PhysioControl Lifepak 15 Service manual

4.4 (5)
PhysioControl Lifepak 15 Service manual

LIFEPAK® 15 MONITOR/DEFIBRILLATOR

SERVICE MANUAL

© 2011 Physio-Control, Inc. All rights reserved.

MIN 3309059-000

LIFEPAK 15 Monitor/Defibrillator

Section Menu

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1

Introduction

 

5

Performance Inspection Procedures

 

9 Battery Maintenance

page 11

 

page 98

 

page 278

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

Safety

 

6

Test and Calibration Procedures (TCP)

 

10 Replacement Procedures

page 29

 

page 188

 

page 289

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

Device Description

 

7

Troubleshooting

 

11 Assembly Diagrams and Parts Lists

page 48

 

page 218

 

page 486

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

Modes of Operation

 

8

Preventive Maintenance

 

Performance Procedure Checklist

page 89

 

page 265

 

page 647

 

 

 

 

 

 

 

 

 

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LIFEPAK 15 Monitor/Defibrillator

Service Manual

Table of Contents

Table of Contents

Section Navigator ........................................................................................................................................................................

 

 

ii

Introduction ..............................................................................................................................................................................

 

 

11

Trademarks .....................................................................................................................................................................

 

 

12

Using Adobe Reader.........................................................................................................................................................

 

 

13

Navigating Through the Manual.........................................................................................................................................

 

 

14

Service Personnel Qualifications........................................................................................................................................

 

 

15

Contacting Physio-Control ................................................................................................................................................

 

 

16

Responsibility for Information ...........................................................................................................................................

 

 

17

Device Tracking ...............................................................................................................................................................

 

 

18

Service Information..........................................................................................................................................................

 

 

19

Recycling Information ......................................................................................................................................................

 

 

20

Warranty .........................................................................................................................................................................

 

 

21

Configuration Information .................................................................................................................................................

 

 

22

Glossary ..........................................................................................................................................................................

 

 

23

Acronyms ........................................................................................................................................................................

 

 

25

Safety.......................................................................................................................................................................................

 

 

29

Terms .............................................................................................................................................................................

 

 

30

General Warnings.............................................................................................................................................................

 

 

31

Symbols..........................................................................................................................................................................

 

 

36

Device Description .....................................................................................................................................................................

 

 

48

Introduction ....................................................................................................................................................................

 

 

49

Physical Description and Features .....................................................................................................................................

 

 

54

Devices, Options, Supplies, and Accessories ......................................................................................................................

 

 

65

System Context Diagrams .................................................................................................................................................

 

 

70

Functional Descriptions ....................................................................................................................................................

 

 

74

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Index

iii

LIFEPAK 15 Monitor/Defibrillator

Service Manual

Table of Contents

Modes of Operation....................................................................................................................................................................

 

 

89

Manual Mode ..................................................................................................................................................................

 

 

90

AED Mode ......................................................................................................................................................................

 

 

91

Setup Mode.....................................................................................................................................................................

 

 

92

Service Mode...................................................................................................................................................................

 

 

94

Demo Mode.....................................................................................................................................................................

 

 

96

Archive Mode ..................................................................................................................................................................

 

 

97

Performance Inspection Procedures.............................................................................................................................................

 

 

98

PIP – Scope and Applicability .........................................................................................................................................

 

 

100

PIP – Resource Requirements .........................................................................................................................................

 

 

101

PIP – Test Equipment Requirements ..............................................................................................................................

 

 

102

Manual Mode Access......................................................................................................................................................

 

 

106

PIP – Device Preparation ...............................................................................................................................................

 

 

110

Power Management........................................................................................................................................................

 

 

114

PIP – User Test and Date/Time Verification ......................................................................................................................

 

 

118

Miscellaneous Functions ................................................................................................................................................

 

 

119

PIP – Printer Tests.........................................................................................................................................................

 

 

133

PIP – Keypad Tests ........................................................................................................................................................

 

 

136

PIP – Audio Test............................................................................................................................................................

 

 

137

PIP – Invasive Pressure Verification - P1, P2 ....................................................................................................................

 

 

138

PIP – SpO2/SpCO/SpMet Test.........................................................................................................................................

 

 

140

PIP – Recording Operating Data (Optional) .......................................................................................................................

 

 

141

PIP – ECG Performance Testing ......................................................................................................................................

 

 

142

PIP – Defibrillator/Pacing Testing ....................................................................................................................................

 

 

151

PIP – QUIK-COMBO ECG Characteristic Tests ..................................................................................................................

 

 

156

PIP – Standard Paddles User Test ...................................................................................................................................

