Philips PageWriter TC Cardiograph Service manual

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PageWriter TC Cardiograph

SERVICE MANUAL

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Notice

About This Edition

Published by Philips Medical Systems

Printed in USA Publication number

453564106431

Edition History

Edition 1, October 2008 Software Revision A.01.00 and higher

Edition 2, March 2010 Software Revision A.04.01 and higher

Edition 3, September 2010 Software Revision A.04.03 and higher

Warranty

Philips Medical Systems reserves the right to make changes to both this Service Manual and to the product that it describes. Product specifications are subject to change without notice.

Nothing contained within this Service Manual is intended as any offer, warranty, promise, or contractual condition, and must not be taken as such.

Philips Electronics N.V. All rights are reserved. All other product names are the property of their respective owners.

Reproduction in whole or in part in any form, or by any means, electrical, mechanical or otherwise, is prohibited without the written consent of the copyright holder.

Philips Medical Systems 3000 Minuteman Road Andover, MA 01810 USA (978) 687-1501

Unauthorized copying of this publication may not only infringe copyright laws, but may also reduce the ability of Philips Medical Systems to provide accurate and current information to users.

Compliance

The Philips Medical Systems PageWriter TC70/TC50/TC30 cardiograph complies with all relevant international and national standards and laws. Information on compliance will be supplied on request by a local Philips Medical Systems representative, or by the manufacturer.

Intended Use of this Service Manual

This Philips product is intended to be operated only in accordance with the safety procedures and operating instructions provided in the Service Manual, and in accordance with the purposes for which it was designed. Installation, use, and operation of this product is subject to the laws in effect in the jurisdiction(s) in which the product is being used. Users must only install, use, and operate this product in such a manner that does not conflict with applicable laws or regulations that have the force of law. Use of this product for purposes other than the express intended purpose provided by the manufacturer, or incorrect use and operation, may relieve the manufacturer (or agent) from all or some responsibility for resultant noncompliance, damage, or injury.

United States federal law restricts this device to use by or on the order of a physician. THIS PRODUCT IS NOT INTENDED FOR HOME USE.

Training

Users of this product must receive adequate clinical training on its safe and effective use before attempting to operate the product as described in this Service Manual.

Training requirements vary by country. Users must ensure that they receive adequate clinical training in accordance with local laws or regulations.

For further information on available training on the use of this product, please contact a Philips Medical Systems representative, or the manufacturer.

Medical Device Directive

The PageWriter TC70/ TC50/TC30 Cardiograph complies with the requirements of the Medical Device Directive 93/42/ EEC and carries the

mark accordingly.

0123

Authorized EU-representative:

Philips Medizin Systeme Böblingen GmbH Hewlett Packard Str. 2 71034 Böblingen Germany

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Contents

Chapter 1 Introduction

Who Should Use this Service Manual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Philips ECG XML Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Using the Philips InCenter Site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

About Adobe Acrobat Versions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4

Safety Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

Symbols Marked on the Cardiograph or Patient Interface Module (PIM) . . . . . . . . . . . 1-5

Safety Symbols Marked on the Cardiograph Packaging . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8

Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph Cart. . 1-9 Safety and Regulatory Symbols Marked on the PageWriter TC50/TC30 Cardiograph

Cart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9

Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph AC

Power Adapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10

Important Patient and Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11

Accessories and Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11

AC Power Adapter and AC Power Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12

Analog ECG Output Signal Port. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13

Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13

PageWriter TC50/TC30 Cardiograph One Battery Operation . . . . . . . . . . . . . . . . . . 1-14

Cart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

Defibrillation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

Diagrams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

Display Accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

ECG Interpretation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15

Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15

Faxed ECGs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15

General Cardiograph Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15

IEC 60601-2-51. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

Lead Wires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

Main Waveform Display Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

Modem Card and Fax Feature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-17

Pacemaker. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-17

Patient Data Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-17

Patient Interface Module (PIM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

Servicing the Cardiograph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

Touch Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19

USB Memory Stick . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19

PageWriter TC70 Cardiograph Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19

PageWriter TC50 Cardiograph Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-23

Contents-1

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Table of Contents

PageWriter TC30 Cardiograph Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-25

Patient Interface Module (PIM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-27

About Class A and Class B Patient Data Cables and PIMs . . . . . . . . . . . . . . . . . . . . . . .1-27

Attaching the Patient Data Cable to the PIM and Cardiograph . . . . . . . . . . . . . . . . . . .1-28

Special Note about Patient Interface Module (PIM) . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-30

PIM ECG Button. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-31

Configuring the 16-Lead PIM (PageWriter TC70 and PageWriter TC50

cardiograph only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-31

Installing the Batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-35

Notes about Battery Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-35

Charging the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-38

Calibrating the Batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-39

Battery Power Indicator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-39

Using the On/Standby Button. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-41

Using the Wireless LAN Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-42

Using the Modem Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-43

Using the USB Memory Stick . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-43

Using the Barcode Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-44

Using the Cardiograph Touch Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-45

Touch Screen Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-46

Changing the Lead Format on the Main ECG Screen . . . . . . . . . . . . . . . . . . . . . . . . . . .1-49

The Status Bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-51

Using the Keyboard Shortcuts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-53

Chapter 2 Cardiograph Care and Maintenance

Cardiograph and PIM Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3

Approved Cleaning Solutions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3

Patient Data Cable and Lead Wire Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4

Approved Cleaning Solutions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4

Reusable Electrode Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-5

Cleaning the Print Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-6

Changing the Printer Paper. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-7

Battery Maintenance and Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-9

Replacing the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10

Battery Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12

Patient Interface Module (PIM) Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14

Ping Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-15

Lead Wire Performance Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-15

Cardiograph and Accessory Disposal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-16

Maintaining the Touch Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-16

Touch Screen Calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-16

Touch Screen Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-16

Changing the Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-17

Replacing the PageWriter TC50/TC30 Cardiograph Fuse . . . . . . . . . . . . . . . . . . . . . . . . . .2-18

Cardiograph Overall Sensitivity Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-19

Contents-2 PageWriter TC Cardiograph Service Manual

Page 5

Table of Contents

Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19

Performing the Sensitivity Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19

Cardiograph and Accessory Disposal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20

Chapter 3 Troubleshooting

Troubleshooting Cardiograph Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Start up Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Display Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Keyboard Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5

Signal Acquisition Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

Main Screen Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10

Archive Screen Issues. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12

Configuration Screen Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18

Printer Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21

Compact Flash (CF) Card/USB Memory Stick Issues . . . . . . . . . . . . . . . . . . . . . . . . . . 3-25

TraceMaster ECG Management System Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-28

Orders Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-30

Remote Query Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-32

Fax Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-34

Log File and Custom Settings Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-34

Lead Map Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-35

Wireless Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-35

Restarting the Cardiograph. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-37

Using the Service Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-38

Using the About the Cardiograph Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-39

Using the Diagnostic Tests and Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-42

Using the Diagnostic Tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-45

Viewing and Saving Log Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-50

About Log Files. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-50

Saving Log Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-51

Chapter 4 Performance Verification and Safety Tests

Required Testing Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

External Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

Internal Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Upgrades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Test and Inspection Matrix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4

Test Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Performance Verification Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Visual Inspection (V) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Power On Test (PO) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6

Individual Functional Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6

Safety Tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12

PageWriter TC Cardiograph Service Manual Contents-3

Page 6

Table of Contents

Chapter 5 Parts and Supplies

Ordering Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-1

PageWriter TC70/TC50/TC30 Cardiograph Cart Replacement Parts. . . . . . . . . . . . . . . . . .5-2

PageWriter TC70/TC50/TC30 Customer Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . .5-3

Other PageWriter TC Cardiograph Replacement Parts. . . . . . . . . . . . . . . . . . . . . . . . . .5-5

Paper Tray Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-6

Patient Interface Module (PIM) Replacement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-7

Supplies and Ordering Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-7

Ordering Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-7

Special Note about Welsh Bulb Electrodes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8

PageWriter TC Cardiograph Supply Part Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8

Ordering Options and Upgrades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-11

Contacting a Philips Response Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-13

Chapter 6 Installing PageWriter TC Cardiograph Software and Enabling Tokens

Software Upgrades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1

Obtaining Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1

Downloading Software Files from Philips InCenter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1

Installing the Software Upgrade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3

Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3

Verifying the Software Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-7

Enabling Upgrade Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-8

Chapter 7 Cart Assembly

Safety Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-1

Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph Cart. . .7-1

Safety and Regulatory Symbols Marked on the PageWriter TC50/TC30 Cardiograph

Cart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3

Assembling the PageWriter TC70 Cardiograph Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3

Assembling the PageWriter TC50/TC30 Cardiograph Cart . . . . . . . . . . . . . . . . . . . . . . . . . .7-7

Using the Cart Wheel Positioners and Brake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-12

Chapter 8 Theory of Operation

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-2

Hardware Logical View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-2

Main Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-2

Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

Patient Interface Module (PIM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

Printer Control (FPGA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

Battery (Lithium Ion) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

Keyboard and Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

Contents-4 PageWriter TC Cardiograph Service Manual

Page 7

Table of Contents

Touch Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

LAN Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

Magnetic Card Reader (PS/2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

Barcode Reader (PS/2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

Smart Card Reader. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

USB Memory Stick . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

Wireless LAN Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6

Modem Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6

High Level ECG Data Flow and Storage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6

Internal Main Archive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9

Internal Remote Archive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9

External USB Memory Stick Archives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9

Rendered ECG Report Prints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9

Fax-Rendered ECG Report Print . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10

Power System Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-11

Battery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-11

Voltage Rails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12

Power Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-14

Battery Power Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-15

Battery Discharging. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-16

Battery Charging. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-16

Charge Current . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-16

Battery Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-16

Appendix A Specifications

Technical Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

PageWriter TC70 Cardiograph ECG Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

PageWriter TC50 Cardiograph ECG Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

PageWriter TC30 Cardiograph ECG Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

PageWriter TC70 Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

PageWriter TC50/TC30 Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

PageWriter TC70 Touch screen Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

PageWriter TC50 Touch screen Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

PageWriter TC30 Touch screen Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

Patient Interface Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

Patient Interface Module Signal Acquisition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

Signal Processing/Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

Auto Frequency Response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3

Rhythm Frequency Response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3

Minimum Amplitude or Value of Patient Physiological Signal . . . . . . . . . . . . . . . . . . . . . A-3

Filters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3

Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3

Report Formats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3

Battery Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-4

Ethernet LAN Network Connection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5

Wireless LAN Network Connection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5

FAX Capability (optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5

Modem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5

PageWriter TC Cardiograph Service Manual Contents-5

Page 8

Table of Contents

Barcode Reader (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5

Magnetic Card Reader (optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6

Smart Card Reader (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6

ECG Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6

Orders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6

ECG File Formats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6

Power and Environment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6

TC30 Cardiograph Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7

TC30 Cardiograph Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7

PageWriter TC50 Cardiograph Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7

PageWriter TC50 Cardiograph Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7

PageWriter TC70 Cardiograph Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7

PageWriter TC70 Cardiograph Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8

Safety and Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8

Classification (IEC 60601-1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8

Electromagnetic Compatibility (EMC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9

Reducing Electromagnetic Interference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9

Wireless LAN Card Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-15

Summit SDC-CF20G Wireless Adapter (Option D21) . . . . . . . . . . . . . . . . . . . . . . . . A-15

Summit SDC-CF22AG Wireless Adapter (Option D22) . . . . . . . . . . . . . . . . . . . . . . . A-19

Contents-6 PageWriter TC Cardiograph Service Manual

Page 9

1Introduction

This PageWriter TC Cardiograph Service Manual provides information on the following aspects of using and maintaining the PageWriter TC70, TC50, and TC30 model cardiographs.

 Theory of operation  Maintenance procedures  Troubleshooting procedures and diagnostic tests  Performance verification and safety testing  Ordering parts and supplies  Software installation  Cart replacement kits and procedures  Specifications

Before performing maintenance or troubleshooting on the PageWriter TC cardiograph, review the PageWriter TC Cardiograph Instructions for Use located on the User Documentation DVD shipped with the cardiograph, or download the file from the Philips InCenter site

incenter.medical.philips.com). This Service Manual assumes you are familiar with the controls,

( basic cardiograph operations, and capabilities of the device as described in the Instructions for Use.

This chapter provides information on:

Who Should Use this Service Manual. . . . . . . . . . . . . . . . . . . . . . .1-2

Philips ECG XML Information . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3

Using the Philips InCenter Site . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3

About Adobe Acrobat Versions. . . . . . . . . . . . . . . . . . . . . . . . .1-4

Safety Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-5

Important Patient and Safety Information . . . . . . . . . . . . . . . . . . .1-11

PageWriter TC70 Cardiograph Components. . . . . . . . . . . . . . . . .1-19

PageWriter TC50 Cardiograph Components. . . . . . . . . . . . . . . . .1-23

PageWriter TC30 Cardiograph Components. . . . . . . . . . . . . . . . .1-25

Patient Interface Module (PIM). . . . . . . . . . . . . . . . . . . . . . . . . . .1-27

About Class A and Class B Patient Data Cables and PIMs . .1-27

Attaching the Patient Data Cable to the PIM and

Cardiograph. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-28

Special Note about Patient Interface Module (PIM). . . . . . . .1-30

PIM ECG Button. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-31

1-1

Page 10

Introduction Who Should Use this Service Manual

Configuring the 16-Lead PIM (PageWriter TC70 and

PageWriter TC50 cardiograph only) . . . . . . . . . . . . . . . . . . . .1-31

Installing the Batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-35

Notes about Battery Installation . . . . . . . . . . . . . . . . . . . . . . .1-35

Charging the Batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-38

Calibrating the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-39

Battery Power Indicator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-39

Using the On/Standby Button . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-41

Using the Wireless LAN Card. . . . . . . . . . . . . . . . . . . . . . . . . . . .1-42

Using the Modem Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-43

Using the USB Memory Stick . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-43

Using the Barcode Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-44

Using the Cardiograph Touch Screen . . . . . . . . . . . . . . . . . . . . . .1-45

Touch Screen Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-46

Changing the Lead Format on the Main ECG Screen. . . . . . .1-49

The Status Bar. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-51

Using the Keyboard Shortcuts. . . . . . . . . . . . . . . . . . . . . . . . . . . .1-53

Who Should Use this Service Manual

This Service Manual is intended for users who handle preventive maintenance, periodic operational checks, and basi c tr oub le shooting for PageWriter TC cardiographs.

Before attempting to service the cardiograph, you must review the following documentation and training materials:

 PageWriter TC Cardiograph Instructions for Use  This Service Manual

This PageWriter TC Cardiograph Service Manual is intended to assist users in the safe and effective use of the product.

Please read this Service Manual, and strictly observe all Warning and Cautions as described in this document.

Pay special attention to all of the safety information provided in the Safety Summary and Important Patient and Safety Information section.

The following conventions are used in this document.

WARNING Warning statements describe conditions or actions that may result in a potentially

serious outcome, adverse event, or a safety hazard. Failure to follow a Warning may result in death or serious injury to the user or to the patient.

1-2 PageWriter TC Cardiograph Service Manual

Page 11

Philips ECG XML Information Introduction

CAUTION Caution statements describe when special care is necessary for the safe and effective use of the

product. Failure to follow a caution may result in minor to moderate personal injury or damage to the product or other property, a remote risk of more serious injury, or may cause environmental pollution.

