Philips makes no warranty of any kind with regard to this material, including, but not
limited to, the implied warranties of merchantability and fitness for a particular purpose.
Philips Medical Systems shall not be liable for errors contained herein or for incidental or
consequential damages in connection with the furnishing, performance or use of this
material.
This document contains proprietary information that is protected by copyright. All
rights are reserved. No part of this document may be photocopied, reproduced or
translated to another language without prior written consent of Philips Medical Systems.
The information contained in this document is subject to change without notice.
Philips assumes no responsibility for the use or reliability of its software on equipment
that is not furnished by Philips.
Purchase of this instrument confers no express or implied license under any Nellcor
patent or copy right to use this instrument with any fetal oximetry sensor that is not
manufactured or licensed by Nellcor.
Dinamap is a trademark of General Electric.
Press-Mate is a trademark of the COLIN Corporation.
Federal Law (US) restricts this device to sale by or on the order of a physician.
Caution
Failure on the part of the responsible individual hospital or institution employing
the use of this equipment to implement a satisfactory maintenance schedule may
cause undue equipment failure and possible health hazards.
2002 Philips Medizi nsysteme Böblingen GmbH
All rights are reserved. Reproduction in whole or in part is prohibited w ithout the prior
written consent of the copyright holder.
This guide tells you how to install, service and repair a Series 50 XM Fetal/Maternal monitor or a
Series 50 XMO Fetal/Maternal monitor. It describes all the system hardware and software, and
tells you how to test the sy stem and diagno se operating and service problems. It also tells you what
upgrade paths are available and how to follow them.
It gives instr uctions for b o th a Series 50 XM Fetal/Maternal monitor and a Series 50 XMO Fetal/
Maternal monitor. The features available o n t he m on itor y ou are installing or servicing depend on
which options have been purchased. All instructions apply to a fully equipped monitor. If your
monitor does not have a described parameter, then you can ignore that part of the instruction and
skip to the next point.
The illustrations in this book show the Series 50 XMO Fetal/Maternal monitor, with the fetal
1
pulse oximetry
This guide is for tech nical personnel in stalling and servicing the monitor. They must have a good
understanding of medical equipment installation procedures. Conventional current technical
terms are used throughout th is guide. Familiarity with such terms is assumed.
Familiarize yourself with the contents of this guide before attempting to install or service the
monitor.
(FSpO2) parameter and maternal parameters.
1. Currently not available in the U.S.A.
General Information 1
Page 18
Monitor’s Intended Use
The Philips Se ri e s 50 XM Fetal/Maternal monitor and the Philips Series 50 XMO Fetal/Mate r n al
monitor are designed for suitably trained healthcare professionals for use in the patient
environment to monitor f etal and maternal condition p rior to and during labor and de livery.
Conventions Used in This Guide
This guide uses the following conventions for notes, cautions, and warnings.
Warning
A warning alerts y ou to a potential serious outcome, a dvers e ev ent or saf ety hazar d. F ailur e to
observe a warning may result in death or serious injury to the user or patient.
Caution
A caution alerts you to situations where special care is necessary for the safe and effective
use of the product. Failure to observe a caution may result in minor or moderate personal
injury or damage to the product or other property, and possibly in a remote risk of more
serious injury.
Symbols
Note— A note
Symbols used in this guide are:
Equipotential Terminal
This symbol is us ed to identify terminals which are connected together, bringing various parts of
an equipment or system to the same potential, not necessarily being earth potential (the value of
potentials of earth may be indicated adjacent to the symbol).
International Caution Symbol
This symbol indicates that the operator should refer to the product instruction manual before
beginning a procedure.
Protective Earth Terminal
This symbol identifies the terminal for connection to an external protective earth.
calls your attention to an important point in the text.
2 General Information
Page 19
Initial Inspection
The monitor and any supporting options ordered are supplied packed in protective shipping
cartons. Before unpacking, visually check the packaging and ensure that there are no signs of
mishandling or damage.
Claims for
Damage
If the shipping cartons show signs of having been mishandled, contact the carrier and arrange for
his agent to make an inspection.
If any of the equipment supplied is damaged, you should contact both the carrier and your local
Philips Service Organization. Arrangements will then be made for repair or replacement, as
appropriate.
RepackingYou are advised to retain the original packing carton and material. You will find it useful if it
becomes necessary to return a piece of equipment to Philips for service. If you need to repack the
equipment but c annot locate the original packing ma terials, Philips can advise you on alt ernatives.
General Information 3
Page 20
Unpacking and Checking the Shipment
Open the package carefully and remove the instrument and accessories. Accessories are packed in
recesses in the base of the box. A cardboard cover separates the base from the main instrument
packing. Ensure that you remove the contents of the base before you dispose of the packing.
When the instrument has been unpacked, check that the contents are complete and that the
correct options and accessories have been delivered. You should have:
Application Note: Nellcor OxiFirst Fetal
Oxygen Saturation Monitoring: Technical
Issues
(language as appropriate for your countr y )
Pocket Guide to Fetal Monitoring (only
supplied with English shipments)
1111
1111
1111
0011
1111
1. Only one transducer is supplied if option C01 was ordered
General Information 5
Page 22
Optional
Accessories
In addition to the items mentioned in the previous table, the following are delivered when the
appropriate option has been ordered:
Table 1-2Optional Accessories
Description QuantityRe-Ordering Number
Maternal Accessories
IUP T ransducer (5uV) and Kit11290C Option #J05 Pressure Transducer with IUP
Barcode Reader1 HBCR8200 plus Barcode Booklet
Dual Serial Interface Board1M1350-66533
Cable (Serial)1M1350-61609 (for external devices)
OBMS/ODIS System Interface
Board (inc. RS422)
Instrument Identification
Philips uses a two-section serial number (“XXXXGOOOOO'') for instrument identification. This
is located on labels attached to the monitor. One label is on the right side of the monitor, the other
label is identical and attached to the base of the monitor. The first four digits are the Serial Prefix
Number, and identify the modification standard of the instrument. The last five digits are the
Serial Number of the instrument. The let ter that separat es the serial prefi x and suffix designates t he
country in which the instrument was manufactured, “G'' = Germany.
Kit 14099C and Transducer Holder
1M1350-66532
3650GO2272
Serial Number
Serial Prefix
Country of Manufacture
Localization
Options
6 General Information
When the system is ordered from the factory the respective country option, including local
language st andards, power cords, voltage, video format and fetal paper will be automatically
allocated, apart from Canada, Belgium and Switzerland which have more than one language
option. The standard unit is delivered in the USA with 30-240 bpm paper scale selected and in the
rest of the world with 50-210 bpm paper scale selected.
The default language option for Canada is English. Option #ABC selects French.
The default lang uage option for Belgium is Dutch. Opti on #ACL selects French.
The default language option for S wi tz erland is German. Option #ABQ selects French. Option
#ACN selects Italian.
Page 23
Service Philosophy
Any errors produced are marked on the trace paper with the symbol and a specific error
message is shown on the monitor display. In addition, the errors are reported on the system error
log (see page 30 for instructions on how to print the error log). Read the error messages and system
error log to determine whether the fault lies in the hardware or firmware. These problems can be
repaired by board replacement or unit exchange. Do not attempt component-level board repair.
Overview of
the Service
Tests
The system contains resident tests to enable monitoring of system status and errors that occur.
n
Power-On Self Test (see page 96)
This is invoked whenever the system is switched on.
n
Performance Assurance Tests
•Parameter Test (see page 118)
This checks the processing of the signal from the transducers.
•Quick Test (seepage 119)
This checks the display, recorder and complete instrument hardware and software.
n
Service Tests
These are invoked by connecting the monitor to a PC and using a software service tool to
assess, test and configure the system.
•Cyclic Test (see page 121)
•Permanent Test (see page 121)
n
Safety Tests
These test the electrical safety of the monitoring system and must be carried out after
upgrades and repairs. You must use a safety testing tool.
•Instrument Safety Test (see page 126)
•System Test (see page 126)
•Safety Test Blocks (see page 125)
General Information 7
Page 24
About the Monitor
The monitorhas five color- and mechanically -coded input sockets:
n
Cardio 1/Combi for fetal heart rate (FHR) and fetal oxyg en saturatio n (FSpO2)
n
Cardio 2 for fetal heart rate
n
Toco for uterine activity
n
NPB for external blood pressure (NIBP)
n
SpO2 for maternal pulse oximetry
When a transducer is connected, the monitor automatically selects the correct operating mode.
The unit can:
n
monitor FSpO
n
monitor FHR using both direct ECG (DECG) and ultrasound (US)
n
monitor maternal heart rate using ECG
n
monitor twins using either DECG and ultrasound or dual ultrasound
n
monitor uterine activity (Toco) externally or internally
n
detect fetal movements (FMP) using ultrasound
n
measure maternal blood pressure externally
n
measure maternal pulse oximetry
n
display maternal ECG waveform and record “snapshot” ECG waveform.
2
A series of error messages appear in the instrument's display if certain measurements cannot be
carried out. Built-in check facilities give you a greater monitoring confidence because most of the
instrument functions can be checked quickly and easily.
