The SCHILLER sales and service centre network is worldwide. For the address of your local distributer,
contact your nearest Schiller subsidiary. In case of difficulty a complete list of all distributers and
subsidiaries is provided on our internet site or can be supplied from our head office.
iii
Warranty
Terms of Warranty
The SCHILLER CS-200 is warranted against defects in material and manufacture for the duration of
one year (as from date of purchase). Excluded from this guarantee is damage caused by an accident
or as a result of improper handling. The warranty entitles free replacement of the defective part.
Any liability for subsequent damage is excluded. The warranty is void if unauthorized or unqualified
persons attempt to make repairs.
In case of a defect, contact your dealer or the manufacturer.
The manufacturer can only be held responsible for the safety, reliability, and performance of the
apparatus if:
* assembly operations, extensions, readjustments, modifications, or repairs are carried out by
persons authorized by him, and
* the CS-200 and approved attached equipment are used in accordance with the manufacturers
instructions.
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
THERE ARE NO EXPRESS OR IMPLIED WARRANTIES WHICH EXTEND BEYOND THE
WARRANTIES HEREINABOVE SET FORTH. SCHILLER MAKES NO WARRANTY OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WITH RESPECT TO
THE PRODUCT OR PARTS THEREOF.
iv
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
Safety Notices
TO PREVENT ELECTRIC SHOCK DO NOT DISASSEMBLE THE UNIT. NO
SERVICEABLE PARTS INSIDE. REFER SERVICING TO QUALIFIED PERSONNEL
ONLY.
DO NOT USE THIS UNIT IN AREAS WHERE THERE IS ANY DANGER OF EXPLOSION
OR THE PRESENCE OF FLAMMABLE GASES SUCH AS ANAESTHETIC AGENTS.
IF THE DISPLAY IS DAMAGED, A LEAKAGE OF FLUID MAY OCCUR. DO NOT
INHALE THE VAPOUR FROM THIS FLUID AND AVOID CONTACT WITH MOUTH AND
SKIN. IF CONTACT IS MADE, CLEAN CONTAMINATED AREA IMMEDIATELY WITH
FRESH WATER.
THIS PRODUCT IS NOT DESIGNED FOR STERILE USE.
SWITCH THE UNIT OFF BEFORE CLEANING AND DISCONNECT FROM THE MAINS.
DO NOT, UNDER ANY CIRCUMSTANCES, IMMERSE THE UNIT OR CABLE
ASSEMBLIES IN LIQUID.
DO NOT OPERATE THE UNIT IF THE EARTH CONNECTION IS SUSPECT OR IF THE
MAINS LEAD IS DAMAGED OR SUSPECTED OF BEING DAMAGED.
DO NOT USE HIGH TEMPERATURE STERILISATION PROCESSES (SUCH AS
AUTOCLAVING). DO NOT USE E-BEAM OR GAMMA RADIATION STERILISATION.
DO NOT USE SOLVENT CLEANERS
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.
THIS UNIT COMPLIES WITH EMC REGULATIONS FOR MEDICAL PRODUCTS WHICH
AFFORDS PROTECTION AGAINST EMISSIONS AND ELECTRICAL INTERFERENCE.
HOWEVER SPECIAL CARE MUST BE EXERCISED WHEN THIS UNIT IS USED WITH
HIGH FREQUENCY EQUIPMENT.
IT MUST BE ENSURED THAT NEITHER THE PATIENT NOR THE ELECTRODES
(INCLUDING THE NEUTRAL ELECTRODE) COME INTO CONTACT WITH OTHER
PERSONS OR CONDUCTING OBJECTS (EVEN IF THESE ARE EARTHED).
THERE IS NO DANGER WHEN USING THE ECG UNIT FOR A PACEMAKER PATIENT
OR WITH SIMULTANEOUS USE OF OTHER ELECTRICAL STIMULATION
EQUIPMENT. HOWEVER, THE STIMULATION UNITS SHOULD ONLY BE USED AT A
SUFFICIENT DISTANCE FROM THE ELECTRODES. IN CASE OF DOUBT, THE
PATIENT SHOULD BE DISCONNECTED FROM THE RECORDER.
v
Safety Notices
THIS UNIT IS CF CLASSIFIED ACCORDING TO IEC 601-1. THIS MEANS THAT THE
PATIENT CONNECTION IS FULLY ISOLATED AND DEFIBRILLATION PROTECTED.
SCHILLER CAN ONLY GUARANTEE PROTECTION AGAINST DEFIBRILLATION VOLTAGE,
HOWEVER, WHEN THE ORIGINAL SCHILLER PATIENT CABLE IS USED.
