Philips Intellivue MP60, IntelliVue 70 User manual

IntelliVue MP60/70
Service Guide
IntelliVue Patient Monitor
MP60/70
Patient Monitoring
Part Number M8000-9301A
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1 Introduction 13
Who Should Use This Guide 13 How to Use This Guide 13 Abbreviations 13 Responsibility of the Manufacturer 14 Passwords 14
2 Theory of Operation 15
Integrated Monitor Theory of Operation 15
System Boundaries 15 Hardware Building Blocks 17
IntelliVue MP60 17 IntelliVue MP70 18 Optional Hardware 19 Compatible Devices 19 Power Supply 20 CPU Boards 20 I/O Boards 22
Data Flow 23
Data Acquisition 23 Data Provider System Service 23 Persistent Data Storage System Service 24 Display and User Interface Service 24 Data Output 24 Monitor Applications 24 Internal LAN (Measurement Server Link) 24 Philips Clinical Network 26
How does the Support Tool Work with the Monitor 26 Monitor Software Block Diagram 27 Block Diagram Legend 28
32
3 Testing and Maintenance 33
Concepts 33 Test Reporting 33 Recommended Frequency 34 Tests Recommended When Performing... 35
Installation 35 Repair 35
3
Preventive Maintenance 35 Performance Verifications 35 Upgrades 35
Te s t s 36
Visual Test 36 Power On Test 36 NBP Tests 36
NBP Accuracy Test 36 NBP Leakage Test 37 NBP Linearity Test 37 Valve Tes t 38
Sidestream CO2 Per formance Test 38
Barometric Pressure Check and Calibration 39 Leakage Check 39 Pump Check 40 Flow Rate Check and Calibration 40 Noise Check 41
Gas Measurement Calibration Check 41
CO
2
Calibration Verification 42 Reset Time Counters 42
Temperature Accuracy 43 ECG/Resp Performance Test 43
ECG Performance 43 Respiration Performance 43
Invasive Pressure Performance Test 44 SpO2 Performance Test 44 Cardiac Output Performance Test 44
Service Tool Procedure, Version 1 44 Service Tool Procedure, Version 2 45
BIS Performance Test 45
PIC/DSC Test 45
Nurse Call Relay Performance Test 45
Phone Jack Type Connector Test 45 Multi-Port Nurse Call Connector Test 46
ECG Sync Performance Test 47 VueLink Tests using VueLink Test Module 47
Tes t Pr o c e d u r e 4 7
Safety Testing 48
Warnings, Cautions, and Safety Precautions 48 Safety Test Procedures 49
Touchscreen Calibration 52
4 Troubleshooting 53
Introduction 53 How To Use This Section 53 Who Should Perform Repairs 53
4
Replacement Level Supported 53 Software Revision Check 54 Obtaining Replacement Parts 54 Troubleshooting Guide 54
Checks for Obvious Problems 54 Checks Before Opening the Instrument 55
Checks with the Instrument switched Off 55 Checks with the Instrument Switched On, AC connected 55 Initial Instrument Boot Phase 56
Troubleshooting Tables 58
How to use the Troubleshooting tables 58 Boot Phase Failures 59 Integrated Display is blank 61 Integrated Touch Display not functioning 62 External Display is blank 63 External Touch Display not functioning 64 General Monitor INOP Messages 65 Remote Alarm Device 66 Remote Extension Device 66 Speed Point 67 Keyboard/Mouse not functioning 67 Network related problems 69 Wireless Network 70 Multi-Measurement Server 71 MSL-related problems 72 Alarm Issues 74 Alarm Lamps 74 Alarm Tones 74 Alarm Behavior 74 Individual Parameter INOPS 75 Flexible Module Server 76 Integrated Module Slots 76 Printer 77 Recorder 78 MIB / RS232 80 Flexible Nurse Call Relay 81 Troubleshooting the ECG OUT 81 Data Flow Marker In and ECG Wave 82
Status Log 83 Troubleshooting with the Support Tool 83 Troubleshooting the Individual Measurements or Applications 85
5 Repair and Disassembly 87
Tools Required 87
Minimal Monitor Disassembly 87
Disconnecting the SpeedPoint 87
5
Removing the I/O Boards 89 Removing the ECG Out board if no SRL2 board is plugged 90 Removing the Integrated Module Slot, the Measurement Server Mount or blank covers 91 Separating the front and back half of the monitor 92 Removing Power Switch board 94 Removing the Backlights 95
Further Disassembly 95
Exchanging the Touchscreen 95 Exchanging the LCD Assembly 96 Removing Power Supply 98 Removing the Speaker 99 Removing the ECG Out Board with an SRL2 Board plugged 100 Removing the Video Board 101 Removing the Main Board 101
Flexible Module Server (FMS) Disassembly 103
Removing the Handle and the Measurement Server Mount 103
Plug-in Modules 107
Plug-In Module Disassembly 107 tcpO2/tcpCO2 Calibration Chamber Kit 108 Recorder Module Paper 109
Disassembly Procedures for the Measurement Server Extension 109
Removing the Front Cover 110 Removing the Extension Bottom Cover 110 Removing the CO2 Scrubber 111 Removing the Pump 112
Refit Procedures for the Measurement Server Extension 113
Refitting the CO2 Scrubber 113 Refitting the Pump 113 Refitting the Extension Bottom Cover 114 Refitting the Front Cover 114 General Reassembly/Refitting Comments 114 Following Reassembly 114
6 Parts 115
MP60/MP70 Parts 116
Exchange Parts 116 Replacement Parts 117
Flexible Module Server Parts 118
Exchange and Replacement Parts 118
Multi-Measurement Server Parts 119 Measurement Server Extension Parts (M3015A and M3016A) 120
Exchange Parts List 122
Plug-in Modules Part Numbers 124
Part Number Table 124
Exchange Modules, Table 1 124 Exchange Modules, Table 2 125
6
Plug-In Modules Replaceable Parts 127
Single-Width Plug-In Module 127 Double-Width Plug-In Module 127 Plug-in Module Replaceable Parts 128 Plug-In Module Language Specific Front Housings, Table 1 128 Plug-In Module Language Specific Front Housings, Table 2 129 Plug-In Module Specific Bezels 130
BIS Module Replaceable Parts 130
BIS Module Components 131
tcpO2/tcpCO2 Module Accessories 132
External Display Part Numbers 132 Remote Input Devices Part Numbers 133 Remote Alarm Device Part Numbers 134 Remote Extension Device Part Numbers 134
134
7 Installation Instructions 135
Unpacking the Equipment 135 Initial Inspection 136
Mechanical Inspection 136 Electrical Inspection 136 Claims For Damage and Repackaging 136
Claims for Damage 136 Repackaging for Shipment or Storage 136
Installing the Monitor (M8005A or M8007A) 136
Mounting Instructions 137
Assembling Mounts 137
Connections 138 Installing Interface Boards 139
Installing Remote Devices 139
Mounting the Remote Display (M8031A) 139
Connections 140
Flexible Module Server and/or Multi-Measurement Server 140
Attaching the MMS to a Mount 140 Detaching the Measurement Server from a Mount 140 Positioning the Measurement Server on a Clamp Mount 140 Mounting the MMS Mount to the FMS (M8048A) 141 Mounting the Remote Extension Device to the FMS 142 Mounting the BIS Module to the FMS 142 Mounting the FMS 143 Connections 143 MSL Cable Termination 144
Remote Alarm Devices 146
Mounting 146 Connections 146
Remote Extension Device 147
7
Mounting 147 Connections 148 Cabling 148
Philips Clinical Network 149 Flexible Nurse Call Relay 149
Connections 149
ECG Out Functionality 149
Connections 149
Configuration Tasks 151
Setting Altitude, Line Frequency and Barometric Pressure 151 Configuring the Equipment Label 151
8 Site Preparation 153
Introduction 153
Site Planning 153 Roles & Responsibilities 153
Site Preparation Responsibilities 153 Procedures for Local Staff 154 Procedures for Philips Personnel 156
Monitor M8005A and M8007A Site Requirements 156
Space Requirements 156 Environmental Requirements 156
Te m p e r at u r e 15 6 Humidity 157 Altitude 157
Electrical and Safety Requirements (Customer or Philips) 157
Safety Requirements 157 Electrical Requirements 157
Remote Device Site Requirements 157
Multi-Measurement Server M3001A or Flexible Module Server M8048A 159
Space Requirements Multi-Measurement Server M3001A 159 Space Requirements Flexible Module Server M8048A 159 Environmental Requirements Multi-Measurement Server M3001A 159 Environmental Requirements Flexible Module Server M8048A 159 Cabling Options and Conduit Size Requirements 160
Remote Displays (M8031A) 161
Space Requirements 161 Environmental Requirements 161 Electrical and Safety Requirements 161 Cabling Options and Conduit Size Requirements 161
Remote Alarm Devices 163
Space Requirements 163 Cabling Options and Conduit Size Requirements 163
Remote Extension Device 163
Space Requirements 163
8
Cabling Options and Conduit Size Requirements 163 Input Devices 164
Local Printer 164
Philips Medical LAN 164 MIB Interface 165 Flexible Nurse Call Relay Interface 165 ECG Out Interface 166
9 Anesthetic Gas Module 167
Introduction 167
Description 167 Product Structure 167 Physical Specifications 167 Environmental Specifications 168 Performance Specifications 168
CO2 Measurement 169 AWRR derived from CO2 Waveform 169 N2O Measurement 169 O2 Measurement 169 Alarm Delay: 170 Apnea Alarm: 170 INOP Alarms 170
General Measurement Principles 171 Theory of Operation 171
Main PC Board 172 Power Supply 172 Pneumatic System 172 Pump 173 Wate rt rap 174 Sample Flow Through the Pneumatic Path 174
Agent Identification Assembly 175
Measurement Principle 175
O2 Sensor 176
Specifications 176 Measurement Principle 176
Infrared Measurement Assembly 176
Installation and Patient Safety 178
Physical Installation 178 Environment 178 Label Sheet 179 Making Connections to the AGM 180 Sample Gas Connections to the Gas Exhaust 180
Returning the Gas Sample 180 Setting Up the Gas Return 181 Removing the Gas Sample 182
Setup and Configuration Procedures 182
9
Altitude Configuration 182 Connect Sample Input Tubing 182
Preventive Maintenance (PM) Tasks 182 Post-Installation Checks 183 Safety Requirements Compliance and Considerations 183
Explanation of Symbols Used 183 Power Supply Requirements 184 Grounding the System 184 Equipotential Grounding 184 Combining Equipment 185
Checking and Calibrating the Anesthetic Gas Module 186
Access Service Functions of the M1026A Anesthetic Gas Module 186 When and how to check the Philips M1026A Anesthetic Gas Module 187 Equipment required for checking 188 Checks and adjustments 188
Performance Leakage Check 188 Performance Diagnostic Check 189 Performance Flowrate Check 189 Total Flowrate Check and Adjustment in Purge Mode 190 Measurement Path Flowrate Check and Adjustment 190 Total Flowrate Check in Normal Mode 192
Zero Calibration 192 Barometric Pressure Check and Calibration 193 Span Calibration Check 194
Disposal of Empty Calibration Gas Cylinder 197
Maintaining the Anesthetic Gas Module 198
Preventive Maintenance (PM) Tasks 198 Cleaning 198 Replace PM Parts 199
Internal Nafion Tubing with Bacterial Filters and manifold Seals 199
Room-Air Filter 200 Pump Filter 201 Performance Checks 202
Other factors to maximize uptime or reduce cost of ownership: 202
Troubleshooting the Anesthetic Gas Module 203
Compatibility Criteria for the AGM and the IntelliVue Monitors 203 Flow Charts for Communication and Measurement Type Problems 203 Hardware Related Troubleshooting Strategy 209 INOPs 210 Calibration Checks 213
Calibration Checks Troubleshooting Table 213
Diagnostic Checks 215
Problem Solving Hierarchy 215 Pneumatic System Diagnostic Checks 216 O2 Assembly Diagnostic Checks 217 Optical Path Disgnostic Checks 219
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IR Measurement Assembly Diagnostic Checks 220 Agent ID Assmebly Diagnostic Checks 221 Power Supply Diagnostic Checks 222 Operating Temperature Diagnostic Checks 223
Test Points, Connectors and Jumpers 223
Tes t Poi n t s 2 2 3 Connectors 224 Jumpers 225
Repairing the Anesthetic Gas Module 227
Introduction 227 The Top Cover 230
Removal 230 Replacement 230
Lifting the IR Measurement Mounting Bracket 233
Removal 233 Replacement 233
Infrared Measurement Assembly Head 235
Transferring NVRAM Data to a Replacement Head 235
Sample Cell 239
Removal 239 Replacement 239
Solenoid Valve #1 242
Removal 242 Replacement 242
Power Supply Unit 244
Removal 244 Replacement 244
Main PC Board 245
Removal 245 Replacement 246
O2 Sensor 247
Removal 247 Replacement 248
Agent Identification Head 251
Removal 251 Replacement 251
Pump 252
Removal 252 Replacement 252
Fan 253
Removal 253 Replacement 254
Solenoid Valve #2 256
Removal 256 Replacement 256
11
Top C ov e r PC B o a rd 258
Removal 258 Replacement 258
Watertrap Manifold and Protector 259
Removal 259 Replacement 259
Power Fuses 260
Removal 260 Replacement 260
Test and Inspection Matrix 262 When to Perform Test Blocks 266 Safety Test Appendix 267
Parts List 270
Calibration Equipment 274
12
This Service Guide contains technical details for the IntelliVue MP60 and MP70 Patient Monitor, the Multi- Measurement Server (MMS), the Flexible Module Server (FMS) and the Measurement Server Extensions.
This guide provides a technical foundation to support effective troubleshooting and repair. It is not a comprehensive, in-depth explanation of the product architecture or technical implementation. It offers 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 provide, the Measurement Server that acquires those measurements, and the monitoring system that displays them.