The Performance P lus P ackage signal processing technique used by the instrument ensu res that the
information provided by the monitor is very accurate. Ultrasound FHR traces are comparable with
direct ECG FHR traces and variabi li ty r ec o rded in the ultr aso und m od e is almost identical to t hat
recorded in the DECG mode.
The recorder uses a high resolution thermal array print h ead which give s a very reliable and good
quality trace. Automatic annotation capabilities include time, date, paper speed and monitoring
methods. Nursing not es can also be documented using an optional barcode reader.
Either of the monitors can be upgraded to include all parameters, depending on availability within
the country of purchase.
8 General Information
Page 25
Overview of the Monitor
Figure 1-1Major Parts
1.Monitor On/Off Switch9.Function Key
2.Monitor On/Off Light10. Telemetry Indicator
3.Recorder Keys11. FSpO
4.Recorder12. Opening Recess
5.Mate rnal Paramete rs13. Socket for Remote Event Marker
6.Cardio 2 Channel14. Setting Keys
7.Toc o Channel15. Service Socket
8.Cardio 1/Combi Channel
parameter
2
General Information 9
Page 26
Cardio and
Toco Channels
eta4.tif
Figure 1-2Cardio and Toco Channels
1.Toco Display shows uterine activity.
2.Fetal SpO
display shows fetal pulse i ndi c ato r, signal quality, alarm status, and cross channel
2
verificati on pl us ind icator.
3.Cardio Display shows the FHR.
4.Signal Quality Indicator shows the quality of heart rate signal detected by the transducer:
•Green (optimum).
•Yellow (fair to potentially poor).
•Red (unaccep table).
5.Function Key selects menus for:
•FMP, twins offset, logic, FHR alert and FSpO
2
•returns to normal display.
6.MECG Indicator shows when MECG is being measu re d through this channel. (Indicat or
location different for Seri es 50 XM).
7.Fetal SpO
display shows current value of FSpO2.
2
8.Speaker Lamp shows which heartbeat is heard from the loudspeaker.
9.Volume Keys set the volume and select the channel to which you are listening. Changes
current setting of FMP, twins offset, logic, FHR alert and FSpO
12. Cardio 1/Combi Transducer Socket. You can connect:
•FSpO
/ECG combined patient module (M1365A)
2
•ECG only patient module (M1364A)
•An ultrasound transducer (M1356A).
•A DECG transducer (M1357A).
•A US/MECG Combi transducer (M1358A).
•An MECG tra nsducer (M1359A).
13. Toco Transducer Socket. You can connect:
•An external Toco transducer (M1355A).
•An IUP transducer (1290C or M1333A).
14. Toco Baseline Key zeroes the Toco display and trace to 20 units (when monitoring uterine
activity externally) or 0 units (when monitoring uterine activity internally).
15. Cardio 2 Transducer Socket for connecting:
•ECG only patient module (M1364A)
•US transducer (M1356A)
•DECG transducer (M1357A)
•MECG transducer (M1359A)
General Information 11
Page 28
Maternal
Parameters
Figure 1-3Maternal Pa rameters
1.NBP Cuff Socket. You can connect:
•An NBP cuff interconnect tubing (M1599A) and cuff (M1574A).
2.SpO
Transducer Socket. You can connect:
2
•An SpO
transducer (M1940A adapter cable connected to M1191A transducer).
2
3.Softkeys for operating and setting maternal parameters. They are:
•selects modes and alarm limits for NBP.
•selects modes and alarm limits for MHR.
• selects modes and alarm limits forSpO
.
2
4.Reset Key (yellow)
One short press
•Acknowledges warning message
•Acknowledges alarm
One press, held for two seconds (from maternal main screen only)
•Accesses volume and contrast setup
Two presses within one second (from maternal main screen only)
•Displays current maternal alarm limits
5.SpO
Value indicates the current reading for patient's oxygen saturation level.
2
12General Information
Page 29
6.MHR Icon indicates source of MHR
indicates heart rate value taken from MECG measurement.
Recorder Keys
indicates pulse rate value taken from SpO
indicates average pulse rate taken from NIBP measurement.
7.Maternal Heart Rate shows current heart rate or pulse rate.
8.Systolic Value shows the value for the systolic parameter of the most recent external blood
pressure measurement.
9.Diastolic Value shows the value for the diastolic parameter of the most recent external blood
pressure measurement.
measurement.
2
Figure 1-4Recorder Keys
1.Recorder On/Off Light. On when the recorder is switched on. Flashes when monitor detects
five or fewer pages remaining in the pack or if the paper runs out.
2.Recorder On/Off Key.
Single press turns recorder on/off
2-second press starts NST timer. Recorder must be off.
3.Event Marker Key. Press to record an event on the paper. Acknowledges all alerts and
alarms.
4.Paper Advance Key. Press once to advance the paper automatically to the next fold. Press a
second time to stop paper before fold. Tear paper at fold. Never pull pap er to adva nc e it.
5.Paper-Eject Key. Press once to unlock the drawer, and then press a second time and hold to
remove the paper.
General Information 13
Page 30
Setting Keys
Figure 1-5Setting Keys
1.Time and Date Key. Used when changing the time and date. Press to show the current time
in the Cardio 1/Combi and Toco di splays, to cycle through the settings to be changed
(hours, minutes, day, month and year) and to return to the normal display.
2.Paper Speed Key. Used when changing the paper speed. Press to show the current paper
speed in the Cardio 1/Combi display, and to return to the normal display.
3.Test Key. Used to start monitor self test.
14 General Information
Page 31
Rear Panel.
10
21
Figure 1-6Rear Panel
1.Power Cord Connection
2.Equi potential Grounding Point
3.ROM Board (M1350-66506)
4.Telemetry Interface Connector (M1350-66537) and System Interface Connector
(RS232) (lower)
5.Exte rnal Blood Pressure Board (M1350-66535)
6.Digital Signal Processor (DSPII) (M1350-66 507)
7.Maternal SpO
8.OBMS/ODIS Analog Interface (optional) (M1350-66532)
9.Dual Serial Interface (DSIF) (M1350-66533) External Fetal Pulse Oximeter or Adult
parameter Interface
10. CPU Board with Barcode Reader Interface (M1350-66513)
Board (M1350-66534)
2
3
456789
General Information 15
Page 32
16 General Information
Page 33
Power Source Requirements
The monitor can be operated fr om an ac sou rce of 10 0 to 120 or 220 to 240 volts (±10%) at 50 Hz
or 60Hz (±5%). The system will be set to the correct voltage at the factory.
Prior to installi ng the system, check that the systems vo ltage has been set corr ectly. The voltage and
fuse values are shown on the rear panel.
2
Pre-Installation Checks
Figure 2-1System Voltage and Fuse Values on the Rear Panel
Caution
If the voltage has been set incorrectly you must reset it before you connect the system to the
local line power supply. See “Setting the Required Voltage” on page 2-18.
Pre-Installation Checks 17
Page 34
Setting the
Required
Voltage
1.Using a flat blade screwdriver, open the panel on the rear of the monitor.
pin1sca.tif
Figure 2-2Opening the Rear Panel
2.Remove the voltage selector drum, turn it to the voltage required, and replace it.
pin2sca.tif
Figure 2-3Voltage Selector Removal and Replacement
3.Close the rear panel and check that the correct voltage setting is shown (see 2-1).
18 Pre-Installation Checks
Page 35
Mounting the Monitor
You must carry out the pre-installation checks described in Chapter 2 before installing the
monitor.
The Series 50 XM/XMO Monitor can be mounted in a number of ways, for example:
n
Surface mounted
n
Cart mounted
n
Top mounted
3
Installing the Monitor
Surface
The XM/XMO can be rested on, but not fixed to, an existing surface.
Mounting
Cart Mounting There are three mobile carts (CL, CX, and CM) on which you can mount the Seri es 50 XM/XMO
Monitor. All offer a combined storage and transport unit for the monitor plus accessories and
ancillary equipment. See page 21 for carts specifications.
Top Mounting Top mounting Kit Number M1350-68701 allows you to mount auxiliary equipment on top of the
monitor (for example, the M1310A Telemetry Receiver). This equipment must be fitted with a
mounting cam kit to allow the equipment to be secured to the mounting plate.
To attach the mounting plate onto the monitor:
1.Remove the two blanking plugs from the top of the monitor.
2.Position the mounting plate on top of the monitor and insert the two screws.
3.Insert the two blanking plugs into the holes above the screws.
4.Clip the four plastic strips into the slots in the mounting plate. These are removed when the
ancillary equipment is moun ted on top of the monitor.
Installing the Monitor19
Page 36
pin19sca.tif
Figure 3-1Attaching the Mounting Plate
Fitting the Paper Take-Up Tray
You can fit a paper take-up tray (M1350-00452) to the base of the moni tor using the two pre fitted bolts located under the recorder modul e on the base of the monitor. Simply line up the
paper take-up tray slots and slide the paper tray into position.
Figure 3-2Paper Take-Up Tray
20 Installing the Monitor
Page 37
Carts
You can mount th e Series 50 XM and the Series 50 XMO fetal/maternal monitors on the Philips
CL, CM or CX carts. Cleaning instructions for the carts and safety details are provided in the
Carts Equipment Note delivered with you r ca rt.
