Philips Pagewriter Touch Service manual

SERVICE MANUAL

Notice

About This Edition

Published by Philips Medical Systems

Publication Number M5000-90200

Edition History

Edition 1 January 2003 Edition 2 April 2004 Edition 3

November 2007

Applicable to Software Revisions B.01.00, C.01.02 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.

Copyright

© 2003-2007 Koninklijke 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 [phone]

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 Touch 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 this 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 Touch Cardiograph complies with the requirements of the Medical Device Directive 93/

42/EEC and carries the 0123 mark accordingly.

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3 Conventions Used in this Service Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3 Safety Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4 Safety Symbols Marked on the Cardiograph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4 Safety Symbols Marked on the Cardiograph Packaging . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5 Important Patient and Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6 The PageWriter Touch Cardiograph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9 Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9 Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9 The Philips 12-Lead Algorithm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9 Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9 Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10 Cardiograph Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10 Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10 PageWriter Touch Cardiograph Components. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11 Thermal Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15 Touch Screen Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15 Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15 Patient Interface Module (PIM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15 Configuring the 16-Lead PIM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-17 Connecting the PIM to the Cardiograph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-21 Placing the PIM in the Cardiograph Cradle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-22 Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-23 Options and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-23 Standard Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-24 Upgrades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-24 Supplies and Ordering Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-25 Ordering Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-25 Special Note about Welsh Bulb Electrodes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-26 PageWriter Touch Cardiograph Supply Part Numbers. . . . . . . . . . . . . . . . . . . . . . . . . 1-27 PIM Patient Data Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-27 Complete Lead Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-27 Replacement Lead Sets and Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-27 Electrodes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-28 Printer Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-28 Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-28 Localization Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-29 Other Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-29

PageWriter Touch Cardiograph Service Manual

Contents-1

Table of Contents

Philips 12-Lead ECG XML Information and Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-30 Downloading the XML Utilities and the XML Utility Suite Instructions for Use . . . . . .1-30 Using the Philips InCenter Site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-30 About Adobe Acrobat Versions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-31 Downloading Documentation at the Philips Website . . . . . . . . . . . . . . . . . . . . . . . . . . .1-32 Contacting a Philips Response Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-32 North America Response Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-32 South America Response Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-32 Europe Response Centers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-32 Asia Response Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-34 Africa and Middle East . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-34

Chapter 2 Theory of Operation

System Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2 Hardware Logical View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2 Main Control Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2 Display and Touch Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3 Patient Information Module (PIM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4 Printer Control (USB) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4 Diskette Drive (USB) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4 USB External Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4 Smart Batteries (SMB) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4 Keyboard (PS/2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4 Magnetic Card Reader (Serial) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4 Barcode Reader (PS/2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-5 Top Level ECG Data Flow and Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-5 About XML Versions for Software Version C.01.02 and higher . . . . . . . . . . . . . . . . . . .2-6 Internal Main Archive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8 Internal Remote Archive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8 External PC Card or USB Memory Stick Archives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8 USB Memory Stick . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8 External Diskette Archives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-9 Rendered ECG Report Prints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-9 Fax-Rendered ECG Report Print. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10 Power System Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11 Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12 SMBus Smart System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14 Power Labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14 DC_PWR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14 VBATT1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14 VBATT2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14 LDO_PWR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14 LOAD_PWR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14 System Power Processor_VDDX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-15 VDDX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-15 VDDI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-15

Contents-2 PageWriter Touch Cardiograph Service Manual

Table of Contents

VCC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15 +12V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15 +2.5V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15 +3.3V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15 SW_6V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15 Charge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15

Power Management. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16 Battery Charging Logic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16 Battery Fuel Gauge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16 Battery Discharging. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18 Battery Charging. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18 Charge Current . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18 Current Consumption in QuickStart and Standby Mode . . . . . . . . . . . . . . . . . . . . . . . 2-18 Battery Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18 Battery Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19

Chapter 3 Cardiograph Care and Maintenance

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

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

Patient Data Cable and Lead Wire Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Reusable Electrode Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Special Note about Welsh Bulb Electrodes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Print Head Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Printer Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5

Tearing Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6

Battery Maintenance and Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6

Charging the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

Calibrating the Batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

Replacing the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8

Replacing the AC Fuses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10

Replacing the Lead Wires in the PIM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12