Who Should Use This Guide

1

1Introduction

This guide is for biomedical engineers or technicians responsible for troubleshooting, repairing, and maintaining Philips’ patient monitoring systems.

How to Use This Guide

This guide is divided into eight sections. Navigate through the table of contents at the left of the screen to select the desired topic. Links to other relevant sections are also provided within the individual topics. In addition, scrolling through the topics with the page up and page down keys is also possible.

Abbreviations

Abbreviations used throughout this guide are:
Name Abbreviation
IntelliVue MP60/MP70 Patient Monitor the monitor
Flexible Module Server FMS
Multi-Measurement Server MMS
13
1 Introduction Responsibility of the Manufacturer

Responsibility of the Manufacturer

Philips 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 non­Philips parts are used, Philips is not liable for any damage that these parts may cause to the equipment.
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 Medizinsysteme Böblingen GmbH
Hewlett-Packard Str. 2
71034 Böblingen, Germany
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.

Passwords

In order to access different modes within the monitor a password may be required. The passwords are listed below.
Monitoring Mode: No password required
Configuration Mode: 71034
Demo Mode: 14432
Service Mode: 1345
Consult the configuration guide before making any changes to the monitor configuration.
14

2Theory of Operation

Integrated Monitor Theory of Operation

The IntelliVue Patient Monitor:
displays real-time data
controlls the attached measurement servers
alarms in the case of patient or equipment problems
offers limited data storage and retrieval (trending)
interfaces to the Philips Clinical Network and other equipment
A monitor with just a single integrated measurement server can be connected to additional building blocks to form a monitoring system with a large number of measurements, additional interface capabilities and multiple slave displays. These elements cooperate as one single integrated real-time measurement system.
2

System Boundaries

The following diagram discusses specific boundaries within the overall system with respect to their openness and real-time requirements:
Philips Clinical Network
15
2 Theory of Operation Integrated Monitor Theory of Operation
Measurement LAN
combines components of one patient monitor; real time requirements across all interconnected elements
Philips Clinical Network (wired LAN)
connects multiple patient monitors, information centers, application servers; closed system, only Philips qualified products (tested and with regulatory approval) are connected, Philips is responsible for guaranteed real-time functionality and performance
Philips Clinical Network (wireless)
like Philips Clinical Network (wired) LAN, however due to current wireless technologies available it has reduced bandwidth, longer latencies, reduced functionality
Hospital LAN, Internet
Standard Network, not under Philips control, no guaranteed service, no real-time requirements
16
Integrated Monitor Theory of Operation 2 Theory of Operation

Hardware Building Blocks

The following hardware building blocks make up the monitoring system:
IntelliVue MP60
The MP60 monitor:
integrates the display and processing unit into a single package
uses a 15 TFT XGA Color display
uses the Philips SpeedPoint as primary input device; computer devices such as mice, trackball, and
keyboard can be added optionally
has an optional recorder
supports the Flexible Module Server (FMS)
Building Blocks:
Power Supply
LCD
Assembly
LCD
Adapter
Main Board
I/F
Boards
MSL
I/F
|| I/F To Local Printer
PS/2 To SpeedPoint
MIB To AGM
Video I/F
Board
To Ext. Display
ECG Out
17
2 Theory of Operation Integrated Monitor Theory of Operation
IntelliVue MP70
The MP70 monitor:
integrates the display and processing unit into a single package,
uses a 15 TFT XGA Color display
uses the Philips Touchscreen as primary input device, whereas the Philips SpeedPoint and computer
devices such as mice, trackball, and keyboard can be added optionally
has an optional recorder
supports the Flexible Module Server (FMS)
Building Blocks:
Power Supply
LCD
Assembly
LCD
Adapter
Touch
Panel
Touch
Controller
Main Board
Video I/F
Board
I/F
Boards
MSL
I/F
To Ext. Display
|| I/F To Local Printer
PS/2 To External input devices
MIB To AGM
18
Integrated Monitor Theory of Operation 2 Theory of Operation
Optional Hardware
A measurement server mount and /or an integrated module slot can be ordered optionally.
Measurement Server Mount
Integrated Module Slot
Compatible Devices
Figure 1 M8048A Flexible Module Server (FMS)
Figure 2 M3001A Multi-Measurement Server (MMS)
19
2 Theory of Operation Integrated Monitor Theory of Operation
Power Supply
Front End Modules
Backlight
AC/DC 48V /120W
Isolating DC/DC
56 V
Converter
Backlight DC/DC Converter
DC/DC
DC/DC
5 V,
FMS
60V
MMS, MMS-EXT
12 V
3.3 V CPU
5 V
DC/DC
DC Bus
Integrated Module Rack
DC/DC Converter
Figure 3 Power Supply Architecture
The AC/DC converter transforms the AC power coming from the power plug into 48 V/120W DC source and isolates the monitoring system from the AC power mains.The 48V is distributed via power bus and supplies power to all the components of the system: The 56 V DC power needed for the FMS, MMS and measurement server extension is created by an isolating DC/DC converter. The power needed for the backlights is converted to 12V DC by the backlight DC/DC converter. The CPU is supplied with 3.3 V and 5 V DC power. The transformation is performed in two steps: The first DC/ DC converter is a power regulator which reduces the variations caused by load changes on the 48V power bus. The second DC/DC converter converts the power to the needed voltage. Interface boards require a power of 10V DC. The HIF board and the LEDs are supplied with 12V DC unregulated power. The integrated module slot requires a 5 V supply for the modules slots and uses the 48V and another DC/DC converter to create 60 V in order to supply power for the modules.
DC/DC
DC/DC
10 V AC
)
12 V
)
unreg
I/F boards
HIF, LED’s,
wireless
5 V
Front End
60 V
Modules
CPU Boards
20
The CPU boards have an MPC860 50 MHz processor that provides a number of on-chip, configurable interfaces. An array of 12 fast UARTS with configurable protocol options are implemented in an ASIC (along with other system functions such as independent watchdogs etc.), providing interfacing capabilities to measurement modules and I/O boards. The serial interfaces can easily be electrically isolated. The main board contains additional video hardware.
Integrated Monitor Theory of Operation 2 Theory of Operation
Flexible Module Server
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The CPUs provide two LAN interfaces to interconnect CPUs (via the Internal LAN) or to connect to the Philips Clinical Network.
The CPU capabilities are identical. Different loading options are coded on serial EEPROMs to support the automatic configuration of the operating system at boot time.
IntelliVue Patient Monitor Multi-Measurement Server
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2 Theory of Operation Integrated Monitor Theory of Operation
I/O Boards
Interfaces to the monitor are implemented via I/O boards. The location of these boards is restricted by general rules. The I/O slot designations diagram and the I/O matrix which outline the I/O board placement rules can be found in the Installation Instructions section.
The following is a list of Interface (I/O) boards which may be present in your monitor, depending on your purchased configuration:
MSL
Video (analog)
Philips Clinical Network (LAN)
PS/2
MIB/RS232
Flexible Nurse Call
Parallel printer
Remote devices (Remote Alarm Device, Remote Extension Device)
The specifications for the above listed interfaces can be found in the technical data sheet for the monitor and in the Specifications chapter of the Instructions for Use.
22
Integrated Monitor Theory of Operation 2 Theory of Operation

Data Flow

The following diagram shows how data is passed through the monitoring system. The individual stages of data flow are explained below.
Display
and User
Interface
Data
Acquisition
Data
Provider Service
Applications
Data Acquisition
Monitoring data (for example patient measurement data in the form of waves, numerics and alerts) is acquired from a variety of sources:
Measurement Servers
The Measurement Servers connected to the internal LAN convert patient signals to digital data and apply measurement algorithms to analyze the signals.
External measurement devices
Data can be also acquired from devices connected to interface boards of the monitor. Software modules dedicated to such specific devices convert the data received from an external device to the format used internally. This applies to parameter modules and the Anesthetic Gas Module
Server systems on the Philips Clinical Network
To enable networked applications such as the other bed overview, data can be acquired from server systems attached to the Philips Clinical Network, for example a Philips Information Center
Persistent
Data
Storage
Data
Output
Data Provider System Service
All data that is acquired from measurement servers or external measurement devices is temporarily stored by a dedicated data provider system service. All monitor applications use this central service to access the data in a consistent and synchronized way rather than talking to the interfaces directly.
This service makes the applications independent of the actual type of data acquisition device.
23
2 Theory of Operation Integrated Monitor Theory of Operation
The amount of data stored in the data provider system service varies for the different data types. for example several seconds of wave forms and the full set of current numerical values are temorarily stored in RAM.
Persistent Data Storage System Service
Some applications require storage of data over longer periods of time. They can use the persistent data storage system service. Dependent on the application requirements, this service can store data either in battery backed-up (buffered) memory or in flash memory. The buffered memory will lose its contents if the monitor is without power (not connected to mains) for an extended period of time. The flash memory does not lose its contents.
The trend application for example stores vital signs data in a combination of flash memory and buffered memory, while the system configuration information (profiles) is kept purely in flash memory.
Display and User Interface Service
Applications can use high level commands to display monitoring data or status and command windows on the internal LCD panel. These commands are interpreted by the display manager application. This application controls the dedicated video hardware which includes video memory and a special ASIC.
User input is acquired from a variety of input devices, for example the SpeedPoint, the touchscreen or other standard input devices (keyboard, mouse) which may be attached to I/O boards. The system software makes sure that the user input is directed to the application which has the operating focus.
Data Output
The monitoring system is very flexible and customizable regarding its data output devices. Built-in devices (for example LAN, alarm lamps, speaker, video) provide the basic output capabilities.
These capabilities can be enhanced by adding additional I/O boards, as required in the specific end­user setup. The additional I/O boards typically provide data to externally attached devices, for example to printers, RS232 based data collection devices, nurse call systems etc.
The monitor can identify I/O boards by means of a serial EEPROM device that stores type and version information. The operating system detects the cards and automatically connects the I/O board with the associated (interface driver) application. For some multi- purpose cards it is necessary to configure the card for a particular purpose first (for example the dual MIB/RS232 card can support external touch display, data import, data export).
Monitor Applications
The monitor applications provide additional system functionality over the basic measurement and monitoring capabilities. This includes for example trending, report generating, event storage or derived measurements.
In general, the monitor applications use the data provider system service to access the measurement data. Application interfaces to the other system services allow the application to visualize data, to store data over extended periods of time or to output data to other devices.
Internal LAN (Measurement Server Link)
All components of the monitoring system (including measurement servers and CPUs in the monitor) communicate using an IEEE802.3/ Ethernet LAN in the Measurement Server Link (MSL). This network is used to distribute data between the components, for example:
24
Integrated Monitor Theory of Operation 2 Theory of Operation
Digitized patient signals including wave data, numerical data and status information (typically from the measurement server to a display unit)
Control data representing user interactions (typically from the display unit to a measurement server)
Shared data structures, for example representing patient demographical data and global
configuration items
The internal LAN allows plug and play configuration of the monitoring system. The system automatically detects plugging or unplugging of measurement servers and configures the system accordingly.
The components on the internal LAN are time- synchronized to keep signal data consistent in the system. Dedicated hardware support for synchronization eliminates any latency of the network driver software.
The integrated LAN provides deterministic bandwidth allocation/ reservation mechanisms so that the real-time characteristic of signal data and control data exchange is guaranteed. This applies to the data flow from the measurement server to the monitor (for example measurement signal data) and the data flow from the monitor to a measurement server (for example to feed data to a recorder module).
Integrated communication hubs in the monitor and the FMS allow flexible cabling options (star topology, daisy chaining of servers).
MDSE
Internal
LAN
MDSE Internal LAN
MDSE
Internal
LAN
25
2 Theory of Operation Integrated Monitor Theory of Operation
Philips Clinical Network
The monitoring system may be connected to the Philips Clinical Network, for example to provide central monitoring capabilities or other network services. This connection may be through a normal wired connection or through a wireless connection.
The monitor supports the connection of an external off-the-shelf wireless adapter. This allows a simple field upgrade as well as a technology upgrade in the future. Switching between wired and wireless networks is automatically triggered by the plugging or unplugging of the network cable.
The Philips Clinical Network protocols function very similarly to the protocols used on the internal LAN.
After configuration, the monitoring system sends the digitized patient signals including wave data, numerical data and status information onto the network. Control data representing user interactions can be exchanged between the monitoring system and a central station bi-directionally.
Additional protocols are supported for networked applications, for example for the other bed overview function, which allows viewing of monitoring data from other patients on the network.
For plug and play operation, the monitoring system uses the standard BootP protocol to automatically acquire a network address.