IF SEVERAL UNITS ARE COUPLED THERE IS A DANGER OF SUMMATION OF LEAKAGE
CURRENTS. WHEN OPERATING SEVERAL DEVICES FOR MEDICAL AND NON-MEDICAL
APPLICATION DO NOT USE ANY EXTENSION CABLES OR DISTRIBUTION BOXES FOR THE
CONNECTION.
WHEN NON-MEDICAL DEVICES ARE CONNECTED TO THE RS-232 INTERFACE ENSURE
THAT BOTH UNITS ARE SECURELY CONNECTED TO THE SAME EARTH POTENTIAL.
WHEN OPERATING THE UNIT ON BATTERY AND SIMULTANEOUSLY USING NONMEDICAL DEVICES, THE RS-232 INTERFACE MUST BE FULLY ISOLATED.
BEFORE USING THE UNIT, ENSURE THAT AN INTRODUCTION REGARDING THE
UNIT FUNCTIONS AND THE SAFETY PRECAUTIONS HAS BEEN PROVIDED BY A
SCHILLER REPRESENTATIVE.
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
THE GUIDELINES FOR PATIENT ELECTRODE PLACEMENT ARE PROVIDED AS ON
OVERVIEW ONLY. THEY ARE NOT A SUBSTITUTE FOR MEDICAL EXPERTISE.
THIS UNIT IS PROVIDED FOR THE EXCLUSIVE USE OF QUALIFIED PHYSICIANS OR
PERSONNEL UNDER THEIR DIRECT SUPERVISION. THE NUMERICAL AND
GRAPHICAL RESULTS AND ANY INTERPRETATION DERIVED FROM A RECORDING
MUST BE EXAMINED WITH RESPECT TO THE PATIENTS OVERALL CLINICAL
CONDITION. THE RECORDING PREPARATION QUALITY AND THE GENERAL
RECORDED DATA QUALITY, WHICH COULD EFFECT THE REPORT DATA
ACCURACY, MUST ALSO BE TAKEN INTO ACCOUNT.
IT IS THE PHYSICIANS RESPONSIBILITY TO MAKE THE DIAGNOSIS OR TO OBTAIN
EXPERT OPINION ON THE RESULTS, AND TO INSTITUTE CORRECT TREATMENT
IF INDICATED.
vi
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
What's in this book
THE SER VICE PHILOSOPHY FOR ALL SCHILLER UNITS IS FAULT FINDING TO MODULE
LEVEL. THE PURPOSE OF THIS BOOK IS TO PROVIDE ALL THE INFORMA TION NECESSARY
TO ENABLE THE SERVICE ENGINEER TO EFFICIENTLY LOCATE AND REPLACE A FAULTY
MODULE. THIS BOOK ASSUMES NO DET AILED KNOWLEDGE OF THE CS-200 BUT DOES
REQUIRE THAT THE SERVICE ENGINEER IS FAMILIAR WITH STANDARD WORKSHOP
PRACTICES.
The book is divided into the following chapters:
Chapter 1 - Operating Elements
The purpose of this chapter is to provide an easy reference for all the main operator functions and
to give a basic introduction to the CS-200. This chapter gives details of the operator controls with
the operation and function of each key briefly explained. The information in this chapter provides
a background to the operating functions only. Complete operating information is provided in the
SCHILLER CS-200 User Guide.
Chapter 2 - Functional Overview
This chapter provides a functional overview of the CS-200. The description is supported by
functional block diagrams.
Chapter 3 - Fault Diagnosis & Functional Checks
This chapter provides a guide to locate a fault to module level. The diagnostics are presented in
a logical sequence of fault finding algorithms and procedures. Illustrations are provided to support
the text where needed.
This chapter gives an overview of the physical construction of the CS-200 with the main physical
attributes of the unit briefly described. The physical description is supported by illustrations
showing the internal location of all modules. Removal and replacement instructions for all
removable modules are also provided in this chapter. Each procedure is autonomous with details
of tools, jumper settings, adjustments and settings or special requirements that are required before
and after replacement. Functional checks that must be carried out after replacing a module are
also provided.
Chapter 5 - Spare Parts
This chapter provides the part numbers and reordering information for all replaceable modules.
Also included in this chapter are details of any special test equipment or special tools required for
adjustment or fault finding procedures.
Chapter 6 - Technical Data
The full technical specification of the CS-200 is given in this chapter.