This section tells you how to connect and test the barcode reader (HBSW8200).
Attaching the
Reader Holder
Connecting
the Reader
To attach the barcode reader holder to the monitor:
1.Clean the surface of the monitor where you will attach the barcode reader holder thoroughly
using ethanol.
2.Peel off the backing from the adhesive strip on the holder, and press the holder firmly into
place.
3.Allow 24 hours before using the holder.
1.Plug the barcode r eader into the m onitor and se cure by turning the two thumb s c rews.
pin15sca.tif
Figure 3-3Connecting the Barcode Reader
Testing the
Reader
22 Installing the Monitor
After installing the barcode reader you must check that it is corr ectly connected to t he monitor and
that the monitor is configured to read the barcodes. You can do this using the barcodes printed
below or from your barcode booklet kit.
To do this:
1.Be sure that both the monitor and recorder are turned on.
2.Read the
3.Switch the monitor off then on. Read the TEST OK 5 barcode.
Default Configuration barcode.
Page 39
pegbscs1.tif
Figure 3-4Test Barcodes
TEST OK 5 should be written on the recorder paper.
Figure 3-5Test Annotation on the Recorder Paper
4.If the above test does not work, turn the monitor OFF and ON and repeat the test.
5.If the problem remains, connect a new Barcode Reader.
Installing the Monitor 23
Page 40
24 Installing the Monitor
Page 41
Introduction
4
Configuring the Monitor
This chapter describes the tasks you must carry out to configure the monitor. This involves the
following service tasks:
n
Configure the monitor
n
Configure the recorder
n
Print and clear the error log
n
Set the time and date format to the local standard
Some configuration tasks can be completed by connecting a PC to the monitor, some by using
pushbuttons on the monitor itself. Most can be performed using whichever method is more
convenient for you: see Table Table 4-1 for a list of tasks and methods. To find out how to set the
time, date, and paper speed, see Ch apter 5.
Configuring the Monitor 25
Page 42
Configuration Tasks
The following table shows you which configuration actions can be carried out using p us hbuttons
on the monitor and which can be carried out using a PC connected to the service socket.
Table 4-1Configuring the Monitor
Configure the time formatYesYes
Configure the date formatYesYes
Configure the IUP formatYesYes
Configure the paper formatYesYes
Configure the recorder print offsetYesYes
Configure the recorder heat adjustYesYes
Alert acknowledgment at marker button YesNo
TaskButtonsPC
Run the cyclic test
No
1
No
Read the options installedNoYes
Read the Error LogNoYes
Print the Error Log
Clear the Error Log
Yes
Yes
2
2
Yes
Yes
Write the serial number and set the optionsNoYes
Configure the language optionYesNo
Enable alert acknowledgementYesNo
Note Output to SystemYesNo
NIBP paper save modeYesNo
MECG trigger click volumeYesNo
response timeYesNo
FSpO
2
FSpO
Inop alarmYesNo
2
FSpO
alarm volumeYesNo
2
1. However you can run the Permanent Test, which is similar. See “Printing and Clearing the Error Log” on
page 30.
2. See “Printing and Clearing the Error Log” on page 30.
26 Configuring the Monitor
Page 43
Configuring the Monitor Using Pushbuttons
You can set the time format, date format, IUP scale, paper format, recorder scale offset, recorder
heat and language option using pushbuttons. To change a setting:
1.Disconnect all transducers from the Monitor and disconnect or switch off Telemetry.
2.While pressing, press . The display shows
or
1 in the Toco display.
C01 in the US1/US display and 0
3.Toggle through t he menu by pressing or until you arrive at the menu item you
want to change. The menu items and their settings are shown in TableTable 4-2.
4.Press to change the setting (
0 or 1).
5.Press to store the new settings. If yo do not press any keys for about 15 seconds,
the settings will be automatically stored.
1=50%
C12Refer to Table Table 4-5
C13OBMS and Telemetry/
System boards
3
0=RS422 System Inter face on OBMS
board active
1=RS232 System Inter face on
Telemetry/System board active
C14Analog fetal movements0=off
1=on
C16NIBP paper save mode0=off
1=on
C17MECG trigger click volume0=off
1=quiet
2=medium
3=loud
C18
(XMO only)
C19
(XMO only)
C20
(XMO only)
response time
FSpO
2
FSpO
Inop alarm0=off
2
FSpO
alarm volume0=off
2
4
0=slow
1=fast
1=on
1=quiet
2=medium
3=loud
0
0
0
0
2
1
0
2
1. To find the correct setting, connect a Toco transducer to the monitor and then change the setting until the
trace is recording 20 units on the paper. Because of the 8-second time-out fea ture, and the delay between
changing the se tting and seeing the cha n ge on the paper, you may have to repeat this procedure to set the
offset.
2. If the alert acknowledgement function is on, the fetal monitor adds the alert acknowledgement function on
the recorder marker button. Thi s ale r t ackn ow led g ement is given only to the central station after a request
from the central station (communication is via the digital interface.)
3. With this setting you can switch the control between the RS232 port on the new Telemetry/System board
M1350-66536 and the RS422 port implemented on the System Interface board M1350-66532. If only one
of them is built into the fetal monitor this one will be active regardless of the setting.
4. Response mode is an output-average filter. You can select whether the monitor averages samples over a short
time (approxima tely 10 seconds) or lon ger period (approx imately 50 second s). The times var y according to
the heartrate and signal quality and those quoted here are val i d f or go od signal quality and a heartrate in the
120 bmp range. The fast response mode, because it requires fewer samples, allows you to see sudden changes
in output mo r e e a sily. Fast response m o d e is indicated on the trace by .
See Table Table 4-4
Dinamap 1846/8100Nellcor N-200 1
Colin BP-8800Nellcor N-200 2
78352/4CNellcor N-200 3
Accutorr - all modelsNellcor N-200 4
Philips CMS, all models
Philips 26/24 Series
Dinamap 1846/8100Nellcor N-400 11
Colin BP-8800Nellcor N-400 12
78352/4CNellcor N-400 13
Accutorr - all modelsNellcor N-400 1 4
Philips CMS
Philips 26/24 Series
1
Nellcor N-200 5
Nellcor N-400 15
0
1. The service setting C10=0 ensures the co mpatibility of ol der monitors with external
devices and will not normally be needed with the M1350B and M1350C
Table 4-4Service Setting C10 = 0 (DIP Switch Settings on the DSIF Board)
The error log is divided into seven sections that contain the following information:
Section 1
1.The error code
For example 506
2.The number of times the error has occurred.
For example 0005 (note that the error counter uses hexadecimal notation)
3.The date and time the error first occurred.
For example 98/09/14 11:27
4.The date and time the error last occurred.
For example 98/09/14 16:23
The remaining lines in section 1 (if any) beneath the factory information code (FIC) are not
errors. Take no action.
Section 2
All built in options in the fetal monitor are written. For example Fet.Alert indicates fetal alerting.
Section 3
This shows information about t he monitor itse lf:
DATE SW_REV INSTR_ID
Current date
1
Software revi sionProduct numbe r
and monitor serial number
1. This is taken fr om the monitor’s internal clock.
Section 4
The final three digits of all boar ds connected into the feta l monitor. For example in Pos. 05 is boar d
M1350-66536.
Section 5
The complete configuration made using the monitor’s push buttons is listed for easy validation
and documentation.
Section 6
The revision number of the FSpO2 software.
Section 7
The error code, occurrences, and times and dates thereof are shown specifically for the FSpO2
board in exactly the same way as other boards are displayed in Section 1 of the error log.
32 Configuring the Monitor
Page 49
Changing the
Time Format
To change the time fo r ma t from AM/PM format to 24-hour format, do the following:
1.Disconnect all transducers from the Monitor and disconnect or switch off Telemetry.
2.While pressing press .
3.Press to change the setting to
4.Press
Full details about changing the time and date formats are given in Chapter 5.
Test to store the new settings.
Configuring the Monitor Using a PC
The service software kit (M1360C Option 875, part number M1360-6 887 5) allows you to carry
out various ext ended configuration and serv ice functions on the monitor. Contact your Ph ilips
Sales Office for details.
The service software disk can be run on an i ndust ry standard PC. There is also an adapter cabl e to
connect the monitor to the PC.
1.
Figure 4-1Cable for an Industry Standard compatible PC
Configuring the Monitor 33
Page 50
Installing the
Service
Program
Before you install the program, ensure that the serial port COM1 is set up as follows:
Transmission Rate9600 BPS
ParityNone
Word length (bits)8
Stop-bits1
Serial Interface
Connection
This is done by giving the mode command (
Refer to your MS-DOS Manual for details.
To ins tall the program:
1.Switch on the PC.
2.Create a directory for the program files. For example, to create a directory called
at the DOS prompt type in:
md service
and press.
3.Insert the program disk into drive A.
4.At the DOS prompt type
5.At the
Make sure that the serial interface configuration on the PC is set up as follows:
A: prompt, type:
copy pegserv.exe c:\service
and press . Where service is the directory you created to contain the program files.
