Schiller Argus LCM Service manual
ARGUS LCM
Patient monitor
ARGUS LCM and ARGUS LCM PLUS
Art. no.: 2.540033 rev.: d
Service Handbook
Sales and Service Information
The SCHILLER sales and service centre network is world-wide . For the address
of your local distributor, contact your nearest SCHILLER subsidiary. In case of difficulty a complete list of all distributors and subsidiaries is provided on our internet
site: http://www.schiller.ch.
Sales information can also be obtained from:
sales@schiller.ch
Address Headquarters
SCHILLER AG Phone: +41 (0) 41 766 42 42
Altgasse 68 Fax: +41 (0) 41 761 08 80,
CH-6341 Baar, Switzerland E-mail: sales@schiller.ch
Web: www.schiller.ch
Article no.: 2.540033 rev.: d
Issue date: 27.03.08
ARGUS LCM/PLUS Service Handbook
Contents
1 Safety notes ..............................................7
1.1 Responsibility of the user ................................................... 7
1.2 Intended use ......................................................................... 7
1.3 Organisational measures..................................................... 7
1.4 Safety-conscious operation ................................................ 7
1.5 Safety facilities ..................................................................... 8
1.6 Operation with other devices .............................................. 8
1.7 Safety Symbols and Pictograms......................... ... ... .... ... ... 9
1.7.1 Used symbols in this document ......................................................... 9
1.7.2 Used symbols on the device............................................................ 10
2 Introduction ............................................11
2.1 Version overview / compatibility................... ... ... ... ... .... ... . 11
2.1.1 ARGUS LCM (basic) from serial number 781.000-781.999............. 11
2.1.2 ARGUS LCM (basic) from serial number 781.1000-xxxx................. 11
2.1.3 ARGUS LCM PLUS from serial number 780.001-xxxx.................... 11
2.1.4 Nurse call option version 1............................................................... 12
2.1.5 Nurse call option version 2............................................................... 12
2.1.6 SpO2 sensors Masimo and Nellcor MP-100.................................... 12
2.1.7 LCD display replacing version 1 to 2................................................ 12
2.1.8 NIBP pump versions ........................................................................ 13
2.2 Functional overview........................................................... 14
2.2.1 Buttons of the ARGUS LCM PLUS.................................................. 14
2.2.2 Description of buttons ..................................................................... 15
2.2.3 Description of display....................................................................... 16
2.2.4 Navigation and changing values in the menu.................................. 17
3 Operation ................................................18
3.1 Start-up................................................................................ 18
3.1.1 Connecting and power on ................................................................ 18
3.1.2 Boardnet supply............................................................................... 18
3.1.3 Battery operation.............................................................................. 19
3.2 Switching off and disconnecting from mains.................. 19
3.2.1 Interruption of the mains supply....................................................... 19
3.3 Initial settings ... .... ... ... ... .... ... ... ... ... ..................................... 20
3.3.1 Selecting the language..................................................................... 20
3.3.2 Save and restore default settings..................................................... 20
3.3.3 Load factory defaults............................................................ .. .......... 20
3.3.4 Setting alarm limits........................................................................... 21
3.3.5 Setting loudness of audible alarm and QRS sound ......................... 22
3.4 Trend or alarm display....................................................... 23
3.5 Display of additional leads ................................................ 23
Art. no.: 2.540033 rev.: d
3.6 Procedure in case of an alarm .......................................... 24
3.6.1 Display of alarms.............................................................................. 24
3.6.2 Suppressing/acknowledging an audible alarm................................. 24
3.6.3 Preventive alarm suppression.......................................................... 24
3.6.4 Switching off an alarm.......................................................... .. .......... 25
3.6.5 Overview of physiological alarms..................................................... 26
Page 1
3.7 General Cleaning instructions...................... ... .... ... ... ... ... .. 27
3.7.1 Cuff cleaning.................................................................................... 27
3.7.2 SpO
3.7.3 ECG cable........................................................................................ 27
Sensor ................................................................................... 27
2
4 Setup and Programming ........................28
4.1 Settings menu..................................................................... 28
4.1.1 Main menu.......................................... ... .......................................... 28
4.1.2 Special menu “About+” ................................................................... 29
4.2 Factory settings.................................................................. 30
4.3 CO
4.3.1 Description of CO2 parameters ....................................................... 31
4.3.2 Compensation settings ................................ .................................... 31
4.3.3 Combination of N2O and O2 compensation.................................... 32
4.3.4 Environmental pressure compensation............................................ 32
4.3.5 Measuring principle Pryon LC110 CO
4.4 ECG monitoring setup ....................................................... 36
4.4.1 Bipolar Electrode placement according Einthoven .......................... 36
4.4.2 Unipolar derivation and augmentation according Goldberger.......... 36
4.4.3 3-leads cable for children and neonates (LCM plus) ....................... 37
4.4.4 3-lead cable for respiration .............................................................. 37
4.4.5 3-lead cable for adults...................................................................... 37
4.4.6 3 leads cable 3P (LCM basic).......................................................... 38
4.4.7 Three- and five-lead cables for adults and children (LCM basic/plus 38
4.4.8 10-lead ECG patient cable (LCM plus)............................................ 39
4.4.9 Electrodes identification and colour code IEC/AHA......................... 39
4.4.10 ECG Processing ................................................................... ... ........ 40
4.4.11 Respiration measuring (RRi)............................................................ 41
4.5 NIBP Processing................................................................. 42
4.5.1 Example at 3 mmHg deflation rate.................................. ... .............. 42
4.5.2 Example at 8 mmHg deflation rate.................................. ... .............. 43
4.6 Temperature measuring..................................................... 44
4.7 Invasive blood pressure...................... .... ... ... ... .... ... ... ... ... .. 45
4.7.1 Influence of transducer placement................................................... 46
4.8 SpO2 measuring ................................................................. 47
4.8.1 Principles of Pulse Oximetry Technology ..................................... ... 47
settings...... ... ... .... ... ... ....................................... ... ... ... .. 31