NOTE Notes contain additional important information about a topic.

TIP A Tip contains suggested information on using a particular feature.

Menu items and button names appear in bold no-serif font. Example: Touch t he Config button. Internal software components or file directories appear in regular no-serif font. Example:

ECGs are stored to the

RubyArchiveInternal directory.

Philips ECG XML Information

The PageWriter TC cardiographs export ECG data in XML (Extensible Markup Language) format. There are three available XML schema versions on the cardiograph: version 1.03, version 1.04, and version 1.04.01. Version 1.03 exports ECG data in 12-lead format only, version 1.04 exports ECG data for up to 16 leads, and version 1.04.01 exports ECG data for up to 16 leads and includes full interpretation from the Philips DXL ECG Algorithm.

Information regarding the Philips ECG XML schema can be obtained directly from Philips Medical Systems by sending an email request to:

ecg@philips.com. Please include your

name, facility, and the serial number of your PageWriter TC cardiograph in the email request.

NOTE The default XML version setting on the cardiograph must be coordinated with the XML version

compatibility of the TraceMaster ECG Management System, or other third party ECG management system used by your facility. For more information on configuring your cardiograph for use with an external ECG management system, see the PageWriter TC Network Configuration Guide included on the User Documentation and Training DVD, or download the file from the Philips InCenter site.

Using the Philips InCenter Site

The Philips InCenter site provides frequent updates to all Philips Cardiac Systems product documentation and product software, including the PageWriter TC cardiographs.

The Philips InCenter site requires an active registration and password. To register, go to the InCenter site at: (located under the user login and password fields). On the following page, under

Updates

(lower right corner of page), click the Click here for account registration link. The Cardiac Systems InCenter Registration page appears. Complete all of the information fields on the page to receive a login and password for the InCenter site.

Registration for the InCenter site requires the serial number of at least one PageWriter TC cardiograph in active use at your facility. The serial number is found on the product identification label, located next to the text the rear panel of the cardiograph, see (see Figure 1-1 on page 1-4).

incenter.medical.philips.com and click on the Need help? link on the main page

SN. The product identification label is located on

Software

PageWriter TC Cardiograph Service Manual 1-3

Page 12

Introduction Using the Philips InCenter Site

Figure 1-1 Cardiograph Product Identification Label (rear cardiograph view)

About Adobe Acrobat Versions

Adobe Acrobat Reader version 9.0 must be installed on the PC that is used to access the Philips InCenter site. Previous versions of Acrobat Reader are not compatible with the Philips InCenter site, and attempting to access InCenter with a previous version of Acrobat Reader will result in error messages when opening documents. Uninstall all previous versions of Acrobat Reader, and then proceed for a free install of Acrobat Reader 9.0 at:

www.adobe.com.

Any version of Adobe Acrobat Professional or Acrobat Elements are also not compatible with the Philips InCenter site, and error messages will appear when opening documents with these applications. Acrobat Reader 9.0 must be installed in addition to Acrobat Professional or Acrobat Elements.

Follow this procedure when accessing documents on the Philips InCenter site.

To access documents on the Philips InCenter site:

Exit Acrobat Professional or Acrobat Elements (if open).

2 Start Acrobat Reader 9.0. 3 Open Internet Explorer , and go to the Philips InCenter site. Keep Acrobat Reader 9.0 open

the entire time while accessing the InCenter site.

1-4 PageWriter TC Cardiograph Service Manual

Page 13

Safety Summary Introduction

Safety Summary

Symbols Marked on the Cardiograph or Patient Interface Module (PIM)

Symbol Name Description

Attention; read the Instructions for Use

Type CF

Defibrillator Proof

DC Polarity Indicates the polarity of the DC power connector.

Direct Current Indicates that the equipment is suitable for direct

See the PageWriter TC Cardiograph Instructions for Use.

ECG physio isolation is type CF, defibrillator proof. Suitable for all patient applications including direct cardiac application. System is in continuous operation.

current only.

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Introduction Safety Summary

Symbols Marked on the Cardiograph or Patient Interface Module (PIM)

Symbol Name Description

Disposal Dispose of in accordance with the requirements of

your country.

ECG output signal The connector near this symbol provides access to an

analog ECG signal that can be used as a synchronization signal for external devices, such as an imaging device. This analog ECG signal is not diagnostic quality and should not be used for ECG analysis purposes.

Local Area Network (LAN) Connector

Connect the Ethernet RJ45 LAN cable to the connector directly above this symbol to establish LAN connectivity.

Modem Connector Connect an analog phone line to the connector d irectly

above this symbol.

Attention; read the Instructions for Use

Patient Interface Module (PIM) Connector

See the PageWriter TC Cardiograph Instructions for Use.

Connect the PIM patient data cable to the connector located directly above this symbol.

PCMCIA icon Insert the wireless LAN card into the slot located

directly above this symbol.

PS/2 Connector Connect the Magnetic Card Reader or Barcode Reader

to the connector located directly above this symbol.

Serial Number The number next to this symbol is the serial number of

1-6 PageWriter TC Cardiograph Service Manual

the cardiograph.

Page 15

Safety Summary Introduction

Symbols Marked on the Cardiograph or Patient Interface Module (PIM)

Symbol Name Description

On/Standby Pressing the button with this symbol on it puts the

cardiograph into Standby (power saving mode).

USB Connector The connector near this symbol is used with a USB

device.

Non-ionizing electromagnetic radiation

Interference may occur in the vicinity of equipment marked with this symbol.

Equipotential Grounding Post Equipotential grounding post used for establishing

common ground between instruments.

Class II Protection against electric shock (PageWriter TC70

Cardiograph only).

Fuse The PageWriter TC50 Cardiograph and PageWriter

TC30 Cardiograph contains a 1.6 amp (250V) timedelay fuse.

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Introduction Safety Summary

Safety Symbols Marked on the Cardiograph Packaging

Symbol Description

Keep dry.

Ambient temperature range of -20 transport and storage.

Note: the batteries will discharge at a rapid rate if the cardiograph is stored at a high temperature.

Atmospheric pressure range of 0 to 4572 meters (15,000 feet), 572 hPA above sea level for transport and storage.

C (-4o F) to 50 oC (122o F) (non-condensing) for

Relative humidity range of 10% to 90% (non-condensing) for transport and storage.

Made from recycled materials.

Fragile.

Lithium ion battery. Do not dispose of in trash. Follow local regulations for disposing of as small chemical waste.

This product consists of devices that may contain mercury, which must be recycled or disposed of in accordance with local, state, or federal laws. (Within this system, the backlight lamps in the monitor display contain mercury.)

Dispose of in accordance with the requirements of your country.

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Safety Summary Introduction

Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph Cart

Symbol Name Description

Cart Transport Do not transport the cart with the drawer open.

Cart Drawer Weight Limit

Cart Storage Bin Weight Limit

Do not place more than 3 kilograms or 6.6 pounds of weight into the cart drawer.

Do not place more than 3 kilograms or 6.6 pounds of weight into the cart storage bin.

Safety and Regulatory Symbols Marked on the PageWriter TC50/TC30 Cardiograph Cart

Symbol Name Description

Cart Storage Bin Weight Limit

Do not place more than 3 kilograms or 6.6 pounds of weight into the cart storage bin.

Optional Patient Cable Arm

Do not transport the cart with the patient cable arm positioned to the side. Only transport the cart with the patient cable arm positioned to the front of the cart.

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Introduction Safety Summary

Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph AC Power Adapter

Symbol Name Description

No serviceable parts inside

Indoor, dry location use only

Attention; read the Instructions for Use

There are no serviceable parts inside the AC adapter. Do not open the AC adapter case.

The AC adapter is only intended for indoor use in a dry location.

See the PageWriter TC Car diograph Instructions for Use for information on the AC power adapter.

AC adapter disposal Dispose of in accordance with the requirements

of your country.

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Page 19

Important Patient and Safety Information Introduction

Important Patient and Safety Information

The PageWriter TC70 cardiograph, PageWriter TC50 cardiograph, and PageWriter TC30 cardiograph isolate all connections to the patient from electrical ground and all other conductive circuits in the cardiograph. This reduces the possibility of hazardous currents passing from the cardiograph through the patient’s heart to ground.

WARNING Failure to follow these warnings could affect both patient and operator safety.

Accessories and Supplies

WARNING Always clean and disinfect reusable electrodes before patient use. Failure to properly

clean and disinfect reusable electrodes before patient use may cause infectious materials to be transferred between patients.

WARNING The Welsh bulb electrodes (available as an accessory for the cardiograph) do not meet

the requirements of IEC 60601-2-25 for defibrillation recovery time, and cannot be reliably used for patient diagnosis immediately following defibrillation.

WARNING When using additional peripheral equipment powered from an electrical source other

than the cardiograph, the combination is considered to be a medical system. It is the responsibility of the operator to comply with IEC 60601-1-1 and test the medical system according to the requirements. For additional information contact Philips Medical Systems.

WARNING Do not use non-medical peripherals within 6 feet of a patient unless the non-medical

peripherals receive power from the cardiograph or from an isolation transformer that meets medical safety standards.

CAUTION The Welsh bulb electrodes contain natural rubber latex which may cause allergic reactions.

CAUTION The use of equipment that applies high frequency voltages to the patient (including electrosurgical

equipment and some respiration transducers) is not supported and may produce undesired results.

CAUTION Only use Philips Medical Systems replacement parts and supplies with the cardiograph. The use of non-

approved replacement parts and supplies with the cardiograph is strictly prohibited. Cardiograph safety and performance are not guaranteed when non-approved replacement parts and supplies are used with the cardiograph.

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Introduction Important Patient and Safety Information

 Using accessories, peripherals, or cables that are not supplied with the cardiograph or that

are not recommended by Philips Medical Systems can result in increased emissions or decreased immunity of the cardiograph.

 Connect other equipment in accordance with IEC 60601-1-1 Medical Electrical Systems

Standard or IEC 60601-1: 2005 (3rd Edition) Medical Electrical Equipment Standard Clause 16 Medical Electrical Systems.

 When connecting the cardiograph to other AC powered equipmen t, only connect e quipment

approved to IEC 60601-1 Medical Electrical Equipment or IEC 60950-1 Information Technology Equipment.

 Only use patient electrodes that are approved by Philips Medical Systems. The use of non-

approved patient electrodes may degrade cardiograph performance.

 T o prevent burns to the pat ient, remove all ECG electrodes and lead wires prior to the use of

high frequency surgical equipment (including electrosurgical equipment and some respiration transducers).

AC Power Adapter and AC Power Cord

WARNING Only use the external power supply with part number 453564094411 with the

PageWriter TC70 cardiograph in order to prevent electrical safety hazards. The use of any other power supply is not approved by Philips Medical Systems.

WARNING Whenever the AC power cord is connected to a live power outlet, ensure that it is also

securely attached to the cardiograph. Always disconnect the AC power cord from the power outlet when it is not connected to the cardiograph.

WARNING Only use grounded power cords (three-wire power cords with grounded plugs) and

grounded electrical outlets that are labeled as Hospital Only or Hospital Grade. NEVER adapt a grounded plug to fit an ungrounded outlet by removing the ground prong. Use the equipotential post when redundant earth ground is necessary according to IEC 60601-1-

CAUTION The power supply could feel warm to the touch.

 The PageWriter TC70 cardiograph external power supply, part number 453564094411, is

designed with a three wire supply system. The ground only serves a functional purpose for EMC and not protective earth for electrical safety. Use of an appropriate three-wire power cord is necessary to provide proper EMC operation.

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Important Patient and Safety Information Introduction

 Only use the AC power adapter designed to be used with the PageWriter TC70 cardiograph,

part number 453564094411 , in order to ensure continue d compliance with the requirements of IEC 60601-1.

 To disconnect the cardiograph from AC power, unplug the cardiograph AC power cord

from the mains power supply.

 This equipment complies with the earth leakage current limits as specified in UL 60601-

1:2003 Medical Electrical Equipment - General Requirements for Safety, only when connected to a 120 Volt mains power supply.

 Periodically inspect the patient data cable, lead wires, and AC power cord for any worn or

cracked insulation. Ensure that no exposed wires are visible on the AC power cord.

 Only use the Philips Medical Systems AC power cord (part number 453564094411)

supplied with the cardiograph. Use of any other power supply has not been verified and may lead to operator or patient harm, including electrical shock. Periodically inspect the AC power cord and AC power connector to ensure that both are in a safe and operable condition. If the AC power cord or AC power connector are not in a safe or operable condition, operate the cardiograph on battery power and contact Philips Medical Systems for service.

Analog ECG Output Signal Port

 Do not use the analog ECG output signal port (not supported on cardio graph) for diagno stic

purposes and do not use this signal for critical synchronization timing.

 Do not connect any equipment to the cardiograph analog ECG output signal port that does

not meet medical safety requirements and that has not been evaluated by local safety personnel.

Batteries

CAUTIONS  Before removing and replacing batteries from the cardiograph, press down and hold the On/

Standby button ( ) (located on the front of the cardiograph), to shut down the cardiograph. Ensure that the cardiograph is shut down. When the cardiograph is fully shut down, the screen is black, and the On/Standby button is not illuminated. Once the cardiograph is shut down, proceed to remove and replace the batteries.

 When removing batteries from the cardiograph, the batteries could feel warm to the touch.

 The battery capacity for the PageWriter TC50 cardiograph or PageWriter TC30 cardiograph

with a single battery installed using the battery with Philips part number 989803170371, is 30 minutes of continuous Rhythm printing, or 30 total ECG reports.

 When operating the PageWriter TC50 cardiograph or PageWriter TC30 cardiograph with

one battery installed, only use the Philips battery with part number 989803170371. Do not use the battery with Philips part number 989803160981 for one battery operation.

 When operating the PageWriter TC70 cardiograph, PageWriter TC50 cardiograph, or

PageWriter TC30 cardiograph with two batteries installed, ensure that both batteries contain

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Introduction Important Patient and Safety Information

the same Philips part number. The battery part number identification label is found on the bottom of the battery. The cardiograph cannot operate with two batteries that contain different part numbers. If the cardiograph is operated with two batteries with different part numbers, the cardiograph will display an error message and will not operate.

PageWriter TC50/TC30 Cardiograph One Battery Operation

 The PageWriter TC50 cardiograph, or PageWriter TC30 cardiograph with installed

software version A.04.00 and higher can operate on a single battery with Philips part number 989803170371.

 The battery capacity for the PageWriter TC50 card i ograph, or the PageWriter TC30

cardiograph with a single battery installed using the battery with Philips part number 989803170371, is 30 minutes of continuous Rhythm printing, or 30 total ECG reports.

 When operating the PageWriter TC50 cardiograph, or the PageWriter TC30 cardiograph

with one battery installed, only use the Philips battery with part number 989803170371. Do not use the battery with Philips part number 989803160981 for one battery operation.

 When operating the PageWriter TC50 cardiograph or the PageWriter TC30 cardiograph

with one battery installed, the single battery may be inserted into either battery compartment.

Cart

 Ensure that the cardiograph is securely attached to the cardiograph cart before use.

Defibrillation

WARNING Do not touch the patient, patient data cable, leads, or the cardiograph during

defibrillation. Death or injury may occur from the electrical shock delivered by the defibrillator.

