WarrantyThe information contained in this document is subject to change without notice.
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Philips Medical Systems
3000 Minuteman Road
Andover, MA 01810-1085
(978) 687-1501
Publication number
M2600-90192
Printed in USA
Philips Medical Systems makes no warranty of any kind with regard to this material,
including, but not limited to, the implied warranties or merchantability and fitness for
a particular purpose.
Philips Medical Systems shall not be liable for errors contained herein or for
incidental or consequential damages in connection with the furnishing, performance,
or use of this material.
New editions of this document will incorporate all material updated since the previous
edition. Update packages may be issued between editions and contain replacement
and additional pages to be merged by a revision date at the bottom of the page. Note
that pages that are rearranged due to changes on a previous page are not considered
revised.
The documentation printing date and part number indicate its current edition. The
printing date changes when a new edition is printed. (Minor corrections and updates
that are incorporated at reprint do not cause the date to change.) The document part
number changes when extensive technical changes are incorporated.
WarningPhilips Medical Systems has done extensive validation of the systems
Software and hardware compatibility information provided in this document is
valid at the time of publication. New revisions are likely.
Compatibility revision changes are updated regularly in Service Notes.
Information in this document reflects information provided in Service Note
M2600A-007G Compatibility Char ts and M2600A -008G Softwar e Hist ory. As
updates occur, the last character in the service note number increments (for
example, M2600A-007G, H, I). The latest Service Note is available from a
Philips Medical Systems Response Center.
specified as compatible in the compatibility charts. Failure to adhere
to these compatibility charts could result in a malfunction or in
unspecified behavior.
Introducing the Philips Telemetry System 1-1
Philips Telemetry System
Philips Telemetry System
The Philips Telemetry System consists of the following components. See
Figure 1-1.
1. pocket sized Transmitters with removable Leadsets and SpO
Transducers
2. Philips Receiver Mainframe
3. Philips Receiver Modules (up to 8), housed in the Receiver Mainframe
4. active and passive Antenna Components
5. TeleMon (M2636B)
6. TelemetryConfigurationTool
7. Telemetry Service Tool
Patient
Electrode
Lead Set
Transmitter
9-V
Battery
SpO
2
Transducer
Digital UHF
Signal
Antenna System
2
Receiver Mainframe
IR Link
TeleMon
Configuration
Tool
Service
Tool
RCVR
Module
Processing &
Distributing CPUs
(up to 8
Receiver Modules
per Mainframe)
FE
Link
SDN
System
Communications
Controller
Figure 1-1 Philips Telemetry System Block Diagram
Leadsets and SpO
Transducer
The telemetry system provides ECG and SpO2 monitoring of ambulatory and
2
non-ambulatory patients. ECG and SpO
from the patient via Patient Electrode Leadsets and an SpO
data are acquired by the Transmitter
2
Transducer.
2
TransmitterThe Transmitter processes the signals and broadcasts them via Radio
Frequency (RF) to the Receiver and via infrared signals to the TeleMon.
Antenna SystemThe Antenna System is designed to create coverage areas where radio
signals can be picked up. Standard band transmitters broadcast signals at
characteristic frequencies between 406 and 480 MHz. These signals are
received by the antenna system, which distributes them to the receiver
Central
Station
1-2 Introducing the Philips Telemetry System
Philips Telemetry System
mainframe. Inside the mainframe, they are distributed further to the receiver
modules, each of which is tuned to receive from one transmitter.
For operation at extended UHF frequencies, transmitters broadcast signals in
the range 590-632 MHz. These signals are received by the antenna system and
sent to the Frequency Converter.
Frequency ConverterA Frequency Converter shifts or “converts” the signal from the antenna
system to a lower frequency. The “converted” signal is then fed into the receiver
mainframe, which distributes it further to the installed receivers. The receivers
are tuned to the transmitter frequency less the Frequency Converter frequency.
The Frequency Converter can be external to the Receiver Mainframe (Option
#C07) or on a PC board internal to the Receiver Mainframe (Option #C08)
Receiver MainframeThe Receiver Mainframe houses the Receiver Modules and converts the
received signal into a format that can be sent over the network and routes the
signal to the central station for display and analysis. The Receiver Mainframe
can accommodate up to 8 Receiver Modules.
