Welch Allyn Atlas User manual

Page 1
Patient Monitor
Operator Manual
Welch Allyn Medical Division
Page 2
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Drawings and/or illustrations and/or part numbers contained in this document are for reference purposes only. For current revisions call the Welch Allyn
Customer Service phone number listed in Section 1 page 2.
SERVICE MANUAL 6200-43E REV. A
WELCH ALLYN ATLAS PATIENT MONITOR i
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Contents PAGE

Section 1: General Information
1.1 About the Atlas ............................................................................................................ 1
1.2 T echnical Help Information, W orldwide T ech Support Phone Number........................... 2
1.3 Product Model Number Structure ................................................................................. 3
1.4 Main Menu Architecture ................................................................................................ 6
1.5 Atlas System Block Diagram ........................................................................................ 7
Section 2: Service (See User Manual 6200-42E for Atlas Specifications)
2.1 Incoming Inspection,Checklist ...................................................................................... 1
2.2 Repair Tests ............................................................................................................. 2-4
Table 2-1 :Tools Required for Service, Calibration and Software Loading ................... 5
Table 2-2:Software/Firmware Revision Levels ............................................................ 6
2.3 Calibration Procedures
BP Calibration - Section 2.3.1 ........................................................................... 7
ETCO2 Calibration (623Models only) - Section 2.3.2.........................................7&8
CO2 Reset (623Models only) - Section 2.3.3 ........................................................ 9
Printer Calibration - Section 2.3.4 ....................................................................... 10
Battery V oltage Calibration (Models 622xx and 623xx only)- Section 2.3.5 .... 10&11
T emperature Measurement Subsystem Calibration- Section 2.3.6 ...................... 12
Set Battery Charge V oltage-Section 2.3.7 .......................................................... 13
2.4 Software
Software Chart#2.4 .1.......................................................................................... 14
Downloading Operating System 2.4.................................................................... 15
2.5 Downloading NVRAM T ext files ............................................................................ 15&16
2.6 Downloading Software and NVRAM T ext files............................................................. 16
2.7 Product Numbering Structure .................................................................................... 17
Section 3: Troubleshooting (Also see Atlas Operator’s manual Appendix E)
3.1 Functional T ests/ Initial Diagnostic Steps ...................................................................... 1
3.2 T echnical T roubleshooting T ables: Complaint/Cause/Corrective Action ....................... 12
3.3 T op Level T roubleshooting Index .................................................................................. 15
3.4 Diagnostic T ests and Test Setups ............................................................................... 17
Section 4: Disassembly and Repair
About Section 4 .................................................................................................................... 1
4.1 Model 200 Dissassembly .............................................................................................. 2
4.2 Model 200 Re-assembly.............................................................................................. 13
4.3 Other Models notes ..................................................................................................... 15
ii WELCH ALL YN A TLAS P ATIENT MONITOR
SERVICE MANUAL 6200-43E REV. A
Page 4
Appendix Section:
A...............................................................................................................theory of operations
B...................................................................................................................... repair parts list
C....................................................................................interconnect diagram 620396 Rev A
D...................................................................... electrical schematics and circuit board layouts
E...........................Safety T ests: Required Equipment and Procedures and Test Results Form
SERVICE MANUAL 6200-43E REV. A
WELCH ALLYN ATLAS PATIENT MONITOR iii
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Section 1 - General Information
The Atlas combines in one unit all the necessary mea­surements for patients under anesthesia, for surgical recovery , or bed side monitoring. See Section 1.3 for a complete listing of product models and options.
According to the standards of care for Nurse Anesthe­tists and Anesthesiologists, all patients receiving con­scious sedation are to be continuously monitored throughout the procedure and recovery phase by ECG, SpO2, and NIBP. CO2 monitoring is a requirement dur­ing gas anesthesia (when patient is ventilated).
The Atlas combines a CRT to display ECG and CO waveforms and LEDs for the other numeric values to maximize visibility and viewing angle. Although not designed to be a transport product, the monitor has an integral handle and it is small and light enough at 13 lb to be easily moved. A one hour battery enables the monitor to be moved with the patient from the surgery room to recovery room. It also maintains unit operation for up to an hour when power is interrupted.
1.1 About the Atlas Monitor
2
IMPORT ANT: for a complete description on the func­tion and use of the Atlas, as well as user safety warn­ings, cautions, and warranty information, read and understand the Atlas Operator’s Manual part number 6200-42E (English). Other languages are available.
SERVICE MANUAL 6200-43E REV. A
WELCH ALLYN ATLAS PATIENT MONITOR 1
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Section 1 - General Information
1.2

Help Information

Safety Warnings
All service and repairs must be performed by fully trained and properly equipped personnel, using genuine replacement parts and correct procedures. Failure to do
so will invalidate the product warranty.
Read and understand all safety warnings and service notes printed in this Service Manual and the Operator’s Manual part number 6200-42E. If in doubt about any precaution or procedure, for phone help, or to order additional copies of the Atlas Operator’s Manual, contact:
Customer Service Welch Allyn, Inc. 4341 State Street Road, PO Box 220 Skaneatles Falls, NY 13153-0220 U.S.A
Telephone 1-800-535-6663
When calling, refer to the model number on the bottom of the Atlas. The Model Number is the first three
digits of the Serial number number found on the bottom of the Atlas.
Treat all returned opened Nasal CO2 Sample Lines and watertraps as Bio Hazard material and dispose of them in an approved manner.
Troubleshooting assistance is contained in Section 3 of this manual to help determine which board is malfunctioning. This manual does not support repairing the printed circuit boards.
Year 2000 Information: The Atlas is Y2K compliant and will not encounter “Year 2000” problems.
2 WELCH ALL YN A TLAS P ATIENT MONITOR
SERVICE MANUAL 6200-43E REV . A
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Section 1 - General Information
1.3 Product Model Number Structure
621S0 ECG, Nonin SpO2, NIBP
621SP ECG, Nonin SpO2, NIBP , Printer
622S0 ECG, Nonin SpO2, NIBP, T emp, Respiration, Battery , RS232
622SP ECG, Nonin SpO2 , NIBP, T emp, Respiration, Battery , RS232, Printer
622N0 ECG, Nellcor SpO2, NIBP , Temp, Respiration, Battery , RS232
622NP ECG, Nellcor SpO2, NIBP, T emp, Respiration, Battery , RS232, Printer
623SP ECG, Nonin SpO2, NIBP, ETCO2, T emp, Respiration, Battery , RS232, Printer
623NP ECG, Nellcor SpO2, NIBP, ETCO2, T emp, Respiration, Battery , RS232, Printer
SUFFIX:
Use letter designation for language localization as follows: E = English, F= French, G= German, I= Italian, S= Spanish, P= Portuguese C = Chinese, J= Japanese
Use number designation for line cord localization as follows:
1 = US, Canada, Japan V ersion 2 = European Version 4 = United Kingdom Version 6 = Australian V ersion
SERVICE MANUAL 6200-43E REV A WELCH ALLYN ATLAS PATIENT MONITOR 3
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Section 1 - General Information
1.4 Main Menu Architecture
*
Also note that this is for the 623xx system.
On a 622xP system, delete the CO2 Reset box, the Calibrate CO2 item, and the CO
units item.
On a 621xP system, delete the CO2 Reset box, the Calibrate CO2 item, the CO
units item, Respiration speed item, the T emperature units item, and the Battery test item.