How does the Support Tool Work with the Monitor

The support tool is an NT application typically installed on the laptop of a customer engineer or a biomedical engineer working in the customers own service department.
The purpose of the support tool is to upgrade, configure and diagnose all monitoring components (modules, measurement servers, and monitors) in the system over the network. The monitors route network traffic between the Philips Clinical Network to the internal LAN.
The service protocol developed for this purpose uses a raw access to the devices without the need for IP addresses etc. over a standard customer network installation, so that even defective devices can be upgraded as long as the few kBytes of initial boot code are working. The boot code itself can also be upgraded using the same protocol.
The tool allows access to internal service information and to serial numbers. It can be remote­controlled, for example via a dial-up connection from a response center, provided the proper infrastructure is in place.
For details see the Instructions for Use for the Support Tool.
26
Integrated Monitor Theory of Operation 2 Theory of Operation

Monitor Software Block Diagram

Figure 4 shows the functional block diagram for the monitoring system. A legend explaining terms and diagram elements follows. The information below varies depending on the purchased monitor options.
Philips Clinical
Network
LAN
MDSE
Video Out
Indicators
Color LCD
Display
Applications
System Services
Real Time Operating System
Visual
LEDs
Audio
Indicators
Loudspeaker Touch
Input Devices (including PS/2)
Trim Knob
Interfaces
Interface Managers
Record Alarm Trend HiRes ADT
Reports
Calc Param
Events
ECG-Out Marker-In
ECG-Out Marker-In
MDSE
LAN
LAN
RS-422
M3001A Multi­Measurement Server
12-lead ECG/Resp, NBP, SpO2,
Press/Temp
Figure 4 IntelliVue Patient Monitoring System Functional Block Diagram
M3015/16A Measurement Server
Extension
CO2, Press/Temp
M1006B Press
Plug-In Modules
M1012A C.O.
LAN RS-422
M1018A tcPO2/CO2
M1029A Temp
RS-422
Flexible Module Server
M1032A VueLink
M1116B Recorder
27
2 Theory of Operation Integrated Monitor Theory of Operation

Block Diagram Legend

Functional Block Description
Services
Operating System The Operating System (OS) provides a layer of isolation between
the specific hardware implementation and the application software. The OS performs system checks and allocates resources to ensure safe operation when the system is first started. This includes internal self-tests on several hardware modules and configuration checks for validity of configuration with the operating software. During normal operation, the OS continues to run checks on system integrity. If error conditions are detected the OS will halt monitoring operations and inform the operator about the error condition.
System Services The System Services provide generic common system services.
In particular: It uses a real-time clock component to track time. It synchronizes to network time sources and verifies the accuracy of the system time information. It is also responsible for managing persistent user configuration data for all Measurement Servers, Flexible Module Servers and IntelliVue Patient Monitoring System software modules. User configuration data is stored in a non­volatile read/write storage device
Applications
Reports The Reports Service retrieves current and stored physiological
data and status data to format reports for printing paper documentation. The following reports are supported:
Vital Signs Report
Graphical Trend Report
Event Review Report
Event Episode Report
ECG Report (12 Lead/Multi-Lead)
Cardiac Output Report
Calculations Report (Hemodynamic/Oxygenation/
Ventilation)
Calculations Review Report
Wedge R eport
Tes t Re p or t
Other reports (e.g. Loops, Review Applications, Drug
report)
The Reports service generates report data which can be printed on a local or a central printer.
28
Integrated Monitor Theory of Operation 2 Theory of Operation
Functional Block Description
Record The Record Service retrieves current and stored physiological
data and status data to format a continuous strip recording. A recording can be triggered manually by the operator or automatically by an alarm condition. The Record Service uses the services of the Recorder Interface to control an M1116B Recorder in the FMS. The Record Service can also send data to a central recorder.
Alarm The Alarm Service contains logic that prioritizes alarm conditions
that are generated either by the Measurement Servers, Flexible Module Server, or by IntelliVue Patient Monitoring System software modules. Visual alarm signals (messages) are displayed at the top of the IntelliVue Patient Monitoring System display and alarm sounds are generated by a loudspeaker. Alarm conditions may be generated when a physiological parameter exceeds preselected alarm limits or when a physiological parameter or any other software module reports an inoperative status (technical alarm, for example, the ECG leads may have fallen off the patient). The Alarm service manages the alarm inactivation states, for example suspension of alarms, silencing of alarms, and alarm reminder. Alarm signals may also be configured as latching (alarm signals are issued until they are acknowledged by the operator, even when the alarm condition is no longer true). The Alarm service controls the visual alarm signals (alarm lamps).
Trend The Trend service stores the sample values of physiological data
and status data with a resolution of 12 seconds, 1 minute or 5 minutes for a period of up to 48 hours. The data is kept in battery buffered read/write storage and flash memory devices to be preserved across power failures. The stored data is protected via consistency checks and checksums. When a new patient is admitted, the trend database erases all data of the previous patient.
HiRes The OxyCRG (Oxygen CardioRespiroGram) service derives a
high-resolution trend graph from the Beat-to-Beat Heart Rate,
or tcpO2, and Respiration physiological data. The
SpO
2
OxyCRG is specialized for neonatal applications, allowing the opeartor to identify sudden drops in Heart Rate (Bradycardia) and SpO
or tcpO2 (Desaturations), and supporting the operator
2
in visualizing Apnea situations.
ADT The ADT (Admit/Discharge/Transmit) service maintains the
patient demographics information. The operator may admit a new patient, discharge the old patient and enter or modify the patient demographics. The ADT service also supports the transport of a patient (trend database) with the M3001A Multi­Measurement Server. The ADT service controls the deletion of old patient data, the upload of trend data from the M3001A and the switching back of all settings to user defaults. It also synchronizes patient information with a central station on the network.
29
2 Theory of Operation Integrated Monitor Theory of Operation
Functional Block Description
Calc Param The Calc Param (Calculated Parameters) service accesses current,
stored and manually entered physiological data as input to calculation formulas. With these formulas, derived hemodynamic, oxygenation and ventilation variables are computed. The calculation results, including the input parameters, are stored for later review using the Trend service.
Interface Managers
MDSE The MDSE (Medical Data Service Element) Interface Manager is
responsible for the exchange of real-time data between the IntelliVue Patient Monitoring System display unit and the Measurement Servers and Flexible Module Server as well as between the IntelliVue Patient Monitoring System display unit and other devices attached to the network. MDSE establishes and maintains a data communication link between the devices. It provides configuration information about the remote device to applications in the local device and it allows the exchange of measurement data and status information between the devices.
Printer The Printer Interface Manager provides a high level interface to a
printer. It provides means to:
establish a connection to the printer
transfer data to the printer
get status of the printer
close connection to the printer
The Printer Interface Manager also supervises the connection to the printer and whether the printer accepts data (for example paper out). The Printer Interface Manager notifies the operator in such cases.
30
Integrated Monitor Theory of Operation 2 Theory of Operation
Functional Block Description
Display & Operator Interface The Display and Operator Interface Manager performs the
following tasks:
Screen presentation of real-time and stored physiological measurement data, alarm condition data and status information received from the MDSE interface manager, the Alarm service or other IntelliVue Patient Monitoring System modules
Screen presentation of operating controls (control windows)
Processing of operating control commands received from HIF Control interface. The module verifies and interprets the received commands and forwards them to other software modules of the IntelliVue Patient Monitoring System display unit, Measurement Servers or Flexible Module Server
Sound generation (issues audible alarm signals and generates audible information signals, for example QRS and SpO
Interfaces
LAN The LAN interface implements the physical layer of IEEE 802.3.
The LAN interface performs Manchester encoding/decoding, receive clock recovery, transmit pulse shaping, jabber, link integrity testing, reverse polarity detection/correction, electrical isolation, and ESD protection. Electronically separated interfaces are used for communication to the Measurement Servers or Flexible Module Server and to the network.
Centronics The Centronics interface implements the standard signaling
method for bi-directional parallel peripheral devices according to IEEE 1284-I. The interface is used as a parallel interface to a standard printer with electrical isolation and ESD protection.
Display Controller The Display Controller Interface consists of a video controller
chip, video RAM and the controlling software. The Display Controller interface processes the high level display commands (character and graphic generation, wave drawing) and translates them into pixels, which are written into the video RAM where the video controller chip generates the video synchronization signals and the pixel stream for the Color LCD Display.
HIF Control The HIF (Human Interface Control) interface scans the Human
Interface devices for operator controls (Touch Screen, Trim Knob, and PS/2 devices), formats the collected data and sends it to the display and Operating Interface.
tones, operator audible feedback)
2
31
2 Theory of Operation Integrated Monitor Theory of Operation
Functional Block Description
ECG-Out Marker-In The ECG Out/Marker In interface receives the ECG waveform
directly from the ECG/Resp Arrhythmia ST-Segment physiological algorithm via an RS-422 serial interface and converts the digital ECG signal to an analog ECG signal. In addition, the ECG Out controller receives from a connected device the marker information and forwards this data to the ECG/Resp Arrhythmia ST-Segment physiological algorithm. The converted analog signal is used to synchronize a connected device to the patient’s ECG
RS-422 The serial link RS-422 interface communicates the ECG signal
to the ECG Output/Marker In of the IntelliVue Patient Monitoring System display unit. The interface is a serial, differential, full-duplex link. The interface is ESD protected.
PS/2 The PS/2 interface supports the serial protocol of standard PS/2
devices (mouse). The PS/2 serial protocol is interpreted by the HIF Control interface.
32

3Testing and Maintenance

Concepts

This chapter provides a checklist of the testing and maintenance procedures for the monitor, the MMS the Measurement Server Extensions and the FMS associated modules.
Preventive Maintenance refers specifically to the series of tests required to make sure the Instrument measurement results are accurate. The measurements requiring these reported tests are NBP and sidestream CO readings are in question or as specified.
. The accuracy and performance procedures are designed to be completed when
2

Test Reporting

Authorized Philips personnel report test results back to Philips to add to the product development database. Hospital personnel, however, do not need to report results. This table shows you what to record on the service record after completing the tests in this chapter.
3
Test What to record
Visual V:P or V:F
Power On PO:P or PO:F
P NIBP PN:P/X1/X2/X3/X4 or
PN:F/X1/X2/X3/X4
P CO
2
Safety S(1):P/x1/x2 or
Where P = Pass, F = Fail and X/x are the measured values as defined in the tests described in this chapter.
PCO2:P/X1/X2/X3/X4/X5/X6/X7/X8 or
PCO2:F/X1/X2/X3/X4/X5/X6/X7/X8
S(1):F/x1/x2
S(2): P/x1 or
S(2): F/x1
S(3): P/x1 or
S(3): F/x1
33
3 Testing and Maintenance Recommended Frequency

Recommended Frequency

The testing checklist appears in the next section of this chapter. Perform the procedures as indicated in the suggested testing timetable. These timetable recommendations do not supersede local requirements.
Suggested Testing Timetable Frequency
Preventive Maintenance Tests
NBP Calibration
Sidestream CO
CO
pump / CO2 scrubber replacement
2
Calibration
2
Performance and Safety Tests
Temperature Accuracy
ECG/Resp Performance
Invasive Pressure Performance
SpO
Mainstream CO
Per formance
2
Per formance
2
EEG Performance
C.O. Performance
BIS Performance
SvO2 Performance
Required
Once a year, or as specified by local laws.
Once a year or after 4,000 hours continuous
use and following any instrument repairs or the replacement of any instrument parts.
Once every three years or after 15 000 operating hours
Recommended: Once every two years, or if you suspect the measurement is incorrect
34
tcGas Performance
VueL ink Perfo rman c e
Nurse Call Relay Performance*
ECG Sync Performance*
*Only when in use as part of hospital protocols
Safety Checks (in accordance with IEC 60601-
1)
System Enclosure Leakage Current
Protective Earth
Patient Leakage Current
Recommended: Once every two years and after repairs where the power supply is replaced or the monitor has been damaged by impact.
Tests Recommended When Performing... 3 Testing and Maintenance

Tests Recommended When Performing...

Installation

Repair

Service Event
(When performing...
Installation of monitor with no display connected to the VGA output
Installation of monitor with a display connected to the VGA output
Service Event
(When performing...
Repairs of M3015A Perform Power On and M3015A tests
Repairs where the monitor has been damaged by impact
Repairs where the power supply is replaced Perform Safety (2) Test Block
All other IntelliVue Monitoring System repairs Perform Power On Test Block
Tes t Bl o c k s R e q ui r ed
...Complete these tests)
Perform Visual and Power On Test Blocks
Perform Visual, Power On a nd Sa fety (1) Test Blocks
Tes t Bl o c k s R e q ui r ed
...Complete these tests)
Perform Power On and Safety (2) and (3) Test Blocks

Preventive Maintenance

Perform preventive maintenance tests:
NBP calibration
Sidestream CO
Pump and scrubber replacement.
calibration
2

Performance Verifications

Perform all safety, accuracy and performance test procedures listed in the following sections. If a particular measurement is in question, perform the measurement performance test only.

Upgrades

Service Event
(When performing...
Hardware and software upgrades Perform Power On Test Block unless otherwise
Tes t Bl o c k s R e q ui r ed
...Complete these tests)
specified in the Upgrade Installation Notes shipped with the upgrade.
35
3 Testing and Maintenance Tests

Tests

Some of the following testprocedures must be performed in service mode. To enter service mode select
Operating Modes in the main menu. Then select Service Mode and enter the password.
If required, open the screen menu in the monitor info line at the top of the screen and select
Service to access the service screen. This is required particularly for Anesthetic Gas Module testing
procedures.

Visual Test

Inspect the system for obvious signs of damage. Also check external leads and accessories.
The expected test result is pass: the system has no obvious signs of damage.

Power On Test

1 Switch on the monitor and connect the MMS.
2 Observe whether the system boots up successfully and if an ECG wave appears on the screen.
The expected test result is pass: the monitor boots up and displays an ECG wave. The wave might be a flat line if no simulator is attached.