The program is copied to
Datacom-Configuration
ParameterSerial
Transmission Rate (BPS)9600
Word Length (bits)8
Stop-Bits1
ParityNone
%ON / %OFF PacingOff
CTS LineRegard
DSR LineRegard
DCD Line Ignore
Power to InterfaceOff
A: and press .
c:\service
mode com1:96,N,8,1) at the DOS prompt.
service,
34 Configuring the Monitor
Page 51
Connecting
the PC to the
Monitor
Connect the cable from the PC to the service socket (1). If you are using an HP PC, use only the
COM1 port.
xmofull1.gif
Figure 4-2Service Socket
Loading the
Service
Program
1.Switch on both the m o nitor and the PC.
2.No w load the program.
If you are using the PC in DOS mode, do one of the following.
•If the program files are contained in a directory, change to that directory and enter:
pegserv
•If you want to load the program from drive A (or another drive):
i.Insert the program disk into drive A (or other).
ii.Select
iii. At the DOS prompt type
iv. Type
If you are using Windows 95/98/NT:
•Start the service program by double-clicking on the
pegserv.exe
3.The program is now loaded and ready for use.
DOS-Commands and press .
A: and press .
pegserv and press .
pegserv icon or on the filename
Configuring the Monitor 35
Page 52
Using the Service Program
When the program has been loaded onto your PC, th e main menu is displayed. (If the menu is not
displayed, an error message is displayed along the bottom of the screen.)
Main Menu
Series 50 Fetal Monitor Configuration and Service Software Rev A.nn.nn
MESSAGE:
Select with >cursor keys< or >E, S, D, X< then press <ENTER> to execute!!
Main Menu
Configuration Settings
Recorder Adjustments
Service Menu
Exit
To select an item from the menu, move the cursor to the item you require and press :
n
Use the arrow keys , , , keys on the keypad, or the E, S, D or X keys to
move the cursor.
Messages are displayed along the bottom of the screen while the Service Program is working, for
example:
Reading Recorder Adjustments from the Monitor.
Reading Serial Number from the Monitor.
Clearing the Error Log.
36 Configuring the Monitor
Page 53
Configuring
the Monitor
Series 50 Fetal Monitor Configuration and Service Sof tware Rev A.nn.nn
Configuratio n Setting:
Function:Actual Se tting isSelect
Paper Scale :USUS EU
Time Format :AM/PMAM/PM 24h
Date Format :USUS EU
IUP Scale:mmHgmmHG kPA
MESSAGE:
Select with >cur sor keys< or >E, S, D, X< then press <ENTER> to ex ecute!!
To change a setting:
1.Using the appropriate keys, move the cursor to the selection you require.
2.Press .
To return to the Main Menu:
1.Move the cursor to
Return to Main Menu.
2.Press .
Example
On the screen above, the actual setting of the paper scale is
cursor to
EU in the Select column and press . The program will reconfigure the monitor
US. To change this to EU, move the
for the European paper scale.
The settings on your monitor may be different from those shown.
Configuring the Monitor 37
Page 54
Adjusting the
Recorder
The Recorder Heat-Adjust is to compensate for different tolerances in the paper.
Series 50 Fetal Mo nitor Configuration and Service Software Rev A.nn.nn
Recorder Adju stments:
Recorder Heat Adjust:Actual Value is:|
Recorder Zero Adjust:Actual Value is:|
Return to Main Menu
MESSAGE:
Select with >cursor keys< or >E, S, D, X< then press <ENTER> to execute!!
Selected Value is|
∨
|……………|
Min Max
Selected Value is|
∨
|……………|
Left Right
To change a setting:
1.Using the appropriate keys, move the cursor to the new value you require.
2.Press .
To return to the Main Menu:
1.Move the cursor to
Return to Main Menu.
2.Press .
Example
On the screen above, the actual value of the recorder zero-adjust is
Left. To change this to
Right, move the cursor to Right in the Selected Value is: column and press.
The program will adjust the recorder accordingly. The values shown on your monitor may be
different from those shown.
38 Configuring the Monitor
Page 55
Service Menu To select an item from the menu, move the cursor to the item you require and press .
NoteBefore you select
the monitor.
The serial number and software revision of your monitor may be different from those shown.
Series 50 Fetal Mo nitor Configuration and Service So ftware Rev A.nn.nn
Serial Number: 2948G00010
Software Revision: A.02.03
MESSAGE:
Select with >cursor keys< or >E, S, D, X< then press <ENTER> to execute!!
Cyclic Test, you must connect ultra sound , Toco and DECG transducers to
Service Menu
Cyclic Test
Read options
Read ErrorLog
Clear ErrorLog
Write Ser.nr./ Set Options
Fetal Heart Rate Alerting
Return to Main Menu
Running the Cyclic
Test
The Cyclic Test is a continuous Self Test. Any errors are written to the Error Log and can be read
using
Read ErrorLog. Press any key to stop the test and return to the Service Menu. During
the test the keys on the front of the monitor are disabled.
Series 50 Fetal Mo nitor Configuration and Service Software Rev A.nn.nn
CYCLIC TEST is st arted
It starts a contin uous self test of the monitor
Press any key to sto p this test
Read ErrorLog to see the errors that occurred while self testing
MESSAGE:
Configuring the Monitor 39
Page 56
Reading the Options This lists the options installed on the monitor. Press any key to return to the Service Menu. The
options on your monitor may be different from those shown.
Series 50 Fetal Monitor Configuration and Service Software Rev A.nn.nn
Implemented Options :
- Fetal Movement Profile
- External Twin Monitoring
MESSAGE:
Press any KEY to continue!
Reading the Error
Log
This displays the error log. (See Chapter 11 for a list of error log messages.)
Use >W< to Write ErrorLog Data to File >ErrLog.DAT<
use CursorKey >Down< or >X< to see next Page, <ENTER> to leave
The error log lists:
n
The monitor’s serial number.
n
The error code and the number of times the error has occurred.
n
The date and time the error first occurred.
n
The date and time the error last occurred.
Up to 16 err or messages can be displa yed on a screen. To see the next or previous screen, use the
▼ keys on the keypad, or the E or X keys. At the end of the Error Log, No more Data
or
▲
40 Configuring the Monitor
Page 57
available is displayed.
Clearing the Error
Log
Press
to print a page on LPT1.
Press to return to the Service Menu.
To write the error log data to a file, press the W key. The data is then stored as
the directory con taining
the file can be printed using the DOS Command
PEGSERV.EXE. The data is stored as ASCII characters, and therefore
print ERRLOG.DAT. The file is overwritten
each time you press the W key.
Series 50 Fetal Mo nitor Configuration and Service So ftware Rev A.nn.nn
Service Menu
Serial Number: 2948G00010
Software Revision: A.02.03
Cyclic Test
Read options
Read ErrorLog
Clear ErrorLog Are you sure?
Write Ser.nr./ Set Options
Fetal Heart Rate Alerting
MESSAGE:
Select with >cursor keys< or >E, S, D, X< then press <ENTER> to execute!!
Return to Main Menu
ERRLOG.DAT in
The confirmation message
n
Press Y to clear the error log, OR
n
Press N.
Are You Sure? asks if you do want to clear the error log:
You then return to the Servic e Menu.
Configuring the Monitor 41
Page 58
Writing the
Serial Number
You can write the serial number to the monitor only if you have replaced the CPU Board with an
exchange board. The serial number can be written only once to the exchanged board. If you
accidently enter the wrong serial number, you can reset it us ing an access code obtainable from
your Philips Response Center or from the Philips Technical Marketing Intranet page, “Softserver.”
Series 50 Fetal Mo nitor Configuration and Service So ftware Rev A.nn.nn
NOTE: resettin g the Serial Number is protected by Access Code
Serial Number: 3151G00026
Type in 4 digit code from factory TME and press <ENTER>
MESSAGE:
>----<
To write the serial number:
1.Using the keyboard, type in the serial number of the monitor. This is printed on the side and
on the bottom of the monitor
2.Press .
A confirmation message asks if the serial number is correct:
•Press Y if it is, OR
•Press N and retype the serial number.
You then go to the Set Options Screen to reset the options for the monitor.
42Configuring the Monitor
Page 59
Series 50 Fetal Mo nitor Configuration and Service So ftware Rev A.nn.nn
Select Options according to the labels on the monitor
Option:Actual Setting is :Selection:
#C.01 TWIN:OFFOFF ON
#C.02 FMP:OFFOFF ON
Write Options
MESSAGE:
Select with >cursor keys< or >E, S, D, X< then press <ENTER> to execute!!
To select an option:
1.Using the appropriate keys, move the cursor to the selection you require.
2.Press .
To write the options to the monitor and return to the Main Menu:
1.Move the cursor to
Write Options.
2.Press .
A confirmation message asks if the selected options are correct.
Configuring the Monitor 43
Page 60
Enabling/
Disabling FHR
Alerting
This screen enables you to enable or disable the fetal heart rate alerting. To change this
configuration you must enter an access code, which is availabl e from your Philips R esponse Center
or from the T echnical Marketing “Softserver” page on the Philips Intranet. There are two different
access codes, one enables the alerting, and the second disables alerting.
Series 50 Fetal Mo nitor Configuration and Service So ftware Rev A.nn.nn
NOTE: Changin g the Alert Option is protected by Acces s Code !