Analog Output OptionAn Analog Output Option converts the SDN formatted signal back into an
analog value in the mainframe and is routed to a bedside or a Holter interface.
TeleMonThe M2636B TeleMonB is a portable monitor display that can be docked to a
transmitter via an IR link. It provides local display of 2 waves -- ECG waveforms,
pleth wave or a delayed/annotated arrhythmia wave -- and numerics for heart
rate, % SpO
, and NBP. The TeleMon also transmits NBP, recording, suspend
2
requests, and INOPs through the transmitter to a Philips Information Center
simultaneously with the transmission of the Transmitter’s ECG and SpO
signals.
2
NoteUse of the TeleMon is not described in detail in this Guide. For information on
the TeleMon Monitor, consult the
(PN M2636-90035), which includes the following
TeleMonB Customer Documentation CD ROM
M2636B TeleMonB Monitor
documents:
•Instructions for Use
•Service Manual
•Quick Guide
Telemetry
Configuration Tool
The Telemetry Configuration Tool is a software application that runs on a
computer that operates DOS and links to the transmitter via an IR link. It can be
used to set several transmitter parameters -- operating frequency, %SpO
sample
2
rate, auto shut off. For a description of the Telemetry Configuration Tool, see
Philips Telemetry System Configuration Tool Guide on the Philips Telemetry
the
System Service and User Documentation CD ROM
(PN M2600-90187).
Telemetry
Service Tool
The Telemetry Service Tool is a software application that runs on a computer
that operates Windows 98 or Windows NT. It links to transmitters via an IR link
and to the Receiver Mainframe via an RS232 PC board that must be mounted in
in the rear of the Mainframe. The Service Tool can be used for a variety of
configuration, service, and firmware upgrading tasks. For a description of the
Telemetry Configuration Tool, see the
Guide
on the Philips Telemetry System Service and User Documentation CD
ROM
(PN M2600-90187).
Philips Telemetry System Service Tool
Introducing the Philips Telemetry System
1-3
Transmitter
Transmitter
The Philips Transmitter is a battery powered (9-volt) Transmitter worn by
the patient. It acquires ECG and SpO
and SpO
Transducer, amplifies and digitizes the data, and broadcasts them at
2
data from the patient via a ECG Leadset
2
ultra high frequency (UHF) to a Receiver Module in the Receiver Mainframe.
processing occurs in the Transmitter. ECG processing takes place in the
SpO
2
Receiver Mainframe, Central Station, or at the bedside (analog output).
The Transmitter consists of the following assemblies. See Figure 1-1.
•ECG Leadset
•SpO
Transducer
2
•Front-end Assembly
•Case Assembly
•ECG Printed Circuit Board (PCB)
•Main Digital PCB, which contains the following subsections:
a. digital section
b. RF section, including the synthesizer
c. power supply
•SpO
•SpO
PCB
2
Transducer
2
•Battery
•Battery extender
1-4 Introducing the Philips Telemetry System
Transmitter
RF Connected to
Leadset Shield
Front
End
Assembly
RF
Cable
Main
PCB
Ref.
S
RL
LA
Defibrillator Protection
Lead Sel.& Calibration
A to D Converter (Analog Portion)
RF Out
Frequency
Synthesizer
Modulator
SIR
Interface
Window
A to D Converter (Digital Portion)
EEPROM
Lead Off
IR
LEDS
I
RA
ECG PCB
Digital
ASIC
RAM
EASI Leadset
E
ECG Leadset
V
Leadset
Detect
Switch
DSP
Patient
Button
Power
Supply
SpO
2
Connector
and
Gasket
SpO2 Transducer
Photo Current
Rtype/Rlambda
LED Current
Photo Amplifier
Clip Output
Selftest Signal
Generator
RCode
Measurement
LED Driver
Bandpass
MAIN - CPU
SpO2 PCB
Variable Gain
ADC
ASIC
Pierce
Osc.
