Philips IntelliVue M3-M4 User manual

Measurements and Monitoring

S E R V I C E G U I D E

M3/M4 Monitors

(M3046A)

Measurement Server

(M3001A and M3000A)

Measurement Server Extensions

(M3015A and M3016A)

P A T I E N T M O N I T O R I N G

Printed in Germany 03/05

Sixth Edition

*M3046-9300F*

Part Number M3046-9300F

4512 610 07711

S

M3046A M2/M3/M4 Monitors M3000A/M3001A Measurement Servers

M3015A/M3016A Extensions to the Measurement Servers

Service Guide

M3046-9300F

Reordering Number: 4512 610 07711

Printed in Germany. March 2005

Seventh Edition

Notice

This document contains proprietary information which is protected by copyright. All Rights Reserved. Reproduction, adaptation, or translation without prior written permission is prohibited, except as allowed under the copyright laws.

Philips Medizin Systeme Böblingen GmbH

Cardiac and Monitoring Systems

Hewlett-Packard Str. 2

71034 Böblingen

Germany

Printed in Germany

Warranty

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

Philips Medical Systems 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 Medical Systems shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this material.

© 1995-2005 Koninklijke Philips Electronics N.V.

All Rights Reserved. Reproduction in whole or in part is prohibited without the prior written consent of the copyright holder.

Philips Electronics North America Corporation reserves the right to make changes in specifications or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication.

Microsoft, Windows NT and Windows 2000 are trademarks of Microsoft Corporation in the USA and other countries.

ii

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 changes when a new edition is printed. (Minor corrections and updates which are incorporated at reprint do not cause the date to change.) The document part number changes when extensive technical changes are incorporated.

First Edition ........................................	July 1997
Second Edition ....................................	February 1999
Third Edition .......................................	June 2000
Fourth Edition .....................................	April 2001
Fifth Edition ........................................	February 2002
Sixth Edition .......................................	June 2003
Seventh Edition...................................	March 2005

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Responsibility of the Manufacturer

Philips Medical Systems only considers itself responsible for any effects on safety, reliability and performance of the equipment if:

•assembly operations, extensions, re-adjustments, modifications or repairs are carried out by persons authorized by Philips, and

•the electrical installation of the relevant room complies with national standards, and

•the instrument is used in accordance with the instructions for use.

To ensure safety, use only those Philips parts and accessories specified for use with the Monitor. If non-Philips parts are used, Philips Medical Systems is not liable for any damage that these parts may cause to the equipment.

iv

In this Book

This Service Guide contains technical details on the Monitor, Measurement Server and

Measurement Server Extensions.

The purpose of this book is to provide a technical foundation for the monitoring system in order to support effective troubleshooting and repair. The book is not intended to be a comprehensive, in-depth explanation of the product architecture or technical implementation. Rather, it is developed to offer enough information on the functions and operations of the monitoring systems so that engineers who repair them are better able to understand how they work.

It covers the physiological measurements that the products are designed to provide, the Measurement Server that acquires those measurements, and the monitoring system that displays them.

	Who Should Use this Book
	If you are a biomedical engineer or a technician responsible for troubleshooting, repairing,
	and maintaining Philips’s patient monitoring systems, this book is designed for you. If you
	are new to Philips’s product line or monitoring systems, you may find this book helpful as an
	orientation to the equipment. If you have already worked on the systems and now want
	further details on how they work, you are likely to find much of the information you need
	here.
	Conventions Used in this Book
WARNING	A warning alerts you to a potential serious outcome, adverse event or safety hazard.
	Failure to observe a warning may result in death or serious injury to the user or patient.

CAUTION	A caution alerts you to circumstances where special care is necessary for the safe and
	effective use of the product. Failure to observe a caution may result in minor or moderate
	personal injury, damage to the product or other property, and possibly in a remote risk of
	more serious injury.