NBP Tests

This section describes NBP test procedures.The monitor must be in service mode to perform these tests.
NBP Accuracy Test
This test checks the performance of the non-invasive blood pressure measurement. Connect the equipment as shown:
Tools required:
Reference manometer (includes hand pump and valve), accuracy 0.2% of reading.
Expansion chamber (volume 250 ml +/- 10%)
Expansion Chamber
To NBP Input
Tubing
Manometer
36
Appropriate tubing.
In service mode, the systolic and diastolic readings indicate the noise of NBP channels 1 and 2 respectively. When static pressure is applied, the reading in NBP channel 1 should be below 50. The value in parentheses indicates the actual pressure applied to the system.
Tests 3 Testing and Maintenance
Connect the manometer and the pump with tubing to the NBP connector on the MMS and to the
1
expansion chamber.
2 In service mode, select the Setup NBP menu. 3 Select Close Valves: On
4 Raise the pressure to 280 mmHg with the manometer pump.
5 Wait 10 seconds for the measurement to stabilize.
6 Compare the manometer values with the displayed values.
7 Document the value displayed by the monitor (x1).
8 If the difference between the manometer and displayed values is greater than 3 mmHg, calibrate
the MMS. If not, proceed to the leakage test.
9 To calibrate the MMS, select Clos e Valves off then Cali brate NBP and wait for the
instrument to pump up the expansion chamber.Wait a few seconds after pumping stops until
EnterPrVal is highlighted and then move the cursor to the value shown on the manometer. If
one of the following prompt messages appears during this step, check whether there is leakage in the setup:
NBP unable to calibratecannot adjust pressure
NBP unable to calibrateunstable signal
10 Press Confirm.
If the INOP NBP Equipment Malfunction message occurs in monitoring mode, go back to service mode and repeat the calibration procedure.
NBP Leakage Test
The NBP leakage test checks the integrity of the system and of the valve. It is required once per year and when you repair the monitor or replace parts.
1 If you have calibrated, repeat steps 2 to 6 from the accuracy test procedure so that you have 280
mmHg pressure on the expansion chamber.
2 Watch the pressure value for 60 seconds.
3 Calculate and document the leakage test value (x2).
x2 = P1 - P2 where P1 is the pressure at the beginning of the leakage test and P2 is the pressure displayed after 60 seconds. The leakage test value should be less than 6 mmHg.
NBP Linearity Test
1 Reduce the manometer pressure to 150 mmHg.
2 Wait 10 seconds for the measurement to stabilize.
3 After these 10 seconds, compare the manometer value with the displayed value.
4 Document the value displayed by the monitor (x3)
5 If the difference is greater than 3 mmHg, calibrate the MMS (see steps 9 to 10 in the accuracy test
procedure).
37
3 Testing and Maintenance Tests
Valve Test
1 Raise the pressure again to 280 mmHg. 2 Select Close valves: Off.
3 Wait five seconds and then document the value displayed. The value should be less than 10
mmHg.
4 Document the value displayed by the monitor (x4).
Test Expected test results
Accuracy test x1 = value displayed by monitor
Leakage test x2 = leakage test value
Linearity test x3 = value displayed by monitor
Valve Test x4 = value < 10 mmHg

Sidestream CO2 Performance Test

Allow five seconds between individual service procedures to ensure stable equipment conditions. When certain monitor procedures are running, service procedures are not possible and trying to start them will result in a message the monitor completes the current operation, then restart the service procedure.
This test checks the performance of the CO performance test is required once per year and when the instrument is repaired or when parts are replaced.
This test uses calibration equipment that you can order (see the Parts section for the part number). The procedure is summarized in the following steps. Refer to the documentation accompanying the equipment for detailed instructions.
Tools Required:
Service Operation Failed in the monitor’s status line. Wait until
Difference
x2 < 6 mmHg
Difference
measurement for the sidestream extension. The CO2
2
3mmHg
3mmHg
38
Standard tools, such as screwdriver, tweezers
Electronic flowmeter, M1026-60144.
Gas calibration equipment:
Cal 1 gas 15210-64010 (5% CO
Cal 2 gas 15210-64020 (10% CO
)
2
)
2
Cal gas flow regulator M2267A
Cal tube 13907A
You also need a local barometric pressure rating received from a reliable local source (airport, regional weather station or hospital weather station) which is located at the same altitude as the hospital.
The CO
calibration for the sidestream extension consists of the following steps:
2
Barometric pressure check and calibration, if required.
Tests 3 Testing and Maintenance
Leakage check
Pump check
Flow check and calibration, if required.
Noise check
CO
CO
Cal check and calibration, if required.
2
Cal verification using 2nd cal gas
2
Perform all checks in the same session.
Barometric Pressure Check and Calibration
Check the barometric pressure value in the sidestream CO2 extension as follows:
1 Go into service mode and select Setup CO
2 Connect a FilterLine to the sidestream CO
Extension.
3 The status line at the bottom of the screen displays “CO2 pressure reading (ambient/cell) xxx/yyy
where xxx is the ambient pressure and yyy is the measured cell pressure. Check whether the ambient pressure value (x1) matches (within the acceptable tolerance of ±12mm Hg) the reference value you have received. If so, proceed to the leakage check. If the value is not correct, calibrate as follows.
a. Select
b. Select the value in the table which matches the reference value received from a reliable local
CO
then select Barom.Press to activate a table of values.
2
source (airport, regional weather station or hospital weather station). (The values are displayed with a resolution of 2 mmHg up to 500 mmHg and a resolution of 1 mmHg from 500 mmHg to 825 mmHg.) Note: the selected value must be within ±10% of the current measured ambient pressure, otherwise an error message will occur at restarting the monitor.
menu.
2
input. This activates the pump in the sidestream CO2
2
Leakage Check
The leakage check consists of checking the tubing between:
the pump outlet and the measurement server extension outlet and
the pump inlet and FilterLine inlet.
Check the users guide of the flowmeter for details on how to make a correct flow reading.
Part 1
1 Go into service mode and select Setup CO
2 Connect a FilterLine to the sidestream CO
3 Check the ambient pressure and the cell pressure shown in the monitors status line. The cell
4 Connect the flowmeter outlet to the FilterLine inlet using a flexible connecting tube.
c. Confirm the barometric pressure setting.
d. Check that the ambient pressure displayed in the status line at the bottom of the screen is the
same as the value which you selected from the list in step b.
menu.
2
input to start the pump running.
2
pressure should be approximately 20 mmHg lower than ambient pressure.
39
3 Testing and Maintenance Tests
Block the measurement server extension outlet using your fingertip and observe the flowmeter
5
display. The value on the flowmeter (x2) should decrease to between 0 and 4 ml/min, accompanied by an audible increase in pump noise. If the value is within the tolerance limits, continue with part 2 of the leakage check.
6 If the value is outside the tolerance limits, there is a leakage between the pump outlet and the
measurement server extension gas outlet.
7 Open the measurement server extension and check the tubing connections at the pump outlet and
the extension gas outlet. If the connections are good, then there is a leakage in the tubing and you must exchange the measurement server extension.
Part 2
1 Disconnect the flowmeter from the Part 1 setup and connect the flowmeter inlet to the M3015A
gas outlet.
2 Leave the Filterline connected to the M3015A inlet.
3 Block the inlet of the FilterLine using your fingertip and observe the flowmeter display. The value
on the flowmeter (x3) should decrease to between 0 and 4 ml/min, accompanied by an audible increase in pump noise. Do not block the inlet for longer than 25 seconds as this will lead to an Occlusion INOP. If the value is within the tolerance limits, there are no leakages and the leakage check is completed; proceed to the pump check.
4 If the value is not within the tolerance limits, there is a leakage between the FilterLine inlet and the
pump inlet.
5 Check the FilterLine connections and open the M3015A to check the tubing connections at the
pump inlet and the M3015A gas inlet. If the connections are good, try replacing the FilterLine and repeating the leakage check. If the situation remains, there is a leakage in the tubing and the M3015A must be exchanged.
Pump Check
1 Connect the flowmeter inlet to the M3015A gas outlet.
2 Connect the FilterLine to the M3015A inlet.
3 Block the inlet of the FilterLine using your fingertip and observe the cell pressure on the M3046A
display. The cell pressure (x4) should be more than 120 mmHg below the ambient pressure shown. If the pressure difference is less than 120 mmHg, the pump is not strong enough and you should replace it, irrespective of the Pump OpTime.
Flow Rate Check and Calibration
Check the flow rate in the sidestream CO2 extension as follows:
1 Connect the flowmeter to the CO
2 Check on the flowmeter the flow that the sidestream CO
50 ml/min ± 7.5 ml/min. If the value is within tolerance, proceed to the CO check. If the value is not within tolerance, calibrate as follows.
FilterLine.
2
extension pump draws (x5). It should be
2
Gas calibration
2
40
3 Adjust the flow in the instrument by selecting Increase Flow or Decrease Flow until it
is as close as possible to 50 ml per minute as indicated on the flowmeter gauge.
Tests 3 Testing and Maintenance
When you are satisfied that the flow is set as close as possible to 50 ml per minute, select Store
4
and confirm the setting. If you do not store the adjusted flow within 60 seconds of the
Flow
adjustment, the old flow setting is restored.
5 If you cannot adjust the flow to within tolerance, replace the pump. If you still cannot make the
flow adjustment, this indicates a fault in the measurement extension, which must be replaced.
Noise Check
1 With the monitor in service mode, select Setup CO
2 Disconnect the flowmeter and connect the 5% calibration gas and flow regulator in its place.
3 Open the valve to apply the 5% calibration gas and wait until the value is stable.
menu.
2
4 Check the noise index (x6) displayed next to the CO
of noise on the CO
wave). If the value exceeds 3 mmHg, replace the measurement extension.
2
CO2 Gas Measurement Calibration Check
After switching the measurement extension on, wait at least 20 minutes before checking the calibration. Check the calibration of the CO
1 Check that the 5% calibration gas and flow regulator are connected.
2 Calculate the expected measurement value in mmHg as follows:
0.05 x (ambient pressure) = value mmHg for example 0.05 x 736 = 36.8 mmHg (with an ambient pressure of 736 mmHg)
3 Open the valve on the flow regulator to allow 5% CO
value to stabilize.
4 Check that the value on the instrument (measurement value on the main screen, x7)) matches the
calculated mmHg value ± 2.6 mmHg. If the value is outside the tolerance, calibrate as described in step 9 in this procedure onwards.
5 Disconnect the 5% calibration gas and connect the 10% calibration gas.
6 Calculate the expected measurement value and tolerance in mmHg as follows:
0.1 x (ambient pressure) = value mmHg ±0.07 x (value mmHg) = tolerance
for example 0.1 x 737 mmHg = 73.7 mmHg (with an ambient pressure of 737 mmHg) ±0.07 x 73.7 mmHg = ±5.16 mmHg tolerance
value on the display (this indicates the level
2
gas measurement as follows:
2
gas to flow into the extension. Allow the
2
7 Open the valve on the flow regulator to allow 10% CO
gas to flow into the extension. Allow the
2
value to stabilize.
8 Check that the value on the instrument (x8) matches the calculated mmHg value within the
calculated tolerance. If so, the measurement extension is correctly calibrated. If the value is outside the tolerance, calibrate as follows.
9 If not already connected, connect the 5% calibration gas. 10 Select Cal. CO
11 Select the value for the calibration gas. (The default value is 5.0%.)
.
2
41
3 Testing and Maintenance Tests
Open the valve on the calibration gas to allow CO2 gas to flow into the extension. Allow the value
12
to stabilize before the start of the calibration. Leave the valve open until the instrument gives a prompt that gas can be removed.
13 The extension calibrates and prompts when calibration is successful.
Calibration Verification
1 Reopen the 5% gas valve and allow the value to stabilize.
2 Check that the value displayed on the monitor is correct within the tolerance (see step 2 above).
3 Disconnect the 5% calibration gas and connect the 10% calibration gas.
4 Open the valve on the flow regulator to allow 10% CO
value to stabilize.
5 Check that the value displayed on the monitor is correct within the tolerance (see step 6 above).
If one or both values are not within tolerances, you must exchange the measurement server extension.
Reset Time Counters
You must check the time counters on the sidestream CO2 extension before calibrating the instrument. As well, when parts are replaced, the appropriate counters must be reset to zero.
The counters for CO updated when entering the
Observe the following guidelines:
When calibrating the CO
Reset PumpOpTi me and Reset IRSourceTime selections to make sure that they are
within suggested guidelines for use (15, 000 hours of continuous use). If the counter time is greater than 15, 000 hours, replace the appropriate part. See Repair and Disassembly for details.
When calibrating the CO the
Reset PumpOpTime and Reset IRSourceTime selections. See Repair and Disassembly
for details.
Resetting the PumpOpTime generates the INOP: “CO must perform a flow check and store the flow in service mode (select
gas to flow into the extension. Allow the
2
pump, IR Src and Last Cal are displayed in the status line. The values are
2
Setup CO
extension, if no parts have been replaced, check the displayed values of
2
extension, if parts have been replaced, reset the appropriate values using
2
menu.
2
OCCLUSION. To clear this INOP you
2
Store Flow).
42
Table 1 Documenting CO
Test Expected Test Results
Barometric Pressure Check
Leakage Check parts 1 and 2
x1 = difference between the reference pressure and the measured ambient pressure displayed on the monitor
(x1<12 mmHg)
x2 = value of part 1 leakage check on flowmeter (x2< 4.0 ml/min)
x3 = value of part 2 leakage check on flowmeter (x3< 4.0 ml/min)
Test Results
2
Tests 3 Testing and Maintenance
Table 1 Documenting CO2 Test Results
Test Expected Test Results
Pump Check x4 = difference in pressure between cell pressure and ambient
pressure displayed on the monitor during occlusion (x4 >120 mmHg)
Flow Check x5 = difference between measured value and 50.0 ml/min
(x5<7.5 ml/min)
Noise Check x6 = noise index displayed on monitor (x6<3.0)
CO
Gas
2
Calibration Check
CO
Cal
2
Ve ri f ic a ti on
x7 = difference between measured CO2 value and calculated value, based on 5% CO
x8 = difference between measured CO2 value and calculated value, based on 10% CO (x8 < ± {0.07 x value calculated})
cal. gas. (x7 < 2.6 mmHg)
2
cal. gas.
2

Temperature Accuracy

This test checks the performance of the temperature measurement.
Tools required: Patient simulator (with 0.1
o
C or 0.2oF).
1 Connect the patient simulator to the temperature connector on the MMS or measurement server
extension.
2 Configure the patient simulator to 40
3 The value should be 40
o
C ± 0.2 oC or 100 oF ± 0.4 oF.