 

 

159

PIP – Standard Paddles Defibrillator Delivered Energy Tests ..............................................................................................

 

161

PIP – Patient Impedance Test .........................................................................................................................................

 

 

171

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Service Manual

Table of Contents

Data Management..........................................................................................................................................................

 

 

172

PIP – Leakage Current Tests ..........................................................................................................................................

 

 

177

PIP – Disabling/Resetting Maintenance Prompt ................................................................................................................

 

 

187

Test and Calibration Procedures (TCP) .......................................................................................................................................

 

 

188

TCP – Scope and Applicability ........................................................................................................................................

 

 

189

TCP – Resource Requirements ........................................................................................................................................

 

 

190

TCP – Test Equipment Requirements...............................................................................................................................

 

 

191

TCP – Setup ..................................................................................................................................................................

 

 

193

TCP – Service/Calibration Submenu Access ......................................................................................................................

 

 

194

TCP – Temperature Calibration Test.................................................................................................................................

 

 

195

TCP – Defibrillator Energy Tests ......................................................................................................................................

 

 

199

TCP – Defibrillator Output Waveform Test ........................................................................................................................

 

 

203

TCP – Defibrillator Isolation Test .....................................................................................................................................

 

 

206

TCP – CO2 Calibration....................................................................................................................................................

 

 

207

TCP – Printer Calibration Tests........................................................................................................................................

 

 

210

TCP – Pacer Characteristics Tests....................................................................................................................................

 

 

213

TCP – LIFENET Device Communications Setup.................................................................................................................

 

 

216

Troubleshooting.......................................................................................................................................................................

 

 

218

Troubleshooting Chart ....................................................................................................................................................

 

 

219

Using the Service/Status Features ...................................................................................................................................

 

 

226

Device Log ...............................................................................................................................................................

 

 

228

Device Data...................................................................................................................................................................

 

 

230

Service Log ...................................................................................................................................................................

 

 

233

Processing Service Log Codes .........................................................................................................................................

 

 

235

Counters .......................................................................................................................................................................

 

 

236

Clear Memory ................................................................................................................................................................

 

 

238

Service Log Code Categories ...........................................................................................................................................

 

 

239

Utility Service Codes ......................................................................................................................................................

 

 

241

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LIFEPAK 15 Monitor/Defibrillator

Service Manual

Table of Contents

User Interface Service Codes ..........................................................................................................................................

 

 

242

Data Management Service Codes.....................................................................................................................................

 

 

244

System Monitor Service Codes ........................................................................................................................................

 

 

245

Processor Control Service Codes ......................................................................................................................................

 

 

246

ECG Service Codes.........................................................................................................................................................

 

 

248

Patient Parameter Service Codes .....................................................................................................................................

 

 

249

Therapy Service Codes....................................................................................................................................................

 

 

250

Printer Service Codes .....................................................................................................................................................

 

 

257

Power Management Service Codes...................................................................................................................................

 

 

258

Serial Communication Service Codes ...............................................................................................................................

 

 

259

Corrective Action Codes..................................................................................................................................................

 

 

260

Service LED ..................................................................................................................................................................

 

 

263

Display Pixels Test .........................................................................................................................................................

 

 

264

Preventive Maintenance ...........................................................................................................................................................

 

 

265

Device Self Tests ...........................................................................................................................................................

 

 

266

Device User Test............................................................................................................................................................

 

 

267

Preventive Maintenance and Testing Schedule..................................................................................................................

 

 

268

Scheduled Replacement Items........................................................................................................................................

 

 

269

Setting/Resetting the Maintenance Prompt Interval ...........................................................................................................

 

 

270

Device Useful Life..........................................................................................................................................................

 

 

271

Support Policy...............................................................................................................................................................

 

 

272

Cleaning .......................................................................................................................................................................

 

 

273

Environmental Conditions ...............................................................................................................................................

 

 

275

A12 Printer Maintenance................................................................................................................................................

 

 

276

Battery Maintenance ................................................................................................................................................................

 

 

278

Battery General Characteristics .......................................................................................................................................

 

 

279

Battery Status Indicators ................................................................................................................................................

 

 

280

Battery Performance Characteristics ................................................................................................................................

 

 

283

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LIFEPAK 15 Monitor/Defibrillator

Service Manual

Table of Contents

Charging the Batteries Using the Station or Mobile Li-ion Battery Charger

...........................................................................

284

Discarding/Recycling Batteries ........................................................................................................................................

 

 

285

Storing Batteries............................................................................................................................................................

 

 

286

Receiving New Batteries .................................................................................................................................................