On systems without printers (621x0 and 622x0) delete the Printer test pattern item.
*
The Display A/D Channels also lets you press <SET> up and down to display additional sets of information, but does not change the menu page that you are on, just writes different information on the right side of the screen.
4 WELCH ALL YN A TLAS P A TIENT MONITOR SERVICE MANUAL 6200-43E REV A
2
2
Page 9
Section 1 - General Information
Section 1.5 Atlas System Block Diagram
SERVICE MANUAL 6200-43E REV A WELCH ALLYN ATLAS PATIENT MONITOR 5
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Section 2 - Service
o 2.1.1 Inspect shipping package and product
for damage. Make a record of possible shipping damage.
2.1.2 List accessories in box.
o power cord o SpO2 probe o ECG leads o ECG lead cable o Cuff(s) o Operator Manual o nasal C02 Line o ECG Electrode(s) o temperature probe o BP tubing o paper o loose parts, describe
2.1 Incoming Inspection
Service Intervals for Calibration and Main­tenance are listed in Atlas Operator’s Manual Appendix C.
o 2.1.3 Clean and disinfect by following the
instructions printed in the Operator Manual.
o 2.1.4 Operate the Atlas to verify the customer
complaint before making any changes to the unit. Call the customer if the complaint is unclear .
NOTE: Perform REPAIR TESTS in
Section 2.2 to fully inspect the Atlas monitor before and after servicing. Refer to Section 3 for Troubleshooting help.
2.1.5 If the unit has caused or is suspected of having caused an injury of any type:
DO NOT DISASSEMBLE OR REP AIR THE UN IT IN ANY WA Y. Contact Welch Allyn Customer Service immediately .
SERVICE MANUAL 6200-43E REV . A WELCH ALLYN ATLAS MONITOR 1
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Section 2 - Service
2.2 Repair Tests 2.2.1 Blood Pressure System Leakage T est:
BP Leak Test
Unit must not leak more than 5 mmHg in a 15 second interval while attached to a 100 cc volume at test pressures of 50mmHg and 250mmHg.
Need:
100cc (+10/-0cc) test cavity stopwatch squeeze bulb
2.2.1.1 Connect Atlas to test 100cc volume and Setra Gage as shown in Figure 2.3.1.1
2.2.1.2 Turn Atlas ON
2.2.1.3 Press Time and Date button to access Options Menu.
2.2.1.4Press Lead Select button to select Service Mode. Select V erify Manometer
2.2.1.5Pressurize the Atlas with squeeze bulb to 50mmHg.
NOTE: Allow reading to stabilize for 15 seconds.
2.2.1.6Observe pressure for 15 additional seconds. Unit should not leak more than 5mmHg during this time.
2.2.1.7Perform this process at 250mmHg
BP Dump Test
Manometer Accuracy Test
2.2.2 Dump T est: Unit must be able to deflate a 500 cc volume from greater than 260.0 mmHg to less than
15.0 mmHg in 10 seconds or less.
2.2.3 Manometer Accuracy T est Internal temperature of the unit must be less than 32.0 degrees Celsius before performing test.
2.2.3.1 The primary transducer must be within +/-
0.75 mmHg at 0 +/-0.3 mmHg. The safety transducer must be within +/-1 mmHg at 0+/-0.3 mmHg.
2.2.3.2 The primary transducer must be within +/-
1.5 mmHg at 50 +/-5.0 mmHg. The safety transducer must be within +/-1.5 mmHg at 50 +/- 5.0 mmHg.
2.2.3.3 The primary transducer must be within +/-
1.5 mmHg at 150 +/-5.0 mmHg. The safety transducer must be within +/-4.5 mmHg at 150 +/- 5.0 mmHg.
2.2.3.4 The primary transducer must be within +/-
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SERVICE MANUAL 6200-43E REV. A
Page 12
Section 2 - Service
2.2.4 Deflation T est: With the unit connected to a large adult cuff and a target inflation pressure of 200 mmHg* have the unit perform a complete “normal” BP cycle. For steps two and three, the size of the step must be between 3.0 mmHg and 1 1.0 mmHg. Step 4 and all other steps above or equal to 40 mmHg, step size must be between 7.0 mmH gand 1 1.0 mmHg. All steps below 40 mmHg, except for the last step, will be between 4.5 mmHg and 10 mmHg. The last step will be between 0.01 mmHg and 10 mmHg.
2.2.5 Charge Voltage Test: Check battery charging circuit:
Specification :No Load: 6.85VDC across right pin (+) and left pin (-) of Main PCB battery charge connector .
Deflation T est
* Go to service mode screen and set initial
pressure to 200mmHg.
Charge Voltage Test
2.2.6 Hardware Fail Safe Tests
2.2.6.1 Over Pressure T est: Atlas hardware must detect over pressure on unit pneumatic system between 296.0 mmHg and 329.0 mmHg.
2.2.6.2 Over 15 mmHg T est: Atlas hardware must detect if the pneumatic system has been pressurized greater than 15 mmHg for more than 155 seconds but less than 180 seconds.
2.2.6.3 Under 15 mmHg Test: Atlas hardware must detect if the pneumatic system has been pressurized less than 15 mmHg for more than 25.0 seconds but less than 35.0 seconds before alowing new inflation cycle in “non­Stat” Auto Mode.
2.2.7 RS232 T est: The RS232 communication operation will be confirmed with successful serial transmit and receive.
Hardware Fail Safe Tests
RS232 Test
2.2.8 Printer Option T est:
Printer Option T est
The printer must be able to print out the test pattern . Inspect print quality .
SERVICE MANUAL 6200-43E REV . A WELCH ALLYN ATLAS MONITOR 3
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Section 2 - Service
ECG Test
NOTE: Section 3 of this Service Manual contains troubleshooting steps for the ECG subsystem. These tests will help determine if the main board is faulty .
2.2.9 ECG T est: Use a calibrated simulator to check performance. NOTE: There is no calibration for the ECG or impedance Respiration subsystems. If the performance does not match up to that expected using a calibrated simulator then there could be a problem with the cable, leads, connectors, wiring or the main board itself. If the main board is faulty then replace it.
SpO2 T est
NOTE:There is no
calibration for the SpO2 and Pulse subsystem. If the performance does not match up to that expected using a calibrated simulator, or the Phantom finger set, then the subsystem board
must be replaced.
2.2.10SpO2 T ests:
Need:
Appropriate Phantom finger set SpO2 cuff and cable Or: Nellcor or Nonin (as fitted) simulator (replaces cuff to drive subsystem) Or: Calibrated SpO2 simulator that has a cuff
fitting that simulates a perfused finger
Nonin: Settings for NoninPatient Simulator 8000S are 98% O2 / 80 BPM. SpO2 board accuracy after 25 second stabilization period must be within +/-2%O2 and +/- 2BPM. Nellcor: Settings for Nellcor Patient Simulator SRC-2 are 81% O2 and 112 BPM. SpO2 board accuracy after 25 second stabilization period must be within +/-2% O2 and +/- 2 BPM.
Temperature Test
4 WELCH ALL YN A TLAS MONITOR
2.2.1 1TEMP ACCURACY VERIFICA TION
Need: Calibrated thermometer (DIGIT AL OR GLASS) small insulated container with cover for warm water
2.2.1 1.1Fill container wtih approximately 96 degree F water
2.2.1 1.2Attach temperature probe neaqr the sensing part of the thermometer and insert into the warm water .