ECG/Resp Performance Test

This test checks the performance of the ECG and respiration measurements.
Tools required: Patient simulator.
ECG Performance
1 Connect the patient simulator to the ECG/Resp connector on the measurement server.
2 Configure the patient simulator as follows:
ECG sinus rhythm.
HR = 100 bpm.
3 Check the displayed ECG wave and HR value against the simulator configuration.
4 The value should be 100bpm +/- 2bpm.
Respiration Performance
1 Change the Patient Simulator configuration to:
Base impedance line 1500 Ohm.
Delta impedance 0.5 Ohm.
Respiration rate 40 rpm.
o
C or 100 oF.
43
3 Testing and Maintenance Tests
The value should be 40 rpm +/- 2 rpm.
2

Invasive Pressure Performance Test

This test checks the performance of the invasive pressure measurement.
Tools required: Patient simulator.
1 Connect the patient simulator to the pressure connector on the MMS or the measurement server
extension.
2 Set the patient simulator to 0 pressure.
3 Make a zero calibration.
4 Configure the patient simulator as P(static) = 200 mmHg.
5 Wait f or t he d isp l ay.
6 The value should be 200 mmHg ± 5 mmHg. If the value is outside these tolerances, calibrate the
MMS or measurement server extension. If the MMS was calibrated with a dedicated reusable catheter, check the calibration together with this catheter.

SpO2 Performance Test

This test checks the performance of the SpO2 measurement.
Tools required: none
1 Connect an adult SpO
2 Measure the SpO
3 The value should be between 95% and 100%.
transducer to the SpO2 connector on the MMS.
2
value on your finger (this assumes that you are healthy).
2

Cardiac Output Performance Test

These tests check the performance of the cardiac output measurement.
1 Connect the patient simulator to the C.O. module using the patient cable.
2 Configure the patient simulator as follows:
Injection temperature: 2 °C Computation Const: 0.542 (Edward's Catheter) Flow: 5 l/min
3 Check displayed value against the simulator configuration.
4 Expected test result: C.O. = 5 +/– 1 l/min.
Service Tool Procedure, Version 1
This procedure applies for Service Tool M1012-61601 and/or C.O. modules without option C10.
44
1 In monitoring mode, connect the C.O. interface cable to the module.
2 Connect one side of the service tool to the injectate receptacle of C.O. interface cable and the other
side to catheter cable receptacle.
3 Enter the C.O. Procedure window and check the results. The expected test result is:
– Tblood = 37.0
o
C +/- 0.1oC
Tests 3 Testing and Maintenance
Service Tool Procedure, Version 2
This procedure applies only for Service Tool M1012-61601 in combination with C.O. modules with option C10.
1 In monitoring mode, connect the C.O. interface cable to the module.
2 Connect one side of the service tool to the injectate receptacle of the C.O. interface cable and the
other side to the catheter cable receptacle.
3 Enter Setup C.O. menu and check results for:
Method of measurement
Catheter constant
Tblood
4 Enter C.O. Procedure window and check results. The expected results are
Tr a n s p ul m o n a r y 34 1
Tblood = 37.0
o
C +/- 0.1oC

BIS Performance Test

These tests check the performance of the BIS measurement.
PIC/DSC Test
1 In monitoring mode connect the sensor simulator (for maximum usage please refer to the
documentation delivered with the sensor simulator) to the patient interface cable.
2 Enter the BIS menu and select Open Window. 3 Start impedance check by pressing StartCyclicCheck. Check the displayed results. Expected
results are:
Electrode 1 (+): 4-6 k
Electrode 2 (Ref): 8-12 kElectrode 3 (1-): 1-3 kElectrode 4 (2-): 1-3 k

Nurse Call Relay Performance Test

The nurse call relay performance test can be performed either at the phone jack type connector (this only tests one relay) or at the multi-port nurse call connector (to test all three relays).
Phone Jack Type Connector Test
This test checks the operation of the Nurse Call Relay. The Nurse Call Relay test is recommended for customer sites where the nurse call is in use. The Nurse Call relay functions as follows:
Standard OperationRelay open.
Alarm ConditionRelay closed.
Tools required: Ohmmeter.
1 Plug a phono connector into the Nurse Call Relay connector.
2 Connect the ohmmeter.
3 If no alarm occurs, the relay contacts are open. When an alarm occurs, the relay contacts close.
45
3 Testing and Maintenance Tests
Multi-Port Nurse Call Connector Test
This test checks the operation of the Flexible Nurse Call Relay. The Nurse Call Relay test is recommended for customer sites where the nurse call is in use. The following diagram and table show the pins and relay identifiers of the connector:
Pin Cable Color Coding Relay
1black R2-closure
2brown R2-middle
3red R2-opener
4orange R3-closure
5yellow R3-middle
6 green R3-opener
7blue n/a
8purple n/a
9gray n/a
10 white n/a
11 pink R1-closure
12 light green R1-middle
13 black/white R1-opener
14 brown/white n/a
15 red/white n/a
16 orange/white n/a
17 blue/white R_failure_closure
18 purple/white R_failure_middle
19 green/white R_failure_opener
20 red/black n/a
46
The Nurse Call relay functions as follows:
During standard operation R1,R2,R3 _opener are closed; R1,R2,R3_closure are open.
During alarm condition—R1,R2,R3_opener are closed; R1,R2,R3_closure are open.
Tests 3 Testing and Maintenance
Tools required: Ohmmeter.
1 Plug an M8087-61001 cable into the Nurse Call Relay connector.
2 Connect the ohmmeter and measure the pins as indicated in the diagram and table.
3 The relay contacts should behave as described above. The behavior may vary depending on
configuration choices. See the Configuration Guide for details on Alarm Relay settings.

ECG Sync Performance Test

This test checks the performance of ECG synchronization between the monitor and a defibrillator. It only needs to be performed when this feature is in use as a protocol at the customer site.
Tools required:
Defibrillator with ECG Sync and Marker Output.
Patient simulator.
1 Connect the patient simulator to the ECG connector on the Measurement server and the
defibrillator to the ECG Sync Output on the monitoring.
2 Set the patient simulator to the following configuration:
HR = 100 bpm.
ECG sinus rhythm.
3 Switch the defibrillator to simulation mode.
4 Check that the marker pulse is displayed before the T-wave begins.

VueLink Tests using VueLink Test Module

Use the VueLink plug-in test module ( M1186-60510) to test M1032A VueLink modules.
Test Procedure
You must preselect the test module to ON in Configuration Mode. Therefore, the test module must be one of the devices made available for selection during configuration of the VueLink module.
Carry out the test itself in monitoring mode. For information concerning the configuration of VueLink modules see the M1032A VueLink Module Handbook.
1 Plug the VueLink module into the FMS.
2 Press the Setup key on the front of the VueLink module. 3 In the Setup Vu eL in k menu select Device, then select Test Module. 4 Select Confirm to store the selection and wait for the message Switched to new device”.
5 Plug in the test module.
6 Connect the modules by plugging one end of the cable (part number M1032-61661) into the
connector on the front of the VueLink Module, and the other end into the connector on the front of the Test Module.
7 Select the wave segment on the screen, where you want the waves to appear. In the wave menu,
select
Change Wave, then select WAVE.
8 Select the VueLink SmartKey, then select the TEST Plug-In pop-up key
47
3 Testing and Maintenance Tests
The test module acts in the same way as an external device would, and sends signals to the VueLink module in both analog and digital form. The computer module checks these signals for validity, and then displays “passed” or “failed” on the screen.
The wave segment displays two waveforms, a triangular one and a rectangular one. These are displayed alternately and for a period of ten seconds each. The expected curve type is indicated below the wave.
There are two pairs of gridlines that indicate the permitted range for the max/min values of these waves. If all the data received by the test module is correct, the waves will lie within the specified ranges. If either limit of either wave falls outside the respective gridlines, then the module being tested is faulty regardless of the passed/failed messages.
When the test is complete:
1 Disconnect the cable that joins the test module to the VueLink module.
2 In configuration mode, ensure that the test module is not selected, and the preselected devices are
the same ones as before the test. Also, verify the settings for these devices.
3 Return to monitoring mode.
4 Press the Setup key on the front of the VueLink module and select the required device by selecting
Device in the Setup VueLink menu.
NOTE It is important to ensure that the preselected device drivers are configured exactly the same as they were
before the test, including their default settings.

Safety Testing

You are recommended to file the results of safety tests. This may help to identify a problem early particularly if the test results deteriorate over a period of time.
Warnings, Cautions, and Safety Precautions
These tests are a proven means of detecting abnormalities that, if undetected, could prove dangerous to either the patient or the operator.
You can perform all tests using commercially available Safety Analyzer test equipment. You can perform basic measurements with widely available multifunction instruments such as the HP 3469A multimeter or equivalent.
The consistent use of a Safety Analyzer as a routine step in closing a repair or upgrade is emphasized as a mandatory step to maintain approval agency status. You can also use the Safety Analyzer as a troubleshooting tool to detect abnormalities of line voltage and grounding plus total current loads.
For Europe and Asia/Pacific according to: IEC60601-1:1988 + A1:1991 + A2:1995 = EN60601-1:1990 +A1:1991 + A2:1995 For USA according to: UL2601-1
Additional tests may be required according to local regulations.
Normally, a Safety Analyzer is used to perform these procedures. Popular testers include the
DEMPSEY 232D, or for use in Europe, testers like the Rigel, Metron or Gerb. Follow the instructions of the Instrument manufacturer. If the Dempsey is used for an extended length of time, it could be damaged by the high amp current draw of the system.
48
Tests 3 Testing and Maintenance
Safety Test Procedures
Use the test procedures outlined here only for verifying safe installation or service of the product. The setups used for these tests and the acceptable ranges of values are derived from local and international standards but may not be equivalent. These tests are not a substitute for local safety testing where it is required for an installation or a service event. If using the Metron Safety tester, perform the tests in accordance with your local regulations, for example in Europe use IEC60601-1/IEC60601-1-1 and in the US use UL2601-1. The Metron Report should print results with the names listed below, together with other data.
S(1) Part 1: System Enclosure Leakage Current - NC (normal condition)
Medical electrical system
Instrument under test
L (N)
Signal parts
in- and/or
output
Signal parts
(**)
in- and/or
output
Other
Instrument
N (L)
S1
S4
(*)
S2
PE
MD
(*) Not present in Class 2. (**) Can be multiple different connections to different equipment at same time.
Applied part
Expected test results:
Normal condition maximum leakage current x1 100µA
This measures leakage current of exposed metal parts of Instrument under Test (IUT) and between parts of the system within the patient environment; normal and reversed polarity using S2.
Safety test according IEC 60601-1 / UL2601-1
49
3 Testing and Maintenance Tests
S(1) Part 2: System Enclosure Leakage current - Single Fault (open earth)
Medical electrical system
Instrument under test
L (N)
Signal parts
in- and/or
output
Signal parts
(**)
in- and/or
output
Other
Ins tru m en t
N (L)
S1
S4
MD
S2
PE
(**) Can be multiple different connections to different equipment at same time.
Applied part
Expected test results:
Single Fault maximum leakage current x2 500µA (IEC 60601-1)
300µA (UL2601-1)
This measures leakage current of exposed metal parts of Instrument under Test (IUT) with Protective Earth (PE) open circuit (S4 = open) and between parts of the system within the patient environment; normal and reversed polarity using S2.
50
Tests 3 Testing and Maintenance
S(2) Protective Earth Continuity
Instrument under test
L (N)
Ri
Ohm
6V
50 Hz 25 A or 1.5 Ir
N (L)
PE
(*)
Insulating pad
(*) If equipotential connection present : measure also with yellow/green E.P. conductor connected.
Applied part
Expected test results:
With mains cable, maximum impedance x = 100 mOhms (IEC 60601-1 and UL2601-1)
This measures impedance of Protective Earth (PE) terminal to all exposed metal parts of Instrument under Test (IUT), which are for safety reasons connected to the Protective Earth (PE). Test current 25 Amp applied for 5 to 10 seconds.
S(3) Patient Leakage current - Single Fault Condition (S.F.C.) mains on applied part
(*) Not present in Class 2
L (N)
N (L)
L (N)
N (L)
S1
S4
S2
(*)
PE
S6
Instrument under test
Insulating pad
S5
Applied part
Signal part in- and/or output
R
MD
Expected test results:
Maximum leakage current, x = 50µA @ 250V (IEC60601-1 and UL2601-1)
Measures patient leakage current from applied Part to earth caused by external main voltage on applied Part with switch S5 open and closed. Each polarity combination possible is tested using S2 and S6. This test is applicable for every measurement input .
51
3 Testing and Maintenance Touchscreen Calibration

Touchscreen Calibration

To access the touchscreen calibration screen:
1 Enter service mode 2 Select Main Setup 3 Select Hardware 4 Select Touch Calibration
Please touch slow ly each target as it app ea rs on sc reen. Do not power off the mo ni tor until this cal ib ra ti on has completed.
Figure 5 Touchscreen Calibration Screen
Make sure you complete the calibration procedure without powering off the monitor mid-way. If the monitor is powered off after the first point is touched, the touch panel will be deactivated until the touch calibration is performed again.
If the touchscreen is accidentally mis-calibrated by selecting the wrong spot, you must use another input device to re-enter calibration mode. If you have the support tool, you can select
Calibration to Default
the calibration menu again via the touchscreen.
and it will create a rough calibration which will allow you to access
Reset Touch
52

4Troubleshooting

Introduction

This section explains how to troubleshoot the monitor if problems arise. Links to tables that list possible monitor difficulties are supplied, along with probable causes, and recommended actions to correct the difficulty.

How To Use This Section

Use this section in conjunction with the sections Testing and Maintenance and Parts. To remove and replace a part you suspect is defective, follow the instructions in the section Repair and Disassembly. The Theory of Operation section offers information on how the monitor functions.
4

Who Should Perform Repairs

Only qualified service personnel should open the monitor housing, remove and replace components, or make adjustments. If your medical facility does not have qualified service personnel, contact Philips Response Center or your local Philips representative.
WARNING High Voltage - Voltages dangerous to life are present in the instrument when it is connected to the
mains power supply. Do not perform any disassembly procedures (other than server and extension removal) with power applied to the instrument. Failure to adhere to this warning could cause serious injury or death.