Configuring the 16-Lead PIM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14

Cardiograph and Accessory Disposal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18

Maintaining the Touch Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18

Touch Screen Calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18

Touch Screen Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19

Setting the Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19

Diskette and Disk Drive Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20

Barcode Reader Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20

Calibrating the Barcode Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21

Removing the Carriage Return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-23

Maintenance Tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24

Touch Calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-25

Screen Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-26

PIM Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-28

Barcode Reader Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-28

Magnetic Card Reader Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-29

Printer Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-30

PageWriter Touch Cardiograph Service Manual

Contents-3

Table of Contents

Using the System Log Feature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-32

Automatic Maintenance Reset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-33

Chapter 4 Performance Verification and Safety Tests

Required Testing Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2

External Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2

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

Upgrades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3

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

Test Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-6

Performance Verification Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-6

Visual Inspection (V). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-6

Power On Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-7

Individual Functional Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-8

Accessing the Service Utility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-8

Printer Test (P) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-9

Diskette Drive Test (FD). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-10

Touch Screen Display Test (TD). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-10

Touch Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-10

Screen Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-11

PIM Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-12

Keyboard Test (K) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-12

Modem Test (M) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-13

PC Card Test (PCC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-13

USB Drive (Storage) Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-13

Barcode Reader Test (BR). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-13

ECG Simulation (ECG) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-14

Safety Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-17

Test Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-17

Safety Test S1 - Protective Earth Resistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-17

Safety Test S2 - Equipment Leakage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-18

Safety Test S3 - Leads Leakage Current . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-18

CF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-18

Chapter 5 Diagnostics and Troubleshooting

Repair Philosophy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2

Using the Service Utility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2

Launching the Service Utility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2

Accessing the Service Utility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2

Service Utility Interface Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-4

Revisions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-5

Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-6

Network. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-7

AVR Statistics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8

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Device Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8 Battery Info. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9 Diagnostic Tests Available in the Service Utility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11 Audio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11 Barcode Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12 Mag Card Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12 CompactFlash (CF) (Archive Storage). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12 Analog Out. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12 Fax/Modem. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12 Floppy Drive. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12 Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13 PC Card (PCMCIA Storage) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13 USB Drive (Storage). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13 Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13 Network Ping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13 Screen Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13 Serial Loopback . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13 Suspend Button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13 Touch Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13 Auto Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14 Working with the Diagnostic Tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14 Using the Software Installation Utility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15 System Log Feature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16 Additional Service Utility Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18 Change Access Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18 Calibrate Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18 Refresh Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18 Print Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18 Restart Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18

Accessing the Windows CE Desktop. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18 DC Voltage Test Points . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-19 Print Head Static Brush Resistance to Ground Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-20 Troubleshooting Cardiograph Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-21 Archive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-22 Barcode Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-27 Batteries and AC Power. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-28 Diskette Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-30 Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-31 Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-33 Orders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-35 Patient Interface Module (PIM)/Signal Acquisition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-36 PC Card/Modem Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-39 Printed ECGs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-41 Printer/Paper Tray Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-42 R/T (real-time) ECG Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-47 Restarting the Cardiograph. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-48 TraceMasterVue Remote Site Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-50 Checking the Remote Site Server Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-51 Resolving an Unexplained Reply Received from the Remote Site . . . . . . . . . . . . . 5-52

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Wireless LAN Card Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-53 Checking the Wireless Adapter Association to an Access Point . . . . . . . . . . . . . . . . . .5-55 About Wired Ethernet and Wireless LAN Connectivity Using DHCP . . . . . . . . . . . . . . . .5-57

Chapter 6 Removing and Replacing Cardiograph Components

Required Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2

Removing and Replacing Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2

Removing the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2

Replacing the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3

Patient Interface Module (PIM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-4

Replacing Lead Wires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-4

Removing the PIM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-6

Replacing the PIM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-7

Replacing the PIM Data Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-7

Removing and Replacing the AC Fuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-8

Removing and Replacing the Paper Tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-9

Removing the Paper Tray. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-9

Replacing the Paper Tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-9

Removing and Replacing the Cart Casters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-10

Removing the Cart Casters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-10

Replacing the Casters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-12

Removing and Replacing the Cart Base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-14

Removing the Cart Base. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-14

Replacing the Cart Base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15

Removing and Replacing the Cart Top Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15