2
Module............................... 32
2
Page 2
5 Maintenance ............................................49
5.1 Service Interval................................................................... 49
5.1.1 Visual unit check............................................................. ................. 49
5.1.2 Button test........................................................................................ 49
5.2 Measurement and Safety Check........................................ 50
5.2.1 Required measurement equipment.................................................. 50
5.2.2 General test requirements ............................................................... 50
5.3 ECG Test.............................................................................. 51
5.3.1 Amplitude Check.............................................................................. 51
5.3.2 Electrode and Patient cable Check.................................................. 51
5.4 SpO2 test, Masimo.............................................................. 52
5.5 NIBP Test............................................................................. 53
5.5.1 Cuff over pressure test.............................. ... .. .................................. 54
5.5.2 Leak rate and cuff pressure tolerance test....................................... 54
5.5.3 Deflation curve test.......................................................................... 55
5.5.4 Measurement at a test person......................................................... 55
5.5.5 NIBP pressure calibration....................................... ... .. .................... 56
Art. no.: 2.540033 rev.: d
ARGUS LCM/PLUS Service Handbook
5.6 Invasive Blood pressure test............................................. 57
5.6.1 IBP test of the LCM.......................................................................... 57
5.6.2 IBP test of the LCM and transducer................................................. 57
5.7 Temperature Test .......... .... ... ... ... ... .... ... ... ... .... ... ... ... ... .... .... 58
5.7.1 Temperature test with IBP/temperature test box.............................. 58
5.7.2 Temperature test of the sensor according German directive........... 59
5.7.3 Messung des Isolationswiderstand des Temperaturaufnehmer....... 59
5.7.4 Calculation of resistance and temperatur......................................... 60
5.8 CO2 Calibration................................................................... 61
5.8.1 Start zero point calibration ............................................................... 61
5.8.2 Start two point calibration................................................................. 62
5.9 Nurse call test..................................................................... 63
5.10 Safety Tests ................ ... .... ... ... ... ........................................ 64
5.10.1 Protective earthing, functional earthing and potential equalization.. 65
5.10.2 Continuous leakage and patient auxiliary current............................ 65
5.10.3 Dielectric strength............................................................................ 65
5.11 Maintenance interval for the battery................................. 66
5.11.1 Checking the battery........................................................................ 66
5.11.2 Charging the battery......................................................................... 67
5.11.3 Replacing battery............................................................................. 68
5.11.4 Adding second battery..................................................................... 68
5.11.5 Battery disposal................................................................................ 68
5.12 Changing the fuse and mains voltage.............................. 69
5.13 Trouble shooting ................................................................ 70
5.13.1 Alarm messages, cause and remedy............................................... 70
6CO
Installation .......................................72
2
6.1 Scope of delivery................................................................ 72
6.1.1 Illustration catalogue........................................................................ 73
6.2 Installation........................................................................... 74
6.2.1 Preparation....................................................................................... 74
6.3 Trouble shooting CO
2................................................................. 79
7 Various Installation and Replacements 80
7.1 Printer Installation............................. ... ... ... .... .................... 80
7.1.1 Scope of Supply............................................................................... 80
7.1.2 Illustration catalogue........................................................................ 81
7.1.3 Mounting the printer into the fixing bracket...................................... 82
7.1.4 Opening the LCM............................................................................. 82
7.1.5 Removing printer faceplate and mount printer................................. 83
7.1.6 Paper load........................................................................................ 85
7.1.7 Drawings Printer........................ ... .................................................... 86
7.2 Nurse call Installation ........................................................ 87
7.2.1 Housing preparation....................................................... ... ............... 87
7.2.2 Version 1.......................................................................................... 87
7.3 NIBP Pump replacement...................... ... ... .... ... ... ... ... .... ... . 89
7.3.1 Rolling pump overview..................................................................... 89
Art. no.: 2.540033 rev.: d
7.3.2 Relieve valve......................................................... ........................... 90
7.3.3 Rolling pump V1/V2 replacement..................................................... 91
7.3.4 Rolling pump V3 replacement.......................................................... 92
7.3.5 Update current limitation on the MK19-1 board ............................... 93
7.4 Transformer replacement .................................................. 94
7.4.1 Transformer on the LCM print.......................................................... 94
Page 3
7.5 LCD Replacement....................................... ... ... .... ... ... ... ... .. 95
7.5.1 Backlight inverter V1 4.150114........................................................ 95
7.5.2 Overview LCD Version 1.................................................................. 95
7.5.3 Overview LCD Version 2.................................................................. 97
8 Software Download ................................98
8.1 Preparing serial communication....................................... 98
8.2 Start Download ................. ... .... ... ... ... ... .... ... ... ... .... ... ........... 99
8.2.1 Program Update............................................................................... 99
8.2.2 NIBP Update........................................................... ... .................... 101
9 Various Cables ......................................102
9.1 RS-232 cable ..................................................................... 102
9.2 Boardnet cable.................................................................. 102
9.3 ECG cable.......................................................................... 103
9.3.1 Cable type...................................................................................... 104
9.3.2 ECG cable pinning................................. ........................................ 105
9.3.3 ECG-cable connector to print..................................... .. .................. 107
9.3.4 ECG patient cable....................................................................... .. . 108