2.2.1 1.3Accuracy must be within +/- 0.2 degrees F.
SERVICE MANUAL 6200-43E REV. A
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Section 2 - Service
T able 2-2:Software/Firmware revision levels
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OS12699/8/9,0004.10.AA99/02/6,0000.10.AA7V PS12699/8/9,0004.10.AA99/02/6,0000.10.AA7V OS22699/8/9,0004.10.AA99/02/6,0000.10.AA7V PS22699/8/9,0004.10.AA99/02/6,0000.10.AA7V ON22699/8/9,0004.10.AA99/02/6,0000.10.AA79/71/210.0.2.1V PN22699/8/9,0004.10.AA99/02/6,0000.10.AA79/71/210.0.2.1V PS32699/8/9,0004.10.AA99/02/6,0000.10.AA7V00.1VE.0 PN32699/8/9,0004.10.AA99/02/6,0000.10.AA79/71/210.0.2.1V00.1VE.0
6 WELCH ALLYN ATLAS MONITO R SERVICE MANUAL 6200-43E REV. A
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Section 2 - Service
2.3.1 BP Calibration : Need: 500cc vessel (approximate)
calibrated digital manometer squeeze bulb with one-way valve tubing and T fittings PC with HyperT erminal * serial cable
2.3.1.1 Connect: manometer, bulb, and 500cc vessel to BP port with “T” connectors, Atlas to PC with serial cable.
2.3.1.2 Turn AtlasON and start HyperTerminal on PC.
2.3.1.3 Enter commands on Serial interface:
Pangea> bp valve close<ENTER> Pangea> bp safety off<ENTER>
2.3.1.4 Enter command:
Pangea> bp cal 5000
Do not press <ENTER> yet!
2.3.1.5 Raise pressure with bulb to as close to
50.00mmHg as possible or slightly higher. Let the pressure bleed down toexactly
50.00mmHg. Now press <ENTER> . Take no more than 3 minutes for this step.
2.3.1.6 Enter command:
Pangea> bp cal 25000<ENTER>
2.3.1.7 Repeat step 2.3.1.5 with 250.00 as target.
Press <ENTER> when pressure deteriorates to
250.00 mmHG.
2.3.1.8 Enter command:
Pangea> nvram write<ENTER>
2.3.1.9 Disconnect serial cable and instruments and cycle power on Atlas. BP cal complete.
2.3.1.10 Verify accuracy of pressure settings by repeating step 2.3.1.3 then 2.3.1.5 and compare Atlas front panel reading with Setra readout. Do this at 50.00mm and 250 mm Hg.
2.3 Calibration
2.3.1 BP Calibration
Caution: Improper use, stor­age, handling of compressed gas vessels can cause injury or death! Follow gas manu­facturers safety processes.
500cc volume
Setra
Figure 2.3.1.1
*Access and set up HyperT erminal: 1-Start 2-Settings 3-Control Panel 4-Add/Remove Programs 5-Windows Setup 6-Communications 7-selectHyperT erminal 8-APPL Y
Settings are: 9600 Baud, 8 bit word, 1 stop bit no parity , no flow control ANSI character set Find HyperT erminal in Programs, Accessories
2.3.2 ET CO2 Calibration: 623 Models only Need: T ank of approximately 10% CO2, balance N
2
(certified) Blood Gas Mixture Tubing and T connectors Watertrap and scrubber
2.3.2.1 Insert water trap. Power up.
2.3.2.2 Place the instrument into Service Mode: Press Date/Time Lead Select button.
2.3.2.3 Select Calibrate CO
2
Message “Remove CO2 water trap” will appear.
SERVICE MANUAL 6200-43E REV . A WELCH ALLYN ATLAS MONITOR 7
2.3.2 ET CO2 Calibration
NOTE:Replace water trap every 6 hrs of use. Treat water trap and used NasalCO2 Sample lines as bio hazard material!
NOTE: The Scrubber looks
similar to a watertrap, but is filled with white granules. It is included with model 623XX.
Page 17
Section 2 - Service
Note
approximately 2 PSI.
: Adjust regulator to
valve
2
CO
watertrap
Figure 2.3.2.11
vent
2.3.2.4 Remove water trap from water trap socket .
2.3.2.5 Message “Install scrubber” will appear .
2.3.2.6 Attach scrubber to water trap.
2.3.2.7 Insert scrubber/water trap assembly into water trap socket. Message “Enter span gas value using <Set> button” will appear.
2.3.2.8 Change the default value (10%) to the value of span gas being used (calibrated 8% to 12% concentration known to ±0.01%).
2.3.2.9 Press <BP Start/Cancel> Message: “Sampling” appears while the instrument is sampling the scrubber air.
2.3.2.10 When instructed, remove the scrubber from the CO2 water trap. Do not remove water trap.
2.3.2.1 1 Attach the calibrated source of CO2 gas to the CO2 side-stream sampling tube as per Figure 2.3.2.1 1
2.3.2.12 Adjust the CO2 regulator just enough to allow a small amount of gas to flow out of the vent (approximately 3 PSI).
NOTE:Replace water trap every 6 hrs of use. Treat water trap and used NasalCO2 Sample lines as bio hazard material!
SR856: CO2 Calibration beyond the year 2021
Important: Once positive flow is established, let the it flow for one minute before pressing the Continue button and actually sampling. After one minute, press the Continue button to let the Atlas start sampling CO
2.3.2.13 Press <BP Start/Cancel> Message: “CO2 calibration successful” or “CO2 calibration failed” will appear on th e CRT display .
(Note: Serial Communication is not the cause of a failure if the Prion Serial appears in the Service Screen. Therefore the problem is with the board or connections and not serial communication problems.)
2.3.2.14 Press Trend button to Exit.
T o calibrate the CO2 system in years 2022 or later it is necessary to reset the system clock to an earlier year , perform the calibration, and then set the clock to the correct year again. The service center should keep a record of this since the Cal display in the Service Mode screen will be incorrect.
2.
.
8 WELCH ALL YN A TLAS MONITOR
SERVICE MANUAL 6200-43E REV. A
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Section 2 - Service
2.3.3 CO2 RESET Need: Watertrap and Scrubber
2.3.3.1 Press the Date/Time button on the lower right of the monitor. The Set Date and T ime and Other Options menu will be displayed.
2.3.3.2 Select the Reset CO2 selection by pressing the CO2/RESP ALARMS Off button. CO2 Reset screen will appear.
2.3.3.3 Follow the instructions on the screen. “Remove the CO2 watertrap”. “Install the CO2 Scrubber onto the CO watertrap.”
NOTE: The Scrubber looks similar to a watertrap,
but is filled with white granules. It is included with model 623XX.
2.3.3 CO2 RESET
2
2.3.3.4 Remove the tubing from the watertrap and attach the Scrubber to the watertrap.
2.3.3.5 Insert the watertrap/Scrubber combination into the watertrap socket.
2.3.3.6 Messages: The system will report that it is Sampling. The system will then report Reset Complete.
2.3.3.7 Remove the watertrap/Scrubber from the watertrap socket.
2.3.3.8 Detach the Scrubber from the watertrap and reattach the tubing.
2.3.3.9 Replace the watertrap in the watertrap socket.
2.3.3.10 Press Trend to return to the waveform screen.
NOTE: There may be a message indicating a 5 minute Warming Up period.
