Physio-Control LIFEPAK 9P User manual

r/pacemaker
0
brillator/mon
Service
Manual October
Corporate
11811 Post
Redmond,
Telephone: Toll Telex: Telefax:
No.
1993
Headquarters:
Willows
Office
Box
WA
Free:
206/867-4000
800/442-1142
990211 D PHYSIO
206/883-2988
Manual
805454-01
Road
Northeast
97006
98073-9706
USA
or
800/426-8047
RDMD
LIFEPAK
9P
defibrillator/monitor/pacemaker
Part
No.
Serial
No.
About by test,
monitor/pacemaker.
A
for
personnel.
features
well
This
Manual:
technical
troubleshoot,
separate
use
as
service
publication,
by
physicians,
It
of
the
operator-level
provides
This
personnel.
and
clinicians,
LIFEPAK
testing
Service
repair
the
Operating
step-by-step
9P
defibrillator/monitor/pacemaker
Manual
It
describes
the
LIFEPAK
and
emergency
instructions
and
maintenance.
is
intended
how
to
maintain,
9P
defibrillator/
Instructions,
care
for
all
for
use
is
intended
operating
as
Trademarks
Wa
rranty
PHYSIO-CONTROL®:
QUIK-LOOK®
CODE
Physio—Control
Redmond,
Refer with the contact
SUMMARY",
to
the
the
product.
Physio—Control
your
DERMA
Corporation,
WA
98073-9706.
product
Duplicate
PARTSLINE
local
Physio—Control
warranty
LIFEPAK® , FAST-PATCH®,
JEL®,
SAS
and
PARTSLINE"
11811
Willows
statement
copies
may
at
1-800-442-1142.
sales
(SHOCK
included be
or
ADVISORY
are
trademarks
Road
in
obtained
service
N.E.,
the
office.
LIFE*PATCH®,
SYSTEM)",
of
the
PO Box
accessory
in
the
USA
by
Outside
the
97006,
kit
shipped
calling
USA,
ii
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Rights
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October
©
Physio—Control
1993
Corporation
Safety
information
General
information
Introduction Terms Warnings Symbols
Service Effective Configuration
Content
......................,...........
...........................................
.............................
Information
Publication
Overview
........................................
Gene
...........................
Dates
Information
........
............................
............................
K
eee
εν
ων ων
xii xii xiii xiv
XV Xvi xvii
xviii
©
October
Description
1993
Physio—Control
Corporation
Introduction
Physical
Functional
Theory Power
Supply
Power-On................
Regulation
Overvoltage
Output Battery
BATT
..........
Description
Description
of
Operation
PCB
Assembly
..
Protection
Isolation
.......................,........,....,,...
CHRG
....................................
Indicator
All
ュー
....................
...............................
ee
1-7
.................................
(803726)
ωωωρεον
...................
eee
εν
νενε
ων εν ο νεν
ον
..............................
..............................
Rights
Reserved
1-1
1-9 1-9
1-9 1-9
1-9
1-9 1-9
1-10
LIFEPAK
9P
defibrillator/monitor/pacemaker
Power
İnterconnect
Main
Display
Conversion Power Logic
Switching
External
Energy Low Capacitor Energy Energy Energy Serial
Analog
ChageLEDDrive..................................
Interface Pace
Pace
Pace Echo Pacing Arming Pace Isolated Switching Power
LED
Control
Power
Energy
Data
Pulse
Pulse
Pulse
Pulse
Leads
Pulse
Supply
Drive
PCB
Control
Storage
Transfer Dump Monitor
Voltage
Circuit
Power
Assembly
PreamD
System
Controller
Display/Recorder/Pacing
PCB/CRT
Video
Signal Frame Raster Raster
Raster CRT
Sweep Scan Voltage Generator
Bias
PCB
Assembly
.....................................
Monitor
Power
Charge
Charge
.................................,,...
Interface
................................
Supply
Input
...........................,...
Capacitor
Rate
Control
....................................
....................................
..........................,.,...
Evaluation
Pacing
.........................,........,.......
Regulator
PCB
Assembiy
Output
Wave
Amplitude
Width
Length
Drive
Shaper
Decoder
Converter
Off
Detector
...............................,,.,..
Generator
Supply
Controller
...............................
................................
(803724)
.............................
Charger
.............................
.....................,..,..,
...............,
.....................
...........................
(805472)
.............................
..............
.............................
........................
..........................
..........,...........,....,
..........................
...........................,.
.............................
(805474)
..........................,.......
Assembly
Amplifier
Generator
Oscillator
Generator
...................................
Generator
.................................
..........................
ーー
バトー
Interface
(803706)
..............................
.............................
...............................
.........................,...
.....................
....................
severe
ーー
こてこて
ーー
1-10 1-10 1-11
1-12
1-12
1-12 1-13 1-14 1-14 1-15 1-16 1-16
1-17
1-17 1-17 1-17 1-19
1-19
1-19 1-20 1-21 1-21 1-22 1-22 1-22 1-22
1-22
1-23
1-25
1-30
1-32
1-39 1-41
1-41 1-41 1-41 1-42 1-42
|
iv
|
All
Rights
Reserved
© October
1993
Physio—Control
Corporation
Operation
2
Introduction
Controls Option
Test
Menu
Setup
Menu
Info
Me
Introduction Performance PIP-Purpose
PIP-Scope
........................................
and
Indicators
Settings
......................................
...........................................
.........................................
...................,....................
Inspection
.........................................
and
Applicability
...............................
Procedure
(PIP)
................
............................
PIP-Definitions . ..........,...........................
PIP-Requirements
PIP-Required PIP-Test
Equipment PIP-Workstation PIP-Personnel
PIP-General
Instructions
PIP-Physical
PIP-AC PIP-Battery PIP-Battery PIP-Setup PIiP-Keypadlesi
PIP-Lead
PIP-Recorder PIP-ECG РР-ПпУ PIP-CRT PIP-Heart PIP-Rate PIP-Recorder PIP-Test PIP-Sync/Sync PIP-Recorder/CRT PIP-Defib PIP-Paddle
PIP-Charge
Ро\ег
Charge Power
Menu
Select
Display САГ
Gain/Aspect
Rate
Alarms/Alarm-Activated
Load
Disarm
Polarity
Time
....................................
Equipment
.............................
Verification
.......................
...................................,
................................,...,
............................,..
Inspection
.........
................................
iie
...................................
.............................,......
Settings
.....................
........
Speed/Baseline
...............................
aa
Centering
...................
................,....................
..........
..
Ratio
erre
............................
Record
Annotation/Real-Time
.................
Clock
................
a
rare
........................................
Annotation
Noise
and
.............................
...............................
CHARGE
LEDs
Check
..............
....................,..............
.....................................
erev
o
2-1
2-1 2-7 2-7 2-8 2-9
3-1 3-1 3-1 3-2 3-2 3-2 3-2 3-3 3-3
3-3 3-4
3-4
3-5 3-5 3-5 3-6 3-7
3-8
3-8
3-9 3-9 3-10 3-10 3-10 3-11 3-11 3-11 3-12 3-12 3-12 3-13
O
October
1993
Physio—Control
Corporation
All
Rights
Reserved
LIFEPAK
9P
defibrillator/monitor/pacemaker
PIP-Discharge PIP-Energy
PIP-Charge PIP-Delivered
PIP-CODE PIP-Pacemaker PIP-PacingRate PIP-Demand
PIP-Non-Demand PIP-Pacing PIP-Leakage
PIP-Pacemaker
PIP
Checklist
Test
and TCP-Purpose TCP-Scope TCP-Definitions
TCP-Reguirements..................
TCP-Equipment TCP-Test
TCP-Workstation
TCP-Personnel TCP-Voltage TCP-Low
Monitoring
Defibrillator
TCP-Test TCP-Defibrillator TCP-Test
TCP-Charge
TCP-Output TCP-Display TCP-Power
TCP-Recorder
TCP-Recorder
TCP-CRT
TCP-ECG
TCP-Pacemaker TCP-Pacemaker
TCP
Checklist...........
Troubleshooting
Error
Codes
Control
Dump
Reduction
Energy
SUMMARY
Power-Up
......................,....,......
...........................,..,,....
.....................,...........
.................................
Report
.........................
..........................,...
......................
Pacing
Leads
Current
Calibration
and
Equipment
CheckS
Battery
Menu
Load
Time
Waveform
Calibration
Supply
Frequency
Output
...........................,...,...
Pacing
Off..................................
Leads
....................,..............,...
.................................,......
Applicability
......................................
..........................,....,.....
Threshold
Check
Charge
Access
Calibration
Calibration
...........................,...
..............................,...
Detect
Procedure
Requirements
Verification
Requirements
..................................
............................,.....
Check
................................
....................................
Current
(TCP)
...........................
........................
......................
.......................
Checks
.............................
...........:
...........................
...........................
........................,.,...,.
...............................
Calibration
Calibration
Frequency
Response
..........................
..............................
Response
......................
............,..,..........
.....................,.......,,,,...,
Calibration Current
............................
and
Waveform
TN
Aids
.................................
and
SERVICE
Indicator
......................
0s
...................
..................
ο ο ωρών
Output
κο
νε
ων
ες
e
.............
3-13 3-13
3-14 3-14
3-14 3-16 3-16 3-16
3-17 3-17 3-17
3-18
3-21 3-23
3-23 3-23 3-23 3-23
3-23 3-24
3-24 3-25 3-26 3-27 3-27 3-28 3-29 3-30 3-31 3-32
3-32 3-33 3-37
3-38
3-40
3-42
3-42
3-42 3-43
3-45 3-46
3-46
vi
All
Rights
Reserved
©
October
1993
Physio-Control
Corporation
Service
and
Maintenance
4
E Battery Recharging Battery
Guidelines
Battery
Recycling
General
Operation
Strip
Fuse Special
Devices Look Use Wear Transport Keep
Test
Disassembly
Battery
Front Strip Case Power
Main Display Power
Interconnect
Inspection
Exterior
Interior Tools Cleaning
External
Interior
PCB
Preparation
......................
Maintenance
Batteries
Maintenance
for
Replacement
Capacity
Batteries
Maintenance . ................................
from
AC
Chart
Recorder Loading Cleaning
Protecting
Static-Dissipative
Power
Power
Paper
..
Printouts
Replacement
Handling
(SSDs)
for
SSD
Symbol
Wrist
Strap
and
Store
Work
Area
Work
Area
Procedures
Pack
Removal
Panel
Bezel
Chart
Recorder
Separation
Conversion
Conversion Conversion
PCB
Removal
PCB/CRT
Supply
Removal
Pacing
Routinely
Techniques
Inspection . ...................................
Inspection
and
Materials
Procedures
Cleaning
Cleaning
Repair
Precautigns
for
.................................
.................................,
Guidelines
Check
..
......:..,....,...,.,.,.,...
Batteries
...................................
or
DC
Power
......................,...,,,.,,.,
.......................,..,.....,....
.................................
....................................
Procedures
......................................
.................................
Mat
.....................................
PCBs
Properly
Static-Free
Source
for
Static
.............................,
............................
..................
..............................
.....................,...........
and
Keypad
Removal
......................................
PCB
PCB PCB
..............,....................
Assembly
PCB
....................................
for
.................................
.............................,.......
.....................................
Storage
Assembly
...........................
Removal
Removal Reassembiy
................................
Removal
and
Removal
................................
Cleaning
..............................
or
Shipping
a
.....................
..................
Sensitive
.......................
Removal
Reassembly
......................
....................
....................
.......................
and
Repair
...................,
sessnese
eseseses
MARE
..........
...........
.............
4-1 4-1 4-1 4-2
4-2
4-3
4-4
4-4
4-4
4-4 4-5 4-5
4-5 4-5
4-6 4-6 4-6 4-6 4-6 4-6
4-6
4-7
4-7
4-7 4-8 4-10 4-10 4-10 4-11 4-12 4-12 4-12 4-12
4-13
4-13 4-13 4-14 4-14 4-14
4-15
4-16
4-17
©
October
1993
Physio-Control
Corporation
All
Rights
Reserved
vii
LIFEPAK
9P
defibrillator/monitor/pacemaker
Parts
Lists/
Schematics
Component Reference
Index
5
Introduction Parts
Component Schematic How
Supplies
6
........................................
List
...........................................
to
Order
Layouts
Diagrams
and
or
Exploded
....:..............................
Parts
..................................
Accessories
Views
...................
..............................
еее
еее
вееекекиныя
5-1 5-1
5-2 5-2 5-2
5-5.
Index-1
viii
All
Rights
Reserved
O
October
1993
Physio-Control
Corporation
List
of
Figures
Description
Operation
1
2
Figure
Figure
Figure
Figure Figure Figure
Figure Figure Figure Figure
Figure
Figure Figure
Figure
Figure Figure
Figure
Figure
Figure
1-1 1-2
1-3
1-4 1-5 1-6
1-7 1-8 1-9 1-10
1-11
1-12 1-13
2-1
2-2 2-3
2-4
2-5
2-6
LIFEPAK
LIFEPAK
Functional
Power
Interconnect
Main
Preamp Echo
Control Character Video
Printhead
Display Display
Front
Rear Test
Setup
Info
9P
9P
Conversion
PCB
Block
Timing
Period
Line
Cell
Intensity
Assembly
PCB/CRT Scanning
Panel
Controls
Panel
Controls,
Menu
...............................,
Menu
Menu
..............................,,
defibrillator/monitor/pacemaker
defibrillator/monitor/pacemaker Block
Diagram
PCB
Pacing
PCB
Diagram
............................
..............................
Timing
Locations
.......................
............................
.....................,..
Assembly
................
Block
Diagram
Block
Diagram
...................
....................
Block
Diagram
.
........
.......
....
..........................
and
Indicators
Indicators,
...........
and
Connectors
.
..............................
Testing
3
Figure Figure Figure Figure
Figure Figure
Figure
Figure Figure Figure
Figure Figure
Figure
Figure
Figure Figure Figure
3-1 3-2 3-3 3-4
3-5 3-6
3-7
3-8 3-9 3-10
3-11 3-12
3-13
3-14
3-15 3-16 3-17
Power-On
Test
Menu
Setup
Menu
Display
1mV
Example
Test
Test
Test
Test
Output
Display Power
Recorder Test
with
CAL
of
Connections
Measurement
Setup
Connector
Menu
Waveform
PCB
Supply
Calibration
Signal
Pacemaker
Pacing
Pulse
Display
................................
Pulse
CODE
for
................................
.........................
..............................
Flatline
Pacemaker
ECG
Trace
..............
...........................
SUMMARY
for
Ground
...........................
J3
..........................
Resistance
Leads
Printout
Detect
Current
.......
..........................
Assembly
Calibration
Setup
Calibration
Waveform
Potentiometer
...................
Adjustments
for
Function
Test
.....................
Location
Generator
Load
Setup
Locations
.....
.......
........
.
.
©
October
1993
Physio-Control
Corporation
All
Rights
Reserved
ix
LIFEPAK
9P
defibrillator/monitor/pacemaker
Service
and
Maintenance
Paris
Lists/
Schematics
4
5
Figure Figure
Figure
Figure
Figure
Figure Figure
Figure Figure
Figure
Figure
Figure
Figure
Figure
Figure Figure
Figure
Figure
Figure Figure Figure
Figure Figure
Figure Figure Figure
Figure
Figure
Figure
Figure
Figure
Figure Figure Figure
Figure Figure
4-1 4-2
4-3
4-4
5-1
5-2 5-3
5-4 5-5
5-6
5-7
5-8
5-9
5-10
5-11 5-12
5-13
5-14
5-15 5-16 5-17
5-18 5-19
5-20 5-21 5-22
5-23
5-24
5-25
5-26
5-27
5-28 5-29 5-30
5-31 5-32
Front
Panel
Removal Connector Connections
Power
LIFEPAK
Shipping
LIFEPAK
Final
Interconnect
Main
Power
Power Interconnect Keypad Rear Strip
Transfer
Paddle
Display Power
Wire
Power
Locations
for
Conversion
9P
defibrillator/monitor/pacemaker
Assembly
9P
defibrillator/monitor/pacemaker
Assembly
Diagram
PCB
Assembly
Supply
Conversion
Pacing
Assembly
Panel
Membrane
Chart
Recorder
Relay
Assembly
PCB/CRT
Supply
Harness
Conversion
PCB/Battery
Battery High
Main
Main Interconnect
Main AC
AC
Test
Power Power
Power
Power
Main
Main
Storage
Storage
ECG
Sensor/Power
Voltage
Connector
PCB/Display
PCB/Recorder
Pacing
Assembly
PCB/Patient
Receptacle/Ground
..............................
Receptacle
Load
Contact/Resistor Conversion Conversion
Harness
Wire
...............................
Conversion
Harness
Conversion
Wire
Harness
PCB/Sternum
PCB/Apex
Capacitor Capacitor
Out
Wire
.......................
..........,............
Discharging
PCB
Capacitors
Assembly
on
..........
......................
.........................
...................,.,..
.......................
PCB
Assembly
PCB
PCB
.........................
Switch
Assembly
Assembly
..........................
Assembly
PCB/AC
Wire
Receptacle/Ground
..................,.........
PCB/Power
Harness
Supply
Cable
Cable
PCB/Keypad
Connector
Wire
Wire
Harness
PCB/Reed PCB/Dump
PCB/Charge
...........................
PCB/Charge
...........................
Relay
Relay
Wire
Positive/Relay Negative/Relay
Harness
................
Assembly
Assembly
............
...........
................
...............
....................
.................
Supply
................
PCB
Wire
Harness . 5-75
Cable
Assembly
Assembly
Assembly
...........
..........
Cable
Wire
Harness
Harness
..........
.................
Wire
Harness
Assy
Wire
Harness
Relay
Wire
Relay
Negative
Relay
Positive
Wire
Harness
Harness
Wire
........
..........
Harness
Wire
Harness . 5-86
.....................
the
.......
.....
.......
..
4-8
4-9
4-11
4-17
5-11 5-12
5-22
5-31
5-40
5-50 5-55 5-56 5-58
5-60
5-61
5-64
5-73
5-74
5-76
5-77 5-78
5-79 5-80 5-81
5-81
5-82 5-82
5-83
5-84
5-84
5-85
5-85
5-86
5-87
All
Rights
Reserved
©
October
1993
Physio-Control
Corporation
Figure Figure
Figure
Figure Figure
Figure
Figure Figure Figure
5-33 5-34
5-35
5-36 5-37
5-38
5-39 5-40 = Pushbutton 5-41
Main
PCB/Speaker
Power
Connector
Supply
Receptacle/Pacing
Recorder/Bracket Defibrillation
Test
Load
High
Test
Load
High
Switch
High
Voltage
Wire
Harness
Bracket/Ground
Ground
Adapter
Voltage
Voltage
Connector
Wire
......................
Wire
Harness
Wire
Wire
Harness Cable
.............
Wire
Harness
Cable
Assembly
Harness
Harness
........
(W1)
(W2)
..............
Assembly
.......
....
...
.....
.....
5-88 5-89
5-90
5-91 5-93
5-95
5-95 5-96 5-97
Component
Reference Diagrams
6
Figure
Figure Figure
Figure Figure Figure Figure
Figure Figure Figure
Figure
Figure
Figure Figure
6-1
6-2 6-3
6-4 6-5 6-6 6-7
6-8 6-9 6-10
6-11
6-12
6-13
6-14 Figure6-15 Figure
Figure Figure
Figure Figure Figure Figure Figure
6-16
6-17 6-18
6-19 6-20 6-21 6-22 6-23
Buffer
A/D D/A
Dual Counter Counter Font
DEFip-FOD D D
D
J-KFlip-Flop
Microprocessor Multiplexer Mulüvibrator
Multivibrator
Oscillator
Pulse-Width
Pulse-Width
Display Video Shift Analog
...................................
Converter Converter
D/A
...........................,......
.......................,..,,..,...
EPROM
Flip—Flop Flip-Flop
Flip-Flop
RAM
RAM
Register
Switch
............................
............................
Converter
.............................
..............................
..............................
.........................,....
....................,.......
...........................
...............................
.............................
.............................
................................
Modulator
Modulator
.............................
..............................
....................,...,....
............................
........................
eee
cee
ees
.....................
.....................
6-3
6-3 6-4
64 6-5 6-5 6-6
6-6 6-7 6-7
6-8
6-8
6-9 6-10
6-10 6-11
6-11 6-12
6-12 6-13 6-13 6-14 6-14
©
October
1993
Physio—Control
Corporation
All
Rights
Reserved
LIFEPAK
9P
defibrillator/monitor/pacemaker
List
of
Tables
Description
Operation
Testing
1
2
3
Table
Table Table
Table
Table
Table
Table
Table Table
Table
Table
Table
Table Table
Table
Table
1-1
1-2 1-3 1-4
2-1
2-2
3-1
3-2 3-3
3-4
3-5
3-6
3-7 3-8
3-9
3-9
LIFEPAK
9P
defibrillator/monitor/pacemaker
Specifications . ..........................
Main
PCB
Functional
Preamp
Display/Recorder/Pacing
Front
Rear
PIP
Delivered Maximum
Maximum
Test
Power
Low Defibrillator
Current
Error
Pulse
YO
Lines
Panel
Panel
Test
Equipment
and
Calibration
Conversion
Battery
and
Codes
WidthS
..............................
Controls
Controls,
Energy
Leakage
Leakage
Thresholds Calibration
Waveform
............................,,
Circuits
.......................
and
Indicators
................
Microprocessor
Indicators
...........
and
Connectors
........................
Tolerances
Current
Current
Test
PCB
.................
for
120Vac
for
230Vac
Equipment
Voltage
.....................
Measurement
Levels
Checks
................
and
60Hz
and
50Hz
...........
........
Ranges
..
...
1-3
1-23 1-27
1-32
2-3
2-6
3-2
3-14 3-20
3-20
3-24
3-26
3-27 3-31
3-44
3-46
xii
Service and
Maintenance
Parts
Lists/
Schematics
Component
Reference
4
5
6
Table
4-1
Table
4-2
Table
5-1
Table
5-2
Table
5-3
Table
5-4
Table
6-1
Inspection
Tools
LIFEPAK
Major Defibrillation Reference
Supplies
Component
Ali
Rights
Techniques
and
Materials
9P
defibrillator/monitor/pacemaker
Assemblies
Adapter
Designator
and
Accessories
Reference
Reserved
......................
for
Cleaning
.......................
Assemblies
Key
....................
Diagrams
and
Repair
............
...................
....
..............
© October
1993
Physio-Control
4-13
4-14
5-3 5-4 5-4
5-5
6-1
Corporation
SET
Introduction
Terms
This
safety
information
on
the
equipment recommended medical
Refer Facilities, guidelines environments.
Certain yourself
equipment.
to
NFPA
and
on
terms
with
Danger:
Warning:
to
alert
precautions
(National
NFPA
70-1990, National
the
standards
are
used
in
their
definitions
Immediate
or
death.
Hazards
personal
or
injury
includes
both
Fire
this
hazards
unsafe
terms
operating
in
care,
Protection
and
practices
manual,
and
which
practices
or
death.
and
symbols
and
service
use
and
handling
Association)
Electrical
for
health-care
or
on
the
equipment.
significance.
will
result
which
could
used
in
personnel
of
this
specialized
99-1990,
Code,
for
instruments
in
severe
result
this
manual
of
Health
specific
Familiarize
personal
in
severe
Care
and
injury
or
©
October
1993
Physio—Control
Caution:
Note:
Corporation
Hazards personal
Points
instrument
concerning
or
unsafe
injury
of
particular
operation.
the
All
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practices
or
product
interest
Additional
subject
Reserved
under
which
could
damage.
for
more
information
discussion.
result
efficient
or
in
minor
convenient
or
explanation
xiii
LIFEPAK
9P
defibrillator/monitor/pacemaker
Warnings
Shock
Possible Paddle
Possible Explosion
Hazard
Arcing
Damage
Fire
or
and
Following result
cautions
When
pacemaker
paddles. electrical perform of
the
When standard (STERNUM arcing paddle
Use bag-valve-mask
anesthetics.
are
in
death,
not
appearing
charged
discharges
Unless
energy
this
procedure
LIFEPAK
discharging
paddles
paddle
and
formation
electrode
care
when
descriptions
severe
and
discharged,
discharged
may
9P
defibrillator/monitor/pacemaker
the
are
on
surfaces
operating
devices
of
general
injury
or
product
in
this
section
the
up
to
360J
of
properly
cause
personal
unless
defibrillator
securely
the
of
you
and
left,
APEX
pits
on
paddle
can
cause
this
device
or
ventilator
hazards
damage.
are
found
LIFEPAK
electrical
as
described
injury
are
thoroughly
into
the
internal
properly
patient
stored
paddle
electrode
skin
close
to
tubing)
and
unsafe Specific
throughout
9P
defibrillator/monitor/
energy
in
or
death.
familiar
in
on
the
surfaces.
burns
oxygen
and
flammable
practices
through
this
manual,
Do
not
and
all
test
load,
the
paddle
right).
during
sources
warnings
the
manual.
the
attempt
with
accessories.
make
This
Pitted
defibrillation.
(such
gases
that
could
and
defibrillator
this
to
the
operation
sure
the
storage
helps
prevent
or
damaged
as
and
area
Safety
Electrical
Possible
Hazard
Hazard
Equipment
Failure
Shock
Possible
or
Fire
Equipment
Damage
and
Hazard
Do
not
mount location other
Do frayed and
inspections
which eventually
Do spilling
Do damage. instructions
where
mounting
not
operate
wires,
possible
on
the
wires
causes
not
immerse
any
not
sterilize
Do
fluids
clearly
the
product
it
cannot
location.
equipment
or
loose
snap
equipment
cables
and
enter
the
the
wire
any
portion
on
the
this
product.
not
autoclave
approve
directly
harm
the
using
damaged
fittings
failure.
wires.
terminals.
instrument
Perform
Pay
strands
of
the
Sterilization
or
gas
it.
above
the
patient
to
if
it
cables
may
cause
frequent particular Repeated
break.
instrument
or
accessories.
environments
sterilize
accessories
patient.
should
interference
in
Place
fall
and
wires.
electrical
attention
flexing
water
at
or
unless
the
product
from
its
Broken
or
loss
and
visual
to
the
point
these
points
other
fluids.
can
cause
manufacturer
shelf
or
or
of
signal
at
serious
in
a
Avoid
xiv
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Rights
Reserved
©
October
1993
Physio-Control
Corporation
Safety
Shock
Risk
or
Fire
Hazard
Do
not Table work
Make NFPA
Code.
substitute
5-4
shown
improperly.
sure
(National
accessories. on
that
all
Fire
page
5-5.
equipment
Protection
Use
only
recommended
Substitution
. .
is
interconnected
Association)
may
cause
safely
70-1990,
accessories
the
instrument
in
accordance
National
Electrical
listed
in
t
:
with
Symbols
Note:
accessory
applications grounding
accessory
Any
or
all
equipment:
>
ATTENTION
+ Db
L
>|[@
TT
„L
Within
certain
equipment
laboratory.
requirements
equipment.
of
the
following
Static
Sensitive
Additional
DANGER
ATTENTION
Defibrillation
Defibrillation
governmental
must
It
is
important
in
your
location.
symbols
Device
information
high
voltage
refer
protected,
protected,
jurisdictions,
be
labeled
that
you
Check
after
interconnecting
may
appear
(SSD)
in
Section
present
to
manual
type
CF
type
BF
by
an
verify
and
leakage
in
this
6,
Component
for
more
patient
patient
all
interconnected
approved
observe
current
this
manual
connection
connection
testing
and
instrument
or
References
information
the
required
|
on
with
the
©
October
1993
Physio—Control
Corporation
Protective
Fusible
Equipotentiality
Off
On
(Power:
ECG
(Power:
OO Qe
ground
Link
disconnection
connection
Output
All
Rights
(earth)
connector
Reserved
terminal
to
from
the
AC
the
mains)
mains)
LIFEPAK
9P
defibrillator/monitor/pacemaker
General
Service Information
Information
Before technician Service
If
technician
in operating required, a qualified Procedure adjustments
appropriate
attempting
and
the
instrument
Section
to
should
should
3,
within
be
Maintenance.
has
complete
beginning
specifications.