9.4 SpO2 connection cable.................................................... 109
9.4.1 SpO2 adapter cable....................................................................... 109
9.4.2 SpO2 Nellcor cable............................................................ ... ......... 109
9.4.3 SpO2 Masimo LNC cable .............................................................. 110
9.4.4 SpO2 LNCS Sensors..................................................................... 110
9.4.5 SpO2 LNOP Sensors..................................................................... 111
9.4.6 SpO2 Nellcor Sensors ................................... ................................ 112
9.5 IBP connection cable ....................................................... 113
9.5.1 Cable IBP Braun............................................................................ 114
9.5.2 Testbox cables................................................................... ............ 115
9.6 Temperature probe........................................................... 116
9.6.1 Temperature cable......................................................................... 116
9.7 NIBP Cuff and connection hose...................................... 117
Page 4
10 Drawing and Schematics .....................118
10.1 LCM exploded view front ................................................. 118
10.2 LCM exploded view back ................................................. 119
10.3 Drawing Temperature, IBP, SPO2 and Nurse call.......... 120
10.4 P1 connector Temperature, IBP, SPO2, Nurse call ....... 121
10.5 MK19-53 print SP02 and Temperature............................ 122
10.6 MK19-1 UP board.............................................................. 123
11 Accessories ...........................................124
11.1 Wall mount set p/n 2.100722............................................ 124
11.2 Roll mount unit light set p/n 2.100499 ............................ 124
11.3 Remount LCM p/n 2.100501............................................. 125
11.4 Bed rail mounting p/n 3.920946 ...................................... 125
12 Technical Data ......................................126
12.1 System data....................... ... .... ... ... ... ... .... ... ... ... .... ... ... ... ... 126
Art. no.: 2.540033 rev.: d
ARGUS LCM/PLUS Service Handbook
12.2 Technical data - measured values .................................. 128
12.2.1 ECG ............................................................................................... 128
12.2.2 Respiration..................................................................................... 128
12.2.3 Temperature................................................................................... 129
12.2.4 NIBP - non-invasive blood pressure............................................... 129
12.2.5 IBP - invasive blood pressure ........................................................ 129
12.2.6 SpO
12.2.7 etCO2 - end tidal capnography...................................................... 130
- Saturation periphery O2 pulsoximetry ............................... 130
2
12.3 Options........................... .... ... ... ... ... .... ... ... ......................... 130
12.4 EMC information Table .................................................... 131
12.4.1 Electromagnetic Emissions Table 201........................................... 131
12.4.2 Immunity Table 202 ....................................................................... 131
12.4.3 Emissions Equipment and Systems that are NOT Life-Supporting
Table 204....................................................................................... 132
12.4.4 Recommended Separations distance between portable and
mobile RF communications equipment and the device Table 206. 133
13 Index ......................................................135
14 Testprotocol ..............................................1
14.1 ECG Test ........ ... .... ... ... ....................................... ... ... ... .... ... ... 2
14.2 SpO
Test............................................................................... 2
2
14.3 NIBP....................................................................................... 3
14.4 Invasive Blood Pressure...................................................... 4
14.5 Temperature.......................................................................... 4
14.6 CO2 test................................................................................. 5
14.7 Nurse call test....................................................................... 5
14.8 Safety Tests ............. ... ... .... ... ... ... ... .... ... ... ... .......................... 5
Art. no.: 2.540033 rev.: d
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Page 6
Art. no.: 2.540033 rev.: d
ARGUS LCM/PLUS
Safety notes 1
Service Handbook Responsibility of the user 1.1
1 Safety notes
This Service Handbook is for qualified service personnel only, trained by Schiller AG.
Refer to the operating instruction manual 2.510474 for operation the device.
1.1 Responsibility of the user
V Specify the competencies of the personnel for operation and repair.
V Ensure that service personnel have read and understood these service instruc-
tions. In particular this section “safety notes" must be read and understood.
V Have damaged or missing components replaced immediately.
V The service personnel is responsible for compliance with all applicable accident
prevention regulations and safety regulations.
1.2 Intended use
V The ARGUS LCM/PLUS is a patient monitoring device used for the measuring
of the parameters of a patient, including ECG, SpO
pressure, temperature and respiration.
V Only operate the device in accordance with the specified technical data.
V Do not use or repair this unit in areas where there is any danger of explosion or
in the presence of flammable gases such as anaesthetic agents.
, CO2 non and invasive blood
2
1.3 Organisational measures
V Before servicing the unit, ensure that an introduction regarding the unit functions
and the safety precautions has been provided by Schiller AG
V Keep these service instructions in an accessible place for reference when re-
quired. Make sure that they are always complete and legible.
V Observe the operating instructions and service instructions.
V These service instructions do not override any statutory or local regulations, or
procedures for the prevention of accidents and environmental protection.
1.4 Safety-conscious operation
V Do not place any liquids on the unit. If liquid should be spilled over the device,
immediately disconnect the device from the mains and wipe it. The device must
be serviced before reusing.
V Danger of electric shock! Do not open the device without disconnecting the de-
vice from the mains.
V Before cleaning and to isolate the mains power supply, switch the unit off and
disconnect it from the mains by removing the plug.
Art. no.: 2.540033 rev.: d
V Do not use high temperature sterilisation processes
(such as autoclaving). Do not use E-beam or gamma radiation sterilisation.
V Do not use solvent or abrasive cleaners on either the unit or cable assemblies.
V Do not, under any circumstances, immerse the unit or cable assemblies in liquid.
Page 7
1 Safety notes
1.5 Safety facilities
ARGUS LCM/PLUS
1.5 Safety facilities
V Operating the device without the correctly rated fuse, or with defective cables,
constitutes a danger to life. Therefore:
– Do not operate the unit if the earth connection is suspect or if the mains lead is
damaged or suspected of being damaged.
– Damaged cable connections and connectors must be replaced immediately.
– The electrical safety devices, such as fuses, must not be altered.
– Ruptured fuses must only be replaced with the same type and rating as the orig-
inal.
1.6 Operation with other devices
V Use only accessories and other parts recommended or supplied by SCHILLER
AG. Use of other than recommended or supplied parts may result in injury, inaccurate information and/or damage to the unit.
