Philips M2636B TeleMon B User manual

M2636B TeleMon B Companion Monitor

Service Manual

Part Number M2636-90034 Printed in the U.S.A. December 2003

Third Edition

Notice

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

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

We make 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.

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

Printing History

New editions of this document 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. 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 which are incorporated at reprint do not cause the date to change.) The document part number changes when extensive technical changes are incorporated.

All Editions and Updates of this manual and their publication dates are listed below.

M2636-90034, First Edition....................................................... December 2001

Printing History

M2636-90034, Second Edition....................................................... January 2003

M2636-90034, Third Edition....................................................... December 2003

About this Book

This User’s Guide covers the use of TeleMon B, model M2636B, a companion monitoring device for use with the Telemetry System Series C.

The User’s Guide contains information on performing day-to-day tasks and troubleshooting common problems as well as detailed information about all clinical applications. It includes lists of information messages and configuration choices. Your purchased system may not include all the functionality

described in this document.

User information for the TeleMon Monitor is also contained in the TeleMon Monitor On-line Info. Info focuses on how to complete basic tasks and troubleshoot problems.

About this Book

For operating information about the transmitter, ECG and SpO2 measurements, and the Telemetry System in general, please refer to the

Telemetry System Series C User’s Guide. See also the Information Center User’s Guide for operating information on the Information Center.

Document Conventions

Warnings

Warning

Warnings are information you should know to avoid injuring patients and personnel.

Cautions

Caution

Cautions are information you should know to avoid damaging your equipment and software.

Notes

Note—Notes contain additional information on the Telemetry System usage.

Procedures

Procedures are indicated in the text by the heading “Task Summary” followed by the following table:

Step Action

Contents

1. Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

Overview and Functional Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

System Compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1

Information Messages and Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

Ambulatory Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

A Quick Description of the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2

Front of TeleMon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Back of TeleMon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Front Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Direct Action Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Input Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Indicators

Main Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4

Major Assemblies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

2. Hardware and Software Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

Front Panel Assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-1

Monitor Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

Chassis Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

Main Board Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

The NBP Board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

The Inverter Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

The Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

The Rear Housing Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4

3. Site Planning—Specific Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

Environmental Considerations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Operating Altitude . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Radio Frequency Interference. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Power Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Antenna System Site Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3

Contents-1

Antenna Coverage Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

4. Installation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

Placement on a Flat Surface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Mounting on a Pole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Use of Pole Clamp with Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Use of Pole Clamp with External Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4

Mounting on the Wall (General) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

5. Parts List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1

6. Troubleshooting, Service and Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1

Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Purpose. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Alarms and Information Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Patient Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Suspending Patient Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

Information Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

Self-Test Error and Event Log Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8

NBP Event Log Error Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9

Power On Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11

Service Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12

Activating Service Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12

Restoring Standard Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12

Entering Demo Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13

Change Date & Time, Display Contrast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13

Viewing Transmitter Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13

Performing Service Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-14

Viewing the Event Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-15

Downloading the Event Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-15

Configuring the Transmitter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-16

NBP Diagnostics, Calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17

Conducting NBP Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-18

Upgrading the Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19

Getting Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19

Setting Up the Host Computer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-20

Installing the TeleMon Support Tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-22

Upgrading TeleMon’s Operating System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-22

Installing TeleMon’s Application Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-23

Contents-2

Cloning Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-25

Changing TeleMon’s Language Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-26

Using the Battery Reconditioner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-26

Recondition a Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-27

Charging a Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-28

Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-28

Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-28

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-29

Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-31

The Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-32

Removal of Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-32

Replacement of Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-32

The Front Panel Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-33

Removal of Front Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-33

Installation of Front Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-34

The Chassis Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-35

Removal of Chassis Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-35

Installation of Chassis Assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-36

The NBP Board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-38

Removal of NBP Board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-38

Installation of NBP Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-38

The Inverter Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-39

Removal of Inverter Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-39

Installation of Inverter Board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-40

The Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-41

Removal of Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-41

Installation of Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-41

The Main PC Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-42

Removal of Main Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-42

Installation of Main Board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-43

Replacing the Main Board Fuse or Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-43

The Speaker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-44

Removal of Speaker. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-44

Installation of Speaker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-44

The Battery Compartment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-45

Removal of Battery Compartment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-45

Installation of Battery Compartment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-46

The Battery Door . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-46

Removal of Battery Door. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-46

Installation of Battery Door. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-46

Contents-3

The Transmitter Dock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-47

Removal of Transmitter Dock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-47