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vi

Contents

1 Introduction to the Instrument. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Objectives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	. 1
Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	1
Introducing the Instrument Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	2
Instrument Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	4
A Quick Description of the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	5
Front Panel Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	5
Front of Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	5
Back of Monitor: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	6
A Quick Description of the Measurement Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	7
Overview of the Measurement Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	7
Measurement Connectors for the M3000A #C06, M3001A #C06
and #C18 Measurement Servers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	7
Measurement Connectors for the Standard M3000A and M3001A Measurement Server 7
A Quick Description of the Measurement Server Extension . . . . . . . . . . . . . . . . . . . . . . . . . .	9
Overview of the Measurement Server Extensions M3015A & M3016A . . . . . . . . . . . . .	9
Measurement Connectors for the M3015A Measurement Server Extension . . . . . . . . . .	9
Measurement Connectors for the M3016A Measurement Server Extension . . . . . . . . .	10
A Quick Description of the Main Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	10
Theories of Operation and Functional Descriptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	11
Section 1 - Monitor Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	11
Monitor Theory of Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	12
Display and User Interface Software Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	13
Alarm Manager Software Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	13
Admit / Discharge / Transfer (ADT) Software Module . . . . . . . . . . . . . . . . . . . . . . . . .	13
Trend Software Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	13
Events Software Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	13
Printer Manager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	14
Recorder Manager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	14
IrDA/Serial Communication Manager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	15
Communication Software Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	15
Support Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	15
Functional Description of the Monitor Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	16
Display Video Controller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	17
Human Interface Controller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	18
Battery Controller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	18
ECG Out/Marker In Controller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	18
Infrared (IrDA) Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	19
Serial Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	19
Wireless LAN Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	19
Section 2 - Measurement Server Description and Features . . . . . . . . . . . . . . . . . . . . . . . . . .	19
M3001A Measurement Server Standard Package . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	19
M3001A Measurement Server Extended Measurements Packages . . . . . . . . . . . . . . . .	20

Contents

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M3000A Measurement Server Standard Package . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	20
M3000A #C06 Measurement Server Extended Measurements Package . . . . . . . . . . . .	20
Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	20
Measurement Server Theory of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	21
Functional Description of the Measurement Server Hardware . . . . . . . . . . . . . . . . . . . . . .	22
Electrocardiogram/Respiration (ECG/Resp) Measurement . . . . . . . . . . . . . . . . . . . . . . . . .	23
Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	23
Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	23
ECG/Resp Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	24
Block Diagram of the ECG/Resp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	25
Theory of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	25
Non-invasive Blood Pressure (NBP) Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	29
Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	29
Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	29
NBP Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	29
Block Diagram for NBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	31
Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	31
NBP Measurement Characteristic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	32
Theory of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	32
Arterial Oxygen Saturation and Pleth (SpO2/PLETH) Measurement . . . . . . . . . . . . . . . . . .	33
Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	33
Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	33
SpO2/PLETH Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	33
Block Diagram of the SpO2/PLETH Circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	34
Theory of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	34
Temperature and Invasive Blood Pressure (Temp/Press) measurement . . . . . . . . . . . . . . . .	37
Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	37
Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	37
Temp/Press Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	37
Block Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	38
Theory of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	38
Temperature and Invasive Pressure Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	39
Block Diagram of the Temp/Press Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	40
Invasive Pressure Software Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	41
Temperature Software Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	42
Section 3 - Measurement Server Extensions Description and Features . . . . . . . . . . . . . . . .	44
Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	44
M3015A Measurement Server Extension Theory of Operation . . . . . . . . . . . . . . . . . . . . . .	45
Functional Description of the M3015A Measurement Server Extension Hardware . . . . . . .	46
Hardware Block Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	47
Sidestream CO2 Measurement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	48
Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	48
Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	48

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Contents

Sidestream CO2 Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Block Diagram of the Sidestream CO2 measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Theory of Operation for M3015A Sidestream CO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

M3016A Measurement Server Extension Theory of Operation . . . . . . . . . . . . . . . . . . . . . . 53 Functional Description of the M3016A Measurement Server Extension Hardware . . . . . . . 54 Hardware Block Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Mainstream CO2 Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

Mainstream CO2 Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 Block Diagram of the Mainstream CO2 measurement . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Theory of Operation for the M3016A Mainstream CO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Tutorial for the Introduction to the Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

Answers to the Tutorial for the Introduction to the Instrument . . . . . . . . . . . . . . . . . . . . . . . 62

2 Installing the Instrument. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

Objectives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 Patient Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 Patient Leakage Current . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 Preparing to Install the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 Power Source Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 Protecting against Electric Shock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 Equipotential Grounding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 Combining Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 Explanation of symbols used: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

Unpacking the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 Installing the Monitor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 Connecting the Measurement Server... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

...with the Measurement Server directly on the Monitor . . . . . . . . . . . . . . . . . . . . . . . . 71