V Ancillary equipment connected to the analogue and/or digital interfaces must be
certified according to the respective IEC standards (e.g. IEC/EN 60950 for data
processing equipment and IEC/EN 60601-1 for medical equipment). Furthermore all configurations shall comply with the valid version of the system standard IEC/EN 60601-1-1. Everybody who connects additional equipment to the
signal input part or signal output part configures a medical system, and is therefore responsible that the system complies with the requirements of the valid version of the system standard IEC/EN 60601-1-1. If in doubt, consult the technical
service department or your local representative.
– EC/EN 60601-1-1 states that the patient must remain at least 1.5 meters clear
of the unit. If this is not possible, a safety isolating transformer must be installed.
V Medical electrical equipment is subject in regard to the electromagnetic compat-
ibility (EMC) and its special precautionary measure. (see chapter 12.4 page 131)
V Portable and mobile Radio Frequency (RF) – communicating systems (such as
cell phones) can have influence to medical electrical equipment.
Page 8
Art. no.: 2.540033 rev.: d
ARGUS LCM/PLUS
Safety notes 1
Service Handbook Safety Symbols and Pictograms 1.7
1.7 Safety Symbols and Pictograms
1.7.1 Used symbols in this document
The safety level is classified according ANSI Z535.4. Th e following overview shows
the used safety symbols and pictograms used in this manual.
For a direct danger which could lead to severe personal injury or to death.
For a possibly dangerous situation, which could lead to heavy bodily injury or to death.
For a possibly dangerous situation which could lead to personal injury. This symbol is
also used to indicate possible damage to property.
For general safety notes as listed in this chapter.
Used for electrical dangers, warnings and other notes in regarding operation with electricity.
Note For possibly dangerous situations, which could lead to damages to property or
system failure. Important or helpful user information
Reference to other guidelines
Observe precautions for handling electrostatic sensitive devices.
Used tool for the following procedure.
Interference may occur in the vicinity of equipment marked with following Symbol “non
ionizing radiation” (see chapter 12.4 page 131)
Art. no.: 2.540033 rev.: d
Page 9
1 Safety notes
1.7 Safety Symbols and Pictograms
1.7.2 Used symbols on the device
ARGUS LCM/PLUS
Potential equalization
CF symbol. This unit is classified safe for internal and external use. However, It is only
defibrillation protected when used with the original SCHILLER patient cable!
Inappropriate disposal can lead to environmental pollution.
Units/components and Accessoires no longer required can be returned to SCHILLER
AG for disposal. Alternatively, the unit should be d isposed of in a municipally approved recycling centre.
Notified body of the CE certification (TÜV P.S.)
Attention: Consult accompanying documents.
Page 10
Art. no.: 2.540033 rev.: d
Introduction 2
ARGUS LCM/PLUS
Service Handbook Version overview / compatibility 2.1
2 Introduction
Following an overview of the different version of the ARGUS LCM/PLUS (Low
Weight and Compact Monitor)
2.1 Version overview / compatibility
2.1.1 ARGUS LCM (basic) from serial number 781.000-781.999
The following table shows the equipment of the ARGUS LCM. This basic device cannot be upgraded.
ARGUS LCM ECG SpO2 NIBP Microprocessor Connector board
Basic device Only with 3 leads/display one lead (II) x x MK19-10 MK19-50
Options: printer, additional battery (can be updated in the field)
2.1.2 ARGUS LCM (basic) from serial number 781.1000-xxxx
The microprocessor board MK19-11 is populated with a monitoring ECG amplifier.
This supports 2 cables. 3p-lead cable (RA, LA, LL and measures 6 derivations) and
5-lead cables. This works only with software 1.24 and higher.
ARGUS LCM
Axxxx1x MK19-11MK19-5
B x x x x 1x x MK19-11 MK19-5
D x x x x 1x x MK19-11 MK19-53
E x x x x x x
a
Monitoring amplifier only with 3p- and 5 lead cable (6 or 7 lead display).· Modus-x possible.
• Options for all versions: printer, additional battery and nurse call or vehicle power supply.
• Version A can be upgraded with etCO
a
ECG
SpO2 NIBP Respiration Temp. etCO
module, printer and additional battery.
2
IBP Microproces-
2
sor board
Connector
board
MK19-11 MK19-54
2.1.3 ARGUS LCM PLUS from serial number 780.001-xxxx
ARGUS LCM PLUS
Version
A x x x x 1x MK19-1 MK19-5
B x x x x 1x x MK19-1 MK19-5
D x x x x 1x x MK19-1 MK19-53
E x x x x x x MK19-1 MK19-54
a
Only with 3- or 5- or 10 lead cable (1- or 7- or 12 lead display).
• Options for all versions: printer, additional battery and nurse call or vehicle power supply.
Art. no.: 2.540033 rev.: d
• Version A can be upgraded with etCO
a
SpO2 NIBP Respiration Temp etCO2IBP Microproces-
ECG
module, printer and additional battery.
2
sor board
Connector
board
Page 11
2 Introduction
2.1 Version overview / compatibility
2.1.4 Nurse call option version 1
2.1.5 Nurse call option version 2
ARGUS LCM/PLUS
The version 1 is prepared only for a relays contact NO.
Board number Board type LCM version Index
3.2561 MK19-5 Basic/LCMplus version A and B A
3.2564 MK19-50 Basic A
Following boards indexes are prepared with potential free change over contact relays
NO/NC.
Board number Board type LCM version Index
3.2561 MK19-5 Basic/LCMplus version A and B C
3.2564 MK19-50 Basic B
3.2566 MK19-53 Basic/LCMplus version D A
3.2567 MK19-54 Basic/LCMplus version E A
Nurse call cable version 2 p/n 3.920908.
With the same boards index changes Masimo MS-7 to MS-3 board.