Digital
Signal
Processor
A
LL
Case
Assembly
Battery
Contacts
Cradle
PWR
Module
Wall
Receptacle
Figure 1-2 Block Diagram of Philips Transmitter
LeadsetsThe standard ECG system supports two leadset configurations: 3-wire and 5-
wire. With a 3-wire leadset, only 1 lead is transmitted (lead II is the default),
and leads I, II, or III can be selected if the transmitter is configured for 3-wire
leadset selection. For EASI, a 5-wire leadset is required.
The ECG leadset provides connection from the inputs of the transmitter to the
electrodes on the patient. Each lead has its own front end circuitry in the
transmitter that routes the signal from each lead to the transmitter’s
processing circuits. The transmitter sources an active lead for each
connection. Each signal is then combined to generate the transmitted leads.
3-Wire Leadset
(Standard ECG)
The 3-wire leadset broadcasts one lead (lead II is the default) of ECG for
display at the Central Station. The selection of leads for display using the 3wire leadset are determined by whether the lead selection function is
enabled (
Yes) or disabled (No - factory default) in the transmitter
configuration.
Introducing the Philips Telemetry System
1-5
Transmitter
Lead Selection Enabled - With lead selection enabled, the cardiotach
lead, which is broadcast, can be selected using the Telemetry Service
Tool or Wave Viewer. In this mode, the broadcast lead can be selected
from Leads I, II, or III. The lead label is automatically changed at the
Central Station when the lead is changed.
Lead Selection Disabled (Factory Default) - When lead selection is
disabled, the broadcast lead is set at Lead II. The only way the lead can
be changed is by changing the electrode placement on the patient to a
non-standard configuration. When doing this, place the leads that
normally monitor lead II over the limb lead to be monitored. This means
that Leads I, II, III, or MCL can be monitored; however, the central
station will still display Lead II. The lead label must also be changed at
the Central Station to the lead being broadcast.
5-Wire Leadset
(Standard ECG)
With the 5-wire leadset, 3 leads are broadcast: II, III, and MCL. From these 3
leads, the software in the receiver mainframe can reconstruct the remaining 5
leads: I, aVR, aVL, aVF, and a true V lead. The leads to view can be selected at
the Central Station.
5-Wire Leadset
(EASI ECG)
When the transmitter is configured for monitoring the 12-lead EASI ECG, a 5wire leadset must be used. The 3 directly acquired or “raw” EASI leads (AI,
AS, ES) are broadcast by the transmitter. Software in the Philips Information
1
2
3
4
5
Center mathematically reconstructs the following leads: I, II, III, aVR, aVL,
aVF, V1, V2, V3, V4, V5, V6, and will perform arrhythmia analysis on 2 of the
leads and ST analysis on all 12.
EASI
If monitoring is attempted with a 3-wire leadset attached to an EASI ECG
transmitter, the system will report an
message (INOP) at the central station.
SpO2 TransducerWhen SpO
processed by a dedicated SpO
parameter values are sent as part of the broadcast.
Front End
Assembly
The Front End Assembly the Transmitter is where the ECG Leadset and the
Transducer plug in. It contains the following features:
SpO
2
1. Leadset detect switches that identify which leadset (3- or 5-lead) is
connected to the transmitter and sends the information to the digital
ASIC on the Main PCB. The leadset detect switches are positioned next
to the RL and V lead wires in the standard ECG configuration, or next to
the Reference and E lead wires in the EASI configuration (the two
connector cutouts are rectangular not square).
2. High impedance resistors that provide defibrillator protection to the
signal acquisition circuits on the ECG PCB.
3. Radio Frequency (RF) cable connection to the leadset shield that
allows the RF signal to be transmitted through the leadset, which acts as
an antenna.
INVALID LEADSET inoperative
is monitored, the data are received via a SpO2 Transducer,
2
circuit within the transmitter, and the
2
1-6 Introducing the Philips Telemetry System
Transmitter
Case AssemblyThe Case Assembly provides protection to the internal electronics of the
transmitter. It also contains the nurse-call button and the leads-off Light
Emitting Diodes (LEDs).