Replacement Level Supported

The replacement level supported for this product is to the printed circuit board (PCB) and major subassembly level. Once you isolate a suspected PCB, follow the procedures in the Repair and Disassembly section, to replace the PCB with a known good PCB. Check to see if the symptom disappears and that the monitor passes all performance tests. If the symptom persists, swap back the replacement PCB with the suspected malfunctioning PCB (the original PCB that was installed when you started troubleshooting) and continue troubleshooting as directed in this section.
53
4 Troubleshooting Software Revision Check

Software Revision Check

Some troubleshooting tasks may require that you identify the Software Revision of your monitor. You can find the software revision along with other information, such as the system serial number, in the monitor revision screen.To access the monitor revision screen:
1 Enter the Main Setup menu and select Revision 2 Select the pop-up key Software
NOTE The system serial number can also be found on the lower right corner on the front of the monitor.

Obtaining Replacement Parts

See Parts section for details on part replacements.

Troubleshooting Guide

Problems with the monitor are separated into the categories indicated in the following sections and tables. Check for obvious problems first. If further troubleshooting instructions are required refer to the Troubleshooting Tables.
Taking the recommended actions discussed in this section will correct the majority of problems you may encounter. However, problems not covered here can be resolved by calling Philips Response Center or your local representative.

Checks for Obvious Problems

When first troubleshooting the instrument, check for obvious problems by answering basic questions such as the following:
1 Is the power switch turned on?
2 Is the AC power cord connected to the instrument and plugged into an AC outlet?
3 Are the MMS and, if present, the measurement server extension inserted correctly?
4 Are the cables connected properly to the FMS?
5 Are the parameter modules plugged into the FMS correctly?
54
Troubleshooting Guide 4 Troubleshooting

Checks Before Opening the Instrument

You can isolate many problems by observing indicators on the instrument before it is necessary to open the instrument.
NOTE It takes several seconds for the AC Power LED to switch on / off after the mains power cord has been
connected / disconnected.
Checks with the Instrument switched Off
AC connected:
AC Power LED is on (green).
No AC connected:
All LEDs are off.
Checks with the Instrument Switched On, AC connected
When the monitor is first switched on, all the front-panel LEDs and keys light up momentarily. The location of the front-panel LEDs is shown in the following photograph:
Power On LED
(Green)
Error LED
(Red)
AC Power LED
(Green)
55
4 Troubleshooting Troubleshooting Guide
Initial Instrument Boot Phase
The following tables describe the regular initial boot phase of the monitor and its components. If the boot phase does not proceed as described below go to Boot Phase Failures for Troubleshooting information.
Monitor Boot Phase:
For these steps it is assumed that the Monitor is powered correctly and the +5V System Board supply voltage is okay. This is indicated by the green Power On LED.
Time (sec.)
Event
after Power
On
0 When the Power On/Off button is pressed, the green Power On LED and the red error
LED switch on immediately.
1 The alarm LEDs are switched on with low intensity. Colors: Left LED:cyan; Middle
LED:red; Alarm Suspend LED (right): red
3 Red Error LED is switched off.
4 Boot Screen with the Philips Logo appears on the display. Test Sound is issued.
5 All Alarm LEDs are switched off.
6 Alarm LEDs are tested in the following sequence:
Cyan on-off (left LED only) Yellow on-off (left & middle LED) red on-off (all LEDs)
8 Fixed screen elements (for example smart keys, alarm fields) appear on the screen.
Boot Screen with the Philips Logo disappears
15-30 First measurement information appears on the screen,user input devices (for example
Mouse, Touch, Speed Point) are functional
56
Troubleshooting Guide 4 Troubleshooting
Flexible Module Server Boot Phase
For these steps it is assumed that the Flexible Module Server is connected via SRL-cable to the monitor
Time
Event
(sec.) after
Monitor
Power On
0 Red Error LED switches on immediately
1 Green Ready LED switches on
3 Red Error LED is switched off
5 Module Power is switched on
5-8 Module Status LEDs blink once or twice (Module dependent)
57
4 Troubleshooting Troubleshooting Guide