2.1.6 SpO2 sensors Masimo and Nellcor MP-100
The LCM can be equipped with Masimo or Nellcor SpO2 sensors. The type of used
sensor is applied on the front of the LCM housing. If LCM will b e upgrade d, the typ e
of used sensor must be labelled on the front of the LCM housing.
Nellcor module
Following board indexes are prepared to equip with Nellcor module
Board number Board type LCM version Index
3.2561 MK19-5 Basic/LCMplus version A and B C
3.2564 MK19-50 Basic B
3.2566 MK19-53 Basic/LCMplus version D B
3.2567 MK19-54 Basic/LCMplus version E B
2.1.7 LCD display replacing version 1 to 2
Page 12
The LCD version 1 (Samsung 16 pin) have been replaced by LCD version 2 (AU Optronics 20 pin). The table below shows the board compatibility for LCD version 2.
Board number Board type LCM version Index
3.2574 MK19-11 Basic > xxx.1000
Board prepared but 20 pin connector
not soldered in.
3.2574 MK19-11 Basic > xxx.2000
Board ready with 20 pin connector
AA
BB
Art. no.: 2.540033 rev.: d
ARGUS LCM/PLUS
Introduction 2
Service Handbook Version overview / compatibility 2.1
Board number Board type LCM version Index
3.2563 MK19-10 Only 14 pin connector. Only LCD version 1 can be used
3.2560 MK-19-1 Only 14 pin connector. Only LCD version 1 can be used
3.2560 MK-19-1 20 pin connector. Only LCD version 2
can be used. Requires new housing.
Board 19-11 with index FA has the 20 pin connector at the backside.
Board 19-10 and 19-1 index F has only 14 pin LCD connection, so only LCD version
1 can be used.
To replace a defective LCD version 1 with the LCD version 2 a new fro nt housing is
needed. See following table where a front is needed.
E
E
FC
Housing V2 = Sticker for SpO
module + Schiller = LCD version 2
2
LCM Type Serial number LCD Type Front required
LCM Basic 781.0000 - 781.01716 Samsung Yes
LCM Basic 781.02000-xxxxx AU Optronics No
LCM plus 780.0000 - 780.03183 Samsung Yes
LCM plus 780.03184-780.xxxxx AU Optronics No
2.1.8 NIBP pump versions
ARGUS LCM plus / basic V1
• 1300 ccm
• 4.330040
780 / 781.xxx - 2999 x x
780 / 781.xxx - 2999 x x optional preferred
780 / 781.3000- xxxx x x
Board/ Index
MK-1/EV x
MK-10/AF x
MK-11/BE x
• 1300 ccm
• 3.920921
V2
V3
• 2300 ccm
• 4.330044
201R
Current limit 1 A
301R
Current limit 1.3 A
Art. no.: 2.540033 rev.: d
Page 13
2 Introduction
Access to the menu IBP and NIBP alarm
on/off and IBP calibration.
IBP connection instead of CO
2
This is the LCM plus
version E.
This is the LCM plus
version D.
IBP connection instead of Temperature
2.2 Functional overview
ARGUS LCM/PLUS
2.2 Functional overview
2.2.1 Buttons of the ARGUS LCM PLUS
Page 14
Fig. 2.1 ARGUS LCM front view
Art. no.: 2.540033 rev.: d
ARGUS LCM/PLUS
Introduction 2
Service Handbook Functional overview 2.2
2.2.2 Description of buttons
ON/OFF
The LED indicates if the LCM is running from mains power or battery.
Button for suppression/acknowledgement of audible alarms
The alarm can be suppressed or acknowledged in two ways. This is defined in set-
tings About+/Alarm setup menu.
See detailed description in paragraph 3.6.2
Direct buttons for:
(1) NIBP start/stop or, if pressed for 2 s, switch between auto and manual
(2) Trend and alarm displays
(3) Printout of the current display
(4) Alarm limit settings
Art. no.: 2.540033 rev.: d
Enter
Navigation
Alarm off
These buttons disable alarms of the individual parameters. Acknowledgement is
displayed on the top left e.g. ECG Alarm OFF. The LED above the corresponding
button is lit (for details refer to section 3.6.3).
Menu access
Opens the main menu. Navigate through the menus with the right/left buttons.
Press the menu button to again leave the menu.
The navigation and enter buttons have different functions dependent on operating
mode:
Normal single lead display:
Pressing the enter button shows the first 3 leads instead of the single lead display.
By pressing the up/down buttons, the next lead, or lead group is displayed.
Press the left button to adjust the loudness of the audible alarm and the QRS sig-
nal.
Programming mode:
1. Activating the programming mode with the menu button.
2. Selecti ng the menu with the left/right buttons.
3. Selecti ng a value with the up/down buttons.
4. Press the enter button.
5. Change a value using the up/down buttons.
6. Retrieve a value by pressing enter.
Trend display mode:
Activate the trend display mode with the trend display button.
Use the
left/right buttons to move forward/backward in the trend display.
Use the trend button to toggle between the trend display, alarm display and normal
monitor display.
Page 15
2 Introduction
HR
/ min
60
98
60
SpO
2
PP
/ min
%
10
RRi
/ min
R
P
P
I
II
III
11 :04 28-10-04
127/77
(100
)
36.8
T
1
°C
Alarm HR Low ECG lead off
I
I
II
III
I,II, …
aVR, III,...
>0:12
1
2
3
56
78
PM ON
SYS/DIA
(MAP)
4
PM detection
RRi Alarm
switch off
NIBP
mmHg
<0:12A
9
2.2 Functional overview
ARGUS LCM/PLUS
2.2.3 Description of display
Alarms
(1) Status field for physiological alarms
(2) Status field for technical alarms
Curve field
(3) 1 or 3 channel lead display. With enter display 1 or 3 leads, with
up/down select the following/previous lead/lead group.