SERVICE MANUAL 6200-43E REV . A WELCH ALLYN ATLAS MONITOR 9
Page 19
Section 2 - Service
2.3.4

PRINTER CALIBRATION

Note: Two lines are displayed: Waveform +128, Text +70 These two numbers are factory defaults and a good starting point if the system is printing very poorly or not at all. The LEFT<SET> button controls the Waveform setting, up and down. The RIGHT <SET> but­ton controls the Text setting, up and down. Make changes tothe settings as needed, where a larger number = darker printing and a smaller number = lighter printing. Make initial changes of about 10 points each time. After making an adjustment, press <TREND> to exit the Service Mode.
2.3.4 PRINTER CALIBRA TION Need: PC with HyperT erminal Serial cable Connector
2.3.4.1 Use HyperTerminal to get strobe width settings for printer normal for waveforms ­text for trend
Advanced configuration printing:
Pangea> nvram get
printer_strobe_width_normal<ENT>
(normal value 130)
Pangea> nvram get printer_strobe_width_text<ENT>
(normal value 70)
2.3.4.2 Change values - larger number for darker printing. Change with:
Pangea> nvram set printer_strobe_width_normal XX X Pangea> nvram set printer_strobe_width_text YYY
2.3.4.3 Test and reset until satisfied.
2.3.4.4 Press Trend button to exit the Service Mode.
2.3.5 BA TTER Y VOLTAGE CALIBRA TION
2.3.5 BA TTERY VOL T AGE CALIBRA TION for models 622XX and 623XX.
NOTE: CHECK BA TTERY VOL T AGE CALIBRA TION
AFTER REPLACING MAIN PCB. Need: DC power supply rated: 7 VDC at 5A Battery eliminator cable - Atlas battery plug on one end, interface to the power supply on the other. There should be access for voltmeter probes at the Atlas end of the cable when it is installed DMM / DVM with 10mV resolution on a 10V scale PC with HyperT erminal Serial cable and connector
2.3.5.1. Connect serial cable to PC and Atlas
2.3.5.2 Remove battery from Atlas
2.3.5.3 Set the power supply to 6.8V +/- 200mV
2.3.5.4 Connect the power supply to the Atlas battery connector .
2.3.5.5 Turn At las ON.
2.3.5.6 Reduce the power supply to 6.0V
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SERVICE MANUAL 6200-43E REV. A
Page 20
Section 2 - Service
2.3.5.7 Measure the voltage at the battery connector (at the Atlas) to the nearest 10mV .
NOTE: Do not measure at the power supply , since
cable resistance will introduce error.
2.3.5.8 At the HyperT erminal, type:
Pangea> power cal XXXX<ENTER>
(where XXXX represents the measured voltage in millivolts no decimal point.) For example, if you measured 6.010V at the battery connector , use the command “power cal 6010<ENTER>”.
2.3.5.8 The Atlas will respond:
raw = ZZZZ mV true = 6010 mV OK
(where ZZZZ is the raw uncalibrated reading that the instrument made.)
2.3.5.9 Reduce the power supply to 5.6 volts. Y ou
should soon hear the “low battery” alarm.
2.3.5.10Measure the voltage at the battery connector to the nearest 10mV .
2.3.5.1 1At the HyperT erminal, type:
Pangea> power cal XXXX<ENTER>
(where XXXX represents the measured voltage in millivolts no decimal point.) For example, if you measured 5.590V at the battery connector , use the command “power cal 5590<ENTER>”.
2.3.5.12
raw = ZZZZ mV true = 5590 mV OK
The Atlas will respond:
(where ZZZZ is the raw uncalibrated reading that the instrument made.)
2.3.5.13
Pangea> hw reset<ENTER>
2.3.5.14 Turn Atlas OFF and remove the power
supply .
2.3.5.15 Re-Install the battery .
SERVICE MANUAL 6200-43E REV . A WELCH ALLYN ATLAS MONITOR 11
Finish by typing: (this will re-boot A TLAS)
Page 21
Section 2 - Service
2.3.6 TEMPERATURE MEASUREMENT
SUBSYSTEM
CALIBRATION
2.3.6 TEMPERA TURE MEASUREMENT SUBSYSTEM CALIBRA TION:
Need: PC Serial Cable HyperTerminal 1kOhm - 2kOhm 1% 1/2watt resistor Large RCA plug (1/4”) 2 conductor Short length of wire (optional) Soldering iron and solder
2.3.6.1Prepare Resistor/Plug assembly . Solder the resistor across RCA plug terminals.
2.3.6.2 Plug the resistor assembly into the Atlas T emperature jack.
2.3.6.3 Connect the Atlas to the PC serial port.
2.3.6.4 Turn the Atlas ON.
NOTE: T emperature display will show a valid temperature.
2.3.6.5 Start HyperTerminal on the PC.
2.3.6.6 At the Pangea prompt, type:
Pangea>temp cal xxxxxx<ENTER>
(where the xxxxxx is the value of the precision resistor in centiOhms- Specify the Ohms, tenths, and hundredths of Ohms with no decimal point- for example, a 1200.00 Ohm resistor would be: Pangea>temp cal 120000<ENTER>
2.3.6.7
Wait four seconds then type:
Pangea>temp state<ENTER>
2.3.6.8 Displayed resistance will be within 0.5 Ohms of the value that you entered. The Offset should not exceed 5.0 Ohms.
NOTE: The system will silently fail (without error) if it
is unable to calibrate properly . Therefore you must manually verify that this resistance is correct.
2.3.6.9 Turn the Atlas OFF.
2.3.6.10Unplug the resistor/plug assembly.
2.3.6.1 1Remove the serial cable.
2.3.6.12Check the accuracy of the
temperature sensing system using the process described in Section 2.2.1 1
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SERVICE MANUAL 6200-43E REV. A
Page 22
Section 2 - Service
2.3.7Set battery charging voltage: Specification :No Load: 6.85VDC Need: DVMM
2.3.7.1Remove battery from unit and unplug.
2.3.7.2Use DVMM to check across right pin (+)
and left pin (-) when viewed looking into the battery compartment.
2.3.7.3Adjust potentiometer R338 to obtain
6.85VDC. (It is located at the right of the battery jack. Turn it counterclockwise to increase the charging voltage.
2.3.7 Set Battery Charge Voltage
SERVICE MANUAL 6200-43E REV. A WELCH ALLYN ATLAS MONITOR 13
Page 23
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14 WELCH ALLYN ATLAS MONITOR SERVICE MANUAL 6200-43E REV. A
Page 24
Section 2 - Service
2.4 Downloading Operating System When required: to load latest revision software*
o na fully functioning Atlas or to reload software after replacing the MCU board. The atlas_dl.exe program loads the following files:
atlas.out.gz nvram_common.txt nvram_(model#).txt ** nvram_(language).txt **
Equipment or supplies required:
PC with Windows ‘95/NT Serial cable with connector: (COM1to PC) File : atlas_dl.exe
2.4.1 Connect serial cable between Atlas and PC COM1
2.4.2 Double click “atlas_dl.exe” explorer window
2.4.3 After downloading is complete, check alarm
and other User controlled advanced configuration settings since these are ‘reset’ by this downloading process.