Troubleshooting Tables

The following tables list troubleshooting activities sorted according to symptoms. Click on the links below to view a particular table.
How to use the Troubleshooting tables
The possible causes of failure and the remedies listed in the troubleshooting tables should be checked and performed in the order they appear in the tables. Always move on to the next symptom until the problem is solved.
Boot Phase Failures
Integrated Display is blank
Integrated Touch Display not functioning
External Display is blank
External Touch Display not functioning
Remote Alarm Device
Remote Extension Device
Speed Point
Keyboard/Mouse not functioning
Network related problems
Wireless Network
Multi-Measurement Server
MSL-related problems
Alarm Lamps
Alarm Tones
Individual Parameter INOPS
Flexible Module Server
Integrated Module Slots
Printer
MIB / RS232
Flexible Nurse Call Relay
58
Troubleshooting Guide 4 Troubleshooting
Boot Phase Failures
Symptoms Possible Causes of Failure Failure Isolation and Remedy
AC LED does not light up
Green Power On LED and Red Error LED remain off after pressing power on button:
AC Connection not ok Check that the AC-Mains are powered and
the power cord is ok and connected
LED defective
Power Switch board not connected to the main board
Power supply defective
Integrated Module Slot defective
Flat Panel adapter Board defective
Video Board defective
Main Board defective
Remote Devices
Power Switch Micro Controller hung
Power switch board not connected to the main board
Power Switch Board defective
I/O Board defective
Touch controller defective Flat Panel Adapter Board defective ECG-Out Board defective SRL-2 Board defective
Measurement Server Mount defective
Integrated Module Slot defective
Video Board defective
Main Board defective
Try to switch on the monitor. If it operates normally , the LED is defective => exchange Power Switch board.
Check if power switch board is connected correctly to the Main Board
Remove power supply and check if output voltage is within the specifications (47V ­49V). Measure on multi-colored wired connection between red and black wires Exchange power supply if defective
Disconnect Integrated Module Slot Connector and check again
Disconnect cable of the Flat Panel Adapter Board and check again
Remove Video Board and check again
Exchange Main Board
Disconnect all connections to the remote devices and try to switch on the monitor again
Unplug AC Mains and replug after 10 seconds. Try to switch on the monitor again.
Check if power switch board is connected correctly to the main board.
Exchange Power Switch BOard and try to switch the monitor on again.
Remove all I/O boards and try to switch the monitor on again
Disconnect all cables accessible at the bottomof the monitor (except Power Switch cable):
- touch
- video
- ECG-Out
- SRL-2 then try to switch the monitor on again
Disconnect Measurement Server Mount and try again
Disconnect Integrated Module Slot and try again
Remove video board and try again
Exchange main board. Add boards in reverse order and try again with each board.
59
4 Troubleshooting Troubleshooting Guide
Symptoms Possible Causes of Failure Failure Isolation and Remedy
Green On/ Standby LED or Red Error LED remain off after pressing Power on button:
Red Error LED stays on continuously
Red Error LED blinks (indicating cyclic reboots)
Alarm LEDs remain off:
No Test Sound issued
Power Switch Board not connected to the main board
Power Switch board defective
Main board defective
External connected device defective disconnect all external cables (except AC)
I/O Board defective Remove all I/O boards and switch the
Touch controller defective Flat Panel Adapter board defective ECG-Out board defective SRL-2 board defective
Measurement Server Mount defective Disconnect Measurement Server Mount and
Integrated Module Slot defective Disconnect integrated module slot and
Video Board defective Remove video board and switch on again
Main board defective Exchange Main board
Hardware Failure
Software Fault
Hardware Failure
Alarm LED board is defective
Main board defective
Speaker defective
Main board defective
check if power switch board is connected correctly to the main board
exchange Power switch board
exchange main board
and switch the monitor on again
monitor on again.
disconnect all cables accessible at the bottom of the monitor (except Power Switch cable):
- touch
- video
- ECG-Out
- SRL-2
switch on again
switch on again
connect Support Tool directly to monitor with crossover cable and start “search for defective devices
If no device is detected, proceed as described above in section Red error LED stays on continuously
If the Support Tool can detect the device and it indicates the Operating Mode is ‘Boot’, download and store the status log. Reload software and re-clone the monitor. If this fixes the problem e-mail the status log to your local response center
If this does not rectify the problem follow instructions under “Red Error LED stays on continuously”.
Check for INOPS and follow instructions
Exchange Alarm LED board
Exchange Main board
check for INOPs and follow instructions
exchange speaker
exchange main board
60
Troubleshooting Guide 4 Troubleshooting
Integrated Display is blank
Symptoms Possible Causes of Failure Failure Isolation and Remedy
Integrated display is blank or brightness is reduced (The information listed in this table is only valid if the boot phase has completed without error. See Boot Phase Failures table for a description of the Boot phase.)
Display brightness is reduced when room temperature, or instruments placed near patient monitor, causes the monitor display to overheat.
Flat Panel Adapter cable not connected
Backlight Inverter Cable not connected
Backlight tubes defective
Backlight Inverter board defective
Panel Adapter board defective
LCD Flat panel defective
Video board defective Replace video board
Main board defective
Instrument should be placed in an environment that does not exceed 40 degrees C or below 5 degrees C.
If you have an external XGA display, connect it to the video port. If the external display works, you can eliminate the Video I/F board and the main board as the cause of failure.
Check cable connection of Flat Panel Adapter Board to Video Board
Check cable connection of Flat Panel AdapterBoard to Backlight Inverter Board
Replace backlight tubes
If backlight tubes have already been replaced, replace backlight inverter board.
Replace panel adapter board
Replace LCD Flat panel
Replace main board
61
4 Troubleshooting Troubleshooting Guide
Integrated Touch Display not functioning
Symptoms Possible Causes of Failure Failure Isolation and Remedy
Touch Screen not functioning
Touch Position invalid Touch not calibrated Perform touch calibration:
Touch controller cable not connected
Touch panel cable not connected
Touch controller board defective
To u c h S e n s o r de f e c t i v e
Main board defective
Check connection from the touch controller board to the main board
Check connection from touch controller board to touch panel
Replace touch controller board Note: Linearization data must be loaded and recalibrated after replacing the touch controller board
Replace Touch Sensor
Replace main board
1. Enter the Main Setup Menu
2. Select Monitor
3. Select Hardware
4. Select Touch Driver Settings
5. Select Calibrate
62
Troubleshooting Guide 4 Troubleshooting
External Display is blank
Symptoms Possible Causes of Failure Failure Isolation and Remedy
External Display is blank If integrated display is also blank proceed
as described under Integrated Display is blank
Video cable to external display not connected
External display has no power
External display is defective
Video board defective
Main board defective Replace main board
Check video cable connection to external display
Check electricity supply of external display
Check external display and video cable on another monitor or PC
Replace video baord
63
4 Troubleshooting Troubleshooting Guide
External Touch Display not functioning
Symptoms Possible Causes of Failure Failure Isolation and Remedy
Touch Screen not functioning
Touch position invalid Touch not calibrated Perform touch calibration:
External Tocuh cable not connected Check cable connection from
external touch to MIB board
External Touch driver configuration
MIB Board defective
External touch defective
Main board defective
Check RS232/MIB configuration:
1. Enter Main Setup menu
2. Select Monitor
3. Select Hardware
4. Reconfigure RS232/MIB drivers
5. if problem persists, proceed to the next step
Replace MIB board
Replace external touch
Replace Main board
1. Enter Main Setup menu
2. Select Monitor
3. Select Hardware
4. Select Touch Driver
5. Select Calibrate
64
Troubleshooting Guide 4 Troubleshooting
General Monitor INOP Messages
INOP Message Possible Causes of Failure Failure Isolation and Remedy
CHECKINTERNVOLTAGEProblem with the voltages (5V, 12V) in
the monitor
CHECK MENU LABELS
This message indicates that the monitor has performed a cold start and attempted to reset the menu labels to defaults. If the defaults are present, the recovery was successful. Default settings should be recorder as part of your documented configuration setup. If the menu labels do not match the configuration file settings or the INOP persists, perform the troubleshooting tasks listed in this table.
CHECK MONITOR TEMP The temperature inside the monitor is
CHECK SETTINGS
This message indicates that the monitor has performed a cold start and attempted to reset the menu labels to defaults. If the defaults are present, the recovery was successful. Default settings should be recorded as part of your documented configuration setup. If the menu labels do not match the configuration file settings or the INOP persists, perform the troubleshooting tasks listed in this table.
Memory space in which the menu labels are stored has been corrupted
Main Board defective
too high
Monitor ventilation obstructed
Main Board defective
Memory space in which the settings are stored has been corrupted
Main board defective
Remove all I/O boards and put them back in one at a time to isolate any defective board. If this does not resolve the problem, replace the main board
Reclone configuration file. This will reload the memory space
Replace Main Board
Check the environment for possible causes
Clean the monitor ventilation internally and then cool monitor down for 8 hours
replace Main Board
Reclone configuration file. This will reload the memory space.
Replace Main board
65
4 Troubleshooting Troubleshooting Guide
INOP Message Possible Causes of Failure Failure Isolation and Remedy
INTERNAL COMM.MALF. Problem with the I2C Bus
communication in the monitor
Video board defective
Main board defective
Remote Alarm Device
Symptoms Possible Causes of Failure Failure Isolation and Remedy
Alarm LEDs illuminate, but no alarm sound is issued
Alarm occurs on screen, but no LED or alarm sound on the alarm device
Alarm sound is isued, but no LEDs light up
wrong I/O slot check I/O matrix in the Theory
speaker defective
remote device I/F defective
cabling not connected check cabling
cabling defetive
I/O board defective
Remote Alarm Device defective
LED failure Replace Alarm Device
Disconnect the external display and try another one
Replace Video board
Replace Main board
of Operation section of this manual
replace remote alarm device
replace I/O board
replace cable
replace I/O board
replace Remote Alarm Device
Remote Extension Device
Symptoms Possible Causes of Failure Failure Isolation and Remedy
Remote input device (for example mouse/keyboard) attached to the Remote Extension Device does not function
Buttons on the Remote Extension Device do not function but input device attached is functioning
See tables Speed Point or Keyboard/
Mouse not functioning
Remote Extension Device defective
See tables Speed Point or
Keyboard/Mouse not functioning
replace Remote Extension Device
66
Troubleshooting Guide 4 Troubleshooting
Speed Point
Symptoms Possible Causes of Failure Failure Isolation and Remedy
Speed Point attached directly to the monitor not functioning
Speed Point attached to Remote Extension Box not functioning
Speed Point Knob Rotation, Joystick Control or Selection control not functioning
INOP Message CHECK INPUT DEVICES is issued
Speed Point not connected properly Check cabling
PS/2 I/O board in wrong slot
PS/2 I/O Board defective
SpeedPoint defective
Remote Extension Device is not connected to the monitor.
SpeedPoint not connected properly
SpeedPoint defective
Remote Extension Device defective
Remote Device I/O board in the wrong slot
Remote Device I/O board defective
Speed Point defective
SpeedPoint or other input device defective
Check I/O Matrix in Theory of
Operation
replace I/O board
Replace SpeedPoint
Check cabling and connections
Check cabling to SpeedPoint in the Remote Extension Device
Replace SpeedPoint
Replace Remote Extension Device
Check I/O Matrix in Theory of
Operation
Replace I/O board
Replace Speed Point
Perform a visual and functional check of all the monitor input devices. Replace input devices if necessary.
Keyboard/Mouse not functioning
Symptoms Possible Causes of Failure Failure Isolation and Remedy
Keyboard/Mouse attached directly to the monitor not functioning
Keyboard/Mouse not connected properly
Keyboard/Mouse defective
PS/2 I/O board in wrong slot
PS/2 I/O Board defective
Check cabling
Replace Keyboard/Mouse
Check I/O Matrix in Theory of Operation
replace I/O board
67
4 Troubleshooting Troubleshooting Guide
Symptoms Possible Causes of Failure Failure Isolation and Remedy
Keyboard/Mouse attached to Remote Extension Box not functioning
Remote Extension Box is not connected to the monitor or Input Device is not connected to Remote Extension Box
Keyboard/Mouse defective
Remote Extension Device defective
Remote Device I/O board in wrong slot
Remote Device I/O board defective
Check cabling and connections
Replace Keyboard/Mouse
Replace Remote Extension Device
Check I/O Matrix in Theory of
Operation
Replace I/O board
68
Troubleshooting Guide 4 Troubleshooting
Network related problems
Symptoms Possible Causes of Failure Failure Isolation and Remedy
Prompt Message “no central assigned to this bed is issued
INOP Unsupported LAN is issued.
No connectivity to PIC, no prompt or error message on monitor
Other Bed Overview not available
Other Bed Alarms are not appearing
The monitor label is not set in the monitor (if the beds are “monitor labeled in the Philips Information Center)
Problem with the Philips Information Center to Switch communication (if the beds are port mapped in the Philips Information center
Network failure Check if switches, Philips
Monitor connected to wrong network
IP address conflict after infrastructure re-installation
Hardware Defect Check LAN cable connection
Configuration problem Check switch configuration and
Configuration Problem Check configuration in PIC
This function is not available for wireless beds
Configuration problem Verify configuration in PIC, in
Set Monitor Label in Config Mode
Check PIC to Switch communication, Switch configuration and Firmware status
Information Center and Database Server are all running and connected to the network
Check if monitor has been connected for example to a different hospital network instead of the Philips Clinical Network
Reboot Database Server and Philips Information Center
Check NGN Connector board in Monitor
Check Switch
firmware revision
regarding other bed overview (care group assignment)
Verify configuration of switch (setting of multicast filters)
Switch to a wired configuration
Monitor (Config Mode) and check that the feature is not temporarily disabled by the user (Bed Info Window)
69
4 Troubleshooting Troubleshooting Guide
Wireless Network
Symptoms Possible Causes of Failure Failure Isolation and Remedy
No central monitoring possible (see also Network related problems)
No connectivity (coverage area consists of multiple access points and in some parts of the area there is no connectivity)
Frequent dropouts and network disconnects
Overview, Printing does not work
Monitor is out of range of the access point (in this case the yellow sync LED on the wireless adapter on the bottom of the device next to the power connector is not on steady)
Wireless Adapter has no power (LEDs on adapter are all off)
(Only after first install) Firmware revision in adapter is wrong
Wireless adapter defective (the red status LED on the adapter’s top panel is on)
Wrong configuration in wireless adapter or in access point
Configuration problem
Excessive interference by other radio equipment or by microwave ovens
System capacity exceeded in coverage area
Configuration problem
Some functions are not available on a wireless network
Move monitor back into coverage area
Verify size of coverage with the site survey tool
Check splitter cable and replace if necessary
Check network adapter board in monitor and replace if necessary
Check adapter itself. Replace if necessary
Update adapter frimware with wireless support tool
Replace wireless adapter
Check configuration with wireless support tool
Verify the channel, domain and security ID settings of the access points in the coverage area
Check statistics that can be read from the wireless adapter via RS232 or via logging application in the PIC. Remove interfering equipment.
Check configuration guidelines for number of monitors per access point.
Check access point configuration with wireless support tool, in particular the multicast filters
Connect to cabled network
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Troubleshooting Guide 4 Troubleshooting
Multi-Measurement Server
Symptoms Possible Causes of Failure Failure Isolation and Remedy
Prompt message Measurement Server Configuration not supported is issued
INOP Message “MsmtSrv not Supp” is issued
Prompt message Measurement Server not supported, unplug device, switch monitor off/on and INOP Bad Measurement Server are issued
An unsupported Measurement Server Extension has been connected
Measurement Server Extension is defective
Measurement Server defective
Wrong So f tware Re v i son Upgrade monitor and/or
Too many measurement servers connected
Unsupported type of measurement server (for example M3000A on a M800xA monitor) connected.
M3000A Measurement Server Revision A is plugged. This Measurement Server is not compatible with the IntelliVue patient monitors
Disconnect the measurement server extension
Replace Measurement Server Extension
Replace Measurement Server
measurement server to a matching software version
Disconnect unsupported measurement servers for proper operation
Disconnect the unsupported measurement server
Disconnect the measurement server and cycle power.
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4 Troubleshooting Troubleshooting Guide
MSL-related problems
Symptoms Possible Causes of Failure Failure Isolation and Remedy
Measurement Server does not start up (no LEDs active), no INOP or prompt displayed
Measurement Server does not start but LEDs are normal
MSL Power High INOP is issued
Note: if this condition persists for longer than 15 minutes, the INOP MSL Power Off will appear (see below)
MSL Power Off INOP is issued
No Power
Communication lines in MSL cable or MSL connector broken
MSL connector board defective
Attached devices drawing too much power from the monitor. Too many FMS and MMS connected to the monitor
Attached devices drawing too much power from the monitor. Too many FMS and MMS connected to the monitor
Check MSL cable and replace if necessary
Check MSL connector board and replace if necessary
Check MSL cable and MSL connectors
Check MSL connector board and replace if necessary
Reduce to a limit of 1 FMS and 1 MMS connected to the monitor
Disconnect all FMS and MMS from the monitor
Cycle power to restore power to the MSL devices.
If the message disappears, reconnect FMS and MMS one at a time, waiting 15 minutes between each device to see if message reoccurs. If yes, the respective MMS or FMS is faulty. See Multi-Measurement Server or Flexible Module Server for troubleshooting tasks. If no, add front-end modules one at a time, waiting 15 minutes between each module to see if message reappears, Replace module if faulty.
72
MSL Power Overload INOP is issued
Note: If an individual defective device is connected the MSL Power High or MSL Power Overload INOPs will appear initially. The MSL Power Off INOP will not occur for at least 15 minutes.
Short Circuit within MSL system Disconnect all MSL connections
including Measurement Server Mount, 2nd MSL interface, 1st MSL interface. Reconnect devices one at a time. If message persists, replace main board.
Troubleshooting Guide 4 Troubleshooting
Symptoms Possible Causes of Failure Failure Isolation and Remedy
INOP BAD SERVER LINK is issued
INOP Message SERVERLINK MALF is displayed, audible indicator: a beep every two seconds
A measurement supported by a server does not come up on the monitor
Prompt message “To o many <label> modules connected is issued
The ECG Out/ Marker In function does not funcion
Unexpected data detected on MSL Check cable and power cycle the
monitor
An FMS or MMS with an incompatible software revision is connected to the monitor.
Communication between the components not functioning
The hardware for communicating with the Multi-Measurement Server is faulty.
Label conflict A parameter label from this
There are more modules of the type <label> connected than supported by the software
Hardware problem Check MSL cable
Connect FMS or MMS with compatible software revsion
Check software versions and model number of devices for compatibility
Check MSL cable, replace if necessary.
Check MSL I/O board. Replace if necessary
Check FMS or MMS connector board. Replace if necessary.
measurement is already in use in the monitor. Check the conflict window to select the measurement.
Remove the unsupported module or use the lebel manager application in the monitor to disable the module.
Check ECG Out Hardware in the monitor
Check the MSL connector in the measurement server
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4 Troubleshooting Troubleshooting Guide
Alarm Issues
Alarm Lamps
Symptoms Possible Causes of Failure Failure Isolation and Remedy
Alarm Tones
INOP Message Check Alarm Lamps is issued
Alarm occurs, but no LED lights up
Alarm LED board cable disconnected
Alarm LED board defective
Main board defective replace Main board
Environmental Lighting too bright Place monitor in a darker
Light pipes broken off
Alarm LED board cable disconnected
Alarm LED board defective
Main Board defective
reconnect cable
replace Alarm LED board
environment
replace light pipes
reconnect cable
Replace Alarm LED board
Main board
Symptoms Possible Causes of Failure Failure Isolation and Remedy
INOP Message SPEAKER MALFUNCTION is displayed
Alarm occurs but no alarm sound is issued
Alarm occurs on device connected to VueLink but no alarm sound is issued on the monitor
Speaker cable disconnected Reconnect speaker cable
Speaker defective
Sound amplifier on main board defective
Audible alarm indicators have been switched off
Volume set to 0
Speaker defective
Sound amplifier on main board defective
Configuration of VueLink is incorrect
Replace speaker
Replace main board
Switch audible alarm indicators back on
Increase volume
Replace speaker
Replace main board
Check VueLink configuration
Alarm Behavior
If your monitor did not alarm in the way in which the end user expected, please consult the Instructions for Use for possible setup issues or configuration settings which could affect alarm behavior.
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Troubleshooting Guide 4 Troubleshooting
Individual Parameter INOPS
If any of the following parameter INOP messages are issued try the respective parameter in another device. If the INOP message persists replace the parameter module, the MMS or other indicated device.
•CO2 EQUIP MALF
• ECG EQUIP MALF
• NBP EQUIP MALF
• P1 EQUIP MALF
• RESP EQUIP MALF
•SpO
•SpO
•SvO
•tcpO
• T1 EQUIP MALF
• VueLnk EQU. MALFI
EQUIP MALF
2
TRANSDUC MALF
2
EQUIP MALF
2
(or tcpCO2) EQUIP MALF
2
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4 Troubleshooting Troubleshooting Guide
Flexible Module Server
Symptoms Cause of Failure Failure Isolation and Remedy
Prompt Message Unrecognized Measurement Module in slot s is issued
Prompt message Measurement Module in slot n is currently ignored is issued
Red Error LED stays on Unrecoverable hardware selftest
Red Error LED flashes Hardware selftest error If system comes up, check status
Flexible Module Server LEDs ok, Front End Measurement Module not recognized (no prompt or INOP)
An unsupported module has been plugged into the Flexible Module Server
Too many modules of the same kind have been plugged into the Flexible Module Server
error:
MSL cable defective
Flex connector from main board to MSL defective
CPU module defective
Measurement Module or Measurement Module Connector defective
No Front-End power because MSL voltage from the monitor is too high or too low
Mother board or connector on Mother Board defective
Unplug the unsupported module
Unplug module in slot n
Try to attach the MMS directly to the MSL cable. If the measurements show up on the screen, the fault is in the FMS
If the measurements do not show up when the MMS is connected directly to the MSL cable, then replace MSL cable
Replace connector
Replace CPU module
log. Otherwise see above
Replace Measurement Module
Try a new MSL cable. Replace if failure is rectified.
Replace mother board
If the voltage is in range, or there is obvious damage to a connector, replace mother board
Integrated Module Slots
Symptoms Cause of Failure Failure Isolation and Remedy
Prompt Message Unrecognized Measurement Module in slot m” is issued
Prompt message Measurement Module in slot n is currently ignored is issued
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An unsupported module has been plugged into the Integrated Module Slot
Too many modules of the same kind have been plugged into the Integrated Module Slot
Unplug the unsupported module.
Unplug module in slot n
Troubleshooting Guide 4 Troubleshooting
Symptoms Cause of Failure Failure Isolation and Remedy
Printer
Inserted Module LEDs behave normally but Modules not recognized by monitor
Inserted Module does not function
The monitor software version does not support measurement modules
Label conflict
Connector damaged Replace integrated module slot
internal ribbon cable not connected or defective
Check software version and options
See MSL-related problems
reconnect or replace cable
Symptoms Cause of Failure Failure Isolation and Remedy
Prompt message Print job could not be queued” is issued. No print device is found.
Status message “Print device Local 1 (Local 2) unavailable” is issued. Printer job is stalled.
Status message “Print device Remote 1 (Remote 2, Remote 3) unavailable is issued. Printer job is stalled
Printer is disabled in the Setup Printers menu
Paper size of printer does not match paper size of report
Printer not switched on
Printer paper tray empty
Cabling not connected correctly
I/O board defect
Print error on Philips Information Center
Network Connection to Philips Information Center not functioning
Enable the correct printer in the Setup Printers menu
Change paper size of the printer in the Setup Printers menu or change paper size of the report in the Setup Reports menu.
Switch on printer power
fill printer paper tray
Check cabling
replace I/O board
Print a test report on the Philips Information center. If this fails, refer to Philips Information Center documentation
Check that the network connection between the monitor and the Philips Information Center is working
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4 Troubleshooting Troubleshooting Guide
Symptoms Cause of Failure Failure Isolation and Remedy
Recorder
Status message Printing on device Remote 1... (Remote 2, Remote 3) is issued but no report is printed
Printouts are not as expected
Print queue on Philips Information Center is full. Reasons for this may be:
- Printer is not switched on
- Printer paper tray is empty
Printer paper size is not correctly configured
Printer resolution is not correctly configured
Printer color support is configured to On although the printer does not support color
Printer not compatible
Switch on printer power
Fill printer paper tray
Configure the paper size according to the inserted print media
Configure the printer resolution according to the printer capabilities
Configure the printer color support to “Off ”
Check specifications
Symptom Possible C ause Corrective Action
System thinks that door is open when it is not.
System thinks that the recorder is out of paper when it is not.
Recorder not communicating with System.
Recorder won't run. Recorder interface not
Poor print quality. Printhead dirty. Clean the Printhead as described in
Defective door switch. Replace door switch. Exchange module.
Paper-out sensor dirty. Clean paper-out sensor.
Poor connection to the front-end FMS.
Only one recorder module may be used with each monitor.
System not configured properly.
Too many modules connected.
working correctly.
Printhead failure.
Unplug the module. Plug it back in and try it again in a few seconds. (Watch for the LED to flash.)
Remove one of the recorder modules.
Check the configuration of the connected monitor.
Check and remove the extra modules.
Unplug the module. Plug it back in and try it again in a few seconds. (Watch for the LED to flash.)
Cleaning the Recorder Module on page 2-24 of this manual.
Exchange the module.
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Troubleshooting Guide 4 Troubleshooting
Symptom Possible C ause Corrective Action
Paper not feeding properly.
Module does not lock into FMS.
Paper roll off center. Center paper roll on roller guides.
Dirty roller.
Locking plates defective. Remove and exchange the locking plates.
Clean roller.
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4 Troubleshooting Troubleshooting Guide
MIB / RS232
Symptoms Cause of Failure Failure Isolation and Remedy
AGM connected to an RS232 port not functioning
External device not receiving data
Detailed Protocol Problem Consult the Data Export Protocol
The MIB/RS232 port is not configured for AGM
The cable between AGM and monitor is not connected correctly or defective
The MIB/RS232 board is in a wrong slot (slot has been changed after software configuration or an additional board has been plugged in)
The MIB/RS232 board is defective
The MIB/RS232 port is not configured for data export
The wrong data export protocol driver is configured in the monitor
The cable between the external device and the monitor is not connected correctly or defective
The external device does not support the version of the data export protocol used in the monitor
A terminal concentrator is used in between the device and the monitor and a protocol with dynamic speed negotiation is used
The MIB/RS232 board is in a wrong slot (slot has been changed after software configuration or an additional board has been plugged in)
The MIB/RS232 board is defective
Check configuration of the MIB/ RS232 ports in configuration mode
Check cable connection, replace cable if necessary
Verify correct placement of the I/ O boards
Check board and replace if necessary
Check configuration of the MIB/ RS232 ports in configuration mode
Check the export protocol required by the attached device and configure the monitor accordingly
Check cable and replace if necessary
Check if the device supports the version of the data export protocol. Upgrade device or monitor if necessary (if matching versions exist).
Some terminal concentrators do not support changing the transmission speed (baud rate) dynamically. Check if the connection works without the concentrator
Verify correct placement of the I/ O boards
Check board and replace if necessary
document.
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Troubleshooting Guide 4 Troubleshooting
Flexible Nurse Call Relay
Symptoms Cause of Failure Failure Isolation and Remedy
INOP message CHECK NURSE CALL RELAY is issued
Monitor alarmed, Nurse Call did not activate
Troubleshooting the ECG OUT
Symptoms Cause of Failure Failure Isolation and Remedy
No marker pulse is displayed on the Monitor or no ECG- OUT signal to the Defib
Nurse Call Relay board defective Replace Nurse Call Relay I/O
board.
Incorrect configuration (Relay latency, Relay trigger)
Connection of cable to monitor or nurse call system not correct
Nurse Call Relay board is in the wrong slot.
The Nurse Call Relay bosrd is defective
Check monitor configuration (see configuration guide)
Check cable connections
Verify correct placement of the I/O boards
Replace Nurse Call Relay board
Disconnect the MMS and Defib cable.
Switch the Monitor off then on again. Observe the red LED in the ECG OUT section. (Note that the LED can only be observed if the housing bottom is removed).
If the red LED does not switch on for about 1 second at power on:
Cabling not connected
ECG OUT board defective Replace ECG OUT board
ECG OUT Board defective
Main Board defective Replace Main Board
ECG OUT board defective
Main Board defective Replace main board
Check cabling
If the red LED switches on and remains on for more than 20 seconds:
Replace ECG OUT Board
Connect Known good Defib, Defib cable MMS and MMS cable. Check Marker pulse and ECG OUT signal at defib again. If there is still no signal:
Replace ECG OUT board
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4 Troubleshooting Troubleshooting Guide
Data Flow Marker In and ECG Wave
The following illustration of the data flow for Marker In and ECG Wave may assist in troubleshooting.
Defib Cable
ECG W a ve
Marker
DEFIB
Marker In Data Path
ECG Wave Data Path
Conn.
Monitor System Board
MEASUREMENT
SERVER
Isolat.
RS485
ECG_OUT Board
CPU,Communication System and Video
MSL Connector
Server Application Software
LAN
Display Assembly
Marker merged to ECG Wave here
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Troubleshooting Guide 4 Troubleshooting

