Connector Function

5 Rack Input

Connector

6Rack Output

Connector

Male Rack Interface Connector, used to connect the Satellite Rack to the Computer Module or to the previous rack in the chain.

Female Rack Interface Connector, used to connect the Satellite Rack to the next rack in the chain.

Introducing the CMS 1-57

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Plug-in Modules

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Plug-in Modules

The plug-in parameter modules of the CMS can be thought of as the specialists of the monitor. Each module carries out a specific task and can be moved from one monitor to another, depending upon the functionality of the respective monitors. Plug-in modules are labeled with a symbol or the name of the measurement that they perform.

Objective

In order to meet this section’s goals, you should be able to:

• Identify the controls found on the front of plug-in modules.

• Be familiar with the function of the controls of the plug-in modules.

• Identify the connectors found on the front and rear of plug-in modules.

Concepts

The plug-in modules of CMS have one or more hardkeys on the front panel. The hardkey labeled with the parameter name is the setup key, which lights up the setup indicator and gets you directly into the Task Window for that parameter.

The connector socket on the front of each module varies, but it is the same color as the corresponding connector plug on the transducer or patient cable for that module. The connector on the rear panel of each plug-in module is a male connector, used to supply power and allow communication from the module to the module rack.

Plug-in modules can be either single-width or double-width units. A single-width module will occupy one slot in a module rack while a double-width module will require two-slots. Therefore, you must consider the width of the plug-in modules and number of slots that you have available to determine how many modules you can use in a single monitor. See Appendix A Product Information for more module information.

Parameter The parameter of the plug-in module is the specific clinical

measurement performed by the module. Some modules, like the ECG/Resp module, are capable of monitoring more than one parameter.

Single-width Module Double-width Module

A module that occupies only one slot in the module rack.

A module that occupies two slots in the module rack.

1-58 Introducing the CMS

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Plug-in Modules

(2) (1)

(6)

M1008BNBP T

NBP STAT

REC M11 16B

Plug-In Module Control Panel Keys and Indicators

The following drawings represent the types of controls, indicators and connectors found on the front panels of the plug-in modules. The controls, indicators and connections are described in the following table.

START STOP

(7) (4)

(5) (3)

(15)

(2)

(1)

(16)

TEMP

M1016A

CAL

M1029A

(9)

(8)

(2) (1) (10)

PRESS

ECG/RESP

M1002A

M1006B

ZERO

(16)

Introducing the CMS

(18)

(16)

RUN/ CONT

PRESS M1006A T

80x100

PRESS OUT PRESS ZER O

CAUTION: OUTPUT HAS

OFFSET ON 6 AND 10 SCALE

CAUTION:

5uv/V/mm Hg

TRANSDUCERS ONLY

STOP

(11)

(12) (13)

(1)

(19)

(2)

TEMP

tcpO /tcpCO

M1018A

O2/CO2

CAL

(2)

ECG

RESP

(1)

(17)

(16)

M1032AVueLink T

AUXILIARY

(2) (1)

(14)

(2)

VueLink

(2) (1)

(20)

(16)

Figure 1-23 Examples of the Plug-in Module Front Panels

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Plug-in Modules

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Table 1-27 Plug-in Module Controls and Connectors

General Controls Function

1 Setup Key Used to enter the module setup screen or Task Window.

2 Setup Indicator Green LED lit when in the module setup screen.

3 Start Key Used to start a measurement cycle.

4 Start Indicator Green LED which will be lit when the measurement cycle is entered.

5 Stop Key Used to stop the measurement cycle.

6 Stat Key Used to start a Static measurement cycle.

7 Stat Indicator Green LED lit when the static measurement cycle is entered.

8 CAL Key Used to enter the module's calibration screen and initiate module calibration procedures.

9 CAL Indicator Green LED lit during a module calibration procedure.

10 Zero Key Used to zero a transducer without using the main display controls.

11 Continue LED Lights if the current recording is continuous. The LED also blinks twice when the module is

first plugged in. This indicates that the recorder self-test has been completed successfully.

12 RUN/CONT Key Used to start a Mode A continuous real-time recording, if the recorder is not running. If the

recorder is running, it makes the current recording continuous (if possible).

13 STOP Key Stops the current recording.

14 Labels Labels giving names of the external devices to which the VueLink module can be connected

and an LED beside each label, indicating the selected device.

15 NBP Connector Standard NBP connector for connection to the cuff.

16 12-pin Connector Standard 12-pin connector for use with Transducers. Refer to the tables on page 1-63.

17 2-pin Connector Standard 2-pin connector for use with standard series temperature probes.

18 Analog Output Jack Standard 1/4 inch phone jack used to provide analog signals to an intra-aortic balloon pump

on the M1006A Option #C01. The M1006B Option #C01 has 3.5mm phone jack socket, supplied with adapter for those customers who have been using a 6.3mm (1/4 inch) phone jack.

19 Calibration Chamber Calibration chamber, with gas inlet for tcpO

20 20-pin Connector 20-pin connector for use with a tcpO

/tcpCO2 module.

/tcpCO2 transducer.

1-60 Introducing the CMS

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Plug-in Modules

The following is the front panel of the SideStream CO2 module.