Diagrams

 Upon customer request, Philips Medical Systems will make available circuit diagrams,

component part lists, descriptions, calibration instructions and other technical information.

Display Accuracy

 The accuracy of the ECG signals are within +/- 5% (or +/- 40 uV whichever is greater), over

a range of 0 to 5 mV, in the presence of differential and common mode DC offset voltages of +/- 300 mV. The cardiograph performance is tested to comply with the accuracy requirements over the dynamic ranges and frequency ranges specified in the IEC 60601-251 and AAMI EC-11 standards.

1-14 PageWriter TC Cardiograph Service Manual

Page 23

Important Patient and Safety Information Introduction

 For additional details regarding accuracy and precision, refer to the Physician's Guide and

the Manufacturer's Disclosure Statement.

ECG Interpretation

CAUTION Always enter accurate patient information (including age and gender) if using the Philips DXL ECG

Algorithm or Philips 12-Lead Algorithm for ECG interpretation.

Electrodes

 Philips recommends the use of disp osable elec trodes at all times for all patient applications.

Choose either adult or pediatric disposable electrodes based on the age and size of the patient. See “Disposable and Reusable Electrodes” on page 1-49 for information on ordering disposable electrodes.

Faxed ECGs

CAUTION No guarantee is made as to the suitability of a faxed ECG for any particular purpose, due to the

variability inherent in fax technology.

CAUTION Faxed ECGs should only be sent to secure recipient fax machines.

General Cardiograph Use

WARNING Electrical shock hazard. Keep the cardiograph, Patient Interface Module (PIM), and all

cardiograph accessories away from liquids. Do not immerse the cardiograph, PIM, or other accessories in any liquids.

WARNING Do not use this cardiograph near flammable anesthetics. It is not intended for use in

explosive environments or in operating rooms. The disconnection or connection of AC power, or electrostatic discharge (ESD) may result in an electrical spark.

CAUTION The cardiograph may generate electromagnetic interference (EMI) that may cause nearby equipment

to fail.

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Introduction Important Patient and Safety Information

CAUTION The use of equipment that applies high frequency voltages to the patient (including electrosurgical

equipment and some respiration transducers) is not supported and may produce undesired results. Disconnect the patient data cable from the cardiograph, or detach the leads from the patient prior to performing any procedure that uses high frequency surgical equipment.

 The use of non-Philips equipment connected to, or operating with, the PageWriter TC70

cardiograph, PageWriter TC50 cardiograph, or the PageWriter TC30 cardiograph is not tested or supported, and may produce undesired results.

 Connecting multiple cardiographs to the same patient may pose a safety hazard due to the

summation of leakage currents. Any combination of instruments should be evaluated by local safety personnel before being put into service.

IEC 60601-2-51

 For information on the standard IEC 60601-2-51, please go to the Philips InCenter web site

incenter.medical.philips.com). For information on using the Philips InCenter site, see page 1-

(

Lead Wires

WARNING Electrical shock hazard. Do not touch accessible connector pins and the patient

simultaneously.

WARNING Do not touch any loose or exposed leads during defibrillation. Death or injury may occur

from the electrical shock delivered by the defibrillator.

WARNING Ensure that the electrodes or lead wires do not come in contact with any other

conductive materials (including earth-grounded materials) especially when connecting or disconnecting electrodes to or from a patient.

Main Waveform Display Screen

 Manual measurements of ECG intervals and magnitudes should be performed on printe d

ECG reports only . Do not make manual measurements of ECG intervals and magnitudes on the main waveform display screen since these ECG representations are scaled.

1-16 PageWriter TC Cardiograph Service Manual

Page 25

Important Patient and Safety Information Introduction

Modem Card and Fax Feature

WARNING Do not connect the modem card to a phone line when the cardiograph is connected to a

patient.

WARNING Only connect the phone line to the modem connector ( ) located on the rear panel

of the cardiograph. Never attach the phone line to the LAN connector ( ).

 No guarantee is made as to the suitability of a faxed ECG report for any particular purpose,

due to the variability inherent in fax technology.

Pacemaker

 Pace pulses may not be visible on a printed ECG report that uses simultaneous acquisition.

Patient Data Cable

WARNING The Philips Medical Systems patient data cable (supplied with cardiograph) is an integral

part of the cardiograph safety features. Use of any other patient data cable may lead to the distortion or corruption of patient ECG data, may compromise defibrillation protection and degrade cardiograph performance, and overall cardiograph safety may be seriously degraded.

WARNING Ensure that the patient data cable is securely connected to the PIM Connector ( )

on the rear panel of the cardiograph.

 The PageWriter TC50 cardiograph with installed software version A.03.00 and higher is

only compatible with the Class B patient data cable (Philips part number 989803164281).

 Keep the patient data cable away from power cords and any other electrical equipment.

Failure to do so can result in AC power line frequency interference on the ECG trace.

 Periodically inspect the patient data cable for any cracks or breaks in the cable insulation. If

the integrity of the patient data cable is not assured, replace the patient data cable. Contact Philips Medical Systems for further assistance, see “Contacting a Philips Response Center” on page 5-13.

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Introduction Important Patient and Safety Information

Patient Interface Module (PIM)

WARNING Always clean and disinfect the Patient Interface Module (PIM) after patient use, if the

PIM comes into direct contact with the patient’s skin. Failure to properly clean and disinfect the PIM after direct contact with the patient’s skin may cause infectious materials to be transferred between patients.

CAUTION If using the optional, 16-lead PIM, always ensure that the leads connected to the Patient Interface

Module (PIM) are the same leads that are displayed on the cardiograph screen.

 The PageWriter TC50 cardiograph with installed software version A.03.00 and higher is

only compatible with the Class B 12-lead PIM (Philips part number 453564150741, AAMI and 453564150761, IEC) or the Class B 16-lead PIM (Philips part number 453564150751, AAMI and 453564150771, IEC).

 Always put the cardiograph in Standby before replacing the Patient Interface Module

(PIM). Do not change the PIM while the cardiograph is in active use.

Printer

CAUTION Do not pull on the paper while an ECG report is being printed. This can cause distortion of the

waveform and can lead to potential misdiagnosis.

Servicing the Cardiograph

 Only qualified personnel may service the cardiograph or may open the cardiograph housing

to access internal cardiograph components. Do not open any covers on the cardiograph. There are no internal cardiograph components that are serviced by the operator.

 The Philips Medical Systems warranty is applicable only if you use Philips Medical

Systems approved accessories and replacement parts. See “Supplies and Ordering Information” on page 1-46 for more information.

Software

WARNING Only install Philips Medical Systems software on the cardiograph. The installation or use

of software not approved by Philips Medical Systems is strictly prohibited and cardiograph safety and performance are not guaranteed.

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Page 27

PageWriter TC70 Cardiograph Components Introduction

Touch Screen

WARNING Do not use sharp objects with the touch screen or apply excessive force to the touch

screen. Applying excessive force to the touch screen may result in breaking the touch screen display and can cause sharp, jagged parts to expel to persons nearby.

 Manual measurements of ECG intervals and magnitudes should be performed on printed

ECG reports only. Do not make manual measurements of ECG intervals and magnitudes on the touch screen display since these ECG representations are scaled.

USB Memory Stick

WARNING Do not use the USB memory stick to import ECGs from other cardiographs, or other

non-Philips devices onto any model of the PageWriter TC cardiograph.

CAUTIONS Only use the USB memory stick that is available for purchase as an optional accessory from Philips

Medical Systems with the PageWriter TC cardiograph.

Do not insert a USB memory stick into the cardiograph, or remove a USB memory stick from the cardiograph when the cardiograph is acquiring ECG data from the patient.

Only use the USB memory stick to transfer data between the cardiograph and a computer. Do not use the USB memory stick with other devices.

Keep all USB memory sticks that contain patient data in a secure location where they cannot be accessed by unauthorized personnel. Always delete patient data from a USB memory stick promptly after use.

Affix a label to all USB memory sticks that contain patient data notifying users that unauthorized access of patient data on the USB memory stick is punishable by law.

 Periodically inspect the USB connectors (side and rear of cardiograph) for any cracks or

breaks. If the integrity of a USB connector is not assured, do not use the USB connector, and contact Philips Medical Systems for further assistance, see “Contacting a Philips Response Center” on page 5-13.

PageWriter TC70 Cardiograph Components

The following sections include a description of all of the components of the PageWriter TC70 cardiograph, including the connection ports on the cardiograph, the Patient Interface Module (PIM), and optional accessories available with the cardiograph. For information on ordering any of the optional accessories for the cardiograph, see “PageWriter TC Cardiograph Supply Part Numbers” on page 5-8.

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Introduction PageWriter TC70 Cardiograph Components

DECF

Figure 1-2 PageWriter TC70 Cardiograph (left front view)

A Touch screen F ECG button B Audio speaker G Paper tray C AC power on indicator light H Keyboard D On/Standby button E ID button

1-20 PageWriter TC Cardiograph Service Manual

Page 29

PageWriter TC70 Cardiograph Components Introduction

Figure 1-3 PageWriter TC70 Cardiograph (right front view)

I Battery compartment J USB memory stick connector

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Page 30

Introduction PageWriter TC70 Cardiograph Components

Figure 1-4 PageWriter TC70 Cardiograph (rear view)

A Modem connector G Wireless LAN card slot (with protective

cover installed)

B LAN connector H AC power connector C Barcode reader or magnetic card reader

connector

D Analog ECG output signal connector (not

supported)

E USB connector F PIM connector

WARNING Do not connect the modem card to a phone line when the cardiograph is connected to a

patient.

CAUTION Do not insert a USB memory stick into the cardiograph, or remove a USB memory stick from the

cardiograph when the cardiograph is acquiring ECG data from a patient.

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PageWriter TC50 Cardiograph Components Introduction

GH I J

PageWriter TC50 Cardiograph Components

The following sections include a description of all of the components of the PageWriter TC50 cardiograph, including the connection ports on the cardiograph, the Patient Interface Module (PIM), and optional accessories available with the cardiograph. For information on ordering any of the optional accessories for the cardiograph, see “Supplies and Ordering Information” on page 5-7.

Figure 1-5 PageWriter TC50 Cardiograph (right front view)

A Touch screen F Keyboard B Audio speakers G AC power on indicator light C Battery compartment H On/Standby button D USB memory stick connector I ID button E Paper tray J ECG button

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Introduction PageWriter TC50 Cardiograph Components

Figure 1-6 PageWriter TC50 Cardiograph (rear view)

A Wireless LAN card slot (with protective cover

installed)

G Barcode reader or magnetic card reader

connector

B Equipotential grounding post H LAN connector C AC power cord connector I Modem connector D PIM connector E USB connector F Analog ECG output signal connector (not

supported)

WARNING Do not connect the modem card to a phone line when the cardiograph is connected to a

patient.

CAUTIONS Do not insert a USB memory stick into the cardiograph, or remove a USB memory stick from the

cardiograph when the cardiograph is acquiring ECG data from a patient.

Only use grounded power cords (three-wire power cords with grounded plugs) and grounded electrical outlets that are labelled as Hospital Only or Hospital Grade. Never adapt a grounded plug to fit an ungrounded outlet by removing the ground prong. Use the equipotential post when redundant earth ground is necessary according to IEC 60601-1-1.

1-24 PageWriter TC Cardiograph Service Manual

Page 33

PageWriter TC30 Cardiograph Components Introduction

GH I J

PageWriter TC30 Cardiograph Components

The following sections include a description of all of the components of the PageWriter TC30 cardiograph, including the connection ports on the cardiograph, the Patient Interface Module (PIM), and optional accessories available with the cardiograph. For information on ordering any of the optional accessories for the cardiograph, see “Supplies and Ordering Information” on page 5-7.

Figure 1-7 PageWriter TC30 Cardiograph (right front view)

A Touch screen F Keyboard B Audio speakers G AC power on indicator light C Battery compartment H On/Standby button D USB memory stick connector I ID button E Paper tray J ECG button

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Introduction PageWriter TC30 Cardiograph Components

Figure 1-8 PageWriter TC30 Cardiograph (rear view)

A Wireless LAN card slot (with protective cover

installed)

G Barcode reader or magnetic card reader

connector

B Equipotential grounding post H LAN connector C AC power cord connector I Modem connector D PIM connector E USB connector F Analog ECG output signal connector (not

supported)

WARNING Do not connect the modem card to a phone line when the cardiograph is connected to a

patient.

CAUTIONS Do not insert a USB memory stick into the cardiograph, or remove a USB memory stick from the

cardiograph when the cardiograph is acquiring ECG data from a patient.

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Patient Interface Module (PIM) Introduction

Patient Interface Module (PIM)

The same Patient Interface Module (PIM) is used on all models of the PageWriter TC cardiograph. The PIM is a hand-held device that connects to the patient data cable. The PIM is available in a standard 12-lead, or for the PageWriter TC70 and TC50 cardiographs, an optional 16-lead model is available. For information on configuring the optional 16-lead PIM, see “Configuring the 16-Lead PIM (PageWriter TC70 and PageWriter TC50 cardiograph only)” on page 1-31.

NOTE Figure 1-9 shows AAMI version PIMs.

Figure 1-9 16-lead (left) and 12-lead (right) Patient Interface Module (PIM)

About Class A and Class B Patient Data Cables and PIMs

Prior to August, 2009, PageWriter TC70 cardiographs with installed software version A.02.00 and lower were shipped from Philips Medical Systems with Class A patient data cables and Class A PIMs. All PageWriter TC70 cardiographs and PageWriter TC50 cardiographs with installed software version A.03.00 and higher are shipped from Philips Medical Systems with Class B patient data cables and Class B PIMs.

The only visual difference between a Class A and a Class B PIM or patient data cable is the number of connectors on the PIM, and the number of pins on the PIM connector end of the patient data cable. All Class A devices have 5 connectors/pins on the PIM connector, and on the PIM connector end of the patient data cable. All Class B devices have 8 connectors/pins on the PIM connector, and on the PIM connector end of the patient data cable.

NOTE Both Class A and Class B patient data cables have 5 pins on the connector end that attaches to the

cardiograph.

Class A patient data cables can only be used with a Class A PIM on the PageWriter TC70 cardiograph. Class B patient data cables can only be used with a Class B PIM on any model of the PageWriter TC cardiograph. When ordering replacement patient data cables or PIMs from

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Introduction Patient Interface Module (PIM)

Philips Medical Systems, check the number of connectors on the PIM, and also check the number of pins on the PIM connector end of the patient data cable to ensure that you are ordering the correct Class A or Class B device.

NOTE If you are unable to connect a patient data cable to a PIM connector, check that both devices are

compatible. You cannot connect a Class A patient data cable to a Class B PIM.

Figure 1-10 Class A and Class B Patient Data Cable Connectors

A Class A patient data cable (5 pins) B Class B patient data cable (8 pins)

Figure 1-11 Class A and Class B Patient Interface Module (PIM) Connectors

A Class A PIM (5 connectors) B Class B PIM (8 connectors)

Attaching the Patient Data Cable to the PIM and Cardiograph

The patient data cable must be attached to the PIM connector before use. Once attached to the PIM, the patient data cable is then attached to the cardiograph through the appropriate PIM connector on the rear of the cardiograph.