2.4 Downloading Operat­ing System
(when upgrading software or
replacing CPU board)
**Note: Hyperterminal queries the Atlas to deter­mine which model number and language to down­load.
Note: If Atlas calibration was satisfactory prior to downloading software then recalibration is not required.
Downloading Operating System complete
2.5 Downloading NVRAM files with Hyperterminal*. The NVRAM resides on Main Board. Hyper terminal loads the following files:
cal_init.txt common.txt (model#).txt ** (language).txt,** printer .txt (if required), or no_printer.txt.
2.5.1Connect serial cable between Atlas and
PC COM1 as in 2.4 above.
2.5.2Open HyperT erminal program on PC:
ST ART PROGRAMS ACCESSORIES HYPERTERMINAL
2.5.3Turn Atlas ON. You should see some
version information and a prompt:
Pangea>
2.5.4 Transfer Text files:
(TRANSFER/SEND TEXT FILE) NVRAM_CAL_INIT .TXT (only if main board has been replaced)
2.5 Downloading NVRAM T ext files
after replacing Main Board
*Configure HyperT erminal
9600 Baud 8 bits 1 stop bit no parity no flow control
SERVICE MANUAL 6200-43E REV . A WELCH ALLYN ATLAS MONITOR 15
Page 25
Section 2 - Service
2.5 Downloading NVRAM T ext files
when replacing Main Board
continued
2.6 Downloading Soft-
ware &
NVRAM T ext files
after replacing Main Board
AND CPU board
NVRAM_COMMON.TXT NVRAM_NO_PRINTER.TXT
or NVRAM_PRINTER.TXT NVRAM_(model 200,210,220).TXT NVRAM_<LANGUAGE>.TXT
2.5.5 After these text files are transferred, T ype the following serial commands to update the serial number:
nvram set serial___ (last 3 digits of serial#) nvram write hw reset (hardware reset restartsAtlas and
saves the new settings)
2.5.6 Verify the serial number correct
2.5.7 Recalibrate Atlas unit. After calibration is complete.
2.5.8 Check alarm settings and User selected
advanced Configurations
2.6 Downloading Software & NVRAM T ext files
2.6.1 Use atlas_dl.exe as in step 2.4. to Program ne w CPU board.
2.6.2 Use HyperTerminal as in step 2.5 to set NVRAM on new Main Board.
2.6.3 Recalibrate Atlas
2.6.4 Check alarm settings and User selected advanced Configurations
16 WELCH ALL YN A TLAS MONITOR
NOTE: Firmware Download
Software versions of OEM boards are not field upgradeable. (SpO2 boards or the CO2 board.) Replace the subsystem board with a higher (current) version if necessary .
SERVICE MANUAL 6200-43E REV. A
Page 26
Section 2 - Service
2.7 Product Model Number Structure
621S0* ECG, Nonin SpO2, NIBP
621SP* ECG, Nonin SpO2, NIBP , Printer
622S0** ECG, Nonin SpO2, NIBP , Temp, Respiration, Battery, RS232, Nurse Call
622SP** ECG, Nonin SpO2, NIBP , Temp, Respiration, Battery, RS232, Printer , Nurse Call
622N0** ECG, Nellcor SpO2, NIBP , Temp, Respiration, Battery, RS232, Nurse Call
622NP** ECG, Nellcor SpO2, NIBP , Temp, Respiration, Battery, RS232, Printer , Nurse Call
623SP** ECG, Nonin SpO2, NIBP , ETCO2, T emp, Respiration, Battery , RS232, Printer , Nurse Call
623NP** ECG, Nellcor SpO2, NIBP , ETCO2, T emp, Respiration, Battery , RS232, Printer , Nurse Call
SUFFIX:
Use letter designation for language localization as follows: E = English, F= French, G= German, I= Italian, S= Spanish, P= Portuguese C = Chinese, J= Japanese
Use number designation for line cord localization as follows:
1 = US, Canada, Japan Version 2 = European Version 4 = United Kingdom Version 6 = Australian Version
Specifications: See Operator Manual
Specifications for all of the above listed models of Atlas including performance, accuracy , range, size, weight, power, environmental, are documented in an appendix to the User Manual.
* Model 200 Main Board and Schematic 200 ** Model 220 Main Board and Schematic 220
SERVICE MANUAL 6200-43E REV. A
WELCH ALLYN ATLAS MONITOR 17
Page 27
Section 3 - Troubleshooting
3.1 Functional Test and Initial Diagnostic
1.Review customer complaint and determine if it is safe to plug in and turn on Atlas
2.Plug in Atlas, no sensors attached.
3.Check for AC~ LED lit.
4.Install paper in printer if fitted.
5.Turn on power
6.Green light in power button.
7.Loud beep when button pressed.
8.Three dashes in SYSTOLIC.
9.Three dashes in DIASTOLIC.
10.Two dashes in SpO2 (takes several seconds after BP dashes come on).
11.Three dashes in PULSE (takes several seconds after BP dashes come on).
12.Pleth: none, or a single bar at the bottom, or two bars at the bottom.
13.No lights in TEMP.
14.No lights in ALARMS OFF buttons.
15.X lit on AUTO.
16.AC~ lit
17.CRT display comes on slowly if cold, quickly if still warm from last use.
18.May see version string in center if comes on quickly, not a problem if not seen because it comes on slowly.
19.CRT: three dashes for Heart Rate
20.Heart picture
21.Lead select symbol
22.Scale bar
23.One or two lines of dashes for waveforms – depends upon settings.
24.Three dashes for MAP – or blank, depends upon settings.
25.Error message(s) at bottom of screen?
Note: “Idle” screen is normal waveform display.
26.If 622 or 623, pull AC cable. Should be no change except AC~ unlit.
26.1. If errors of low, very low or depleted battery,
or if system dies, plug back in and repeat test in 2 hours.
SERVICE MANUAL 6200-43E REV. A
WELCH ALLYN ATLAS MONITOR 1
Page 28
Section 3 - Troubleshooting
3.1 Functional Test and Initial Diagnostic
Plug AC back in.
MENU TESTS
27.Press <DA TE/TIME><TREND>
28.Get Advanced Configuration menu.
29.Write down all settings for resetting to customer prefer­ence later.
30.Set language to your native tongue if necessary to allow you to write down the other settings. The top item is always the language, press either <SET> button to step through list.
31.Press <PRINT> if printer fitted.
32.Press <TREND> to return to idle screen.
33.Press <DA TE/TIME>
34.Get date/time menu.
35.V erify date/time, set if necessary .
35.1. Bad date may indicate battery problem. If
date was bad, turn off unit, pull power cable, wait 5 minutes reconnect power cable, turn on unit. Check date again.
35.1.1. If date comes back bad: Replace main board Model 200. Model 210, 220, if battery not dead replace main board.
Press Date/Time to return to waveform screen if needed.
36.Press <DATE/TIME><LEAD SELECT>
37.Get Service Mode menu.
38.Examine version/configuration data in lower half of menu, and write it all down.
39.Press <SELECT> to highlight Reset to factory de-
faults.
40.Press <BP START/CANCEL> to reset configuration.
41.Press <TREND> to return to idle screen.
42.Press <DA TE/TIME><TREND>
43.Get Advanced Configuration menu.
44.Set language to your native tongue if necessary
44.1. We have just reset to factory defaults.
Compare settings to factory defaults appropri­ate for the country – in Operator manual. Ifno t matching, indicates memory problems. Changing only the language should not change any of the other factory default settings.