Alert Option is EN ABLED. Do you want to DISABLE the Alert option?
Press <Y> for YES or <N> for NO!
MESSAGE:
To enable or disable the alerting, enter the specific code to enable or disable the alerting.
44 Configuring the Monitor
Page 61
Getting Started (Basic Considerations
Setting the Time and Date
You can view and change the time, the date and the paper speed using the following keys:
Figure 5-1Setting the Time and Date
5
and Operation)
n
Clock key displays the time (1).
n
Paper speed displays the paper speed (2).
n
Volume keys change the time, date and paper speed (3).
To set the time and date:
1.Press and releaseto display the current time. The Cardio 1/Combi display flashes to
show that the hour can be chan ged.
2.Press or to set the hour. Press and hold the keys to change the setting more
quickly.
3.Press and release and the Toco display flashes to show that the minutes can be
changed.
4.Press or to set the minutes.
5.Repeat the procedure:
•To set the month (in North America) or the day (in other countries).
•To set the day (in North America) or the month (in other countries).
•To set the year.
6.Press and release to return to th e normal disp lay.
You can also change the format of the time and date using the optional Barcode Reader and the
feature setting barcodes supplied with it.
Getting Started (Basic Considerations and Operation) 45
Page 62
Changing the
Time Format
To change from 12-hour to 24-hour format, enter
TIME FORMAT 24H (MILITARY) from the feature setting sheet.
To change from 24-hour to 12-hour format, enter
TIME FORMAT AM/PM from the feature setting sheet.
To change from Day.Month.Year to Month/Day/Year format, enter
DATE FORMAT NORTH AMERICAN from the feature setting sheet.
To change from Month/Day/Year to Day.Month.Year format, enter
DATE FORMAT EUROPEAN from the feature setting sheet.
If the batteries are not changed when they become low or empty of charge, the settings will return
to their def ault values: th e date is set to 04.04.44 and the time is set to either 00.00 (European
Format) or 12:00A (US Format).
Setting Paper Speed and Scale
Setting the
Paper Speed
The paper speed can be 1, 2 or 3 cm/min. The default for North America is 3 cm/min; the default
for other countries is 2 cm/min. A change in paper sp eed wil l r e sul t in a chang e in the app earance
of an FHR trace, care must be taken to ensure ALL monitors in your institution are consistently
set at the same speed.
The ACOG technical bulletin on FHR monitoring states that “accurate pattern recognition is
difficult if not impossible at 1 cm/min and that 1 cm/min is only recommended for more
economic screening. When FHR abnormalities arise, the faster paper speeds will enhance FHR
pattern recognition.”
Use the Paper Speed Key to display the current paper speed and to return to the normal display.
You also return to the normal display automatically if you don't press any key for a few seconds.
When you return to the normal display, the new paper speed is set, and the time, date, speed and
monitoring modes are printed on the paper.
To set the paper speed:
1.Press and release to display the current speed.
2.Press or to set the speed.
3.Press and release to return to th e normal disp lay.
46 Getting Started (Basic Considerations and Operation)
Page 63
Setting the
FHR Paper
Scale
All chart paper available for the monitor is 2-channel chem/thermal paper, containing 150
numbered pages p er p ack . E ac h p age i s 10 0mm lo ng a nd 151mm wide. Sever al c o nf igu rations are
available, each with a 0 - 100 labor scale.
Caution
Using recorder paper that is not approved by Philips can damage the monitor. This type of
damage will not be covered by warranty.
Some monitor configurations come with a fetal monitoring record (FMR) management system.
Included in the FMR system are labels that facilitate a total management system for organized
storage and retrieval of patient records.
If you wish to use paper with a different FHR scale (for example, 50 - 210 bpm instead of 30 - 240
bpm) you can change the paper scale settings:
1.Using the service software (see “Using the Service Program” on page 4-36).
2.Using pushbuttons (s ee “Configuring the Monitor Using Pushbuttons” on page 4-27).
FHR
Scale
Color
of
Grid
FMR
Filing
System
Packs
per Case
Europea
n
KPa
scale
Highlighte
d
Three
Lines
Getting Started (Basic Considerations and Operation) 47
Page 64
Switching Logic Off and On
The default setting for arrhythmia logic is on. To change the setting, do the following:
n
Connect a DECG transducer to the Cardio 1/Combi or Cardio 2 socket.
n
Press repeatedly until is displayed.
n
The Signal Quality Indicator shows:
•RED if logic is OFF.
•GREEN if logic is ON.
n
Press or to change the setting.
n
Press repeatedly to return to the normal display.
You also return to the normal display automatically if you do not press a key for a few seconds.
Separating FHR Traces (“Twins Offset”)
To help with the interpretation of traces with similar baselines, you can separate them.
Using Keys
Using the
Barcode Reader
n
Connect two fetal heart rate transducers to the Cardio 1/Combi and Cardio 2 sockets.
n
Press repeatedly to display .
n
The Signal Quality Indicator shows:
•RED if the traces are NOT SEPARATED.
•GREEN if the traces are SEPARATED.
n
Press or to change the setting.
n
Press repeatedly to return to the normal display.
You also return to the normal display automatically if you do not press a key for a few seconds.
Enter “Twins Offset'' from the barcode sheet.
48Getting Started (Basic Considerations and Operation)
Page 65
Switching FMP Off and On
The default setting for FMP is on. (FMP is an option.)
Using Keys To change the setting, do th e following:
n
Connect a transducer to the Cardio 1/Combi socket.
n
Press repeatedly until is displayed.
n
The Signal Quality Indicator shows:
•RED if FMP is OFF.
•GREEN if FMP is ON.
n
Press or to change the setting.
n
Press repeatedly to return to the normal display.
You also return to the normal display automatically if you do not press a key for a few seconds.
Using the
Barcode Reader
Enter
FMP Off or FMP On from the barcode sheet.
Getting Started (Basic Considerations and Operation) 49
Page 66
50 Getting Started (Basic Considerations and Operation)
Page 67
Monitor Rear Panel
6
System Interfaces
Figure 6-1Sockets for Peripheral Devices
1.Interface for optional barcode reader.
2.Interface for Philips Series 50 T Fetal Telemetry System (M1310A) and external device. See
“Connecting External Devices” on page 62 and “Interface for Philips M1310A” on page 52
for details.
3.System interface for connection to 80225A/80235A OBMS System and/or M1340A Fetal
Trace Transmitter or M1370A ODIS System (optional). See “System Interface Option J12”
on page 59 for detai ls.
4.Serial RS232/RS422 system interface for connection of maternal monitors such as Philips
CMS. See “RS232 Dual Serial Interface Option J13” on page 61 for de tails.
5.RS232 digital syste m interface for connection to a Ph ilips OB TraceVue system or an IBM
compatible PC. See the table “Telemetry Interface: Pin Connections” on page 53 for details.
6.Serial RS232/RS 422 system inte rface for con nection of Nellcor N-200 maternal SpO
monitor (and N-400 fetal SpO
See “Rear Panel” on page 1-15 for a table of the board-slot positions.
System Interfaces51
monitor for an M1350 XM without fetal SpO2).
2
2
Page 68
Interface for Philips M1310A
The Telemetry input allows connection to the Phil ips Fetal Telemetry Systems . Full functionality
is provided by the Philips Series 50 T Fetal Telemetry System (M1310A) and monitor software
revision higher than A.04.00.
The pin allocations for the various signals are shown below.
MECG Mode (L) Input (pin 25) should be set to L (0V).
Pins 2, 3 and 4. Supplies for small peripheral instruments, eart h connecti ons t hro ugh pins 18 a nd
24. Maximum current allowed 100mA.
Pin 5 (S1) Telemetry on (L). monitor goes to Telemetry Mode.
n
Telemetry display field is lit.
n
Transducer must be removed from the front panel connectors. If they are not removed,
appears in the display above the transducer socket.
n
Status bits pin 7 (S3) to pin 13 (S9) and pin 25 (S10) are activated through the connection
to ground (p ins 18 to 24 ) and have function 1 (Telemetry).
n
Pin 6 (S2) must be High, if not appears in the display.
n
Each transition of S1 starts a complete mode annotation at the recorder.
Pin 7 (S3) DECG inop.
Pin 8 (S4) DECG Mode.
Pin 9 (S5) Reserved Mode.
Pin 10 (S6). US-Heart rate mode programming for Telemetry input signal.
Pin 11 (S7). Not used with Telemetry.
Pin 12 (S8). IUP Mode (L).
Pin 13 (S9). Toco Ext Mode (L). Toco mode programming. Activated Toco mode will be
displayed on the front panel.
54System Interfaces
Page 71
Pin 14 HR 1 Fetal Heart Rate INPUT. Input signal depends upon the selected HR mode. The
table below gives details of the input signals for each of the HR modes.
Fetal Heart Rate ModeInput signal Pin 14
US (S6 Low leve l)Doppler LF sig n a l
Ω
Ri > 10 k
Umax = ±3.5 Vpp
min = 35 mVpp
Pin 15 TOCO - DC INPUT
External
Parameter
Ri > 10 k
Ω
Input range = -3 V to +2 V
Sensitivity = -1 V Full scale
Pin 17. Signal ground for pins 14 and 15.