(TCP)
in
must
be
training
clean
or
repair
familiar
been
technician
Section
performed
and
with
dropped,
the
on
page
3.
experience.
the
Performance
3-1,
If
can
Component
only
any
assembly
information
damaged,
to
calibration
perform
by
or
Inspection
confirm
or
the
replacement
service
in
this
instrument,
provided
abused, a qualified
whether
more
Test
and
personnel
in
Section
Procedure
the
instrument
extensive
Calibration and
internal
qualified
testing
the
4,
(PIP)
is is
by
Use
of
non-Physio-Control
adapter devices
For
assistance
1-800-442-1142.
representative.
may
in
void
servicing
In
other
All
Rights
Reserved
defibrillation
Safety
Agency
the
instrument
countries
contact
electrodes,
Certifications
in
the
the
batteries,
US,
call
local
Physio-Control
©
October
and
1993
accessories,
warranty.
Physio-Control
Physio-Control
or
at
Corporation
=
Effective
Publication
Dates
The
effective
Title
Trademark
Table
of
Contents
List
of
List
of
publication
and
Warranty
Figures
Tables
date
for
each
page
Page
ii
ii
ix
xii
of
this
thru
thru
manual
|
viii
xi
is
listed
October
October
October
October
below.
Date
1993
1993
1993
1993
Safety
Information
Terms
Warnings
Symbols
General
1 2 3
4 5
6
Information
Service Effective Configuration
Content
Overview
Description Operation Testing
Service Part
and
Lists/Schematics
Component
Publication
Information
Maintenance
Reference
Dates
xii
xiii
xiv
XV xvi
xvi xvii xviii
xix
1-1 2-1 3-1
4-1 5-1
6-1
thru
thru
thru thru thru
thru thru
thru
xv
xix
1-42 2-10 347
4-17 5-97
6-14
October October
October October October
October October October
October
October October October
October October
October
1993
1993
1993 1993 1993
1993 1993 1993
1993
1993 1993 1993
1993 1993
1993
©
October
1993
Physio-Control
Corporation
Index
Index-1
|
All
Rights
Reserved
thru
Index-7
October
1993
LIFEPAK
9P
defibrillator/monitor/pacemaker
Configuration
Information
Assembly
LIFEPAK Main Power Power Interconnect Keypad Rear
Strip
Transfer
Paddle
Display
Power Power Battery High
Main
Main Interconnect
Main
AC AC Test
Power Power
Power
Power Main Main
Storage
Storage
ECG
Main
Power
Connector
Recorder/Bracket
9P
PCB
Assembly Supply Conversion
Assembly
Panel
Switch
Chart
Recorder
Relay
Assembly
PCB/CRT
Supply
Conversion
Sensor/Power
Voltage
PCB/Monitor
PCB/Recorder
PCB/Patient
Receptacle/Ground Receptacle
Load
Contact/Resistor
Conversion Conversion
Conversion
Conversion PCB/Sternum PCB/Apex
Capacitor Capacitor
Out
Wire
PCB/Speaker
Supply
Receptacle/Pacing
This
manual
numbers.
is
current
The
assemblies
Name
defibrillator/monitor/pacemaker
PCB
Assembly
PCB
Assembly
Pacing
PCB
Assembly
Membrane
Assembly
Assembly
Assembly
PCB/AC
Connector
Pacing
Wire
Harness
Bracket/Ground
Receptacle/Ground
PCB/Power
Supply
PCB
Cable
SupplyPCB/Battery
PCB
Cable
Assembly
Cable
Assembly
Assembly
PCB/Keypad
Connector
Harness
Wire
Wire
Harness
(W
Wire
PCB/Reed PCB/Dump
PCB/Charge PCB/Charge
Relay
Relay
Wire
Wire
Assembly
Relay
Relay Relay Harness
Harness Positive/Relay Negative/Relay
(W20)
Wire
Hamess
Wire
Cable
Gound
Wire
Harness
Wire
Harness
(W6)
Cable
Assembly
Harness
(W9)
10) Harness
Wire
Wire
Negative Positive
(W17)
Wire
Harness
Wire
Harness
(W21)
Harness
Assembly
(W24)
Wire
(W4)
(W5)
(W8)
(W11)
Harness
Harness
(W16)
(W22)
Harness
(W3)
Wire
Wire
(W18)
(W19)
(W23)
with
appear
Wire
Harness
(W7)
(W12)
(W13)
Harness
Harness
the
listed
(W1)
(W15)
in
(W2)
(W14)
revision
the
level
same
of
the
order
as
in
PartNumber
805460 805474-01 803726-01 803724-03 805472-02 805469 805464-00
804189-00 800240-14 802901-06 803706 803783-30 803783-23 803783-24 803756-13
803733-00
803773-00 805465-00
803783-00
803783-04 803783-05
803783-06
803783-07 803783-08
803783-09 803783-10 803783-11 803783-12 803783-13 803783-14 803783-15 803783-16 803783-29
802925-03
803783-19
following
Table
5-1.
Rev
F4 B8 Orig7 D6 B4 B3 Orig3 B2 U10 F
AS BS BS B5 D4
Orig]
Orig1 Orig3
B5
B5 B5 B5
B5 B5
B5 B5
B5
B5
B5 B5 BS B5 B5 C6
B5
part
xviii
All
Rights
Reserved
©
October
1993
Physio-Control
Corporation
Assembiy
Defibrillation Test
Load
Test
Load Pushbutton High
Voltage
Content
Name
Adapter
High
Voltage
High
Volage
Switch
Wire
Connector
Overview
Wire
Harness
Wire
Harness
Harness
Cable
This
Assembly
manual
contains
the
following
information:
PartNumber 803747
803774-03 803774-04 803774-05 803756-09
-
Rev B2
Al Al Al D4
Section
Section
Section
Section
1
2
3
4
Description: power
supplies,
PCB
circuit
major
circuits.
appropriate
Operation:
It
identifies
“This
section instrument; Instructions
This
section
PCB
functions,
description
Circuit
schematics
This
section Controls, is
not
such
Indicators,
intended
detailed
manual.
Testing/Troubleshooting: Procedure closed-case be
duplicated
(TCP)
testing;
additional
Service Procedures referenced This repairing
(PIP)—seguential
check
and
in
this
section
it
also
includes a checklist.
information
and
Maintenance:
for
removing
to
numbered
section
includes
the
instrument.
of
the
used
describes
instructions
details
and
is
accompanied
names
in
Section
in
these
familiarizes
to
instruct
instructions
This
section
steps
equipment.
during
testing.
calibration
to
support
This
all
major
parts
in
the
how
the
instrument
instrument
by a block
block
outputs
diagram
diagrams
5.
the
user
with
and
Connectors,
the
operator
are
provided
contains
to
follow A PIP
The
Test
and
The
Troubleshooting
and
in
in
the
when
performing
checklist
and
more
troubleshooting.
section
for
provides
subassemblies.
Final
Assembly
inspecting,
cleaning,
Disassembly/Assembly
The
works.
also
basic
screen
the
the
Input
are
described.
to
illustrate
appear
equipment
menu
clinical
separate
Performance
an
is
provided Calibration extensive
instrument
Aids
procedures
drawing
in
maintaining,
signals,
Each
the
in
the
function.
options.
use
of
the
Operating
Inspection
operational
which
can
Procedure
includes
are
Section
5. and
O
October
Section
Section
1993
Physio-Control
5
6
Parts Accessories, Diagrams
Component consists (ICs).
a
Corporation
Lists/Schematics:
Illustrated
for
all
Reference
of
Component
The
ICs
in
large
asterisk
K.
This
Parts
repairable
assemblies.
Diagrams:
Reference
Section 6 are
All
Rights
section
Lists,
PCB
An
Diagrams
identified
Reserved
contains a list
Component
aid
to
for
in
the
of Layouts,
troubleshooting,
selected
schematics
Supplies
and
and
this
Integrated
in
Section 5 with
Schematic
section
Circuits
xix
Introduction
This theory The
e e
section
section
Physical
describes
of
operation
is
Description
divided
Functional assemblies
the
general
of
the
LIFEPAK
into
three
describes
Description
features,
parts:
briefly
describes
specifications,
9P
defibrillator/monitor/pacemaker.
general
features
the
function
and
lists
functions,
specifications
of
the
major
and
Physical
Description
e © Theory
component
The
LIFEPAK provides (CRT)
monitor monitoring, pacing, detected paddles,
The sealed
and
through or
instrument
lead-acid temporary instrument battery
The
continually
front
discharge
rear-panel
and
the
real-time
of
Operation
level.
9P
defibrillator/monitor/pacemaker,
dc
defibrillation,
screen, a strip
heart
rate
display
CODE
SUMMARY
patient
FAST-PATCH
operates
battery,
operation
plugged
during
into
recharges,
panel
pushbuttons
pushbuttons
pushbuttons
clock.
provides
synchronous
chart
and
cable
electrodes,
disposable
on
either
accessible
ac
power
ac
power
even
provide
are
located
control
the
circuit
descriptions
cardioversion, a Cathode
recorder,
alarms,
critical
3-lead
multiple
event
record.
QUIK-LOOK
defibrillation
ac
power
or
internal
from
the
bottom
failure
and
with
control
on
the
QRS
or
disconnection.
the
rear
panel
the
front
panel
for
most
defibrillator
audio
volume, a calibration
to
the
major
shown
in
Figure
1-1,
Ray
electrocardiogram
energy
selection,
The
ECG
external
signal
defibrillation
electrodes.
battery
of
the
power
functions. paddles.
power.
instrument,
With
switch
power
off.
Four
the
on,
Charge
pulse,
Tube
(ECG)
is
The
allows
the
and
©
October
1993
Physio-Control
Corporation
All
Rights
Reserved
1-1
LIFEPAK
9P
defibrillator/monitor/pacemaker
El
bisi
ğ
Е
Е
Figure
1-1
LIFEPAK
The
CRT
monitor
of
25
+1mm/second.
selected and menus configuration
The the the screen. clip-on
defibrillation/ECG Shock
paddle defibrillation
lead,
pacing
allow
defibrillator
patient
selected
Defibrillation
posterior
Advisory
wells,
9P
screen
ECG
information,
access
information.
delivers a controlled
with
selectable
energy
or
electrodes
Adapter
an
internal
energy
defibrillator/monitor/pacemaker
provides a no-fade
The
monitor
gain,
heart-rate
sync
markers,
to
power-on
energy
and
the
available
pulses
pediatric
delivery.
and
test
load
may paddles,
(with
cable).
screen
violations,
default
levels
energy
be
delivered
the
is
accessible
ECG
displays
status
and
operation
parameters,
monophasic
ranging
are
through
or
optional
optional
When
the
paddles
for
display
heart
messages,
status.
diagnostic
dc
from 0 to
displayed
FAST-PATCH
Defibrillation
testing
with a sweep
rate,
QRS
indicator,
defibrillator
Additional
tests,
defibrillating
360 on
standard
are
stored
and
pulse
joules.
the
monitor paddles, disposable
Adapter
in
confirming
rate
and
to
Both
or
the
All
Rights
Reserved
©
October
1993
Physio-Control
Corporation
The
recorder
heart
rate,
automatically
occurs.
prints
the
event
summary
can
pacing
When
stored
print
parameters,
prints
for
the
CODE
CODE
and
recorded
the
ECG
trace,
and
SYNC
approximately
SUMMARY
SUMMARY
ECG
trace
time
and
date,
(if
activated).
16
seconds
pushbutton
critical
event
data.
ECG
lead
and
The
recorder
when a heart
is
pressed,
record
the
data,
including
size,
rate
violation
recorder
Description
1
ECG
ECG INPUT
PATIENT COMMON
MONITOR SWEEP
FREQUENCY
ECG
HEART
HEART
1
mV
ECG
Table
MONITOR
LEAD
CABLE
SPEED
ECG
Leads:
Paddles:
SIZE
RATE
RATE
Cal
OUTPUT
1-1
LIFEPAK
SELECTIONS
LENGTH
MODE
DISPLAY
REJECTION
SIZE
RESPONSE
METER
ALARM
Pacing
Demand at a selected
by
and
The connector
monitor/pacemaker
is
any
cardiac
rate.
ac
line
selectable
mode
rate
power
are
in
depends
regardless
activity
fuses, a ground
accessible
specifications
9P
defibrillator/monitor/pacemaker
Std,
Paddles,
Isolated
disposable Total
length
_
With
notch
ground
measured
peak
with
102mm
25mm/s
Non-diagnostic.
1.0
to
2.2
to
Adjusts
ECG
out.
Three-digit outside Heart
rate
User-selectable
160/90.
rate
alarms
Momentary
the
ECG
1V/mV
either
demand
on
are
at
cardiac
of
shown
the
activity
cardiac
on
the
connector,
rear
panel.
are
I,
II,
ITI.
ECG
via
OUIK-LOOK
defibrillation/ECG
4.0m
(13ft):
filter
engaged,
and
65dB
minimum
at
60Hz.
Common
respect
(4in)
40Hz 20Hz
amplitude
this
meter
Other
to
isolated
wide x 76mm
(-3dB) (-3dB)
of
ECG
readout
range
are
pushbutton
displays
do
not
is
disabled
alarm
limit
options
disabled
limits.
on
input.
at
x1.0
gain
or
non-demand
sensing;
activity.
display
and
The
listed
in
defibrillator
electrodes,
cable
3.1m
100dB
with
mode
ground.
(3in)
trace
on
rates
yield
valid
during
Three
available
during
rear
pacing.
panel
(asynchronous)
non-demand
Stimulus
along
an
LIFEPAK
Table
markers
with
ECG
1-1.
Specifications*
or
(10ft),
minimum
respect
tall,
to
isolated
range
for
non-fade.
.
monitor,
from
20
to
systole
pacing.
high/low
tones
through
simulates a 1mV
mode
followed
pacing
signal
9P
paddles,
3-lead
leads
with
patient
strip
300bpm.
settings:
the
current
output
defibrillator/
FAST-PATCH
patient
0.9m
respect
ground
cable
chart
recorder,
Heart
or
heart
Setup
signal
mode.
paces
cable.
(3ft).
to
chassis when
input
210V
and
rates
rate
display.
150/40, 120/60,
Menu.
Heart
pulse
to
©
October
1993
Physio-Control
Corporation
All
Rights
Reserved
1-3
LIFEPAK
9P
defibrillator/monitor/pacemaker
Table
DEFIBRILLATOR
ENERGY
External
Internal
CHARGE
PADDLE CHARGE
CHARGE
SYNC SYNC
DEFIBRILLATOR ACCURACY
DEFIBRILLATOR
I(amps)
1-1
CORD
INDICATOR
60
LIFEPAK
SELECT
Paddles:
Paddles:
CONTROLS
LENGTH
INDICATORS
TIME
ENERGY
WAVEFORM
9P
defibrillator/monitor/pacemaker
1,
2,
3,
4,
1,
Independent
paddle.
3m
Flashing
increasing progress. completed
Charge
Synchronizes
Inverted
synchronizer
+15% +30%
Sms
50
Ohm
Load
5, 6, 7,
2,
3,
4,
5, 6, 7,
(10ft)
lamps
Upon
to
360J
triangle
at
500
over
monophasic
360
Joule
8,
9,
8,
9,
momentary
on
paddle
stored
energy
full
charge,
tone
sounds.
in
less
defibrillator
marker
trigger
the
point
range
pulse
Ifamps)
10,
20,
10,
20,
pushbutton
and
display
energy
than
10s
pulse
on
displayed
with
of
25
to
(Edmark)
80
Specifications*
30,
50,
100,
200, 300,
30,
50J
controls
front
panel
on
monitor
available
with a fully-charged
to
patient-generated
ECG
respect
1000
on
front
pushbutton
indicate
is
displayed
waveform
to
patient’s
25
QRS
Ohm
A
(cont.)
3601
panel
and
along
with
charge
battery.
QRS
in
and
complex.
identifies
complex.
Load
360
Joule
APEX
charge
aT
“TAN
20
10
K
)
‘amps
PIA
0 2
50
Ohm
Load DC
0 2
100
Ohm
Load
N
DS
~
4
6 8
Defibrillator
4
6
DC
Defibrillator
|
10
Output
8
10
Output
12
Waveform
100
12
Waveform
Ohm
14
Load
360
14
16
T
(msec)
Joule
18
T
(msec)
o
"IT
Ш
30
20
10
0
-10
0 2
25
Ohm
Load
\
\
4
6
DC
Defibrillator
8
Output
10 12
Waveform
14
T
(msec)
1-4
All
Rights
Reserved
© October
1993
Physio—Control
Corporation
Description
1
Table
THERMAL
PAPER
Size: Speed:
DELAY
FREQUENCY
ECG
Leads
ECG
Leads
Paddles:
ANNOTATION
CODE Record
NON-INVASIVE
OUTPUT RATE OUTPUT
OUTPUT
REFRACTORY
MODE
SUMMARY
ACCURACY
Pacing
40
110 130
150
1-1
ARRAY
LIFEPAK
RECORDER
RESPONSE (non-diagnostic):
(diagnostic):
Critical
PACEMAKER
RATE
WAVEFORM CURRENT
PERIOD
Rates:
to
100ppm
to
120ppm
to
140ppm
to
170ppm
9P
defibrillator/monitor/pacemaker
Event
50mm
25mm/s
ECG Non-diagnostic
Time, test
Digitally
40
Monophasic, 0
Refractory
Demand
wide x 30m
prints 8 seconds
1.0
to
40Hz
0.05
to
100Hz
2.2
to
20Hz
date,
load
discharges,
stored
to
170ppm.
+5%
over
to
200mA + 5%
3mA
(whichever
300ms
250ms 220ms 200ms
or
(100ft)
(diagnostic
(-3dB).
(-3dB).
(-3dB).
ECG
lead,
pacemaker
record
entire
range.
truncated
or
2mA
is
greater)
Periods:
non-demand.
after
first
available
ECG
of
ECG
exponential
(whichever
appearing
gain,
heart
parameters.
and
device
current
over
the
Specifications*
on
the
monitor.
via
Setup
Menu).
rate,
defibrillation
parameters.
pulse
(15
to
25%
is
greater)
range
of
100
at
to
700%
1500
(cont.)
parameters,
droop).
and
+7%
or
O
October
GENERAL
AC
INPUT
BATTERY BATTERY
1993
Physio—Control
OPTIONS
TYPE CAPACITY
Corporation
120
or
240Vac
with
adjustment
Sealed
A
lead-acid,
new,
fully-charged
shutdown:
Number
Minutes
Minutes
All
Rights
nominal
in
Setup
16Vdc
of
360J
discharges:
of
monitoring:
of
pacing:
Reserved
line
voltage
Menu.
nominal, 3 Ahr.
battery
will
without
provide
Typical
adjustment.
one
75
90 70
75
of the
Minimum
40
50
50
or
following
60Hz
prior
to
LIFEPAK
9P
defibrillator/monitor/pacemaker
Table
GENERAL
LOW
BATTERY
BATTERY
SERVICE
POWER
SIZE
Height:
Width:
Depth:
Weight:
POWER
STANDARD
ELECTRODE
1-1
(cont.)
BATTERY
CHARGE
CHARGE
INDICATOR
CONSUMPTION
CORD
PADDLE
LIFEPAK
INDICATOR
LENGTH
AREA
9P
INDICATOR
TIME
defibrillator/monitor/pacemaker
Advises after fully
Indicator
24hrs
Message
improper
160W
charging.
35.2cm
29.7cm
31.0cm
13.2kg
3m
operator
warning
charged
Number
Number
BATT
to
full
SERVICE
operation
maximum
(13.9in)
(11.Tin)
(12.2in)
(29lbs)
(10ft)
to
connect
(LOW
battery
of
of
BATTERY-CONNECT
360J
discharges
360J
discharges
CHRG
capacity.
indicates requiring
while
ac
are:
before
after
illuminates
self-diagnostic
service
monitoring
Specifications*
power.
warning:
warning:
when
attention.
with
82cm?
Battery
AC
battery
routines
recorder
(cont.)
capacities
POWER)
Typical
is
on
before
for a new,
50 20
25
charging.
have
and
defibrillator
and
Minimum
5
detected
ENVIRONMENTAL
ATMOSPHERIC
RELATIVE
TEMPERATURE
HUMIDITY
PRESSURE
RANGE
797
0
to
0
to
0
to
-30
to
500mm
95%
80%
45°C
to
65°C
Hg
(non-condensing) (non-condensing)
(2
to
(-22
(-570
113°F) to
149°F)
to
11,000ft).
at 0 to at
operating.
storage.
35
34°C
to
45°C
(32
(95
to
94°F).
to
113°F).
1-6
All
Rights
Reserved
©
October
1993
Physio-Control
Corporation
Description
1
Functional Descri
ption
The
overall
shown
mechanical Recorder, Board Pacing,
The
Keypad input. Transfer Battery
The
Power 90Vac
Power
supplied
The
Power power defibrillation present
function
in
Figure
assemblies
Transfer
(PCB)
Main,
and
The
Strip
Relay
Pack
Supply
to
270Vac
Supply
to
the
Conversion
on/off
on
the
of
the
1-2.
The
(Keypad,
Relay,
assemblies
and
Display).
Rear
Panel
Chart
Recorder
and
Paddle
provides
PCB
Power
switching,
charging,
Power
temporary
PCB
at
SOHz
converts
Conversion
PCB
and
Conversion
LIFEPAK
defibrillator/monitor/pacemaker
Paddles,
(Power
Membrane
Assemblies
functions
or
60Hz
the
performs a variety
generation
stored
9P
Rear
Panel
and
Battery
Supply,
Assembly
backup
ac
PCB.
Power
Switch
help deliver
over
the
without
line
power
PCB.
of
additional
energy
defibrillator/monitor/pacemaker
includes
Membrane
Pack)
Conversion,
Assemblies
provides
power.
full
range
input
line
to
of
power
transfer. A test
Switch,
and
five
receive
printed
defibrillator
of
voltage
the
nominal
power-handling
output.
input
supply
load
is
six
Strip
Chart
Printed
Interconnect
voltages
selection.
Circuit
operator
The
pulses.
from
The
The
+18.8Vdc
functions:
voltages,
circuit
is
also
The
Interconnect electrical It
also
panel
The Controller, input The QRS are
the
System allowing the
The
5-inch deflection produce a raster
connection
contains
LEDs.
Main
PCB
and
from
both
System
detection,
all
System
appropriate
Display
Controller
implemented
microprocessor
microprocessor
the
Display/Recorder/Pacing
PCB/CRT
diagonal
and
incorporates
circuitry
has the
rate
CRT
Pacing
the
Cathode
scan.
PCB
provides
between
three
Display/Recorder/Pacing
3-lead
calculation in
the
messages
the
Main
to
produce
major
patient
directs
System
and
to
the
Assembly
Ray
vertical
the
sections
cable
the
overall
and
alarms,
Controller
the
ECG
Display/Recorder/Pacing
microprocessor
and
recorder
contains a Monitor
Tube
(CRT).
and
all
the
pacing
PCB
and
the
audible
of
and
horizontal
tones
circuitry:
Interface.
QUIK-LOOK
operation
and
synchronous
software.
data
are
transmitted
annotations.
It
uses
circuitry
Power
and
the
The
of
the
to
PCB
electromagnetic deflection
and
the
Conversion
to
drive
the
Preamp,
other
The
microprocessor,
select
the
Preamp
paddles
that
inputs.
circuits.
cardioversion
current
from
the
and
drives
beam
circuitry
PCB.
front
System
receives
state
of
format
the
to
©
October
1993
Physio-Control
Corporation
All
Rights
Reserved
1-7
LIFEPAK
9P
defibrillator/monitor/pacemaker
POWER
ENERGY
SUPPLY
ASSEMBLY
BATTERY
PACK
STORAGE
CAPACITOR
PADDLE
ASSEMBLY
O:
PACING
ELECTRODES
PATIENT
PCB
RELAY
ASSEMBLY
y
>
CABLE
POWER
INTERCONNECT
MAIN
ASSEMBLY
CONVERSION
ASSEMBLY
CHARGER
CIRCUITRY
PCB
ASSEMBLY , | |
DRIVER
|
GENERATOR Y *
PACING
CIRCUITAY
PCB
PREAMP
PACING!
TONE
OPTICAL
PCB
POWER
MONITORING/
CONDITIONING
VOLTAGE
EVALUATION
CIRCUITRY
Za
eme
, '
νο
i
ro
1
a
st
a
INTERFACE
CHARGE
CONTROLLER
LED
DRIVERS
SYSTEM
o
CONTROLLER
|
©
788
O
KEYPAD
ASSEMBLY
REAR
MEMBRANE
SWITCH
ASSEMBLY
=>
PANEL
1-8
STRIP
CHART
RECORDER
ASSEMBLY
Figure
<
1-2
LIFEPAK
DISPLAY/
PING
PACING
R “INTERFACE
9P
defibrillator/monitor/pacemaker
INTERFACE
>
All
|
Rights
Reserved
RASTER
FRAME
VIDEO
1
VIDEO
2
Functional
October
©
Block
1993
é
© *
DISPLAY
PCB/CRT
ASSEMBLY
REAR
PANEL
Diagram
Physio—Control
Corporation
Description
1
Theory
of
Operation
Power Assembly
Power-On
Supply
(803726)
PCB
This
section
Power
PCB/CRT circuits
selected
in
The
the
When
CR1.,
into
Conversion
in
Section
Power
Power
ac
Resistor
and
R12
and
is
coupled
Q1,
Increasing Q2
and a voltage
overrides
base
drive
contains
detailed
PCB,
Assemblies.
Section 5 while
integrated
circuits
6.
Supply
PCB
Conversion
current
turn
causing
Q1
flows
divider
on
Q1.
with
saturation.
current
drop
and
terminates
current
pins 1 and
through
to
Q2.
circuit
Interconnect
Refer
to
schematic
reading
(indicated
converts
PCB
and
for
through
R1,
Current
across
J1,
R3,
and
builds
2.
the
T1
parallel
the
primary
descriptions
Pacing
the
circuit
by a ste
input
ac
voltage
charging
it
is
conditioned
R4
in
series
in
T1
primary
Capacitor
primary
produces
resistors
current.
of
the
PCB,
Main
diagrams
descriptions.
the
C6
of
on
the
schematic)
to a nominal
battery.
by
RT1,
with
parallel
windings
couples
voltage
R11
and
Transformer
Power
these
Supply
PCB,
and
electrical
Information
dc
L1,
resistors (pins 4 and
the
current
on
the
R12.
O2
T2
PCB,
Display
about
is
provided
voltage
C2, C3,
activation
and
R11
6)
build-up
base
of
sustains
for
Regulation
Overvoltage
Output
Protection
Isolation
Battery
When
battery
and
couples current regulation.
If
together
CR13
short
protection
Diode
protect
necessary
subsides
the
regulation
with
sets a voltage
the
Power
circuit.
CR11
it
from
because
PCB.
The
16Vdc, output. instrument on.
As
The
is
the
battery
voltage
the
voltage
to
proper
circuit
CR13,
R17,
threshold
Supply
isolates
the
battery
the
the
lead-acid
battery
receives a constant
connected
approaches
exceeds
from
T2
levels,
fails,
and
PCB
circuit
Power
voltage
battery
battery
to
ac
is
power
the
voltage
pins 4 and 5 to
Q4
turns
Silicon
R18,
which,
is
Controlled
protects
when
output.
Supply
PCB
when
connected
wired
directly
charging
and
full
charge,
ac
the
threshold
T2
pins 2 and
off,
providing
Rectifier
the
load
exceeded,
Removing
output
power
in
the
is
parallel
to
the current
rear
panel
supply
set
by
VR1,
current
(SCR)
from
damage.
triggers
ac
power
from
the
removed.
with
the
Power
Supply
whenever
mains
operates
Q4
7.
When
feedback
CR12,
SCR
resets
filter
network
This
Power
the
power
in
constant
turns
Diode
CR12
the
is
Supply
PCB
switch
on
for
to
to
is
©
October
1993
Physio—Control
Corporation
All
Rights
Reserved
1-9
LIFEPAK
9P
defibrillator/monitor/pacemaker
BATT
CHRG
Power
PCB
Conversion
Assembly
(803724)
Power
Control
Indicator
voltage the Power charging a severely
A indicator panel the
The additional charging,
The control
Control
Control Charger
mode.
battery
Supply
battery-charging
mains
indicator
Power
Power
instrument
circuit
Input,
Current
at
approximately
PCB
whenever
power
from
lighting
Conversion
voltage
and
Control
generation
defibrillation
are:
Low
circuits.