(2)

(3)

M1015A

(1)

(4)

(6)

(5)

Introducing the CMS

Figure 1-24 Sidestream CO

Module Controls and Connectors

Table 1-28 Sidestream CO2 Module

Connector Function

1 Gas Outlet Connector Lets out the gas after it has been sampled.

2 Gas Inlet Connector Provides the connection for the sample tubing (and bacterial

3 Slide Cover Protects the gas inlet connector when the module is not in

4 Sample Cell The CO

5 Switch Activates the sidestream pump when the CO

6 Mounting Clamp Holds the CO

filter) which receives the patient's gas sample.

use.

transducer is mounted on the sample cell of the

sidestream module. The transducer plug is connected to the M1016A CO

mounted on the sample cell.

Plug-in Module.

transducer in place.

transducer is

Introducing the CMS 1-61

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Plug-in Modules

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The following are the front and rear panels of the Blood Analysis Module:

(2)

(3)

(1)

(5)

(6)

(7)

Figure 1-25 Blood Analysis Module

Table 1-29 Blood Analysis Module Controls and Connectors

Control/Connector Function

1 Setup Key Used to enter the Blood Analysis Setup or Results screen.

2 Setup Indicator Green LED lit when in Blood Analysis screens.

3 Cartridge Locked Indicator Green LED blinks when a cartridge is being processed; the

cartridge must be left in the slot until the blinking stops and the light is off.

4 Cartridge Insertion Slot The cartridge is inserted here for processing.

5 Identification Label Contains product serial number and identification details.

6 Software Update Link Connector For connecting to the Central Data Station (or other PC) to

7 Parameter Module Connector Connects the module to the rack.

perform software upgrades. During the upgrade process, the module is powered via this link.

1-62 Introducing the CMS

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Plug-in Modules

Plug-in Module Pin-outs

There are several types of connectors found on the front of the plug-in modules. The following tables give the pin-out information for the plug-in modules that contain front panel connectors.

Table 1-30 Parameter Module Connector Signals

Parameter Module

ECG

M1001A/B

1 right arm right arm + resp Shield

2 right leg right leg - GND detector

3 - - - injectate

4 - - - GND drive coil - LED com -

ECG/Resp M1002A/B

Pressure M1006A/B

(M1006B)

C.O. M1012A

- detector

temp

M1016A

signal

bias

heater return

FIO2 M1017A

- signal

- GND + shield REF

- resistor code 1 -

SpO2/Pleth M1020A

(photocurrent)

Introducing the CMS

EEG M1027A

EEG1–

5 chest chest jumper to 8 blood

temp

6 left leg left leg + resp - code

7 left arm left arm - GND IR-source - LED 12 EEG2+

8 - - jumper to 5 - heater

A - - – excitation start key

B - - + input - GND input

C shield shield + excitation start key temp.

D- - +

input - temp.

resistor

(to C)

sense coil - resistor code 2 EEG1+

GND - LED com EEG2–

-LED 34 -

power

GND feedback

sense high

sense low

resistor

current

polarization voltage

- - shorted to C

GND -

-shield

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Table 1-31 More Parameter Module Connector Signals

Parameter Module

Number

tcpO

/CO2 M1018A VueLink M1032A

Connector signals to and from the Abbott

Optical Module (50131-04)

1 GND Analog 1 n.a.

2 Temp Sensor 1 (NTC1) Analog 2 Analog RXD

3 Temp Sensor 1 (NTC2) Analog 3-Ring Indicator Analog GND

Sv0

M1021A

4 GND Analog 4-Data carrier

n.a.

Detected

5+5V

Analog 5-Data Send Ready n.a.

(transducer supply voltage)

6- 9V

(transducer supply voltage)

Analog 6-Data Terminal Ready

+ 12V (heater regulator antinodal signal Amp. supply voltage)

7 Polarization voltage Analog 7-Clear to Send - 9V (Analog Signal Amp.supply voltage)

Input Analog 8-Read to Send n.a

9 GND Digital ground n.a.

10 Transducer Code (not used) Transmit Data + 5V (Serial Comm. and EEPROM supply

voltage)

11 Heater current return Receive Data - 12 V (heater supply voltage)

12 Heater current send Analog ground SER GND (Power supply ground for Serial

Comm. and EEPROM)

13 CO

Input n.a. Chip-Select-Signal EEPROM

14 Temp 2 Input n.a. Clock Signal EEPROM

15 - n.a. Serial Data In/Out (bi-directional)

16 Transducer Code (O

) n.a. Current Diode A

17 GND n.a. Current Diode B

18 Transducer Code (CO

) n.a. Current Diode C

19 - n.a. LED GND (ground for LED current lines)

20 - n.a. -

Pin numbers (frontal) of the VueLink connector

1-64 Introducing the CMS

Page 81

Operating Modes

There are four operating modes for the CMS: Monitoring, Service, Demo, and Configuration Mode. The only mode that supports monitoring is the Monitoring Mode. All modes are entered through passwords to prevent unintentional mode changes. From Rel. C.0 returning to monitoring mode is allowed without entering a password.

Objective

In order to meet this section’s goals, you should be able to:

• Identify the monitoring modes of CMS.

• Be familiar with the function of the monitoring modes of CMS.

Concepts

Operating Modes

Introducing the CMS

The operating modes of CMS are designed for specific tasks.

• Monitoring Mode is the standard operating mode that supports patient monitoring.

• Service Mode is used to perform service functions.

• Demo Mode is used to demonstrate the functions of the system.

• Configuration Mode is used to modify the behavior of the system.

Monitoring Mode is the only mode that should be used on a monitor that is attached to a patient. To ensure that the operating mode is not changed by unauthorized personnel, passwords are required to change operating modes.