System status field
(4) System status field
(5) Symbol for battery operation.
(6) Loudness (3-step) for alarm- and QRS-sound. Adjust with left button.
(7) Symbol of the selected patient type.
Blood pressure
(8) < 0:12 A = remaining time (h /min) to the next a utomatic bl ood pressure meas-
urement.
> 0:12 = Time since the last manual blood pressure measurement
Remark: During blood pressure measuring the current system pressure in
mmHg is displayed.
Measurement field
(9) Various displayed values e.g. HR, Sp02, IBP, CO2, RRi, temperature.
Art. no.: 2.540033 rev.: d
Page 16
ARGUS LCM/PLUS
Graphic scale : 10 mm/mV
ECG filter : Diagnostic
QRS Beeb source : Off
Pacemaker : Off
RRi alarm : Off
RRi high alarm : Immediately
Cable type : 3-lead
Mains filter : Off Hz
Alarm / Param / Trend / Device / Software
ECG / NIBP / CO2 / System / About
Introduction 2
Service Handbook Functional overview 2.2
2.2.4 Navigation and changing values in the menu
Fig. 2.2 Picture menu
The upper menu display is normally hidden. The exte nded menu di sp lay can b e di splayed with the following combination of buttons.
Press , select menu About press, and then .
Top change values proceed as follows:
Select with the desired parameter (white box) and press to get ac-
cess and change or selecting value with and confirm with .
The changed value will be not permanently stored. After power off/on the default value will be set. To store changed value as default permanently refer to chapter 3.3.2
Art. no.: 2.540033 rev.: d
Page 17
3Operation
Potential equalisation Cable
p/n 2.310056
4.260419
4.260400
3.1 Start-up
ARGUS LCM/PLUS
3 Operation
3.1 Start-up
V Danger of electrical shock. Do not operate the unit if the earth connection is sus-
pect or if the mains lead is damaged or suspected of being
damaged.
3.1.1 Connecting and power on
(1) RS-232
(2) Mains connection (115 or 230 VAC)
(3) Potential equalisation connection (Cable p/n 2.310056)
(4) Nurse call or DC in 11 - 30 VDC (option)
Fig. 3.2 Boardnet plugs
Fig. 3.1 ARGUS LCM back panel
1. Voltage setting (2) 115 or 230 V. Refer to chapter 4.2 for the mains voltage. Connect the power cable at the rear of the unit.
2. Connect the potential equalisation cable (3) and all other necessary cables at the
rear of the LCM.
3. Press the on/off button.
4. Check that all LEDs flash shortly and there is a beep on sta r t-up.
5. Check the settings according to chapters 3.3 and 10.1.
3.1.2 Boardnet supply
Only with board net supply option installed. (see picture (4) above.
1. See internal cable page 102.
2. Use one of the board net plugs
3. Use a stranded wire with 2.5 mm
er requirements.
Boardnet Supply
11 ...30 VDC, I max. 2.5 A
Remarks: The boardnet connection is not certified to use in ambulance or air rescue.
2
or bigger depending in the cable length and oth-
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ARGUS LCM/PLUS
1
Operation 3
Service Handbook Switching off and disconnecting from mains 3.2
3.1.3 Battery operation
Important
The Battery operation is indicated by the LED below the battery symbol.
When the battery charge is low, the alarm message Battery low appears and
– the LED (1) blinks
– the Battery symbol in the bottom left display field blinks
for Battery recharging refer to chapter 4.1
3.2 Switching off and disconnecting from mains
1. Press the on/off button. A dialogue window appears.
2. Select with the left button YES and confirm the selection with the enter button.
3. Remove the mains cable from the mains supply socket (2) (see Fig. 3.1) to isolate
the device from the mains.
Important
If no dialogue window appears it is possible to switch off the device by keeping the
On/Off button pressed for 10 seconds.
3.2.1 Interruption of the mains supply
If the mains supply is interrupted, the device automatically switches over to battery
operation. The user settings are maintained. These settings can be saved in the menu
About+/Software.
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3Operation
3.3 Initial settings
ARGUS LCM/PLUS
3.3 Initial settings
This chapter details the most important and typical programming sequences.
V Only authorised personnel, trained in the operation of this device, are permitted
to do the setups in the following menu.
The extended menu display About+ can be displayed with the following combination
of buttons.
Press , select menu About press, and then .
3.3.1 Selecting the language
1. Open the menu About+ and select menu Device.
2. Confirm with the enter button.
3. Press the down button and select the language.
4. Confirm with the enter button.
5. Press right/left to move to the next menu and continue with more setups.
6. Save the user settings. Open the menu Software, select Save as Default and
confirm with the enter button.
7. Return by pressing the menu button to the normal display mode.
For system settings see detailed list in the chapters 10.1.1and 10.1.2.
3.3.2 Save and restore default settings
Changed values can be stored permanently and again restored. See chapter 10.1.2.
1. Select the menu About+/Software.
2. Select Save as Default or restore Defaults and confirm with the Enter button. It
will now save or restore the default settings.
3.3.3 Load factory defaults
The SCHILLER factory defaults are listed in chapter 10.2. When you load these defaults, they will over write the user settings and language changes to german default.
If selecting factory defaults the language changes to english default settings.
1. Open the menu About and select menu Software.
2. Select function factory defaults and confirm with the enter button. The factory
defaults will be loaded.
3. Press the menu button to exit the programming mode.
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ARGUS LCM/PLUS
Operation 3
Service Handbook Initial settings 3.3
3.3.4 Setting alarm limits
All alarm limits are reset to the default or user specific system settings after switching
the unit off/on, if they have not been stored as default. (see menu About+/Software)
There are no alarm limits for temperature.
1. Press alarm limit button.
2. Press up/down or left/right buttons to select an alarm parameter and confirm
with enter. The entry field appears blue.