WARNING Ensure that the patient data cable is securely connected to the PIM connector ( )

on the rear panel of the cardiograph.

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Patient Interface Module (PIM) Introduction

WARNING The Philips Medical Systems patient data cable (supplied with cardiograph) is an integral

NOTE The PageWriter TC50 cardiograph and the PageWriter TC30 cardiograph with installed software

version A.03.00 and higher are only compatible with the Class B patient data cable (Philips part number 989803164281).

To attach the patient data cable to the PIM and to the cardiograph:

Align the raised dot on the top of the patient data cable connector with the front of the PIM. Insert the patient data cable connector through the metal housing. Push the patient data cable connector firmly into the PIM connector . The connector clicks when it is locked into position.

2 Connect the other end of the patient data cable to the PIM connector port ( ) located

on the rear panel of the cardiograph. Align the raised circle on the cable connector upright as shown in the figure. Turn the cable connector to the right to lock it into position.

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Introduction Patient Interface Module (PIM)

3 Drape the patient data cable over the top of the rear handle on the cart to help ensure that

the patient data cable does not drag on the ground.

To disconnect the patient data cable from the PIM:

 Twist the end of the patient cable connector inside the metal housing and pull the

connector out.

Special Note about Patient Interface Module (PIM)

The PIM is an electronic device and can feel warm if placed on bare skin.

CAUTION If the PIM is placed on the patient’s bare skin, always place a sheet or cloth between the PIM and the

patient. If the PIM is left on the patient’s skin for an extended period of time, the PIM could reach a maximum temperature of 46 °C (114.8 °F) in a room environment with a temperature of 40 °C (104 °F).

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Patient Interface Module (PIM) Introduction

Figure 1-12 Placing PIM on patient’s skin

A Cloth placed between PIM and patient

PIM ECG Button

The PIM has an ECG button that is used to take ECGs from the bedside.

Figure 1-13 ECG button on PIM

A PIM ECG button

Configuring the 16-Lead PIM (PageWriter TC70 and PageWriter TC50 cardiograph only)

The optional 16-lead PIM may be configured to support up to 16 optional leads for adult and pediatric application. The 16-lead PIM is shipped with four optional leads, color clip identifiers, and shorting plugs. For information on ordering the 16-lead PIM option, see “Supplies and Ordering Information” on page 5-7.

NOTE The 16-lead PIM is not available with the PageWriter TC30 cardiograph.

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Introduction Patient Interface Module (PIM)

CAUTION When using the 16-lead PIM, always ensure that the leads connected to the Patient Interface Module

(PIM) are the same leads that are displayed on the cardiograph screen.

Figure 1-14 16-Lead PIM Kit

A Color identification clips C Lead separator B Optional leads (4 total) D Shorting plug (6 total)

To configure the 16-lead PIM:

Press the On/Standby button ( ) to put the cardiograph into Standby.

CAUTION Always put the cardiograph in Standby before connecting or disconnecting the Patient Interface

Module (PIM). Do not disconnect or connect the PIM to the cardiograph while the cardiograph is in active use.

2 Disconnect the PIM from the cardiograph, if necessary.

3 There are six optional lead connectors available on the PIM. These optional lead

connectors are labeled:

C3R/V3R, C4R/V4R, C5R/V5R, C7/V7, C8/V8 and C9/V9. Any of

these optional leads (up to a maximum of four) may be configured for use with the cardiograph.

NOTE The cardiograph does not support the configuration of 18 leads. Any of the optional leads, up to a

maximum of 4, may be configured for use with the cardiograph.

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Patient Interface Module (PIM) Introduction

Figure 1-15 16-Lead PIM Optional Lead Connectors (AAMI/IEC)

A Optional lead connectors

Attach the appropriate color-coded identification clip (included in the lead kit) to the lead,

and attach the small color clip near the connector end of the lead wire.

Figure 1-16 Attaching the color clips to the lead

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Introduction Patient Interface Module (PIM)

5 Attach the lead to the correct lead connector on the PIM. If any lead connectors on the

PIM are left empty, insert a shorting plug (included in kit).

Figure 1-17 Shorting Plug (included in Lead Kit)

NOTE To configure the 16-lead PIM for standard 12 leads, insert shorting plugs into all of the optional

lead connectors.

Ensure that each lead is firmly connected to the PIM.

Recommended 16-Lead Configurations

Table 1-1 provides some suggested configurations of the 16-lead Patient Interface Module (PIM) for adult and pediatric application.

NOTE The recommended 16-lead configuration options described in Table 1-1 are the only 16-lead options

that are compatible with the TraceMaster ECG Management System.

Table 1-1 15 and 16-Lead PIM Configuration Options

Lead Option Standard 12-leads plus extended

leads (AAMI/IEC)

Pediatric

V3R/C3R, V4R/C4R, V7/C7

(15 leads)

Posterior

V7/C7, V8/C8, V9/C9

(15 leads)

Lead Placement

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Installing the Batteries Introduction

Table 1-1 15 and 16-Lead PIM Configuration Options (continued)

Lead Option Standard 12-leads plus extended

leads (AAMI/IEC)

Balanced

V3R/C3R, V4R/C4R, V7/C7, V8/C8

(16 leads)

Installing the Batteries

The PageWriter TC70 cardiograph is shipped with two batteries, and the PageWriter TC50 and PageWriter TC30 cardiographs are shipped with one or an optional two batteries that are used to power the cardiograph when AC power is not available.

Lead Placement

CAUTION Insert the batteries into the cardiograph before plugging the cardiograph into AC power.

Notes about Battery Installation

NOTES  If operating the PageWriter TC50 or PageWriter TC30 cardiograph with one battery installed, the

battery may be inserted into either battery compartment.

 When operating the PageWriter TC50 or PageWriter TC30 cardiograph with one battery installed,

only use the Philips battery with part number 989803170371. Do not use the battery with Philips part number 989803160981 for one battery operation.

 When operating any model of the PageWriter TC cardiograph with two batteries installed, ensure

that both batteries contain the same Philips part number. The battery part number identification label is found on the bottom of the battery. The cardiograph cannot operate with two batteries that contain different part numbers. If the cardiograph is operated with two batteries with different part numbers, the cardiograph will display an error message and will not operate.

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Introduction Installing the Batteries

To install the batteries:

Open the battery door.

2 Locate the two gold pull tabs inside of the battery compartment. Pull the tabs straight out

of the battery compartment and lay flat.

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Installing the Batteries Introduction

3 Insert the battery with the external connector facing the bottom rear of the compartment.

NOTE If operating the PageWriter TC50 or the PageWriter TC30 cardiograph with a single battery

installed, the battery may be inserted into either battery compartment.

Push in the battery and ensure that the battery is fully inserted into the slot. The pull tab will insert along with the battery . If necessary , insert the second battery following the same procedure.

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Introduction Installing the Batteries

5 Reinstall the battery door.

6 Connect the AC power cord to the cardiograph. Charge the batteries for five hours before

operating the cardiograph on battery power only.

Charging the Batteries

Charge the batteries for five hours prior to initial use. Plug the cardiograph into AC power whenever possible, and fully charge the batteries. Proper battery maintenance and care, including frequent and full charging of the batteries, will help to prolong battery life.

There are configurable power saving features available on the cardiograph. These features are used to help prolong overall battery life, and to optimize battery power use between battery charges.

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Page 47

Installing the Batteries Introduction

CAUTION When removing the batteries from the cardiograph, the batteries could feel warm to the touch.

Calibrating the Batteries

The batteries may require periodic calibration to ensure the continued accuracy of the battery power and overall battery status information displayed on the cardiograph. When battery calibration is required, a message appears on the Battery Status window, see Figure 1-19 on page 1-41. For more information on battery calibration, see “Battery Calibration” on page 3-12.

Battery Power Indicator

The battery power indicator ( ) appears on the Status Bar and is always visible. The indicator displays the current battery power level. After installing and initially charging the batteries for five hours, the cardiograph can operate on AC power while the batteries are charging, but the batteries will charge at a slower rate.

Figure 1-18 Battery Power Indicator on the Status Bar

A Battery level indicator

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Introduction Installing the Batteries

To check the battery power level:

From any screen, tap on the battery icon on the Status Bar ( ). The Battery Status window appears. This window provides detailed information on the status of the cardiograph batteries. The battery icon indicates the overall charge status of the battery.

Table 1-2 Battery Icon (on Status Bar or Battery Status window)

Icon on Status Bar Battery Level

Fully Charged Battery

75% power capacity

50% power capacity

Low Battery Power:

 red battery icon appears when power level is below

25%

 cardiograph beeps and an error message appears until

the unit is plugged into AC power (audio feature may be disabled)

 tap the icon to see how many minutes are left of

operating battery power

 If overall battery power is below 15% and the

cardiograph is in Standby, when the On/Standby button ( ) is pressed it will flash green five times and the cardiograph will be unable to return to active use. Plug the cardiograph into AC power to recharge the batteries.

1-40 PageWriter TC Cardiograph Service Manual

No or Dead Battery

Page 49

Using the On/Standby Button Introduction

NOTE If the Plug in the Cardiograph message appears, the cardiograph needs to be plugged into AC

power immediately.

Figure 1-19 Battery Status Information with Plug in the Cardiograph message

Touch the Close button to close the window.

Using the On/Standby Button

The On/Standby button ( ) is used to:

 put the cardiograph into Standby when not in active use in order to conserve battery power  shut down all power to the cardiograph for extended periods of inactivity  return the cardiograph to active use

CAUTION Ensure that all patient data from an active patient session is saved before entering Standby, or

shutting down the cardiograph. Unsaved patient data (patient identification information, unreviewed Event Markers, unsaved ECGs) are deleted when the cardiograph enters Standby.

To put the cardiograph into Standby (power save):

Press the On/Standby button gently to put the cardiograph into Standby. When the

cardiograph is in Standby, the screen is black.

TIP Plug the cardiograph into AC power whenever possible to recharge the batteries.

Press the On/Standby button again to return the cardiograph to active use. The previously viewed screen (prior to entering Standby) appears.

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Introduction Using the Wireless LAN Card

NOTES If overall battery power is below 15% and the cardiograph is in Standby, when the On/Standby

button is pressed it will flash green five times and the cardiograph will be unable to return to active use. Plug the cardiograph into AC power to recharge the batteries.

If the Disclose or Rhythm screens are viewed prior to entering Standby, the Main screen will appear when the cardiograph is returned to active use.

To shut down the cardiograph:

Press and hold the On/Standby button for 3 seconds to shut down the cardiograph. When the cardiograph is shut down, any unsaved patient data is lost.

2 Press the On/Standby button to return the cardiograph to active use. The cardiograph fully

restarts and the Main screen appears.

Using the Wireless LAN Card

The PageWriter TC cardiograph supports wireless connectivity which is used to transfer ECG and order data between the cardiograph and a TraceMaster ECG Management System. The cardiograph can also be configured to transfer ECG data using a wireless connection to a third party ECG management system. For information on configuring cardiograph connectivity with a TraceMaster or other third party ECG management system, see the PageWr iter TC Cardiograph Network Configuration Guide available on the User Documentation and Training DVD, or the file can be downloaded from the Philips InCenter site.

CAUTION Only use wireless LAN cards with the PageWriter TC cardiograph that have been purchased from

Philips Medical Systems. The use of non-approved wireless LAN cards with either model cardiograph is not tested or supported, and Philips Medical Systems does not guarantee cardiograph operation or wireless LAN connectivity.

For information on installing the card and configuring the cardiograph for wireless transmission, see the PageWriter TC Cardiograph Wireless LAN Installation Instructions. The file is available for download from the Philips InCenter site (

incenter.medical.philips.com).

For information on ordering the wireless card, see “Supplies and Ordering Information” on page 5-7.

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Page 51

Using the Modem Card Introduction

Using the Modem Card

The modem card is an optional accessory that is used to fax ECGs to a configured receiving fax machine, or is used to transfer ECGs or orders by modem between the cardiograph and a TraceMaster ECG Management System. The cardiograph can also be configured to transfer ECG data by modem to a third party ECG management system. For information on configuring cardiograph connectivity with a TraceMaster or other third party ECG management system, see the PageWriter TC Cardiograph Network Configuration Guide available on the User Documentation and Training DVD, or the file can be downloaded from the Philips InCenter site.

For information on ordering the modem card, see “Supplies and Ordering Information” on page 5-7.

WARNING Do not connect the modem card to a phone line when the cardiograph is connected to a

patient.

Using the USB Memory Stick

The USB memory stick is an optional accessory that is used to transfer orders to the cardiograph from a computer that has the WebSelect Utility installed, and can also be used to transfer completed ECGs (as either an XML or as a PDF file) from the cardiograph to a TraceMaster ECG Management System, remote networked PC or server, or other third party ECG management system. The USB memory stick can also be used to save custom settings specified on the Setup screens as a Custom Settings file. This Custom Settings file can then be transferred to additional cardiographs to help speed up the configuration process.

For information on using the WebSelect Utility, see the Using OrderVue with PageWriter Cardiographs guide. This guide is available for download from the Philips InCenter site. For information on the Philips InCenter site, See "Using the Philips InCenter Site" on page 1-3

CAUTION The PageWriter TC cardiographs only support the USB memory stick that is available for purchase as

an optional accessory from Philips Medical Systems. Philips does not guarantee that other USB memory sticks are compatible with the PageWriter TC cardiographs.

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Introduction Using the Barcode Reader

Figure 1-20 USB memory stick inserted into USB connector

A USB memory stick inserted into USB connector (tip illuminates when properly inserted)

The USB memory stick can store up to 200 ECGs and 200 orders. Ensure that the USB memory stick is firmly inserted into the USB connector located on the front right side of the cardiograph (next to the battery door). The tip of the USB memory stick illuminates when it is properly inserted into the USB connector.

CAUTION Do not insert a USB memory stick into the cardiograph, or remove a USB memory stick from the

cardiograph when the cardiograph is acquiring ECG data from a patient.

CAUTION Only use the USB memory stick to transfer data between a PageWriter TC cardiograph and a

computer. Do not use the memory stick with other devices.

Using the Barcode Reader

The barcode reader is an optional accessory that is used to quickly enter ID information by scanning a barcode.

The barcode reader attaches to the barcode reader connector ( ) on the rear panel of the cardiograph. Attach the barcode reader to the cardiograph before turning on AC power. For information on ordering the barcode reader, see “Supplies and Ordering Information” on page 5-7.

NOTE The Metrologic Scanner Instructions for Use (only available in English), which provides complete

information on configuring and using the barcode scanner, is included on the User Documentation and Training DVD, or is available for download from the Philips InCenter site.

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Using the Cardiograph Touch Screen Introduction

Figure 1-21 The Barcode Reader

Using the Cardiograph Touch Screen

The touch screen provides access to all of the cardiograph features. Simply touch the buttons on the screen to open the different screens and to perform different functions.

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Introduction Using the Cardiograph Touch Screen

A B C

Touch Screen Overview

The touch screen is organized into different areas that are grouped by function. The following sections provide an overview of each area of the touch screen.

Figure 1-22 Touch Screen Overview

Table 1-1 Touch Screen Overview

Touch Screen Item Feature Description

Selected Exam Type

 The Exam Type selected for the current patient

session.