Transmitter ButtonThe Transmitter Button is a membrane switch that toggles a bit in the
transmitted message to ON when the switch is pressed. Electrically, the
transmitter button has two positions:
OFF (not pressed)
ON (pressed)
The Transmitter Button can be configured in the receiver mainframe to
perform the following actions when it is pressed:
1. generate a yellow-level nurse call alarm at the central station
2. generate a recording at the central station
3. generate both a nurse call alarm and a recording at the central station
4. do nothing
Once the alarm or recording has been started, it can only be stopped at the
central station. Pressing the button on the transmitter again does not affect
the alarm or the recording.
Manual SpO
Measurements
Even if the transmitter button is configured for DISABLED or if the button is
2
turned
OFF at the central station, Manual SpO
Transmitter button are still possible.
If a transmitter is set for intermittent SpO
measurements (manual mode, 1
2
minute and 5 minutes), manual measurements from the transmitter can be
initiated at any time using the transmitter button or Wave Viewer. SpO
be turned on at the central station for alarms and for display and trending.
NoteIf the transmitter is in manual mode, the SpO
will turn on automatically when a measurement is initiated. If the transmitter
is in the 1-minute or 5-minute sample mode, SpO
central station by the user.
To initiate a Manual SpO2 Measurement at the transmitter, do the following:
•Plug the transducer cable into the transmitter.
•Attach the transducer to the patient.
•Press and hold the transmitter button (approximately 6 seconds) until
the LA light for standard ECG (S light for EASI ECG) begins flashing.
When the transducer light turns off, the measurement is complete.
•Remove the transducer from the patient after the transducer light goes
out. The measurements value and time stamp will be displayed at the
Central Station for up to 1 hour or until the next measurement is made,
whichever comes first.
Measurements using the
2
must
2
parameter at the central station
2
must be turned on at the
2
Leads Off LEDsA Leads Off Light Emitting Diode (LED) turns on whenever one of the
leads falls off the patient, or if the circuitry for that lead is defective. There is
one LED for each electrode, and they are shown in the electrode placement
diagram on the transmitter in the standard lead placement.
Circuitry, which acquires the ECG signal from the leadset. This circuitry
provides basic preamplification of the signals, filters the signals, then
performs the first stage of analog-to-digital conversion.
The output circuit of the reference drive sums the outputs of the four other
electrode inputs to generate one output that is used for improving common
mode rejection performance. The reference drive output can be switched to
drive any of the four input electrodes.
The Front-end Circuitry for each input electrode does the following:
• acquisition and preamplification of ECG signal
• bandpass filtering and conditioning of the signal
• Initial analog-to-digital conversion of the ECG signal
Each Analog-to-Digital Converter consists of the following subcircuits:
•input buffer amplifier
•low frequency summing amplifier
•integrating analog-to-digital converter
The circuitry for each electrode is the same. Resistors of the input buffer
amplifier provide input protection for the front end ICs. An operational
amplifier sets the noise performance of the incoming ECG signal by filtering
out unwanted noise on the input leads. A low frequency feedback summation
amplifier provides preamplification and further conditioning of the incoming
ECG signal. The final stage of the analog section is a pulse width modulated
A/D converter. This is the first stage of the analog-to-digital conversion of the
ECG signal. The second stage takes place on the Main PCB.
Main PCB The Main PCB contains the main processing and signal transmitting circuits
for the transmitter. The Main PCB can be broken into 3 functional areas:
•Digital Section
•RF Section
•Power Supply
Digital SectionThe Digital Section of the transmitter consists of a digital ASIC, digital signal
processor (DSP), and memory. The digital ASIC consists of a gate array,
which provides interfaces to the DSP from the following circuits:
•ECG PCB
•3/5 wire leadset switch
•nurse-call button
•Leads Off LEDs
•SpO
•Serial infrared (IR) port to Wave Viewer
•Control lines for the frequency synthesizer
•RF output circuit
•Power Supply control
•Memory Section
circuits
2
1-8 Introducing the Philips Telemetry System
Transmitter
The gate array consists of latches and logic control gates that control the flow
of information to the DSP. The DSP then processes the signal from each
interface and includes it into the transmitted message. The following
paragraphs describe each interface controlled by the gate array and processed
by the DSP.