 

 

287

Coin Cell Battery............................................................................................................................................................

 

 

288

Replacement Procedures ..........................................................................................................................................................

 

 

289

Summary of Replacement Procedures ..............................................................................................................................

 

 

290

Warnings and Cautions ...................................................................................................................................................

 

 

293

Static-Sensitive Device Handling .....................................................................................................................................

 

 

294

Tools List ......................................................................................................................................................................

 

 

296

Capacitor Discharge Tool ................................................................................................................................................

 

 

297

Capacitor Discharging Procedure .....................................................................................................................................

 

 

298

Discharging the C15 Pacing Capacitor .............................................................................................................................

 

 

299

Saving and Restoring the Setup Configuration ..................................................................................................................

 

 

300

Disassembling the Case..................................................................................................................................................

 

 

301

Reassembling the Case...................................................................................................................................................

 

 

304

Inside Front Case Diagram ..............................................................................................................................................

 

 

309

Interface PCB (A05) Replacement...................................................................................................................................

 

 

310

Backlight PCB (A08) Replacement ..................................................................................................................................

 

 

315

Printer Control Keypad (A09) Replacement ......................................................................................................................

 

 

318

Main Keypad (A10) Replacement ....................................................................................................................................

 

 

320

Display Shield Replacement ...........................................................................................................................................

 

 

322

LCD Display Assembly (A11) Replacement .......................................................................................................................

 

 

324

Display Lens Replacement..............................................................................................................................................

 

 

326

Front Case Replacement.................................................................................................................................................

 

 

328

System/Interface PCB Cable (W04) Replacement..............................................................................................................

 

 

332

Backlight/Interface PCB Cable (W06) Replacement...........................................................................................................

 

 

333

Therapy Connector Cable (W11) Replacement ..................................................................................................................

 

 

334

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Service Manual

Table of Contents

Printer Control Keypad/Interface PCB Cable (W12) Replacement

........................................................................................

336

Main Keypad/Interface PCB Cable (W13) Replacement

......................................................................................................

 

337

Speed Dial Assembly (W15) Replacement: .......................................................................................................................

 

 

338

Installing the Speed Dial Assembly (W15) ........................................................................................................................

 

 

340

Printer Assembly/Interface PCB Cable (W16) Replacement ................................................................................................

 

341

Speaker Assembly (W17) Replacement ............................................................................................................................

 

 

343

LCD Display Assembly/Interface PCB Cable (W18) Replacement ........................................................................................

 

346

Printer Assembly/Chassis Ground Cable (W19) Replacement..............................................................................................

 

347

Inside Rear Case Diagrams .............................................................................................................................................

 

 

348

System (A01)/Therapy (A04) PCB Assembly Replacement .................................................................................................

 

352

Installing the System (A01)/Therapy (A04) PCB Assembly .................................................................................................

 

359

Power PCB (A03) Replacement .......................................................................................................................................

 

 

373

OEM PCB (A06) Replacement.........................................................................................................................................

 

 

381

Transfer Relay Assembly (A13) Replacement....................................................................................................................

 

 

388

Energy Storage Capacitor (A15) Replacement ...................................................................................................................

 

 

391

SpO2 PCB (A16) Replacement........................................................................................................................................

 

 

394

Interconnect Bracket (A17) Replacement.........................................................................................................................

 

 

404

NIBP (A21)/CO2 (A23) Module Replacement ...................................................................................................................

 

 

407

Biphasic Module (A22)/Inductive Resistor (A14) Replacement ...........................................................................................

 

418

EMI Shield Replacement ................................................................................................................................................

 

 

425

NIBP Connector Replacement .........................................................................................................................................

 

 

426

Parameter Bezel Replacement.........................................................................................................................................

 

 

429

Rear Case Replacement..................................................................................................................................................

 

 

435

Handle Replacement......................................................................................................................................................

 

 

441

Paddle Retainer Cover Replacement ................................................................................................................................

 

 

442

Power/System PCB Cable (W01) Replacement ..................................................................................................................

 

 

443

Power/Therapy PCB Cable (W02) Replacement .................................................................................................................

 

 

444

Power/Contact PCB Cable (W05) Replacement .................................................................................................................

 

 

446

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LIFEPAK 15 Monitor/Defibrillator

Service Manual

Table of Contents

ECG Connector Cable (W07) Replacement .......................................................................................................................

 

 

448

System Connector Cable (W08) and Auxiliary Connector Cable (W09) Replacement

.............................................................

451

Battery Pins / Power PCB Cable (W10) Replacement .........................................................................................................