LED
switch
operation.
limiting
+4.5A. sources depleted
the
circuit
current
battery.
signal
ac
power
is
on.
if
the
PCB
contains
and
energy
regulates
Switching
Energy
Charge
sets
the
maximum
This
into a dead
illuminates
is
connected
An
interlock
battery
The
Power
is
circuitry
monitoring,
transfer.
battery
circuits
Supply,
Rate,
charge
limit
is
implemented
short, a requirement
the
front
panel
to
the
instrument
in
the
battery
not
installed.
for
power
energy
Refer
voltage
directly
Logic
and
Energy
storage
to
Figure
for
the
affected
Power
Storage
current
when
BATT
and
harness
on/off
switching,
capacitor
1-3,
circuits
by
the
Monitor,
Capacitor
available
the
when
CHRG
the
rear
prevents
page
1-11.
which
Power
External
to
The
Front Panel
the
Power
power
which
gate
PWR
SWBATT
circuits,
When
V
BATT
the
PWR low-to-high disabling Control connector: of
Q11).
Control
on), V BATT
in
turn
of
Q11
SW
MONITOR
voltage
the
power
is
SW
the
circuit
ON
momentary
circuit.
passes
causes
by
R52,
Q10
which
for
switch
divided
transition
R60
by
MONITOR
Power
may
(connects
Control
be
pushbutton
When
the
to
the
to
conduct.
keeps
line
is
low
and
the
rest
of
the
is
pressed a second
R108
and
R109,
line
high.
and
activates
circuit.
confirmed
to
the
gate
provides
power
switch
gate
of
Q11,
A portion
Q10
conducting.
the
Power
Power
the
by
Conversion
time
forward-biasing
The
System
Logic
The
functional
monitoring
of
Q10)
the
start-up
is
first
causing
of V BATT
Q11
During
Control
circuit
PCB
(turning
microprocessor
Power
two
and
R57
power
CR44
Monitor
integrity
pins
on
(connects
pressed
to
conduct,
is
held
this
time
provides
Assembly
off),
and
reads
circuit,
of
the
the
test
to
signal
for
(turning
on
the
the
the
switching
the
Power
the
gate
1-10
All
Rights
Reserved
©
October
1993
Physio-Control
Corporation
BATTERY
(6
)
GN
)
SW BATTÈ
TRANSFER
RELAY DUMP
COIL
TRANSFER
COIL
PADDLES
à
CHARGE
E
Ê
Ja
POWER
>]
ENERGY
MONITOR
ENABLE
POWER
Si
CONTROL
BATT
SW
poa
>
MONITOR
+2.5V
ENERGY
DUMP
ENERGY
TRANSFER
+15V
+ +
ANALOG
VOLTAGE
EVALUATION
LI
SW V BATT
BATT
CHARGE
i
LED
©İ
=
+5V
42.5V
SWITCHING
POWERSUPPLYİ.
PWR
SW
MONITOR
POWER
ENABLE
DUMP
INHIBIT
TRANSFER TRANSFER
SLEEP
CHARGE
VALID
CHARGE
REQUEST ENABLE
INHIBIT
LED
|_®>+5V
415V
fey
SERIAL'DATA
INTERFACE
©
5
CAPACITOR
CONTROL
i
ENERGY
STORAGE
capaciton
DRIVE
L____}
PCB
MAIN
SYSTEM
MICROPROCESSOR
TT
-
D15
ーー
1
LOW
CHARGE
STORAGE
CaPACITOR
“Giikcorr
ENERGY
m
RATE
CHARGE CHARGE
CONVERTER
CONVERTER
CONVERTER
CLOCK
VO CHARGE
|%
LED
DRIVE
INHIBIT
FUNCTION
DATA
DATA
VALID
EXTERNAL
CONTROL
INPUT
Description
SELECT
OUT
IN
1
©
October
Logic
Power
1993
Physio-Control
Monitor
Corporation
Figure
The
voltage Power high voltages circuit, Switching
1-3
Logic
is
Control
voltages
are
SWBATT,
Power
Power
above
circuit.
(USA)
set
Power
Conversion
Monitor
or
below
and
by
Diode
generates
Supply.
All
checks
normal
Comparator
low
IC
Rights
limits,
voltages
U4
at
the
operating
Reserved
PCB
Block
the
logic
US
functions
(USB).
+2.5V.
Diagram
supply
it
deactivates
The
voltage
voltage.
as a window
The
output
for
If
O11
and
comparator
of
the
Power
US,
U4, and
the
logic
disables
detector
reference
Control
the
the
for
1-11
LIFEPAK
9P
defibrillator/monitor/pacemaker
The
signal
of Electrical
A Control
during
detector
The check Voltage and
System
to
the
USB
to
time
delay
circuit
initial
(USA)
low-
and
circuit
measurements
R56
(relative
microprocessor
POWER
ground
isolation
function
from
ENABLE
which
is
provided
in
shutting
power-on.
and
C18
high-limit
performance
check
to
the
shuts
down
line.
turns
off
Q11,
by
CR24
the
Logic
down
Capacitor
for
the
low-limit
detector
+5V
by
serving
the
supply).
inputs
accuracy
the
instrument
This
switches
disabling
and
Power
C26
Monitor
while
operating
accomplishes
detector
to
the
as
test
points
of
the
R39.
circuit
(USB).
test
connector
to
voltage
by
sending a low
the
open
Power
voltages
Control
prevents
this
for
measure
dividers
collector
circuit.
the
are
still
rising
the
high-limit
are
used
to
voltage.
R41,
R42,
output
Power
R43,
Switching
External
Energy
Power
Control
Storage
Charger
Supply
Input
Capacitor
The
Switching
flyback-coupled
used
by
the
The
pulse-width
error
amplifier,
90Hz
by
the
outgoing frequency У
ВАТТ protect primary.
The N-channel
forward-biasing System energy voltage, +5V
The
charge
the
Q5-Q7,
Q12
Energy
microprocessor
storage
minimum.
Energy
the
circuit
and
Power
other
and
R30
and
pulse-width.
pulse
by
voltage
from
Storage
MOSFET,
for
capacitor
turning
Q9
Storage
energy
consists
C17.
Supply
inductor
(T2)
circuits.
regulator
C12.
driving
into
high
U3
drive
circuitry
The
The
the
primary
voltages
Capacitor
Q9.
Two
Q9
whenever
on
the
by
off.
The
Capacitor
storage
of
the
capacitor
following
uses a pulse-width
to
produce
the
|
contains
+15V
pulse
an
N-channel
caused
Charger
resistors
Main
setting
inverting
Charger
an
oscillator,
for
Q12.
output
of
power
feedback
output
FET
T2.
Two
by
leakage
circuit
(R58 is
PCB
initiates a charge
the
CHARGE input
circuit
through
components:
applied
regulator (U3)
+5V
to
+15V
supply
reference
Oscillation
at
U3
at
U3
pin 6 provides a constant
(Q12)
and
diodes,
is
and
of
CR28
inductance
externally
R59)
to
the
INHIBIT
U2A
rises
uses a flyback
the
Transfer
T1,
U2A
voltages,
frequency
pin 2 determines
dumping
and
from
controlled
provide
instrument.
cycle
line
to
the
transformer
Relay.
and
U2B,
and
a
voltages
is
set
the
CR29,
the
by
The
for
the
at
low
required
The
core
Q1, Q2,
an
at
the
to
of
1-12
Amplitude
primary
controlled
Charge
+2.5V
to
reference
the
primary
of
Control
comparators T1.
The
input
by
the
External
circuits.
at
U2A
of
T1.
All
Rights
U2A
and
to
the
Control,
If
any
pin
3,
Reserved
U2B
energy
Low
of
these
the
output
determine
storage
Energy
capacitor
Charge
incoming
switches
O October
the
drive
at
Rate,
signals
high,
inhibiting
1993
pulse
for
the
U2A
pin 2 is
and
Capacitor
fall
below
Physio-Control
the
the
drive
Corporation
Description
7
Once a charge simultaneously conducts, provided C17
is
zero.
C17.
When
low,
forcing
and
by
cycle
performs
Q7
Q7,
U2B,
When
the
voltage
U2A
TI.
The
power function handling
The storage potentials limits circuit-response
circuit
as
push-pull
for the
secondary
capacitor
of
up
the
single
drive
winding
to
pulse
time
initiates
shuts
Q7
output
to
the
drivers,
two
off.
Timing
C17,
and
shuts
at
C17
high
primary
at
separate
off,
and
and
pulse.
of
T1
supplies
for
defibrillation.
+4.5kV
under
voltage
for
control
rise
U2A
pin
functions:
for
R23.
While
the
voltage
exceeds
preventing
of
T1
Q1
and
the
The
normal
to
about
of
the
2,
the
active
the
transformer
Q7
at
SWBATT
+2.5V,
the
current
consists
Q2
provide
energy
output
is
operating
+1.5kV,
output
voltage.
low
output
transformer
drive
conducts,
starts
output
of
flow
of
two
stages:
improved
stored
on
therefore
conditions.
providing
driver
pulse-width
the
voltage
charging
U2B
switches
to
the
primary
Q5
and
current
the
energy
subject
to
Capacitor
Q5
is
across
of
Q6-
Ci
Low
Energy
Charge
Rate
This
circuit battery a
low
the
charge power charge capacitor circuit
A
signal
determines
selected,
output
is
voltage
battery
rate
required
energy
will
to
detect
from
the
low
then
switches
noninverting
The
signal
from
R23)
and,
in
this
signal
is
current current storage Storage time
is
supplied
to
the
capacitor.
Capacitor
is
increased
centered
levels,
voltage
for
the
for
charging.
setting
not
charge
the
energy
the
System
output
signals
low,
input
of
U17A
turn,
the
blocked
to
primary
This Charger
to
30
around
or
is
detected,
energy
when
op
an
storage Similarly,
is
selected,
too
quickly
level.
microprocessor
of
U17B.
are
applied
forcing
U17A
to
+5V,
controls
output
by
C17,
of
CR46.
This
circuit
and
reduces
to
less
seconds.
amp
U17A
energy
the
Low
capacitor,
the
thereby
for
the
When
an
to
the
inputs
CR45
to
changing
the
charge timing
U2A.
During
When
U17A
reduces
slows
the
power
than
the
the
half
and
is
active
level
below
Energy
charge
making
Analog
at
the
energy
of
Charge
thus
reducing
rate
sure
Voltage
energy
level
U15D
30J
the
reverse-bias.
the
output
circuit
normal
pin 1 is
on-time
rate of
charging,
driven
of
charge
consumption
of
normal.
only
is
selected.
Rate
the
is
slowed
energy
Evaluation
request
of
less
than
from
U20.
This
pulls
of
U17A.
(02B,
high,
U2A
which
of
the
of
the
At
360J,
during
low
When
circuit
slows
amount when a low storage
register,
30J
The
the
C17,
and
the
effect
additional
reduces
energy
Energy
the
charge
of
U20,
is
U15D
of
©
October
1993
Physio-Control
Corporation
All
Rights
Reserved
1-13
LIFEPAK
9P
defibrillator/monitor/pacemaker
The charging battery comparing limit the functions
instrument
the
energy
levels
it
with
set
on
the
inverting
input,
as
described
can
operate
storage
by
monitoring
the
+2.5V
noninverting
it
indicates a failing
in
with
capacitor
the
SWBATT
at
the
input
the
previous
low
battery
is
reduced.
voltage
noninverting
of
U17A
battery.
paragraph.
voltage
Op
at
input.
exceeds
The
if
the
amp
the
inverting
When
the
SWBATT
output
power U17A
the
of
U17A
required
detects
threshold
low
input
and
voltage
then
for
on
Capacitor
Charge
Control
The
Capacitor Charger. capacitor
microprocessor.
comparators
Op
amp
capacitor
voltage Storage
To converter
U17B. word voltage
divided
U17B
Comparator Charger
above
of
set
by
U2A
is
the
The
dividers
rises
+2.5V,
Charge
It
achieves
and
reports
U8A,
U17B
sets
by
controlling
achieved,
Capacitor
gain
for a particular
U18
is
output
the
System
voltage
in
is
accordingly.
U8C
response
U8C
high,
shutting
Control
and
maintains a selected
the
capacitor
The
main
circuit
U8B,
and
and
maintains
an
inhibit
U17B
shuts
Charger.
connected
of
microprocessor.
for
the
applied
provides
to
switches
the
D/A
energy
to
input
down
between
the
switching
from
low.
the
circuit
U8C.
charge
converter
controls
voltage
components
the
selected
signal
down
U2A
voltage,
the
Resistors
storage
capacitor
noninverting
for
U17B.
This
low
Energy
the
Energy
voltage
status
to
the
consist
voltage
to
pin 2 of
which
inverting
is
controlled
the
Energy
When
inhibit
Storage
U2A.
disables
digital-to-analog
input
R2
and
output
input
of
Storage
the
output
signal
Capacitor
Storage
on
the
energy
System
of
op
amp
U17B
to
the
energy
When a selected
the
Energy
(D/A)
and
the
output
by
selection
R4
function
voltage.
U17B,
When
the
gain
Capacitor
of
U17B
switches
Charger.
Capacitor
storage
and
storage
of
of a 12-bit
as
this
of
rises
the
output
1-14
Energy
Transfer
Comparators respect the the
and
levels. selected
The capacitor C9,
to
the minimum maximum
U8B
form
This
charge
Energy
out
and
CR4.
evaluate
defibrillation required
allowed
the
signal
Transfer
through
the
for for
CHARGE
informs
energy.
circuit
the
All
Rights
charge
in-tolerance the
paddles.
Reserved
stored
energy
selected.
same
energy
VALID
the
System
transfers
The
on
the
energy
U8B
detects
energy;
signal,
microprocessor
the
main
USA
setting.
indicating
energy
stored
circuit
©
October
storage
detects
The
in
components
capacitor
values
values
outputs
valid
energy
about
the
the
energy
1993
Physio—Control
greater
less
than
from
U8A
charge
status
storage
are
U6,
with
than
of
the
Q4,
Corporation
When
the
sternum Sternum Request microprocessor. microprocessor
The
Transfer
transfer and enable U11A conducting, current noninverting inverting current
The can are System logic
U6B
during U8D reopen
as a logic
Transfer
signal
Transfer
Enable
Relay
to
occur
SCR
CRA
the
relay
forces
U6A
current
to
the
Transfer
input
input
to
decrease
high
noise
jeopardize
in
transition
and
Display/Recorder/Pacing
components
discharges
the
time
remains
and any
activity
from
returns a Transfer
drive.
control
and
levels
the
that
low
stray
and
and
Apex
the
If
all
energy
signal
The
with
minimum
this
drive,
low,
starts
of
U6A
the
through
involved
function
from
one
are
rendered
C35
at
the
for
an
current
enable.
apex
pushbuttons
Transfer
output
of
transfer
enables
SWBATT
voltage
the
signal
causing
to
flow
Relay
when
goes
output
switches
R62
in
of
many
state
to
inactive
the
input
Transfer
additional
to
dissipate.
on
lines
UISA
which
parameters
Enable
signal
and
maintains a constant
voltage
battery
Q4
higher
and
voltage
and
direct
from
U14C
to
conduct.
through
the
another.
of
Relay
R62.
current
than high.
switching
transfer
types
microprocessors
during
comparator
coil
period
This
the
paddles
at
J17
produce
is
sent
are
through
is
stored
dissipation.
it
to
the
turns
With
To
through
the
reference
This
U6A
of
stored
of
logic
To
overcome
transfer.
U8D
is
energized.
to
allow
signal,
are
pressed,
the
Transfer
to
the
System
correct,
Transfer
on
CR4.
both
maintain a constant
R62
turns
output
signals,
and
the
the
U11A
current
in
C9,
enabling
Transistor
The
CR4
increases,
voltage
off
Q4,
low.
defibrillation
particularly
this
effect,
and
other
‘To
accomplish
holds
The
Transfer
Sleep
Inhibit,
System
and
U14C.
Relay.
signal
and
04
the
at
causing
the
high
U8D
output
Relay
the
to
the
energy
low
of
is
Description
the
energy
Q4
To
from
the
if
any
speed
this,
the
to
used
1
©
October
Energy
Dump
1993
Physio-Control
to
Corporation
Sleep
Inhibit
U17B
Charger. discharge
The
Energy stored discharged
The
internal relay
and a power
dump
relay
When a charge
from
draining.
also
at
OV,
Inadvertent
of
stored
Dump
in
the
energy
within
dissipation
is
held
clears
which
inhibits
deactivation
energy
circuit
storage
one
minute,
resistor
in
the
is
initiated,
All
Rights
the
shift
registers,
the
drive
of
from
the
energy
provides a safe
capacitor.
the
Energy
of
stored
energy
located
normally
within
the
contact
Reserved
closed
U19
to
the
the
charge
storage
current
If
the
Dump
is
accomplished
the
condition
opens
and
U20.
Energy
inhibit
capacitor.
path
paddles
Transfer
to
are
circuit
by a permanent
prevent
This
Storage
for
Relay
Capacitor
will
then
unused
charged
is
activated.
with
Assembly.
the
stored
sets
cause
energy
but
the
all
inputs
no
not
dump
The
magnet.
energy
1-15
LIFEPAK
9P
defibrillator/monitot/pacemaker
The
charged
microprocessor
the
dump high, time-out
microprocessor stored
System
for
relay
turning
expires
energy.
microprocessor
longer
than
one
holds
the
closed.
on
Q3
or a different
turns
During
and
Q3
minute.
Dump
opening
off
controls
again
Q3,
Prior
Inhibit
charging,
the
dump
energy
setting
to
close
preventing
to
any
charge
line
low,
keeping
the
Dump
relay.
If
is
chosen,
the
dump
the
paddles
activity,
Q3 Inhibit the
line
one-minute
the
System
relay
and dissipate
from
the
turned
is
switched
being
System
off
and
charge
the
Energy
Serial
Monitor
Data
Interface
The
Energy
into
the
this
circuit System information
The
value
energy
the
secondary
CR10,
System
Capacitor
of
the
charge energy
signal.
sure
that Monitor as a noninverting the
signal
The
Serial
Converter
and
I/O
the
D/A
this
common
microprocessor.
Monitor
internal
microprocessor.
with a current
test
senses
(e.g.,
of
the
defibrillation
with
delivers
microprocessor
delivery.
The
Clock
converter
the
C10
must
FET
pulse.
FET
O8
each
time
circuit
determines
processing
Data
Interface
Data
Out
control
set
of
circuit
load.
When
the
energy
The
200J
DELIVERED).
transformer,
each
transfer
secondary
to a specific
start
each
O8
is
The
gate
shorts
the
instrument
buffer,
providing
circuitry.
consists
allow
communication
data
U18,
used
serial
lines
confirms
delivered
System
pulse
the
level
an
energy
to
the
microprocessor
is
acquired
T3. A proportional
pulse. A rectifier
current
transfer
in
parallel
C10
the
flow.
with
to
C10.
delivered
cycle
with
of
O8
is
driven
when
the
is
ready
correct
for
energy
high-impedance
of
four
lines;
The
Analog
the
Capacitor
communication
of
transfer
test
by
The
energy.
with
C10
and
by
charge
to
deliver
level.
Converter
while
Converter
Voltage
Charge
energy
load
that
is
performed
and
informs
then
displays
monitoring
current
bridge,
CR8
voltage
OV
for
accurate
resets
C10
the
inverted
is
enabled
energy,
Op
amp
isolation
Data
Evaluation
Control
with
the
is
discharged
as a test,
the
delivered
is
generated
through
is
indexed
evaluation
before
Charge
which
the
Energy U1A from
In
Function
circuit
circuit,
System
the
the
in
in
the
each
Inhibit
makes
functions the
rest
of
and
Select
and
share
1-16
All
Rights
Reserved
O
October
1993
Physio-Control
Corporation
Analog
Voltage
Evaluation
A
low
on
the
Converter
the
Analog
set
by
at
P14
to
the
stored during
through
high
failure.
The
Analog Power digital microprocessor.
Voltage
I/O
Clock
enables
register
in
the
at
U11C
Conversion code
8-bit
clock
the
low-order
positive-going
U12C
route
pin 8 following a byte
Voltage
for
evaluation
Function
Evaluation
at
P14
pin
shift
inputs.
location,
the
output
Evaluation
PCB,
Select
circuit
6A. A
registers
transitions
high
U19
Information
and
all of
data
on
transfer
circuit
An
A/D
converter,
for
correct
tolerances
line
at
for
data
on
the
and
on
other
VO
the
Converter
connector
transfer.
Converter
U20,
allowing
the
Converter
bits
are
Clock.
P14
The
Function
advanced
At
the
same
Data
I/O
indicates a communication
monitors
operating
U9,
converts
by
the
voltages
these
System
pin
7A
data
flow
Select
Clock
access
Data
Out
line
one
position
time,
In
line. A logic
on
voltages
Description
enables
rate
is
line
is
U12A
the
to
1
Charge
Interconnect PCB
LED
Drive
Pacing
Assembly
(805472)
interface
The
Charge
when
front
the
drain connected energy the
charge
The
Interconnect
electrical
Refer
The
pacer
capable load. patient
current PCB
Control
Display/Recorder/Pacing
controls
COMMAND, a single
amplitude.
pulse
remains
POWER
pacer
the
energy
panel
CHARGE
of
to
level
LEDs
connection
to
Figure
circuit
of
supplying
When
load.
actually
can
determine
for
the
are:
is
applied
low
goes
leads
LED
Drive
storage
LED
Q14
limits
the
Charge
has
been
on
continuously.
Pacing
between
1-4,
page
is
an
up
triggered,
The
pacer
applied
the
pacer
circuit
PACER
When
the
to
the
when
PACER
on.
LEADS
exceeds
about
signal
capacitor
and
the
current
Valid
reached,
PCB
1-18.
isolated
to
200mA
it
automatically circuit to
the
output
Interface
POWER,
low-going
microprocessor
patient.
POWER
OFF
6kQ,
from
the
is
charging.
the
paddle
to
the
signal.
Q13
conducts.
provides the
Main
closed-loop
into a 1.4kQ
returns
patient
current
operation
so
circuitry
which
pulse
Signal
is
will
be
System
Paddle
When
the
PCB
applies a 20+1ms
an
microprocessor
level.
and
turns
which (U1, IP
FEEDBACK
off
low
microprocessor
Transistor
CHARGE
LED.
the
voltage
Transistor
pacing
programmed
echo
monitoring
Main
and
and
the
load,
signal
on
the
the
pacer
encodes
PCB)
goes
if
the
circuitry
Main
high
impedance
LED.
controls
Q14
drives
Resistor
The
gate
of
for
the
selected
Q14
then
as
well
Power
Conversion
current
or
120mA
pace
which
U1
comes
PCB.
on
and
the
applies a pulse,
to
the
after
source into a 2.4kQ
pulse encodes on
the
from
These
off,
and
pace
current
microprocessor
PACER
between
Q14
the
R128
Q13
is
clamps
as
the
PCB.
to
the
the
Main
the
PACE
a
the
on
©
October
1993
Physio—Control
Corporation
All
Rights
Reserved
1-17
LIFEPAK
9P
defibrillator/monitor/pacemaker
Display/Recorder/Pacing
LEADS
OFF
IP
FEEDBACK
PACE
COMMAND
MAIN
PCB
PACER
POWER
Interface
INTERFACE
t
PACE
VOLTAGE
REGULATION
TRIGGER
POWER
SUPPLY
CONTROLLER
SWITCHING
REGULATOR
TRANSFORMER POWER
ARMING
>
CIRCUIT
PACE
PULSE
AMPLITUDE
DECODER
РАСЕ
PULSE
LENGTH
GENERATOR
LED
DRIVE
РАСЕ
PULSE
WAVE
SHAPER
}——
To
FRONT
PANEL
OUTPUT
CURRENT
ISOLATED
SUPPLY
|
+320V
CURRENT
κ
PACE
PULSE DRIVE
SWITCH
CURRENT
——e
+5У
İ—e
+15v
-sv
μα
Г ? ELECTRODES
PACING
1-18
PACE
ECHO
LEADS
OFF
ECHO
PULSE
WIDTH
CONVERTER
PACING
LEADS
DETECTOR
Figure
1-4
Interconnect
OFF
All
Pacing
Rights
Reserved
PCB
Block
Diagram
©
October
1993
Physio—Control
Corporation
Pace
Pulse
Output
Drive
The
Pace
Pulse
Q6,
CRS,
and
(USA,
On
O6
the
on
Q3,
for
leading
25ms.
developed
voltage Q2
The
is
and exceeding
current Q1
decreasing patient
ratings).
from
excessive
amount
limited
by
transistor
2.5V.
flow
comes
out
from
Output
R22-24), a current-limiter
R49
current
edge
across
of
current
an
independent
Q1
through
of
the
gate-source
excessive
Drive
sense
of
PACE
Transistor R23
R22
drive.
Q6
and
R24
normally
allowed
regulator
prevent
Q1
saturation
the
remains
R4
exceeds
limiting
voltage
current.
circuit
resistor).
TRIGGER
biases
(in
series
holds
to
flow
voltage
saturated
2.5V.
on
consists
Q2
drop
of a high-voltage
(Q1,
the
Arming
Q2
on
through
to
avoid
off.
from
the
to
less
than
developed
until
the
Should
the
total
amount
Q2.
This
U1, and
exceeding
Diode
320V
227mA.
voltage
more
circuit
R4),
and a current
Circuit
the
voltage
their
CRS
protects
supply
Reference
across
R4
developed
current
of
available
helps
protect
switch
one-shot
drop
maximum
the
into
the
from
by
attempt
to
current
the
Description
(Q2,
sink
biases
gate
of
patient
U1
the
flow,
by
1
Pace
Pulse
Wave
Shaper
Current
by waveform
duplicate current voltage
A at ground one-shot
voltage amplitude
voltage current
When immediately Diode preventing
allowed
USA
and
of
sensing
can
voltage U2
pin
through
is
on
pulse
sink
the
CR1
is
level
1.
triggered.
the
is
20ms
the
through
the
Q3. A voltage
applied
the
only
Transistor
determined
is
circuit
drops
clamps
to
USA
input
voltage
resistor.
come
proportional
R8.
drain
On
This
of
The
from
Q7,
the
Q7
by
coupled
one-shot
current-sink
through
described
times
to
ground.
the
voltage
patient
waveform
noninverting
flowing
to
which
trailing
one-shot
is
rise-time-limited
the
loop
is
waveform
current
the
is
required through
desired
normally
edge
abruptly
voltage
high
above.
out,
Q7
This
transition
presented
from
determined
representing
input.
also
develops
the
pace
of
PACE
level
received
pass
filter
turns
on
to
the
opening.
by
the
current
the
pace
USA
controls
across
to
develop
patient.
pulse
on,
turns
by
C3
C2-R7
and
is
also
current
the
amplitude
shunts
this
TRIGGER a 20ms
Q7
off.
and
R12.
at
U2
(t = 90ms)
the
voltage
coupled through
sink
sink
current
Q3
so
R49,
the
duplicate
is
developed
voltage
The
resulting
The
pin
1.
This
to
on
the
to
ground,
formed
a
to
the
drain
C2.
©
October
Pace
Pulse
Decoder
1993
Physio—Control
Amplitude
Corporation
Transistor circuit is
the
U2B
through
Q4
to
function
grounded
is
held
the
is
an
analog
as a unity-gain,
end
of
to
OV
through
closed
loop
All
switch.
R29
and
R29.
so
the
Rights
When
two-stage,
the
output
This
output
Reserved
closed,
is
forces
of
U2A
this
switch causes
inverting
U2
pin
1.
the
overall
is
also
OV.
amplifier.
The
inverting
circuit
to
The
noninverting
the
The
bias
input
input
itself
to
1-19
LIFEPAK
9P
defibrillator/monitor/pacemaker
input bias at
With biased open
U2B
Two the control is inverting
source
must, runs
to
U2A
itself
+5V.
switch
at
or
closed
through
control
falling
waveforms
high,
Q8
of
therefore,
out
of
is
biased
through
Q4
closed,
OV
and
since
Q4.
waveforms,
and
rising
closes.
input
of
current
be a linear
power
to
the
the
closed
the
+SV,
respectively.
current
one
edges
are
low,
With
Q4
U2A
to
5V,
for
R11
is
supply
voltage
+5V
reference.
loop
so
the
inverting
closed-loop
drawn
at
CR4
of
PACE
switch
open,
placing a constant
through
ramp.