Removing the Cart Top Assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15

Replacing the Cart Top Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-16

Removing and Replacing the Top Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-16

Removing the Top Cover. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-16

Replacing the Top Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-19

Removing and Replacing the Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-20

Removing the Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-20

Replacing the Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-22

Replacing the Display Hinge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-23

Removing and Replacing the Keyboard Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-27

Removing the Keyboard Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-27

Replacing the Keyboard Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-28

Removing and Replacing the Diskette Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-29

Removing the Diskette Drive. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-29

Replacing the Diskette Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-30

Removing and Replacing the Printer Gearbox . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-30

Removing the Printer Gearbox . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-30

Replacing the Printer Gearbox. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-32

Removing and Replacing the Print Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-33

Removing the Print Head Assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-33

Replacing the Print Head Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-35

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Removing and Replacing the Boot ROM Chip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-36 Removing the Boot ROM Chip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-36 Replacing the Boot ROM Chip. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-39 Removing and Replacing the Main Control Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-40 Removing the Main Control Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-41 Replacing the Main Control Board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-43 Restoring Files from the Compact Flash Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-45 Removing and Replacing the Power Supply Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-47 Removing the Power Supply Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-47 Replacing the Power Supply Assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-48 Removing and Replacing the Printer Control Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-48 Removing the Printer Control Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-48 Replacing the Printer Control Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-49 Removing and Replacing the Magnetic Card Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-50 Removing the Magnetic Card Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-50 Replacing the Magnetic Card Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-51 Removing and Replacing the Main Cable Harness Assembly. . . . . . . . . . . . . . . . . . . . . . . . 6-51 Removing the Main Cable Harness Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-51 Replacing the Main Cable Harness Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-55 Removing and Replacing the Top of Form Sensor Cable Harness . . . . . . . . . . . . . . . . . . . 6-58 Removing the Top of Form Sensor Cable Harness. . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-58 Replacing the Top of Form Cable Harness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-59 Removing and Replacing the Display Hinge Bracket . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-60 Removing the Display Hinge Bracket. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-60 Replacing the Display Hinge Bracket . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-61 Removing and Replacing the On/Standby Label . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-62

Chapter 7 Replacement Parts

Main Assembly and Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2

Bottom Housing Assembly and Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5

Keyboard Assembly and Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7

Patient Interface Module (PIM) and Parts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-9

Print Head Assembly and Related Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-13

Cart Assembly and Parts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-15

Optional Accessories and Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-17

Special Note about Welsh Bulb Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-18

Chapter 8 Configuring TraceMasterVue and Network Settings

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

DHCP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

Fixed IP Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

Auto Negotiation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

Device IP Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

Ping Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3

Configuring Other PageWriter Cardiographs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3

PageWriter Touch Cardiograph Service Manual

Contents-7

Configuring Network Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

About Wired Ethernet and Wireless LAN Connectivity Using DHCP . . . . . . . . . . . . . .8-5

Configuring TraceMasterVue Remote Site Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-6

Configuring a Remote Site Connection with Modem . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-7

About XML Versions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-8

Remote Site Security Feature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-9

Testing TraceMasterVue Remote Site Connectivity . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-11

Editing Remote Site Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-12

Configuring OrderVue Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-13

Creating an Inbox . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-14

General OrderVue Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-16

Testing Order Inbox Connectivity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-16

Editing Inbox Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-17

Configuring Institution Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-17

About the Facility and Department Fields . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-18

Appendix A Software Installation Instructions

About Software Versions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2 C.01 Upgrade Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2 Standard Software Installation Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3 Installing the Software. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5 Saving Archived ECGs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6 Saving Custom Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6 Installing the Software Application and Kernel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7 Loading the PIM Firmware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-11 Verifying the Software Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-12 Performing a Full System Reset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-13 Restoring Custom Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-14

Entering Network Connectivity Settings for Upgrades from Software Version

A.02.00 or lower . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-15 Saving Custom Settings for C.01.02. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-15 Reflashing the Kernel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-15 Flashing the Kernel from the Internal CompactFlash (CF) Card to the Main Board . . A-15 Installing Printer and PIM Software from the Internal CompactFlash (CF) Card . . . . . . . . A-16 Preparing a New Internal CompactFlash (CF) Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-17

Appendix B Wireless LAN Installation

Wireless LAN FAQs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2

Installing the Wireless LAN Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-3