When you change the operating mode of the monitor, you reset the patient database and all temporary changes that you have made to the system. This is why the system will always display a warning message “Patient data cleared - Settings reset” and ask you to confirm the action before it changes operating modes.

Main Screen This screen shows the waveforms and numerical readouts of the

parameters you have chosen to monitor: alarms, INOP messages, bed label, date and time, and arrhythmia messages (when assigned).

Selection Window

Tas k Wi nd o w The Task Window is the second operating level which allows you to

The Selection Window is the first operating level where you can choose a specific activity or function. It is entered through a hardkey on the Control Panel or the Handheld Keypad.

make changes or adjustments to the parameters and screen displays, or to perform procedures. It is entered through a softkey in the Selection Window or directly through the Control Panel of the plugin module.

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Operating Modes

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Status Message The status message is a string of text displayed in the top center of

the screen below the date and time. A message is displayed in status line to indicate the current operating mode if not Monitoring.

Operating Rules to Remember

• Pressing the or hardkey always returns you to the main screen.

• To get into a Selection Window press a hardkey.

• Active softkeys are highlighted and/or look like “pushed-in” buttons (3-D effect).

• Softkeys only function in the Selection and Task Windows.

• The parameter module setup key gets you directly into a Task Window.

• The arrow keys and Confirm key are always illuminated when available for use.

• If after pressing a setup key the LED is not lit, the system is busy and the setup screen cannot be entered. The setup key must be pressed again. If you continue to have problems see the troubleshooting chapter.

Main Screen Standard Display

• When an operating mode is entered or left, all monitoring settings are reset to the user defaults and the database is cleared.

Identifying Monitoring Mode

Monitoring Mode is the standard mode and is used when the monitor is attached to a patient. No other mode should be used when a patient is connected to a monitor. In this mode you will have access to three types of screens: the Main Screen, the Selection Windows and Task Windows. Through these screens you can make temporary changes to customize the parameter settings and the monitor setup as well as perform all of the monitoring tasks of CMS.

When you are in monitoring mode, you will see active messages on the screen indicating the status of the patient and the monitor. INOP messages are displayed in the upper lefthand corner of the display and alarm message in the upper right. When the monitor is in any mode other than Monitoring Mode, you will find a text message in the status line that indicates the active mode.

The Demo Mode does not support

atient monitoring and should never be active while a

atient is attached to the monitor.

Identifying Demo Mode

Demo Mode is the mode used to demonstrate the monitoring functions of the system. It provides the user with sample waves and screens but it does not support monitoring and should not be used when a patient is attached to the monitor. All three levels of monitoring screens are available in Demo Mode: Main Screen, Selection Window and Task Window. Demo Mode demonstrates the modules that are currently plugged into the monitor so don’t expect to see waves for modules that are not in the rack.

1-66 Introducing the CMS

Page 83

Operating Modes

The Config Mode does not support

atient monitoring and should never be active while a

atient is attached to the monitor.

To clearly identify the Demo mode, a text message is displayed in the status prompt. The message reads “DEMO Mode Active - NO MONITORING”. If your monitor is running Release E or later, the message “DEMO” is displayed in inverse low-intensity white characters in the first wave channel underneath the status prompt line. This message is alternatively displayed to two lines of normal characters in the same inverse block telling the user “to exit: press CONFIRM”. To leave Demo Mode in systems running Release D or earlier, you must use the standard procedure of using a password to change the operating mode. Either way, leaving Demo Mode or any other mode causes the patient data to be cleared and the settings to be reset.

Identifying Configuration Mode

The Configuration Mode is the operating mode used to change the monitoring behavior and screen layout. This mode is used to customize the monitor to meet your hospital’s monitoring protocols. When you make changes in the Config Mode, you are creating permanent user settings to replace the standard factory settings that came with the monitor. A cold start or operating mode change will clear the patient data and reset any temporary changes you made in Monitoring Mode to the permanent user settings you made in Config Mode.

To clearly identify the Config Mode, a text message is displayed in the status prompt. The message reads “Config Mode Active - NO MONITORING”. No waveforms, INOPS or alarms are displayed in Config Mode. Like the other operating modes, you must input a password to enter and exit the Config Mode.

Introducing the CMS

Identifying Service Mode

The Service Mode does not support

atient monitoring and should never be active while a

atient is attached to the monitor.

The service mode is the operating mode used by service personnel to access complete error message listings and perform service related tasks, like specification tests. The Service Mode is also used to troubleshoot the monitor.

To clearly identify the Service Mode, a text message is displayed in the status prompt. The message reads “Service Mode Active - NO MONITORING”. No waveforms, INOPS or alarms are displayed in Service Mode. Like the other operating modes, you must input a password to enter and exit the Service Mode.

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Operating Modes

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Changing Operating Modes

Now that you know about the various operating modes of CMS, let’s look at how to move between two operating modes. This requires operating mode-specific passwords. Modespecific passwords guard against unauthorized changes to the monitor.

The operating modes of CMS can be changed using the following sequence of keys and passwords.

Note: From Rel. C.0, returning to monitoring mode is allowed without entering a password. Just press

Monitor Setup Resume Monitor

followed by .

Table 1-32 Procedure to Change Operating Mode

Step Action Comment

1 Press (or ) The monitor setup or instrument configuration

2 Press if available Shows additional choices for softkeys in this

3 Press softkey The Operating Mode Task Window displays the

4 Enter the password.

Configuration Mode: 1245 Demo Mode: 14432 Service Mode: 4311 Master Password: 14432

5 Press softkey The Operating Mode Task Window displays both

6 Select the required Operating Mode. Use the arrow keys or press the Change Opmode

7 Press . The system performs a cold-start and switches

Monitor Setup Instrument Config

More Choices

Operating Modes

Change OpMode

Confirm

Selection Window is displayed.