It
does
through
and
TRIGGER.
Q4
is
the
feedback
C13.
U2A
or
until
forces
the
open.
The
will
Q8
This
forces input
U2
pin 5 and
not
matter
R11
and
other
at
When
When
loop
SV
voltage
maintain
opens.
the
to
whether
Q8
can
CR6,
either
the
waveform
around
across
present
this
ramp
overall
U2A
U2
pin 2 to
switch
be
sourced
are
derived of
U2A
R11.
on
until
is
also
these
forces
The
U2
circuit
biased
be
Q8
by
from
at
CR6
only
pin
it
either
to
is
the
1
Echo
Pulse
Converter
Width
Transistor
therefore, ends TRIGGER. track-and-hold longer
Q8
starts
up
at a voltage
With
any
current
opens
constant.
This
output pre-determined opening patient upsets application
The
voltage through returned actually
The
Echo pulse create a unity connected
U2C
between
-13V
The
voltage
the
load.
which
the
to
flowing
Pulse
width.
to
and
U2D
OV
offset
is
monitored
high
This could
can
developed
patient.
the
microprocessor
When
gain,
U2C
are
and
to
the
at
the
on
the
trailing
from
OV,
continues
that
depends
switch
amplifier
value
voltage
be
into
Width
minus
voltage
Q8
operating
paths
into
by
comparator
(approximately
switch
over-amplitude
apply
excessive
aborted
inverting,
reguires a positive input
unity
output
across
This
voltage
the
patient.
Converter
analog
gain
the
developed
of
after
switch
positive
U2C
edge
for
on
open,
the in
U2
pin
Q2
and
detector
current
it
is
initiated.
R49
is a direct
is
converted
as
IP
circuitry
OS
two-stage
and
inverting,
power
will
of
PACE
the
duration
the
low-going
overall
the
hold
2,
the
voltage
U4D.
10.8V), disabling
guards
to
FEEDBACK
converts
is
closed,
amplifier.
signal
the
supply
at
R49,
multiplied
therefore
TRIGGER.
of
PACE
width
circuit
this
the
indication
functions
mode.
to a pulse
Since
on
U2
If
the
ramp
comparator
pacemaker
against
patient.
indicating
an
analog
amplifiers
The
comparator
to
function
input
must
rail.
Amplifier
be
+13.0V
of
by
The
ramp,
TRIGGER,
of
PACE
as
a
there
are
no
pin 1 holds
exceeds
microprocessor Also, a pace
current
width
U2C
therefore
the
when
a
will
trip,
output
to
flowing
and
is
the
current
voltage
properly.
and
circuit
to
U2D
be
USB
gain
of
USB.
OV
appears
and
the
pulse
a
Since
adds
a
1-20
All
Rights
Reserved
O
October
1993
Physio-Control
Corporation
Pacing
Leads
Detector
Off
at
R49
and
switch OS
goes
into
U2D
and
trailing
flow downward
U3A
by communicates
Width
Pacing leads. patient. comparator
microprocessor.
U11D supply
on
voltage
effectively
couple CR11-CR14.
edge
through
at a constant
trips
OS
the
voltage
Converter
leads
This
The
forms a 1kHz
rails
the
supply
into
convert
the
voltage
of
the
CS
closed
value
to
status
current
voltage
is
tripped and
supplying
voltages,
resistors
Resistors
is
closed.
the
voltage
pace
pulse,
instead
of
rate
again.
just
prior
the
microprocessor
operates
is
determined
develops a voltage
is
amplified
oscillator
the
R75,
R80
the
oscillator
developed
R81-83
With
at
OS opens
U2D.
to
ground.
The
time
to
Q5
similar
drives
the
that
ac
carrier
and
and
R87
voltage
across
limit
switch
U2
pin 8 tracks
and
This
ramps
When
required
opening.
as
IP
to
the
Preamp
by
driving
across
and
if
it
LEADS
swings
voltage.
C20.
Capacitor
which
to
the
patient
the
current
OS
closed,
the
the
current
the
voltage
it
equals
to
reach
This
FEEDBACK.
Echo
an
ac
the
impedance
exceeds a predetermined
OFF
between
Frequency
C25
have
impedances
current.
into
to
current
voltage
on
through
at
U2
ground,
ground
pulse
width
The
Echo
circuit
current
optocoupler
the
Capacitors
diode
the
(page
through
presented
positive
of
operation
couples
high
clamps
diode
clamps.
through
R49.
R21
pin
comparator
is
determined
alerting
and
the
enough
C21
Description
R21
On
must
1
Pulse
1-29).
the
pacing
by
amount,
the
negative
depends
ac
carrier
to
and
C22
1
the
the
a
Arming
Circuit
U1IC
amplifies
Q15
shunts
the
output
signal
(when
PACE Transistor filter
re-enables
frequency
The peak-detected the
leads
the
The monostable of
PACE
to
+5V,
U4C
higher
TRIGGER
high-impedance.
Q15
conducts
network
output
microprocessor.
length
pin
than
turns
the
signal.
and
consists
of
comparator
amplitude
impedance
of
time
comparator
TRIGGER.
and
R33
14
remains
its
noninverting
is
coupled
the
voltage
COMMAND
Q15
exceeds a predetermined
the
and
at
R28
developed
of
U11C
as
long
on
quickly,
The
band
of
U11B,
U11A
of
the
pacer
is
U4C.
Resistors
R34
bias
the
negative
input.
through
then
pulls
during
switches
as
the
then
pass
R86, C23,
drives
leads-off
armed
The
one-shot
R31
the
noninverting
supply
The
C8
to
the
across
the
the
25ms
the
PACER
gradually
filter
is
centered
and
optocoupler
carrier
amount,
(25ms)
and
R32
is
is
bias
rail
negative
U4C
and
output
to
leads.
of the
PACER
full
voltage
ARMED
turns
around
C24.
U12,
to a preset
U11A
determined
triggered
the
inverting
input
to
since
its
transition
U4C
pin
the
positive
Eye-close
through
signal
it
off
It
voltage.
on
OV.
inverting
of
14
becomes
supply
switch
ARMED
is
present.
which
the
oscillator
compares
trips
by
one-shot
the
falling
input
Comparator
input
PACE
rail.
Q2).
When
and
of
A
the
alerts
edge
U4C
is
5V
The
©
October
1993
Physio-Control
Corporation
All
Rights
Reserved
1-21
LIFEPAK
9P
defibrillator/monitor/pacemaker
Pace
Pulse
Length
Generator
time
constant
discharge
The
width
to
of
comparator TRIGGER. +1.15V
remains
inverting
The
and
rail
pace
to
supply
by
1.15V
charge
and
high
input.
rising
transition
U3D
pin
is
unregulated
pulse, a stable
drive
the
rail
since
R51,
R52,
(derived
through
formulated
+5V.
the
pacer
U3D.
The
Resistors
R37
biases
impedance
Resistor
of
13
drops
and
voltage-supplied
time
constant.
ground
and
C1i
by
R51
ground
by
R33, R34,
pulse
(20ms)
one-shot
R51
the
since
R35
PACE
to
the
the
is
discharges
and
where
is
and
R52
inverting
its
pulls
TRIGGER
negative
width
Resistor
blocked
R52).
the
R28,
is
determined
triggered
bias
input
noninverting
U3D
of
the
on
the
noninverting
to
pin
is
coupled
supply
output
reference
R35
pulls
by
CR22.
from
-10V
It
requires
circuit
resets.
and
C9
requires
by
one-shot
the
rising
OV.
Comparator
input
is
13
to
the
through
rail.
Since
determines
diode,
U3D
The
(CR21
20ms
CR21
pin
time
reference
for
25ms
monostabie
edge
of
input
of
U3D
1.15V
higher
positive
C10
the
negative
the
supply
width
(10V),
13
to
the
constant
voltage)
the
waveform
to
PACE
U3D
to
pin
13
than
its
rail.
and
U3D,
supply
of
the
is
needed
positive
formulated
to
to
Isolated
Switching
Power
Power
Regulator
Supply
Supply
Controller
The
Isolated
isolated
U8. capacitors
Components
operating
operation.
stored
Primary
across
primary
stored.
The U4B.
which down
circuit conducts,
power
+15V.
Electrostatic
on
at
in
its
winding
R56.
windings.
Isolated
When
causes
until the
can
U6
supply
Power
Supply
It
supplies
discharge
all
the
U6, Q9,
I/O
and
17.5kHz.
Transformer
primary
The
+15V
isolated
the
winding current duty
cycle
The
supply
+15V
transistor
isolated
be
shut
down
is
inhibited.
voltages
is a switching
+320V,
lines
CR8
+15V,
protection
that
run
form a simple
Components
T1
is a multi-winding
to
the
secondary
is
determined
of
U6
varies
secondary
is
exceeds
side
+15V
by
When
stabilize
voltages
compared
of
U7
supply
the
discrete
the
within
flyback
and
+5V
is
provided
off
the
Interconnect
flyback
R60
and
C16
determine
inductor
windings
by
monitoring
to
control
are
proportional
to
the
+5V
+15.25V,
to
has
microprocessor
approximately
U4
conduct. dropped
signal
PACER
causes
back
supply
by
regulated
through
the
resistors
PCB.
Switching
linear
the
that
transfers
while
the
voltage
the
energy
to
reference
Q11
Component
to
15V.
ON.
turns
Q10
500ms.
on
regulator
and
Regulator
frequency
Q9
is
developed applied the
energy
by
comparator
to
conduct
U6
shuts
The
entire
When
Q10
off,
the
the
energy
open.
to
T1
of
1-22
LED
Drive
The
LED
and
resistors
CR201
Drive
R214,
through
circuitry
consists
R215,
CR213.
All
Rights
Reserved
R211,
of
transistors
and
R225.
Q204,
Static
protection
©
October
Q205, Q213,
is
provided
1993
Physio-Control
Q214,
by
Corporation
Main
PCB
(805474)
Assembly
The
Main
PCB
circuits:
Pacing
cable
the The
System instrument CRT information
The circuit
the
Interface.
to
sampled
System
System
Controller
and
recorder
three
major
is
described
functions.
Assembly,
Preamp,
The
ECG.
microprocessor
microprocessor
provides
displays
supplied
circuits
in
illustrated
the
System
Preamp
The
which
is
the
The
Display/Recorder/Pacing
and
by
the
System
control
the
following
in
Controller,
circuitry
converted
performs
central
to
interface
the
pacing
microprocessor.
the
functions paragraphs,
Figure
and
converts
ECG
signal
the
the
System
between
functions
listed
1—5,
consists
the
Display/Recorder/
the
ECG
is
optically
initial
Controller
the
operator
Interface
according
in
from
ECG
Table
of
three
the
connected
signal
circuitry.
inputs
controls
to
1-2.
Description
major
patient
to
processing.
The
and
the
the
the
Each
1
Preamp
Isolated
Power | System
Supply
end
otection
Lead
Sel
ead
Select
Optical
Interface
Instruction
Decoding
Filter
iltering
DC
Restore
Echo
Table
Front
Panel
Controls Charge
1/O
Pacing Current
Adiustment
1-2
System
Controller
Controller | Display:
and
Rear
Interface | Interface
Control
Protection
;
suse
Main
PCB
Functional
Display/Recorder/Pacing
Display/
Recorder
System Address
D
Array
Video
Clock
G
isplay
y
RAM
Decode
Gate
FontEPROM © AMY
Circuits
Recorder:
Program
EPROM
Program Recorder
Power
Motor
Control
Recorder
Paper Sense
Printhead Resistance
Evaluation
RAM
ς
Speed
p
Out
Gate
Interface
Pacemaker:
Leads
Detection
Pacing Delivery
ECG
and
Output
Off
Current
Tone
©
October
1993
Physio—Control
Corporation
All
Rights
Reserved
1-23
LIFEPAK
9P
defibrillator/monitor/pacemaker
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1-24
Figure
1-5
Main
All
Rights
PCB
Block
Reserved
Diagram
©
October
1993
Physio-Control
Corporation
Description
1
Preamp
isolated +15 Preamp modulator 24kHz. positive isolated
the
circuitry small,
Front-End VSP3 provided
the
voltage
Lead
U33 controls between the
conducts;
selected, output
Power
Vdc,
+12Vdc,
circuitry.
The half +15V
isolated
from
U37
limit
by
Preamp.
when
Select.
is
loaded
relay
patient
state
of
paddles
analog
of
U33.
Supply.
-15Vdc,
The
U5.
Capacitor
secondary
of
the
ac
supply.
-15V
supply.
the
heavier
doubles
Protection.
the
R131
K1
as a regulated
input
and
Diodes
K1
is
switched
To
select
with
the
K1,
U43A,
leads
to
the
current
CR18, CR19,
desired
are
switch
The
Isolated
+5Vdc,
drive
for
C12
and
of
T1
is
input
waveforms
The
negative
Regulators
loads.
To
protect
to
2mA.
R132
which
to
between
decoded
and
analog
or
paddles,
position.
selected
U42
when
selects
Power
and
-12Vdc
transformer
R28
set
the
applied
Since
the
paddles
data
U33
are
ac
waveforms
U38
the
supply
against
Isolation
guard
and
CR28
leads
from
switches
causes
Patient
Q9
conducts.
the
lead
to
full-wave stored
and
+5
and a reference
voltage
against
mode.
and
counter
Supply
T1
Vdc
clamp
the
Q8
(1,i1,iI!,
provides supplies is
generated
frequency
bridge
at
C87,
are
stored
U39
isolate
loads
surges,
for
the
paddles
excessive
the
different
U32.
U42
and
or
Q9
leads
are
If
patient
or
STD)
the
isolated
required
between
forming
are
source.
differential
patient
Flip-flop U41. to
conduct,
selected
by
the
by
pulse-width
12kHz
CR20.
more
synchronous
VSP1
charge
The
the
at
C86,
sensitive
through
input
is
input
forming
paddle
leads,
U33
To
select
switching
when
leads
are
requested
and
and
to
latch
Q8
by
the
Optical
through
synchronize
a+imV
timer
and a fixed-frequency
System
train
The
interrupting
The isolation.
train
Interface.
the
the
optical
the
ECG
calibration
to
transmit a pulse
microprocessor
at
U4
pin
4.
System
16kHz
as
microprocessor
the
output
pulse
drives
Comparator
it
passes
to
Command
signal.
the
pulses
interface
conversion,
of
period
enables
with a CLR
the
U34D
Instruction
to
perform
select 1 of 5 patient
The
System
variable
(540Hz).
U4
controls
signal
infrared-emitting
performs
Decoding
from
the
three
microprocessor
duration
to
the
(approximately
The
variable-duration
start
counting,
count
as
shown
diode
waveform
circuit,
System
microprocessor
different
cable
uses
creating a 16kHz
of
the
pulse
at
TP6
in
U7
conditioning
U32
functions:
leads,
and
an
internal
80ms
to
pulse
train
by
in
Figure
providing
for
the
and
U33.
pass
induce
1.2ms)
from
pulse
1-6.
pulse
pulse
the
©
October
1993
Physio—Control
Corporation
All
Rights
Reserved
1-25
LIFEPAK
9P
defibrillator/monitor/pacemaker
ke
-Bl
TP6
VARIABLE
TP17
TP19
va
pu
=
Instruction microprocessor The particular
application
conversion detected
the
edge initiated
PROPORTIONAL
number
ECG
of
|———
|
|
İ
ke
ECHO
the
Les
1200
PRECISION
PERIOD-—>|
TO
NEGATIVE
Figure
Decoding.
are
coded
of
pulses
command
of a specific
to a digital
by
U31A
conversion.
first
with
which
pulse
every
function.
pulse
18528
(540Hz)
to
1800's»
SLOPE
—»i
k
VOLTAGE
AT
TP20
1-6
Preamp
The
pulse
train
commands
by
the
number
represents a binary
Each
set
of
preamp
equivalent.
responds
Monostable
and
clears
on
the
setup,
and
The
rising
by
sending a pulse
multivibrator
U31A
so
pulse
train.
sal
Timing
of
pulses
number
pulses
as
which
performs
initiation
edge
U31B
that
ECG
VARIABLE
|
|
|
lee
|
from
the
System
listed
in
corresponds
two
of
ECG
of
the
first
to
U34A.
detects
conversion
Table
tasks:
signal
pulse
is
This
the
falling
is
not
LEVELS
se
1-3.
to
a
initiates
1-26
Flip-flop
the of (pins Because about command
pulses
the
pulse
6,
1.5ms
U36A
from
5, 3,
of
signals.
and
counter
the
pulse
train
causes
and
4).
Subsequent
the
timing
and
sends a positive
These
Rights
All
train
the
of
RC
command
Reserved
U32
form a five-stage
(see
TP17,
Figure
five-stage
network
edges
R101
edge
signals
counter
count
to
U33,
1-6).
to
load
up
from
and
C74,
latching
select
October
O
counter
The
from
the
U31B
the
between
1993
that
responds
first
rising
the
preset
preset
inputs.
times
out
decoded
leads
and
Physio-Control
to
edge
inputs
at
paddles.
Corporation
Description
1
Pulses
TP17
n
μα
nt nt
ei en
ni
=
UB
D
r
WW KB
U
A
oo NO
PWN
NN
VO
GO
DÃO
ma D
at
Table
Pulse
Duration
TP6
(ms)
64 128 192
256
320 384
448
512 576
640 704 768 832 896
960
1024
1088
1152 1216 1280
1344
1408
1-3
Preamp
At
Result
Not
used
Not
used
Not
used
Lead
III
Lead
II
Lead
I
Std
Lead
III + Cal
Lead
II + Cal
Lead I + Std + Cal
„Lead
HI + Leads
Lead
II + Leads Lead I + Std + Leads
Lead
HI + Cal + Leads
Lead
II + Cal + Leads
Lead I + Std + Cal + Leads Lead
III + Paddles Not
used
Not
used
Pulse
on
Preamp
Cal
Coil
Coil
Leads
Coil
Coil
Drive
Cal + Leads
Setup
Drive
Drive
Drive
Coil
Coil
Coil
Widths
and
and
and
and
Switch
Coil
Drive
Coil
Drive
Drive
Drive
Drive
Switch
Switch
Switch
and
and
and
and
Switch
and
Switch
Smooth
Smooth
Smooth
Smooth
Switch
Switch
Switch
Smooth
Smooth
Smooth
Smooth
Smooth
©
October
1993
Physio-Control
Instrumentation
more
U44A
pins 1 and by a switch
pacer—induced
Corporation
than
16mV
and
2,
during
U48
voltage signal Therefore,
Op signal generated
pacing
(lasting
value
may
amp
U44D
from
from
Amplifier.
p-p
and
requires
U44B
form a differential
R144,
and
RN2
network
40
again
the
U44A
(U48)
pulse
delivery.
spikes
are
+0.
1ms)
so
when
be
sent
display
amplifies
and
the
outputs
All
used
not
accomplishing
EYECLOSE
through
baseline
the
differential
U44B.
of
Rights
Reserved
The
typical
amplification
input
pins 3 and
to
disconnect
EYECLOSE,
received
remains
This
U44A
as
terminates
USSA
common-mode
and
ECG
signal
for
amplifier
4.
This
differential
the
other
received
R-waves),
pacer
rejection.
and
and
U55B
unchanged.
signal
and
U44B
through
at
U41
and
U42
is
further
with
opens
closes
(unity
rejects a common-mode
signal
signal
the
stage
amplifier
from
U1 then
C117
U48,
gain
(mainly
voltage
processing.
gain
set
is
followed
stages
(so
closes
holds
the
the
ECG
buffers).
60Hz)
dividers
by
switch
no
RN2
last
is
1-27
LIFEPAK
9P
defibrillator/monitor/pacemaker
R148
by
which signals
The microprocessor signal differential
and
U35D.
routes
at
+1mV
is
applied
R149,
the
Next,
This
signal
it
to
the
patient
calibration
which
to
U44A
offset
to
the
common-mode
then
unused
source.
signal
sets
U33
pin 2 and
the
input
passes
through
patient
is
created
pin 7 high.
without
lead
(LL)
by
U44B
pin
changing
signal
is
analog
an
switch
cancelling
instruction
When
U43A
6.
This
the
gain
inverted
U41
common-mode
from
closes, a -SV
adds
about a +1mV
of
the
and
amplified
and
the
system
input
relay
K1,
offset
stages.
Filtering.
operation. op
amps function blocking U4SA
filter.
DC offset This controls
Instrumentation conversion. from
Switch offset
This
Table
selected
Q11
parallel
above 40Hz.
Filtering
The U44C, as a high-pass
frequencies
removes
Restore.
originating
preserves
any
transient
Under
+1V
to
+11V.
smoothing
voltages
function
1-3,
to
is
pulses
lead.
conduct.
with
R165.
preamp
U45D,
frequencies
The
the
Amplifier
when
initiated
When
provides a uniform
below
DC
Restore
from
dc
offset
signals
normal
is
the
switching
12
thru
O8
Q11
changes
Because
filtering U45A, filter
switch
process
when
switches
is
and
for
Preamp,
0.024Hz.
above
circuit
smoothing,
level
required
to
prevent
from
falsely
operation,
of
from
the
20)
turns
the
of
R161,
signal
performed
U45B.
200Hz.
limiting
appropriate
on
on,
high-pass
In
DC
In
the
second
U45B
compensates
defibrillation, by
the
the
high
amplifying
the
A/D
the
one
lead
O8
or
O9
C90
discharges
filter
this
filter
bandwidth
by
two
stages
the
first
stage,
Restore,
conversion
(I,
number
and
stage,
functions
for
any
Echo
circuit.
potential
the
dc
response
Hi,
Mi,
or
of
and
switches
from
by
switching
limits
the
during
centered
U44C
switch
low-pass
as a 540Hz
unwanted
or
motion
gain
level
dc
level
of
the
STD)
to
pulses
U42
+12V,
signal
normal
around
and
U45D
smoothing,
filter
notch
dc
artifact.
DC
Restore
of
the
input
for
at
TP19
preamp
another,
(see
to
the
causing
R161
in
passband
to
is
dc
to
1-28
Transient
U45C
functions
when
the
voltage
negative
positive
filter inducing signal and
bias
bias
to
prevent
DC
through
U45D,
signals
as a window
to
the
to
the
very
Restore.
high-pass
limits
All
associated
at
its
input
noninverting
inverting
short
spikes
‘The
output
filter
the
signal
passband
Rights
Reserved
with
defibrillation
comparator
exceeds
input.
input
(such
of
U44C
+2V.
of
C104
U45C and
to
and
responds
Resistors
U45C;
and
an
an
internal
drives
U45D.
5Hz.
are
sensed
R171
R151
function
transistor
Resistor
©
October
by
op
amp
with a positive
R172
and
R147
and
R143
apply
as a low-pass
pacing
spike)
Q10,
R160,
with
1993
Physio—Control
routing
U45C.
output
apply
a
from
U44C
a
the
Corporation
When
PADDLES
eliminate QUIK-LOOK Table
1-3,
loaded
Analog
high-pass
so
switch
is
selected,
motion
that
filter,
artifact
mode. A command
pulse
20),
turning
the
next
U43B
then
and
limiting
further
introduced
Q9
clock
pulse
closes,
the
passband
by
the
pulse
selects
on.
When
at
pin 6 switches
bringing
ECG
signal
limiting
paddles
paddles
Q9
conducts,
R155
in
passband
is
required
when
used
in
mode,
(see
flip-flop
the Q output
parallel
to
with
above
to
the
U36B
high.
R165
2Hz.
Description
is
in
the
1
U34A
TRIGGER
VOLTAGE
AT
TP19
PIN
PULSE
TIME
Echo.
from
the
from
the
back
to
signal
(see
microprocessor
the
pulse-delay
F
4
=
TP4
|
The
ECG
System
System
the
System
Figure
1.8ms
Ti
——>
RAMP
signal
is
converted
microprocessor.
microprocessor
microprocessor
1-7).
When
the
(across
period
an
opto-isolator),
to a number.
18ms
| |
za
TRACK
to a pulse-delay
The
time
from
is
received
is
echo
-一
until
proportional
pulse
is
the
System
|
|
bra
period
when
the
convert
the
“echo”
to a sample
sent
back
to
microprocessor
1.8ms
on
command
pulse
of
the
System
|
command
is
sent
the
ECG
converts
he—
14 —o
=
©
October
1993
Physio-Control
Corporation
ECG
conversion
‘passes
to
U32
pin
sends a trigger
-6.3V
at
the
output
conversion.
The
ECG
signal U35B, period.
signal when output
+5V
U35C,
at
The
U35B
07, and
track
comparator
to
-12V.
line
and
R122
Figure
begins
2.
pulse
from
phase
to
charge
U34A
This
1-7
when
The
rising
every
1.8ms
of
U35A,
U35A
passes
C76.
This
begins
sampling
receives
voltage
provide a constant
All
Rights
passes
Reserved
Echo
Period
the
pulse
train
at
the
edge
of
the
first
to
U34A.
providing a signal
to a track
circuit
when
capacitor
the
trigger
to
controls
Q7
conducts,
the
gate
current
The
and
C76.
pulse
of
source
output
pulse
ECG
range
ramp
the
duration
which
The
(every
Q7
turning
to
of
‘counter
clocks
signal
is
of
-1V
circuit
causes
ramp
phase
1.8ms), O7
the
inverting
U4
U31A,
to
which
offset
to
-11V
for
consisting
of
the
echo
the
ECG
starts
driving
off.
The
input
of
the
of
1-29
LIFEPAK
9P
defibrillator/monitor/pacemaker
System
Controller
U35C.
.
discharge Figure
While trigger
O6, R100 which
The long
When
switches
causes
and
The
keypad circuits. U30, microprocessor CRT Display/Recorder/Pacing
When
from
1-7).
the
track
pulse
from
and
allows
and
R99.
discharges
duration
the
allows
System
together
and
of
output
the
ramp
to
-12V,
the
output
the
Controller
and
sends
The
recorder.
central
Q7
turns
C76.
This
and
ramp
U31A.
the
+15V
The
output
C72
the
ramp
of
U34C
output
presenting of
U34C
echo
signal
commands
component
with
external
converts
These
CRT.
off,
the
constant
discharge
circuit
supply
through
output
is
of
U35C
circuit
the
microprocessor
is
This
drives
to
of
comparator
opto-isolator
of
low
and
reaches
this
voltage
to
switch
to
be
coupled
receives
to
the
of
RAM
and
ECG
echo
ECG
samples
current
produces a ramp
tracking,
the
charge
source
comparator
output
C72
through
U34C
U6
and
the
track
and
ramp
sets
the
duration
OV,
the
output
at
the
inverting
to
high
impedance
through
input
signals
CRT,
recorder,
this
circuit
ROM
pulse
are
for
then
devices.
is
widths
filtering
causes a linear
of
output
U34A
U34A
to
from
-12V,
voltage
controls
opto-isolator
System
sent
the
on-time
creates
from
pacing, and
the
circuit
determines
of
the
echo
of
comparator
input
which
the
front
microprocessor
The
System
to
sample
to
the
and
display
of turns
U6.
U35C
(see
receives
turns
the
off
dividers
of
Q6,
echo
signal.
how
period.
U34B
U34C.
defibrillation
values
on
on
Q6
panel
for the
the
This
U30
communicates
through
In
are U20.
The 64k x 8
including
contains decoding pins
Multi-vibrator System The both consisting short;
two
asynchronous
addition
created
operating
to
the
by
routing
software
EPROM.
the
calibration
the
lithium
is
performed
12, 13,
watchdog
microprocessors
and
U26
microprocessor
circuit
of
R46
R47
and
with
the
serial
three
8-bit
DO
through
for
Battery-backed
constants.
energy
by
3-to-8
14.
and
flip-flop
and
monitors
if
the
and
C31
C33
detect a pulse
Display/Recorder/Pacing
transmit
I/O ports
D7
the
System
RAM
cell
and
decoder
U16
the
Display/Recorder/Pacing
the
pulse
width
is
used
by
width
and
contained
in
parallel
Controller
U28A
DIP
(Dual
real-time
U25
form
the
1.8ms
preamp
is
out
U26
to
that
receive
in
U30,
out
is
provides
In-line
clock
using
watchdog
trigger
of
tolerance.
detect a pulse
is
too
long.
microprocessor
lines
at
pins
16
extra
to
octal
latches
contained
Package)
information.
only
in
U27,
data
storage,
socket
the
outputs
circuit
pulse
for
microprocessor.
and
An
RC
width
(U1)
12
and
output
lines
U19
a
U28B
Address
at
the
resets
network
that
is
too
13.
and
1-30
All
Rights
Reserved
©
October
1993
Physio-Control
Corporation
Description
1
Controller
needed. microprocessor of
tolerance, conduct, U18A, and
Front
panels
function(s)
panels rows multiplexer, column
Charge
requests
Clock,
Out CHARGE
System Data
Conversion
Data communication,
U46
This
protects
the
pulling
and
U17A)
the
Display/Recorder/Pacing
and
Rear
are
distributed
to
activate.
are
arranged
(RAS 1 through
providing a high
switch.