Pin 18 - 24. Ground for supply and status bits S1 to S10 activation. System outputs will be
controlled in the telemetry mode as in the front mode.
Pin 25. MECG - Mode. Input > (L). MECG mode programming. Activated MECG mode will
be displayed on the front panel. The input signal from pin 1 (MECG Analog Input) will be
processed by the instrument.
Pin 6 (S2) External Parameter ON (L). The external parameter is printed on the recorder in
addition to th e front mode inform ation.
n
Pin 5 (S1) must be High, if not appears in the display.
n
Status bits S3 to S7 have function 2.
Pin 7 (S3) INOP (L). Printer disabled for the ex ternal parame ter.
Pin 8 (S4) MSB and Pin 9 (S5) LSB. External parameter code.
Ext. Par. CodeDefinition
MSBLSB
001 (see Figure Definition 1)
012 (see Figure Definition 2)
103 (see Figure Definition 3)
114 (see Figure Definition 4)
Posit ive input volt ages only; when the paper scaling limits ar e ex ceeded the external paramet er will
no longer be recorded.
psm12sca.tif
Figure 6-4External Parameter Definition 2
HR Channel: 1 V/100 bpm
TOCO Channel: 1 V/100 units
56System Interfaces
Page 73
psm13sca.ti f
Figure 6-5External Parameter Definition 3
psm13sca.tif
Figure 6-6External Parameter Definition 4
When the paper scaling limits are exceeded the external parameter is recorded as a straight line on
the limit.
Pin 10 (S6) Cardio Channel (L). External parameter will be printed on the Cardio Channel.
Pin 11 (S7) Toco Channel (L). External parameter will be printed on the Toco channel. One and
only one of either S6 or S7 has to be selected otherwise is displayed on the right hand
Cardio 2 display.
The external parameter is recorded but does not appear at the display and system interface output.
The digital serial interface can provide the external parameter signal.
RS232 System Interface
The 9 pin RS232 Telemetry interface system connector provides a digital interface protocol to
permit connection to a Philips Series 50 OB TraceVue system or an IBM compatible PC.
rs232sys.hpg
Figure 6-7Telemetry Interface RS232 System Connector
NoteIf an OBMS Board (M1350-66532) is plugged in at the same time as the Combined Telemetry/
Digital System Interface Board (M1350-66536), the digital interface on the Telemetry Board is
switched off as per default. See Chapter 5 for information on how to activate RS232.
If the Software Revision installed is earlier than A.04.01 the RS232 system interface will remain
inactive.
58 System Interfaces
Page 75
System Interface Option J12
The system interface is provided for connection to the Obstetrical Display Information System
(ODIS), and the Obstetrical Information Management System (OBMS) Central Stations.
The pin allocations for the various signals are shown below.
Figure 6-8System Interface Connections
The following table lists the pin numbers, the signals at each pin and the signal details. If a
Telemetry/System Interface M1350-66536 is connected at the same time, you should check the
correct setting of C13. See Chapter 5 for the correct setting.
System Interfaces 59
Page 76
Table 6-2System Interface: Pin Connections
PinSignalSignal Details
1HR2 O utput1 V/100 bpm ±40mV (0V if not valid) R_out = 100Ω
2Not connected
3RS422 Output +Digital Serial Output
4Toco Status OutputToco external/No Toco (L)
5HR1_ v alid O u tp utW hen heart rate is valid, output is high.
6Not connected
7Not connected
8Not connected
12Ground AnalogSignal Grou n d
13Toco 10V1 V/10 Toco-units ±100mv
14HR2-Mode 10V OutputUS=0.6V / ME CG =5V / D EC G =6. 7V
15RS422 Output - Digital Serial Output
16Flash 1Pulse (H) > 100ms (Digital Signal)
17RS422 Input +Digital Serial Input
IUP (H) (Digita l Signal)
/ INOP=8.5V
R_out = 100
/ INOP=8.5V
Ω
18RS422 Input -Digital Serial Input
19Instrument ON/OFFOpen PNP Collector
R_i = 22k
20External Marker0V=On (Output)
1
*
21
FHR1 Analog Output1V/100bpm ±30mV R_ out =100
22External Test InputWhen input is low, external test is on.
Internal Pullup 5k
23Instrument ID2. 5V R eg ul ated
R_i = 100
24Chassis GroundChassis ground
1. In th e event of a “paper end” or an “FHR coincidence” condition, an analog signal is applied t o P i n 21 FH R
1 output. This lasts approximately 600msec and is repeated every minute while the condition remains. The
exact output voltage values are shown in the following table.
The Dual Serial Interface board provides data communication between the Philips monitor and
external devices. A model 8801 adapter is required from Critikon before the Dinamap 8100 can
be connected to the interface socket on the Philips monitor. External parameters are transmitted/
printed only if the monitor has no internal parameters installed.
COLIN Press-Mate/Nippon Colin YesNoNoYesNo
Listmini Model BP-8800YesNoNoYesNo
Datascope Accutorr 3, 4YesNoNoYesNo
Dinamap 1846/8100 NIBP MonitorYesNoNoYesNo
Datascope Accutorr 3SAT, 4SATYesYesNoYe sNo
Nellcor Oxygen Saturation monitor (N-200)NoYesNoY esNo
Nellco r OxiFirst Fetal Oxygen Saturation
monitor (N-400)
1. An MHR measurement is provided in conjunction with maternal NIBP or SpO2 monitoring
2
Yes
2
Yes
NoNoNoNoYes
Yes
Yes
2
2
Yes
Yes
2
2
MHR
2
Yes
2
Yes
1
FSpO2
No
No
.
System Interfaces61
Page 78
2. Only if this parameter is installed on the exter nal dev ice.
Measurement Priority Measurements made by internal maternal parameters (SpO
MHR) take precedence above the same measurements made by an externally connected device.
The MHR measurement obtained from the SpO
obtained from the NIBP measurement.
Connecting External Devices
The supported external devices are connected to the monitor via the Dual Serial interface at the
rear of the monitor. External devices connected to socket 1 that can monitor SpO
over the
Warning
Before connecting an external device to the monitor, connect the equipotential grounding
point (3) to earth potential. Use the grounding cable supplied with the monitor. The power
cord of the external device must be plugged into a wall-mounted power outlet - not into an
extension block.
The Dual Serial Interface has two sockets: see 6-1.
To connect either a Philips CMS, a Philips 78352 C or 78354C, a Din amap 1846/8100, or a
Datascope Accutorr monitor follow the instructions below. The screws for the Philips CMS and
Philips 78352C or 78354C are metric and should be tightened by hand only, and not with a
screwdriver.
n
Use interface cable M1350-61609.
n
Connect the 9-pin end of the cable to the Philips Series 50 XM or XMO monitor.
n
Connect the 25-pin end of the cable to the external device.
n
Secure the interface cable by the screws at the cable connectors.
Figure 6-9Interface Cable M1350-61609
COLIN BP8800
To connect a COLIN BP-8800 Monitor to a Philips Series 50 XM or XMO monitor:
n
Use the interface cable supplied by the COLIN Corporation with the NIBP monitor.
n
Connect the 9-pin end of the cable to the Philips Series 50 XM or XMO monitor.
n
Connect the 15-pin end of the cable to the COLIN.
n
Secure the interface cable by the screws at the cable connectors.
Figure 6-10 COLIN Interface Cable
System Interfaces 63
Page 80
Nellcor N-200
or N-400
Monitor
To connect a Nellcor N-200 or N-400 monitor to the Philips Series 50 XM or XMO monitor:
n
Use the interface cable M1350-61609.
n
Connect the 25-pin end of the cable to the Philips Series 50 XM or XMO monitor.
n
Connect the 9-pin end of the cable to the Nellcor N-200 or N-400.
n
Secure the interface cable by the screws at the cable connectors.
n
Set the dip switches on the rear panel of the Nellcor N-400 fetal SpO2 monitor to:
•Up: 4, 8
•Down: 3, 6, 7,
This selects a baud rate of 2400 and an output format of “Conversation”. The positions
of the other dip switches do not matter.
Philips V24/
V26
To connect a V24/V26 to the Philips Series 50 XM or XMO monitor:
n
Use the interface cable M1353-61614.
n
Secure the interface cable by the screws at the cable connectors.
The following tables list the pin numbers, the signal at each pin and the signal details.
Table 6-49-Pin Connector
PinSignalSignal Details
1- Connected to pin 4
2RxD (RS232)Received data input
3TxD (RS232)Transmitted data output
4Connected to pin 1
5GNDSignal ground
64 System Interfaces
Page 81
Table 6-525- Pin Connector
PinSignal Signal Details
2TxD (RS232)Transmitted data output
3RxD (RS232) Received data input
RxD-1 (RS422)Received differential data input +
7GNDSign al ground
9 TxD-1 (RS422)Transmitted differential data output +
10TxD-2 (RS422)Transmitted differential data output 18RxD-2 (RS422) Received differential data input -
Figure 6-11 Dual Serial Interface: 9-Pin and 25-Pin
System Interfaces 65
Page 82
External Device Baudrate Settings and Configurations
Philips CMS
Baudrate:9600
Startbit:1Parity:None
Databits:8TX/RX:High/Low
Stopbits:1Computer:On
Cable:M1350-61609 only
Port:Any port may be used, but ensure the above settings are stored
to the Philips C MS in configuration mode.