Selection Window.

current operating mode in words (for example, “Operating Mode - Monitoring”) and prompts for the password.

Use the keys labeled 1 to 5. If the password is correct, then the Change OpMode softkey is highlighted. If the password is incorrect, the system returns to the Standard Display.

Monitor and Config in reverse video, with the current operating mode highlighted.

softkey.

operating modes.

a. Note: Use of this password allows access to all operating modes

1-68 Introducing the CMS

Page 85

Chapter 2 Testing & Maintaining the CMS

The first section in this chapter describes the procedures required to ensure that the CMS is in safe working order. The following sections describe recommended procedures for maintaining the equipment. These procedures apply to all versions of the CMS. The procedures are grouped as follows:

Mandatory Periodic Maintenance and Safety Checks

Objectives

• Performance and Safety Test requirements

• Preventive Maintenance Procedure for the CMS Wall Mount Assembly

Recommended Maintenance Procedures

• General Inspections of the System

• Cleaning and Disinfecting Procedures for the CMS

See “Procedure Overview” on page 2-2 for a more detailed overview.

In order to meet the chapter’s goals, you should be able to:

• Perform required safety checks and maintenance procedures.

• Perform a general inspection of the system.

• Clean the major units of the CMS.

the CMS

Testing & Maintaining

Concepts

The Philips CMS Patient Monitoring System has different levels of preventive maintenance and checks that should be performed on a periodic basis or as recommended.

If you wish to perform more detailed tests on the plug-in parameter modules, please see Chapter 4 “Troubleshooting the Plug-in Modules”.

The procedures described in this chapter should be performed at the specified time intervals to ensure effective preventive maintenance. The checklist may be photocopied, completed by the maintainer, and filed for reference.

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Procedure Overview

Table 2-1 Mandatory Periodic Maintenance and Safety Checks

Procedure Steps Page

the CMS

“Test and Inspection Requirements” When to Perform Test Blocks

Tests and Inspection Requirements Safety Tests Safety Test Diagrams

2-3 2-5 2-11 2-12

“Preventive Maintenance Procedure for the Philips M1180A #A01 and #A02 Wall Mount Assembly”

Step 1: Inspect visible fasteners Step 2: Check maximum tilt range Step 3: Inspect mounting plate for movement

2-15 2-17 2-17

Table 2-2 Recommended Maintenance Procedures

Procedure Steps Page

“General Inspections of the System” Inspect the System Hardware

Inspect the Cables Inspect the Red Power Indicators (LEDs) of the System Inspect the Display CRT / LCD Inspect the Controls of the System

“Cleaning and Disinfecting Procedures” General Cleaning of the System

General Disinfecting of the System Cleaning the Recorder Module Cleaning the Blood Analysis Module

2-19 2-20 2-20 2-21 2-22

2-24 2-25 2-26 2-27

2-2 Testing & Maintaining the CMS

Page 87

Test and Inspection Requirements

NOTE The Test and Inspections Procedures described in this section are mandatory requirements.

This section is intended primarily for Philips customer engineers and lists the mandatory test requirements for CMS for servicing, installation and preventive maintenance. For some tests it is required that the Philips engineer documents the results in a service record.

Table 2-3 When to Perform Test Blocks explains when to perform the procedures. Table 2-4 Tests and Inspection Requirements explains the procedures to be performed. Table 2-5 CMS Test and Inspection Requirements – Safety and Table 2-6 Safety Test Diagrams give full details of the Safety Tests.

NOTE Note: Only Philips service engineers are required to report the results of the following

safety and performance tests back to the factory. Of the performance tests, only those for NBP and Sidestream CO2 need to be reported. .

the CMS

Testing & Maintaining

Table 2-3 When to Perform Test Blocks

Service Event – When performing

Installation of CMS with Medical equipment connections (for example, AGM or Vuelink) but with NO System (SDN)

Installation of CMS that is connected to a System (SDN)

Test Block(s) Required Complete these tests

Perform Visual and Power On test blocks (see page 2-5).

Perform Visual and Power On test blocks. If the 78581A safety test (see the 78581A service manual) has passed previously no further safety tests are required. If the 78581A safety test has not been performed, it must be completed.

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Service Event – When performing

Installation of CMS that has connections to non-medical devices (for example, XGA Display, Laser Printer or PC)

the CMS

Note:

If a non-medical device requires the use of an isolation transformer in order to limit the enclosure leakage current to meet the requirements of IEC 601-1, the power cable connecting the non-medical device to the isolation transformer must be fixed. It must not be possible to remove the power cable without the use of appropriate tools.

Note:

If a non-medical device requires the use of additional protective earthing in order to limit the enclosure leakage current to meet the requirements of IEC 601-1, the earthing components must be securely fixed at both ends and must not be removable without the use of appropriate tools.

Test Block(s) Required Complete these tests

Device type and

test required

Device is NOT IEC 601-1, IEC 60950 or IEC 61010 compliant

Device is IEC 601-1 compliant

Device is IEC 60950 or IEC 61010 compliant

Class I Equipment (Protectively Earthed Equipment)

Perform Visual and Power On test blocks (see page 5). Perform Safety (1) test block (see page 11).