...with the Measurement Server Separate from the Monitor . . . . . . . . . . . . . . . . . . . . . . 73

...with the Measurement Server Attached to an M3015A/M3016A Measurement Server Extension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Attaching the Monitor to a Mount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Detaching the Monitor from a Mount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Attaching the Measurement Server to a Mount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Detaching the Measurement Server from a Mount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Positioning the Measurement Server on a Clamp Mount . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Connecting to the Nurse Call Relay. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 Modification for Nurse Call Alarm Relays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 Verification Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78

Contents

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Installation of Wireless Infrastructure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 Configuring the Radio Frequency of the M3/M4 Monitor . . . . . . . . . . . . . . . . . . . . . . . 78 Connecting to the ECG Output or Marker Input . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 Configuring the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 Selecting NBP Measurement Characteristic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 Installing an Additional Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Safety Specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 Installing the 12V Adapter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Using the Battery Charger and Conditioner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Connecting a Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Selecting a Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Installing the Wireless Infrared Printer Connector (M3080A #H05) . . . . . . . . . . . . . . . . . . 94 Connecting a Local Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 Connecting a Remote Printer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 Connecting a Local Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 Site Preparation Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Mounting Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 Installing the Table Mount (M3080A #A10). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 Installing the Universal Bed Hanger (M3080A #A11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 Warnings, Cautions, and Safety Precautions Relating to Wall Mount Installation. . . . . . . 100 Installing the Wall Rail (M3080A #A13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Installing the Tilt/Swivel Mount (M3080A #A14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Screwed Directly to a Wall . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102 Mounted to the GCX Wall Channel (M3080A #A15) . . . . . . . . . . . . . . . . . . . . . . . . . 103 Attached to a Universal Pole Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 Attached to the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105 Installing the GCX Wall Channel (M3080A #A15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 Installing the Universal Pole Clamp (M3080A #C05) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 Installing the Measurement Server Mounting Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108 Server Mounting Plate (M3080A #A01) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108 Server Mounting Plate (M3080A #A02) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Mounting Options for the Local Recorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 MSL Cable Termination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112 Disposing of the Monitor, Measurement Server and Measurement Server Extensions . . . 115 Tutorial for Installing the Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116 Answers to the Tutorial for Installing the Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117

3 Maintaining the Instrument. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119

Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Recommendations for Maintenance Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 Maintenance Checklist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121

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Inspecting the Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122 Inspect Cables and Cords . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122 Preventive Maintenance Tasks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123 M3046A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123 M3000A / M3001A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

Replacement of the Pump and CO2 Scrubber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 Replacement of the Infrared Lamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

General Cleaning of the Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 Cleaning Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 Cleaning Agents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126 Battery Handling, Maintenance and Good Practices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 About the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 Checking the Battery Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 Charging the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129 Conditioning a Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130 Accessing the Battery Status Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132 Battery INOP Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134 Tutorial for Maintaining the Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 Answers to the Tutorial for Maintaining the Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . 136

4 Testing the Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137

Objectives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 Test Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138 Recommendations for Test Frequency. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139 Test Map. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140 Testing Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141 Serial Numbers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142 Passwords . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142 Visual Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142 Power On Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142 Functionality Assurance Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143

Performance Assurance Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143 Quick System Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143 System Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144 System Self-Test Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145 Preventive Maintenance Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146 NBP Accuracy, Leakage, Linearity and Valve Test . . . . . . . . . . . . . . . . . . . . . . . . . . . 146

Sidestream CO2 Performance Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148 Checking and Resetting Time Counters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153

Documenting CO2 Test Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154 Accuracy and Performance Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155

Temperature Accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155 ECG/Resp Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155

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Invasive Pressure Performance Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156

SpO2 Performance Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157 Mainstream CO2 Performance Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157 Nurse Call Relay Performance Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157

ECG Sync Performance Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158 Patient Safety Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159 Warnings, Cautions, and Safety Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159 Safety Test Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159 Tutorial for Testing the Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163 Answers to the Tutorial for Testing the Instrument. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164

5 Troubleshooting the Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . 165

Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165 Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165 Part 1 Troubleshooting Checklists. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166 Checks for Obvious Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166 Checks Before Opening the Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166 First Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173 Initial Instrument Boot Phase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173 Isolating Problems to the Correct Subassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175 Part 2 Isolating and Solving Instrument Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 INOP Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 Isolating the Defective Component . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183 Part 3 Using Support Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197 The Status Log and Error Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197 List of Error Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199 Testing Wireless Network Connectivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204 Antenna Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204 Using Service Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206 Service Mode Hardware Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206 How To Access the Monitor and Server Revision Screen . . . . . . . . . . . . . . . . . . . . . . 209 Troubleshooting the Installed Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210