Installation of Transmitter Dock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-47

The Fan Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-48

Removal of Fan Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-48

Installation of Fan Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-48

The Splash Guard. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-48

Removing the Old Splash Guard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-48

Installing the New Splash Guard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-48

7. Test and Inspection Matrix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1

M2600A Telemetry System - Test and Inspection Matrix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2

Safety Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5

M2600A Telemetry System - When to Perform Test Blocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8

8. Maintenance and Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1

Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1

Date & Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1

TeleMon Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1

Disinfection Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

NBP Cuff Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

NBP Calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3

Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3

9. Safety and System Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1

Safety Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1

Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6

Accidental Wetting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7

Electro-magnetic Compatibility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8

EN 61000-4-3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8

Avoiding Electro-magnetic Interference. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8

System Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9

Safety Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9

NBP Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9

Authorized Europe/

Middle East/Africa Representative. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10

Electrical Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10

Environmental Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10

NBP Measurement Specifications for TeleMon B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-11

Contents-4

Explanation of Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-12

Contents-5

Contents-6

Overview and Functional Description

The M2636B TeleMon Companion Monitor is a telemetry extension device providing non-invasive blood pressure (NBP) capability, a bedside/patient-side monitor/display, and isolated line power or battery power to extend the M2601A Telemetry Transmitter battery life.

As part of the Telemetry System, TeleMon with a docked transmitter provides local display of ECG waveforms, a pleth wave, a delayed/annotated ECG wave, heart rate, %SpO2, and NBP while simultaneously transmitting ECG, %SpO2 and NBP via a unidirectional RF telemetry link to the Information Center. This is provided by TeleMon within the antenna system coverage area. At the central station, a “docked transmitter” indication will be displayed to distinguish data being sourced from a transmitter docked with TeleMon.

Introduction

System Compatibility

Information Messages and Alarms

The M2636B TeleMon Monitor is designed for use with the Telemetry System Series C, and either a conventional Series C or EASI

The communication from the transmitter to the TeleMon is via an infrared port on the transmitter.

Patient alarms are generated and annunciated at the Information Center and at TeleMon B when local alarms are enabled. TeleMon displays information messages; these messages are also displayed in the patient sector at the Information Center, along with the ECG waveforms and SpO

and NBP readings.

transmitter.

Ambulatory Use The transition to ambulatory monitoring is seamless, given that the same transmitter

continues to source patient data and no user interaction is required to continue monitoring. The clinician needs only to remove the transmitter from TeleMon.

Introduction 1-1

A Quick Description of the Monitor

Front of TeleM on

Handle

NBP Connector

Transmitter Docking Recess

Battery Compartment

Back of TeleM on

NBP Cuff Holder

Power ON/OFF

DC Power

Product Label

Upgrade Port (underneath)

Use only a TeleMon-specific power supply.

Speaker

Connector* (18V, 1.83A)

Front Panel All operational interactions except power on/off and the docking/undocking of the transmitter

are performed using the keys on the front panel. In monitoring mode, there are three kinds of keys:

• Direct Action keys (RECORD, SUSPEND, and NBP) — enable immediate actions.

• Input keys ( , , and ) — enable you to navigate through a menu of choices.

1-2 Introduction

A Quick Description of the Monitor

• Help key - provides access to operational information during product use.

Below the keys, two indicators provide information on the power status of the monitor.

RECORD at Central

(Silence)

SUSPEND HELP

Input Keys

START NBP STOP NBP

Battery Charge Status

Initiates central recording. A flashing strip above the label indicates a recording is in progress.

Direct Action

Keys

AC Power Status

The function of each of the three Direct Action keys is displayed on the screen directly above the key.

RECORD at Central

Silence Silences current alarm at TeleMon

SUSPEND at Central

- or -

xx:xx min to

Temporarily suspends telemetry alarms at central for 3 minutes. Indicates the number of minutes remaining. Press again to UNSUSPEND.

UNSUSPEND

START

STOP

Starts and stops individual NBP measurement. Scheduled measurements continue uninterrupted.

Input Keys The three Input keys enable you to select a function by moving the highlight box (cursor) and

making task choices about that function.

For general operation: Use arrows to select a function or make a choice on a task list.

Help

For general operation: Press check mark to open or close the task list for a selected function.

? Displays, scrolls, and dismisses context sensitive help on the

selected function.

Introduction 1-3

A Quick Description of the Monitor

Indicators

AC Power On/Green—AC power is connected

Off—No AC power is connected.