Test results (where

Action required

appropriate)

Not applicable Device NOT

acceptable.

DO NOT USE

No tests required Device acceptable.

No action required.

Compliant with IEC 601-1 Enclosure

Device acceptable.

No action required. Leakage Current limitations

Normal condition is within the requirements of IEC 601-1

Single fault condition exceeds IEC 601-1 requirements

Additional Protective

Earthing must be

provided for non-

medical device, and

must not be

removable without

the use of a

appropriate tools

Non-medical device

must be connected to

the mains supply via

Note:

Interface cables over 3.om are not to be used.

Normal condition exceeds IEC 601-1 requirements

an Isolation

Trans former

Non-medical device

must be connected to

the mains supply via

an Isolation

Trans former

Device is IEC 60950 or IEC 61010 compliant

Class II equipment (Double Insulated Equipment)

Perform Visual and Power On test blocks (see page 11). Perform Safety (1) test block (see page

Normal condition exceeds IEC 601-1 requirements

Non-medical device

must be connected to

the mains supply via

an Isolation

Trans former

Non-medical device

must isolated from

the medical device by

use of a separation

device

11).

Repairs where the power supply in the

Perform Power On and Safety (2) test blocks (see page 2-11). M1094A/M1094B/M1092A/M1046B assembly is replaced

Repairs where the monitor has been

Perform Power On and Safety (2) and (3) test blocks (see page 2-12). dropped

All other CMS repairs, Hardware or

Perform Power On test block. Software Upgrades

2-4 Testing & Maintaining the CMS

Page 89

Table 2-3 When to Perform Test Blocks

Test and Inspection Requirements

Service Event – When performing

Preventive Maintenance

Performance Assurance and Safety Tests

Test Block(s) Required Complete these tests

Perform the NBP and Sidestream CO2 Module Performance test blocks every year (see page 2-6). Perform the Preventive Maintenance Procedure for the M1180A #A01/ A02 Wall Mount Assembly eve r y year (see page 2-15). If an AGM is present, refer to the AGM (M1026A) test matrix. For the BIS module no periodic preventive maintenance is required.

Perform all other Performance test blocks and all Safety test blocks (1), (2) and (3) once every two years.

a. For Germany only: For modules that do not have the CE mark, contact the Customer Response

Center in Ratingen for information.

b. For the BIS module performance and safety testing is optional (Philips recommends yearly test-

ing). However, safety testing (Safety test block (3)) is required if there is suspected liquid ingress or after every time the case of any of the BIS components has been opened.

Table 2-4 Tests and Inspection Requirements

Test Block

Name

Visual Test

Visual Test for M1180A #A01/ A02

Power On Test

Test or “Inspection” to Perform Expected Test Results

Inspect the system for obvious signs of damage. Also check external leads and accessories.

Step 1: Inspect visible fasteners Step 2: Check maximum tilt range Step 3: Inspect mounting plate for movement

Step Step

1 Switch on the monitor. 2 Plug in an ECG Module.

3 Observe whether the monitor boots up

successfully without displaying an error code and if an ECG wave appears on the display.

The system does not have any obvious signs of damage = Pass.

Mounting is within Specs as described on page 2-15 and following.

Monitor boots up. All Alarm LEDs light up shortly. From release B.0, the loudspeaker gives a series of test sounds. No error codes are displayed. An ECG wave is displayed.

the CMS

Testing & Maintaining

What to Record on Service Record

V:P or V:F

where P = Pass and F = Fail

VM:P or VM:F

where P = Pass and F = Fail

PO:P or PO:F

where P = Pass and F = Fail

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Test and Inspection Requirements

Table 2-4 Tests and Inspection Requirements(Continued)

Test Block

Name

Performance Test N

the CMS

Module

Test or “Inspection” to Perform Expected Test Results

Accuracy Test

Step Action

1 Connect the manometer and the pump

with tubing and expansion chamber to the NBP connector on the NBP Module.

2 Go to Service Mode.

3 Press the NBP button on the NBP Module. 4 Press Start button in the task window to close

valves.

5 Raise the pressure to 280 mmHg with the

manometer pump.

6 Wait 10 sec for the measurement to

stabilize.

7 Compare the manometer values with the

displayed values.

8 Document the value displayed by the

Monitor.

If the difference is greater than 3 mmHg, calibrate the module.

What to Record on Service Record

Value displayed on Monitor = x1

If difference (<= 3mm)

Proceed to next test.

Performance Test N

BP Module (contd.)

Leakage Test

Step Action

1 Press the NBP button on the Module. 2 Press the Start softkey in the task

window.

3 Pressurize the gauge to 280 mmHg. 4 Watch the pressure value for 60 seconds.

After 60 seconds the value should have decreased by less than 6 mmHg.

5 Calculate and document:

Leakage test = Accuracy – displayed value

2-6 Testing & Maintaining the CMS

Leakage test value = x2 (<= 6 mmHg)

Proceed to next test.

Page 91

Test and Inspection Requirements

Table 2-4 Tests and Inspection Requirements(Continued)

Test Block

Name

Test or “Inspection” to Perform Expected Test Results

Linearity Test

Step Action

1 Reduce the manometer pressure down to

150 mmHg.

2 Wait 10 sec for the measurement to

stabilize.

3 Compare the manometer values with the

displayed values.

4 Document the value displayed by the

Monitor. If the difference is greater than 3 mmHg then calibrate the module.