Control. to
the
Converter
lines
accomplish
on
the
microprocessor
Out
line.
PCB
In.
The
VO
monitors
the
activity.
output
the
voltage
goes
Panel
to
at
Controls
Input
in a matrix
3).
The
System
D/A
converter
Function
serial
keypad
Status
information
is
sent
Clock
the
+5V
supply
RAM
memory
If
the
controller
NOT
CEO
at
R45
low.
to
the
RESET
microprocessor.
Interface.
the
System
from
the
of
five
The
System
logic
level
microprocessor
U18
on
Select,
Converter
communication
transmits
to
the
back
provides
the
Power
on
to
the
synchronous
and
causes a system
and
prevents
detects
switches
This
lines
high
low
for
that
logic
the
Signals
microprocessor
pushbuttons
columns microprocessor
for
the
coded
Conversion
the
System
(CAS 1 through
each
row
initiates
Power
Conversion
Data
with
the
In,
selected
PCB
decoding
microprocessor
timing
spurious
the
+5V
and
causes
level
System
from
which
on
the
front
functions
and
and
and
Converter
D/A
converter.
energy
over
process
for
serial
reset
as
supply
(through
microprocessor
the
front
determines
sensing
monitors
PCB.
Q5
and
5) as
is
to
and
rear
and a
any
charge
The
Data
out
U23C,
rear
what
three
closed
VO
Pressing
value
from
the
Converter
on
the
Power
over
Converter
the
Following self-tests
self-test
The
10-bit converter converter.
out
I/O resistors
Additional
on
the
Pacing
knob sends access command
the
which
fails,
energy
A/D
converter
shares
If
of
tolerance,
Protection.
and
protection
Video
Current
on
the
to
flip—flop
the
knob
will
charge
the
stored
the
capacitors
1,
initiation,
are
completed
CRT
displays
in
the
energy
(U9)
located
the
four-line,
System
an
Electrostatic
Video
microprocessor
ENERGY
on
all
is
provided
2,
and
Raster
Adjustment. A rotary
front
panel
generates
U54
in
digital
by
put
reading
the
or
flip-flop
the
System
before
the
SERVICE
storage
on
serial-communication
FAULT
discharge
the
I/O
by
lines
TTL
pulses.
writing
data
microprocessor
the
selected
energy
indicator.
capacitor
the
Power
indicates
message
protection
lines
6.2V
zener
directed
pulse
level
System
to a particular
on
the
is
Conversion
that
is
that
connect
diodes,
to
generator
pulses
microprocessor
data
bus.
displayed.
is
that
performs a set
is
available.
monitored
interface
the
provided
to
the
the
address. A read
If
through
PCB.
with
energy
by
the
Main
CR7
through
Monitor
(RPG)
US4
PCB.
adjustment
Interconnect
U30
pin 4 is
stored
the
The
the
PCB.
CR9,
can
high,
of
Ifa
a
A/D
D/A
is
PCB
the
O
October
1993
Physio-Control
Corporation
All
Rights
Reserved
.
1-31
LIFEPAK
9P
defibrillator/monitor/pacemaker
knob
rotated flip—flops
has
been
clockwise
and
rotated
the
since
(increased
write
the
last
read.
current). A write
data
is
ignored.
If
U54
pin 3 is
command
high,
will
clear
it
has
been
both
Display/Recorder/Pacing Interface
Display/Recorder/Pacing
is
the
Display/Recorder/Pacing
ECG
signal
data
from
this
data
to
the
Display
CRT
screen Display/Recorder/Pacing display.
resolution
The
recorder
Display/Recorder/Pacing
CRT
so
waveforms
ECG
sample Display/Recorder/Pacing communication
from
the
System
Display/Recorder/Pacing particular byte,
The
Gate
lines
function. This
two
ECG
first
four
Array,
U29,
control
the
are
data
is
line
microprocessor
sample
I/O
lines driving
operation
Controller.
the
System
PCB
is
not
microprocessor
receives
microprocessor
not
displayed
transmitted
microprocessor
approximately
microprocessor
data
bytes,
listed
the
of
The
microprocessor
microprocessor
Assembly
as
high
all
from
is
transmitted
and,
in
Table input the
CRT
as
the
incoming
with
the
System
every
are
also
transmitted
if
required, a data/command
1-4
for
the
recorder.
central
and
recorder
compresses
ECG
also
gaps
through
1.8ms.
when
in
communicate
Display
component
U1.
It
and
the
recorder.
resolution,
data
formats
or
overlapping
microprocessor
the
Other
they
are
packets
PCB.
of
this
receives
controls
ECG
samples.
the
Tx
data/command
to
the
required
containing a header
with
the
the
Because
the
data
ECG
segments.
serial
byte.
the
The
other
digitized
input
for
the
The
data
for
to
the
for
a
Display
five
circuit
of
the
CRT
the
bytes
/O
Table
1-4
VO
~
P60)
System system
microprocessors
wave
the
Power
Display/Recorder/Pacing
Line
Signal
JHREIR
P(52)
P(53) P(54) | TR/CHAR
Ρ(21)
P(60)
P(61)
P(66)
P(67)
Clock.
clock
to
the
GO
IINCMEM
STROBE RECORDER PRINTHEAD PRINTHEAD PRINTHEAD
The
crystal-controlled
to
both
the
(U30
and
Display
Conversion
Gate
PCB.
POWER
CURRENT TYPE LOAD
System
U1).
Array
Microprocessor
Direction
SENSE
oscillator
and
Display/Recorder/Pacing
Oscillator
and a 2MHz
USO
supplies
U10
provides a 16MHz
signal
to
A/D
VO
Lines
In
Out
Out
Out
Out
Out In In
Out
the
12MHz
square
converter
U9
on
1-32
All
Rights
Reserved
©
October
1993
Physio—Control
Corporation
Description
1
Address and functions devices different
Buffers
devices
U11 address Display
Display Gate many flip-flops, only ECG additional the during CRT
Decode.
the
writing
as
when
areas
U11,
from
buffers
bus
between
Gate
blocks
etc.). A metalized
those
circuits
memory
timing
timing
of
CRT
retrace
Programmable
to
all
external
an
address
the
Display/Recorder/Pacing
in
memory.
U12,
and
interaction
the
data
bus.
the
Array,
of
the
scan
periods.
and
Array.
addressing,
Display
standard
needed
signal
Video
periods,
memory
decoder
U1
with
Display/Recorder/Pacing the
OR
generation.
RAM
and
isolate
the
Buffers
RAM/ROM
Gate
and
layer
for a specific
ECG
display
(U21)
and
control
logic
array
U9
controls
and
the
Recorder
is
programmed
microprocessor
the
appropriate
Display/Recorder/Pacing
U12
and
U15
control
microprocessor,
Array
AND
added
memory
U29
gate
on
function:
trace
Two
different
and
Font
the
Video
devices.
is a custom
circuits
top
of
Monitor
generation,
EPROM
RAM
the
Gate
to
enable
RAM/ROM
microprocessor.
interaction
(counters,
the
gate
PCB
video
internal
counters
(022)
addressing
reading
Array,
the
addresses
from
U3.
appropriate
memory
on
the
the
IC
containing multivibrators,
circuits
connects
sync
timing,
intensity,
control
addressing
during
U9
and
The
Display vertical 256
rows, When a count of
196,608
Four
separate
Gate
Array horizontal Each
trace another the
CRT corresponds that
corresponds
U21
since
addresses
Serial Recorder
H.RETR,
Gate
Array
the
storage and
horizontal
Gate
and
horizontal
and
(256 x 768)
format
retrace.
generator
memory
screen
to
the
for
communication
microprocessor
GO,
and
retrace.
Array
uses
an
18-bit
retrace
the
upper
of
256
occurs,
memory
is
the
only
each
loops
the
ECG
An
internal
uses
loop
for
created
low
to
the
data
scan.
between
point, high
INCMEM,
the
Display/Recorder/Pacing
retrieval
Figure
on
10
bits
correspond
U29
occurs,
loaded
the
for
signal
11-bit
one
memory
the
low
by
turning
and turning
point.
in
the
is
accomplished
and
TR/CHAR.
of
ECG
1-8
shows
two
counter
the
CRT.
initiates a vertical retrace.
gate
array
separate
in
memory.
counter
loop
point
of
the
This
memory
Display
and
character
the
to
control
The
lower 8 bits
to
768
columns
initiates
trace
Formatting
addresses
for
the
the
scan.
video
on
at
the
video
saves
memory
is
the
high
Gate
Array
by
the
following
These
lines
microprocessor
data
control
line
the
the
horizontal
generators
occurs
each
high
point
The
trace
the
screen
off
at
the
space
point
and
enable
in
the
Video
timing
timing
correspond
(scan
When a count
memory
screen
and
the
control
to
sequence.
of
lines).
retrace.
in
the
Display
during
loop.
of
the
scan
appearing
location
location
in
Video the
low
Display/
lines:
the
Display
coordinate
RAM
the
RAM
during
to
and
on
that
point
©
October
1993
Physio-Control
Corporation
All
Rights
Reserved
1-33
LIFEPAK
9P
defibrillator/monitor/pacemaker
H.
RETR
(IRQ1)
~~
TR/CHAR
GO
Data
from
the
RAM
memory horizontal Coded
RAM
ECG
ECG information data Array the
proper
retrace
character
at
this
trace
and
data
to
stored
as
CDAT(0-7).
address
Eco
UPDATE
=
||
Figure
passes
in
1-8
Control
Display/Recorder/Pacing
during
time.
messages
the
the
horizontal
to
smooth
address
Display
to
the
Font
EPROM
The
on
the
data
display
Gate
Font
Display
Display
Line
retrace.
scrolling
used
during
Array
EPROM
is
PCB
MESSAGE
UPDATE
Timing
microprocessor
Six
of
the
by
the
Font
raster
through
through
addressed
Gate
Array
(see
*
ECG
samples
trace
displayed
EPROM
scan.
The
EDAT(0-7);
DD(0-7).
and
routed
sends
the
Figure
1-9).
loads
into
update
on
the
also
loads
Video
RAM
character
Character
to
the
Display
character
the
Video
during
CRT.
into
Video
sends
address
pattern
Gate
data
out
to
ROW
(256
PIXELS)
An
M
O0
O
BO
©
do
10
DISPLAY
ADDRESS
000 001
2
1FF
ae
0 a
N
ο +
00
01
02
03
04
05
06
07
08 09
0A OB
OC
ODOE
OF
10
11
12
13
1415
Figure
768
1-9
PIXELS
(768
VERTICAL
Character
COLUMN
Cell
16 17 18 19
RASTER
Locations
SCAN
14
1B
1C1D1E
LINES)
1F
+
COLUMN
|
1F
F
1-34
Rights
All
Reserved
October
O
Physio-Control
1993
Corporation
The
Display
four
levels
from
the
Display
brightness
-
two
digit
This
code
video,
half-tone, endpoints the
sync
marks.
transmitted
Gate
Array
of
brightness
Gate
level
for
the
code
to
the
determines
or
off
of
the
ECG
The
with
normal
also
functions
for
the
Array,
digitized
Video
Signal
if
the
addressed
(see
Figure
waveform
rest
of
the
brightness.
as a video
trace
and
Video 1 and
display
data
Amplifier
pixel
1-10).
segments;
ECG
waveform
intensity
characters.
Video
2,
generate
by
transmitting
circuit
will
Half-tone
full
on
be
at
is
brightness
and
all
circuit,
Two
video
the
the
the
Monitor
full
intensity,
used
only
is
used
the
characters
Description
producing
outputs
appropriate
data
in
a
PCB.
normal
for
the
only
for
are
1
VIDEO
1
VIDEO 2
|
HALF-TONE
Character
input
data
Video
U21.
twelve
Display/Recorder/Pacing memory
incrementing
NORMAL
Figure
dot
signal.
are
mapped
RAM.
New
ECG
bytes.
access,
information
Messages
Trace
Horizontal
is
VIDEO
controlled
1-10
to
the
data
New
FULL
Video
merges
have
same
and
character
is
stored
retrace microprocessor
data
INTENSITY
Intensity
priority
point
during
storage
by
the
NORMAL
with
trace
information
over
waveforms
on
the
CRT.
data
are
stored
the
horizontal
provides
and
Display/Recorder/Pacing
an
interrupt
which
memory
VIDEO
in a 32k x 8
retrace
signals address
HALF-TONE
to
create
when
the
two
static
and
consists
to
the
permission
counter
microprocessor.
the
types
RAM,
for
video
of
of
a
©
October
1993
Physio-Control
Corporation
An
additional
(similar
16 x 32
the
Font
Display/Recorder/Pacing
Font
EPROM.
with
memory
pixels
wide
displayable
512
bytes
to
ASCII
character
EPROM.
codes).
cells,
A
for
256
to
fit
in
character
are
with
The
message
microprocessor
32k x 8
characters.
the
screen
set
includes
All
Rights
used
The
screen
each
content
EPROM,
character
Reserved
for
storage
cell
U22,
Each
of
can
be
configured
accepting
is
updated
during
contains
character
cells
single-sized
the
character
character
as
needed
horizontal
character
is
16
(see
Figure
numerals,
address
into a matrix
information
by
the
retrace.
font
pixels
high
1-9).
The
punctuation,
codes
of
from
patterns,
and
24
and
1-35
LIFEPAK
9P
defibrillator/monitor/pacemaker
uppercase
and
Program software
software
the
Program Display/Recorder/Pacing program
Display/Recorder/Pacing
Program
Recorder
the
logic Q2.
supplying
Motor because printhead recorder that reference pulse
letters
double-sized
EPROM.
for
the
Display/Recorder/Pacing
is a list
annotated
Printhead
signal
This
compares
enough
recorder
RAM.
functions.
RAM.
Power.
and
from
logic
signal
power
Speed
Control.
of
the
variable
and
the
is
regulated
the
voltage,
to
in
normal,
numerals
A
64k x 8
of
codes
text.
The
Program
Additionally,
The
Recorder
the
Motor
the
Display/Recorder/Pacing
causes
for
the
recorder
Regulation
drag
lack
of a spindle
by a variable-frequency,
back
EMF
The
circuit
maintain
inverse,
are
representing
microprocessor
microprocessor
Speed
Q2
on
(electromotive
the
25mm/s
and
in
normal
EPROM,
RAM
all
Power
Control
to
conduct
motor
of
the
recorder
on
varies
the
boldface
video
all
U13
CODE
circuit
and
the
the
frequency
paper
video.
display.
U14,
contains
microprocessor.
of
the
words
is
used
as a scratch-pad
SUMMARY
bulletin
board
provides
circuits
microprocessor which printhead.
recorder
motor
paper
roll.
pulse-width-modulation
force)
speed.
Special
the
and
by
the
data
is
operating
by
responding
turns on
speed
is
caused
The
paper
on
the
motor
of
the
motor
operating
Included
phrases
while
stored
Q4,
necessary
by
the
characters
in
the
used
performing
and
the
in
the
voltage
to a high
at
the
base
thereby
thermal
speed
of
circuit
to
a
speed
drive
in
for
of
the
The
back
EMF
produced
letermines dividers when
recorder
off-time
much
The C2
has
on-time
pin
10 U2C below
The pin 6 to proportional toward a voltage
the
R18,
Q3
is
off. A frequency-modulated motor. is
set
power
fixed
on-time
charged
cycle,
goes
changes
the
voltage
voltage
determine
speed
R17,
by
Q3
to a voltage
the
to
about
states
on
U2B
to
the
in
of
the
and
C4
The
pulse
comparator
conducts
is
output
on
the
that
to
determined
of
1/3
of
and
ends
pin
10.
pin 7 is
off-time.
battery
is
proportional
the
motor
recorder
is
directly
has a fixed
U2B
the
level
U2B
VBATT,
the
compared
voltage.
motor.
and
motor.
by
U2C.
approximately
switches
and
pulse
During
During
to
when
the
drive
The
voltage
proportional
pulse
on-time
capacitor
When
to
C2
on-time
to a calibrated
the
on-time, the
the
back
to from and a variable
C4
the
75%
ground,
starts
discharging
when
off-time,
EMF
pulse
switches
present
the
speed
transistor
and
off-time
of
the
Q3
off-time.
determines
period
VBATT.
voltage
through
the
voltage
reference
C4
charges
C4
discharges
of
the
motor.
off
at
voltage
of
the
motor
drives
at
At
U2C
how
is
over,
the
the
The
next
R7.
on
C2
drops
voltage
to a voltage
at
Under
1-36
All
Rights
Reserved
©
October
1993
Physio—Control
Corporation
Description
1
normal constants
pin
conducts, increases, shorter.
Printhead accomplished with
U14.
System printhead.
The Display/Recorder/Pacing form from
translates
bits are text the
generators
SYNC
operating
before
6.
When
the
supplying
the
back
Control.
by
Recorder
The
Display/Recorder/Pacing
microprocessor
Recorder
to the
required
mapped
for
recorder
the
recorder
top
the
to
the
recorder
paper.
Gate
to
two
by
the
receive
marks,
conditions,
the
voltage
voltages
voltage
EMF
voltage
Control
the
Display/Recorder/Pacing
Gate
Array
and
Array
printhead.
the
bottom
ECG
signal
the
printhead.
remaining
always
As
in
high
and
the
on
are
to
U3,
voltage
U2B
equal,
the
decreases
of
data
Program
pin 7 is
the
output
motor.
to
the
on
microprocessor
formats
receives
microprocessor
of
64
appears
the
low
it
parallel
The
printhead
the
recorder
data
bytes
Bytes
bits
(32
at
Display
address
for
from
for
for the
fixed
Gate
inputs
C4
discharges
equal
to
the
of
U2B
As
the
load
and
the
pulse-width
recorder
RAM
printhead
microprocessor
U13,
and
receives
transmission
data
from
the
and
transmits
prints
an
paper.
The
hexadecimal
generating
locations
Array,
hexadecimal
top,
32
two
for
the
over
reference
switches
on
the
motor
is
Program
data
to
the
recorder
this
data
array
of
Recorder
code
for
the
bottom)
at
the
top
internal
ECG
trace
several
low
off-time
in
384
Gate
or
trace
time
voltage
and
gets
conjunction
EPROM
from
the
in
serial
bits
Array
to
the
320
characters
since
bottom
and
the
on
Q3
of
The
thermal
384-bit
The
Recorder
data
on parallel. thereby The
source
microprocessor
The
Display/Recorder/Pacing printhead shift
register Display/Recorder/Pacing 384
AND
NPN
transistors. Display/Recorder/Pacing the
AND other dropping a voltage selected
printhead
shift
register
Gate
the
DI
The
CK
preventing
of
the
shift
is
gates;
gates
input
to
switch
printhead
is
(see
Array
line
into
pulse
the
printhead
CK
pulses
and
the
register
loaded
high.
into a 384-bit
the
drive
After
This
their
across
dots.
an
the
is
Display/Recorder/Pacing
into the
the
array
of
384
switches
Figure
sends clock pulse
active
microprocessor. The
microprocessor
1-11)
shift
register
only
when
shift
is
the E clock
microprocessor
printhead
latch
for
the
dot
heating
data
is
loaded
causes
outputs
their
the
gates
high.
respective
receives
CK
and
converts
data
register
used
latch
with a high
into
Strobe
switched
The
heating
and
dots.
data
input
to
the
printhead
the
is
sent
to
from
running
by
the
System
microprocessor.
moves
elements
the
selected
via
the
output
latch,
line
elements
the
data
LD
LD
of
the
is
provided
the
switches
high
transistors
An
internal
to
the
printhead.
which
data
from
serial
the
printhead,
continuously.
stored
in
line.
Data
signal
from
latch
is
gated
by
one
input
(data
=1)
on
conduct,
and
activating
enters
to
the
in
the
the
384
of
the
by
the
©
October
1993
Physio-Control
Corporation
All
Rights
Reserved
1-37
LIFEPAK
9P
defibrillator/monitor/pacemaker
Vup
(COMMON
ELECTRODE)
58
6ππορεο-
DI
(DATA
IN)
CK
(CLOCK)
LD
(LOAD)
MAIN
PCB
Figure
Paper or the properties
Out
absence
recorder.
will
i
0-4
| | | |
O-
|
Sense.
of
paper
U47
be
HEATER
ELEMENTS
2ο
$ $
AT
и
PRINTHEAD
1-11
detected.
Printhead
System
by a light
and
R176
microprocessor
]
4
ASSEMBLY
384
384
Assembly
emitting
provide
BIT
biasing
+
LATCH
U30
and
so
$
is
the
BIT
] |
REGISTER
diode
informed
photo
transistor
recorder
Nu
¢
Ç ο
of the
paper
presence
sensor
in
reflective
Printhead circuit When microprocessor
The
and
voltage
printhead.
are
energized;
(see
is
too printhead. battery printhead
Monitoring dots
turned
Comparator
sense
monitored
printhead
Resistance
is
active
the
motor
measured
during
The
Figure
turned
1-11).
long,
the
The
voltage,
strobe
the
on
on
increases,
U2A
resistor
at
increases,
printhead
this
determines
R27
pin 4 through
Evaluation.
only
when
speed
calibration
starts
energizing
resistance
printing
printhead
is
regulated
If
the
excessive
System
and
width.
current
microprocessor
printhead
through
the
combined
monitors
and
voltage
the
voltage
the
instrument
the
determines
duty
cycle by
strobe
pulse
heat
on
the
temperature,
the
the
printhead
the
load
divider
voltage
across
The
Printhead
is
in
test
runs,
the
printhead
used
together
the
optimum
is
the
time
the
width
of
is
too
short,
dots
will
monitors
and
printhead
resistance.
resistance
on
the
VHD
R13
and
dividers
R10
R16
decreases.
Resistance
motor
speed
Display/Recorder/Pacing
dots.
with
printhead
duty
period
the
greatly
calculates
while
of
the
R16.
that
printhead
the
print
shorten
the
printhead
increasing
As
the
printhead
line
at
The
and
R15.
When
Evaluation
calibration
cycle
the
printhead
strobe
will
the
resistance,
the
optimum
the
number
decreases.
pin
5,
through
VBATT
As
the
the
temperature
of
the
pulse,
be
light;
life
number
of
line
load
voltage
mode.
dots
SB
if
it
of
the
of
dots
current
is
on
the
1-38
All
Rights
Reserved
©
October
1993
Physio—Control
Corporation
Description
1
across
directs
signals
Display/Recorder/Pacing resistance
the
Leads monitors a leads Pacing 6kQ
Pacing
controls
power confirms duty cycle current
ECG display the
R16
drops
the
Display/Recorder/Pacing
to
the
from
System
display DAC noninverting signal C123
driving
SIZE
1V/mV.
microprocessor.
Off
Detection.
PCB. A low
and
U1
sends a signal
Current
the
delivery
supply. A high
current
PACE
level.
Out
(329).
on
an
or
US1.
The
and
provides
and
R192
an
external
adjusts
lower
than
Recorder
the
external
recorder.
two-pole
provide
Gate
number
The
off
signal
on
LEADS
Delivery.
of
pacing
on
delivery
COMMAND
The
ECG
monitor
signal
is
low-pass
buffering
device
ECG
out
gain.
microprocessor
IP
Data
centered
AC
the
voltage
across
R15,
microprocessor
Array
at
the
STROBE
then
determines
of
dots
turned
display/recorder/pacing
from
optical OFF
to
the
display
The
display/recorder/pacing
current.
FEEDBACK
through
with
the
pulse
signal
provided
and
from
around
filter
to
drive
coupling
input
When
U1
on
coupler
indicates
to
alert
PACER
from
pacing
(from
U1
by
is
separate
is
converted
3.75V
US2A.
the
high-pass
and
output
impedance
ECG
size
and
passes
U12
patient
the
POWER
the
cable.
pin
this
from
and
U52A
impedance
of
is
X1.0,
U2A
switches
to
stop
sending
input.
The
the
printhead
this
information
microprocessor
on
the
Interconnect
impedance
operator.
microprocessor
activates
Interconnect
A low
15)
determines
circuit
the
ECG
to
an
analog
amplified
also
filter
2>5kQ.
ECG
PCB
variable
is
produced
signal
signal
by
amplifies
C123
and
capable
Front
panel
out
gain
low.
This
strobe
to
U1
exceeds
U1
the
pacer
length
the
output
for
seen
on
by
the
the
R192.
of
ECG
is
©
October
Display
PCB/CRT
Assembly
1993
Physio—Control
(803706)
Corporation
Speaker microprocessor Q14,
provides
switch.
The the
information information
synchronization
Drive
and
Q15
four tone
Tone
Display
Monitor
PCB/CRT
PCB
and on
U30
drives a 4W,
volume
the
(735).
Tone
frequency
to
DAC
US1.
80
speaker.
frequencies.
from
U1
Adjust
is
Assembly
Assembly.
synchronization
CRT.
signals
All
The
Frame
Rights
The
incoming
Sync
Reserved
data
The
converted
An
QRS
sent
to
DAC
(Figure
Monitor
signals
signals
and
from
Raster
is
sent
internal
tone
US51.
1-12)
is
PCB
assembly
the
are
Sync.
from
the
output
volume
to
oscillator
from
composed
processes
Main
PCB
Video
1,
system
op-amp
in
U30
the
of a CRT
and
displays
Video
US2B,
rear
panel
and
video
2,
and
the
1-39
LIFEPAK
9P
defibrillator/monitor/pacemaker
|
|
FRAME
|
|
|
|
RASTER—#æ]
|
| |
|
|
|
VIDEO 1 mm
| | |
VIDEO 2
| |
FRAME
SWEEP
GENERATOR
RASTER
Oo
SCAN
OSCILLATOR
VIDEO
SIGNAL
AMPLIFIER
HORIZONTAL
3
DEFLECTION
3
#1
|
7
mere
yokE
RASTER
GENERATOR
RASTER
ie
{FLYBACK)
VIDE!
TOR
O
2
VERTICAL
3
(DEFLECTION
<
УОКЕ
GENERATOR
CA
THODI
+
E
|
| |
|
|
|
| |
CRT
Figure
Two The pixels and
scan.
VERTICAL
VERTICAL
HORIZONTAL
1-12
separate
CRT
raster
per
line.
left
to
right
SCAN
RETRACE
RETRACE
Display
circuits
provide consists The
CRT
(see
Figure
|
—__
PCB/CRT
of
768
screen
1-13).
11
|
|
|
-|
|
1
| |
Assembly
horizontal
scan
lines
is
scanned
There
|
| |
|
| |
Block
and
vertical
in
one
complete
by a vertical
is
no
interlacing
|
Diagram
CRT
beam
frame
raster,
during
deflection.
with
256
bottom
the
raster
to
top
1-40
Figure
Rights
All
1-13
Reserved
Display
Scanning
October
©
Physio-Control
1993
Corporation
Video
Signal
Frame
Amplifier
Sweep
Generator
This
circuit
controlling
The
input
the
Main
U401C nominal available
Brightness
A
deflection
during
a
nominal
To
sweep
receives
the
to
Video 1 and
PCB
provide
+40V
by
switching
is
hybrid
horizontal
60Hz
the
components.
frequency
horizontal
and
senses
control
eliminate
of
rolling.
Horizontal
deflection
both
width
yoke
video
voltage
at
biasing
to
TTL
the
to
voltage
for
video
the
adjustable
IC,
U101,
retrace.
synchronizing
CRT
accurately,
The
RC
combination,
the
hybrids
Horizontal
Linearity,
current
and
linearity.
ringing
(oscillation).
information
the
CRT
cathode
Video 2 is
levels.