Battery Charge Status On/Yellow—Charging the battery

On/Blinking Yellow—Initiating communication with the battery, or error condition

Off—No charging because either no battery or battery charged

Main Screen The Main Screen presents the data in graphical and alphanumeric formats. Up to two waves

can be displayed on the screen: two ECG waves, or one ECG and the pleth wave. If an EASI transmitter is docked, the text EASI will be displayed above the primary wave sector. Numerics are presented on the right: HR, %SpO

, and systolic/diastolic and mean NBP.

Softkey labels appear across the bottom of the screen. These define the multi-purpose keys directly below.

Waves

Size

Lead

Cal Bar 1 mV

Numerics

NBP Measurement Time*

Softkey labels

* Time remaining until next automatic measurement, or time of most recent manual measurement.

1-4 Introduction

A Quick Description of the Monitor

Other information on the Main Screen includes alarm and information message status, battery and AC power status, and access to monitor setup and service functions.

Alarm Status— TeleMon

Alarm Status—Central

Information Message

Battery Gauge

AC Power ON

Setup & Service

Major Assemblies

TeleMon is made up of three major assemblies:

• Front Panel Assembly

• Monitor Assembly

• Chassis Assembly

The monitor assembly has three boards, the main board, the NBP board and the Inverter board. The distinctive functionality of each board makes this unit particularly easy to service and troubleshoot. Additionally, the unit is designed to require little or no maintenance, making it ideal for today’s clinical environment.

Software TeleMon software is part of the Information Center system, which contains these basic

components:

• TeleMon

• Transmitter

• TeleFrame

•SDN

• Information Center/Surveillance Center TeleMon interfaces to the Information Center using an RF link provided by the transmitter and an SDN interface provided by TeleFrame.

Introduction 1-5

A Quick Description of the Monitor

Introduction 1-6

Hardware

Hardware and Software Description

The following is a summary of the major TeleMon subassemblies.

Front Panel Assembly

The Front Panel Assembly (Figure 6-3 on page 6-31) contains:

• Molded plastic front housing

• Anti-glare panel bonded to the inside of the window in the front housing.

• Touch-key keyboard unit, including power status LEDs, bonded into a recess below the window of the front housing.

• Keyboard-to-main cable.

Monitor Assembly The Monitor Assembly contains

• the Chassis Assembly, on which all the PC boards are located.

• the Rear Housing assembly, in which the transmitter dock, the battery compartment, the cooling fan and the speaker are mounted.

Chassis Assembly The Chassis is a metal plate. To one side of it three PC boards are fastened,

containing the major electronics of the TeleMon. The LCD is fastened to the other side.

Main Board Assembly

The Main Board (Figure 6-14 on page 6-42) contains:

• ICs required to store the software and perform the logic of measurement, analysis, calculation and display.

• Coin battery for the Real Time (RT) clock. This clock provides time stamps for data and times the transfer of data to and from TeleMon.

• Keyed connectors for the cables that supply power and control data to units performing specialized functions, such as display or NBP measurement. Each connector is uniquely keyed to prevent any misconnection. All power comes from Main Board circuits.

• The OFF/ON Power Switch, which extends through an opening in the left side of the rear housing when the unit is fully assembled. The switch performs the following functions:

– When ON, applies line power to the Main Board if the External Power

Supply is connected.

– When ON, applies battery power to the Main Board if the External Power

Supply is not connected.

Hardware and Software Description 2-1

Hardware

– When OFF, applies line power to the battery for charging if the External Power

Supply is connected. Only the various power and battery indicators are functional.

– When OFF, shuts off all power if the External Power Supply is not connected. The

coin battery on the Main Board continues to drive the Real Time (RT) clock and some memory circuits.

• The External Power Connector, which extends through an opening in the rear housing. Use of this connector feeds power from the External Power Supply to the Main Board, which may also distribute it to other modules.

• Serial Port. The Serial Port Connector on the Main Board is accessed through an opening at the bottom of the Rear Housing. The port is used for software updates. The opening is covered by a snap-lock door.

• Optical devices. The transmitter communicates with the TeleMon, when docked, through an infrared (IR) path. IR data is reflected onto an optical device on the Main Board through a perforation in the IR Shield. Another device provides a control and data path to the transmitter through a second perforation.