45.Press <DATE/TIME><LEAD SELECT>
2 WELCH ALL YN ATLAS MONITOR
SERVICE MANUAL 6200-43E REV. A
Page 29
Section 3 - Troubleshooting
46.Get Service Mode menu.
47.Press <Select> to highlight CRT test pattern.
48.Press <BP START/CANCEL> to show test pattern. Examine display .
49.Press any key to end display .
50.Press <Select> to highlight Printer test pattern (if fitted).
51.Press <BP START/CANCEL> to start test pattern.
52.Printer should print test pattern.
53.Press any key to end display .
54.Examine printout.
55.Press <Select> to highlight LED test .
56.Press <AUTO> to turn on all LEDs .
57.Press <BP START/CANCEL> to show automatic test pattern.
58.Watch for a while, look for glitches in pattern.
59.Press <Set> to go to manual mode and step through individual segments if needed to observe a problem.
3.1 Functional Test and Initial Diagnostic
60.Press <Select> to highlight Button test.
61.Press <BP START/CANCEL> to start test.
62.Press every button on system, <BP ST ART/CANCEL> last.
62.1. Verify that buttons match up with their names,
and that all buttons are functional.
62.1.1. If names don’t match, indicates memory corruption: Replace main board
63.Press <Select> to highlight Display A/D channels (three or four screens worth)
63.1. Write down all values for later review.
63.2. Press <Set> and write down all values for
each screen.
64.Press <Trend> to return to Idle screen.
65.Connect the BP port to the BP simulator.
66.Set the simulator for a normal reading (140/80, 100BPM, NSR).
67.Press <BP START/CANCEL>
67.1. System should start pump, display manom-
eter value in SYSTOLIC LED; this value should track and be very close to pressure
BP test
SERVICE MANUAL 6200-43E REV. A
WELCH ALLYN ATLAS MONITOR 3
Page 30
Section 3 - Troubleshooting
3.1 Functional Test and Initial Diagnostic
displayed by manometer in BP simulator (if fitted). Largest number shown in SYSTOLIC should be very close to the Initial pressure setting recorded above from Advanced Configuration.
67.2. System should step down pressure, showing step values in SYSTOLIC LED, and then dis­play correct SYSTOLIC and DIASTOLIC values. System may show MAP value de­pending upon country .
68.Press <DA TE/TIME><TREND> to get to Advanced Configuration menu.
69.Press <Select> to highlight Initial pressure.
70.Press <Set> to change Initial pressure to 280 mmHg.
71.Press <Select> to highlight MAP.
72.Press <Set> to change MAP to Yes.
73.Press <TREND> to return to idle screen.
74.Press <BP START/CANCEL>
75.System should start pump, display manometer value in SYSTOLIC LED; this value should track and be very close to pressure displayed by manometer in BP simulator (if fitted). Largest number shown in SYS­TOLIC should be very close to the Initial pressure setting of 280 mmHg.
75.1. If pressure shown exceeds 300 mmHg:
Recalibrate BP
76.System should step down pressure, showing step values in SYSTOLIC LED, and then display correct SYSTOLIC and DIASTOLIC values. System should show MAP value. MAP value should match what is shown by simulator.
77.Set simulator to highest Systolic <=250, lowest Dias­tolic >= 30, and lowest heart rate >=30.
78.Press <AUTO>
79.X goes unlit, 1 flashes for 10 seconds.
80.20 seconds after 1 stops flashing, BP measurement starts.
81.BP reading as above.
81.1. If BP does not start: Replace main board
81.2. If BP measurement incorrect recalibrate
4 WELCH ALL YN ATLAS MONITOR
SERVICE MANUAL 6200-43E REV. A
Page 31
Section 3 - Troubleshooting
82.No less than 30 seconds after completing the measure­ment another measurement should start. While it is pumping up, press <BP ST ART/CANCEL>. Measure­ment stops immediately and pressure is dumped (as seen on manometer on simulator).
82.1. If measurement does not stop immediately:
Main board or button.
82.2. If pressure does not drop below 10mmHg
immediately: Main board
83.Press <AUTO> and X lights up (not flashing).
84.Disconnect the tubing from the BP port on the Atlas.
85.Press <BP START/CANCEL> and note the time (to the second).
86.The BP should abort with an alarm after no longer than one minute.
3.1 Functional Test and Initial Diagnostic
87.Cycle power on Atlas, connect a 5 lead cable set to the simulator.
88.Configure the simulator for NSR 100BPM and Imped­ance Respiration.
89.Plug the cable into Atlas.
90.Press <DA TE/TIME> <TREND> to access Advanced Configuration menu.
91.Press <Select> to highlight ECG lead set and press <Set> to select 5 wire.
92.Set ECG gain to Automatic.
93.Set ECG speed to 25mm/s.
94.Set ECG bandwidth to Monitor.
95.Set Second trace selection to ECG.
Press <TREND> to return to idle screen Should see:
95.1. ECG cascading onto second line
95.2. Scale bar on left of top line
95.3. Heart rate displayed as set on simulator
95.4. Lead Selected = II
95.5. Pulse tone high pitched
ECG
Note: Simulator must sup­port impedance respirator .
Press <LEAD SELECT> and step through each of the lead settings. Should see:
95.6. Different looking ECG waveforms
95.7. Heart Rate will go to dashes and alarms on
some leads
96.Set lead selected to II
SERVICE MANUAL 6200-43E REV. A
WELCH ALLYN ATLAS MONITOR 5
Page 32
Section 3 - Troubleshooting
3.1 Functional Test and Initial Diagnostic
97.Press <DA TE/TIME><TREND> to access Advanced Configuration menu.
98.Change Second trace selection to Respiration.
99.Press <TREND> to return to idle screen.
100. Should see:
100.1. ECG on top line
100.2. Scale bar on left of top line
100.3. Heart rate displayed as set on simulator
100.4. Lead Selected = II
100.5. Pulse tone high pitched
100.6. Respiration trace on second line
100.7. Respiration rate displayed as set on simula-
tor.
101. Disconnect ECG simulator
SpO
2
Temp
102. Connect SpO2 cable and cuff and install cuff on
simulator (or your finger).
103. Set simulator to normal readings.
104. See pleth signals immediately .
105. See SpO2 percentage within several seconds .
106. See Pulse display at the same time as SpO
2
percentage.
107. Disconnect SpO2 cuff from simulator .
108. See error “SpO2 cuff not detected”.
109. Unplug SpO2 cable from Atlas.
1 10. See error “SpO2 cable not detected”. 1 1 1. T emp display is blank.
1 12. Connect temp probe. 1 13. See temp display of ambient temperature.
1 14. Disconnect temp probe. 1 15. Temp display becomes dashes. No alarm or error
CO
2
6 WELCH ALL YN ATLAS MONITOR
1 16. Press <DATE/TIME><TREND> 1 17. Get Advanced Configuration menu. 1 18. Set Second trace selection to CO
2.
1 19. Press <TREND> to return to idle screen.
120. Insert watertrap with tubing attached.
121. Should see:
121.1. Hear pump motor start.
121.2. See solid line waveform on lower trace.
121.3. See dashes in Respiration Rate.
121.4. See dashes in mmHg (or % or kPa, as
configured).