Q401,
causing
output.
outputs
through
The
internal
R113,
and
of
Video
drives
Display
signal,
U101
oscillator.
Width,
calibrates
provides
R117
at
the
at
supplied
The
outputs
Q401
Four
levels
U401A,
Gain,
the
frame
Gate
Frame
requires
R105,
R106,
R111,
the
feedback
and
C112
Video 1 and
the
video
from
the
Display
of
U401A, U401B,
to
conduct
of
video
U401B,
R402.
Array
Sync,
biasing
Horizontal controls
CRT
yoke
to
on
for
by a number
and
the
beam
to
U101
and
the
C102,
form a damping
Video 2 inputs,
output
(J902
Gate
and
supply
intensity
are
pin
Array
U401C.
sweep
this
the
Main
PCB
circuit.
sets
the
Hold,
R106,
width
adjustment
linearity.
pin
10
to
CRT
supplies
of
external
controls
R128
help
circuit
Description
2).
on
and
a
|
to
1
Raster
Scan
Raster
Voltage
Oscillator
Generator
The
Raster
and
the
The
circuit
The
voltage
signal.
Q201,
R217
power-on.
size
Input
input
forward-biases conducts,
input
Vertical U201
The
T301
comes
Oscillator
Scan
switching
is
designed
regulator
This
signal
causing
and
will
overvoltage
voltage
at
which
Raster
as
from
Q201
capacitor
Resistor
be
minimally
rises
it
inhibits
pin
4.
Size,
R224,
determines
Voltage
well
as
the
circuit.
Oscillator
frequency
around
oscillator
is
sent
to
conduct
C203
R209
affected
protection
to
18V
Q203
which
the
internal
controls
the
Generator
overall
output
CRT
of
sets
the
sweep
for
the
voltage
frequency
from
the
Display
and
function
decouples
or
voltage
as
by
changes
is
provided
greater,
routes
it
oscillator
the
width
amount
supplies
bias
voltages.
regulator
frequency
Raster
regulator
is
pass
the
an
RC
the
+15V
by
D201
to
the
in
of
the
of
energy
the
Voltage
U201.
set
to
about
Gate
Array
signal
network,
supply
in
the
+15V
Q201,
Q202,
starts
to
gate
of
U201
by
pulse
delivered
input
voltage
The
input
U201
pin
for the
Generator
to
52kHz
on
U201
Raster
the
slowing
voltage
supply.
and
conduct.
Q202.
applying
from
the
to
for
When
transformer
the
signal
10
in
the
power
by
Main
pin
5.
the
so
that
D201.
This
Q202
+5V
output
primary
for
the
Raster
Generator
supply.
the
Raster
PCB
to
Resistor
current
at
display
If
the
signal
to
the
stage
of
T301.
of
circuit
Scan
©
October
1993
Physio-Control
Corporation
All
Rights
Reserved
1-41
LIFEPAK
9P
defibrillator/monitor/pacemaker
Raster
Generator
The
Raster
and
transistors
providing
for
the
total)
winding
This
Vertical
circuit.
deflection
The
Raster Raster transformer the
drive
for
the
The
Display
Raster,
causes of
Q205 precise resonance voltage
Voltage
additional
primary
output
on T1
voltage
deflection
Because
circuit
Generator,
Scan
signal
CRT.
which
Q204
controls
values
while
for
charging
Generator
Q501
and
Q502.
at
pin
adds
current
of
T301.
5. A tap
+14V
The
to
for
at
boost
provides a ground
for
the
raster
of
high
current
consists
Oscillator
T301,
which
for
Gate
Array
is
passed
to
conduct,
the
of
these
charging
of
like
circuit.
is
the
88mH
on
to
voltage
providing
charge
capacitors
and
the
capacitors.
discrete
the
shared
the
and
circuit
+15V
is
designed
The
oscillating
Q502.
TSO1
The
input
pin 6 supplies
the
+24 V to
reference
yoke
is
provided
and
voltage
at
for
components,
Raster
yoke
The
Main
Voltage
Raster
with
the
coil.
PCB
Generator
This
supplies
regulator
additional
discharge
are
discharging.
of
essential
around
output
output
T501
of
of
O502
pin 4 produces
+24V.
+40V
output
biasing
requirements,
by
G1,
the
Raster
forming a resonant
Generator,
circuit
CRT
Bias
Generator
creates
U201.
current
C208
for
Transformer
the
the
synchronizing
The
output
for
through
maintaining
transformer
U201
sets
The
at
G2,
and
TS01
drives
the
voltage
+15V
secondary
TSO1
pin
G4.
Generator
the
vertical
is
driven
vertical
Q205.
T301
from
includes
and
scan
of
U201
The
C212.
The
the
proper
provides
provides
output
Q501,
(30V
8.
circuit.
the
drive
signal,
pin
9
high
CRT
Bias
Generator
The
CRT
anode
and
for
bias +11.6kV which
largely
Focus,
R306,
Bias
grid
of
G1,
for
anode
Generator
from
the
up
to
+700V
bias.
determines
adjusts
the
supplies
output
for
Master
the
general
focus.
of
bias
Brightness,
half-wave
transformer
of
background
G2
and
rectified
T301.
G4,
R302,
voltage It
provides
and
between
adjusts
brightness
the
for
the
CRT
up
to
+8.5kV
brightness
of
the
CRT.
-150V
and
1-42
All
Rights
Reserved
O October
1993
Physio-Control
Corporation
Operation
Introduction
Controls
indicators
and
This
section
instrument, instrument.
manual.
This
Front
Rear
Panel
Option
Panel
Clock
LIFEPAK
identified 2-1
Note:
9P
in
and
2-2.
Pushbuttons displayed
provides
It is For
section
Settings,
Setting
defibrillator/monitor/pacemaker
Figures
information
not
intended
clinical
Controls
Controls,
use,
includes
and
Indicators,
including
Procedure.
2-1
and
are
indicated
messages
about
to
instruct
refer
to
the
information
Indicators,
and
self-tests
2-2
and
described
in
sans-serif
are
indicated
the
basic
an
operator
separate
about
including
Connectors
and
power-on
controls
in
BOLD
operation
in
the
clinical
Operating
the
following:
Paddles Area
default
and
in
the
corresponding
CAPITAL
LETTERS
CAPITAL
of
the
use
of
Instructions
settings
indicators
are
Tables
and
LETTERS.
the
©
October
1993
Physio-Control
Corporation
All
Rights
Reserved
2-1
LIFEPAK
9P
defibrillator/monitor/pacemaker
MARA
CS
Z
eee
Wi
DEMAND
keki)
Gin
PACING
PHXSIO
CONTROLA
HIFEPAN
AD
=
9P°
MONITOR:
EE»
ECG
DEF
BRIL
Ee
497
PACEMAKER
ENERGY
©
000000.
Poe
CC
AE
000
dV
WNNYALS
ELECTRICALLY
ars”
|
ーー
|
OISAHA
>OOFyITO
TOHINOO
X
OISAHd
ACOTAINO
TOHINOD
®©
2-2
©
(NN
Figure
2-1
Front
All
Panel
Rights
Controls
Reserved
НИТ
and
Indicators
©
October
1993
Physio—Control
Corporation
Operation
2
Item
1 2
3
10
11 12 13
Control
ON
w
LEAD
7
ENERGYA SELECT
$
ЕСС
SIZE
CHARGE
HR
CODE
SYNC
RECORD
CRT
QRS
Heart
Heart
Alarm
Table
or
SELECTA
&
ALARM
SUMMARY
Display
Indicator
Rate
Rate
Limits
2-1
Indicator
Front
Panel
Toggles
Selects
LEAD video at
PADDLES
ll,
and
power-on
power
Displays the
high
range
joules.
range charging. causes
Changes decreases
Select
selection
stored
the
0.2cm/mV
Affects
Initiates
message
where
value.
JOULES
Steadily.
Displays LED.
of
preset
Starts
information
gain
defibrillation
is
XXX
LED
Repeated
default
defaults
the
violations,
again
stops
.
Activates
with
each
defibrillate
Toggles
No-fade
Heart
Displays
Display
can
sounds
the
CRT
symbol
indicators
be
adjusted
if
Controls
on
and
input
or
LEAD
II).
advances
unless
the
energy
menu
HIGH
from 0 to
Pressing
energy
displayed
the
gain
by
to
4.0cm/mV.
of
ECG
replaced
displays
flashes
AVAILABLE
the
preset
pressing
limit
selections
are
recorder
(defibrillation/cardioversion
and
selected
and
Function
off.
Power-on
or
patient
Switches
to
the
next
PADDLES
selection
to
display
on
the
low
360
during
charging
to
discharge
ECG
one
setting.
Defaults
OUTPUT.
charge
with
XXX
the
stored
during
alarm
150/40,
which
charge.
message
limits
incrementally
as
120/60, and
prints a summary
ECG
Indicators
illuminates
cable
selected
lead
selection.
is
specified
range
incrementally.
the
low
range
menu
joules.
size
cycle.
Selecting
or
internally.
to
reverse
ECG
to
gain
Existing
JOULES
energy
defined
as
At
displays
in
reverse
in
segments).
recorder.
sync
mode
message
QRS
detection.
(asynchronous)
recorder
display. flashes
digital
QRS
for
on
with
rate
high/low
through
ECG
display
Pressing
mode
and
off.
trace
each
(20
to
the
Setup
and
SYNC
and
turns
moves
QRS
detection.
300bpm).
heart
rate
Menu.
violated.
leads
(STD,
lead
display
Defaults
in
the
range
selections
to
display
prior
to
energy
video
size
is
adjustable
of
X1.0
defibrillator
CHARGING
it
ramps
charge
while
video
steps
the
Setup
completion
LED
through
160/90).
of
critical
event,
Pressing
LED
again
off
the
from
right
alarm
Limits
the
LED.
LEAD
to
reverse
to
Setup
Menu.
Select
from 0 to
the
01
inhibits
transfer
and
increases
at
power-on.
message,
up
to
the
remains
.
and
lights
all
three
Menu
(factory
event
heart
rate
pushbutton
light.
LED
returns
LED.
to
left.
to
settings.
flash
and
I,
LEAD
LOW
on
high
energy
or
from
status
selected
XXX
on
the
pairs
alarm
flashes
Limits
alarm
Ii
9
O
October
1993
Physio-Control
Corporation
All
Rights
Reserved
2-3
LIFEPAK
9P
defibrillator/monitor/pacemaker
Item
15
16
17
18
19
20
21
22
Table
Control
Lead
Calibrated
Status
SYNC
FOR USE
NO
LOW
CONNECT
SERVICE
Energy
JOULES
Indicator
BATT
Recorder
PACER
or
Select
Message
MODE
SYNC:
LEADS
PAPER
BATTERY:
Selection
SELECTED
CHRG
2-1
Indicator
Indicator
ECG
Gain
Display
AC
POWER
Display
Indicator
Front
Display
Display
Provides
Selection
to
low
10
another On-screen
increases
to Indicates Records
time,
Prints
Records violation
Pressing
LED.
the
ENERGY
charge LED
Panel
Controls
indicates
indicates
operating Indicates Flashes
lead
the
if
the
is
selected
synchronous
selected
Flashes recorder
Appears
the connect operation
Indicates fault
and
if
the
will
if
battery
the
and
the
status
from
display
seconds
the
energy
range following
pushbutton.
indication
up
to
200J
at
power-on.
battery
ECG
sync
mode
selected
automatically
occurs.
pushbutton
Defaults
following:
SELECT,
on
the
flashes
and
Indicators
Function
lead
selected.
actual
ECG
gain
selected.
status
information:
synchronous
SYNC
with
mode
may
standard
recorder
not
operate
the
defibrillator/monitor
voltage
is
defibrillator/monitor
to
recharge
internal
condition.
high
energy
high
energy
menu.
the
of
selected
is
charging.
and
annotation
(if
active),
energy
starts
to
DEMAND
press
PACER
charge
LIFEPAK 9 Shock
with
each
mode
pushbutton the
standard
not
be
used
paddles
is
connected).
activated
without
low.
As
soon
the
battery.
self-diagnostic
Refer
to
page
range
shown.
range
menu.
Energy
last
selected
energy
and
for
selection
energy
energy
level
in
delay
ECG
lead,
defibrillation
16
seconds
pacing
function
pacing.
again,
the
defibrillator,
Advisory
pacemaker
pulse.
(cont.)
is
activated.
is
pressed
paddies
but
with
no
and
connected
the
PADDLES
paper
paper.
is
powered
as
this
message
to
ac
power
software
3-46
Select
for
Press
LOW
for
has more
ENERGY
range
level
selected
level
in
joules.
as
charging
ECG
mode
ECG
gain,
mode
during
whenever a heart
and
lights
Stop
pacing
reduce
current
or
Adapter.
the
PADDLES
(the
lead
is
installed.
by
battery
appears,
continuous
detected
information.
SELECT
to
display
stays
on
screen
or
until
pressing
Number
occurs.
only.
and
Defaults
Prints
heart
rate.
defibrillation.
rate
alarm
pacemaker
by
doing
one
to
OmA,
press
press
analyze
Pacemaker
The
and
a
the
for
date,
of
or
2-4
All
Rights
Reserved
©
October
1993
Physio-Control
Corporation
Operation
2
item
23
24
PADDLES
25
26
27
28
29
30
31
32
33
34
35
Control
RATEA
CURRENT
AREA
Patient
STERNUM
APEX
CHARGE CHARGE
Charge
Discharge
Pacing
Message
Pacing
Pacing
Test
Table
or
Cable
Paddle
(QUIK-
control)
Indicator
Pushbuttons
Cable
Display
Pulses
Current
Load
(not
2-1
Front
Indicator
Connector
Paddle
Connector
Display
Display
shown)
Panel
Selects
10ppm
pressing
disconnects, automatically
Turning
Current
Turning decreases pacing
Connection Defibrillation
placed ECG
Defibrillation and Also monitoring.
Momentary
LED reached
Pushbuttons
pressed WILL FULLY
Receptacle
pacing
Indicates
PACING,
OFF,
Controls
pacing
increments.
is
to
electrode
one
serves
flashes
NOT
cable
USE
rate
the
down
the
returns
rotary
selection
clockwise
the
current.
interrupted,
for
electrode
left
of
electrode
discharge
as
positive
pushbutton
during
selected
to
simultaneously
BE
CHARGED
for
part
the
following:
PACING
ECG
FAULT.
Indicates
time
Indicates
OmA
50Q
storage
paddles.
pacing
the
pacemaker
the
pacing
each
time
defibrillator
area)
for
and
Indicators
from
40
to
Pressing
symbol
ppm
control
is
increases
6-pin
sternum
during
pushbutton,
level.
discharge
DELIVERED
connecting
number
decreases
setting
to
OmA.
increases
OmA
or
If a pacing
the
current
patient
with
(patient’s
QUIK-LOOK
with
ECG
to
charge
charge
energy.
to
TO
SELECTED
and
deliver
pacing
802905.
7mA
DEMAND
STOPPED, PACER
LEADS,
pulses
the
test
receiving
CHARGE
per
minute
is
turned
current
pacemaker
load.
Metal
defibrillation
Function
170
pulses
the
up
symbol
the
remains
the
cable.
one
QUIK-CHARGE
electrode
on.
setting
and
or
decreases
to
200mA
current;
electrode
automatically
discharge
right).
paddle
usually
placed during
defibrillator
glows
steadily
Both
pushbuttons
energy
UNLESS
LEVEL.
cable.
PACING,
REMOVED,
(ppm).
in
milliamps
is
turned
contacts
(cont.)
per
minute
increases
rate.
If a pacing
the
pacing
pacemaker
in
1mA
turning
Also
to
THE
Use
FAULT,
on.
discharge
counterclockwise
disconnects
returns
pushbutton,
serves
monitoring.
control near QUIK-LOOK
from
when
the
paddles.
INSTRUMENT
Physio—Control
NON-DEMAND
PACING
or
Defaults
(mA).
(not
shown,
(ppm)
in
the
rate;
lead
current
current.
increments.
or
the
to
OmA.
usually
as
negative
(CHARGE)
cardiac
APEX
energy
must
apex.
paddle
paddle.
has
be
ENERGY
LEADS
ENERGY
to
60ppm
Defaults
in
paddles
energy
from
IS
each
to
O
October
1993
Physio-Control
Corporation
All
Rights
Reserved
2-5
LIFEPAK
9P
defibrillator/monitor/pacemaker
Item
1
2
3 4
§
6
7
8
9
[EAU
Те
La
Table
TIME/DATE
MODE
SET
W
ORSVOLA
ImVCAL
Ground
ECG
OUTPUT
AC
Power
Fuse
Cover
Mains
Power
NON-DEMAND
PACE
Figure
Connector
2-2
2-2
Rear
Pushbuttons
Pressing
ae
ee
ATT
i
ec
И
|
[ATTENTION
dui
|
buis
Rear
Panel
Controls,
Panel
Pressing selects clock
Pressing
QRS
Pressing Equipotential
ECG ECG
AC
Access
Rocker
clip
Selects
second
Controls,
for
once
minutes,
setting
advances the
up
volume.
displays a 1mV
out
connector;
SIZE
to
power
connector.
panel
switch
is
installed
non-demand
time
returns
selects
mode.
The
ground
set
for
turns
which
TIMEDATE con
MODE
ENT
NC
0
TOS
ο È
Indicators,
Indicators,
setting
hour,
or
the
real-time
the
clock
year,
month,
the
value
displayed
down
scroll
last
setting
calibration
tie
point.
1V/mV
gain).
changing
ac
line
locks
fuses.
power
this
(asynchronous)
the
instrument
i
4A
250V
SLOW
and
and
Function
clock.
setting
day
pushbutton
is
retained
signal
output
with
on
(1)
switch
pacing.
to
DEMAND
BLOW
FUSES:
|
Connectors
Connectors
mode.
in
Pressing
fields.
the
selected
increases
when
on
the
ECG
gain
or
off
in
the
on
Pressing
repeatedly
Pressing
clock
or
decreases
power
is
CRT
and
of 1 (press
(0).
On
position.
the
pacing.
again
exits
set
field.
off.
recorder.
some
models
pushbutton
the
the
a
a
2-6
All
Rights
Reserved
O
October
1993
Physio-Control
Corporation
Operation
2
Option
Test
Menu
Settings
The
LIFEPAK allows such Access which options
The
the
Menu,
1.
the
as
language
for
then
Test
two
do
Make
are
Menu
other
Simultaneously
press
2.
Continue
SELECTED
Figure
9P
defibrillator/monitor/pacemaker
user
to
initiate
and
all
of
these allows described
is
the
menus,
the
following:
sure
the
ON.
holding
TEST:
2-3.
This
SELECTED
TEST:
includes
self-tests,
heart
rate
options
access
to
below.
the
top-level
the
Setup
defibrillator/monitor/pacemaker
press
and
LEAD
and a list
information
change
alarm
is
gained
Setup
menu
Menu
hold
LEAD
SELECT
of
is
limits,
through
Menu
which
and
the
SELECT
and
tests
are
the
Test
settings
and
examine
the
or
Info
allows
Info
Menu.
HR
ALARM
displayed
Menu.
and
power-on
top-level Menu.
access
power
and
HR
until
as
software
system
Test
All
menus
to
the
self-tests
To
access
is
off.
ALARM,
the
message
shown
which
defaults
data.
Menu
and
the
Test
then
in
and
The
Test
Menu
DISPLAY,
Menu Inspection
described described
To
exit
scroll
RECORDER
(SETUP).
in in
the
down
INFO DEFIB DISPLAY RECORDER SETUP PACER EXIT
Figure
allows
The
Procedure
detail
in
the
following
Test
Menu
to
EXIT,
2-3
access
self-tests
and
Section
and
the
to
PACER),
Test
3.
paragraphs.
and
return
then
press
Test
the
five
are
executed
and
The
to
normal
HR
ALARM.
Menu
self-tests
the
Info
Menu
as
part
Calibration
Info
Menu
operation,
(KEYPAD,
(INFO),
of
the
Procedure
and
the
press W ECG
DEFIB,
and
the
Performance
and
are
Setup
Menu
Setup
are
SIZE
to
©
O
October
1993
Physio-Control
Corporation
All
Rights
Reserved
2-7
LIFEPAK
9P
defibrillatorimonitoripacemaker
Setup
Menu
The
Setup
settings
alarm
volume.
1.
First,
press After
to
scroll
Menu
Menu
such
as
access
and
hold
the
Test
down
as
shown
SELECTED
TEST:
SETUP
LANGUAGE: RECORDER: NOTCH: LEADS LEAD: HR
ALARM
allows
the
language,
To
access
the
Test
LEAD
Menu
to
SETUP.
in
NOTCH:
LIMITS:
VOL:
you
to
the
Setup
Menu
SELECT
appears
Figure
examine
notch
Menu,
by
turning
and
as
Then
2-4.
DIAG 60HZ NO LEAD 150
040
8
and
change
filters,
heart
do
power
HR
ALARM
shown
II
press
120
060
090
in
HR
160
various
rate
alarm
the
following:
off.
while
Figure
2--3,
ALARM
operating
limits,
Then
simultaneously
pressing
press W ECG
to
display
and
ON.
the
the
SIZE
Setup
The
different
LANGUAGE:
RECORDER:
NOTCH: LEADS
NOTCH: | YES LEAD: HR
LIMITS:
ALARM
Press to
After store selected
To SELECT.
V
VOL:
HR
scroll
through
you
the
become
exit
the
ECG
SIZE
setting
Figure
option
ALARM
choose
and
Setup
To
exit
to
scroll
2-4
settings
ENGLISH,
MONitor
50Hz
PADDLES 3
limits
ranges:
1
to 8 (A
to
to
scroll
the
different
the
desired
move
the
power-on
Menu
the
Test
down
Setup
or
or
Menu
are
or
60Hz
NO
can
80bpm
short
indicate
through
option
option
to
the
default
and
return
Menu
to
EXIT,
as
follows:
FRENCH,
DIAGnostic
or
LEAD
be
configured
to
240bpm
tone
the
selected
the
selections.
settings.
setting,
next
selection.
settings.
to
the
Test
and
return
then
GERMAN,
il
from
and
sounds
volume.)
press
Whatever
Menu,
to
normal
press
HR
or
SPANISH
the
following
20bpm
with
each
Press W ECG
HR
ALARM
options
press
LEAD
operation,
ALARM.
to
100bpm.
level
change
SIZE
again
press
&
to
are
2-8
All
Rights
Reserved
©
October
1993
Physio—Control
Corporation
Info
Menu
The
Info
Menu
revision
discharges
Menu,
1.
numbers,
do
the
First,
access
and
hold
After
the
to
scroll
Menu
allows
and
recorded
following:
the
LEAD
Test
Menu
down
to
as
shown
SELECTED
TEST:
INFO
BUILT. SYSTEM DISPLAY
DEFIB USES:
FAULT
you
to
to
examine
and
fault
Test
Menu.
SELECT
appears
INFO.
in
Figure
REV:
REV:
STATUS:
examine
and
status
codes
Turn
and
HR
as
shown
Then
press
2-5.
20
XXX
.
XXX
.
0000 RETAIN 00 RETAIN
the
manufacturing
clear
the
number
recorded.
power
ALARM
JUN
in
HR
91
off,
while
Figure
ALARM
date
of
defibrillator
To
access
then
simultaneously
pressing
2-3,
to
ON.
press
display
and
EPROM
the
Info
Ÿ ECG
the
Info
Operation
press
SIZE
2
BUILT: SYSTEM
REV:
DISPLAY
DEFIB
FAULT
Press
FAULT
RETAIN. To
To
Y
USES:
STATUS:
HR
ALARM
STATUS:,
exit the
exit
the
ECG
SIZE
Figure
REV:
Info
Menu
Test
Menu
to
2-5.
Manufacturing
Revision EPROM;
update
(user
Revision
microprocessor with
any
Records
may
RETAIN
Retains codes
RETAIN
to
scroll
press
scroll
listed
V ECG
and
return
and
return
down
any
through
Info
Menu
date
number
changes
cannot
number
EPROM;
EPROM
the
number
or
CLEAR
coded in
Section 3 on
or
CLEAR
the
SIZE & to
to
the
to
normal
to
EXIT,
then
(user
cannot
for
system
automatically
change).
for
the
update
of
instrument
codes.
selections.
Test
microprocessor
display/recorder
changes
(user
defibrillator
the
number.
errors
page
For
toggle
Menu,
operation,
press
between
press
HR
change).
with
any
EPROM
automatically
cannot
change).
discharges;
using
3-46;
user
DEFIB
USES:
CLEAR
the
LEAD
press
ALARM.
user
error
may
or
and
SELECT.
©
October
1993
Physio-Control
Corporation
All
Rights
Reserved
2-9
LIFEPAK
9P
defibrillator/monitor/pacemaker
Clock
Setti
ng
To
set
the
clock
which
is
displayed
on
the
CRT
and
recorder,
do
the
-
Procedure
following:
1.
Press
TIME/DATE
mode. corner highlighted.
Press setting.
increases
Press desired
To field.
The
of
the
TIME/DATE
Each
by
MODE
value.
exit
the
monitor
clock
MODE
displays
CRT
as
SET
time
the
one
increment.
again
to
Repeat
setting
on
the
the
shown
in
on
the
rear
pushbutton
advance
this
to
set
mode,
to
rear
panel
current
Figure
panel is
pressed,
the
next
the
entire
press
MODE
clock
2-6.
to
field.
to
initiate
setting
The
single
change
the
Press
time
and
again
the
in
the
value
SET
date.
after
clock
setting
the
lower
minutes
single
minute
of
the
field
to
select
selecting
left
field
the
the
is
day
CLOCK
SETTING
Asas
PADDLES X1.0
Figure
93
09:20
2-6
Clock
Set
200
_
JOULES
SELECTED
Display
2-10
All
Rights
Reserved
©
October
1993
Physio—Control
Corporation
Testing
Introduction
This
_
LIFEPAK
e e
section
9P
The
Performance
The
Test
describes
defibrillator/monitor/pacemaker.
and
how
to
test,
Inspection
Calibration
Procedure (TCP)
calibrate,
Procedure
and
(PIP)
troubleshoot
Topics
cover:
the
Performance
Inspection
Procedure
PIP-Purpose
(PIP)
e © Troubleshooting
Note:
This
defibrillator/monitor/pacemaker
|
instrument Checklist If Procedure locating
This performing
maintenance
Prefixes PIP— TCP—
Performance
case
(page
the
instrument
(page
any
PIP
checks
failed
within
check
Aids.
are
used
to
distinguish
identifies
identifies
Inspection
does 3-21)
fails
3-23)
whether
Performance
Test
Procedure
not
need
may
be
any
part
and
the
subassemblies.
the
LIFEPAK
specifications.
and
after
any
and
to photocopied
of
Troubleshooting
testing
Inspection
Calibration
(PIP)
is
performing
be
opened
the
PIP,
refer
9P
Perform
repair
or
steps.
Procedure
Procedure
steps.
steps.
checks
to
perform
and
defibrillator/monitor/pacemaker
the
calibration.
whether a LIFEPAK
within
specifications.
the
used
to
record
to
the
Test
Aids
(page
PIP
regularly
PIP.
The
PIP
the
PIP
and
Calibration
3-46)
for
as a periodic
9P
The
results.
help
in
is
170047-000
©
October
Orig
1993
Physio-Control
Corporation
All
Rights
Reserved
3-1
LIFEPAK
-
9P
defibrillator/monitor/pacemaker
PIP-Scope
and
Applicability
-This
monitor/pacemaker. LIFEPAK
respective
PIP
applies
9A,
or
service
to
all
configurations
This
PIP
LIFEPAK
manuals
of
the
LIFEPAK
does
not
apply
to
the
9B
defibrillator/monitors;
for
testing
information.
9P
defibrillator/
LIFEPAK
refer
to
9, their
PIP-Definitions
PIP-Requirements
PIP-Required
Equipment
Acronyms BPM
DMM ECG PIP
QRS
or
QRS
NSR
P-P
ppm
Note:
Pushbuttons messages
The
requirements
below
along
Performing specific equivalent
test
used
in
this
procedure
Complex
are
indicated
are
indicated
for
test
equipment,
with
important
this
PIP
requires
instruments
specifications
are
may
are:
Beats
Per
Minute Digital Electrocardiogram Performance Refers
Normal
Multimeter
to
portions
Sinus
-
Inspection
Rhythm
peak-peak
Pulse
Per
Minute
in
CAPITAL
in
BOLD
safety
information.
the
equipment
recommended,
be
used.
