Philips CMS service manual

Philips CMS Patient Monitoring System

Service Guide

PAD

Part No. M1046-9423L

Printed September 2002

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.

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

iii

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.

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.

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.

___________________________________________________________________

vii

viii

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

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

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

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

xii

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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