Chapter 7 - Glossary
This chapter explains all the acronyms and signal titles used in this book and in the CS-200
circuit diagrams.
vii
List of Symbols
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
viii
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
Introduction1.3
Options1.3
Physical Layout1.4
Keyboard1.5
External Connections - Back Panel1.6
Preparation & Power Supply1.7
Switching the System ON1.8
Program Overview1.9
Function Keys1.10
Patient / Record Selection (Main Menu)1.11
Searching for Recordings and Information (Search Screen)1.13
Resting ECG Screen1.14
Typical Resting ECG Screens1.15
Exercise ECG Screen1.16
Typical Exercise ECG Screens1.17
Exiting a Display / Switching the Unit Off1.20
Chapter 1
Operating Elements
Chapter 1
Operating Elements
Contents
Page 1.1
Chapter 1
Operating Elements
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
Page 1.2
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
Introduction
The Schiller CS-200 is a diagnostic workstation designed to record, display, archive, present, and
analyse ECG recordings and other measurements. It provides a single solution for cardiology,
pulmonary function and circulation diagnosis. Innovative, flexible and expandible are key words
in the CS-200 philosophy; the new technology enables the CS-200 to be configured to meet
individual requirements and expanded at any time to suit changing user needs.
When taking an ECG recording, measurements, interpretation (option), average cycles and rhythm
leads, along with all 12 leads can be printed automatically in the format most convenient to the
physician. Favourite print formats can be pre-defined so that obtaining an ECG printout with
analysis is a single key operation.
The user interface of the CS-200 is based on the acclaimed SEMA-200 data management system
using Windows
this, the CS-200 can be used immediately with minimal operator training.
The CS-200 has the following features as standard:
l
Simple one key operation with dedicated function keys and icons
l
Mouse and trackball operation for menu selection
l
Resting ECG with pacemaker detection, measurements and average cycles
l
Resting Rhythm
l
Storage facilities:200 ECGs without archiving - before May 1998 / S/N 030.00504
l
Interface for external blood pressure unit
l
Interfaces for control of both analog and digital ergometers / treadmills
l
Interfaces for dc input and dc output
l
Automatic and Manual ECG recording
l
Selectable print formats with integrated quality thermal printer
l
3 1/2`` 1.44 MBytes floppy drive
l
CD ROM-drive
l
17" Monitor
TM
operating system; it is designed to be clear, simple and intuitive. Because of
unlimited - after May 1998 / S/N 030.00504
Chapter 1
Operating Elements
Options
l
ECG Interpretation
l
Pacemaker measurement
l
Exercise ECG
l
EXEC exercise analysis program with ST measurement, average complexes, trends and
interpretation
l
EXECplus with Full Disclosure
l
SDSplus data management system giving the ability to store/archive an unlimited number
of recordings with full analysis and transmission facilities - only for units older than S/N
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
Keyboard
Chapter 1
Operating Elements
1 ON/OFF key located on the console keypad
2 Power Indicators - mains and battery. The mains indicator shows that mains is connected:
the battery lamp indicates that the unit is running on battery power (mains power
disconnected during use - no screen display and emergency printout only possible).
3 AUTO Key - start an ECG recording (resting) in auto mode
4 MANUAL key -continuous printout of ECG
5 STOP key - stop printout, run paper to start position
6 Keyboard with function keys
7 Selection key - button 1 (left key)
8 Trackball
9 Selection key - button 2 (right key)
Top connector - Mouse / COM 1, RS-232
3Monitor connector
4Reserved slots for additional modules (5 off)
5RS-232 interface for connection of external blood pressure unit
RS-232 interface for control of treadmill/ergometer
Interface for connection of Spirometry unit
6Reset Button
7Input / Output panel containing the following:
ERGO connector for the connection of an analog controlled treadmill (5pin)
DATA I/O connector for the connection of QRS trigger(7pin)
DC IN connector for the input of dc (ECG) signals from another unit (5pin)
DC OUT connector for the output of dc signals(3pin)
RS-232 connector for the connection of a gas analysis unit
Microphone connector (for NIBP)
Pressure (cuff) connector (for NIBP)
Page 1.6
8ECG Connector
9Mains connector (in and out)
10Potential equalisation stud
SCHILLER CS-200 Diagnostic Workstation
EMC Filter
SERVICE HANDBOOK Issue d October 2001
Preparation & Power Supply
Location
•Do not keep or operate the unit in a wet or dusty environment
•Avoid exposure to direct sunlight or heat from other sources
•Do not allow the unit to come in contact with acid vapours or liquids
•Do not place the unit in the vicinity of X-ray or diathermy units, large transformers or
electric motors.