ECG PCB InterfaceThe ECG PCB Interface is a gate array that receives the output for each of
the 4 input electrodes and routes the signal to the DSP for the following
processing:
•Final analog-to-digital conversion of each lead signal.
•Checks for Leads-Off conditions
•Processing of the leads to be transmitted
•Pace pulse detection and processing
Lead Set Detect
Circuit
A Lead Set Detect Circuit in the Transmitter senses whether a 3-wire or 5-
wire leadset is being used. The transmitter has 2 pressure sensitive switches
that change from high impedance to low when an RL or V lead wire (standard
ECG leadset) or a Reference or E lead wire (EASI leadset) is inserted into the
connector.
NoteWhen replacing patient leadsets, it is very important to connect them properly.
An incorrect connection can cause the transmitter to detect the wrong leadset
.
Transmitter ButtonThe Transmitter Button on the Case Assembly has a direct connection to
the Digital Section of the Main PCB. Refer to the previous section or the
Instructions for Use for the Central Station for more information on the
transmitter button.
Leads Off LEDsLeads Off LEDs on the Case Assembly indicate when the leads are properly
connected to the patient. When the leads are properly connected, the LEDs
are off. When the Digital Section of the Main PCB senses a lead off condition,
it turns on the appropriate LED on the Case Assembly via a direct line.
In general, when the transmitter is on a patient or a simulator, a Leads Off
LED will light to indicate that a lead wire is not connected. However, there
are some subtleties in operation that may raise some questions for the service
provider. The LED that is on depends on several factors: if a leadset is
attached, which type of leadset is attached, how Lead Selection for a 3-wire
leadset in the transmitter is configured and which electrode wire is off.
There are 2 switches in the transmitter where the leadset plugs in. If the 2
switches are closed, the transmitter knows that a 5-electrode leadset is
attached to the transmitter. If they are open, the transmitter will respond as if
a 3-electrode leadset is attached. Note that the transmitter cannot distinguish
between a 3-electrode leadset and no leadset. For this reason, if no leadset is
attached, the LEDs will react as if the transmitter has a 3-electrode leadset
attached.
Introducing the Philips Telemetry System
1-9
Transmitter
Knowing which electrode is the reference electrode is important for
understanding how the LEDs work, and the reference electrode depends on
which leadset is attached to the transmitter. If a 5-electrode is attached, the
RL (standard ECG) or the Reference (EASI) electrode is always the reference
lead.
If a 3-electrode leadset is attached, the reference electrode depends on which
lead is being measured by the transmitter.
Lead Selection in the transmitter is configured to NO (factory default),
When
the transmitter always measures lead II. Lead II is the voltage across the right
arm and left leg (RA-LL) electrodes. This leaves the left arm (LA) as the
reference electrode.
When
Lead Selection in the transmitter is configured to YES, then the lead
being measured can change and, as a result, the reference electrode can
change.
Table 1-1. Reference Electrode for 3-Electrode Leadset with Lead
Selection Configured for YES
Selected
-+Reference
Lead
IRALALL
IIRALLLA
IIILALLRA
Which LED lights also depends on which electrode wire is off. If the wire for
the reference electrode is off, only the reference electrode LED will be on –
even if multiple electrode wires are off. If the wires for any other electrode or
combination of electrodes are off, those LEDs will be on. There is one
exception to this. If all the electrode wires except for the reference electrode
are off, the transmitter cannot distinguish between this situation and the
reference electrode wire being off. In this situation, only the reference
electrode LED will be on.
From a user perspective, using the LEDs is simple:
•Attach the electrode wire(s) indicated by the LEDs on the transmitter
•Check the transmitter LEDs again
•If additional LEDs are on, attach the electrode wires indicated
•If a LED is on, and that wire is attached, then all of the other electrode
wires must be off.
Serial Infrared PortThe transmitter communicates to the TeleMon and Telemetry Configuration
Tool via the Serial Infrared Port (SIR). This port connects to the DSP via a
3 wire UART.