 The available Exam Types are: Resting 12-

Lead

TC70/TC50 only), and

 Touch the button to change the selected Exam

Type.

1-46 PageWriter TC Cardiograph Service Manual

, Resting Extended Lead (PageWriter

Timed ECG.

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Using the Cardiograph Touch Screen Introduction

Table 1-1 Touch Screen Overview (continued)

Touch Screen Item Feature Description

Exam Layout

Current Operating Settings

Status Bar

 The settings underneath this button include the

selected ECG report layout settings, and the level of interpretation generated by the Philips algorithm that are being applied to the selected Exam Type.

 Any of the settings on this screen may be

edited, and the new settings are applied to the current patient session.

 The settings underneath this button include the

selected filters (Artifact, Baseline Wander), pacing detection setting, and report scaling settings being applied to the current patient session.

 The Unknown pacing setting is recommended

for most ECGs.

 Displays information about the current

cardiograph settings, including selected Exam Type, current patient name, network connectivity status, PIM status, and the current date and time.

Waveform Display

Toolbar

Help

Setup

 See "The Status Bar" on page 1-51.  Display area for ECG waveforms. Lead

connection quality is indicated by the color of the waveform.

 Press the up arrow ( ) or the down arrow

( ) key (on keyboard) to change the displayed lead format.

All cardiograph ECG acquisition modes and ECG management features.

Provides information on how to use the cardiograph.

The settings underneath this button are used to configure or change cardiograph settings, or to access the service utilities. Access to these screens may require entering a password.

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Introduction Using the Cardiograph Touch Screen

Table 1-1 Touch Screen Overview (continued)

Touch Screen Item Feature Description

ECG Storage and Management Features

 Provides access to the ECG Archive, which is

used as temporary storage for all ECGs acquired on the cardiograph.

 From the Archive, ECGs may be transferred (as

an XML file or as a PDF file) to a TraceMaster ECG Management System, a third party ECG management system, a USB memory stick, or as a PDF file only to a configured networked remote PC or server.

 From the Archive, a TraceMaster server may

be searched for previous ECGs to view and print on the cardiograph.

 The number on the button (9) displays the

number of ECGs currently stored in the Archive.

Rhythm and Disclose Features

 The Rhythm feature is used to print continuous

rhythm strips until the

 The Disclose feature is used to review captured

Stop button is touched.

Events, to view continuous data from one selected lead, or to print ECG reports in a variety of formats.

1-2-3 Operation Features

1-48 PageWriter TC Cardiograph Service Manual

 The number on the Disclose button (0) displays

the number of Events currently stored in Disclose.

The Map, ID, and ECG buttons are used in sequence to acquire and print an ECG.

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Using the Cardiograph Touch Screen Introduction

Changing the Lead Format on the Main ECG Screen

The format of the waveforms that display on the Main screen can be changed at any time. The available lead formats are described in Table 1-3.

Table 1-3 Main Screen Lead Formats

Lead Format Description

12x1 or 16x1

6x2 (12-lead option) or Split Screen View (16-lead option)

3x4

 This view provides ten seconds of continuous ECG

waveform data for each available lead

 The 16x1 format is only available with the PageWriter

TC70 cardiograph with the 16-lead option

 The PageWriter TC50 cardiograph with the 16-lead

option will only display the 12x1 view; to view all 16 leads select the split screen view (see below)

 This view provides five seconds of continuous ECG

waveform data for each lead on a split screen

 In the split screen display, the limb and augmented

leads are on the left, and the precordial leads are on the right for both the 12-lead and the 16-lead display option

 For the TC30 cardiograph only , this is the default lead

format on the cardiograph, see (see Figure 1-23 on page 1-50)

 This view provides 2.5 seconds of waveform data for

each lead, with 3 total rows with 4 leads in each row

 In this view, the limb and augmented leads are on the

left, and the precordial leads are on the right

 In this view , only 12 leads are displayed even if the

16-lead option is being used

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Introduction Using the Cardiograph Touch Screen

Figure 1-23 Main Screen with Split Screen View (12 Leads Displayed)

A Limb Leads B Precordial Leads

To change the lead display on the main screen:

Press the down arrow key (on keyboard) or the up arrow key to scroll through the

available Main screen lead formats.

2 Press the up arrow key (on keyboard) to change the display back to the original view. 3 For the TC30 cardiograph only, the lead format that displays on the Main screen when the

cardiograph is shut down (by pressing and holding the On/Standby button ( ) will be retained once the cardiograph is returned to active use.

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Using the Cardiograph Touch Screen Introduction

ABC DEFGH

The Status Bar

The Status Bar (top of the screen) provides information about the current cardiograph settings. The Status Bar is always visible.

Figure 1-24 The Status Bar

Table 1-4 The Status Bar

Status Bar Item Feature Description

Selected Exam Type

ECG Layout

Operating Settings

Event Marker Alert

 The Exam T ype selected for the current patient

session.

 The available Exam Types are: Resting 12-

Lead

, Resting Extended Lead (PageWriter

TC70/TC50 only), and

 The current ECG report layout settings,

Timed ECG.

including the level of interpretation generated by the algorithm.

 Any of the settings on this screen may be

edited for the current patient session.

 The current selected filters (Artifact, Baseline

Wander), pacing detection setting, and report scaling settings.

 The Unknown pacing setting is recommended

for most ECGs.

 If this flashing icon appears, saved Event

markers ( ) have not yet been reviewed on the Disclose screen, and will be deleted within the next 5 minutes (TC70 cardiograph), the next 2 minutes (TC50 cardiograph), or the next 75 seconds (TC30 cardiograph).

 Touch the Disclose button on the toolbar to

review saved Events.

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Introduction Using the Cardiograph Touch Screen

Table 1-4 The Status Bar (continued)

Status Bar Item Feature Description

PIM Disconnected

Caps Lock

LAN and Wireless LAN Connectivity

 If this icon appears, the Patient Interface

Module (PIM) is not connected to the cardiograph.

 Check that the PIM cable is firmly attached to

the connector on the cardiograph, and that there are no breaks or cracks in the cable.

 Indicates that the Caps Lock setting is enabled

(keyboard types in all capital letters).

 Touch the Caps Lock key (on keyboard) to

disable the setting.

LAN connectivity:

 Indicates if the cardiograph is connected to a

live Ethernet connection through the LAN connector ( ) on the rear of the cardiograph.

 If no LAN connection is detected, a red “x”

mark appears on the icon ( ).

Wireless LAN connectivity:

Battery Power Indicator

 Indicates the signal strength of a the wireless

LAN connection.

 Green bars indicate that the wireless adapter is

associated to an access point. The higher the number of green bars, the better the connection.

 No bars indicates that the cardiograph is losing

the wireless LAN signal and that the cardiograph should be moved to an area with a stronger signal.

 Gray inactive bars ( ) indicate that the

wireless adapter is unable to associate to an access point.

 Displays the available battery power. For more

information, see “Battery Power Indicator” on page 1-39.

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Using the Keyboard Shortcuts Introduction

Table 1-4 The Status Bar (continued)

Status Bar Item Feature Description

Date and Time

 Displays the current date and time.  The date and time can be set manually, or the

cardiograph can be configured to automatically synchronize the date and time with a TraceMaster ECG Management server.

 Go to the Archive or Setup screens to

manually change the date and time (accessing these screens may require entering a password). Tap the displayed date and time to edit the settings.

Heart Rate Indicator

 Displays the patient heart rate in beats per

minute.

 The icon appears in white when no patient is

attached to the cardiograph

Note: The heart rate indicator measurement has been verified with a simulator that can generate ECG waveforms up to 240 bpm (beats per minute). Accuracy of this measurement beyond 240 bpm has not been verified.

Patient Date of Birth, Name, and ID Number

Using the Keyboard Shortcuts

The following key stroke combinations can be used from any cardiograph screen.

Table 1-5 Keyboard Shortcuts

Keyboard Shortcut Action

Ctrl

+ Alt + C Runs the Touch Screen Calibration test. See “Touch Screen

Calibration and Test” on page 3-45 for more information.

Ctrl + Alt + P Saves a screen capture of the current cardiograph screen as a

.bmp graphic file to an inserted USB memory stick.

Displays the date of birth, patient name, and patient ID number for the current patient session.

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Introduction Using the Keyboard Shortcuts

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Page 63

1Cardiograph Care and Maintenance

The following chapter contains information about basic cardiograph care, and periodic cardiograph maintenance that may be required. If further technical assistance is required, contact the nearest Philips Response Center, see page 5-13.

Table 2-1 Recommended Frequency of Maintenance Tasks

Component Recommended

Frequency

Cardiograph and Patient Interface Module (PIM) Cleaning

Patient Data Cable and Lead Wire Cleaning

Reusable Electrode Cleaning

Print Head Cleaning

Changing the Printer Paper

Replacing the Batteries

Weekly, or after patient use if patient’s skin comes into contact with PIM

Weekly “Patient Data Cable and Lead Wire Cleaning” on

After each patient use

When necessary due to uneven print quality

When necessary “Changing the Printer Paper” on page 2-7

When necessary “Replacing the Batteries” on page 2-10

Maintenance Task and page number

“Cardiograph and PIM Cleaning” on page 2-3

page 2-4

“Reusable Electrode Cleaning” on page 2-5

“Cleaning the Print Head” on page 2-6

Battery Calibration

When necessary, due to inaccurate battery status information displayed on cardiograph

“Battery Calibration” on page 2-12

2-1

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Cardiograph Care and Maintenance

Table 2-1 Recommended Frequency of Maintenance Tasks (continued)

Component Recommended

Frequency

Patient Interface Module (PIM) Test

When necessary, to confirm that the PIM is communicating with the cardiograph

Ping Test When necessary,

to confirm that the cardiograph can successfully communicate with an entered IP address

Lead Wire

Weekly “Lead Wire Performance Test” on page 2-15

Performance Test Touch screen

calibration

When necessary, due to decreased touch screen performance

Maintenance Task and page number

“Patient Interface Module (PIM) Test” on page 2-14

“Ping Test” on page 2-15

“Touch Screen Calibration” on page 2-16

Touch screen cleaning

Changing the date and time

Replacing the PageWriter TC50/ TC30 Cardiograph Fuse

Cardiograph Overall Sensitivity Test

Weekly “Touch Screen Cleaning” on page 2-16

When necessary “Changing the Date and Time” on page 2-17

When the cardiograph is

“Replacing the PageWriter TC50/TC30

Cardiograph Fuse” on page 2-18 plugged into AC power, but the green AC power indicator light does not illuminate

Once per year The overall sensitivity test is used to test the

calibration voltage. According to IEC 60601-2-

51, this test should be run regularly. Taking an

ECG using a 12-lead simulator allows you to

verify areas of operation that the extended self

tests cannot check, and allows you to verify the

accuracy of the sensitivity settings. See

“Cardiograph Overall Sensitivity Test” on

page 2-19.

2-2 PageWriter TC Cardiograph Service Manual

Page 65

Cardiograph and PIM Cleaning Cardiograph Care and Maintenance

Cardiograph and PIM Cleaning

WARNING Electrical shock hazard. Keep the cardiograph, Patient Interface Module (PIM), and all

cardiograph accessories away from liquids. Do not immerse the cardiograph, PIM, or other accessories in any liquids.

WARNING Always clean and disinfect the Patient Interface Module (PIM) after patient use, if the

To clean the cardiograph and PIM:

Unplug the AC power cord.

2 Ensure that the AC power indicator light (next to power button) is not lit. 3 Wipe the external surfaces of the cardiograph and the PIM with a soft cloth dampened in

any of the approved cleaning solutions listed below.

CAUTION When cleaning, avoid the lead wire connectors and patient data cable connectors.

Approved Cleaning Solutions

 Mild soap and water  Isopropyl alcohol (consisting of 70% solution)  Chlorine bleach (5.25% sodium hypochlorite content) mixed as 3% solution in water  Quaternary ammonium compounds such as Steris Coverage Plus NPD, mixed as one half

fluid ounce per gallon water, or one part Coverage Plus NPD to 256 parts water

CAUTIONS Do not use strong solvents or abrasive cleaning materials.

Do not use any of the following to clean the cardiograph:

 Acetone

 Iodine-based cleaners

 Phenol-based cleaners

 Ethylene oxide sterilization

 Ammonia-based cleaners

The cardiograph, PIM, lead wires, and patient data cable should not be autoclaved, ultrasonically cleaned, or immersed.

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Cardiograph Care and Maintenance Patient Data Cable and Lead Wire Cleaning

Patient Data Cable and Lead Wire Cleaning

Prior to cleaning the patient data cable, inspect the patient data cable for any cracks or breaks in the cable insulation. If the integrity of the patient data cable is not assured, replace the patient data cable. Contact Philips Medical Systems for further assistance, see “Contacting a Philips Response Center” on page 5-13.

Approved Cleaning Solutions

fluid ounce per gallon water, or one part Coverage Plus NPD to 256 parts water

CAUTIONS Do not use strong solvents or abrasive cleaning materials.

Do not use any of the following to clean the cardiograph:

 Acetone

 Iodine-based cleaners

 Phenol-based cleaners

 Ethylene oxide sterilization

 Ammonia-based cleaners

The cardiograph, PIM, lead wires, and patient data cable should not be autoclaved, ultrasonically cleaned, or immersed.

To clean the patient data cable and lead wires:

Dampen a soft cloth with soapy water or with one of the disinfectants or cleaning agents

listed in “Approved Cleaning Solutions” on page 2-4.

2 Wring excess moisture from the cloth before cleaning.

CAUTION Do not:

 Autoclave the patient data cable or lead wires or use ultrasonic cleaners

 Immerse

 Use abrasive materials

 Wet the connectors

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Reusable Electrode Cleaning Cardiograph Care and Maintenance

Reusable Electrode Cleaning

Reusable limb clamp and Welsh Bulb electrodes must be cleaned after each use.

WARNING Always clean and disinfect reusable electrodes before patient use. Failure to properly

clean and disinfect reusable electrodes before patient use may cause infectious materials to be transferred between patients.

Figure 2-1 Welsh Bulb and Limb Clamp Electrode

To clean reusable electrodes:

For Welsh Bulb electrodes only: detach the rubber bulb from the metal cup by pulling. Wash the rubber bulb in warm water. Remove all electrolyte gel residue, check inside the rubber bulb to ensure that all residue is removed.

2 For all reusable electrodes: dampen a soft cloth with one of the disinfectants or cleaning

agents listed below.

 Cidex Ortho Phthaladehyde  Cetylcide  Vesphene 2 Aqueous Phenolic Germicidal Agent

CAUTION Do not:

 Use isopropyl alcohol

 Autoclave the reusable electrodes or use ultrasonic cleaners

 Use abrasive materials

3 Wring excess moisture from the cloth before cleaning. 4 Dry the bulb and cup of the Welsh Bulb electrode thoroughly before use. 5 Store the reusable electrodes away from direct sunlight and excessive heat when not in

use.

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Cardiograph Care and Maintenance Cleaning the Print Head

Cleaning the Print Head

Clean the print head periodically, as a dirty print head may cause poor or uneven print quality. Clean the print head more frequently when printing large volumes of ECGs.