Potential Equalisation
The potential equalisation stud at the rear of the unit can be used to equalise the ground potential
of the CS-200 to that of all mains powered equipment in the vicinity. Use the hospital or building
common ground.
To avoid possible interference from the Ergometer when carrying out an exercise test, we
recommend that both the CS-200 and the Ergometer are connected to the same common
ground.
The potential equalisation connector is situated on the rear of the unit. A yellow/green ground
cable is supplied as an option (Article number 2. 310 005).
Chapter 1
Operating Elements
EMC Protection
The CS-200 offers EMC protection when the mouse filter connector is inserted between the
mouse connector on the unit (COM 1) and the mouse.
DO NOT REMOVE THE FILTER CONNECTOR
CS-200
Mains Supply
The unit is set for the mains supply of your country. When mains is connected the mains indicator
on the console keypad is lit.
Backup Battery
A backup battery is incorporated in the CS-200 for emergency use
in the event of a mains power failure. The backup battery allows the
unit to complete a resting ECG recording. If a power failure occurs
the screen will go blank but the processor continues to function for a
minimum period of three minutes. This is enough time to complete a
resting ECG and provide a complete printout.
Page 1.7
Chapter 1
Operating Elements
Switching the System ON
Switching the System ON
1. Press the ON / OFF key on the console keypad.
- +
ON/OFF
2. If the system is properly set, the CS-200 main screen comes up.
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
3. If the Windows desktop is displayed, double-click on the SDS-200 icon to get to the Login
screen.
4. Enter your User.ID and Password to get into the main menu ( Patient / Record Selection
screen)
5. Use the Checklist menu to enter Institutes, Departments etc. by clicking on Start for each
category. If the Checklist menu is not displayed go to menu System / Settings / System
Configuration and check the box "Show Checklist after Restart".
Page 1.8
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
Program Overview
In addition to view screens, the CS-200 has two main displays from which all settings,
measurements, and functions are selected. All of the displays have menu options on the top of the
screen and icons for the main functions. The two main displays are as follows:
°Patient / Record selection screen (main menu) > enter the resting and exercise data
acquisition and search and view screens from here.
°Search screen > select the record to be viewed.
Select a Patient / recording in the main menu or the search screen prior to recording or to
view a previous recording.
To enter the Resting ECG screen press the R ECG icon
To enter the Exercise ECG screen press the E ECG icon
Chapter 1
Operating Elements
At all times to return to the main menu (patient / record selection), press the return icon on
the left of the icon bar.
In addition function keys or menu selections can be made to enter the different screens. The
function keys are detailed on page 10.
Full details of the patient and search screens and data management functions are given in the CS200 User Guide Section 2.
Full details of viewing resting ECG and exercise ECG data are given in the CS-200 User Guide
Section 3.
Full details of carrying out a resting ECG and resting ECG settings are given in the CS-200 User
Guide Section 5.
Full details of carrying out an exercise ECG and exercise ECG settings are given in the CS-200
User Guide Section 6.
Details of all system settings are given in the CS-200 User Guide Section 8.
Page 1.9
Chapter 1
Operating Elements
Function Keys
In each screen in addition to the menu options and function icons, function keys F1 to F12 perform
different functions dependent on display. The function keys are as follows:
Patient / Record Resting ECGResting ECG Ex ECG (Acq) Ex ECG (View)
selection(Acq)(View)
F5Print (ext.) Auto Start 1Print (ext.)Print (ext.)
<sh>F5Select format Auto StartSelect formatSelect format
and print (format 2 )and printand print
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
F6 Filter On/OffFilter On/Off Filter On/Off
<sh>F6 Recenter Recenter
F7Sort on nameSerial comp. Next stepErgo main
F8Sort on IDAverages
F9View Rec.InterpretationInterpretation
<sh>F9MeasurementST amplitudes
F10Select menu Select menuSelect menuSelect menu
F11 Input BP
<sh>F11 Input Sympt.
***Switch Myogram filter (muscle tremor) filter on or off. When the filter is on, the
filter icon (top of screen) is highlighted yellow.
**Printout of real time ECG
Page 1.10
*Proceed to next stage of test e.g. Start, Begin, Recover, End
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
Patient / Record Selection (Main Menu)
In the Patient / record selection screen you can:
°Select Data Management Functions
°Make/change system settings and user settings
°Make entries in the data tables
°Enter the View, Search and Data Acquisition screens
The main menu can be entered from the view or data acquisition screens in any of the following
ways:
°Press the return icon
°Select `Main menu` option in the Patient menu
°Press the ESC key on the keyboard
The patient / record selection screen is displayed:
Chapter 1
Operating Elements
Clicking on one of the menu headings at the top of the screen displays further options; these can
be settings, functions or information displays. Clicking on the search icon (below the menu bar)
enters the Search screen (to search for specific recording and or patient). To select a menu item
move the track ball (or the mouse) so that the cursor is placed over the item and click with the left
button.