CAPITAL
workstation,
listed
other
of
the
LETTERS
and
in
test
Procedure
ECG
waveform
and
LETTERS.
personnel
Table
3-1.
equipment
displayed
are
listed
Although
with
Equipment
Defibrillator
Energy
ECG
Leakage
Safety
*
Meter
simulator
Tester/
Analyzer
Equivalent
equipment
is
required
Table
Power Load
3-1
Range:
Resistance:
Accuracy:
Defib
Waveform Attenuation: with
oscilloscope
Accuracy:
110Vac
230Vac
Line Current Current Resistance
Line
Current
2001A/5%
20001A/1%
Resistance
to
meet
or
PIP
Test
Specifications
0-400J
500
t1%
+3%
Amplitude
1000:1
1%
of
Voltage: Range: Accuracy:
Accuracy:
(minimum)
output
selected
rate
0-2000UA
£1%
+1%
Voltage:
Range/Accuracy:
of
reading
of
reading
Accuracy:
exceed
the
+1%
specifications
Equipment
|
listed
in
Bio-Tek
Bio-Tek
Dynatech
equivalent*
Dynatech
uivalent*
“4
the
specifications
Manufacturer QED-6
QED-6
or
or
Nevada
Nevada
column.
equivalent*
equivalent*
232,
432
HD,
or
or
3-2
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Reserved
170047-000
O
October
Orig
1993
Physio-Control
Corporation
Testing
3
Equipment
Pacing
Patient
Pacing Digital
Recorder
Metric
paper
Timer
Tester/Simulator
Cable
Cable
Multimeter
paper
ruler
Components Leads
Detect
(construction
Figure
*
3-8,
Equivalent
Table
Peak
current:
Output
3-lead,
3-lead,
2-conductor
(DMM)
or
recorder Resolution:
for
Pacemaker
check
defined
page
equipment
in
3-19)
is
4
DC 50mm
1
R1 R2
R3 CI
required
1/2
Voltage
second
to
meet
3-1
PIP
Specifications
frequency:
AHA
or
IEC
digits
Accuracy:
(use
only
Imm
resolution
Resistor, Resistor,
Resistor, Capacitor,
or
exceed
Test
Equipment
7-250mA 40-170ppm
+2%
+3%
|
0.1%
of
reading
Physio-Control
divisions
1.0kQ,
10kQ,
1000,
the
1/8W,
1/8W,
1/8W,
15nF,
50V
specifications
paper)
1%
1%
1%
listed
(cont.)
|
in
the
Manufacturer
Bio-Tek
Physio-Control
Physio-Control
Physio-Control Fluke
QED-6
Model
or
PN
PN
PN
8012A
equivalent* Physio-Control
Recorder
PN
804700
Aristo
or
Physio-Control Physio-Control
Physio-Control Physio-Control
specifications
PN
paper:
equivalent
PN PN
PN PN
column.
equivalent*
9-10418-02
800947-01
802905
or
804700
Physio-Control
200054-193 200054-288
200054-097 201628-007
Caution
PIP-Test
Equipment
Verification
PIP-Workstation
PIP-Personnel
Possible
Equipment
Physio-Control
may
not
print
legibly.
All
test
equipment
label
affixed
certified
The
ac
power
Personnel of
the performing education
e
Associate biomedical
e
Certificate biomedical
to
its
calibration
line
power
source.
performing
LIFEPAK
this
or
experience:
of
PIP
of
Damage.
(PN
804700).
used
in
exterior.
facility.
for
this
workstation
this
PIP
9P
defibrillator/monitor/pacemaker. must meet
applied
electronics
technical
electronics
science
Be
sure
Other
paper
performing
The
the
calibration
must
must
be
at
least
degree
training
in
to
use
only
may
PIP
must
label
be
connected
thoroughly
one
of
the
with a major
electronics
recorder
damage
the
printhead
have a current
must
be
issued
to a grounded
familiar
following
with a major
with
In
addition,
levels
emphasis
paper
from
calibration
by
a
the
operation personnel of
in
emphasis
and
in
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October
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1993
Physio-Control
®
Corporation
Equivalent
biomedical
All
Rights
electronics
Reserved
experience.
3-3
LIFEPAK
9P
defibrillator/monitor/pacemaker
Warning
Warning
PIP-General
Instructions
SHOCK LIFEPAK electrical safely death. familiar defibrillator/monitor/pacemaker.
POSSIBLE
defibrillator securely on formation electrode
The are
designed input you
HAZARD.
9P
energy
as
described
Do
not
with
and
the
left,
APEX
of
surfaces
following
to
of
30bpm
are
instructed
When
charged
defibrillator/monitor/pacemaker
through
attempt
the
operation
ARCING
into
the
properly
paddle
pits
on
can
sections
be
executed
is
specified
to
the
in
this
PIP,
to
perform
AND
internal
stored
on
paddle
cause
are
the
change
defibrillator
this
of
the
LIFEPAK
PADDLE
test
load,
in
the
the
right).
electrode
patient
actual
in
sequential
for
one
it.
and
discharged
paddles.
electrical
this
procedure
DAMAGE.
make
paddle
test
storage
This
surfaces.
skin
burns
PIP
steps
order.
it
also
discharges
Unless
energy
9P
sure
helps
may
unless
the
area
prevent
Pitted
during
to
be
performed.
For
instance,
applies
during
When
to
this
PIP,
up
to
360J
discharged
cause
injury
you
are
thoroughly
discharging
standard
(STERNUM
or
defibrillation.
arcing
damaged
if a heart
the
next
paddles
paddle
and
paddle
These
test
the
of
or
the
are
steps
rate
unless
PIP-Physical
Inspection
Before power
e
e
e
®
e
e
beginning
cord
Inspect
including
Inspect
defibrillation
other
foreign
Inspect Remove
Inspect
debris.
Inspect cracks,
Open
the
batteries
Press
the
Press
ON display uniform
the
from
the
ac
all
exterior
fluid
spills,
paddies
recorder
dust
all
the
breaks,
is
mechanical
for gel, matter
for
or
foreign
external
power
bent
battery
are
installed.
ON
pushbutton
again
and
blank).
PIP-Physical
power
source.
surfaces
pitted
and
from
ease
connections
cord
or
door
make
Then
resistance.
for
cracks
integrity
electrode
paddles
of
door
matter
and
all
broken
on
the
Close
and
sure
press
and
bottom the
confirm
all
Inspection,
signs
dents.
of
cables
and
operation
inside
for
cables
connector
door
be
of
abuse
plates,
and
paddle
recorder.
bent,
broken,
and
accessories
pins,
of
the
and
that
the
green
LED
other
pushbuttons
sure
to
disconnect
or
other
presence
switches.
and
instrument
make
the
of
wells.
positive
or
corroded
or
other
sure
green
LED
is
off
and
and
damage,
dried
Remove
latching.
pins,
for
damage,
signs
of
wear.
and
make
it
latches
properly.
illuminates.
power
is
check
them
the
gel
sure
off
ac
or
and
(the
for
All
Rights
Reserved
170047-000
©
October
Orig
1993
Physio-Control
Corporation
PIP-AC
Power
1.
Connect
2.
If power switch, step
Dash
If of
3.
Press illuminates.
4.
Confirm
the
the
dash
module
locking
3.
Numbers
the
dash
the
rear
ON
that © 1990,
instrument
number
clip
the
805460-01 805460-03 805460-10
number
panel
power
to
apply
to
of the
is
installed
switch
with
of
the
switch
power
PCC
ac
power.
instrument
at
the
to
the
power
Power
instrument
to
Module
to
place
the
instrument
is
displayed
is
listed
bottom
on
is
not
it
in
for
below,
of
(I)
Clip
listed
the
and
at
confirm
the
rear
panel
position.
installed
above,
on
(I)
position.
confirm
least 5 seconds.
Then
press
that
that
power
go
the
the
the
on
to
bottom
ON
LED
Testing.
3
PIP-Battery
Charge
5.
With
BATT
Confirm
monitor
that
displays
LEAD
|
x1.0
©1990,
Figure
instrument
CHRG
is
displayed
within
the
II
РСС
3-1
power
10
seconds
power-on
Power-On
on
and
in
the
after
information
SELECTED
Display
the
ac
power
lower
left
the
instrument
as
р
200
JOULES
source
corner
is
shown
of
in
connected,
the
display.
turned
Figure
confirm
on,
3-1.
the
that
PIP-Battery
170047-000
©
October
Orig
1993
Power
Physio—Control
Corporation
1.
With
source.
displayed.
2.
Reconnect
instrument
Confirm
the
ac
All
power
that the
power
Rights
on,
disconnect
display
cord
and
Reserved
the
remains
press
ON
power
on
but
to
turn
cord
from
BATT
CHRG
off
instrument
the
ac
power
is
not
power.
3-5
LIFEPAK
9P
defibrillator/monitor/pacemaker
PIP-Setup
Menu
Settings
This
procedure settings down of the
1. To
required
the
PIP.
access
Simultaneously
press
2.
Continue
SELECTED Figure
describes
current
the
ON.
holding
3-2.
SELECTED TEST:
INFO DEFIB DISPLAY RECORDER
SETUP
PACER EXIT
©
1990,
for the
rest
settings
Setup
Menu,
press
LEAD
TEST: This
and a list
information
PCC
how
so
and
of you
to
access
the
PIP.
can
make
hold
LEAD
SELECT
of
is
the
Before
restore
sure
instrument
SELECT
and
HR
tests
are
the
Test
Setup
Menu
changing
these
settings
and
ALARM
displayed
Menu.
and
any
at
power
HR
uatil
as
shown
select
the
settings,
the
completion
is
off.
ALARM,
the
message
in
proper write
then
3.
Press W ECG SETUP
in user
and
Figure
settings
SELECTED TEST:
SETUP LANGUAGE:
RECORDER: NOTCH: LEADS LEAD: HR
ALARM
Figure
SIZE À to
then
3-3.
Before
so
NOTCH:
LIMITS:
VOL:
Figure
press
you
3-3
3-2
scroll
HR
changing
can
restore
Setup
Test
through
ALARM
any
them
DIAG 60HZ NO LEAD 150
120 160
040
060
8
Menu
Menu
to
display
settings,
after
II
090
the
Test
the
write
completing
Menu.
Setup
down
the
Scroll
Menu
the
current
PIP.
to
as
shown
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Reserved
170047-000
©
October
Orig
1993
Physio-Control
Corporation
4.
Press
V
‘5.
To
LANGUAGE:,
Leave
HR
ECG
SIZE À to
exit
and
the
ALARM
LANGUAGE: RECORDER:
NOTCH:
LEADS LEAD: HR
LIMITS:
|
ALARM
store
the
then
Test
Menu
to
scroll
change
NOTCH:
VOL:
changes,
press
displayed
through
an
option
press
LEAD
SELECT
for
the
available
selection.
Match DIAG
Match
NO
LEAD 150 120
040
8
HR
ALARM
to
the
next
selections.
Select:
local
requirements
local
line
II
060
to
scroll
return
to
test,
PIP-Keypad
Press
requirements
160
090
back
to
the
Test
Menu.
Test.
Testing
3
PIP-Keypad
Test
1.
2.
The
Keypad
Figure
step.
Press Y ECG
to
start
Press
the
the
following
Test
3-2)
which
the
Keypad
front
order:
Front PACER
LEAD
w
RATE
RATE
y
ECG
ECG
SIZE
ENERGY
w
ENERGY HR
ALARM CHARGE CODE
RECORD
|
SYNC
is
initiated
should
SIZE & to
Test.
panel
pushbuttons
Panel:
-
SELECT
A
SIZE
A
SELECT
SELECTA
SUMMARY
from
be
displayed
scroll
the
and
Test
Menu
from
to
KEYPAD,
then
the
the
rear
(as
end
then
panel
shown
of
in
the
previous
press
pushbuttons
HR
ALARM
in
170047-000
©
October
Orig
1993
Physio—Control
3.
Corporation
Press
Rear NON-DEMAND
V
QRSVOL
QRS
MODE
1mV
SET
the
APEX
Panel:
VOL A
CAL
paddle
All
Rights
PACE
CHARGE
Reserved
pushbutton.
3-7
LIFEPAK
9P
defibrillator/monitor/pacemaker
Press
Press
the
APEX
STERNUM
paddle
paddle
discharge
discharge
pushbutton;
pushbutton;
confirm
confirm
no
no
beep
beep
sounds.
sounds.
PIP-Lead
Select
Simultaneously beep
sounds.
Confirm
SELECT
in
the
order
displays
to
the
Test
press
HR
through
To
exit
to
EXIT
1.
Use
the
Set
the
Press
LEAD
ali
lead
that the
to
return
listed
KEYPAD:
Menu.
ALARM
7.
the
Keypad
and
press
patient
ECG
simulator
SELECT
(I,
II,
III)
press
both
paddle
monitor
to
above,
Then
to
HR
cable
displays
the
Test
or
FAULT.
press W ECG
restart
Test
after
ALARM
to
connect
Menu.
if
there
In
the
completion,
to
for a 60
repeatedly
configurations.
discharge
KEYPAD:
If
the
is a pushbutton
this
case,
SIZE À to
Keypad
the
bpm-NSR
Test,
resume
ECG
and
confirm
pushbuttons;
OK,
then
pushbuttons
press
LEAD
scroll
and
repeat
press W ECG
normal
operation.
simulator
signal.
that
the
confirm
press
are
failure,
SELECT
to
KEYPAD,
steps
SIZE À to
to
the
instrument.
signal
that
LEAD
not
pressed
the
monitor
to
return
2
scroll
displays
a
in
PIP-Recorder
Speed/Baseline Centering
1.
2.
Confirm
Set
the
ECG
Press
RECORD,
select
STD.
RECORD
Measure
trace.
Confirm
Measure the
baseline
there
is
simulator
Let
to
stop
the
distance
the
baseline
is
centered
paper
let
the
the
that
in
the
recorder.
for a 60bpm-NSR
the
recorder
recorder
run
recorder.
between
the
centering
the
distance
of the
within
+1mm.
between
run
for
for
an
additional
maximum
recorded
signal
in
LEAD
approximately
peaks
consecutive
STD
10
seconds,
of
the
peaks
trace.
10
il.
seconds,
then
recorded
Confirm
is
25
ECG
+1mm.
then
press
that
3-8
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October
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1993
Physio-Control
:
Corporation
Testing
3
PIP-ECG
PIP-imV
Display
CAL
Confirm
Confirm
In
recorder page
Figure
order
3-6.
that
that
to
the
all
3-4
perform
must
be
flatline
messages
set
display
Display
this
test
to
DIAG
are
the
as
on
the
clearly
with
Flatline
LEADS
described
CRT
appears
visible
ECG
NOTCH
in
as
shown
Trace
must
the
PIP-Setup
level
and
in
Figure
be
set
centered.
3-4.
to
NO
and
Menu
Settings
the
on
1.
|
2.
“once.
Confirm
(press
Press
that
LEAD
RECORD,
Confirm
as
illustrated
printed
trace).
Figure
the
STD
SELECT
then
that a 10.0
in
Figure
3-5
1mV CAL
lead
remains
if
necessary
press
the
+0.5mm
3—5
(check
Pulse
selected
to
select
1mV
CAL
p-p
measurement
from
the
previous
STD).
pushbutton
calibration
on
pulse
from
the
the
PIP
ーー
rear
is
printed
center
test
panel
out
of
the
170047-000
October
O
Orig
Physio-Control
1993
Corporation
Rights
All
Reserved
3-9
LIFEPAK
9P
defibrillator/monitor/pacemaker
PIP-CRT
Gain/Aspect
Ratio
PIP-Heart
Rate
1.
Select
2.
Set
the
3.
Adjust V ECG
4.
Press
5.
Confirm 20
+1mm
1.
With
2.
Set
the
systole each
3.
Return
LEAD
UI.
ECG
simulator
SIZE A for a 34
RECORD.
that
the
signal
p-p.
LEAD
QRS
Il
selected,
ECG
simulator
indicator
(the
complex
Input Rates
30 60 60
240
the
ECG
simulator
for a 60bpm-NSR
amplitude
set
ECG
for
the
input
heart-shaped
and
that
the
(bpm)
30
240
selection
signal.
+2mm
p-p
printed
Size
to
X1.0.
rates
listed
symbol)
displayed
HR
+2bpm +2bpm
+Sbpm
to
60bpm-NSR.
ECG
display
on
the
ECG
below.
flashes
HR
corresponds:
paper
Confirm
on
the
signal.
is
that
display
with
the
PIP-Rate
Alarms/
Alarm-Activated
Record
1.
Press
HR
is
displayed
2.
While
twice
and
3.
Press
HR
about 2 seconds
4.
Set
the
alarm
16
seconds.
5.
Confirm
6.
Press
HR
7.
Decrease that
the
approximately
8.
Press
HR
ALARM.
in
|
150/40
confirm
ALARM
ECG
simulator
sounds,
that
the
ALARM
the
ECG
alarm
ALARM
Confirm
reverse
remains
that
to
display
150/40
the
150
heart
and
confirm
simulator
sounds,
16
seconds.
and
confirm
that
the
video.
displayed
120/60
displays
rate
flashes,
rate
the
in
and
150/40
in
to
greater
and
printed
that
rate
40
flashes,
that
HR
reverse
160/90
in
reverse
normal
than
the
recorder
on
the
the
alarm
to
30bpm.
and
the
alarm
ALARM
video,
display
video.
video.
150bpm.
runs
printout
stops.
Press
the
recorder
stops.
LED
is
on
and
press
HR
ALARM
consecutively.
Confirm
Confirm
for
is
151bpm
HR
ALARM.
runs
that
approximately
or
for
150/40
that
after
the
higher.
Confirm
3-10
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Reserved
170047-000
O October
Orig
1993
Physio-Control
Corporation
PIP-Recorder
Annotation/
Real-Time
Clock
Set
the
Set
the
panel
to
the
desired
advance
Press
RECORD
and
time
ECG
simulator
instrument
display
to
value
the
next
the
in
and
annotated.
to
to
local
clock
the
displayed
field.)
confirm
60bpm.
time.
(Press
setting;
the
recorder
TIME/DATE
press
TIME/DATE
field,
then
press
begins
printing
MODE
SET
TIME/DATE
on
to
increment
with
the
MODE
the
rear
to
to
date
Testing
3
PIP-Test
Load
PIP-Sync/Sync Annotation
Confirm
Press
Make instrument.
Press W ENERGY
2001.
Press
After paddle Confirm
and
Press
simulator
Press
matker
wave,
that
the
RECORD
sure
the
CHARGE.
the
defibrillator
discharge
that
TEST
annotates
LEAD
SELECT
for a 60bpm-NSR
SYNC.
(the
inverted
and
the
paddles
on
Confirm
SYNC
time
is
accurate
to
stop
the
recorder.
are
stored
SELECT A as
reaches
pushbuttons
200
JOULES
the
recorder
to
set
that
triangle)
pushbutton
to
in
necessary
full
charge,
to
transfer
DELIVERED
printout.
the
instrument
signal.
SYNC
MODE
is
clearly
LED
within
the
+1
paddle
to
simultaneously
the
energy
to
displays
visible
flashes.
minute.
storage
set
the
into
displays
LEAD
on
on
each
area
energy
press
the
on
II.
Set
the
CRT,
displayed
of
the
level
test
the
the
to
both
load.
monitor
ECG
the
sync
R
170047-000
O
October
Orig
1993
Physio-Control
Corporation
Place
the
paddles
V
ENERGY
Press
CHARGE. simultaneously the
energy
Confirm
DELIVERED the
printed
Confirm
off,
and
SELECT A if
is
discharged
that
the
and
ECG
that
the
no
sync
in
the
After
the
press
and
recorder
the
sync
trace.
SYNC
markers
All
Rights
paddle
storage
necessary
defibrillator
hold
both
into
the
test
prints
the
markers
MODE
Reserved
are
visible.
display and
area
to
set
reaches
paddle
load.
message
are
clearly
of
the
defibrillator.
the
energy
full
charge,
discharge
SYNC
TEST
visible
SYNC
pushbutton
Press
level
to
200].
pushbuttons
200
JOULES
on
each R wave
LED
until
on
are
3-11
LIFEPAK
9P
defibrillator/monitor/pacemaker
PIP-Recorder/CRT
Noise
PIP-Defib CHARGE
Disarm
LEDs
Check
and
1.
Short
2.
Set
the
3.
Press
4.
Confirm
5.
Select least
10
baseline
Note:
6.
1.
The approximately
Return off
the
Press Y ENERGY
Press
together
ECG
RECORD
PADDLES
the recorder.
the
the
gain
to
that
the
seconds,
noise
is
ECG
signal
paddles
CHARGE
RA
and
LL
leads
to
X4.0.
Select
start
the
recorder.
CRT
and
recorder
electrodes.
and
then
less
than
that
10
seconds
to
the
Short
confirm
3mm
is
displayed
paddle
SELECT A and
pushbutton.
of
LEAD
baseline
the
that
p-p.
before
storage
set
the
patient
I.
paddle
the
on
the
being
area.
the
energy
cable.
noise
plates
CRT
and
CRT
printed
Press
is
less
together,
the
is
delayed
by
the
RECORD
level
to
than
3mm
wait
recorder
recorder.
to
OJ.
p-p.
at
turn
PIP-Paddle
Polarity
3.
Confirm
continues
4.
Press Y ENERGY
5. . Press
6.
7.
CHARGE
paddle
Confirm reached.
Simultaneously
charge. the
message
1.
Set
the
2.
Press
LEAD
from
the
3.
Hold
the
LL,
STERNUM
is
visible
that
the
CHARGE
to
display 0 JOULES
and
CHARGE
that
Confirm
the
press
LEDs
LEDs
that
TEST
ECG
simulator
SELECT
paddles
paddles
storage
on
on
on
the
CRT.
LED
SELECTA
confirm
flash
remain
both
the
200
JOULES
to
that
during
on
paddle
CHARGE
for a 60bpm-NSR
to
select
PADDLES
area.
the
ECG
simulator
RA)
and
confirm
does
not
light
and
SELECTED.
set
the
selected
both
the
the
charge
anda
tone
discharge
LEDs
front
are
energy
panel
cycle.
sounds
pushbuttons
off
and
DELIVERED.
signal.
lead
and
output
that a positive-going
connections
that
the
and
when
to
the
remove
CRT
to
200).
the
APEX
full
charge
transfer
recorder
the
prints
paddles
(APEX
QRS
complex
is
the
on
3-12
4.
Return
the
paddles
All
Rights
to
the
paddle
Reserved
storage
area.
170047-000
©
October
1993
Orig
Physio-Control
Corporation
PIP-Charge
PIP-Discharge
Time
Control
1.
Press Y ENERGY
sure
the
2.
Simultaneously
the
defibrillator
displayed
time
is
less
3.
Press
the
energy displays
1.
Press Y ENERGY
into the
paddles
message
than
paddle
test
on
the
CRT
SELECT A to
are
securely
press
CHARGE
reaches
10
discharge
full
360
JOULES
seconds.
pushbuttons
load.
Confirm
and
three
SELECTA
set
stored
and
charge
AVAILABLE).
that
tones
to
set
the
energy
in
the
start
the
(as
indicated
level
paddle
timer.
Confirm
simultaneously
TEST
USE
sound.
the
energy
level
to.360J.
storage
Stop
by
the
to
200
JOULES
to
area.
the
timer
tone
and
that
the
transfer
360].
Make
when
the
charge
the
Testing
3
Warning
PIP-Energy
Dump
SHOCK
cords
away
described
2.
Remove away
or
any
3.
After displayed extended shaking
that
no
4.
Return
4.
Simultaneously energy
1.
Place
HAZARD.
from
your
in
the
following
the
paddles
from
the
paddle
other
object.
the
defibrillator
message and
away
the
paddles
discharge
the
paddles
is
discharged
the
paddles
Help
body
steps.
from
wells
Press
reaches
360
from
and
occurs.
to
the
press
both
into
on
the
avoid
injury
and
away
the
paddle
at
least
CHARGE.
full
JOULES
your
coil
cords
paddle
discharge
the
test
energy
meter
by
holding
from
any
other
storage
three
feet
charge
AVAILABLE)
body
storage
load.
(indicated
or
any
with a moderate
area.
pushbuttons
electrodes.
the
person
area.
and
away
keep
other
and
paddles
or
Extend
from
by
the
the
coil
object
motion.
confirm
and
object
the
coil
your
tone
and
cords
while
Confirm
that
coil
as
cords
body
the
the
i
170047-000
©
October
Orig
1993
Physio-Contro!
Corporation
2.
Press À ENERGY
3.
Press
4,
After
the
5.
Confirm paddles
CHARGE.
instrument
CHARGE
to
the
.
SELECT W and
charges
REMOVED
paddle
All
storage
Rights
Reserved
to
360J,
is
displayed
area.
set
the
change
energy
the
energy
and
tones
level
to
sound.
360J.
level
to
300J.
Return
the
LIFEPAK
9P
defibrillator/monitor/pacemaker
PIP-Charge
Reduction
1.
Leave
SELECT Ÿ and
2.
Press
CHARGE.
3.
When energy should
4.
Confirm you
start
and
confirm
the
paddles
full
charge level scroll
that
the
set
is
to
1J
and
to 1J
full
charge
timer.
that
the
stored
in
the
paddle
the
energy
reached,
press
and
press
Simultaneously
energy
of
start
CHARGE
CHARGE
1J
is
level
is
reached
discharged
storage
to
360).
the
timer and
(to
within a few
press
area.
perform
within
both
discharge
into
the
Press & ENERGY
immediately
this
test
properly,
seconds).
20
seconds
test
or
pushbuttons
load.
change
less
after
the
you
PIP-Delivered
PIP-CODE
Energy
SUMMARY
Report
Connect
confirm
Energy
1.
Press
2.
Place
to
the
that
Setting
y
27. 3] 4 SJ
6 77
8
9
ON
the
set
the
paddles
the
Table
to
delivered
3-2
|
twice
to
paddies
instrument
the
energy
energy
meter
is
within
Delivered
electrodes.
tolerances
Energy
Tolerance | Energy
34021
+02
30.31] 3041] +0.5J
30
61
30.11 +0.8J
+0.9J
switch
on
the
to
instrument.power
energy
meter
LEAD
Il.
°
'
electrodes.
3601
Refer
Tolerances
Setting
103
20 303 50]
1001
2001
3001
off
then
for
each
on.
Press
to
Table
energy
Tolerance
+1.0J
2.01] +2.1J +3.5J +103
+14.0J +210]
325.21
LEAD
SELECT
3-2 and
level.
3-14
3.
Connect 60
bpm-NSR
4.
Press
SYNC.
5.
Press & ENERGY
6.
Press
CHARGE.
and
displayed
paddle
meter.
the
ECG
signal.
message
discharge
All
Rights
simulator
to
the
SELECT W and
When
full
charge
200J
AVAILABLE),
pushbuttons
Reserved
to
patient
set
the
is
reached
transfer
the
cable
and
set
for
energy
©
level
to
(as
indicated
simultaneously
energy
170047-000
October
into the
Orig
1993
a
2001.
by
the
tone
press
both
energy
Physio—Control
Corporation
7.
8.
9.
Press
RECORD
Press
CODE
Confirm the
data
_
twice
SUMMARY.
that
the
format
shown
COMMENTS
in
Figure
to
switch
and
3-6.
the
recorder
appearance
of
on,
the
recorded
then
off
quickly.
data
is
similar
Testing
to
3
PRESHOCK
LEAD
SUMMARY
COMPLETED
Figure
3-6
Example
Il
X1.0
LEAD
of
Il
CODE
X1.0
SUMMARY
POSTSHOCK
Printout
LEAD
II
X1.0
170047-000
©
October
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1993
Physio—Control
Corporation
All
Rights
Reserved
3-15
LIFEPAK
9P
defibrillator/monitor/pacemaker
PIP-Pacemaker
PIP-Pacing
Rate
Power-Up
1.
Connect
pacing
2.
Press
displays
Make
pacing
2.
Turn 55mA.
the
3.