 

 

454

USB Flex Module (W14) Replacement .............................................................................................................................

 

 

458

Biphasic Cable (W20) Replacement.................................................................................................................................

 

 

460

OEM PCB/SpO2 (W21) Module Cable Replacement ..........................................................................................................

 

 

462

SpO2 Connector Cable (W22) Replacement......................................................................................................................

 

 

464

OEM PCB/CO2 Module Cable (W26) Replacement ............................................................................................................

 

 

466

OEM PCB/NIBP Module Cable (W27) Replacement...........................................................................................................

 

 

468

CO2 Inlet Connector Cable (W28) Replacement................................................................................................................

 

 

470

CO2 Adapter Cable (W30) Replacement...........................................................................................................................

 

 

473

Invasive Pressure Connector Assembly (W33) Replacement................................................................................................

 

475

Temperature Cable Assembly (W35) Replacement.............................................................................................................

 

 

477

Contact PCB (A07) Replacement.....................................................................................................................................

 

 

479

Printer Assembly (A12) Replacement...............................................................................................................................

 

 

480

Coin Battery Replacement ..............................................................................................................................................

 

 

482

Battery Pin Replacement ................................................................................................................................................

 

 

484

Software and Device Upgrades .......................................................................................................................................

 

 

485

Assembly Diagrams and Parts Lists............................................................................................................................................

 

 

486

Section Glossary ............................................................................................................................................................

 

 

487

Main Diagrams ..............................................................................................................................................................

 

 

488

External Parts Diagrams and Lists ...................................................................................................................................

 

 

491

Front Parts Diagrams and Parts List.................................................................................................................................

 

 

497

System/Therapy PCB Assembly Diagrams and Parts Lists...................................................................................................

 

506

Parameter Bezel Diagrams and Parts Lists........................................................................................................................

 

 

511

Rear Diagrams and Parts List ..........................................................................................................................................

 

 

519

OEM Optional Assemblies, Diagrams and Parts Lists .........................................................................................................

 

 

532

Label Language Parts .....................................................................................................................................................

 

 

537

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Service Manual

Table of Contents

Connection Diagrams for Assemblies, Control Boards, Cables, and Connectors .....................................................................

562

Repair Kits....................................................................................................................................................................

610

Defibrillator Part Number and Serial Number....................................................................................................................

638

Ordering Parts ...............................................................................................................................................................

639

Index......................................................................................................................................................................................

640

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x

 

 

 

 

 

 

 

LIFEPAK 15 Monitor/Defibrillator

Introduction

1

Service Manual

Contents

Introduction

This service manual describes how to maintain, test, troubleshoot, and repair the LIFEPAK 15 monitor/defibrillator. A separate publication, the LIFEPAK 15 Monitor/Defibrillator Operating Instructions, is for use by physicians, clinicians, and emergency care providers. The operating instructions provide step-by-step instructions as well as operator-level testing and maintenance.

NOTE: Hyperlinks appear in “blue text.” Text that indicates the name of a button, menu item, or screen message appears in all caps (for example, press ANALYZE, select MANUAL MODE.

This section covers the following topics:

Trademarks (p. 12)

Using Adobe Reader (p. 13) Navigating Through the Manual (p. 14)

Service Personnel Qualifications (p. 15) Contacting Physio-Control (p. 16) Responsibility for Information (p. 17) Device Tracking (p. 18)

Service Information (p. 19)

Recycling Information (p. 20) Warranty (p. 21)

Configuration Information (p. 22) Glossary (p. 23)

Acronyms (p. 25)

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LIFEPAK 15 Monitor/Defibrillator

Introduction

1

Service Manual

Trademarks

 

 

 

 

 

Trademarks

LIFEPAK, LIFEPAK CR, LIFEPAK EXPRESS, LIFENET, FASTPAK, LIFE•PATCH, QUIK-COMBO, and DERMA-JEL are registered trademarks of Physio-Control, Inc. CODE SUMMARY, CODE-STAT, PARTSLINE, REDI-PAK, Shock Advisory System, SunVue, and DT EXPRESS are trademarks of Physio-Control, Inc. Microsoft and Windows are registered trademarks of Microsoft Corporation in the US and/or other countries. Adobe is a trademark of Adobe Systems Incorporated. Masimo, the Radical logo, Rainbow, and SET are registered trademarks of Masimo Corporation. Red, LNCS, SpCO, and SpMet are trademarks of Masimo Corporation. CapnoLine and FilterLine are registered trademarks of Oridion Medical, Ltd. The Oridion medical capnography in this product is covered by one or more of the following US patents: 6,428,483; 6,997,880; 5,300,859; 6,437,316 and their foreign equivalents. Additional patent applications pending. Fluke and BIO-TEK are registered trademarks and QED-6H is a trademark of Fluke Biomedical Corporation. Bluetooth is a registered trademark of Bluetooth SIG, Inc. CASMED is a registered trademark of CAS Medical Systems, Inc. SIGNAGEL is a registered trademark of Parker Laboratories. EDGE System Technology is a trademark of Ludlow Technical Products. Specifications are subject to change without notice.