SERVICE MANUAL 6200-43E REV. A
Page 33
Section 3 - Troubleshooting
122. Breathe gently and repeatedly over end of tubing
123. Should see:
123.1. See waveform within seconds of breathing
123.2. See respiration rate non zero within one minute.
123.3. See CO2 concentration non zero within one minute.
3.1 Functional Test and Initial Diagnostic
124. System must have been plugged in for 24 hours for a real battery test to guarantee that battery is fully charged, but for functional test we can try it:
125. Press <DA TE/TIME><LEAD SELECT>
126. Get Service Mode menu
127. Press <SELECT> to highlight Battery test
128. The menu reports
Battery Low Time XXX and
Battery Dead Time YYY These are the results from the last battery test. The Battery Low Time is the time in hours and minutes that the battery ran in the last test until the Low Battery alarm started, and the Battery Dead Time is the time from the beginning of the Low Battery Alarm until the system turned itself off when the battery voltage reached the cutoff level.
129. Write down the Battery Low Time and Battery Dead Time
130. Unplug AC cord to start battery test
131. The timers will begin. Leave the system until it powers down. Plug in AC and turn the system on, enter the Service Mode menu, select Battery T est again, and write down the new values. Compare these to the previous values, and to the minimum specification: Battery Low Time = 1 Hour Battery Dead Time = 10 Minute minimums.
132. Replace the battery if performance falls below specification
BA TTER Y
Note: 2:08 means 128 minutes which is the default setting indicating a battery test has never been made before.
NOTE: Configuration settings for printing are different for text pages (Advanced Configuration and Trend displays) and for waveforms.
133. Connect ECG simulator to generate a sample waveform.
SERVICE MANUAL 6200-43E REV. A
PRINTER
WELCH ALLYN ATLAS MONITOR 7
Page 34
Section 3 - Troubleshooting
3.1 Functional Test and Initial Diagnostic
134. Press <PRINT> and look at waveform printout. Look for darkness, thickness of lines, legibility of text, blurring, “blooming” of text.
135. Press <DATE/TIME><TREND>
136. Get Advanced Configuration menu.
137. Press <PRINT> and look at text printout.
137.1. If feeding problems: Mechanical inspection of printer, replace motor , drive platten.
137.2. If waveforms too light or dark: Calibrate
137.3. If text too light or dark in configuration screen, press <Select> until “Printer test pattern” is highlighted then press <HR Alarms Off> button, then press <Set> to lighten or darken print.
137.4. If incorrect printout, missing elements, miss ing grid, etc: Troubleshoot further
Software/firmware
ALARMS/SOUNDS
138. Review versions written down earlier and compare to latest available, and also make sure that all components are compatible with each other . See table 2.6 in this document.
Power-on beep
139. Tur n off system, and turn on. Should hear loud Power-on beep.
ECG pulse tone, pulse volume control, saving set­tings, <HR ALARMS Off> button
140. Connect ECG simulator.
141. Should hear: heart rate beep, at constant high pitch
142. Press SpO2 volume button “-“ 8 times. Should get quieter and finally silent.
143. Press <DA TE/TIME><PRINT> to Save settings.
144. Turn system off and back on.
145. Pulse tone should be silent even though heart rate is shown.
8 WELCH ALL YN ATLAS MONITOR
146. Press SpO2 volume button “+” 8 times. Should get audible and then louder.
147. Disconnect ECG cable
SERVICE MANUAL 6200-43E REV. A
Page 35
Section 3 - Troubleshooting
3.1 Functional Test and Initial Diagnostic
148. Should hear T echnical alarm and see error message.
149. Press <HR ALARMS Off> button.
150. Should stop T echnical alarm sound, and erase error message, and light LED in <HR ALARMS OFF> button.
151. Press <HR ALARMS OFF> button again.
152. Should hear T echnical alarm sound, see error message, LED unlit in <HR ALARMS Off> button.
153. Turn system of f and on.
SpO2 pulse tone
154. Attach SpO2 cable and cuff, and attach to simulator or finger.
155. Should hear heart rate beep, different tone than when ECG was connected.
156. Change SpO2 setting on simulator , or hyperventilating, hold breath, should hear tone pitch change up or down tracking simulator setting.
Limit Alarm, alarm volume control, Silence button, T echnical Alarm, <SpO2 ALARMS Off> button
157. Press right <Select> button until SpO2 LO is flash­ing, press right <Set> UP to change SpO2 LO setting to 99.
158. Wait until SpO2 LO stops flashing.
159. Set simulator to SpO2 at 90%.
160. Should hear Limit alarm.
161. Press <Alarm Volume> “-“ eight times. Should get quieter but not silent.
162. Press <Alarm Volume> “+“ eight times. Should get louder.
163. Press <Silence> and start stopwatch. Should be quiet for the time set in Advanced Configuration menu, then alarm comes back on.
164. Disconnect SpO2 cable from Atlas.
165. Should hear technical alarm, see error message “SpO2 cable not detected”
166. Press <SpO2 ALARMS Off> button.
167. Should stop T echnical alarm sound, and erase error message, and light LED in <SpO2 ALARMS OFF> button.
168. Press <SpO2 ALARMS OFF> button again
169. Should hear T echnical alarm sound, see error mes­sage, LED unlit in <SPO2 ALARMS Off> button.
170. Turn system off and back on.
SERVICE MANUAL 6200-43E REV. A
WELCH ALLYN ATLAS MONITOR 9
Page 36
Section 3 - Troubleshooting
3.1 Functional Test and Initial Diagnostic
<CO2/RESP ALARMS Off> button
171. Press <DATE/TIME><TREND>
172. Get Advanced Configuration menu
173. Set Second trace selection to CO
174. Press <TREND> to return to idle screen
175. Insert CO2 watertrap with hose
176. Breath into hose until waveform is displayed
177. Remove CO2 watertrap
178. Should hear T echnical alarm and see error mes­sage. - “CO2 watertrap not detected”
179. Press <CO2/RESP ALARMS Off> button.
180. Should stop T echnical alarm sound, and erase error message, and light LED in <CO2/RESP ALARMS OFF> button.
181. Press <CO2/RESP ALARMS OFF> button again.
182. Should hear T echnical alarm sound, see error message, LED unlit in <CO2/RESP ALARMS Off> button.
183. Turn system off and back on
2
<BP ALARMS Off> button
184. With no hose connected to BP port, press <BP ST ART/CANCEL> button
185. Place finger over BP port, blocking flow, causing BP to detect overpressure and abort
186. Should hear T echnical alarm and see error mes­sage. - “Check blood pressure cuff”*
187. Press <BP ALARMS Off> button.
188. Should stop T echnical alarm sound, and erase error message, and light LED in <BP ALARMS OFF> button.
189. Press <BP ALARMS OFF> button again.
190. Should hear T echnical alarm sound, see error message*, LED unlit in <BP ALARMS Off> button.
191. Turn system off and back on.
Battery tone
192. Disconnect AC power on running system.
193. Connect BP hose to simulator
194. Press <AUTO> to select 1 minute intervals
195. Wait for battery to run down. With fully charged battery , after no less than 50 minutes, should hear single tone, get message that system will shut down in 10 minutes.
10 WELCH ALL YN ATLAS MONITOR
SERVICE MANUAL 6200-43E REV. A
Page 37
Section 3 - Troubleshooting
196. Should hear tone again in two minutes, and again two minutes after that.
197. Five minutes after first message, should start hear­ing tone every minute, and get message that 5 minutes remain until shutdown.