3. Press up/down to change the value and confirm with the enter button.
4. Press the up/down or left/right buttons to select other parameters or press the
alarm limit button to exit the menu.
The following table gives the default alarm limits settings for adul ts. A changed value
can be stored as default in the menu About+/Software.
The factory defaults are listed in the sections 10.1 and 10.2.
Alarm Low High Unit
a
Prio.
b
HR 50 140 /min High Off
ASYS 2 s High Off
c
RRi
C
APNi
SpO
2
8 35 min Low Off
20 s High Off
90 101 % Low Off
PP 50 140 min High Off
SYS 100 140 mmHg Low Off
DIA 40 95 mmHg Low Off
MAP 70 140 mmHg Low Off
Ps 95 50 mmHg low Off
Pm 50 100 mmHg low Off
Ps 40 100 mmHg low Off
eCO
2
35.0 45.0 mmHg Low Off
CO2 i 0.0 1.5 mmHg Low Off
RRc 8 25 /min low Off
APNc 25 s low Off
a. "High" priority = audible signal with 2 x 5 impulses.
"Low" priority = audible signal with 1 x 2 impulses and 20 s pauses between the
impulse sequences.
b. Print "On" = Default printout containing a warning message when the min./max.
value is exceeded.
c. If the RRi alarm option is Off in the ECG settings panel, the "Low" and "High" val-
ues for RRi and APNi will be "Off".
Print
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3Operation
3.3 Initial settings
ARGUS LCM/PLUS
3.3.5 Setting loudness of audible alarm and QRS sound
1. Select normal mo nitor mode. Press menu if in pr ogramming mode or trend if in
trend display.
2. Press the left button to adjust the loudne ss. The pictogram in the sta tus display
on the bottom left shows the current setting.
Page 22
Art. no.: 2.540033 rev.: d
ARGUS LCM/PLUS
Operation 3
Service Handbook Trend or alarm display 3.4
3.4 Trend or alarm display
The trend values are stored for all parameters every minute and additional ly on every manual NIBP measurement over the last 24 hours. The trends can be displayed
in graphical or tabular.
The display interval for the table can be selected in the menu About+/Trend. The
displayed trend table or not acknowledged alarms can be printed out by pressing
the print button. The displayed graph cannot be printed.
Table display
1. Press the trend button. The trend will be displayed in a table in 1, 5,15, 30, 60,
120 or 240 minute intervals. Change the displayed interval using the up/down
button. Move the display forward/backward on the time axis using the left/right
button.
Graph display (cannot be printed)
2. To display the graph, press the trend button once again. The graph's time frame
corresponds to 3 hours. Display the next 3 h by pressing the up/down button.
Move the cursor on the top right corner using the right/left button to display the
exact measured values for the selected position on the right. The cursor can be
positioned on the NIBP value by pressing ENTER.
Display of not acknowledged alarms
3. To display the last 12 no t acknowledged alarms, press the trend button a third
time.
3.5 Display of additional leads
The LCM basic serial number 0-999 can only measure lead II.
1. Select the normal monitor mo de. Press menu if in programming mode or trend
if in trend display.
2. Press the enter button to switch between the normal display mode containing
one lead and the 3-lead display.
3. By pressing the up/down buttons, the next leads are displayed.
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3Operation
3.6 Procedure in case of an alarm
3.6 Procedure in case of an alarm
3.6.1 Display of alarms
3.6.2 Suppressing/acknowledging an audible alarm
ARGUS LCM/PLUS
During initial switching on
The alarms are suppressed for a defined time (programma ble in the menu About+/
Alarm. Alarm suppr. time standard is 3 minutes)
The message Alarm suppressed 3:00 appears.
During monitoring
There are two alarms:
• Technical alarm, displayed in the alarm status field on the top right.
In case of a technical alarm, an audible alarm sounds and the measurement field
for the respective value flashes.
• Physiological alarms, displayed in the alarm status field on the top left.
In the case of a physiological alarm, an acoustic alarm sounds and the mea surement field for the respective value flashes.
There are two ways to proceed in the case of an alarm. The procedure dep ends on
the set alarm stop mode (On/Off) and the alarm suppression time in the menu
About+/Alarm:
(1) Alarm stop off (suppression)
This function suppresses an audible alarm for a defined period of time (2..10 min.).
However, the flashing measurement field (red measured value and coloured field) will
remain. The audible alarm is reactivated after the defined period of time has elapsed.
(2) Alarm stop on (acknowledging)
This function will suppress an audible alarm as long as the defined alarm limits are
exceeded. However, the flashing measurement field (red measured value and coloured field) remains.
3.6.3 Preventive alarm suppression
The preventive alarm suppression is used to deactivate in advance all alarms that
may be caused by disconnecting patient cables, loose electrodes an d relocation of
the patient.
« Press the alarm button and confirm with the enter button before an alarm is dis-
played.
Message Alarm suppressed 3:00 is displayed. The time can be programmed in the
menu About+/Alarm/Alarm suppr. time.
As soon as the time has expired, the acoustic and the visual alarms are again reactivated.
Page 24
Removing of the patient cables
If a cable is removed the message Cable off or no Sensor is displayed.
« Press the button alarm suppressing.
The alarm is deleted and the measured value field is no longer indicated.
Art. no.: 2.540033 rev.: d
ARGUS LCM/PLUS
IBP Alarm On/Off
Connect zero mmHg
Start IBP calibration
End / Escape
Enter Password
Press [Enter] to cancel
I,II, III
Operation 3
Service Handbook Procedure in case of an alarm 3.6
3.6.4 Switching off an alarm
Each alarm off function is password protected. Read carefully the followi ng warning
and information:
V When the acoustic alarm is switched off, the patient acoustic physiological
alarms are silenced and suppressed indefinitely. Use this function only if disconnecting a sensor from the patient for a long period of time.