Wireless Connectivity Indicators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-8

Table of Contents

Appendix C Specifications

Technical Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1 ECG Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1 Keyboard. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1 Touchscreen Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1 Patient Interface Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1 Cardiograph Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1 Signal Processing/Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2

Sampling Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2 Auto Frequency Response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2 Rhythm Frequency Response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2 Filters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2 Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2

Printer Resolution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2 Report Formats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2 Battery Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3 Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3 Recharge. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3 Network Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3 FAX Capability (optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3 Modem (optional for USA and Canada) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3 Barcode Reader (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3 Magnetic Card Reader (optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3 ECG Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3 ECG File Formats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4 Power and Environment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4 Line Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4 Environmental Operating Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4 Environmental Storage Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4 Cardiograph Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4 Cardiograph Weight. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4 Cardiograph Shipping Container Dimension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4 Cardiograph Shipping Container Weight. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4 Cardiograph Cart Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4 Cardiograph Cart Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-5 Cardiograph Cart Shipping Container Dimension. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-5 Cardiograph Cart Container Weight. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-5 Safety and Performance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-5 Classification (IEC 60601-1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-6 Class I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-6 Electromagnetic Compatibility (EMC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-6 Reducing Electromagnetic Interference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-7

PageWriter Touch Cardiograph Service Manual

Contents-9

Table of Contents

Contents-10 PageWriter Touch Cardiograph Service Manual

1

Introduction

This PageWriter Touch Cardiograph Service Manual provides the information needed to successfully service the PageWriter Touch cardiograph and cart system (Philips part number 860284). This Service Manual provides information on troubleshooting, repairing, and performance verification and safety testing of the cardiograph and cart system. There is also information on the theory of operation, maintenance procedures, and ordering parts and supplies.

This chapter includes general information that needs to be reviewed before servicing the PageWriter Touch cardiograph. For detailed information regarding controls, operation, and capabilities of the device, refer to the PageWriter Touch Cardiograph Instructions for Use, Edition 7 on the PageWriter Touch Cardiograph User Documentation CD (Philips part number 453564053291) or the PageWriter Touch Cardiograph Interactive Training Program on CD (Philips Part Number 989803127401).

Review the PageWriter Touch Cardiograph Instructions for Use, Edition 7 before servicing this device. This Service Manual assumes knowledge of all cardiograph controls and basic features.

This chapter includes the following information:

Who Should Use this Service Manual. . . . . . . . . . . . . . . . . . . . . . . 1-3 Conventions Used in this Service Manual . . . . . . . . . . . . . . . . 1-3

Safety Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4

Important Patient and Safety Information. . . . . . . . . . . . . . . . . . . . 1-6

The PageWriter Touch Cardiograph . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

Capabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

PageWriter Touch Cardiograph Components . . . . . . . . . . . . . . . . . 1-6

Cardiograph Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6

Patient Interface Module (PIM) . . . . . . . . . . . . . . . . . . . . . . . 1-10

Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12 Options and Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12

Upgrades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13

Supplies and Ordering Information. . . . . . . . . . . . . . . . . . . . . . . . 1-14

Ordering Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

PageWriter Touch Cardiograph Supplies Part Numbers . . . . 1-14

Localization Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

Contacting a Philips Response Center . . . . . . . . . . . . . . . . . . . . . 1-17

Other Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-20

Accessing Updates at InCenter . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-20

1-1

1

Introduction

This PageWriter Touch Cardiograph Service Manual provides the information needed to successfully service the PageWriter Touch cardiograph and cart system (Philips part number 860284). This Service Manual provides information on troubleshooting, repairing, and performance verification and safety testing of the cardiograph and cart system. There is also information on the theory of operation, maintenance procedures, and ordering parts and supplies.

This chapter includes general information that needs to be reviewed before servicing the PageWriter Touch cardiograph.

Review the PageWriter Touch Cardiograph Instructions for Use, Edition 7 before servicing this device. This Service Manual assumes knowledge of all cardiograph controls and basic features.