Figure 2-2 PageWriter TC70 Cardiograph Cleaning the Print Head

Figure 2-3 PageWriter TC50 Cardiograph Cleaning the Print Head

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Changing the Printer Paper Cardiograph Care and Maintenance

Figure 2-4 PageWriter TC30 Cardiograph Cleaning the Print Head

A Print head

To clean the print head:

Open the paper drawer.

2 Wipe the print head lightly with a foam swab dipped in 90% alcohol. 3 Allow the print head to dry.

Changing the Printer Paper

Replace the printer paper when a red stripe appears on the printed ECG report. Only use Philips Medical Systems replacement printer paper. For part ordering information, see “Supplies and Ordering Information” on page 5-7.

To change the printer paper:

Open the paper drawer and remove any remaining sheets. Lift up the paper h old down b ar.

A Paper hold down bar

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Cardiograph Care and Maintenance Changing the Printer Paper

2 Insert a new pack of printer paper with the printed side facing up. Make sure that the hole

for the paper sensor is positioned as shown below.

A Paper sensor hole

3 Drape the first sheet over the roller and place the paper hold down bar on top of the paper.

A Paper hold down bar

2-8 PageWriter TC Cardiograph Service Manual

4 Close the paper drawer.

Page 71

Battery Maintenance and Care Cardiograph Care and Maintenance

Battery Maintenance and Care

The PageWriter TC70 cardiograph operates with two removable lithium ion batteries that supply power to the cardiograph during mobile use. The PageWriter TC50 and PageWriter TC30 cardiograph use either one or two removable lithium ion batteries that supply power to the cardiograph during mobile use.

For optimal battery performance:

 When operating the PageWriter TC50 or PageWriter TC30 cardiograph with one battery

installed, only use the Philips battery with part number 989803170371. Do not use the battery with Philips part number 989803160981 for one battery operation.

 When operating any model of the PageWriter TC cardiograph with two batteries installed,

ensure that both batteries contain the same Philips part number. The battery part number identification label is found on the bottom of the battery. The cardiograph can not operate with two batteries that contain different part numbers. If the cardiograph is operated with two batteries with different part numbers, the cardiograph will display an error message. Before initial use, fully charge the batteries for five hours before oper ating the cardiograph without AC power. Regularly and consistently charging the batteries will prolong battery life.

 Charging, storing, or using the batteries at temperat ures abov e 50

the batteries and reduce overall battery life.

C (122o F) can damage

 Check the battery power indicator on the Status Bar. T ap the battery icon on the Status Bar

for information on remaining battery power, see Figure 1-18 on page 1-39.

 Always charge the batteries when the cardiograph is not in use. Plug the cardiograph into

AC power. Ensure that the green AC power indicator light on the front of the cardiograph is lit. The batteries will charge while the cardiograph is in use, but will charge at a slower rate.

 Operate the cardiograph, char ge the b atteries, and sto re the batteries at a room temper ature

of 25

C (77o F) or lower. Exposure to higher temperatures may reduce battery life,

damage the batteries, and degrade overall cardiograph performance.

 If the cardiograph will be stored for more than sixty days without use, fully charge the

batteries, and after the batteries are fully charged remove AC power from the cardiograph, and then remove the batteries from the cardiograph. Store the batteries in a cool, dry location. A set of fully charged batteries stored outside the cardiograph will need to be recharged every sixty days.

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Cardiograph Care and Maintenance Battery Maintenance and Care

Replacing the Batteries

WARNING Properly dispose of or recycle depleted batteries according to local regulations. Do not

disassemble, puncture, or incinerate the disposed batteries.

WARNING Carefully follow the instructions for replacing the batteries. Only use batteries with

Philips part number 989803160981 or Philips part number 989803170371.

CAUTIONS  Before removing and replacing batteries from the cardiograph, press down and hold the On/

 When removing batteries from the cardiograph, the batteries could feel warm to the touch.

How often batteries need to be replaced depends on how well the battery is maintained and how much it is used. If the batteries are fully charged but lose significant power after only a few ECGs, consider replacement. For information on ordering replacement batteries, see “Supplies and Ordering Information” on page 5-7.

To install the batteries:

Press and hold the On/Standby button () (located on the front of the cardiograph).

Ensure that the cardiograph is shut down. When the cardiograph is fully shut down, the screen is black and the On/Standby button is not illuminated.

2 Unplug the cardiograph from AC power.

3 Open the battery door.

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Battery Maintenance and Care Cardiograph Care and Maintenance

4 Remove the batteries from the battery compartment by pulling on the gold straps.

5 Insert the replacement battery with the external connector facing the bottom rear of the

compartment.

NOTE If operating the PageWriter TC50 or PageWriter TC30 cardiograph with one battery installed,

the battery may be inserted into either battery compartment.

Ensure that the battery is fully inserted into the slot. The pull tab will insert along with the battery. Insert the second battery following the same procedure.

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Cardiograph Care and Maintenance Battery Calibration

7 Reinstall the battery door.

8 Connect the AC power cord to the cardiograph. Charge the batteries for five hours before

operating the cardiograph on battery power only.

Battery Calibration

Battery calibration may be necessary in order to enhance the accuracy of the battery level indicator that displays on the Status Bar. If the accuracy of this indicator is affected, the other battery indicators included on the Battery Status window (that is opened by tapping the battery icon on the Status Bar) may also be less accurate.

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Battery Calibration Cardiograph Care and Maintenance

Figure 2-5 Battery Power Indicator on the Status Bar

A Battery level indicator

The recommended intervals for battery calibration are dependent upon factors in your clinical use model. When the battery power indicators are not functioning so that they are useful in your daily work environment, Philips recommends calibrating the batteries following the procedure described in this section.

The battery calibration procedure requires that the cardiograph be taken out of active use for up to 8 hours.

To calibrate the batteries on the cardiograph:

Attach the AC power cord to the cardiograph. Ensure that the AC power supply is

connected to a grounded electrical outlet and that the cardiograph is receiving AC power. Check that the AC power indicator light (located next to the On/Standby button) is lit.

2 Fully charge the batteries. 3 To ensure that the batteries are fully charged, view the Charge Current field in the

Service Utility. Touch the

Setup button on the toolbar. Select the Service Utility from the

Configuration Setup and Service Utilities menu.

NOTE Accessing the Service Utility may require entering a password. If a password is lost and cannot be

retrieved, contact the Philips Response Center for assistance (see page 5-13).

From the Service Utility screen, ensure that the About the Cardiograph button is selected (top of screen). A selected button is highlighted in blue.

5 Underneath the Battery Status column (middle of screen), check that the Charge

Current

field for both batteries display 0 mA, ensuring that both batteries are fully

charged.

6 Touch the Print button (top of screen) to print out a report of the cardiograph settings

displayed on this screen.

7 Touch the Exit button (lower right hand corner of screen). Touch the Exit button again on

the Setup main menu.

8 Once the Main screen appears, touch the ID button to open the ID entry screen. Ensure

that the ID screen remains open.

9 Unplug the cardiograph from AC power. Ensure that the AC power indicator light (located

next to the On/Standby button) is not lit.

10 Keep the ID screen displayed and allow the batteries to deplete of all battery power. This

process will take approximately 8 hours to complete. When the batteries are depleted of all power, the screen is black and the cardiograph cannot be returned to active use by touching the On/Standby button.

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Cardiograph Care and Maintenance Patient Interface Module (PIM) Test

11 Once the batteries are fully depleted, reconnect the cardiograph to AC power. Press the

On/Standby button to power on the cardiograph in order to confirm successful calibration. Afterwards, charge the batteries fully before returning the cardiograph to active use.

12 On the Main screen, touch the Setup button. 13 Select the Service Utility from the Configuration Setup and Service Utilities menu. 14 From the Service Utility screen, ensure that the About the Cardiograph button is selected

(top of screen). A selected button is highlighted in blue.

15 Underneath the Battery Status column, check that the Expected Max Error (%) and Full

Capacity (mAh)

values as viewed on the screen are different than the values printed on the report generated from the Service Utility screen. If the values are different, the battery calibration procedure is complete.

NOTE If the Expected Max Error (%) field has not been reset to 2%, another calibration procedure

may be necessary. The max error value may not change if the full charge capacity has been decreased by more than 256 mAh or increased by more than 512 mAh. If this occurs, another calibration procedure is recommended as soon as it is convenient to further improve the accuracy of displayed battery status information. For batteries with more than 8% of error, the maximum error will remain unchanged if a limited calibration cycle occurs.

Patient Interface Module (PIM) Test

This test is used to confirm that the Patient Interface Module (PIM) is communicating with the cardiograph. This test can be performed when the cardiograph displays PIM error messages, or when the cardiograph is unable to acquire data from the PIM. Be sure that the PIM patient data cable is securely attached to the PIM connector on the rear of the cardiograph before performing the test.

If this test fails, it may indicate a problem with the PIM or with the PIM patient data cable.

To perform the PIM Test:

Ensure that the patient data cable is securely attached to the PIM connector ( ) on

the rear of the cardiograph. Ensure that the PIM disconnected icon ( ) does not appear on the Status Bar (top of screen).

2 Touch the Setup button on the bottom toolbar. The Configuration Setup and Service

Utilities menu appears.

3 Touch Configure Cardiograph Default Settings. On the Default Cardiograph Settings

screen, touch the

4 The Maintenance Test screen appears. Touch the Patient Interface Module (PIM) Test

button. The PIM test automatically starts and the results appear on the screen. The

Interface Module (PIM) Test

software

PIM Test Passed appears, the PIM is communicating properly with the cardiograph.

PIM Kernel Version, and if the PIM Test has failed or passed. If the message

Maintenance Test button (upper right side of screen).

window reports the PIM Option, the currently installed

Patient

5 Touch the Close button to close the window.

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Ping Test Cardiograph Care and Maintenance

6 If the message PIM Test Failed appears, check that the PIM patient data cable is securely

attached to the PIM connector on the rear of the cardiograph. If the error message persists, contact the Philips Response Center for assistance.

Ping Test

The Ping Test is used with a wireless or wired network connection to verify that the cardiograph can successfully communicate over a network connection to an entered IP address.

To perform the Ping Test:

Ensure that the LAN cable is securely attached to the LAN connector ( ) on the rear

of the cardiograph, or that the wireless LAN connection is associated to an access point and that green bars appear on the Status Bar (top of screen), indicating a live wireless connection.

2 Touch the Setup button on the bottom toolbar. The Configuration Setup and Service

Utilities menu appears.

3 Touch Configure Cardiograph Default Settings. On the Default Cardiograph Settings

screen, touch the

Maintenance Test button (upper right side of screen).

4 On the Maintenance Test screen, touch the Ping Test button. The Ping Test window

appears.

5 Enter the IP address to ping. Touch the Ping button. 6 The Ping Test results window appears and reports the test results.

Lead Wire Performance Test

The Lead Wire Performance Test should be run on a weekly basis. This test examines all of the lead wires for shortages and reports the results. Lead wire shortages can often be subtle and appear as intermittent ECG signal loss, signal noise, or reduced signal amplitude. Any lead that is reported as having a shortage must be replaced.

To perform the Lead Wire Performance Test:

Ensure that the patient data cable is securely attached to the PIM connector ( ) on

the rear of the cardiograph. Ensure that the PIM disconnected icon ( ) does not appear on the Status Bar (top of screen).

2 Ensure that all leads are securely attached to the lead connectors on the PIM. 3 Disconnect the PIM from a patient or patient simulator before starting the test. 4 Touch the Setup button on the bottom toolbar. The Configuration Setup and Service

Utilities menu appears.

5 Touch Configure Cardiograph Default Settings. On the Default Cardiograph Settings

screen, touch the

Lead Wire Performance Test button.

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Cardiograph Care and Maintenance Cardiograph and Accessory Disposal

6 The Lead Wire Performance Test window appears with the message Checking

Leadwires...

same window.

7 Replace any leads that are identified as having a lead wire shortage. Touch the Close

button when done.

At the conclusion of the test, any lead wire shortages are identified on the

Cardiograph and Accessory Disposal

When the cardiograph has reached the end of its product life, dispose of it according to local ordinances. When any of the cardiograph accessories reach the end of their product life, dispose of these items in accordance with manufacturer instructions and local ordinances.

Maintaining the Touch Screen

The touch screen may require occasional maintenance, including calibration and cleaning.

Touch Screen Calibration

The touch screen may be calibrated at any time. Calibration is recommended if it requires many attempts to select an item on the screen, or if selecting items on a specific area of the screen is difficult.

The touch screen may also require calibration if the cardiograph is used in different settings (seated instead of standing) or by users of significantly different height. The touch screen may need to be recalibrated to work optimally in the new setting or with the new user.

To calibrate the touch screen:

From any screen, touch the Ctrl + Alt + C keys (on keyboard) at the same time. Or, t ouch

Setup button on the Toolbar (accessing the Setup screens may require entering a

the password). On the following screen, touch Touch the

Calibration and Test

2 A white screen appears with a cross hair (center of screen). Touch the middle of the cross

hair where the two lines intersect. When the cross hair is touched it moves to a new location. Continue to touch the center of the cross hair.

3 Tap the screen (when a message appears) to end the test.

Maintenance Test button (top right of screen), and then touch Touch Screen

Configure Cardiograph Default Settings.

Touch Screen Cleaning

The touch screen may require occasional cleaning.

To clean the touch screen:

Dampen a soft cloth with water or with isopropyl alcohol.

2 Wring excess moisture from the cloth. 3 Wipe the touch screen area clean. Allow the touch screen to dry completely before use.

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Changing the Date and Time Cardiograph Care and Maintenance

4 Perform the Touch Screen Calibration test (see page 2-16) to optimize performance.

Changing the Date and Time

The date and time that displays on the cardiograph may be changed manually, or may be configured to automatically synchronize with a specified TraceMaster server using the Time Synchronization feature. For more information on configuring the Time Synchronization feature on the cardiograph, see the PageWriter TC Cardiograph Network Configuration Guide on the User Documentation and Training DVD.

Follow the procedure below to manually set the date or time.

NOTE Opening the Setup screens may require entering a password. If a password is lost and cannot be

retrieved, call the Philips Response Center for further assistance. See "Contacting a Philips Response Center" on page 5-13.

To set the date and time:

Touch the Setup button on the main toolbar.

2 The Configuration Setup and Service Utilities menu appears. Touch the button next to

Configure ECG Network Settings.

3 The Configure Network Settings screens appear. Touch the ECG Mgmt Systems button

(top of screen).

4 The TraceMaster settings screens appear. The Create TraceMaster Connection tab is

selected. Touch the

5 Under Time Synchronization Settings (middle of screen), touch the Set button next to

Manual Time Set.

6 The Date and Time Settings window appears with the current specified date and time

Edit/Delete TraceMaster Connection tab (top of screen).

displayed. To change the current date, touch the back or forward arrows next to the name of the displayed month (to change the month), or touch a date on the calendar to change the date within the displayed month.

7 To change the displayed time, touch the hour and minutes displayed under Current Time,

or touch the up or down arrow buttons next to the displayed time to manually change the time. Touch the time designator to change it to

8 Touch the dropdown arrow button under Time Zone to change the selected time zone.

NOTES The time displayed on the cardiograph automatically adjusts for Daylight Savings Time, if

applicable.