Press À RATE Ÿ as
RECORD the arrows the
the
simulator
PACER
the
sure
simulator
the
rotary
Confirm
display.
printout
at
the
distance
patient
following:
the
to
indicates
between
cable
and
with
pacing
and
confirm
DEMAND
pacing
print a recording.
bottom
with
PACER
the
PACER
needed
of
pacing
cable
pacing
knob
the
pacer
the
pacing
simulator
the
PACER
PACING,
is
connected
simulator
to a current
LED
flashes
to
increase
Examine
rate,
printout)
spikes
is
cable
to
power
LED
to
the
power
level
with
the
pacing
the
current
at
each
10
+1mm.
the
instrument
off.
illuminates
LEAD
II,
60
instrument
off.
between
each
new
rate
printout
level,
pacing
and
and
spike.
and
PPM,
50mA
pacer
to
150ppm.
confirm
pace
and
to
the
CRT
COMA.
and
the
and
spike
markers
Confirm
the
on
Push
that
(the
that
PIP-Demand
Pacing
4.
Adjust
sequentially
5.
Adjust confirm
1.
Make
to
130mA
2.
Set
on.
the
R-wave
3.
Set
complexes
LED
the
the
that
sure
the
pacing
Make
PACER
markers
the
pacing
does
rate
to
stepping
pacing
the
distance
the
pacing
and
confirm
simulator
sure
the
LED
flashes
which
simulator
and
R-wave
not
repeatedly
170ppm.
down
rate
to
60ppm. between
simulator
that
rate
pacemaker
off
are
rate
markers
flash
Confirm
the
the
to
and
that
rate
in
10ppm
Print
and
pacing
power
is
instrument
40
and
turn
pacing
rate
on
in
conjunction
displayed.
to
80.
Confirm
are
displayed.
off
and
on
each
rate
level
is
increments
examine a printout
spikes
off.
is
Turn
remains
the
pacing
is
set
to
that
Confirm
but
remains
25
60ppm.
with
normal
to
1mm.
the
CURRENT
in
the
demand
simulator
the
QRS
that
on
continuously.
selectable
40ppm.
by
and
knob
mode.
power
Confirm
R-waves
the
that
and
PACER
3-16
All
Rights
Reserved
170047-000
©
October
Orig
1993
Physio-Control
Corporation
Testing
3
PIP-Non-Demand
PIP-Pacing
Warning
Leads
Pacing
Off
1.
Make
rate
2.
Press
confirm
3.
Press
pacer
1.
Make
rate
SHOCK
pacing
portion
2.
Turn leads pacemaker
PACING
sure
the
set
to
80.
NON-DEMAND
that
RECORD
spikes
sure
the
set
to
80.
HAZARD.
cable
leads
of
the
pacing
the
CURRENT
from
the
emits a continuous
LEADS
pacing
R-waves
is
pacing
simulator
PACE
are
to
print a recording.
25
+1mm.
simulator
Hazardous
when
pacing
cable
lead.
knob
pacing
simulator
OFF.
power
on
the
rear
displayed.
power
electrical
is
active.
to
7mA.
Disconnect
and
confirm
beeping
is
on
with
panel
of
Confirm
is
on
with
voltages
Do
not
the
sound
and
the
pacing
the
instrument
that
the
the
pacing
are
present
touch
the
one
of
monitor/defibrillator/
displays
simulator
and
distance
between
simulator
at
the
uninsulated
the
pacing
the
message
cable
PIP-Leakage
Current
3.
Press
PACER
4.
With
the
pacing clockwise. one-second
Check
AAMI/ANSI
American CSA Electrotechnical
Laboratories)
leakage
(Canadian
Confirm
tones
current
(Association
National
Standards
Commission)
544.
twice
to
cable
still
that
and
displays
in
accordance
for
Standards
Association)
turn
the
pacemaking
disconnected,
the
monitor/defibrillator/pacemaker
the
message
with
the
Advancement
Institute)
601-1,
ES1-1985,
C22.2,
IEC
function
turn
the
PACING
the
following
of
AAMI/ANSI
IEC
601-2-4,
CURRENT
Medical
(International
and
off
and
on
again.
knob
emits
LEADS
OFF.
standards:
Instrumentation/
DF2-1989,
UL
(Underwriters
fully
3
170047-000
October
O
Orig
Physio-Control
1993
Corporation
Rights
All
Reserved
3-17
LIFEPAK
9P
defibrillator/monitor/pacemaker
GROUND
C
C)
Because
tests,
PIP-Pacemaker Analyzer performing summarized 50Hz. connect on
STUD
>)
of
specific
When
the
the
ac
the
wide
instructions
Leads
operator’s
these
tests.
in
Table
measuring
ohmmeter
power
connector
variety
are
Detect
manual
The
3-3
for
ground
between
as
of
Safety
not
provided
Current
for
instructions
maximum
120Vac,
resistance
the
rear
shown
in
GROUND
Analyzers
in
this
described
about
allowable
60Hz,
and
for
the
panel
ground
Figure
3-7.
PIN
that
may
PIP
except
below.
Refer
configuring
leakage
in
Table
leakage
stud
A
be
used
for
the
to
your
and current 3-4
for current and
the
OHMMETER
for
these
Safety
is
230Vac,
tests,
ground
pin
PIP-Pacemaker
Detect
Current
DEFIBRILLATOR/MONITOR
Figure
Leads
3-7
To the
Test
measure
Pacemaker
steps:
1.
Make
2.
Connect
in
3.
Select
Connections
the
leakage
Load
sure
the
the
Figure
3-8.
the
DMM
REAR
PANEL
for
current
as
shown
instrument
Pacemaker
200mV
Ground
for
in
power
Load
ac
Resistance
the
Pacemaker
Figure
is
to
the
range.
3-8.
Then
off.
instrument
Measurement
Leads
Detect,
perform
and
the
construct
the
following
DMM
as
shown
3-18
All
Rights
Reserved
170047-000
O
October
Orig
1993
Physio-Control
Corporation
0 O
DMM
4.
Turn
on
OmA.
Confirm
(<19.6mV <201A
the
instrument
that
as
measured
current).
R2
10kQ/1%
CI
|
15nF/50V
a
3
1000/1%
power
the
and
DMM
ac
through
|+
RI
КОЛ
-
set
the
voltage
the
1kQ
pacemaker
reading
load
as
is
shown
PACING
CABLE
current
<19.6mV
in
Figure
output
3-8
TO
to
is
DEFIBRILLATOR/
MONITOR/
PACEMAKER
Testing
3
Warning
Figure
3-8
Test
ELECTRICAL
equipment these
tests
Note:
After
settings settings
on
Setup
and
how
could
completing
required were
page
for
Pacemaker
HAZARD.
to
execute
result
in
noted
3-6).
Make
not
detecting
the
PIP,
by
the
when
Leads
these
be
user
you
Detect
sure
you
tests.
Failure
excessive
sure
to
restore
during
normal
performed
Current
are
familiar
to
leakage
the
PIP-Setup
with
properly
current.
Setup
Menu
operation
Menu
your
test
perform
option
(these
Settings
170047-000
©
October
Orig
1993
Physio—Contro!
Corporation
All
Rights
Reserved
3-19
LIFEPAK
9P
defibrillator/monitor/pacemaker
Pacing,
NOTE:
Table
Parameter
Chassis
ECG
Shorted
interlead
Interlead
Interlead
Paddies,
Paddles,
All
Pacing,
1.
All
2.
Test
3.
N/A = Not
4.
Ground ground Pacemaker
5.
3-3
to
Ground
Maximum
All
RA-LA
RA-RL
LA-RL
Shorted
Paired
Leads
Paired
tests
are
procedure
resistance:
pin
Leads
Shorted
conducted
limits
in
based
Applicable.
<0.050Q
on
the
ac
power
Leads
Detect
Leakage
Closed
Ground
SOURCE
<69
<9.0 <9.0
<9.0
<9.0 <69 <69 <9.0 <9.0
both
hot/neutral
on
AAMI/ANSI
as
measured
connector
Current
<20pA
Current
Safety
(uA)
normal
Standards
between
(refer
to
Figure
(<19.6mV
for
120Vac
Open
Ground
SOURCE
<69
<9.0 <9.0
<9.0
<9.0 <69 <69 <9.0 <9.0
and reverse
with
meter
the
rear
panel
3-7).
through
and
60Hz
Safety
(uA)
polarities.
inaccuracies
ground
1kQ
load
as
Closed
SINK
stud
and
per
Safety
Ground
(uA)
<19 <19
<19
<19
<19 <19
factored
the
Figure
3-8).
in.
Pacing,
NOTE:
Table
Chassis
ECG
Shorted Interlead Interlead
Interlead
Paddles,
Paddles,
Pacing,
1.
PWN
5 *i
3-4
Maximum
Parameter
to
Ground
All RA-LA RA-RL LA-RL
Shorted
Paired
All
Leads
Paired
All
tests
are
Test
procedure N/A = Not Ground ground
resistance:
pin
Pacemaker
=
measured
Leads
Shorted
conducted
limits
in
based
Applicable.
<0.100Q
on
the
ac
power
Leads
Detect
current.
Leakage
Closed
Ground Ground Ground
SOURCE
<73
<64 <8.5 <8.5 <8.5
<24
<18 <64
<8.5
both
hot/neutral
on
IEC
Standards
as
measured
connector
Current
<<20uA
Current
for
Safety
(uA)
normal
with
between
(refer
to
Figure
(<19.6mV
230Vac
Open
SOURCE
10<
and
reverse
meter
the
rear
3-7).
through
and
Safety
(цА)
i*
<123 <A <18 <18 <18
<24
<18 <A
<18
polarities.
inaccuracies
panel
ground
1kQ
load
50Hz
Closed
SINK
factored
stud
as
per
in.
and
Figure
Safety
(A)
<24 <18 <18 <18
<384
<20
<20
the
3-8).
3-20
All
Rights
Reserved
170047-000
©
October
Orig
1993
Physio—Control
Corporation
PIP
Checklist
Performance
Physical AC
Power
Battery
Battery
Setup
Menu
Keypad
Lead
Select
Recorder
Inspection
Inspection
Charge
Power
Settings
Test
Speed/Baseline
Centering
ECG
Display
ImV
CAL
CRT
Gain/Aspect
Heart
Rate Record
Recorder Real-Time
Rate
Alarms/Alarm-Activated
Annotation/
Clock
Test
Load
Sync/Sync
Annotation
Recorder/CRT
Defib
Disarm
LEDs
Check
Paddle
Polarity
Charge Discharge
Energy
Charge
Delivered
CODE
Pacemaker
Pacing
Demand
SUMMARY
Rate
and
Time
Control
Dump
Reduction
Energy
Power-Up
Pacing
Ratio
Noise
CHARGE
Customer:
Dept/Location:
Instrument
Serial
Frequency:
Tech.
Report
Type:
Number:
Name/ID:
Pass
a O
User
settings
BU
00000
O
20000
ロロ ロロ
ロロ
ロロ
ロロ
ロロ
Fail
for
LANGUAGE:
RECORDER: NOTCH: LEADS LEAD: HR
LIMITS:
ALARM
00
00000
о
OOOO
ロロ ロロ
ロロ
ロロ ロロ ロロ
Comments
normal
NOTCH:
VOLUME:
operation
(circle
ENG ENG POR MON
50HZ
NO
or LEAD 150
040 060
12345678
or
FRE
GER
ITA
or
DIAG
or
60HZ YES Il
or
PADDLES
120 160
Date:
Model:
Last
fill
blank):
SPA
SWE
Insp:
.
090_
Testing
3
170047-000
©
October
Orig
1993
Physio—Control
Corporation
All
Rights
Reserved
3-21
LIFEPAK
9P
defibrillator/monitor/pacemaker
Performance
Non-Demand
Pacing
Leakage
Pacemaker
Restore
Pacing,
NOTE:
Leads
user
Chassis
ECG
Shorted,
Interlead
Interlead Interlead
Paddles,
Paddles,
Pacing,
Inspection
Pacing
Off
Current
Parameter
All
1.
All
2.
Test
3.
N/A = Not
4.
Ground
ac
5.
Pacemaker
Leads
Setup
to
Ground
All
RA-LA
RA-RL
LA-RL
Shorted
Paired
Leads
Paired
tests
procedure
power
(See
Menu
below)
Detect
settings
Maximum
Leads
Shorted | <9.0 <9.0
are
conducted
limits
Applicable.
resistance:
connector
Leads
(Cont.)
|
Current
Closed
<69
κο
<9.0
<9.0
|
<9.0 <69
<69
<9.0
in
based
<0.0500
(refer
Detect
Pass
O О O
Leakage
Safety
SOURCE
Limit
both
hot/neutral
on
AAMI/ANSI
as
measured
to
Figure
Current
<20HA
Fail. . Comments
O
Current
Ground | Open
(uA)
Actual
normal
between
3-7).
(<19.6mV
for
and
Standards
the
120Vac
SOURCE
Limit
<69
<9.0
<9.0
<9.0 <9.0 <69
<69
<9.0
reverse
with
rear
through
and
Safety
Ground | Closed
(uA)
polarities.
meter
inaccuracies
panel
ground
1kQ
load
60Hz
Safety
SINK
Actual Actual
stud
as
per
factored
and
Figure
the
in.
ground
3-8).
(yA)
pin
on
Ground
the
|
Chassis
ECG
Pacing,
NOTE:
Parameter
to
Shorted, Interlead interlead
Interlead
Paddles,
Paddies,
All
Leads
Pacing,
1.
All
2.
Test
3.
N/A
4.
Ground ac
5.
Pacemaker
* = measured
Maximum
Ground
All
Leads
RA-LA
RA-RL LA-RL
Shorted
Paired
Shorted | <6.4
Paired
tests
are
conducted
procedure
=Not
Applicable.
resistance:
power
connector
Leads
current.
|
limits
<0.100Q
(refer
Detect
Leakage
Closed
SOURCE
Limit
<73
<64 <8.5
<8.5 <8.5
<24 <18
<8.5
in
both
based
on
to
Figure
Current
Current
Safety
Ground | Open
(uA) Actual
hot/neutral IEC
Standards
as
measured
3-7).
<204A
for
10<i*<123
normal
between
(<19.6mV
with
and
meter
230Vac
SOURCE
Limit
<24 <18 <18 <18
<24 <18 <24
<18
reverse
inaccuracies
the
rear
through
and
Safety
Ground | Closed
(uA) Actual
polarities.
panel
ground
1kQ
load
50Hz
factored
stud
and
as
per
Figure
-<A .
<18 <18 <18
<384
<20
<20
in.
the
ground
3-8).
Safety
SINK
pin
Ground
(LA)
Actual
on
the
3-22
All
Rights
Reserved
170047-000
©
October
Orig
1993
Physio—Contro!
Corporation
Test
and
Calibration
Procedure
(TCP)
The
Test
and
calibration
Unlike considered any
the
order.
Calibration
instructions
PIP
(Performance
necessary
It
is
necessary
Procedure
for
need
the
LIFEPAK
Inspection
to
be
performed,
to
separate
(TCP)
contains
9P
Procedure),
the
case
in-depth
testing
and
defibrillator/monitor/pacemaker.
only
those
tests
and
these
may
be
halves
for
some
conducted
of
the
in
tests.
TCP-Purpose
TCP-Scope
É
and
Applicability
TCP-Definitions
These
tests
may
be
performed
step
in
the
PIP
or
if
there
PIP
after
completing
Note:
This
TCP
defibrillator/monitors;
information.
If
you (page pacemaker
TCP
applies
does
not
apply
any
perform
3-1)
afterward
is
to
the
to
any
performing
LIFEPAK
the
refer
DMM
ECG ESD
NSR
if
the
defibrillator/monitor/pacemaker
is a suspected
of
the
tests
of
the to
LIFEPAK
to
their
Digital
Electrocardiogram Electrical
Normal
failure
in
this
tests
in
this
confirm
within
that
specifications.
9P
defibrillator/monitor/pacemaker.
9,
LIFEPAK
respective
Multimeter
Static
Sinus
Rhythm
in
an
assembly.
section.
TCP,
perform
the
defibrillator/monitor/
9A,
service
Discharge
the
or
LIFEPAK
manuals
fails
Perform
PIP
9B
for
testing
a
the
This
|
TCP-Requirements
TCP-Equipment
Requirements
1700047-001
©
October
Orig
1993
Physio-Control
Corporation
PIP
P-P. ppm QRS
or
QRS
Complex
SSD
TCP
The
following
Test
equipment
are
minimum
required
defibrillator/monitor/pacemaker
equipment specifications
is
recommended,
may
be
Performance
'
peak-to-peak Pulse
Per
Refers
to
Static-Sensitive
Test
and
requirements:
for
maintenance
is
other
used.
All
Rights
Reserved
Inspection
Minute
portions
Device
Calibration
and
listed
in
Table
test
equipment
Procedure
of the
ECG
waveform
'
Procedure
calibration
3-5.
with
of
Although
equivalent
the
LIFEPAK
specific
9P
test
3-23
LIFEPAK
9P
defibrillator/monitor/pacemaker
Equipment
Storage
Digital
Function
ECG
Defibrillator
Pacing
Pacing
DC
Timer
Components Freguency (construction Figure
Components Test defined
3-43)
Phone
*
Oscilloscope
Multimeter
Generator
Simulator
Energy
Tester/Simulator
Cable
Power
Supply
Response
3-15,
Load
Setup
in
Figure
plug
Equivalent
(DMM)
Meter
for
Recorder
test
defined
page for
in
3-40)
Pacemaker
(construction
3-16,
page
equipment
is
Table
3-5
Specifications
Bandwidth:
Vertical Horizontal
4-1/2 DC
Low
Output
Accuracy:
digits,
Voltage
Resistance:
Waveform: Amplitude/Freq, Amplitude/Freq.
Sinewave
Output
Frequency: Power
Range:
Load
Resistance:
Accuracy:
Defib
Waveform
1000:1
Peak
current:
Output
frequency:
2-conductor
Output
Voltage: 0 to
Output
Current: 0 to
Resolution: 1 second
R1,R2 R3,R4 | Resistor,
RI R2 R3
C1
0.25
required
to
inch
meet
__
Resistor,
Resistor, Resistor,
Capacitor,
or
Test
and
dc
to
Time
Base
2A
Range
Accuracy:
0.01Q
Accuracy: Range:
Output:
0-400J
£3%
Amplitude
Gnin.)
with
Resistor,
plug
tip
exceed
Calibration
2kHz
+5%
(SmV-5V/division)
Accuracy:
0.1%
resolution
Sinusoidal
10V/11MHz
1.0
£0.5mVp-p
10.0
+0.5Hz
500
+1%
oscilloscope
7-250mA 40-170ppm
20Vdc
3A
100kQ, 1000,
metal-film, metal-film, metal-film,
plastic-dielectric,
the
specifications
+1%
of
reading
on
+0.5dB/+5%
Attenuation:
output
+2%
+3%
1/8W,
1%
1/8W,
1%
1.0kQ,
25W,
10kQ,
1/8W,
100Q,
1/8W,
listed
Test
200Q
15nF,
in
Equipment
scale
1%
1% 1%
50V
the
specifications
Manufacturer
Tektronix
equivalent*
Fluke
Krohn-Hite equivalent*
Bio-Tek
Bio-Tek
Bio-Tek
Physio-Control
Topward equivalent*
Aristo
Physio-Control Physio-Control
Ohmite
Physio-Control Physio-Control
Physio-Control
Model
Model
QED-6
QED-6
QED-6
Model
or
equivalent
PN
column.
2232
8012A
Model
or
or
or
PN
TPS
PN PN
825F1K0
PN PN
PN
or
or
equivalent*
5400A
or
equivalent*
equivalent*
equivalent*
802905
2000
or
200054-384 200054-097
200054-288 200054-097
201628-007
3-24
TCP-Test
Equipment
Verification
TCP-Workstation
Requirements
All
test
equipment calibration by a certified
Workstations Discharge workstation
label
calibration
where
(ESD)
must
used
in
affixed
to
facility.
the
TCP
protected
be
connected
All
Rights
Reserved
performing
its
exterior.
is
performed
the
environment.
to a grounded
TCP
The
calibration
must
The
ac
power
must
have a current
label
provide
line
an
power
source.
170047-001
©
October
must
be
Electrical
for
this
Orig
1993
Physio—Contral
issued
Static
-
Corporation
Testing
3
TCP-Personnel
Warning
Personnel operation personnel of
education
e
Associate biomedical
e
Certificate
biomedical
e
Equivalent
SHOCK
LIFEPAK
electrical safely
as death. familiar pacemaker.
Do
performing
of
the
performing
or
of
HAZARD.
9P
defibrillator/monitor/pacemaker
energy
described
not
with
the
this
TCP
LIFEPAK
experience:
applied
electronics
of
technical
electronics
biomedical
through
attempt
operation
this
in
9P
TCP
science
When
the
this
TCP,
to
perform
must
be
thoroughly
defibrillator/monitor/pacemaker.
must
meet
at
degree
training
electronics
charged
defibrillator
this
of
the
with a major
in
electronics
experience.
and
discharged
paddles.
electrical
this
procedure
LIFEPAK
familiar
least
one
with a major
discharges
Unless
energy
unless
9P
defibrillator/monitor/
with
of
the
following
emphasis
during
up
discharged
may
cause
you
this
to
are
the
In
in
emphasis
TCP,
360J
injury
thoroughly
addition,
levels
in
the
of
or
Warning
Warning
Caution
POSSIBLE
defibrillator securely on
the
formation
electrode
SHOCK +11.6kV internal
Possible
special page
4-6
identify
ARCING
into
and
properly
left,
APEX
of
pits
surfaces
HAZARD.
are
exposed
circuitry
Component
handling.
to
prevent
PCB
assemblies
the
internal
stored
paddle
on
paddle
can
cause
Terminals
with
except
Damage.
Follow
static
AND
PADDLE
test in
the
on
the
right).
electrode
patient
the
instrument
as
indicated
the
special
discharge
containing
load,
make
paddle
This
surfaces.
skin
and
wires
in
Static
handling and SSDs.
DAMAGE.
sure
the
storage
helps
prevent
Pitted
burns
during
carrying
cases
removed.
these
procedures.
Sensitive
damage.
Devices
procedures
When
discharging
standard
area
(STERNUM
or
defibrillation.
high
Refer
paddles
arcing
damaged
voltages
Do
not
(SSDs)
described
to
Table
and
the
are
paddle
paddle
up
to
touch
require
on
5-1
to
1700047-001
©
October
Orig
1993
Physio—Control
Corporation
All
Rights
Reserved
3-25
LIFEPAK
9P
defibrillator/monitor/pacemaker
TCP-Voltage
Checks
1.
With connector connector
4-7,
2.
Connect Figure
3.
Turn
limits
the
instrument
J3 cable
Front
Panel
the
3-9.
the
instrument
listed
on
the
Power
connected).
Removal.
ground
in
Table
power
lead
of
power
3-6.
off,
remove
Conversion
For
disassembly
the
DMM
on
and
check
the
PCB
to
pin 7 of
that
front
panel
to
(leave
the
front
instructions,
J3.
Refer
the
voltages
access
panel
refer
to
are
within
the
to
test
page
the
Test
+5V
+5V
Table
Point
Pin
4
Pin
11
Pin9
Pin
10
Pin
18
Pin
25
HIGH
LOW
3-6
+15V +5V
+5V +5V SW У
PIN
SIGNAL
LIMIT
LIMIT
DETECT
Power
Signal
High Low
BATT
ВАТТ
1
+15V
GND
DETECT
(10)
+5V
(11)
Figure
Conversion
Name
Limit
Detect
Limit
Detect
(4)
(7)
(9)
——#0
—sO
3-9
A
0
0
0
0
0
>
O
0
o
Ow
o
o 0
[o
o
o
o
o
0
0
0
Test
Connector
PCB
Voltage
Nominal
,
Voltage
+15.0V +5.00V +0.25V +2.25V +2.625V +18.0V +18.4V
(18)
SW
(259 V BATT
J3
Checks
Limits
+0.3V
+0.15V +0.125V +2.0V +1.6V
BATT
to
-2.4V
to-2.8V
3-26
All
Rights
Reserved
170047-001
©
October
Orig
1993
Physio—Control
Corporation
Testing
3
TCP-Low Threshold
Monitoring
Battery
Checks
Check
With connector
connector
4-7,
2.
Remove
the inputs. 4
(red
1.
Use
Figure
2.
Turn
to
3.
Slowly displays (decrease
to
voltage Check
the
instrument
Front
the
battery.
Connect
wire).
the
DMM
3-9
the
instrument
+18.00
appear
+0.05Vdc.
decrease
the
the
within
level
in
Table
J3
on
the
cable
connected).
Panel
Removal.
battery
Connect
ground
to
monitor
(connect
(by
message
power
45
is
within
3-7.
power
Power
door
off,
Conversion
on
the
DC
to
pin 1 or 2 (black
the
the
DMM
power
0.1V
steps)
LOW
supply
on
BATTERY:
voltage
seconds
the
Low
remove
For
disassembly
the
bottom
power
voltage
ground
and
initially
the
or
less).
Battery
the
PCB
of
the
supply
quickly
to
at
the
to
J3
set
output
CONNECT
Confirm
Limits
front
panel
to
(leave
the
front
instructions,
instrument
the
battery
wire)
and
power
J3
pin
25
as
pin
7).
the
power
voltage
enough
until
AC
to
that
the
listed
POWER
cause
power
for
access
the
panel
refer
to
and
disconnect
connector
to
pin 3 or
shown
the
in
supply
the
monitor
the
supply
Monitoring
output
message
test
page
Test
Point
Pin25 Pin25
4.
Note:
Return
power
power
for
the
Table
Function
Monitoring Defib
Charge
Once
illuminated,
POWER
rises
above
the
power supply supply
Monitoring
voltage voltage
3-7
Check
Check
message
16.5V.
supply
until
is
Check.
Low
the
will
voltage
the
within
Battery
Low
Thresholds
Battery
_
Shutdown
Limits Limits
15.50V
15.00V
LOW
not
to
CRT
the
+0.23V +0.22V
BATTERY:
reset
until
+18.00
display
Shutdown
CONNECT
the
battery
+0.05Vdc.
blanks
out.
Limits
shown
14.50V
13.50V
AC
voltage
Slowly
Confirm
in
+0.21V +0.20V
reduce
that
Table
the
the
3-7
1700047-001
©
October
Orig
1993
Physio-Control
Corporation
All
Rights
Reserved
3-27
LIFEPAK
9P
defibrillator/monitor/pacemaker
Defibrillator
Charge
Check
Use
the
DMM
Figure
Turn
to
Charge
Gradually
Battery
With discharge
Repeat toward until Confirm shown
Return
Charge
3-9
the
instrument
+18.00
the
Limit
the
defibrillator
steps 3 through 5 above, the
the
LOW that
in
the
the
to
monitor
(connect
the
power
+0.05Vdc.
defibrillator
reduce
the
power
detection
paddles
the
defibrillator
lower
Low
Battery
BATTERY:
the
triggering
Table
3-7
for
the
power
supply
defibrillator
the
voltage
DMM
to
threshold
to
ground
on
and
360J.
supply
securely
into the
lowering
Limit
CONNECT
voltage Defib
voltage
to
360J.
of
Charge
at
the
J3
pin
25
to
J3
pin
7).
initially
voltage
set
the
toward
power
the
+15.22Vdc.
stored
in
the
paddle
internal
is
test
the
power
detection
AC
POWER
within
the
Check.
load
of
threshold
message
Low
+18.00 +0.05Vdc.
as
shown
supply
upper
Low
wells,
the
defibrillator.
supply
voltage
of
+14.78
is
Battery
Limits
in
output
Vdc
displayed.
Slowly Limit
10.
Discharge
11.
Repeat toward blanks Shutdown
reduce
detection threshold
steps 8 through
the
out.
the
power
the
defibrillator
lower
Shutdown
Confirm
Limits
that
shown
10
in
supply
of
the
voltage
+13.70Vdc.
into
the
above,
Limit
power
Table
toward
internal
lowering
of
+13.30Vdc
supply
3-7
for
the
the
test
load
the
power
until
voltage
Defib
upper
of
the
supply
the
is
within
Charge
Shutdown
defibrillator.
voltage
CRT
display
the
Check.
3-28
All
Rights
Reserved
170047-001
©
October
Orig
1993
Physio—Control
Corporation
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