Value displayed on Monitor = x3

If difference (<= 3 mmHg)

Proceed to next test

What to Record on Service Record

the CMS

Testing & Maintaining

Performance Test S

idestream

Valve Test

Step Action

1 Raise the pressure to 280 mmHg.

2Press Stop on the module to open valves.

3 Wait 5 seconds then document the value.

Flow Adjustment Procedure

Step Action

1 Enter the CO2 Sidestream Task Window

by pressing Parameters followed by CO2 Sidestream.

2 Press Start Pump. The date and time of

the last flow adjustment are displayed.

3 Start the Flow Adjustment procedure by

connecting the flow meter and pressing

Start Pump. After about 5 seconds, the

flow in ml/min displays in the Task Window.

4Use the Adjust Flow to adjust the value

displayed in the Task Window to the value displayed by the external flow meter.

5 Write down the value displayed by the

CMS (x1).

6 Press Confirm to store the readjusted

flow rate value. After about 5 seconds, the message “Adjustment done” displays. The flow is automatically set to 100 ml/min.

7 If the displayed value is not 100 ml/min,

repeat Steps 3 through 5.

Value displayed on Monitor = x4 (< 10 mmHg)

Value displayed on CMS = x1 (where x1 = 100 +/– 10 ml/ min)

Proceed to next test

PN:P/x1/ x2/x3/x4 or PN:F/x1/ x2/x3/x4

where P = Pass and F = Fail

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Test and Inspection Requirements

Table 2-4 Tests and Inspection Requirements(Continued)

Test Block

Name

Performance Test

the CMS

idestream

O2 (contd.)

Test or “Inspection” to Perform Expected Test Results

Barometric Pressure Adjustment Procedure

Step Action

1 Press Barometer Pressure to adjust the

Barometric Pressure value. The Task Window displays the stored barometric pressure in mmHg.

2 If the displayed value is incorrect, use the

Barometer Pressure key to adjust the

value to atmospheric pressure.

3 Document the Difference (x2) between

the actual atmospheric pressure and the value displayed by the CMS.

4 Press Confirm to store the displayed or

adjusted value. After about 5 seconds, the message “Adjustment done” displays. The barometric pressure is then set to the value you entered.

5 Press Main Screen (or Standard

Display) to return to the standard display

in Service mode

Difference = x2 (<= 4 mmHg)

What to Record on Service Record

PSC:P/x1/ x2 or PSC:F/x1/ x2

where P = Pass and F = Fail

Performance Test ECG

Performance Test Respiration

Performance Test Cardiac Output

Step 1 Connect the patient simulator to the ECG Parameter

Module using the Patient cable.

Step 2 Configure the Patient simulator as follows:

ECG sinus rhythm HR = 120 BPM (Amplitude 1 mV)

Step 3 Check displayed ECG wave and HR value against the

simulator configuration. HR = 120 +/– 2 BPM

Step 1 Connect the patient simulator to the ECG/Resp

Module using the patient cable.

Step 2 Configure the patient simulator as follows:

Base impedance line 1500 Ohm Delta impedance 0.5 Ohm Respiration Rate 40/min

Step 3 Check displayed respiration rate against the

simulator configuration. RPM = 40 +/– 2 /min

Step 1 Connect the patient simulator to the C.O. Module

using the patient cable.

Step 2 Configure the Patient simulator as follows:

Injection temperature: 2 °C Computation Const: 0.542 (Edward's Catheter) Flow 5 l/min

Step 3 Check displayed value against the simulator

configuration. C.O. = 5 +/– 1 l/min.

These results do not have to be reported.

2-8 Testing & Maintaining the CMS

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Test and Inspection Requirements

Table 2-4 Tests and Inspection Requirements(Continued)

Test Block

Name

Performance Test Cardiac Output (contd.)

Service Tool procedure, Version 1

Performance Test Cardiac Output (contd.)

Service Tool procedure, Version 2

Performance Test Invasive Pressure

Performance Test Temperature

Test or “Inspection” to Perform Expected Test Results

Note: This procedure applies for Service Tool M101214232C and/or C.O. modules without option C10 and/or software revision B.0 and below.

Step 1 Make sure to be in Monitoring Mode.

Connect C.O. Interface Cable to module.

Step 2 Connect one side of the Service Tool to Injectate

receptacle of C.O. Interface Cable and the other side to Catheter Cable receptacle.

Step 3 Enter Measure C.O. Task Window and check results. Tblood = 37.0

Note: This procedure only applies for Service Tool M101261601 in combination with C.O. modules with option C10 and software revision C.0 and greater.

Step 1 Make sure to be in Monitoring Mode.

Connect C.O. Interface Cable to module.

Step 2 Connect one side of the Service Tool to Injectate

receptacle of C.O. Interface Cable and the other side to Catheter Cable receptacle.

Step 3 Enter Setup C.O. Task Window and check results for:

Method of Measurement Arterial Catheter Constant

Enter Measure C.O. Task Window and check results.

Step 4 Disconnect Catheter Cable receptacle from Service

Tool .

Step 5 Enter Module Setup Task Window.

Press Parameter On/Off. Press On/Off Setup to switch Setup On

Step 6 Enter Setup C.O Task Window and change method of

measurement to “Right Heart”.

Step 7 Enter Measure C.O. Task Window and check results.

Step 1 Connect the patient simulator to the Pressure

module.

Step 2 Set patient simulator to 0 pressure. Step 3 Make a Zero Calibration with the module. Step 4 Configure the patient simulator for

P(static) = 200 mmHg.

Step 5 Wait for the display. Step 6 Check displayed value against the simulator

configuration. If there is a difference, calibrate the module.