This chapter includes the following information:

Who Should Use this Service Manual. . . . . . . . . . . . . . . . . . . . . . . 1-2 Conventions Used in this Service Manual . . . . . . . . . . . . . . . . 1-2

Safety Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Important Patient and Safety Information. . . . . . . . . . . . . . . . . . . . 1-5

The PageWriter Touch Cardiograph . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

Capabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

PageWriter Touch Cardiograph Components . . . . . . . . . . . . . . . . . 1-6

Cardiograph Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6

Patient Interface Module (PIM) . . . . . . . . . . . . . . . . . . . . . . . 1-10

Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12 Options and Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12

Upgrades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13

Supplies and Ordering Information. . . . . . . . . . . . . . . . . . . . . . . . 1-14

Ordering Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

PageWriter Touch Cardiograph Supplies Part Numbers . . . . 1-14

Localization Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

Contacting a Philips Response Center . . . . . . . . . . . . . . . . . . . . . 1-17

Other Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-20

Accessing Updates at InCenter . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-20

Accessing Documentation at the Philips Website . . . . . . . . . 1-20

1-1

Introduction

Who Should Use this Service Manual

Who Should Use this Service Manual

The intended users of this Service Manual are technical personnel trained in the safe and proper servicing of the PageWriter Touch cardiograph.

Before attempting to service the cardiograph, review the PageWriter Touch Cardiograph Instructions for Use, Edition 7 for software version C.01.02 and higher or Edition 6 for software version B.01.

Conventions Used in this Service Manual

The Service Manual uses the following typographic conventions.

Item	How Displayed

Menu item	Menu items and button names appear in a bold no-serif font.
Button name	Example: Touch Config.
Keyboard keys	Keyboard keys, such as Enter, or Tab, appear in italic font.
	Example: Press Enter after typing the name.

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.

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 the Config button.

1-2	PageWriter Touch Cardiograph Service Manual

Introduction

Safety Summary

Safety Summary

Safety Symbols Marked on the Cardiograph

Symbol	Name	Description
	Attention	See PageWriter Touch Instructions for Use for
		information.
	Type CF	ECG physio isolation is type CF, defibrillator proof.
		Suitable for all patient applications including direct
		cardiac application. System is in continuous operation.
	Alternating current	Indicates that the cardiograph is receiving alternating
		voltages.
	Standby	Pressing the button with this symbol on it puts the
		cardiograph into Standby (power saving mode).
	Equipotential grounding post	Equipotential grounding post used for establishing
		common ground between instruments.
	Fuse	Cardiograph contains a 1.5 amp (250V) time-delay
		fuse.
	Input	The connector near this symbol receives an incoming
		signal.
	Electrostatic Discharge	Do not touch exposed pins. Touching exposed pins can
		cause electrostatic discharge which can damage the
		cardiograph.
	PIM (Patient Interface	Attention, see PageWriter Touch Instructions for Use
	Module), Attention	for information on PIM RJ-11 receptacle.
	Serial Number	The number next to this symbol is the serial number of
		the cardiograph.
	Product model number	The number next to this symbol is the product model
		number of the cardiograph
	Entry of liquids	Cardiograph has ordinary protection against the entry
		of liquids.
	Entry of liquids	The PIM (Patient Interface Module) is protected
		against splashing water. Water splashed against the
		PIM from any direction shall have no harmful effect.

PageWriter Touch Cardiograph Service Manual

1-3

Introduction

Safety Summary

Safety Symbols Marked on the Cardiograph

Symbol	Name	Description
	Global Medical Device	Global Medical Device Nomenclature Code is a 5-digit
	Nomenclature Code	code providing a brief description of the device, as
		defined by EN ISO 15225.

Safety Symbols Marked on the Cardiograph Packaging

Symbol Description

Keep dry.

Ambient temperature range of 15 oC (59o F) to 35 oC (95o F) (non-condensing) for transport and storage.

Atmospheric pressure range of 466 hPa to 1014 hPa for transport and storage.

Relative humidity range of 25% to 80% (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.)

1-4	PageWriter Touch Cardiograph Service Manual

Introduction

Important Patient and Safety Information

Safety Symbols Marked on the Cardiograph Packaging

Symbol Description

Dispose of in accordance with the requirements of your country.

Important Patient and Safety Information

	The PageWriter Touch cardiograph isolates 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.
WARNING	Do not connect the modem card to a phone line when the cardiograph is connected to a
	patient.
WARNING	Do not touch accessible connector pins and the patient simultaneously.
	Electrical shock hazard. Keep 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	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.
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 following defibrillation.