All system settings are detailed in the CS-200 User Guide Section 8.
The patient screen and data management functions are detailed in the CS-200 User Guide Section
2
Page 1.11
Chapter 1
Operating Elements
Patient / Record Selection
In the Patient Screen you can:
•Select, Display and Edit Stored recordings
•Select a patient before carrying out an ECG
•Select, Display and Edit patient data
•Print a Stored recording
•Delete a stored recording and/or Patient
•Send a recording to a PC
To get into the Main menu from the search and view screens:
•Press Function key F2OR
•Click on the patient iconOR
the return iconOR
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
•Select from the patient menu
Use the mouse or trackball to select required patient. A list of all recorded ECGs for that patient
is displayed in the right table. You can view a specific recording by highlighting a recording and
double-clicking with the left mouse button. Alternatively click on the View icon at the top of the
screen.
TipWhen the R ECG or Ex ECG icon is pressed with a patient selected in this screen, the
ECG screen is displayed and the patient data automatically entered.
Page 1.12
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
Operating Elements
Chapter 1
Searching for Recordings and Information (Search Screen)
To get into the Search Screen from the main screen:
•Press Function key F3OR
•Click on the Search iconOR
•Select from the patient menu
The icons on the top of the display give certain options as follows:
SearchDefines the search parameters - This allows you to search all recordings validated,
for example by a specific consultant or specific department etc. A number of search
parameters can be defined. When a change is made in the search parameters OK
must be clicked. You are then prompted to confirm new settings. When you confirm
the newly defined search parameters are set.
TodayDisplay only the recordings which have been made today.
EditPatient / recording data can be edited.
Page 1.13
Chapter 1
Operating Elements
Resting ECG Screen
When in another screen the Resting ECG can be entered in any of the following ways:
•Select from the Examinations menuOR
•Select and click the Resting ECG icon
When the RECG has been selected, the patient / recording data is displayed, enabling last minute
editing of patient data.
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
Page 1.14
When all patient data have been checked, finish with OK. The resting ECG screen is displayed.
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
Resting ECG Screen (cont.)
At the top of the ECG screen are two lines of options. The top line (Patient, Function, View) gives
the main function and setting options. When one of these headings is selected, further options are
given; these can be settings, functions or information displays. The bottom line (with the icons) is
the function line and provides a `short cut` to the commonly used functions. To select a menu
item move the track ball (or the mouse) so that the cursor is placed over the item and click with
the left button.
Chapter 1
Operating Elements
Page 1.15
Chapter 1
Operating Elements
Typical Resting ECG Screens
Resting ECG Data Acquisition
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
Auto ECG / Stored ECG
Average ScreenRhythm Screen
Displayed when requested
Measurements tableInterpretation screen
Page 1.16
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
Exercise ECG Screen
When in another screen the Exercise ECG can be entered in any of the following ways:
•Press function key F11OR
•Select and click the Exercise ECG icon
Chapter 1
Operating Elements
Exercise ECG
Acquisition
Page 1.17
Chapter 1
Operating Elements
Typical Exercise ECG Screens
Final Report / Stored ECG Main
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
Average
Page 1.18
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
Typical Exercise ECG Screens (cont.)
ST Graph
Chapter 1
Operating Elements
ST Measurements
Page 1.19
Chapter 1
Operating Elements
Typical Exercise ECG Screens (cont.)
Full Disclosure
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
Page 1.20
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
Exiting a Display / Switching the Unit Off
The icon on the extreme left of the icon bar has two functions:
1. When in any display other than the main menu, clicking on this icon returns you to the
main menu (Pat / rec selection)
2. When the main screen is displayed, clicking on this icon returns to the Login screen.
Switching the Unit Off
Chapter 1
Operating Elements
1. Click the program icon in the top left corner of the screen >>
and select CLOSEOR
2. Click the OFF cross (x) in the right hand side of the title bar
3. Shut down Windows as usual.
3. When given the Windows prompt `It is now safe to turn off your computer` press the ON/
OFF button on the keyboard to shut down the system.
- +
ON/OFF
Page 1.21
Chapter 1
Operating Elements
SCHILLER CS-200 Diagnostic Workstation
SERVICE HANDBOOK Issue d October 2001
Page 1.22
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