Power Supply ControlThe transmitter monitors the operation of the power supply and controls its
operation as appropriate. The digital section of the transmitter performs the
following Power Supply Control functions:
1-10 Introducing the Philips Tele me try Sys tem
Transmitter
Battery type sensing - The transmitter works with 8.4- and 9-volt batteries
(alkaline, zinc-air, and lithium) except when SpO
is being used.
2
CautionWhen using SpO
battery is used with SpO
BATTERY
If a
INOP are sent to the Central Station.
BATTERY WEAK message occurs, no SpO
communication can occur, but the ECG functions normally.
REPLACE BATTERY message occurs, all functions cease.
If a
Low Voltage and Replace Battery Circuit - If the battery voltage falls
below 6.6 volts, a battery weak signal is generated and transmitted to the
central station as an INOP. If the voltage falls below 5.9 volts, the replace
battery signal is generated and sent to the central station as an INOP.
Memory SectionThe Memory Section consists of a serial EEPROM, which stores the program
for the DSP. The program is loaded at power-up using a small set of
instructions contained within the ASIC. The DSP runs the program out of
internal DSP RAM. The EEPROM stores several variables so that
configuration information is kept when the battery is removed. The external
RAM is used as a communication buffer area.
RF SectionThe RF Section is a programmable frequency synthesized local oscillator
operating at ultra-high frequency. A temperature compensated crystal
oscillator provides the reference frequency. The digital bit stream from the
DSP is used to modulate the carrier frequency. These data are applied to the
synthesizer voltage controlled oscillator (VCO). The VCO output drives a
common-emitter bipolar transistor output stage. The output stage filter
provides spurious filtering and transforms the 50 Ohm nominal impedance of
the antenna circuit to present the optimum impedance to the output stage
collector for high efficiency. The shielded cable of the ECG lead set serves
as the broadcast antenna for the transmitter.
, zinc-air batteries cannot be used. If a zinc-air
2
, frequent BATTERY WEAK and/or REPLACE
2
or TeleMon
2
The transmitter frequency can be changed or set using the Telemetry Service
Tool or TeleMon.
Power SupplyThe Power Supply provides all of the voltages for use by the transmitter. It
consists of 2 linear low dropout regulators of 3 and 5 volts. This provides the
5V and 2.5V needed for the operation of the transmitter. Power to the
regulators is derived from an 8.4- or 9-volt battery. To protect against battery
reversal, power for the battery is delivered to a pair of back to back
MOSFETs.
Comparators sense and warn of low and replace battery conditions via the
power supply control circuitry of the digital section. The replace battery
indication is sent to the DSP to control shutdown so that the necessary
housekeeping and replace battery message can be transmitted prior to
shutdown.
Introducing the Philips Telemetry System
1-11
Transmitter
SpO2 ModuleThe SpO
attaches to the patient’s finger, and a SpO
Module of the transmitter consists of an SpO2 Transducer, which
2
Board.
2
SpO2 TransducerThe SpO2 Transducer measurement is based on the phenomenon that
oxygenated blood has different absorption in red and infrared light
wavelengths, related to the oxygenation of the blood.The red and infrared
LEDs in the SpO
sensor emit light, which is detected by a photo diode after
2
passing through the patient’s skin. The received signal is analog and digitally
processed, which yields a pulsatile raw wave for the red and infrared
absorption.
SpO2 BoardThe SpO
algorithm that calculates SpO
representation for the given raw wave. The red and infrared LED signals are
o
90
Board is shown in Figure 1-3. It contains a Main CPU with an
2
, pulse rate and perfusion value in numeric
2
out of phase. At the receiving Photo Diode, the sum of the signals is
analog processed and digitally demodulated. This method, based on the
theory of quadrature modulation, produces signals that are highly resistant to
noise (ambient light) and consumes less power than other methods.
Photo Amplifier
The transducer routes the input current from the photodiode to the Photo
Amplifier. The Photo Amplifier performs the following functions:
•Converts the input currents to output voltages
•First order, low bandpass filters the input signals to eliminate incoming
disturbances of higher frequencies.