Troubleshooting with Self-Test Alarm Messages

(When You Switch the Monitor On) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210 Troubleshooting When There is No Message on the Screen . . . . . . . . . . . . . . . . . . . . 213 Troubleshooting During/After a Software Upgrade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 214 Troubleshooting the Printer Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 214 Troubleshooting the Recorder Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215 Tutorial for Troubleshooting the Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217 Answers to the Tutorial for Troubleshooting the Instrument . . . . . . . . . . . . . . . . . . . . . . . 218

6 Repairing the Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219

Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219

Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219

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Warnings, Cautions and Safety Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	220
General Reassembly/Refitting Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	220
Disassembly for the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	221
Removing the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	221
Removing the Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	221
Removing the Chassis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	222
Removing the System Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	224
Removing the Wireless Assembly (for Monitors with Wireless LAN Interface only)	226
Removing the LCD Assembly and Backlight Tubes . . . . . . . . . . . . . . . . . . . . . . . . . .	226
Removing the Connector Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	228
Removing the Speaker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	229
Refit Procedures for the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	230
Refitting the System Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	230
Refitting the LCD Assembly and Backlight Tubes . . . . . . . . . . . . . . . . . . . . . . . . . . .	230
Refitting the Connector Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	230
Refitting the Speaker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	230
Refitting the Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	230
Refitting the Wireless Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	231
Refitting the Chassis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	231
Refitting the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	231
Disassembly Procedures for the M3015A Measurement Server Extension . . . . . . . . . . . .	232
Removing the Front Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	232
Removing the Extension Bottom Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	233
Removing the CO2 Scrubber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	235
Removing the Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	236
Refit Procedures for the M3015A Measurement Server Extension. . . . . . . . . . . . . . . . . . .	237
Refitting the CO2 Scrubber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	237
Refitting the Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	238
Refitting the Extension Bottom Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	238
Refitting the Front Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	238
Disassembly Procedures for the M8043A Battery Charger and Conditioner . . . . . . . . . . .	239
Opening the Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	239
Removing the Cooling Fans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	240
Removing the Air Filters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	242
Reassembling the Battery Charger and Conditioner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	242
Following Reassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	242
Tutorial for Repairing the Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	243
Answers to Tutorial for Repairing the Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	244

7 Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 245

Objectives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 245 Compatibility Matrix - Release A to Release B. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 245 List of Replacement and Exchange Parts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247 Monitor Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248

Contents

xiii

Bezel Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248 Other Monitor Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250 Monitor Exchange Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251 Small Parts Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253 Multi-Measurement Server Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 254 M3001A Part Numbers - Front Bezel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 254 M3001A MMS Part Numbers - IntelliVue Software Revision A.05.xx and Lower . . 256 M3001A MMS Part Numbers - IntelliVue Software Revision A.10.xx and Higher . . 259 M3015A Measurement Server Extension Parts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266 M3015A Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266 M3015A Exchange Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268 M3016A Measurement Server Extension Parts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 270 M3016A Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 270 M3016A Measurement Server Extension Exchange Parts . . . . . . . . . . . . . . . . . . . . . . 271 Support-Related Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272 Cables and MSL Through Wall Installation Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272 MMS Measurement Server Link (MSL) Cable Clamp Kit . . . . . . . . . . . . . . . . . . . . . . . . . 273 Wireless Assembly Exchange Parts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273 Battery and Battery-Related Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274 Battery Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274 Battery Exchange Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274 Battery Charger and Conditioner Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274 XE-50p Recorder Exchange Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274

xiv

Contents

1 Introduction to the Instrument

Objectives

In order to meet this chapter’s goals, you should become familiar with the Monitor, Measurement Server and the Measurement Server Extensions, and be able to identify their component parts in some detail. As well, you should be able to explain how the Measurement Server and Measurement Server Extensions acquire and process physiological measurements and how the Monitor displays the data.