Status Log

Many events that occur during start-up or regular monitoring are logged in the Status Log. The Status Log can be printed and cleared. Not all entries in the Status Log are errors.
Monitor H 1720 20050 1 4 Apr 02 16:37 C 1721 21050 1 4 Apr 02 15:37
The window title is either log is currently displayed.
The Status Log window shows logged events which caused a reboot of the system component (monitor or measurement server).
The first column in the log identifies the event class (“C”: caused a cold start, “H”: caused a hot start, N: no retstart, for information only). Column 3 and 4 identify the event source and event code. Column 4 counts the number of occurrences of the event. The last column shows the time and date of the last occurrence of the event.
The following pop-up keys overlay the SmartKeys:
Clear
StatLog
Clear StatLog
This key clears the currently displayed Status Log
Revision
This key switches to the Revision Screen of the currently displayed system component
M8005
This key switches to the Monitor Revision Window
Revision M8005 M8048 M3001
Monitor or MeasServ, dependent on which system components status
M8048
This key switches to the Flexible Module Server (FMS) Revision Window
M3001
This key switches to the Multi Measurement Server (MMS) Revision Window
If an event occurs repeatedly, contact your Philips Service Representative.
NOTE It is possible, using the support tool, to download the status log and send it to your Philips Service
Representative as a file (for example via e-mail).

Troubleshooting with the Support Tool

Using the support tool you can:
access the full status log which can be saved as a file
reload software
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4 Troubleshooting Troubleshooting Guide
identify defective devices
reset touch screen calibration
For details on how to perform these tasks see the Support Tool User Manual.
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Troubleshooting Guide 4 Troubleshooting

Troubleshooting the Individual Measurements or Applications

For problems isolated to an individual parameter or application such as event review, please consult the Instructions for Use and configuration information.
If the instructions for use did not resolve an individual parameter problem, then another module or measurement server should be tried.
If you are getting questionable readings for individual measurements you may want to do the Performance Verification tests in the Testing and Maintenance section.
The performance of the individual applications (event review, arrhythmia, trending) are affected by the configuration of the monitor. When contacting Philips support you may be asked about the configuration of the monitor to aid in troubleshooting.
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4 Troubleshooting Troubleshooting Guide
86

5Repair and Disassembly

The following section describes the disassembly and reassembly procedures for the monitor and its components

Tools Required

Torx screwdrivers (sizes 6,10,20)
5/16" (5mm) Allen Wrench
2 Small flat head screwdrivers
Needle Nose Pliars
ESD mat and wrist strap
5
1 small Pozi or Philips head screwdriver

Minimal Monitor Disassembly

Disconnecting the SpeedPoint
1 Remove the cable management cover by sliding the upper pin down and the lower pin up with a
screwdriver.
87
5 Repair and Disassembly Tools Required
Remove the two large screws with a T20 screwdriver.
2
3 Disconnect the SpeedPoint cable and pull off the SpeedPoint.
88
Tools Required 5 Repair and Disassembly
Removing the I/O Boards
1 Remove the cable management cover as described in Disconnecting the SpeedPoint.
2 Remove the four small screws with a T10 screwdriver and take off the white plastic cover.
3 Use the board removal tool located inside the white cover to pull out the I/O boards.
Reassembly Note: You must place the MSL/LAN board in the bottom slot. For correct placement of
the boards, see I/O Boards in the Theory of Operation section.
89
5 Repair and Disassembly Tools Required
Removing the ECG Out board if no SRL2 board is plugged
For instructions on removing the ECG Out board when an SRL2 board is plugged see Removing the ECG Out Board with an SRL2 Board plugged.
1 Remove the mounting plate from the monitor if attached.
2 Remove the four screws with a T20 screwdriver and pull off the bottom cover.
3 Unscrew the screws on the ECG Out board and pull on the tab to remove the cable.
90
Tools Required 5 Repair and Disassembly
Removing the Integrated Module Slot, the Measurement Server Mount or blank covers
1 Remove the bottom cover as described in Removing the ECG Out board if no SRL2 board is plugged.
2 Pull out the two pins (one on each side of the monitor) using a flat screwdriver.
Reassembly Note: When reassembling the monitor, the bottom end of the pins should snap into the
plastic holders.
3 Lift off the integrated module slot and the measurement server mount (if installed) and unplug
their cables from the main board. If no integrated module slot or measurement server mount is installed, remove the blank covers.
Reassembly Note: Reattach the cables first before putting the integrated modules slot or measurement server mount in place.
91
5 Repair and Disassembly Tools Required
Separating the front and back half of the monitor
1 Remove the bottom cover as described in Removing the ECG Out board if no SRL2 board is plugged.
2 Remove integrated module slot and measurement server mount as described in Removing the
Integrated Module Slot, the Measurement Server Mount or blank covers.
3 Unplug the video cable by pulling downwards and the touch controller cable by pulling outwards
on the tab.
4 Place the monitor in an upright position and pull off the display assembly.
92
Tools Required 5 Repair and Disassembly
Reassembly Note: When reassembling the monitor, make sure you insert the cables into the slots at the bottom of the assembly and to slide the display assembly into its hooks.
93
5 Repair and Disassembly Tools Required
Removing Power Switch board
1 Separate the two halves of the monitor as decribed in Separating the front and back half of the
monitor.
2 Pull out the power switch connector on the tab.
3 Remove the power switch board including its cover by pressing the plastic spring to the right using
a flat screwdriver.
94
Tools Required 5 Repair and Disassembly
Removing the Backlights
1 Remove the two screws that hold the backlight assemblies in place.
2 Remove the cables from the backlight inverter board and slide the backlight assemblies gently out
of the side.
Backlight Inverter Board
Backlight Inverter Board
Backlight Locations

Further Disassembly

Exchanging the Touchscreen
CAUTION This procedure must be performed in a dust free environment.
1 Separate the two monitor halves as described in Separating the front and back half of the monitor.
2 Unplug the cable from the touch controller board to the touch panel and remove the six screws
that hold the plastic bezel with a T10 screwdriver.
Slide in this direction
95
5 Repair and Disassembly Tools Required
Release the snaps on the side and pull off the display assembly from the panel.
3
Reassembly Notes:
You must replace the touch panel and touch controller board together. The monitor will not operate if they do not match.
Orient the touch panel assembly to the LCD assembly and feed the ribbon connector upwards when reassembling.
Exchanging the LCD Assembly
1 Pull off the LCD panel display adapter.
96
Ribbon Connector
Tools Required 5 Repair and Disassembly
CAUTION Do not touch the LCD Panel.
2 Remove the backlight tube cables.
3 Remove LCD panel by unscrewing the two special screws on the top and the two regular screws on
the bottom with T10 screwdriver.
97
5 Repair and Disassembly Tools Required
Removing Power Supply
1 Remove the cable management cover and the white plastic cover as described in Removing the I/O
Boards.
2 Remove the top cover on the back of the monitor. It snaps off in two pieces, the middle one first.
1
2
3 Lay the monitor face down, with the top facing towards you.
4 Unplug the multicolored power supply cable.
5 Remove the two screws (one on the top, one on the bottom) using a T20 screwdriver.
98
Tools Required 5 Repair and Disassembly
Shift the power supply towards the top of the monitor and lift it off.
6
Reassembly Note: When reassembling, you must shift the power supply into place towards the bottom
of the monitor (reverse motion to step 6 above).
Removing the Speaker
1 Unplug the speaker cable.
2 Loosen the black plastic screws, rotate the speaker and pull it out.
99
5 Repair and Disassembly Tools Required
Removing the ECG Out Board with an SRL2 Board plugged
1 Remove the screws on the SRL2 board and unplug the cable to the main board and remove the
board. You cannot unplug and remove the SRL2 cable completely from the main board until you remove the ECG Out board.
ECG OUT
SRL2
2 Unscrew the two screws on ECG Out board and pull on the tab to remove the board
100
3 Pull the SRL2 cable out of the main board and remove it completely.
Reassembly Note: The component side faces the ECG Out board. The board sits outside the sheet
metal. Plug in the cable first.
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