The NBP Board

The Inverter Board

The Non-invasive Blood Pressure (NBP) Board (Figure 6-9 on page 6-38) performs operations relating to taking a blood pressure with the cuff. The NBP Board contains:

• IC’s for regulating the operation of the Air Pump.

• A connector for the NBP-to-Main Cable.

• The Air Pump with mounting device. The pump is specified for at least 30,000 cycles before it needs to be replaced; 10,000 cycles before it needs to be calibrated.

• Conduit tubing for the air.

The Inverter Board (Figure 6-10 on page 6-39) applies 380 VAC at 5 mA to the LCD’s backlight, which is fluorescent. An oscillator in the inverter circuit changes DC input current from either the 10.8 battery or the external power supply to AC.

The Inverter Board Assembly consists of:

• A metal shield to limit radiation from the inverter circuits.

• The Inverter Board.

• Integral connectors for the Inverter-to-Main and Inverter-to-Display Cables.

The Display The Display (Figure 6-13 on page 6-41) contains:

• LCD. The LCD has a half-life of approximately two years. It should be replaced when it loses its brightness.

• Back Light.

• Non-detachable Inverter-to-Display power cable.

2-2 Hardware and Software Description

Hardware

• Connector for the Display-to-Main Cable, a ribbon cable conducting LCD control signals from the Main Board.

The Rear Housing Assembly

The Rear Housing Assembly consists of:

• Molded plastic rear housing.

• Speaker Mount (Figure 6-16 on page 6-44), a formed stainless metal piece bent into extensions for the Speaker mount and the data path reflector. Coded optical beams from a docked transmitter are reflected onto the optical receptor of the Main Board and beams from the emitter on the Main Board are reflected into the transmitter. Broken beams are interpreted by software in the processing unit of the Main Board as an undocked transmitter. On the outside of the Rear Housing, the NBP Cuff Holder is screwed to the Speaker Mount through the housing.

• Cooling Manifold Assembly, a formed metal piece fastened to the Rear Housing above the Transmitter Dock. A small cooling fan with integral drive motor is fastened to it. From the fan housing extends the Fan-to-Main Cable. Cooling and venting are facilitated by slots in the bottom and top rear surfaces of the Rear Housing, perforations on the side of the Rear Housing, and large perforations in the Battery Housing. The fan is powered by the OFF/ON switch at the side of the monitor.

• Transmitter Dock (Figure 6-19). Three interlocking plastic pieces forming a dock that fits into the docking port on the side of the Rear Housing. The Dock screws to mounts on the Rear Housing. The screws also hold the dock together. The Transmitter-to-Main power cable interlocks to the back of the Dock and terminates in a connector for Main Board attachment. An integral latch furnishes some resistance to docking and undocking the transmitter, and holds the transmitter in place. An opening in the top of the Dock passes optical data streams between the transmitter and the Main Board via a reflector surface on the Speaker Mount. All ECG and SpO transmitter. All RF transmission between the monitor and the Information Center requires docking and ECG cables and leads.

data comes from the

• Speaker held to the Speaker Mount with a metal clip. The Speaker-to-Main Cable is integrally attached to the speaker but features a connector on the Main Board side. The speaker faces perforations in the Rear Housing.

• Formed metal Battery Compartment (Figure 6-17) with detachable connector for the replaceable Battery-to-Main Cable. A flange on this compartment anchors the Chassis. Perforations in the compartment support air cooling. The battery may get warm during charging, especially as it approaches full charge.

• Sliding battery compartment door of molded plastic, key-locked to the Rear Housing.

• NBP tubing with collar connector on one end and external connector on the other, fastened to the Rear Housing with a large hex nut. The tubing carries air from the Air Pump located on the NBP Board.

• Four slip-resistant feet mounted to the bottom of the Rear Housing. They also hold the Battery Compartment in place.

Hardware and Software Description 2-3

Software

TeleMon interfaces to the Information Center using an RF link provided by the transmitter and an SDN interface provided by the Receiver Mainframe. However, this link is for clinical purposes only. There is a serial port on the bottom of the rear housing of TeleMon, for use in upgrading software.

Within TeleMon’s memory, the monitoring software and its configuration files are stored separately from the operating system binary image, allowing the product monitoring software to be upgraded without having to reprogram the entire operating system.