The following topics are covered in this chapter:

•Introducing the Instrument Components

•Section 1 - Monitor Description

• Functional Description of the Monitor Hardware

•Section 2 - Measurement Server Description and Features

•

•

•

•

•

•

Measurement Server Theory of Operation

Functional Description of the Measurement Server Hardware

Electrocardiogram/Respiration (ECG/Resp) Measurement

Non-invasive Blood Pressure (NBP) Measurement

Arterial Oxygen Saturation and Pleth (SpO2/PLETH) Measurement

Temperature and Invasive Blood Pressure (Temp/Press) measurement

• Section 3 - Measurement Server Extensions Description and Features

•

•

•

•

•

•

M3015A Measurement Server Extension Theory of Operation

Functional Description of the M3015A Measurement Server Extension Hardware

Sidestream CO2 Measurement

M3016A Measurement Server Extension Theory of Operation

Functional Description of the M3016A Measurement Server Extension Hardware

Mainstream CO2 Measurement

Concepts

The following section contains information that you need to understand in order to competently maintain and repair an M2, M3 or M4 Monitor and Measurement Server with or without a Measurement Server Extension.

Theory of The theory of operation for a component describes the processing of signals Operation within the component.

Introduction to the Instrument

1

Introducing the Instrument Components

Functional The functional description of a component uses a diagram of the circuitry Description followed by short, written explanations of the component circuitry.

Introducing the Instrument Components

The M3046A Compact Portable Patient Monitor together with the Multi-Measurement Server (M3000A or M3001A) and the M3015A and M3016A Measurement Server Extensions forms a flexible, portable, battery or line powered patient monitor. The combined devices are referred to as the Instrument in this manual.

The M3000A Multi-Measurement Server can be used with M3046A patient monitors up to and including Release D, but is incompatible with Release E monitors. All equipment from Release C and D (M3046A monitors and the Release C M3000A Measurement Server) must be used in monitoring configurations where only Release B, C or D software equipment is included. None of these parts are compatible with Release A software.

The M3001A Multi-Measurement Server is compatible only with the Release E M3046A monitors, and is incompatible with any earlier releases.

The Hemodynamic Extension M3012A is for use together with the Multi-Measurement Server M3001A. This combination supports the transfer of patient data between IntelliVue (M80xxA) and M3/M4 (M3046A, Revision E) monitors. The M3012A’s Pressure/ Temperature channel works in the same way as that of the M3001A, with which the M3012A shares all specifications, as documented in the M3/M4 Instructions for Use, except for the weight, which is 450g (0.99lb). See the table below for supported parameters. The M3012A is not further covered in this Service Guide.

To check which software revisions are on your equipment, enter Setup and select

Revisions.

The Multi-Measurement Server and Server Extensions acquire the following physiological signals:

Measurements

Compatible with

which M3046A

Measurement

2

2

Release?

a

Server/Server

Extension

D and

withOption

E

2

lower

ChannelECG3-

derivedEASI LeadECG12-

Respiration

InvasiveNonPressureBlood

SaturationOxygen SpO

Invasive PressureBlood

Temperature

MainstreamCO

SidestreamCO

M3000A

!

"

!

!

!

"

"

"

"

!

"

M3000A #C06

!

"

!

!

!

!

!

"

"

!

"

M3001A

!

!

!

!

!

"

"

"

"

"

!

2	Introduction to the Instrument

Introducing the Instrument Components

Measurements

Compatible with

which M3046A

ECGChannel-3

derivedEASI ECGLead-12

Respiration

Invasive-Non PressureBlood

SaturationOxygen SpO

Invasive PressureBlood

Temperature

COMainstream

COSidestream

Release?

Measurement

2

2

a

Server/Server

Extension

D and

withOption

E

2

lower

M3001A #C06

!

!

!

!

!

!

!

"

"

"

!

M3001A #C12

!

!

!

!

!

"

"

"

"

"

!

M3001A #C18

!

!

!

!

!

!

!

"

"

"

!

M3012Ab

"

"

"

"

"

!

!

"

"

"

!

M3015Ac

"

"

"

"

"

"

"

"

!

!

!

M3015A #C06c

"

"

"

"

"

!

!

"

!

!

!

M3016A #A01c

"

"

"

"

"

!

!

!

"

!

!

M3016A #A02c

"

"

"

"

"

!

!

"

"

!

!

Key:

!