Note: If the Module was calibrated with a dedicated reusable catheter, check the calibration together with this catheter.

Step 1 Connect the patient simulator to the temperature

input.

Step 2 Configure the patient simulator to 40 °C or

alternatively 100 °F.

Step 3 Check displayed value against the simulator

configuration.

Tinj

Trans pulmonar y 341 Tblood = 37.0

Tinj

P = 200 +/– 5 mmHg

+/– 0.2 °C or +/– 0.4 °F

0.0oC +/- 0.1oC

C +/- 0.1oC

What to Record on Service Record

These results do not have to be reported.

the CMS

Testing & Maintaining

Testing & Maintaining the CMS 2-9

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Test and Inspection Requirements

Table 2-4 Tests and Inspection Requirements(Continued)

Test Block

Name

Performance Test SpO

the CMS

Performance Test ECG-Sync

Performance Test Nurse Call Relay

Performance Test BIS

PIC/DSC Test

Performance Test BIS (continued)

DSC Test

Test or “Inspection” to Perform Expected Test Results

Step 1 Connect the sensor to the SpO Step 2 Measure the SpO

assumes that you are healthy).

Step 3 Check displayed value against the simulator

configuration.

This test is recommended for customer sites where ECG Sync is in use or is configured for potential use. Step 1 Connect the patient simulator to the ECG input and

the defibrillator to the CMS ECG-Sync output.

Step 2 Configure the patient simulator as follows:

ECG sinus rhythm HR = 100 BPM (Amplitude 1 mV)

Step 3 Switch defibrillator to simulation mode. Step 4 Check that the marker pulse is displayed before the T-

Wave begins.

This test is recommended for customer sites where the nurse call is in use. The Nurse Call Relay performance test is performed at the phone jack type connector. This test checks the operation of the Nurse Call Relay. The functionality of the Nurse Call depends on the configuration of the relay (see the CMS Configuration Guide). Tools required: Ohmmeter Step 1 Plug a phono connector into the Nurse Call Relay

connector.

Step 2 Connect the Ohmmeter. Step 3 Simulate an alarm-free and then an alarm condition.

Step 1 In Monitoring mode connect the Sensor Simulator

(for maximum usage please refer to the documentation delivered with the Sensor Simulator) to the Patient Interface Cable

Step 2 Enter the BIS Task Window by pressing Module

Setup, followed by BIS.

Step 3 Start Impedance Check by pressing Start Check.

This brings up the BIS Cyclic Check Task Window.

Check the displayed results. Electrode 1: 4-6 kΩ

Step 1 Enter Service Mode Step 2 Enter the BIS Task Window by pressing Module

Setup, followed by BIS.

Step 3 Start Test by pressing Test DSC. Check the displayed

results. Module: Test passed

value on your own finger (this

module.

Between 95 and 100%

Marker pulse is displayed before T-Wave begins.

While no alarm occurs, the relay contacts are open. When an alarm occurs, the relay contacts close

Electrode 2: 8-12 kΩ Electrode 3: 1-3 kΩ

BIS engine: Test passed DSC: Test passed

What to Record on Service Record

These results do not have to be reported.

2-10 Testing & Maintaining the CMS

Page 95

Test and Inspection Requirements

Safety Tests

For Europe and Asia-Pacific:

M1165A, M1166A, M1167A according to IEC 601-1:1988+A1+1991+A2:1995 = EN60601-1:1990+A1:1991+A2:1995

For the US:

M1175A, M1176A according to UL 544 M1177A according to UL 2601-1

The test procedures outlined in this section are to be used only for verifying safe installation or service of the product in question.

The set-ups used for these tests and the acceptable ranges of values are derived from local and international standards but may not be equivalent.

These tests are not a substitute for local safety testing where it is required for an installation or a service event.

If using the Metron Safety tester, use your local regulation to perform the test, for example, in Europe IEC601-1/IEC601-1-1, and in the U.S. UL2601-1. The Metron Report should print results with the names listed below, along with other data.

The Safety Tests required to ensure that the CMS is in safe working order are detailed in the following tables.

Table 2-5 CMS Test and Inspection Requirements – Safety

Test Block Name

afety (1):

Test or “Inspection” to Perform Expected Test

Results

System Safety Test Enclosure Leakage Current /

Normal Condition:

Normal Condition

maximum leakage current = x1.

x1 <= 100 µA

IEC601-1, UL2601-1 (UL544 test not required)

the CMS

Testing & Maintaining

What to Record on Service Record

S1:P/x1/x2 or S1:F/x1/x2

where P = Pass and F = Fail

Safety (2):

System Safety Test Enclosure Leakage Current /

Single Fault Condition

Protective Earth With mains cable:

Single Fault maximum leakage current = x2. x2 is

<= 500 µA (IEC601-1)

<= 300 µA (UL2601-1)

<= 100 µA (UL544)

Maximum impedance = x <= 100 mOhms All authorities (IEC601-1, UL2601-1, UL544)

Testing & Maintaining the CMS 2-11

S2:P/x or S2:F/x

where P = Pass and F = Fail

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Test and Inspection Requirements

Table 2-5 CMS Test and Inspection Requirements – Safety

Test Block Name

Safety (3):

the CMS

Test or “Inspection” to Perform Expected Test

Patient Leakage Current AC Maximum leakage current

Table 2-6 Safety Test Diagrams

Results

= x

<= 50 µA @ 250V (IEC601-

1 or UL2601-1) or

<= 10 µA @ 120V

without patient leads connected (UL544) or

<= 20 µA @ 120V

with patient leads connected (UL544)

What to Record on Service Record

S3:P/x or S3:F/x

where P = Pass and F = Fail

Tes t B loc k N ame Test or Inspection to Perform

Safety(1) System Enclosure Leakage Current – NC (normal condition)

L (N)

N (L)

(*)

Measures leakage current of exposed metal parts of Instrument under Test (IUT) and between parts of the system within the patient environment; normal and reversed polarity using S2. Safety test according to IEC 601-1-1 (Clause 19.201.1). Report largest value.