PageWriter Touch Cardiograph Service Manual

1-5

Introduction

Important Patient and Safety Information

When operating the cardiograph on AC power, ensure that the cardiograph and all other electrical equipment connected to or near the patient are effectively grounded.

Use only grounded power cords (three-wire power cords with grounded plugs) and grounded electrical outlets. Never adapt a grounded plug to fit an ungrounded outlet by removing the ground prong or ground clip. If an ungrounded plug adapter is required, use a ground strap to connect the equipotential post (rear of the cardiograph, see page 1-13) to the power source ground. Use the equipotential post when redundant earth ground is necessary according to IEC 60601-1.

If a safe ground connection is not ensured, operate the cardiograph on battery power only.

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.

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

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.

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 compromise defibrillation protection and degrade cardiograph performance.

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.

Do not use this cardiograph near flammable anesthetics. It is not intended for use in explosive environments or in operating rooms.

The use of the analog ECG output signal port (not supported on cardiograph, see page 1-13) should not be used when critical synchronization timing is required.

Do not touch the patient, patient data cable, or cardiograph during defibrillation. Death or injury may occur from the electrical shock delivered by the defibrillator.

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.

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.

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.

Do not connect any equipment to the cardiograph RS-232 port that does not meet medical safety requirements and that has not been evaluated by local safety personnel.

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Introduction

Important Patient and Safety Information

Equipment connected to the cardiograph RS-232 port can cause ground leakage currents exceeding the maximum specified in IEC 60601-1 safety standards.

Do not connect any equipment to the cardiograph RS-232 port if a patient is connected to the cardiograph.

Only use the Philips Medical Systems AC power cord supplied with the cardiograph. Periodically inspect the AC power cord and AC power connector (rear of cardiograph, see page 1-13) to ensure that both are in a safe and operable condition. If the AC power cord or AC power connector is not in a safe or operable condition, operate the cardiograph on battery power and contact Philips Medical Systems for service.

The cardiograph has been safety tested with the recommended accessories, peripherals, and leads, and no hazard was found when the cardiograph is operated with cardiac pacemakers or other stimulators.

Do not connect any equipment or accessories to the cardiograph that are not approved by Philips Medical Systems or that are not IEC 60601-1 approved. The operation or use of non-approved equipment or accessories with the cardiograph is not tested or supported, and cardiograph operation and safety are not guaranteed.

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.

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.

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 touchscreen display since these ECG representations are scaled.

Only use patient electrodes that are approved by Philips Medical Systems. The use of nonapproved patient electrodes may degrade cardiograph performance.

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 1-24 for more information.

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- 29.

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.

PageWriter Touch Cardiograph Service Manual

1-7

Introduction

The PageWriter Touch Cardiograph

The PageWriter Touch Cardiograph

This Philips product is intended to be used and operated only in accordance with the safety procedures and operating instructions provided in this Instructions for Use, and for the purposes for which it was designed. The purposes for which the product is intended are provided below. However, nothing stated in this Instructions for Use reduces the responsibility of the user for sound clinical judgment and best clinical procedures.

Intended Use

The intended use of the cardiograph is to acquire multi-channel ECG signals from adult and pediatric patients from body surface ECG electrodes and to record, display, analyze, and store these ECG signals for review by the user. The cardiograph is to be used in healthcare facilities by trained healthcare professionals. Analysis of the ECG signals is accomplished with algorithms that provide measurements, data presentations, graphical presentations, and interpretations for review by the user.

The interpreted ECG with measurements and interpretive statements is offered to the clinician on an advisory basis only. It is to be used in conjunction with the clinician's knowledge of the patient, the results of the physical examination, the ECG tracings, and other clinical findings. A qualified physician is asked to overread and validate (or change) the computer-generated ECG interpretation.

Indications for Use

The cardiograph is to be used where the clinician decides to evaluate the electrocardiogram of adult and pediatric patients as part of decisions regarding possible diagnosis, potential treatment, effectiveness of treatment, or to rule out causes for symptoms.

