Philips PageWriter TC Cardiograph Service manual

PageWriter TC Cardiograph

SERVICE MANUAL

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

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

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

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

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

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

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

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

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

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

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

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.

PageWriter TC Cardiograph Service Manual 1-5

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.

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.

PageWriter TC Cardiograph Service Manual 1-7

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.

1-8 PageWriter TC Cardiograph Service Manual

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.

PageWriter TC Cardiograph Service Manual 1-9

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.

1-10 PageWriter TC Cardiograph Service Manual

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.

PageWriter TC Cardiograph Service Manual 1-11

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.

1-12 PageWriter TC Cardiograph Service Manual

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

PageWriter TC Cardiograph Service Manual 1-13

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

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.

PageWriter TC Cardiograph Service Manual 1-15

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

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.

PageWriter TC Cardiograph Service Manual 1-17

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.

1-18 PageWriter TC Cardiograph Service Manual

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.

PageWriter TC Cardiograph Service Manual 1-19

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

PageWriter TC70 Cardiograph Components Introduction

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

I Battery compartment J USB memory stick connector

PageWriter TC Cardiograph Service Manual 1-21

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.

1-22 PageWriter TC Cardiograph Service Manual

+ 202 hidden pages