= supported

" = not supported

a.Using a standard 5-electrode lead set. You can connect a 10-electrode lead set (for example, if a patient is transferred from an IntelliVue monitor), but only the standard five electrodes (RA, LA, RL, LL, and V) are used for monitoring. The rest are automatically ignored.

b.Only Pressure/Temperature supported in M4 monitors.

c.Support for the CO2 measurement depends on the monitor option and software revision. Compatible with M3/

M4 with software revision E and D (later than D.11). Compatible with M4 only with software revision B to D.11. No support for CO2 for earlier monitors with software revision A.

The signals are converted into digital data, and processed before being communicated to the Monitor. The server device is referred to as the Measurement Server or simply the Server in this manual. All versions of the M3000A and M3001A Measurement Servers are covered by this manual.

When using the M3015A and M3016A, all the signals are converted into digital data, and processed before being communicated to the Monitor. Server extension devices are referred to as the Measurement Server Extensions or simply Extensions in this manual.

The M3046A Compact Portable Patient Monitor receives the processed data from the Measurement Server and the Measurement Server Extension, examines it for alarm conditions, and displays it. The Monitor also provides operating controls for the user, and interfaces to other devices. This monitoring device is referred to as the Monitor in this manual.

The M3080A #C32 12V adapter allows use of a vehicle power supply for the instrument and the M8043A Battery Charger and Conditioner allows the recharging and conditioning of batteries of the instrument.

Introduction to the Instrument

3

Instrument Components

Instrument Components

The Monitor, the Measurement Server, and Measurement Server Extensions are shown in the following diagram:

Measurement Server (M3000A and M3001A)

M3000A has a

gray bezel.

M3001A has a

white bezel.

Measurement Server

Extensions

M3016A

M3015A

Monitor (M3046A)

Functional descriptions of these components are to be found later in this chapter.

4	Introduction to the Instrument

A Quick Description of the Monitor

A Quick Description of the Monitor

Front Panel Keys

Alarm	Alarm Suspend
Indicator	Key	& Indicator Setup	Main Screen
Alarm		Key	Key
Silence/Reset Key

Silence	Suspend	Setup	Main
Reset			Screen
On Off/Standby

On	AC Power
Off/Standby	Battery

Battery LED

	On Off/Standby LED	AC Power LED	Green - Battery full (>95%)
			Yellow- Battery charging
	Green when Monitor is on
		Green when AC Power	Blinking Red - Battery empty
		is Connected

Front of Monitor

Menu Highlight

Up Key

	ECG Out/
Menu Enter	Marker In (≤ 12V)
Key

Equipotential

Grounding Post

	Menu	AC Power
		Connector
	Highlight
		(100 to 240Vac
	Down Key
		50/60Hz)
		Battery
		Compartment

TouchStrips

Infrared Printer Port or

Serial connector for local recorder (depending on option)

Introduction to the Instrument

5

A Quick Description of the Monitor

Back of Monitor:

						Locking Mechanism for
						the Measurement Server
Connector to
the Measurement									Catches for
Server (≤ 48V)
									attaching the
									Measurement
									Server
								LAN/Software Update
Mounting Plate								Connector (≤ 5V)
									Connector for an additional
Protective earth									display (VGA Interface) (≤ 3.3V)
connector point							Nurse Call Relay
for additional display								Connector (≤ 36V)

6	Introduction to the Instrument

A Quick Description of the Measurement Server

A Quick Description of the Measurement Server

Overview of the Measurement Server

6

7

9

8

Measurement Connectors for the M3000A #C06, M3001A #C06 and #C18 Measurement Servers

5

4

3

2

1

Note:

Press and Temp cannot be used at the sam e ti me.

Measurement Connectors for the Standard M3000A and M3001A Measurement Server

3 2

1

Introduction to the Instrument

7

A Quick Description of the Measurement Server

M3001A Connectors and Keys

1	White ECG/Resp connector.	6	NBP Start/Stop key - starts or stops NBP
			measurements.
2	Blue SpO2 connector	7	Either:
			NBP STAT key - starts NBP STAT series of
			measurements.
			or
			Zero key - initiates a zero procedure for the
			connected pressure transducer when pressed and held
			for a second.
3	Red NBP connector	8	Alarm Silence/Reset
4 &	Combined pressure (red) and temperature (brown)	9	MSL cable connector to the monitor.
5	connector - connect either invasive pressure
	transducer or temperature probe (M3000A #C06;
	M3001A #C06 and #C18 only).
	Press and temp cannot be used at the same time.
	You might have a version of the Measurement Server
	that does not have this connector.