Medical electrical system

Instrument under test

(*) Not presen t in Cla ss 2 . (**) Can be mu ltiple different connections to different equipm ent at sa m e time.

Signal parts

in- and/or

output

Applied part

(**)

Signal parts

in- and/or

output

Other

Instrume nt

2-12 Testing & Maintaining the CMS

Page 97

Table 2-6 Safety Test Diagrams

Tes t B loc k N ame Test or Inspection to Perform

Safety(1) System Enclosure Leakage Current – OE (open earth)

L (N)

Test and Inspection Requirements

Medical electrical system

Instrument under test

Signal parts

in- and/or

output

(**)

Signal parts

in- and/or

output

the CMS

Testing & Maintaining

Safety(2) Protective Earth

Other

Instru m e n t

N (L)

(**) Can be multiple different connections to different equipment at same time.

Applie d p a rt

Measures leakage current of exposed metal parts of IUT with Protective Earth (PE) open circuit (S4 = open) and between parts of the system within the patient environment; normal and reversed polarity using S2. Safety test according to IEC 601-1-1 (clause based on

19.201.1). Report largest value.

Instrument under test

L (N)

N (L)

Applied part

(*)

Ohm

50 Hz 2 5 A or 1 .5 Ir

Insulating pad

(*) If equipotential connection present : measure also with yellow/green E.P. conduc tor connected.

Measures impedance of Protective Earth (PE) terminal to all exposed metal parts of IUT, which are for safety reasons connected to the Protective Earth (PE). Max. 100 mOhm. Test current 25 Amps applied for 5 to 10 seconds. The recommendation is to flex the main cable during the test in order to identify potential bad contact or damage of the earth wire. Safety test according to IEC 601-1 (Clause 18). Report largest value.

Testing & Maintaining the CMS 2-13

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Test and Inspection Requirements

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Table 2-6 Safety Test Diagrams

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Tes t B loc k N ame Test or Inspection to Perform

Safety(3) Patient Leakage Current – AC

the CMS

(*) Not pr es e n t in Class 2

L (N)

N (L)

L (N)

N (L)

Measures patient leakage current from Applied Part to earth caused by external main voltage on Applied Part with switch S5 open and closed. Each polarity combination possible is tested using S2 and S6. This test is applicable for every listed module (ECG, ECG/Resp, Invasive Pressure, Cardiac Output, CO Safety test according to IEC 601-1 (Clause 19.4.h). Report largest value.

Instrument under test

(*)

Applied part

Signal part in- and/or

output

Insulating pad

, SpO2, SvO2, FiO2, EEG, Temperature).

2-14 Testing & Maintaining the CMS

Page 99

Preventive Maintenance Procedure for the Philips M1180A #A01 and #A02 Wall Mount Assembly

Overview

The objective of this procedure is to inspect the mounting hardware for proper operation.

NOTE The Preventive Maintenance Procedure described in this section is a mandatory

requirement, which has to be performed once a year. All fasteners should be checked and tightened or replaced as necessary.

The procedure consists of the following steps:

Step 1 Inspect all visible mounting-related fasteners

the CMS

Testing & Maintaining

Step 2 Check maximum tilt range

Step 3 Inspect mounting plate for movement

Step 1: Inspect visible fasteners

Please refer to the diagrams on page 2-16 and 2-17 for mounting component identification.

1. Inspect gold and silver stabilizing clips viewable from the rear of the monitor.

If a clip is missing, install new clips to ensure safety of the mount (See picture below). The Kit M1180-60504 contains the three clips and the necessary screws.

Testing & Maintaining the CMS 2-15

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Preventive Maintenance Procedure for the Philips M1180A #A01 and #A02 Wall Mount Assembly

2. Refer to the diagram on page 2-16, inspect all visible fasteners and tighten as required.

If a fastener is broken or missing, install new fasteners. The Kit M1180-60504 contains the three clips and the necessary screws.

Gold Spring clip to locate Cam Handle

the CMS

Silver Spring clips to stabilize rails and housing

Spanning Rail HPMR

Spring Clip 042 - 10 (2)

Adaptor Plate

M3 X 12mm PHMS - SS (4)

Figure 2-7. Wall Mount Components Diagram

Display Screen or

M4 X 8mm PHMS (4) through tapped hole into square hole

15” Suppor t Arm

Wall Channel

Computer Module/ Integral Rack

M4 X 8mm PHMS (4) Adaptor Plate into Spanning Rail

Plunger Clearance Hole

Tilt / Swivel Head

Spring Plunger

Mounting Plate MP13P

M4 X 12mm PHMS (2) through mounting plate into tapped holes in adaptor plate

Slide with 1/4 - 20 X 3/4” Nylon Stop Screw

Diagonal Brace

2-16 Testing & Maintaining the CMS

Philips CMS service manual

Specifications and Main Features

Frequently Asked Questions

User Manual