SpO
Board
2
Photo Current
from Transducer
Rtype/Rlambda
LED Current
Transmitter Interface
Photo Amplifier
Clip Output
Selftest Signal
Generator
RCode
Measurement
LED Driver
Bandpass
Main
Processing
CPU
Variable Gain
ADC
ASIC
Pierce
Osc.
Digital
Signal
Processor
Figure 1-3 SpO2 Board Block Diagram
The Photo Amplifier is implemented as a differential amplifier to provide
balanced input characteristics and to suppress incoming disturbances.
1-12 Introducing the Philips Tele me try Sys tem
Transmitter
A clipping detection circuit is connected to the output of the Photo Amplifier
and serves as a controlling stage for the Photo Amplifier. By using a
comparator connected as an inverting Schmitt Trigger, clipping of the Photo
Amplifier signal caused by ambient light (for example) is detected. The output
of this stage is connected to the front end controlling firmware of the Main
CPU to generate an INOP alarm in case of excessive clipping. The comparator
circuitry contains a hysteresis loop to avoid jittering of the output signal.
Bandpass Filter
The modulated signals coming from the photo amplifier pass through a third
order Butterworth Bandpass Filter. This serves as an anti-aliasing filter and
filters out all disturbance frequencies outside a passband centered on the
modulation frequency.
Variable Gain Amplifier and Analog to Digital Converter (ADC)
The Variable Gain amplifier augments the signal from the bandpass filter
and routes the signal to the Analog to Digital Converter (ADC). The
output of the ADC is sent to the digital ASIC.
ASIC
The digital ASIC works as an interface between the DSP and the main
processing CPU. In addition, the digital ASIC acts as an interface to the ADC
and contains all frequency generators for the ADC clock, the sampling
frequency, and the modulation frequency and the necessary glue logic.
Digital Signal Processor (DSP)
The Digital Signal Processor (DSP) communicates via the digital ASIC
with the ADC and main processing CPU. It demodulates and filters the
incoming ADC signals and transmits the output signals to the main processing
CPU.
Main Processing CPU
The Main Processing CPU performs the processing for the SpO2 signals. It
communicates via the digital ASIC with the DSP and contains the front end
controlling firmware for the LED driver circuit, the RCode measurement
circuit, the variable gain stage, the clipping detection, the power supply, and
the self-test circuit. The main processing CPU also provides a communication
interface to the transmitter controller.
LED Driver
The LED Driver circuit generates the LED current using two transistor
current sources receiving a constant voltage input from the power supply. A
bridge consisting of four transistors allows the LED current to be switched
alternatively for individually driving the red and infrared LEDs of the sensor.
To enable the different driving times of the LEDs, the main processing CPU
controls the transistors in the bridge.
Introducing the Philips Telemetry System
1-13
Transmitter
Self-Test Circuit
The Self-Test Circuit performs a self-test of the SpO2 measurement device
before patient signal processing begins. The Main Processing CPU produces a
pulse-width modulated signal which is analog low pass filtered to a sine wave
and converted to a photo current signal. During self-test, the connections of
the photoamplifier to the photodiode of the sensor are interrupted by
switches and the self-test signal is fed into the input of the Photo Amplifier.
RCode Measurement Circuit
The RCode Measurement Circuit identifies which sensor is being used by
measuring coding resistors. The Main Processing CPU reads the measurement
through a reference resistor and an amplifier stage.
Battery ExtenderThe Battery Extender consists of a cradle, which is fitted over the battery
compartment of the transmitter, and a cable connecting to a wall-mounted dc
power module.
When the battery Extender is in use, the transmitter is being powered by the
wall mounted dc power module. If the cradle is disconnected, the power will
immediately power the transmitter and the electrical unit ceases to power the
transmitter.
NoteThe purpose of the Battery Extender is to conserve battery life.
The Extender does not recharge the battery.
1-14 Introducing the Philips Tele me try Sys tem
Receiver Mainframe
Receiver Mainframe
The Receiver Mainframe provides the physical interface between the
receiver module and the central monitoring station via the Serial Distribution
Network (SDN). The receiver mainframe houses up to 8 receiver modules,
each one frequency-matched to a transmitter.