© 2011 Physio-Control, Inc. All rights reserved.

MIN 3309059-000

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LIFEPAK 15 Monitor/Defibrillator

Introduction

1

Service Manual

Using Adobe Reader

 

 

 

 

 

Using Adobe Reader

 

 

Accessing Adobe Reader Help

This service manual opens in Adobe Reader, which is included on this documentation CD. For additional assistance using the Adobe Reader program, access ADOBE READER HELP in the HELP menu.

Using Bookmarks

Bookmarks appear in a column on the left side of the screen. They enable you to easily navigate to main sections of the manual, similar to a table of contents.

To view or hide the bookmarks column, click the BOOKMARKS tab located along the left side of the screen.

To jump to a bookmark topic, click the desired topic.

NOTE: A plus sign to the left of a bookmark topic indicates additional topics exist under that bookmark level. Click the plus sign to expand or collapse the bookmarks.

Using Page View

Click the PAGES tab located to the far left of the screen to view miniature images of each page in the document. Scroll through the pages and click an image to jump quickly to that page.

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LIFEPAK 15 Monitor/Defibrillator

Introduction

1

Service Manual

Navigating Through the Manual

 

 

 

 

 

Navigating Through the Manual

 

 

Blue text indicates a hyperlink. Click a link to jump to that topic or page. Click to return to your previous location. The pointer changes to a pointing finger each page also provides helpful links.

The navigation bar includes:

Back in the navigation bar (at the bottom of each page) when positioned over a link. A navigation bar at the bottom of

 

Section Menu

Click to jump to the main table of contents for the manual.

 

 

 

 

Click to jump to the table of contents for the section you are currently viewing.

 

Section Contents

 

 

 

Click to retrace your steps in a document, returning to each page in the reverse order visited.

 

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Index

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14

 

 

 

 

 

 

 

LIFEPAK 15 Monitor/Defibrillator

Introduction

1

Service Manual

Service Personnel Qualifications

 

 

 

 

 

Service Personnel Qualifications

 

 

Service technicians must be properly qualified and thoroughly familiar with the operation of the LIFEPAK 15 monitor/defibrillator. They must meet at least one of the following requirements (or the equivalent):

Associate of Applied Science, with an emphasis in biomedical electronics Certificate of Technical Training, with an emphasis in biomedical electronics Equivalent biomedical electronics experience

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15

 

 

 

 

 

 

 

LIFEPAK 15 Monitor/Defibrillator

Introduction

1

Service Manual

Contacting Physio-Control

 

 

 

 

 

Contacting Physio-Control

 

 

Physio-Control, Inc.

11811 Willows Road NE Redmond, WA 98052-2003 USA Telephone: 425.867.4000

Toll Free (USA only): 800.442.1142

Fax: 1.425.867.4861

Internet: www.physio-control.com

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LIFEPAK 15 Monitor/Defibrillator

Introduction

1

Service Manual

Responsibility for Information

 

 

 

 

 

Responsibility for Information

 

 

This service manual describes the methods required to maintain, test, and repair the LIFEPAK 15 monitor/defibrillator. This manual does not address the operation of the device. Qualified service personnel (see Service Personnel Qualifications on page 15) must consult this manual and the LIFEPAK 15 Monitor/Defibrillator Operating Instructions to obtain a complete understanding of the use and maintenance of the device.

It is the responsibility of our customers to ensure that the appropriate person(s) within their organization has access to the information in this service manual, including any warnings and cautions used throughout the manual.

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LIFEPAK 15 Monitor/Defibrillator

Introduction

1

Service Manual

Device Tracking

 

 

 

 

 

 

Device Tracking

 

 

 

 

 

 

!USA

Device Tracking:

 

 

 

 

 

 

The U.S. Food and Drug Administration requires defibrillator manufacturers and distributors to track the location of their defibrillators. If the

device is located somewhere other than the shipping address or the device has been sold, donated, lost, stolen, exported, destroyed, permanently retired from use, or if the device was not obtained directly from Physio-Control, please do one of the following: register the device at http:// www.physio-control.com, call the device registration phone line at 1.800.426.4448, or use one of the postage-paid address change cards

located in the back of the LIFEPAK 15 Monitor/Defibrillator Operating Instructions, to update this vital tracking information.