8	Introduction to the Instrument

A Quick Description of the Measurement Server Extension

A Quick Description of the Measurement Server

Extension

Overview of the Measurement Server Extensions M3015A &

M3016A

Catches for

attaching the

Measurement

Server

Connectors to Monitor & Measurement Server

Measurement

Connectors

Measurement Connectors for the M3015A Measurement Server Extension

Press

Temp

gas inlet

SIDESTREAM CO2

gas outlet (exhaust)

Note:

Press and Temp (M3015A #C06 only) cannot be used at the same time on the same Extension.

Introduction to the Instrument

9

A Quick Description of the Main Screen

Measurement Connectors for the M3016A Measurement Server Extension

Press

Temp

Note:

Press and Temp cannot be used at the same time on the same Extension.

MAINSTREAM CO2 (Option #A01 only)

A Quick Description of the Main Screen

Monitor Label	QuickSet				Time	Non-Paced Symbol
		Patient Size
Patient Name
		QuickSet 1	23:11		Alarms Suspended			Alarm Message
	SCHLACK, ANDREAS		Adult
Wave	II		Sinus Rhythm			HR	90
							65	Numeric
						70 5PVC
	1 mV
						SpO 2	100
	Pleth					97		Alarm
Wave Label							90
								Limits
						ABP	sys.
	ABP 120					120/70	150	Numeric
							100
	0					(91)		Label
	NBP	Auto	60min	17:15		Resp
					mean	12
	135/101(120)12090							Alarm Off
								Symbol
			STOP					(measurement)

Start/Stop NBP STAT Stop All	Zero
		Store Screen Trends

SmartKey Label/Icon

You can return to the display with the waves and the numerics at any time by pressing the blue Main Screen key.

10	Introduction to the Instrument

Theories of Operation and Functional Descriptions

Theories of Operation and Functional Descriptions

The theories of operation and functional descriptions are presented in three sections:

Section 1 Monitor Description

•M3046A Monitor Theory of Operation

•Functional Description of the Monitor Hardware

Section 2 M3001A/M3000A Measurement Server Description and Features

•Measurement Server Theory of Operation

•Functional Description of the Measurement Server Hardware

•Electrocardiogram/Respiration (ECG/Resp) Measurement

•Non-invasive Blood Pressure (NBP) Measurement

•Arterial Oxygen Saturation and Pleth (SpO2/PLETH) Measurement

•Temperature and Invasive Blood Pressure (Temp/Press) measurement

Section 3 Measurement Server Extensions Description and Features

•M3015A Measurement Server Extension Theory of Operation

•Functional Description of the M3015A Measurement Server Extension Hardware

•Sidestream CO2 Measurement

•M3016A Measurement Server Extension Theory of Operation

•Functional Description of the M3016A Measurement Server Extension Hardware

•Mainstream CO2 Measurement

Section 1 - Monitor Description

The M3046A Patient Monitor is a small size, lightweight monitor with a TouchBar human interface. The monitor has a color display with a wide viewing angle, and excellent visibility from a distance, so that data can easily be recognized. For applications where a larger display is required, an additional display can be connected to the monitor via the standard VGA output.

Trend data, and manual and automatic event storage, together with a range of report styles are available for tracking and documenting the patient’s progress.

The Monitor receives the processed data from the Measurement Server and the Measurement Server Extension, examines it for alarm conditions, and displays it. The Monitor also provides operating controls for the user, and interfaces to other devices.

Introduction to the Instrument

11

Monitor Theory of Operation

Monitor Theory of Operation

The Monitor receives data passed from the patient through the Measurement Server and, where present, the Measurement Server Extension. The Monitor displays the data in numerics and waves on the screen.

The Monitor is prepared with a number of software modules, which communicate with each other as shown in the diagram below. The Monitor software communicates with the Measurement Server and, where present, the Measurement Server Extension via a normal local area network (LAN) link. Data from the Monitor can be output to a printer via an infrared serial link or via the LAN connector to a central print server. The Monitor can communicate with an Philips Information Center via the LAN Connector (wired network) or via the Wireless LAN Assembly (wireless network) when the appropriate options are present.