All software components necessary for upgrading a TeleMon are included on a TeleMon Installation CD. These components include:

• TeleMon Application Software

• A compatible TeleMon OS image

• A programming tool for programming the operating system in TeleMon directory

• Microsoft® ActiveSync® Connectivity Software

Service people upgrading/programming TeleMon Monitoring Software will also need the following components:

• TeleMon

• A host computing platform (laptop or desktop) with free serial port

• A synch cable that fits into TeleMon’s Upgrade Connector (for example an HP F122360901 cable)

• The TeleMon Installation CD

2-4 Hardware and Software Description

Site Planning—Specific Requirements

This chapter provides an overview of site planning for your telemetry system. It includes the following sections:

• Environmental Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

• Power Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

• Antenna System Site Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Site Planning—Specific Requirements 3-1

Environmental Considerations

The monitor should be used in an area reasonably free from vibration, dust, corrosive or explosive gases, and extremes of temperature and humidity. The following paragraphs give information concerning environmental considerations.

Temperature The monitor operates within specifications at ambient temperatures between 0 and 35

Celsius. Temperatures exceeding these limits could affect instrument accuracy and cause damage.

Operating

Operate and store TeleMon at altitudes up to 3,048 meters (10,000 feet).

Altitude

Radio Frequency Interference

Management of the RF environment in your facility is important to the overall performance of your telemetry system, including the monitor. The considerations are the same. In most cases, use of the monitor implies that the Telemetry System is already in place and the RF environment has already been taken into consideration. For full coverage of this topic, refer to the Telemetry System documentation, especially Chapter 2 of the Service Guide.

WarningWarning

TeleMon units containing transmitters that are 25 kHz apart in transmitter frequency interfere with one another at distances of 1-3 feet. This situation is aggravated by ECG cable proximity. Symptoms include dropout (at the information center), waveform artifact of the ECG (at central and TeleMon), and screen freeze (at TeleMon). To avoid this situation, maintain a distance of >3 feet between TeleMon units.

3-2 Site Planning—Specific Requirements

Power Requirements

The monitor is a mobile extension of the Telemetry System and can display and broadcast information through the antenna on battery power alone for up to a five hours. However, for bedside use it should be connected to a grounded wall outlet through its own external power supply. The bedside wall outlet should provide input of 100 - 250 VAC at 50 - 60 Hz. The monitor and therefore the bed need to be within 6 feet of where the external power supply is to be mounted. The line cord between the wall outlet and the external power supply must be grounded and routed and/or mounted to avoid accidental tripping or pulling.

The External Power Supply must be grounded during operation. If a 3-wire receptacle is not available, then a hospital electrician must be consulted to ensure that proper grounding is available on installation. Never attempt to use a three-wire to a two-wire adaptor with the External Power Supply. For details, see the “Electrical Specifications” on page 9-10.

Note—The TeleMon battery may not arrive at your site fully charged due to time in transit or

storage. Make sure that the battery is fully charged before using TeleMon.

Power Requirements

Antenna System Site Information

Antenna Coverage Area

All transmitter information is available at the TeleMon, whether or not the transmitter is in the antenna coverage area. However, if the TeleMon is outside the antenna coverage area, there is no communication to the Information Center and no indication at the TeleMon that the RF signal is not being received at the Information Center. Outside the coverage area, no alarms can be generated at the Information Center.

Site Planning—Specific Requirements 3-3

Antenna System Site Information

Site Planning—Specific Requirements 3-4

Installation

This chapter describes the alternatives available for the installation of a TeleMon monitor and its External Power Supply.

• Placement on a Flat Surface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

• Mounting on a Pole. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

• Mounting on the Wall (General). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Installation 4-1

Placement on a Flat Surface

The easiest and most mobile way to mount the TeleMon is simply to stand it on a flat surface. The monitor needs to be visible and in a safe place, as free as possible from the danger of accidental pulling, knocking over, or spilling of fluids.

The simplest placement of the External Power Supply is on the floor near the TeleMon. The power output cable allows a distance from TeleMon of six feet. Do not place the monitor where it can be pulled down onto the patient. The power input cord should run directly to the wall wherever possible. It should not be strung across a passage.

WarningWarning

To avoid the risk of accidental entanglement and strangling, place or mount the AC power cabling away from the patient. Use similar caution in temporarily storing ECG, NBP or SpO2 cables.

WarningWarning

4-2 Installation

Mounting on a Pole

Mounting on an IV pole combines mobility with stability. The External Power Supply can be mounted apart or near the TeleMon on the same pole. For example, mount the power supply at the bottom of the IV pole.