Philips 78352C
and Philips
78354C
Baudrate:9600Switches:SW5 Open
Startbit:1SW6 Closed
Databits:8Parity:None
Stopbits:1
Cable:M1350-61609
Port:Only port B (sometimes referred to as port 2) can be used if
the Philips 78352C or 78354C is configured to 9600 Baud.
COLIN BP8800
Baudrate:4800
Startbit:1
Databits:8Parity:Even
Stopbits:1
Cable:Supplied by the COLIN Corporation
Annotations on the trace of measurements made by external devices are always prefixed with an
asterisk, *. Maternal measurements made by the 50 XM/XMO monitor itself have higher priority
than maternal measurements made by a device externally connected to it.
Table 6-6External Maternal Measurement Frequency
Parameter
Measurement Printout
Interval
InternalExternal
SpO
2
NIBP
MECG WaveformOn demandNot available
TemperatureNot available5 minutes
1. If you are using automatic mode to measure maternal blood pressure, with a short interval between
repetitions, no t a ll m ea surements will be reco rded on the paper.
5 minutes
Each measurement
1
If you monitor maternal NIBP only, an MHR measurement is printed at the same time as the
NIBP measurement. If you monitor SpO
the maternal SpO
measurement, every 5 minutes.
2
, an MHR measurement is printed at the same time as
2
If you set the NI BP mon itor to auto mati c mode, you must leave a mini mum ti me int erval bet ween
each measurement. This time interval depends upon the paper speed setting.
Paper SpeedMinimum Time Interval
1 cm/min3 minutes.
2 cm/min2 minutes.
3cm/min1 minute.
68 System Interfaces
Page 85
Troubleshooting
You can use the fo llowing tables for solving gener al application problems and product-specific
problems that may occur. For solving general technical problems, refer to the troubleshooting
flowcharts.
ProblemPossible CausesSolutions
General
Not all maternal NIBP measurements ar e printed
on the trace and the NIBP Monitor is in
automatic mode.
Incorrect SpO
or Temperature measurements.The monitor has been switched on before the
2
ProblemPossible CausesSolutions
No maternal SpO2 and no MHR measurements
are printed on the trace.
ProblemPossible CausesSolutions
No FSpO2 annotation after Rec On in Toco grid.
mat HR and mat SpO
of trace.
appear as printout instead
2
The time interval between each measurement is
too short.
appropriate sensor was applied.
Nellcor N-200 Maternal SpO2 Monitor
The Nellcor monitor is powered by the internal
battery. (Battery power symbol is lit.)
Wrong DIP switch configuration of N-200
monitor.
Nellcor N-400 Fetal SpO2 Monitor
Wrong DIP switch configuration of N-400
monitor.
Wrong setting of C10.
No FSpO
Wrong C1 0 setting.
transducer plugged in.
2
Set the minimum time interval according to
paper speed. (See previous pages in this Chapter).
Apply sensor 5 minutes before the monitor is
switched on.
Switch on the AC power at the rear of the
monitor. (Battery power symbol is not lit.) See
also “FSpO2 Monitor” on page 11-166 for
troubleshooting instructions.
FSpO
2
Check DIP switch configuration of N-200
monitor (see page 64).
No maternal measurements are printed on the
trace.
No MHR measurement is printed on the trace.Incorrect parameter source.If the SpO
No maternal temperature is printed on the trace.TEMP1 is not labeled T1.
Mat.HR 0 and Mat.SpO
on the trace.
0% values are printed
2
The parameters are switched off.
Incorrect interface cable.
Incorrect Philips CMS software revision.
Other RS232 external devices are blocking the
communication to the Fetal Monitor.
Incorrect configuration of the RS232 port.
Temperature sensor is not connected to module
TEMP1.
The Nellcor and the Philips CMS are connected in
parallel and the Nellcor front power supply switch
is in the off position and the rear power supply
switch is in the on position.
Switch on the parameters in the Parameters On/
Off menu. (See the Operating Guide supplied with
the Component Monitoring System.)
Ensure the interface cable M1350-61609 is used.
(This number is printed on bo th ends of th e cable.)
Ensure the Philips CMS has Revision C (or higher)
software.
Disconnect all other RS232 external devices,
except the fetal monitor from the Philips CMS and
turn the power supply switch for the Philips CMS
off. Wait at least 10 seconds, then turn the Philips
CMS power supply switch on a ga i n.
Check Philips CMS settings and refer to Philips
CMS Service Docu mentation.
HR/PULSE source to PLETH.
Change TEMP1 label to T1.
Check the cable connection of the temperature
sensor.
Ensure the Nellcor power supply switches (front
and rear) are both on or both off. Alternatively,
disconnect the Nellcor monitor completely (see
also page 166).
/PLETH module is plugged in, set the
2
70 System Interfaces
Page 87
Carrying Out the Checks
After you have installed the monitor, perform the f ollowing checks listed below:
1.Ensure you have loaded some paper and connected the power cord.
2.Turn the monitor on.
3.Check that the paper speed, and time and date are configured.
4.With no transducers connected, press .
You should see the following:
DISPLAY: All parts of the display are lit followed by all mode symbols. These will flash
alternately for about 10 s econds.
RECORDER: During the test the recorder speed will automatically set to 3cm/min and a
test pattern will be printed on the recorder paper to verify the condition of the thermal print
head and if the printer is correctly configured. See Figure 10-1. Recorder Test Pattern, for a
sample recorder test pattern.
7
Quick Installation Checks
5.Perform the Parameter Test as described in “Param eter Test” on page 118.
6.Check the Barcode Reader is correctly connected as outlined in Chapter 3.
The previous checks should verify the operation of the monitor. More complete tests, such as
transducer tests, are given later in this book.
Quick Installation Checks 71
Page 88
72 Quick Installation Checks
Page 89
Introduction
This chapter tells you how to upgrade the monitors, which options require which steps, and how
to restore the monitor’s original configu ration. Many of the upgrade option s (especially those
whose option number begins with “C”) require very similar steps to upgrade them, as you will see
from the tables.
Overview of Upgrade Options
There are many different upgrades possible. The following table shows you the upgrade option
numbers (upgrade option and part numbers are prefixed with M1360) and gives a brief
description of their function.
8
Upgrades
Existing Configuration
Series 50 XMSeries 50
add
Second US/Cardio channelC01C0 1C01C01
Fetal Movement ProfileC02C02C02C02
Maternal parameters onlyC04C03not applicableC30
FSpO
only C31C34C32not applicable
2
FSpO2 and maternal parametersC33C35not applicablenot applicable
latest software releaseS01S01S01S01
RS232 Interface (for Philips OB TraceVue)
or Telemetry Interface
Combined analog/digital system interface for
OBMS and ODIS
Maternal parameter interface to connect
external patient monitor
Series 50
IX
J10not applicablenot applicablenot applicable
J12J12J12J12
J13J13J13J13
without
maternal
parameters
with
maternal
parameters
XMO
without
maternal
parameters
Upgrades 73
Page 90
Work
Instructions at
a Glance
Each upgrade is described in a series of work instructions. Not all upgrades require all the work
instructions. The following table shows you exactly which instructions you must follow for the
upgrade you are performing.
Work Instruction
Upgrade
option
C01
C02
C03
C04
C30
C31
C32
C33
C34
C35
S01
1 2 3 4 567 8910
а а а аааааа
а а а аааааа
áá á
à
áá áá
áá á
à
áá áá
áá á
à
áá áá
áá á
áá á
áá
а ааааа
à
à
áá
àààà
áá
àààà
á
àààà
á
à
à
ббббб
à
áá
á
à
áá
á
ááá
á
ááá
á
á
á
à
à
à
à
à
à
à
à
à
J10
J12
J13
74Upgrades
áá
áá
áá
а ааааа
а ааааааа
а ааааа
á
á
à
à
Page 91
Options at a
Glance
The following table gives you an overview of what is involved in each upgrade option. All “Cxx”
upgrades include a mandatory CPU firmware upgrade for the ROM board.
OptionAdds.....Factory ships.....You must.....