M3046 CPU System

Inter-process

Communications

Communication

Module Printer

Manager

Trend

Module

IrDA/Serial

IrDA/Serial

Events

Communication

Interface

Module

Recorder

ADT Module

Manager

Display

Support

Controller

Services

Display and

Operator

Alarm

Interface

Operating

Manager

controls

HIF

LEDs

Controller

Battery

controller

Alarm

Relay

Loudspeaker

Each of these modules is described in the following sections.

12	Introduction to the Instrument

Monitor Theory of Operation

Display and User Interface Software Module

The Display and User Interface Software displays measurement data and status information on the color LCD display, and processes the operator inputs from the HIF Controller. The interface consists of the following sub-modules:

•Screen Configuration.

•Numerics and Wave Presentation.

•Key and TouchStrip Processing.

•Alarm and Status Presentation.

Alarm Manager Software Module

The visual and audible alarms generated by the Measurement Server, the Measurement Server Extension or by the Monitor software modules are assigned priorities by the Alarm Manager. The Alarm Manager also:

•Monitors the “alarm suspended”, “alarm silence” and “alarm reminder” functionality.

•Manages alarm latching (alarms remain in effect until reset or turned off by the user).

•Triggers the Nurse Call Relay.

•Generates alarm event triggers for any user-defined trigger conditions.

Admit / Discharge / Transfer (ADT) Software Module

This module maintains the patient’s demographics and controls the upload of trend data from the Measurement Server and the Measurement Server Extension. It allows the user to:

•Admit a new patient.

•Transfer a patient to another Monitor.

•Discharge a patient.

Trend Software Module

This module manages a trend database. It stores physiological values from the Measurement Server and from the Measurement Server Extension in two separate databases, a short-term and a long-term database. The contents of these databases is battery-buffered, so that no data is lost in the event of a power failure.

Events Software Module

The events software module allows the user to take snapshots of the Monitor state and store them for later viewing or printing.This can be done automatically, triggered by alarms, if the monitor is configured appropriately. The types of data that can be captured are as follows:

•All physiological values.

•All current alarms.

•The last 20 seconds of wave data.

Introduction to the Instrument

13

Monitor Theory of Operation

Printer Manager

The printer manager formats and prints the following reports on either a locally attached printer or a remote printer connected to the Instrument via the M3 Print Server:

•Tabular Trend Report—The printer manager takes raw data from the trend module and generates a formatted report. The user can specify whether to print short-term or long-term trend data, and the period for which the data should be printed.

•Event Report—The printer manager takes raw data from the event module and generates a formatted event report. The user can specify a manual event, an alarm event, or a print screen report.

•Event List Report—The printer manager takes the raw event list data from the events module and generates a formatted event list report.

A number of drawing functions support the printer manager and provide it with graphics capabilities. The output from the printer manager is in PCL (Printer Command Language) format, and is fed to the locally attached printer, which is connected via an infrared data link, or to a remote printer. If the link to the printer is interrupted for a certain time, the printer manager displays a prompt of the color LCD display, notifying the user.

Recorder Manager

The recorder manager formats and records the following on a local recorder:

•Real-time or Delayed Recording—The user can select between a real-time local recording or a delayed recording.

A real-time recording is started by pressing the Local Record SmartKey. When a recording is running, you can stop it by pressing the key again.

A delayed recording can be started by pressing the Local Delayed SmartKey. Pressing the key again will extend the recording.

•Tabular Trend Report—The recorder manager takes raw data from the trend module and generates a formatted report. The user can specify whether to record short-term or longterm trend data, and the period for which the data should be recorded.

•Event Report—The recorder manager takes raw data from the event module and generates a formatted event report, and this is recorded on the local recorder.

•Alarm Recording—If a local recorder is connected to the monitor via the optional serial interface, you can make local alarm recordings. In configuration mode, you can select the local recorder or the Information Center, or both, to record alarms. If one of the configured alarms occurs, a recording for that alarm is started automatically at the local recorder (and/ or requested form the Information Center).

See Chapter 2, Installing the Instrument for more details on connecting to a recorder.

A number of drawing functions support the recorder manager and provide it with graphics capabilities. The output from the recorder manager suports the GSI Lumonics XE-50p- specific serial protocol, and output is fed to the local recorder, which is connected via a dedicated serial cable. The recorder manager displays prompt and status messages on the monitor’s color LCD display.

14	Introduction to the Instrument