A BNC connector on the mainframe is used to connect to the antenna system
output. The BNC connector is connected to the antenna distribution board,
which distributes the combined RF signal to each receiver module. The
receiver modules receive incoming RF signals via a semi-rigid RF cable
connected to the antenna distribution assembly. The receiver modules plug
into the receiver backplane, which provides an interface to the internal power
supply and the digital backplane. The digital backplane provides interface to
the digital cardcage, which houses the signal processing and distribution
circuits.
For a standard ECG channel, the receiver mainframe calculates the heart rate
from the user-selected primary ECG lead and sends the result, with the ECG
wave information and any alarms, INOPS, and status information, over the
SDN. The mainframe also provides lead reconstruction, gain adjustment, and
filtering.
For an EASI channel, the receiver mainframe reconstructs Lead II information
from the three directly acquired or “raw” EASI lead outputs sent by the
transmitter (AI, AS, ES) and sends this information out on the SDN for
overview purposes. The mainframe also sends the 3 “raw” EASI leads to the
Philips Information Center (PIC) over the SDN.
The Philips Information Center (PIC) reconstructs the 12-lead EASI ECG lead
information and performs all ECG analyses and alarms. The PIC detects
arrhythmia and ST inoperative conditions and generates messages. The
mainframe sources all other INOPs detected by the telemetry system (Leads
Off, battery, SpO
The processing and distribution circuits of the receiver mainframe consist of
the following components:
•Rack Interface
•Utility CPU
•40 MHz configurable processor card (CPC)
•SDN Board
In addition to the 8 receiver module malfunction LEDs, the receiver
mainframe has a separate mainframe malfunction LED. The mainframe
malfunction LED is visible through a hole in the front dress cover and
illuminates to indicate a malfunction has occurred within the mainframe.
Cooling for the internal assemblies of the receiver mainframe is provided by a
dc fan. The fan operates on 12V dc from the power supply via the receiver
backplane.
equipment malfunctions, etc.) on the SDN.
2
Introducing the Philips Telemetry System
1-15
Receiver Mainframe
FE
Link
Fan
Antennas Distribution Board
Rack
Interface
1 - 8 Splitter
RRRR2R
Receiver Back Plane
Digital Backplane
Analog
Output
(optional)
Utility
CPU
SDN
Interface
RF Amplifier
Malfuction LEDs
1876R5R4R3
CPC
Card
1 Mainframe
8 Receiver Modules
+12Vdc
5Vdc
+12Vdc
5Vdc
Power
Supply
RF from
Antenna
System
Incoming
Line
Voltage
Figure 1-4 Block Diagram of Philips Receiver Mainframe
Power SupplyThe Power Supply is an auto switching power supply with the following
specifications:
Input Voltage: 100 - 240 Vac
Input Frequency: 47 to 63 Hz.
Power consumption (for M2604A with 8 M2603A receiver modules:
110 VA max, 95 VA average
81 W max, 72 W average
Radiated Immunity: 3 Volts/meter outside of operating receiver bands
The power supply generates two logic signals:
•SR (system reset) at start up
•PF (power fail) during power shut down
Antenna
Distribution
Assembly
The Antenna Distribution Assembly distributes the RF signal received
from the external antenna system to each receiver. The external antenna
connection to the receiver mainframe is made through a single BNC
connector on the rear panel, through the internal antenna cable, and
connected to the Antenna Distribution Assembly. An RF amplifier increases
the incoming RF signal. A low loss 1-to-8 splitter follows the amplifier. It
distributes the received RF signal to each receiver module.
The Antenna Distribution Assembly also contains a digital section consisting
of 8 receiver malfunction LEDs, 1 power-on LED, and a watchdog circuit that
drives the mainframe malfunction LED. A logic pulse train from the rack
interface resets the watchdog timer. If greater than 600 msecs elapses
between receipt of pulse trains, the watchdog timer output illuminates the
mainframe malfunction LED.
1-16 Introducing the Philips Tele me try Sys tem
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