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LIFEPAK 15 Monitor/Defibrillator

Introduction

1

Service Manual

Service Information

 

 

 

 

 

Service Information

 

 

Before attempting to clean or repair any assembly in the device, the service technician should be familiar with the information provided in Preventive Maintenance (p. 265).

A qualified service technician (see Service Personnel Qualifications on page 15) should inspect any device that has been dropped, damaged, or abused to verify that the device is operating within performance standards listed in the Performance Inspection Procedures (p. 98) (PIP) section, and that the leakage current values are acceptable.

Replacement procedures for the device are limited to those items accessible at the final assembly level. Replacements and adjustments must be made by qualified service personnel. Replacements at the final assembly level simplify repair and servicing procedures and help ensure correct device operation and calibration.

To obtain service and maintenance for your device, contact your local Physio-Control service or sales representative. In the USA, call Physio-Control Technical Support at 1.800.442.1142. Outside the USA, contact your local Physio-Control representative. When you call Physio-Control to request service, provide the following information:

Model number and part number Serial number

Observation of the problem that led to the call

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19

 

 

 

 

 

 

 

LIFEPAK 15 Monitor/Defibrillator

Introduction

1

Service Manual

Recycling Information

 

 

 

 

 

Recycling Information

 

 

Recycle the device at the end of its useful life.

Recycling assistance – The device should be recycled according to national and local regulations. For instructions on disposing of this product or its accessories, see http://recycling.medtronic.com.

Preparation – The device should be clean and contaminant-free prior to being recycled.

Recycling of disposable electrodes – After using disposable electrodes, follow your local clinical procedures for recycling.

Recycling of batteries – The device uses rechargeable Lithium-ion batteries. Follow local guidelines and instructions provided in this service manual for discarding and recycling batteries as described in Discarding/Recycling Batteries (p. 285)

Packaging – packaging should be recycled according to national and local regulations.

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20

 

 

 

 

 

 

 

LIFEPAK 15 Monitor/Defibrillator

Introduction

1

Service Manual

Warranty

 

 

 

 

 

Warranty

 

 

Refer to the warranty statement included with the product. For duplicate copies, contact your local Physio-Control representative. In the US, call 1.800.442.1142. Outside the USA, contact your local Physio-Control representative.

Using defibrillation electrodes, adapter devices, or other parts and supplies from sources other than Physio-Control is not recommended. PhysioControl has no information regarding the performance or effectiveness of its LIFEPAK defibrillators if they are used in conjunction with defibrillation electrodes or other parts and supplies from other sources. If device failure is attributable to defibrillation electrodes or other parts or supplies not manufactured by Physio-Control, this may void the warranty.

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21

 

 

 

 

 

 

 

LIFEPAK 15 Monitor/Defibrillator

Introduction

1

Service Manual

Configuration Information

 

 

 

 

 

Configuration Information

 

 

This service manual is relevant for the following devices and options:

LIFEPAK 15 monitor/defibrillator Version 1 (V1) device without auxiliary power option

LIFEPAK 15 monitor/defibrillator Version 2 (V2) device with auxiliary power option

ECG monitoring — standard

Manual mode defibrillation — standard

AED mode — standard

Noninvasive pacing — standard

Bluetooth® wireless technology option (within approved countries)

12-lead ECG option

Oridion® CO2 option

Masimo® SpO2/SpCO/SpMetoptions

CASMED® NIBP monitoring option

2 Channel Invasive pressure option

Vital signs and ST trending option

Temperature monitoring option (V2 only; temperature option and invasive pressure option cannot be installed on the same device)

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22

 

 

 

 

 

 

 

LIFEPAK 15 Monitor/Defibrillator

Introduction

1

Service Manual

Glossary

 

 

 

 

 

Glossary

 

 

The following are definitions of terms used throughout this service manual.

Biphasic waveform — Characterized by a positive current phase followed by a reverse current phase of shorter duration and decreased magnitude. The waveform pulse characteristic is biphasic truncated exponential (BTE).

Automated external defibrillator (AED) — An Automated ECG analysis and a prompted treatment protocol for patients in cardiac arrest.

Shock Advisory System (SAS) — A computerized ECG analysis system used in AED mode for detecting a shockable rhythm. For more information about SAS, see Appendix C in the operating instructions.