Touch the Time Sync button to manually synchronize the cardiograph date and time with a specified TraceMaster server.

AM or to PM.

Touch the OK button when done. Touch the Exit button (lower right corner of screen) to exit the Setup screen. The new time and date is immediately applied.

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Cardiograph Care and Maintenance Replacing the PageWriter TC50/TC30 Cardiograph Fuse

Replacing the PageWriter TC50/TC30 Cardiograph Fuse

The AC fuse needs to be replaced when the cardiograph is pl ugged into AC power, but the green AC power indicator light does not illuminate.

NOTE The PageWriter TC70 cardiograph does not have a replaceable fuse.

Figure 2-6 AC power indicator light on TC50 or TC30 cardiograph

A AC power on indicator light

Only use replacement AC fuses with Philips part number 453564131221, or use a 1.6 amp (250V) time-delay fuse the same size and configuration as the original fuse.

Figure 2-7 Replacing the AC Fuse

A AC fuse

To replace the AC fuse:

Unplug the cardiograph from AC power. Pull out the AC power cord from the AC power

connector on the rear of the cardiograph.

2 Locate the AC fuse, which is directly below the AC power connector.

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Cardiograph Overall Sensitivity Test Cardiograph Care and Maintenance

3 Push on both ends of the fuse and pull out the fuse from the fuse holder slot. 4 Insert the new fuse using the same orientation. 5 Push the fuse all the way into the fuse holder slot. The fuse snaps into place.

Cardiograph Overall Sensitivity Test

The overall sensitivity test is used to test the calibration voltage. According to IEC 60601-2-51, this test should be run regularly. Taking an ECG using a 12-lead simulator

allows you to verify areas of operation that the extended self tests cannot check, and allows you to verify the accuracy of the sensitivity settings. This test should be run approximately once a year.

Before You Begin

To perform this test, you need an ECG simulator that is calibrated and is able to produce a 1mV

2 Hz square wave on Lead I or II. (The lead you use is dependent on the simulator.)

Performing the Sensitivity Test

To perform the test:

Set the simulator to the 2Hz square wave setting and the amplitude to 1mV.

Ensure that the Simulated Waveform feature (cardiograph displays simulated patient ECG waveforms) is not enabled on the cardiograph.

3 Touch the Exam button on the Status Bar, and then touch the Resting 12-Lead button. 4 Touch the factory default Standard 12-lead Exam Profile button. 5 Touch the Settings button on the Status Bar.

a Set the Artifact filter to OFF. b Set the Limb Leads setting to 10 mm/mV. c Set the Speed setting to 25 mm/sec. d Touch OK.

6 Touch the ECG button on the toolbar. If a message appears that no patient information has

been entered, touch the configured, the ECG may automatically print. If not, touch the

7 Verify Lead I or II for the following items on the printed report:

– The height of the ECG pulses for the sensitivity setting

Continue button. Depending on how the cardiograph is

Print button.

– Measure the peak of the ECG pulse and calculate the voltage for the sensitivity setting – Verify that the measured voltage value is

1mV. Count the boxes that are contained in

the square wave from the top to the bottom, using the top left corner of the square wave labeled

A in Figure 2-8 as the upper boundary, and the lower right corner of the

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Cardiograph Care and Maintenance Cardiograph and Accessory Disposal

depending on

simulator

square wave labeled B in Figure 2-8 as the lower boundary. The square wave should measure

Figure 2-8 Overall Sensitivity Test Results

If the results fall outside of the + 5% range, run the test again. If you get the same results,

10 mm (10 boxes) with a + 5% margin for error.

try running the test on a different cardiograph. If the test fails on the other cardiograph, the simulator may be out of calibration. If the test passes on the other cardiograph, it may indicate a problem with your cardiograph. Contact the Philips Response Center for further assistance. See “Contacting a Philips Response Center” on page 5-13.

Cardiograph and Accessory Disposal

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2 Troubleshooting

This chapter provides information for localizing cardiograph problems to the subassembly level. This information is designed for use with the cardiograph’s diagnostic se lf-te s ts to help you efficiently repair the cardiograph with a minimum of equipment.

The Philips Response Center can assist with product troubleshooting and provide technical expertise to help with any issue with the PageWriter TC cardiograph or any of its accessories. For a full listing of contact phone numbers, see “Contacting a Philips Response Center” on page 5-13.

This chapter provides the following information:

Troubleshooting Cardiograph Issues . . . . . . . . . . . . . . . . . . . . . . . .3-2

Start up Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2

Display Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3

Keyboard Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5

Signal Acquisition Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7

Main Screen Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10

Archive Screen Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12

Configuration Screen Issues . . . . . . . . . . . . . . . . . . . . . . . . . .3-18

Printer Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-21

Compact Flash (CF) Card/USB Memory Stick Issues . . . . . .3-25

TraceMaster ECG Management System Issues . . . . . . . . . . .3-28

Orders Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-30

Remote Query Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-32

Fax Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-34

Log File and Custom Settings Issues . . . . . . . . . . . . . . . . . . .3-34

Lead Map Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . .3-35

Wireless Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-35

Restarting the Cardiograph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-37

Using the Service Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-38

Using the About the Cardiograph Screen . . . . . . . . . . . . . . . .3-39

Using the Diagnostic Tests and Utilities . . . . . . . . . . . . . . . . .3-42

Using the Diagnostic Tests . . . . . . . . . . . . . . . . . . . . . . . . . . .3-45

Viewing and Saving Log Files. . . . . . . . . . . . . . . . . . . . . . . . . . . .3-50

About Log Files. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-50

Saving Log Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-51

3-1

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Troubleshooting Troubleshooting Cardiograph Issues

Troubleshooting Cardiograph Issues

The troubleshooting information in this section will help you to localize a fault and to correct it.

The following charts list symptoms and the steps to follow to investigate and solve the problem. Several failure mode symptoms may actually be hardware induced or triggered, and may require board replacement or opening of the cardiograph for inspection, please contact the Philips Response Center for further assistance. See “Contacting a Philips Response Center” on page 5-13.

Start up Issues

Table 3-1 Start up Issues

Symptom Possible Cause &

Investigation Step

Failed to implement custom settings. The cardiograph will automatically restart and restore current settings. Please contact the Philips Response Center for further assistance.

message

Failure to load a configuration file

Possible Solutions

1 Restore the factory default settings. 2 Try loading the configuration file again.

3 If the problem persists, manually configure the

cardiograph settings.

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Troubleshooting Cardiograph Issues Troubleshooting

Display Issues

Table 3-2 Display Issues

Symptom Possible Cause &

Investigation Step

Screen is dark and shows no image

Cardiograph is in Standby. Cardiograph battery capacity

is below 15%.

Power issue: AC Power AC is applied but AC Power

On indicator LED is dark.

Solution

1 Press the On/Standby button

( ). Confirm that the cardiograph can be returned to active use.

2 If the cardiograph does not

restart, connect the cardiograph to AC power and then press the On/Standby button.

3 User training on proper use

of Standby.

1 Inspect AC power

connections.

2 Ensure AC cord is not

damaged and is plugged into appropriate live AC power socket.

Power issue: Battery AC is not attached and the

battery is inserted into the cardiograph. Push the On/ Standby

button. The screen

remains dark. Cardiograph battery capacity

is below 15%.

3 Ensure that the power cord is

is connected to the power input connector on the back of the cardiograph.

1 Open battery compartment

door and inspect battery condition.

2 Ensure that the gold battery

strap is fully extended before installing the battery.

3 Replace the batteries. See

“Replacing the Batteries” on page 2-10.

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Troubleshooting Troubleshooting Cardiograph Issues

Table 3-2 Display Issues (continued)

Symptom Possible Cause &

Investigation Step

Display assembly failure Replace display. Contact the

Main board failure Replace Main board. Contact the

A dialog box shows

File system is destroyed. software version information with a black background

Solution

Philips Response Center for assistance. See “Contacting a Philips Response Center” on page 5-13.

1 Wait 2 minutes and perform

full software installation, see “Installing PageWriter TC Cardiograph Software and Enabling Tokens” on page 6-1.

2 Confirm successful software

installation. See “Verifying the Software Installation” on page 6-7.

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Troubleshooting Cardiograph Issues Troubleshooting

Keyboard Issues

Table 3-3 Keyboard Issues

Symptom Possible Cause &

Investigation Step

Keyboard is unresponsive

Input focus loss Keyboard controller

subsystem has failed

ID or ECG button on

Input focus loss Touch the cardiograph scre en keyboard is unresponsive

Solution

1 Touch the cardiograph screen

anywhere.

2 Restart cardiograph. See

“Restarting the Cardiograph” on page 3-37.

3 Perform the Service Utility

Keyboard/Hardware Key test on page 3-47.

4 If the test passes, try using

the keyboard again.

5 If the test fails, replace the

keyboard. Contact the Philips Response Center for assistance, see “Contacting a Philips Response Center” on page 5-13.

anywhere.

Keyboard is typing incorrect characters

Keyboard has

Caps Lock

feature enabled

Incorrect keyboard option is

installed

PageWriter TC Cardiograph Service Manual 3-5

1 Check to see if the Cap Lock

icon ( ) appears on the Status Bar. See “The Status Bar” on page 1-51.

2 Turn off the Caps Lock

feature.

3 User training on Caps Lock

use.

Contact the Philips Response Center for assistance, see “Contacting a Philips Response Center” on page 5-13.

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Troubleshooting Troubleshooting Cardiograph Issues

Table 3-3 Keyboard Issues (continued)

Symptom Possible Cause &

Investigation Step

Keyboard is typing incorrect characters

The main board was recently

replaced, and the procedure

reset the cardiograph keyboard

option to an incorrect setting.

Solution

1 If the main control board was

recently replaced, perform a full installation of the cardiograph software using the

Biomed Software

Installation

option in the software installation wizard. See “Installing the Software Upgrade” on page 6-3.

2 If the problem persists after a

full software installation procedure, contact the Philips Response Center for further assistance. See “Contacting a Philips Response Center” on page 5-13.

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Troubleshooting Cardiograph Issues Troubleshooting

Signal Acquisition Issues

Before attempting to troubleshoot a signal acquisition error as a mechanical issue, ensure that the following patient preparation and basic troubleshooting techniques have first been followed.

Always follow good skin and patient preparation techniques prior to taking an ECG. Proper skin preparation helps to ensure a good quality ECG. Skin is a poor conductor of electricity and frequently creates artifact that distorts the ECG signal.

To prepare the patient for an ECG:

Shave hair from electrode sites if necessary (excessive hair prevents a good connection).

2 Wash the skin thoroughly with soap and water. 3 Dry the skin vigorously to increase capillary blood flow to the tissues and to remove the

dead, dry skin cells and oil.

NOTE Do not use alcohol to clean the skin because it dries the skin. If there is no time, rub the

electrode sites with gauze to remove the dead, dry skin and to increase capillary flow.

Always use disposable electrodes, and ensure that the disposable electrodes have not

expired. Place the electrodes on flat, fleshy parts of the arms and legs, and place all limb electrodes equal distance from the heart, at the same position on each limb. If a limb site is not available (amputation, injury) place the electrodes closer to the torso.

5 Ensure that all electrodes are firmly attached, and that the lead wires are not pulling on the

electrodes. If the electrodes can be moved easily, the electrode connection is too loose.

6 Reassure the patient and make sure that the patient is comfortable. If the patient has

tremors, attach the limb electrodes higher on the patie nt (closer to the torso), and assist with limiting patient moving while taking the ECG.

After ensuring that proper patient preparation techniques are being followed, and that fresh electrodes are being applied to the patient, review the following table for further assistance.

PageWriter TC Cardiograph Service Manual 3-7

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Troubleshooting Troubleshooting Cardiograph Issues

Table 3-4 Signal Acquisition Issues

Symptom Possible Cause &

Investigation Step

All leads show leads off (red dashed line)

continuously

PIM communications have been lost due to USB patient data cable connection failure, defective leads are connected to the PIM, or a Class A PIM is connected to the cardiograph.

Solution

1 Check to see if the PIM disconnected icon

( ) appears on the Status Bar (top right of the screen).

2 Ensure that a Class B PIM is connected to the

cardiograph. See “About Class A and Class B Patient Data Cables and PIMs” on page 1-27.

3 If the PIM is firmly attached, perform the PIM test

as described in “Patient Interface Module (PIM) Test” on page 2-14. If the PIM Test fails, replace the patient data cable. If the PIM Test continues to fail with a new patient data cable attached, replace the PIM.

4 If the PIM test passes, ensure that all lead wires are

fully seated in the PIM lead connectors.

5 Ensure that all lead wires are intact and that there

are no cracks visible in any of the lead wires.

6 Run the Lead Wire test, see “Lead Wire

Performance Test” on page 2-15. Replace any defective lead wires.

One or more leads show leads off (red dashed line)

periodically

Improper or incomplete patient and skin preparation techniques

Improperly attached electrodes or lead wires; expired disposable gel electrodes

Defib or high noise event

Ensure that good patient preparation and skin preparation techniques have been followed as described on page 3-7.

1 Ensure that the lead adapters are clean and have a

tight fit.

2 Ensure that the electrodes are within their shelf life

and are firmly attached to the patient.

1 Observe frequency and recovery behavior. 2 The PIM performs an automatic ranging action

when input signals vary significantly. If this behavior persists in the absence of electrode movement or defib events, the cardiograph should be serviced to inspect and possibly replace the PIM or lead cables. Contact the Philips Response Center for assistance, see “Contacting a Philips Response Center” on page 5-13.

3-8 PageWriter TC Cardiograph Service Manual

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Troubleshooting Cardiograph Issues Troubleshooting

Table 3-4 Signal Acquisition Issues (continued)

Symptom Possible Cause &

Investigation Step

PIM reset (up to ten second duration)

One or more leads show leads off (red dashed line)

periodically

PIM communications have been lost due to USB patient data cable connection failure, or defective leads are connected to the PIM.

Solution

It is normal for the PIM to reset under the following conditions:

 power on/wakeup  screen changes  insertion/removal of a USB device (USB memory

stick)

 Electrostatic discharge

When the PIM resets, it is normal for all leads to display as red dashed lines for up to ten seconds and for the PIM disconnected icon ( ) to appear on the Status Bar (top of screen).

1 Check to see if the PIM disconnected icon

( ) appears on the Status Bar (top of screen).

2 If the PIM is firmly attached, perform the PIM test

as described in “Patient Interface Module (PIM) Test” on page 3-45. If the PIM Test fails, replace the patient data cable. If the PIM Test continues to fail with a new patient data cable attached, replace the PIM.

Patient Interface Module (PIM) not detected

message or PIM disconnected icon ( ) appears on screen

 PIM not connected  Faulty patient data

cable

 Faulty PIM  Class A PIM is

connected to the cardiograph

3 If the PIM test passes, ensure that all lead wires are

fully seated in the PIM lead connectors.

4 Ensure that all lead wires are intact and that there

are no visible cracks in the lead wires.

5 Run the lead wire test, see page 2-15. 6 Replace any of the leads that fail the lead wire test. 1 Check that a Class B PIM is connected to the

cardiograph, see “About Class A and Class B Patient Data Cables and PIMs” on page 1-27.