Note—The power input cord must run from the TOP of the power supply to the monitor, to

avoid seepage of spills into the plug on the other side (Figure 4-2).

For pole mounting, use the Pole Clamp, Part Number 5061-8363, which can support a maximum load of 14 pounds (6.5 kg).

Mounting on a Pole

Use of Pole Clamp with Monitor

Figure 4-1 Mounting TeleMon with Pole Clamp

Step 1. Screw the Dovetail to the rear surface of the Pole Clamp, using the screws provided

with the Dovetail. Two alignments are available, horizontal and vertical.

Step 2. Fasten the Pole Clamp to the supporting rail or pole. Use your judgement to

determine the most stable and solid method of mounting.

Step 3. Slide the NBP Cuff Holder on the back of the TeleMon down over the Dovetail

until the latch snaps.

Note—To remove the monitor, slide your finger under the TeleMon and push the latch

at the back, which is on the Dovetail.

Installation 4-3

Mounting on a Pole

Use of Pole Clamp with External Power Supply

WarningWarning

Do not mount the TeleMon below fluids, which may drip or leak onto it.

4-4 Installation

Figure 4-2 Mounting Power Supply with Pole Clamp

Step 1. Screw the External Power Supply Bracket to a Pole Clamp with the screws

provided.

Step 2. Fasten the Pole Clamp to the supporting rail or pole.

Step 3. Slide the External Power Supply into its bracket.

Mounting on the Wall (General)

Wall mounting requires the most preparation and is the most stable, but least mobile, configuration.

Caution

These mounting instructions are neither applicable in California nor sanctioned by the California OSHPD for installation in the State of California, U.S.A., in conformance to that state’s requirements for seismic protection.

The following instructions describe surface wall mount base installation to a wall.

Before instruments have been installed, the hospital or other facility, its consultants, or its contractors shall be responsible for meeting the following conditions:

• That the wall is adequate to safely mount monitoring instruments, including the selection of fasteners and their proper installation.

Mounting on the Wall (General)

• That the installation has been completed in accordance with accepted standards of good workmanship.

• Anchorage or support in a metal stud or wood stud wall must be verified by a registered professional engineer before installing the mounting system.

Installation 4-5

Mounting on the Wall (General)

WarningWarning

Existing wall construction and reinforcement:

The wall mounts must be capable of supporting four times the specified weight capacity after they have been properly installed. To provide this support in plaster, plasterboard, or gypsum board walls, the wall covering must be removed in the area of work and a reinforcement must be provided within the wall structure.

Do not install a wall mount onto solid brick or brick veneer walls, or onto crumbly wall material such as cinder blocks or deteriorated concrete or concrete block.

Ensure that no electrical wiring, piping, or other utilities within the wall interfere with or can be damaged by the installation process.

Fastenings:

Lead expansion bolts or plastic expansion anchors specifically are not adequate or safe. Use the anchors specified for solid concrete construction.

Never mount heavy instrumentation to plain gypsum board using expansion anchors. The wall covering (plasterboard or plaster) must be removed and the wall must be reinforced internally, in new or existing construction.

In Installation:

No portion of the mount or mainframe may extend over a patient’s bed.

Never exceed the maximum rated load specified on the label(s) attached to the wall mount in use.

Never exceed any maximum instrument stacking height specified on the label(s) attached to the wall mount in use.

Do not attempt to remove any wall mount while instruments are attached.

The wall mount is mounted directly to the wall. All mountings and anchorages must conform to local building codes and regulations. A variety of mounts are available and can be purchased, or the user can devise his own, provided it conforms to the warnings and regulations stated in this manual.

Installation consists of building a mount to which the Dovetail or External Power Supply Bracket are fastened. The monitor then slides and snaps onto the Dovetail and the External Power Supply slips into its bracket. The bracket can also be mounted directly on the wall.

In general, wall mounts must be installed securely to the wall’s internal structure with number 10 sheet metal screws, 1/4-20 or 10-32 pan head machine screws, or bolts with nuts or toggle wings. The type of fastening and method depends on the wall construction.

Note—Machine screws have built-in lock washers or other means of securing threads. All

sheet-metal screws have type-A threads.

4-6 Installation

You can install the mount base in three ways:

1. On Hollow Block or Hollow Tile Walls.

2. On Solid Concrete or Solid Block Walls.

3. On Drywall.

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