Continuous patient surveillance system (CPSS) — A feature that monitors the patient ECG in LEADS or PADDLES for a potentially shockable rhythm. CPSS is active when the VF/VT ALARM is selected ON (Setup/Alarms) or after pressing the ALARMS button. For more information about CPSS, see Appendix C in the operating instructions.

CODE SUMMARYreport — A summary report that includes the ECG segments associated with key events, such as analysis or shock. See “Data Management” in the operating instructions for a sample CODE SUMMARY report.

CO2 monitor — An optional noninvasive capnometer that monitors CO2, EtCO2, FiCO2, and respiration rate (referred to henceforth as CO2).

End-tidal carbon dioxide (EtCO2) — EtCO2 is the measurement of CO2 at the end of expiration.

Event log summary — A report summarizing important events for a particular patient record; part of the CODE SUMMARY report.

Noninvasive blood pressure (NIBP) — An optional oscillometric measurement of systolic, diastolic, and mean arterial blood pressure, along with pulse rate.

Noninvasive pacing — A standard feature that delivers repetitive electrical stimuli to the heart through large adhesive electrodes placed on the patient’s chest.

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LIFEPAK 15 Monitor/Defibrillator

Introduction

1

Service Manual

Glossary

 

 

 

 

 

QUIK-COMBO® pacing/defibrillation/ECG electrodes — An electrode system that allows monitoring of ECG, delivery of pacing and defibrillation therapy to the patient.

QUIK-COMBO patient simulator — A combination QC therapy cable and ECG lead cardiac rhythm simulator. The simulator is designed for use in training clinical personnel to operate the LIFEPAK 15 monitor/defibrillator.

Pulse Co-oximeter — An optional noninvasive pulse oximeter that measures the saturation of oxygen in arterial blood, carboxyhemoglobin and methemoglobin concentrations, respectively.

SpO2/SpCO/SpMet — The measure of functional oxygen saturation (SpO2), carboxyhemoglobin concentration (SpCO), and methemoglobin concentration (SpMet) in the blood.

Test Load — An accessory shipped with the LIFEPAK monitor/defibrillator that connects to the QUIK-COMBO therapy cable. It provides a 50 ohm load for shock discharge through the therapy cable.

Vital sign (VS) and ST segment Trends — An optional trending feature that can graphically display and document a patient's vital signs and ST segment measurements for up to eight hours.

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24

 

 

 

 

 

 

 

LIFEPAK 15 Monitor/Defibrillator

Introduction

1

Service Manual

Acronyms

 

 

 

 

 

Acronyms

 

 

Table 1.1 lists acronyms and abbreviations used in this manual.

Table 1.1— Acronyms and Abbreviations

Term

Description

 

 

AAMI

Association for the Advancement of Medical Instrumentation

 

 

ADC

Analog-to-digital conversion

 

 

AED

Automated external defibrillator

 

 

Ah

Ampere hour

 

 

AHA

American Heart Association

 

 

AMI

Acute myocardial infarction

 

 

ANSI

American National Standards Institute

 

 

ASIC

Application-specific integrated circuit

 

 

BF

Electrically isolated, external body connection

 

 

BPM

Beats per minute

 

 

BTE

Biphasic truncated exponential

 

 

CF

Electrically isolated, direct cardiac connection

 

 

CO2

Carbon dioxide

 

 

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25

 

 

 

 

 

 

 

LIFEPAK 15 Monitor/Defibrillator

 

 

Introduction

1

Service Manual

 

 

Acronyms

 

 

 

 

 

 

 

 

 

 

 

Table 1.1— Acronyms and Abbreviations (Continued)

 

 

 

 

 

 

 

 

 

 

 

 

CPR

Cardiopulmonary resuscitation

 

 

 

 

 

 

 

 

 

 

 

 

CPU

Central processing unit

 

 

 

 

 

 

 

 

 

 

 

 

CPSS

Continuous patient surveillance system

 

 

 

 

 

 

 

 

 

 

 

 

DDE

Disposable defibrillation electrodes

 

 

 

 

 

 

 

 

 

 

 

 

DMM

Digital multimeter

 

 

 

 

 

 

 

 

 

 

 

 

DSP

Digital signal processor

 

 

 

 

 

 

 

 

 

 

 

 

DUART

Dual universal asynchronous receiver/transmitter

 

 

 

 

 

 

 

 

 

 

 

 

ECG

Electrocardiogram

 

 

 

 

 

 

 

 

 

 

 

 

EMS

Emergency medical service

 

 

 

 

 

 

 

 

 

 

 

 

ESCC

Energy storage capacitor charger

 

 

 

 

 

 

 

 

 

 

 

 

ESD

Electrostatic discharge

 

 

 

 

 

 