2 Check that PIM patient data cable is firmly seated

to the PIM connector ( ) on the rear of the cardiograph.

3 If the PIM is firmly attached, perform the PIM test

as described in “Patient Interface Module (PIM) Test” on page 2-14. If the PIM Test fails, replace the patient data cable.

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Troubleshooting Troubleshooting Cardiograph Issues

Main Screen Issues

Table 3-5 Main Screen Issues

Symptom Possible Cause &

Investigation Step

Incorrect language appears on cardiograph software

The main board was recently replaced, and the procedure reset the cardiograph software localization (language) option to an incorrect setting.

Waveform display is

Software is frozen no longer updating, system is unresponsive

Solution

1 If the main control board was recently replaced,

perform a full installation of the cardiograph software using the

Biomed Software Installation

option in the software installation wizard. See “Installing the Software Upgrade” on page 6-3.

2 If the problem persists after a full software

installation procedure, contact the Philips Response Center for further assistance. See “Contacting a Philips Response Center” on page 5-13.

1 Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

2 Export the log file. See “Viewing and Saving Log

Files” on page 3-50.

3 Report the software issue to the nearest Philips

Response Center, see “Contacting a Philips Response Center” on page 5-13.

Waveform display is no longer updating, system is unresponsive

Invalid Report Handle

message

Main board failure

Report handle is invalid

when preview, printing,

saving ECGs.

1 Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

2 If this fails, remove and replace the main board.

Contact the nearest Philips Response Center for further assistance, see “Contacting a Philips Response Center” on page 5-13.

1 Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

2 Wait 2 minutes and perform full software

installation. See “Installing the Software Upgrade” on page 6-3.

3 Confirm successful software installation. See

“Verifying the Software Installation” on page 6-7.

3-10 PageWriter TC Cardiograph Service Manual

Page 93

Troubleshooting Cardiograph Issues Troubleshooting

Table 3-5 Main Screen Issues (continued)

Symptom Possible Cause &

Investigation Step

No Report message The software can't map

the input report handle

to the internal report

object. The handle is

invalid.

Internal function error

message

Invalid file or the file

resides on unsupported

media.

Solution

1 Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

2 Wait 2 minutes and perform full software

installation. See “Installing the Software Upgrade” on page 6-3.

3 Confirm successful software installation. See

“Verifying the Software Installation” on page 6-7.

1 Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

2 Wait 2 minutes and perform full software

installation. See “Installing the Software Upgrade” on page 6-3.

3 Confirm successful software installation. See

“Verifying the Software Installation” on page 6-7.

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Troubleshooting Troubleshooting Cardiograph Issues

Archive Screen Issues

Table 3-6 Archive Screen Issues

Symptom Possible Cause &

Investigation Step

Command timed-out

message

The TraceMaster ECG

Management system is

busy.

ECGs with incomplete required patient information fields cannot be transferred

Selected ECG(s) exceeds available space on TraceMaster Remote site

message

The required

information for the

ECG has not been

entered.

The TraceMaster

system is out of

available disk space.

message

Solution

Retry TraceMaster operation. Transfer operations use network and server resources,

which may occasionally be unable to service the requests.

Enter the required ECG information and try the archive operation again. For more information see Chapter 3 “The Patient Session” of the PageWriter TC Cardiograph Instructions for Use.

Contact the TraceMaster system administrator and report the error.

3-12 PageWriter TC Cardiograph Service Manual

Page 95

Troubleshooting Cardiograph Issues Troubleshooting

Table 3-6 Archive Screen Issues (continued)

Symptom Possible Cause &

Investigation Step

Requested Function could not be completed

message

Network or modem

phone line was

interrupted during

operation.

USB memory stick was

not fully inserted into

the slot on the

cardiograph.

An attempt to transfer

an unsupported ECG

report type was made to

TraceMaster.

Solution

1 Retry operation. 2 Inspect cabling to network or analog phone line. 3 Transfer or query operations require reliable access

to the network transport.

1 Verify that the USB memory stick is inserted

correctly. Attempting to save ECGs to USB memory stick that is not accessible will result in an error message.

2 Retry the operation with fully functioning USB

memory stick that is fully inserted into the USB slot on the cardiograph. See “Using the USB Memory Stick” on page 1-43.

Inspect ECG that failed the requested operation for selected format (report type).

Certain ECG report types are not supported by and will be rejected by the TraceMaster ECG Management System.

Insufficient storage available

message appears when you are attempting to transfer files to the USB memory stick.

Invalid database

message

There is not enough space on the USB memory stick.

Archive database may be corrupted.

1 Check the USB memory stick storage capacity. 2 Free up space on the USB memory stick by

deleting files and retry the operation.

1 Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

2 Wait 2 minutes and perform full software

installation. See “Installing the Software Upgrade” on page 6-3.

3 Confirm successful software installation. See

“Verifying the Software Installation” on page 6-7.

4 If the problem persists, contact the nearest Philips

Response Center, see “Contacting a Philips Response Center” on page 5-13.

PageWriter TC Cardiograph Service Manual 3-13

Page 96

Troubleshooting Troubleshooting Cardiograph Issues

Table 3-6 Archive Screen Issues (continued)

Symptom Possible Cause &

Investigation Step

When an error occurs

Application limitation The PageWriter TC cardiograph ECG transfer during transfer of multiple ECGs to a TraceMaster system, the transfer process does not continue and transferred files are not deleted.

After pressing the

Archive button, it

System slow-down

from full ECG database takes longer than 40 seconds before the Archive list is displayed when the Main Archive has more than 130 ECGs stored.

Transfer of ECGs to a USB memory stick fails and there are

 USB memory stick

file system limitation

still less than 200 ECGs on the removable media device.

 Not enough free

space available on the USB memory stick to save the number of selected ECGs

Solution

operations fail in a known safe manner when multiple ECG transfer operations are interrupted.

Retry the transfer for the remaining ECGs.

Save or delete ECGs from the Main Archive. There is a known system performance impact when the

near maximum number of ECGs have been stored in the Main Archive.

Delete unwanted files from the USB memory stick.

No reply received from TraceMaster Remote site

message

Archive function could not be completed. Please restart cardiograph and try again.

 The server is

unavailable

 Configuration error

Archive error 1 Restart the cardiograph. See “Restarting the

message

3-14 PageWriter TC Cardiograph Service Manual

1 Contact the TraceMaster system administrator and

report the error.

2 Check the IP address and the TraceMaster server

URL in the TraceMaster configuration settings.

Cardiograph” on page 3-37.

2 If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

3 Contact the nearest Philips Response Center for

further assistance.

Page 97

Troubleshooting Cardiograph Issues Troubleshooting

Table 3-6 Archive Screen Issues (continued)

Symptom Possible Cause &

Investigation Step

Archive process was terminated due to an error

Bad reply received from TraceMaster Remote site

message

Archive error 1 Restart the cardiograph. See “Restarting the

Archive error, bad reply

from server

message

Unexpected reply received from TraceMaster Remote Site

Archive error,

unexpected reply from

server

message

Invalid XML schema version

message

Archive error,

unsupported XML

schema

Solution

Cardiograph” on page 3-37.

2 If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

3 Contact the nearest Philips Response Center for

further assistance.

1 Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

2 Contact the TraceMaster system administrator and

report the error.

1 Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

2 Contact the TraceMaster system administrator and

report the error.

 Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

Unsupported XML version

message

XML schema of

selected ECG is not

supported by

TraceMaster server.

XML error message XML ECG file

corrupted

 Check the TraceMaster/ECG Management System

configuration settings screens to ensure that the correct TraceMaster server version is selected.

1 Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

2 If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

3 Contact the nearest Philips Response Center for

further assistance.

PageWriter TC Cardiograph Service Manual 3-15

Page 98

Troubleshooting Troubleshooting Cardiograph Issues

Table 3-6 Archive Screen Issues (continued)

Symptom Possible Cause &

Investigation Step

XML unicode encoding is not UTF-16

Error accessing external XML file

message

Invalid encoding 1 Restart the cardiograph. See “Restarting the

File I/O error 1 Restart the cardiograph. See “Restarting the

message

Error XML file is too large

message

File is too large 1 Restart the cardiograph. See “Restarting the

Solution

Cardiograph” on page 3-37.

2 If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

3 Contact the nearest Philips Response Center for

further assistance.

Cardiograph” on page 3-37.

2 If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

3 Contact the nearest Philips Response Center for

further assistance.

Cardiograph” on page 3-37.

2 If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

Error XML file did not transform

message

Fax transmission did not complete

message

There is no default TraceMaster server available for Auto Time Sync

message

3 Contact the nearest Philips Response Center for

further assistance.

File I/O error 1 Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

2 If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

3 Contact the nearest Philips Response Center for

further assistance.

Fax not completed 1 Retry the fax operation.

2 If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

3 Contact the nearest Philips Response Center for

further assistance.

TraceMaster settings

are not configured

correctly.

1 Check the TraceMaster configuration settings on

the cardiograph.

2 Touch the Setup button on the main toolbar to

access the TraceMaster settings screen.

3-16 PageWriter TC Cardiograph Service Manual

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Troubleshooting Cardiograph Issues Troubleshooting

Table 3-6 Archive Screen Issues (continued)

Symptom Possible Cause &

Investigation Step

Some ECGs retrieved from TraceMaster and printed on the cardiograph look different from TraceMaster prints or

Older or non-

PageWriter TC source

ECG files were

retrieved. ECG was not

created by a PageWriter

TC cardiograph. XLi printouts.

Error occurred when deleting the selected ECGs. Please check the Error List below

Internal Compact Flash

card read/write error

message

Solution

Inspect the printed report date and information Retrieving and printing older ECG files that were not

sourced by the PageWriter TC cardiograph can have the following differences when printed:

 Algorithm version appears as HPxxx on

TraceMaster and

PH on PageWriter TC

cardiograph.

 Pacer tick marks are not present on PageWriter TC

cardiograph printout.

 Frank lead system generates 3 rhythm traces with

flat line and no lead label on PageWriter TC cardiograph printout.

 Custom lead names do not appear on PageWriter

TC cardiograph printout.

 PageWriter TC cardiograph prints full

interpretations regardless of original Xli ECG settings.

1 Retry the operation. 2 If the problem persists, restart the cardiograph. See

“Restarting the Cardiograph” on page 3-37.

3 If the issue is still not resolved, save the log files.

See “Viewing and Savin g Log Files” on page 3-50.

Error occurred when transferring the selected ECGs. Please check the Error List below for more details.

message

Do you want to overwrite the existing patient information with the selected order

message

4 Contact the nearest Philips Response Center for

further assistance.

Transmission error 1 Retry the operation.

2 If the problem persists, restart the cardiograph. See

“Restarting the Cardiograph” on page 3-37.

3 If the issue is still not resolved, save the log files.

See “Viewing and Savin g Log Files” on page 3-50.

4 Contact the nearest Philips Response Center for

further assistance.

You attempted to use an

order to overwrite

patient information of

Check to make sure that you want to overwrite the information. If so, confirm the operation. If not, cancel the operation.

an archived ECG.

PageWriter TC Cardiograph Service Manual 3-17

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Troubleshooting Troubleshooting Cardiograph Issues

Configuration Screen Issues

Table 3-7 Configuration Screen Issues

Symptom Possible Cause &

Investigation Step

The maximum number of TraceMaster connections has been configured. Please edit or delete an existing TraceMaster connection.

The maximum number of OrderVue inboxes has been created. Edit or delete an existing inbox.

message

There are a limited

number of TraceMaster

connections that can be

configured on the

cardiograph.

There are a limited

number of OrderVue

inboxes that can be

configured on the

cardiograph.

message

Invalid XML version detected. Please try again.

message

Invalid version detected

when loading

configuration file.

Solution

Remove one of the TraceMaster connections.

Remove one of the OrderVue inboxes.

If the problem persists, manually configure the cardiograph settings.

Invalid XML platform detected. Please try again.

message

Invalid XML file detected. Please try again.

Failed to implement custom settings. The cardiograph will automatically restart and restore custom settings.

message

Duplicate Profile name. Please enter a unique name.

message

Invalid platform

detected when loading

configuration file.

Invalid configuration

file detected when

loading configuration

file.

Corrupted configuration

file detected when

loading configuration

file.

You attempted to save

an exam profile under

an existing name.

If the problem persists, manually configure the cardiograph settings.

1 Ensure you are selecting a configuration file. 2 If the problem persists, manually configure the

cardiograph settings.

1 Cardiograph automatically restarts and loads

current configuration.

2 If the problem persists, manually configure the

cardiograph settings.

Choose another name and save the exam profile.

3-18 PageWriter TC Cardiograph Service Manual

Philips PageWriter TC Cardiograph Service manual

Specifications and Main Features

Frequently Asked Questions

User Manual

1Introduction

Who Should Use this Service Manual

Philips ECG XML Information

Using the Philips InCenter Site

About Adobe Acrobat Versions

Safety Summary

Symbols Marked on the Cardiograph or Patient Interface Module (PIM)

Safety Symbols Marked on the Cardiograph Packaging

Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph Cart

Safety and Regulatory Symbols Marked on the PageWriter TC50/TC30 Cardiograph Cart

Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph AC Power Adapter

Important Patient and Safety Information

Accessories and Supplies

AC Power Adapter and AC Power Cord

Analog ECG Output Signal Port

Batteries

PageWriter TC50/TC30 Cardiograph One Battery Operation

Cart

Defibrillation

Diagrams

Display Accuracy

ECG Interpretation

Electrodes

Faxed ECGs

General Cardiograph Use

IEC 60601-2-51

Lead Wires

Main Waveform Display Screen

Modem Card and Fax Feature

Pacemaker

Patient Data Cable

Patient Interface Module (PIM)

Printer

Servicing the Cardiograph

Software

Touch Screen

USB Memory Stick

PageWriter TC70 Cardiograph Components

PageWriter TC50 Cardiograph Components

PageWriter TC30 Cardiograph Components

Patient Interface Module (PIM)

About Class A and Class B Patient Data Cables and PIMs

Attaching the Patient Data Cable to the PIM and Cardiograph

Special Note about Patient Interface Module (PIM)

PIM ECG Button

Configuring the 16-Lead PIM (PageWriter TC70 and PageWriter TC50 cardiograph only)

Recommended 16-Lead Configurations

Installing the Batteries

Notes about Battery Installation

Charging the Batteries

Calibrating the Batteries

Battery Power Indicator

Using the On/Standby Button

Using the Wireless LAN Card

Using the Modem Card

Using the USB Memory Stick

Using the Barcode Reader

Using the Cardiograph Touch Screen

Touch Screen Overview

Changing the Lead Format on the Main ECG Screen

The Status Bar

Using the Keyboard Shortcuts

1Cardiograph Care and Maintenance

Cardiograph and PIM Cleaning

Approved Cleaning Solutions

Patient Data Cable and Lead Wire Cleaning

Approved Cleaning Solutions

Reusable Electrode Cleaning

Cleaning the Print Head

Changing the Printer Paper

Battery Maintenance and Care

Replacing the Batteries

Battery Calibration

Patient Interface Module (PIM) Test

Ping Test

Lead Wire Performance Test