The Philips 12-Lead Algorithm

The PageWriter Touch Cardiograph software uses the Philips 12-Lead Algorithm. The algorithm in the software analyzes the morphology and rhythm on each of the 12 leads and summarizes the results. The set of summarized measurements is then analyzed by the clinically-proven ECG Analysis Program.

12-lead reports may include or exclude ECG measurements, reasons, or analysis statements.

Intended Use

The intended use of the Philips 12-Lead Algorithm is to analyze multi-channel ECG signals from adult and pediatric patients with algorithms that provide measurements, data presentations, graphical presentations, and interpretations for review by the user.

The interpreted ECG with measurements and interpretive statements is offered to the clinician on an advisory basis only. It is to be used in conjunction with the clinician's knowledge of the patient, the results of the physical examination, the ECG tracings, and other clinical findings. A qualified physician is asked to overread and validate (or change) the computer-generated ECG interpretation.

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Introduction

Cardiograph Features

Indications for Use

The Philips 12-Lead Algorithm is to be used where the clinician decides to evaluate the electrocardiogram of adult and pediatric patients as part of decisions regarding possible diagnosis, potential treatment, effectiveness of treatment, or to rule out causes for symptoms.

Cardiograph Features

The PageWriter Touch cardiograph is one of the most advanced cardiographs. It offers touch screen operation and numerous additional features making it ideal for high-volume environments. The PageWriter Touch cardiograph is also well suited for hospitals requiring speed and accuracy to process large volumes of ECGs daily.

The PageWriter Touch cardiograph consists of an electrocardiograph with remote digital patient module and an optional cart.

Features

The features of the PageWriter Touch cardiograph include:

Battery or AC operation

Remote digital acquisition module with replaceable patient leads with the capability for up to 12 leads (software version B.01), or up to 16 leads (software version C.01.02 and higher)

Three 15 and 16-lead options are available with software version C.01.02 and higher for both adult and pediatric application

15-inch color liquid crystal touch screen display

Graphical representation of a human torso displaying leads that are loose or not connected

Data transmission between the cardiograph and a TraceMasterVue ECG Management system in XML format via modem, LAN, WLAN, diskette, or optional PC (PCMCIA) storage card, or USB memory stick

Software version C.01.02 and higher supports the export of ECG data in XML version 1.03, or XML version 1.04

Optional cart with convenient storage areas for supplies

Software version B.01, and C.01.02 and higher, support bidirectional orders download and search capability with an OrderVue order handling system

Software version B.01, and C.01.02 and higher, support algorithm version PH080A and PH090A; algorithm version PH090A includes new enhancements and features including heightened detection of atrial arrhythmia, the ability to suppress statements that indicate a borderline or otherwise normal condition, lead reversal detection feature, ECG warning statements when a life threatening cardiac event is detected, and the ability to print Fridericia rate corrected QT interval and RR measurements on the ECG report

PageWriter Touch Cardiograph Service Manual

1-9

Introduction

PageWriter Touch Cardiograph Components

Time Sychronization feature that is used with a TraceMasterVue ECG Management System (version B.01 and higher). Use of this feature helps to ensure the accuracy of the displayed time on the cardiograph by regularly calibrating it with a configured TraceMasterVue Remote Site

PageWriter Touch Cardiograph Components

The following sections illustrate the components and connection ports on the cardiograph and the Patient Interface Module (PIM). Figures 1-1, 1-2, and 1-3 on the following pages show front, side, and rear views of the PageWriter Touch cardiograph. For additional details, see the

PageWriter Touch Cardiograph Instructions for Use, Edition 7 on the User Documentation CD.

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Introduction

PageWriter Touch Cardiograph Components

Figure 1-1 Cardiograph and Cart (Front View)

C

D

E

F

A

G

H

B

I

J

K

A	Patient Interface Module (PIM)	G	Magnetic card reader (optional)
B	Printer/paper drawer	H	Diskette drive
C	Touch screen	I	Storage shelf
D	AC power on indicator light	J	Optional locking drawer
E	On/Standby button	K	Wheel positioners
F	Keyboard

PageWriter Touch Cardiograph Service Manual

1-11

Introduction

PageWriter Touch Cardiograph Components

Figure 1-2 Cardiograph and Cart (Rear View)

L

M Q

N

P

O

LPatient Interface Module (PIM) connector

MBattery compartment (Phillips head screw driver is required to remove the battery door)

NPIM leads

OWheel brake

PAC power cord

QRear panel (see next page)

WARNING Do not connect the LAN cable connector to the PIM RJ-11 receptacle. Do not plug a telephone connector into the PIM RJ-11 receptacle.