C01second US/Cardio
• upgrade key• upgrade and test the monitor
channel
C02Fetal Movement Profile
C03mat ernal p arame ters to
an XM without maternal
capability
• new display
• NIBP board
• SpO
board
2
• new CPU firmware (4
EPROMs)
C04mat ernal p arame ters to IX• installed new base assembly
• new CPU firmware (4
EPROMs)
• use original base assembly
• fit new display
• connect NIBP and SpO
and fit both boards
2
• upgrade ROM board with new CPU firmware
• configure and test monitor
• transfer original cover, recorder, power supply and
ROM board to new base assembly
• upgrade ROM board with new CPU firmware
• configure and test monitor
C30mat ernal p arame ters to
an XMO without
maternal capability
C31FSpO
only (no
2
maternal parameters) to
an IX
C32FSpO
to an XM that
2
already has maternal
capability
• new display
• NIBP board
• SpO
board
2
• new CPU firmware (4
EPROMs)
• installed new base assembly
• new CPU firmware
• new display
• FSpO
board
2
• new CPU firmware (4
EPROMs)
• use original base assembly
• fit new display
• connect NIBP and SpO
and fit both boards
2
• upgrade ROM board with new CPU firmware
• configure and test monitor
• transfer original cover, recorder, power supply and
ROM board to new base assembly
• upgrade ROM board with new CPU firmware
• configure and test monitor
• use original base assembly
• fit display assembly
• Fit FSpO
board
2
• upgrade ROM board with new CPU firmware
• configure and test monitor
C33mat ernal p arame ters and
FSpO
to an IX
2
• installed new base assembly
• new CPU firmware (4
EPROMs)
• transfer original cover, recorder, power supply and
ROM board to new base assembly
• upgrade ROM board with new CPU firmware
• configure and test monitor
C34FSpO
C35FSpO
only to an XM
2
without maternal
capability
and maternal
2
parameters to an XM
without maternal
capability
• FSpO2-only display
• FSpO
board
2
• new CPU firmware (4
EPROMs)
• new display
• FSpO
board
2
• NIBP board
• SpO
board
2
• new CPU firmware (4
EPROMs)
S01latest software• new CPU firmware (4
• use original base assembly
• fit FSpO
board
2
• fit new display
• upgrade ROM board with new CPU firmware
• configure and test monitor
• use original base assembly
• connect NIBP and SpO
• fit FSpO
board
2
and fit boards
2
• fit new display
• upgrade ROM board with new CPU firmware
• configure and test monitor
• upgrade ROM board with new CPU firmware
EPROMs)
J10RS232 interface for OB
TraceVue, or Telemetry
interface
J12combined analog/digital
• RS232/Telemetry board
• new CPU firmware (4
EPROMs)
• Analog/digital interface board• Fit new board
• upgrade ROM board with new CPU firmware
• Fit new board. Series 50 IX only.
system interface for
OBMS and ODIS
J13maternal parameter
interface
• Interface Board
• CPU firmware (4 EPROMs)
• Cable to link monitor to exter-
• Fit new interface board
• upgrade ROM board with new CPU firmware
nal device
Upgrades 75
Page 92
Initial Inspection
The upgrades are supplied packed in protective shipping cartons. Before unpacking, visuall y check
the packaging and ensure there are no signs of mishandling or damage. Using the table above,
ensure that you have received the correct components for the upgrade option number, check that
the contents are complete and that you have th e correct upgrade.
Claims for
Damage
Follow the instructions in the section “Unpacking and Checking the Shipment” on page 1-4 if the
shipping cartons show signs of damage.
What You Need
Upgrading a monitor requires simple tools:
n
n
n
n
n
Before You
Start
Warning
Disconnect the electrical power to the monitor before you remove any component. Follow
the necessary electrostatic discharge (ESD) procedures throughout the upgrade process.
pozidrive screwdriver size 1
safety test equipment
PC for configuratio n
Configuration software “pegserv.exe”
Cable to link PC to fetal monitor
76Upgrades
Page 93
Instruction 1 Verifying Monitor for Upgrade
Before you s tart the upgrad e pr ocess, ensur e that y ou are upg rading the c orr ect moni tor and t hat it
is working properly.
Options Requiring this Procedure
C01C02C03C04C30C31C32C33C34C35S01J10J12J13
àà
бббб б ббббббб
1.Check the monitor’s serial number as described in the section on “Instrument Identification”
on page 1-6.
When you have upgraded the monitor, remove the old serial number labels from the
monitor and replace them with the new labels supplied in the upgrade pack.
2.Ensure that the monitor you are about to upgrade works correctly. Perform a Quick Test
and a Parameter Test on the monitor. These are detailed in Chapter10, “Safety,
Maintenance, and Calibration.”
If the monitor does not successfully complete its service tests, do not upgrade it. Make
appropriate arrangements for its repair. It is more expensive in time and money to
troubleshoot after an upgrade.
Instruction 2Checking Current Configuration
The first step in the upgrade process for all upgrade options is checking the current configuration.
You do this by printing the error log to provide you with a record of the current configuration.
After you have finished upgrading the monitor, you will need this record to help you to restore the
initial config uration. See page 30 for instructions on printing the error log.
Options Requiring this Procedure
C01C02C03C04C30C31C32C33C34C35S01J10J12J13
àà
Upgrades 77
бббб б ббббббб
Page 94
Instruction 3Removing the Top Cover
See “Removing the Top Cover” on page 12-169 for instructions.
Options Requiring this Procedure
C01C02C03C04C30C31C32C33C34C35S01J10J12J13
àà
áááá á ááá
Instruction 4Using the New Base Assembly
When you upgrade a Philips Series 50 IX monitor, you receive a new base unit that is fully fitted
with the options that were ordered. All you have to do is transfer some components from the
original monitor into the new base unit and perform a firmware upgrade. From the original
monitor, you must reuse the cover, the power supply, the recorder and the ROM board.
Options Requiring this Procedure
C01C02C03C04C30C31C32C33C34C35S01J10J12J13
ààà
á
à
á
à
á
аааааа
àààà
78 Upgrades
Page 95
Reusing the
Power Supply
To remove the power supply from the monitor:
psm20sca.tif
1.Undo the four screws at the rear of the power supply.
2.Pull the power supply out of the rear of the monitor.
3.Put the power supply into the new card cache of the upgrade kit. This is basically a reversal
of the above procedure. Hold the ON/OFF switch (on the front of the monitor) as this can
be dislodged while inserting the power supply. If you have trouble locating the power supply
into the rear of the monitor, remove and check that the pins connecting the supply to the
backplane are not bent. Reinsert the supply.
Reusing
Boards
Depending on the configuration of the original monitor, you may have to swap up to three other
boards from the original monitor into t he n ew one. The t echni que for r em oval and replacement is
the same for all of the boards. These boards are:
n
Telemetry interface
n
Dual serial interface
n
OBMS interface
1.Undo screws (1) and (2) at the top and bottom of the board.
Upgrades79
Page 96
2.Move lever (2) upwards and pull the board out of the rear of the monitor .
2
1
psm23sca.tif
3.Put the new board(s) into the appropriate slot(s):
•Telemetry interface - remains in Slot 3
•Dual serial interface - put into Slot 7
•OBMS interface - put into Slot 8
4.Replace and tighten the screws.
80Upgrades
Page 97
Using the
Existing
Recorder
To swap the existing recorder to a new unit, follow the instructions in the section on “Recorder
Assembly” on page 12-176.
psm26sca.tif
Then replace the cover on the monitor, using the four screws you reserved earlier.
Labeling 1.Stick the option indicator label (whi ch indicates whether the monitor has FMP and/or twin
capability) beneath the remote event marker socket.
2.Place the upgrade serial number label on the righthand side of the cover so that it can be
easily seen.
Upgrades81
Page 98
Instruction 5Removing the Display Assembly
To remove the display panel you need first to remove the front end board, and then the digital
interface board. This applies to upgrades to XM and XMO monitors.
Options Requiring this Procedure
C01C02C03C04C30C31C32C33C34C35S01J10J12J13
àà
ARemoving
the Front End
Board
BRemoving
the Digital
Interface
Board
á
See “Frontend Boar d” on page 12-178 for instructions on how to remove the frontend board.
à
á
à
á
à
áá
àààà
difboard.hpg
1.Disconnect all the cables:
•loudspeaker cable (1)
•power LED connector (2)
•recorder switch board connector (3)
•recorder sensing board connector (5). Unlock the flex layer connector by pulling it
slightly forwards.
82Upgrades
Page 99
•recorder stepper mot or (6)
•frontend board connector (7)
•backplane flat cable (13)
2.Disc onnect the recorder print head (4) fr om the record er assembly.
3.Remove the two screws (8) and (11) that hold the board in place.
4.Slide the digital interface (DIF) board towards the rear of the monitor before lifting the
board up, to give the marker connector a “chance”.
5.Remove the label from the front end connector area. Score carefully around the connectors
in the area with a flat bladed knife. Do not allow any adhesive to remain on the front panel.
CRemoving
the Maternal
See “Display Assembly” on page 12-182 for instructions on how to remove the maternal display
panel.
Display Panel
Next StepIf your upgrade is Option C03, C30 or C35 go to “Adding SpO2 and NIBP Capability” on page
8-84.
If your upgrade is Option C32 or C34, now go to “Adding an FSpO2 Board” on page 8-86.
Upgrades83
Page 100
Instruction 6Adding SpO2 and NIBP Capability
This adds maternal pulse oximetry and blood pressure measurement capability.
Options Requiring this Procedure
C01C02C03C04C30C31C32C33C34C35S01J10J12J13
àà
á
à
á
à ààà
á
àààà
matcable.hpg
1.Remove the two plastic parts that pad the two holes already prepared for the NIBP and
SpO
connectors (screws 1 an d 2).
2
2.Remove the three cover-blanks that cover slots 4 and 5 (NIPB) and 9 (SpO
of the monitor.
3.Fix the NIBP tubi ng and SpO
force the screws drilled into the plastic on the front panel.
84Upgrades
cabling, with their connectors, to the front panel. Do not
2
), from the rear
2
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