• When the alarm off button is pressed, the audible alarm for the respective parameter is suppressed. This is indicated by the LED above the button and a message
on the monitor, e.g. Alarm ECG OFF. If an alarm occurs as long as the alarm off
button is pressed, a visual alarm is displayed in the respective measurement field.
• With the LCM plus version E the access to the IBP alarm off function will be executed by the NIBP alarm button. A menu with blood pressure a larm off (common
for NIBP and IBP) and IBP calibration function appears.
Entering alarm OFF password
1. Press the desired alarm off button. The password dialog appears.
2. Press following button to enter the password:
, , ,
1. The password protection can be disabled in the special menu see chapter 4.1.2
page 29
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3Operation
3.6 Procedure in case of an alarm
3.6.5 Overview of physiological alarms
ARGUS LCM/PLUS
Alarm abbreviation Description
Asys limit Asystole time limit exceeded
SpO2 Low/High
PP Low/High
RRi Low/High Respiration rate impedance (from ECG electrode)
Apnea limit Apnea time limit exceeded
CO2i low/high Inspiratory CO
RRc low/high Capnographic respiration rate
eCO2 low/high End-tidal expiratory CO
SYS low/high Systolic pressure
DIA low/high Diastolic pressure
MAD low/high Mean atrial pressure
HR low/high Heart rate
Ps low/high Invasive systolic blood pressure
Pm low/high Invasive mean blood pressure
Pd low/high Invasive diastolic blood pressure
Temp low/high
Oxygen saturation of the blood
Peripheral pulse of SpO
2
2
2
When the temperature is outside the measuring range,
this is indicated by “<<“(below 15 °C) or “>>” (above 45
°C). This limit is fixed.
Page 26
Art. no.: 2.540033 rev.: d
ARGUS LCM/PLUS
Operation 3
Service Handbook General Cleaning instructions 3.7
3.7 General Cleaning instructions
3.7.1 Cuff cleaning
V Do not use Chlorine
V Do not autoclave
V Follow the manufacturer’s instruction. (Disinfectants and Cuff)
• If using machine washing, be sure that the hook and loop fastener are engaged
• The fastener can melt at temperature above 325° F / 162° C, when being ironed.
• Use 70% isopropyl alcohol or mild detergent for cleaning.
1. Remove the rubber inflation bag from the cuff.
2. Disinfect cuff and inflation bag if necessary or wash the cuff in warm, soapy water.
3. Rinse thoroughly to remove any residual disinfectants because of skin irritation.
3.7.2 SpO2 Sensor
V Do not use undiluted bleach (5...5.25 % sodium hypochlorite)
V Do soak or immerse the cable or the sensor in any liquid solution
V Do not autoclave
V Follow the manufacturer’s instruction. (Disinfectants and Sensor)
• Use 70% isopropyl alcohol or mild detergent for cleaning.
1. Disconnect sensor from the device.
2. Disinfect sensor an d cable by wiping it with a 70% isopropyl alcohol pad.
3. Allow the sensor to dry prior to placement on a patient.
3.7.3 ECG cable
V Do soak or immerse the cable in any liquid solution
V Do not autoclave
V Follow the manufacturer’s instruction. (Disinfectants and Cable)
• Use 70% isopropyl alcohol or mild detergent for cleaning.
1. Disconnect cable from the device.
2. Disinfect cabl e and clip by wiping it with a 70% isopropyl alcohol pad.
Art. no.: 2.540033 rev.: d
3. Allow the cable to dry prior to placement on a patient.
Page 27
4 Setup and Programming
4.1 Settings menu
ARGUS LCM/PLUS
4 Setup and Programming
4.1 Settings menu
4.1.1 Main menu
Bold marked values are factory settings.
Main menu Parameter Values
ECG Display sensitivity 5/10/20/40 mm/mV
a
ECG - Filter
QRS beep source Off/ ECG/ SpO
Pacemaker Off /On (If pacemaker on, it is no RRi measuring possible)
RRi Alarm On /Off
Cable type Display of the connected cable type (3p-,/3-/5-/10-lead)
Mains filter Off/ 50 or 60 Hz
NIBP Initial pressure Adult 180, pediatric 150, neonatal 120 mmHg (0..300)
Autom. measuring Off/ On
Interval time 2/3/5/10/15/ 30/60 min
Deflation speed 5 (3..9) mmHg
SpO2 suppression Off/ On
IBP Scale 0..300/200/100/50/30/Auto
Start IBP Calibration Function
CO
2
System Patient Adult/Pediatric/Neonatal
About Device info see section 7.7.2
a.Diagnostic (Hardware, filtering low):High/low-pass: hp = 0.05 Hz, lp = 150 Hz for LCMplus and LCMbasic SN < 1000
Monitoring 1 (Hardware, filtering low):High/low-pass: hp = 0.5 Hz, lp = 40 Hz for LCMbasic SN > 1000
Monitoring 2 (Hard & Software, filtering medium):Hardware see above, SW
Artefact (Hard- and Software, filtering high):Hardware see above, SW
Flow Rate 200/120/90 ml/min (see details page 31)
O2-Compensation Off/ On (Off = O2 ≤ 60% / On = O2 > 60%)
N
O Compensation Off/ On (Off = 0% N2 O /On = ≥ 12%)
2
Desflurane compensation Off/ On (On = Desflurane ≥ 12%)
Steam compensation Off/ On
BTPS compensation Off/ On
Zero point cal. date ddmmjj
Two point cal. date ddmmjj
Start zero Point Calibration Function
Start two-Point Calibration Function
Date ddmmjj
Time hhmm
Diagnostic/ Monitoring 1 / Monitoring 2 / Artefact
2
= 0.6 Hz, SWlp = 35 Hz
hp
= 2.4 Hz, SWlp = 20 Hz
hp
Art. no.: 2.540033 rev.: d
Page 28
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