1-12	PageWriter Touch Cardiograph Service Manual

Introduction

PageWriter Touch Cardiograph Components

Figure 1-3 Cardiograph Rear Panel

A

L

B

K

C

	D
			J
	E
	F		I
	G		H
A	Fuse door	G	Serial connector (not supported)
B	AC power switch	H	Barcode scanner connector
C	AC power cord	I	ECG out (not supported)
D	Reset button	J	PC card slot
E	USB memory stick connector	K	PC card eject button
F	LAN connector	L	Equipotential grounding post

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

PageWriter Touch Cardiograph Service Manual

1-13

Introduction

PageWriter Touch Cardiograph Components

Thermal Printer

The cardiograph uses a thermal print head to record waveforms and label the ECG report. The paper supplied with the cardiograph is a thermal paper designed to work with the print head. The paper drawer accommodates both A and A4 size paper. A separate supplied paper shim is required for A4 paper use.

Philips guarantees the performance of the cardiograph only when used with Philips supplies, accessories, and paper that meets or exceeds Philips specifications.

Touch Screen Display

The cardiograph features a 15-inch touch screen color LCD display. Never touch the screen with sharp objects or you may damage the touch screen surface.

Batteries

The PageWriter Touch is powered by two rechargeable Lithium Ion batteries (Philips part number 989803129131). The cardiograph is intended to be operated primarily on battery power. Proper care of the batteries will ensure a long life. For more details see the Care and Maintenance chapter in the PageWriter Touch Cardiograph Instructions for Use, Edition 7, included on this Service Documentation CD.

Patient Interface Module (PIM)

The Patient Interface Module (PIM) is a hand-held device that contains all of the cardiograph’s waveform data acquisition electronics. The PIM connects to the patient data cable and to the lead wires attached to the patient.The PIM is available in a standard 12-lead, or an extended 16-lead model. The PIM has an Action button that is used to take ECG Snapshots from the bedside.

The lead wires and the patient data cable are shipped fully connected to the PIM. For details about connecting the lead wires to the PIM, see the PageWriter Touch Cardiograph Instructions for Use, Edition 7.

1-14	PageWriter Touch Cardiograph Service Manual

Introduction

PageWriter Touch Cardiograph Components

Figure 1-4 Standard 12-Lead Patient Interface Module (PIM) Components

A

B

D

C

D

A	Action button	C Limb lead wires
B	Chest lead wires	D Patient data cable (connects to RJ-11 receptacle on right side
		of cardiograph)

PageWriter Touch Cardiograph Service Manual

1-15

Introduction

PageWriter Touch Cardiograph Components

Figure 1-5 16-Lead Patient Interface Module (PIM) Components

A

B

D

C

D

A	Action button	C Limb and optional extended lead wires
B	Chest lead wires	D Patient data cable (connects to RJ-11 receptacle on right side of
		cardiograph)

Configuring the 16-Lead PIM

(software version C.01.02 and higher only)

The optional 16-lead PIM may be configured to support three different 15 and 16-lead options for adult and pediatric application. The 16-lead PIM is shipped with the optional extended leads connected to the PIM. The available 15 and 16-lead options are listed in Table 1-1, “15 and 16-Lead PIM Configuration Options,” on page 1-17.

1-16	PageWriter Touch Cardiograph Service Manual

Introduction

PageWriter Touch Cardiograph Components

Table 1-1	15 and 16-Lead PIM Configuration Options
Lead Option		Standard 12-leads plus extended		Lead Placement
		leads (AAMI/IEC)
Pediatric		V3R (C3R), V4R (C4R), V7 (C7)
(15 leads)
Posterior		V7	(C7), V8 (C8), V9 (C9)
(15 leads)
Balanced		V3R (C3R), V4R (C4R), V7 (C7),
(16 leads)		V8	(C8)

PageWriter Touch Cardiograph Service Manual

1-17