 

 

 

 

 

 

ESU

Electrosurgical unit

 

 

 

 

 

 

 

 

 

 

 

 

EtCO2

End-tidal carbon dioxide

 

 

 

 

 

 

 

 

 

 

 

 

FiCO2

Inspired carbon dioxide

 

 

 

 

 

 

 

 

 

 

 

 

HR

Heart rate

 

 

 

 

 

 

 

 

 

 

 

 

IEC

International Electrical Commission

 

 

 

 

 

 

 

 

 

 

 

 

IP

Invasive pressure

 

 

 

 

 

 

 

 

 

 

 

 

LCD

Liquid crystal display

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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26

 

 

 

 

 

 

 

 

LIFEPAK 15 Monitor/Defibrillator

 

 

Introduction

1

Service Manual

 

 

Acronyms

 

 

 

 

 

 

 

 

 

 

 

Table 1.1— Acronyms and Abbreviations (Continued)

 

 

 

 

 

 

 

 

 

 

 

 

LED

Light-emitting diode

 

 

 

 

 

 

 

 

 

 

 

 

Li-ion

Lithium-ion

 

 

 

 

 

 

 

 

 

 

 

 

mmHg

Millimeters of mercury

 

 

 

 

 

 

 

 

 

 

 

 

NIBP

Noninvasive blood pressure

 

 

 

 

 

 

 

 

 

 

 

 

NSR

Normal sinus rhythm

 

 

 

 

 

 

 

 

 

 

 

 

OEM

Original equipment manufacturer

 

 

 

 

 

 

 

 

 

 

 

 

RR

Respiration rate

 

 

 

 

 

 

 

 

 

 

 

 

PC

Personal computer

 

 

 

 

 

 

 

 

 

 

 

 

PCB

Printed circuit board

 

 

 

 

 

 

 

 

 

 

 

 

PIP

Performance inspection procedure

 

 

 

 

 

 

 

 

 

 

 

 

PPM

Pulses per minute

 

 

 

 

 

 

 

 

 

 

 

 

PR

Pulse rate

 

 

 

 

 

 

 

 

 

 

 

 

QRS

Refers to portions of the ECG waveform

 

 

 

 

 

 

 

 

 

 

 

 

RTC/NVRAM

Real-time clock/non-volatile random-access memory

 

 

 

 

 

 

 

 

 

 

 

 

RTS

Radio transparent system

 

 

 

 

 

 

 

 

 

 

 

 

SAS

Shock Advisory System

 

 

 

 

 

 

 

 

 

 

 

 

SBC

Single-Board Computer

 

 

 

 

 

 

 

 

 

 

 

 

SpCO

Measurement of carboxyhemoglobin concentration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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LIFEPAK 15 Monitor/Defibrillator

Introduction

1

Service Manual

Acronyms

 

 

 

 

 

 

 

Table 1.1— Acronyms and Abbreviations (Continued)

 

 

 

 

 

 

 

 

SpO2

Measurement of oxygen saturation

 

 

 

 

 

 

 

 

SpMet

Measurement of methemoglobin concentration

 

 

 

 

 

 

 

 

SSD

Static-sensitive device

 

 

 

 

 

 

 

 

TCP

Test and calibration procedure

 

 

 

 

 

 

 

 

USB

Universal serial bus

 

 

 

 

 

 

 

 

VF

Ventricular fibrillation

 

 

 

 

 

 

 

 

VS

Vital signs

 

 

 

 

 

 

 

 

VT

Ventricular tachycardia

 

 

 

 

 

 

 

 

μA

MicroAmpere

 

 

 

 

 

 

 

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28

 

 

 

 

 

 

 

LIFEPAK 15 Monitor/Defibrillator

Safety

2

Service Manual

Contents

Safety

This section describes the general safety conventions, terms, and symbols used in this service manual or on the LIFEPAK 15 monitor/defibrillator front and rear panels. This information is intended to alert service personnel to recommended precautions in the care, use, and handling of this medical device.

Terms (p. 30)

General Warnings (p. 31)

Symbols (p. 36)

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LIFEPAK 15 Monitor/Defibrillator

Safety

2

Service Manual

Terms

 

 

 

 

 

Terms

 

 

The following terms are used in this service manual or on the various configurations of the LIFEPAK 15 monitor/defibrillator (device). Familiarize yourself with their definitions and significance.

DANGER

Immediate hazards that will result in serious personal injury or death.

WARNING

Hazards or unsafe practices that may result in serious personal injury or death.

CAUTION

Hazards or unsafe practices that may result in minor personal injury, product damage, or property damage.

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