198. T en minutes after first message, should hear techni­cal alarm, see a printout of Trend data if there is any unprinted trend data accumulated, (which there is, we have been running BP measurements) and error message that system shutdown is imminent.
3.1 Functional Test and Initial Diagnostic
All the possible error messages are documented in an appendix to the Operator’s Manual.
SELF DIAGNOSTIC ERROR MESSAGES
SERVICE MANUAL 6200-43E REV. A
WELCH ALLYN ATLAS MONITOR 11
Page 38
Section 3 -Troubleshooting

3.2 Chief Complaint, Cause and Corrective Action

Complaint
Power Will not power up in AC
LEDs Random LSD segments unlit
Subsystem LED intermittent, dim, flickering
Buttons Button not functional
Button sticking under front bezel Button intermittent or difficult to make contact
sounds No sound at all
LEDs
unlit
Cause
No wall power Wrong wall power voltage/frequency Fuse in power supply Fuse in neutral wire Power supply failure
Failed LED Subsystem problem Check subsystem LED 1 Failed LED
Failed switch Failed subsystem Possible loose display board Failed switch
Failed speaker or disconnected Failed main board Software corruption
LED 1
Replace Display board
Button 1 Check subsystem Tight display board mounting screws. Button 1
Reload software sound 1
Corrective Action
Battery Insufficient Printer Feed problems
Waveform print quality Text print quality
Not functional Feeding but not printing
CRT CRT is blank
life
Failing battery
Paper inserted incorrectly Door not latched
Failed printer Software adjustment needed Software adjustment needed Failed printer Printer cable Paper inserted backwards Wrong kind of paper Failed printer
CRT cables Failed CRT
Failed Deflection board Failed Main Board
Battery 1
Printer 1
Printer 1 Printer 1 Printer 1
Printer 1
CRT 1 Reinstall software
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Rev. A
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Section 3 -Troubleshooting
3.2 Chief Complaint, Cause and Corrective Action
Complaint
Cause Corrective Action
ECG ECG waveform not displayed
Patient electrodes
(dashed lines)
Lead wires Cable ECG cable connection Failed main board
ECG waveform not properly scaled
Possible patient physiology problem ECG gain set to
10mm/mV
in
Advanced Configuration
ECG waveform not cascading Incorrect Advanced Cofiguration
setting
Heart rate not detected Patient electrodes
Lead wires
Cable
ECG cable connection Failed main board Possible patient physiology problem Patient with Pacemaker?
Heart rate disagrees with Pulse rate Possible patient physiology problem
Patient with Pacemaker?
ECG 1
Check gain setting Reinstall software ECG 1
Change Advanced Configuration setting to: Second trace source = ECG; ECG gain = automatic
ECG 1
Repeat on another patient ECG 1
SPO
1
2
Compare manual palpation Reinstall software
Heart rate disagrees with manual palpation
SPO
2
Sp02 displays not active
Sp02 displays inaccurate Impedance Respiration IR waveform not displayed (dashes)
Possible patient physiology problem
Incorrect brand sensor Failes
Sp02 board
Failes
Sp02 sensor
Possible patient physiology problem
Possible patient physiology problem Poor signal
LA/RA
placement Use modified electrode placement on
Does patient have abnormal ECG? Repeat on another patient ECG 1
SPO
1
2
Sp02 1
ECG 1 walls
chest
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Section 3 -Troubleshooting
3.2 Chief Complaint, Cause and Corrective Action
Complaint
BP BP measurements inaccurate
BP not working Auto not working Cuff pressure too high Cuff Pressure too low Cannot take reading in time
Cannot achieve target pressure
Cause
Incorrect cuff size Incorrect cuff placement Possible patient physiology problem
Calibration needed
Pressure leak
Incorrect cuff size Incorrect cuff placement Patient movement Possible patient physiology problem Calibration needed Pressure leak
Calibration needed Initial pressure set too low for patient physiology
Corrective Action
Try different cuff - refer to Operator Manual for sizing information and proper cuff
Calibrate BP1
BP1 BP1,
Button 1
BP1,
Calibrate
BP1,
Calibrate
Try different cuff - refer to Operator Manual for sizing information and proper cuff placement.
Calibrate BP1
Calibrate BP1
placement.
Hold pressure too long
Dumps pressure while inflating
TEMP Readings inaccurate
Cannot read -wrong language
Nurse Call
Does not work
Intermittent signal
Brief signals
Software problem
Valve problem
Software problem
Valve problem
Hardware sensor problem
Incorrect probe placement Possible patient physiology problem Poor physical contact with patient Excess aiflow, sunlight on probe Failed probe
Language set wrong
Relay failure Cable Cable connection
Battery tone errors
Battery warnings will signal Nurse
Call for only a second , every minute or two
BP1 Reload Replace main board
BP1 Reload Software Replace main board
See Probe insert material
Use gel, adhesive tape to improve contact Protect probe from light, airflow Temp 1
Top entry is always language. Step through choices with hightlighted
Connect Ohmmeter across pins 1 and 8.
Expect infinity. Force an alarm state and expect 0 Ohms.
Connect AC
Software
<SET>
button while top item is
14
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Page 41
Section 3 - Troubleshooting
Remove all instrument cables and hoses Install printer paper if printer is fitted
Review customer complaint and determine if it is safe to plug in and turn on Atlas
If not safe to power up: smoke/flames/smell reported?
Goto Power 1
Check power available light
Goto Power 2
Check power-up state
Goto Power 3
Set language and Preserve customer settings
Goto T est Setup 1
Check date/time
Goto T est Setup 2
3.3 TOP LEVEL TROUBLESHOOTING INDEX
Reset to factory defaults
Goto T est Setup 3
Check software/firmware
Goto T est Setup 4
Check CRT Alignment Test
Goto CRT 1
Check Button Test
Goto Button 1
Check Display A/D Channels
Goto A/D 1
Check LED test
Goto LED 1
Check Printer alignment test
Goto Printer 1
Check Printer function
Goto Printer 2
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3.3 TOP LEVEL TROUBLESHOOTING INDEX
Check Battery
Goto Battery 1
Check Alarms/Sounds
Goto Sound 1
Check BP
Goto BP 1
Check ECG
Goto ECG 1
Check SPO2
Goto SPO2 1
Check Temp
Goto T emp 1
Check CO2
Goto CO2 1
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Section 3 - Troubleshooting
3.4 Diagnostic Tests
Disassemble and inspect power supply , wires Check fuse in power supply Check fuse in neutral wire to power supply T est power supply on bench Check fuse in battery cable
If AC~ not lit, check power cord continuity , outlet power available Check connection at appliance inlet Goto Power 1
Turn on power Green light in power button
If not lit, goto LED 1
Loud beep when button pressed
If not heard, goto Sound 1
Fan running (622xx and 623xx)
If not running, goto Fan 1
Power 1
Power 2
Power 3
Three dashes in SYSTOLIC Three dashes in DIASTOLIC
If not seen, goto LED 1
If passed, goto BP 1
Two dashes in SPO2 (takes several seconds after BP dashes come on) Three dashes in PULSE (takes several seconds after BP dashes come on) Pleth: none, or a single bar at the bottom, or two bars at the bottom
If not seen, goto LED1
If passed, goto SPO2 1
No lights in TEMP (622xx and 623xx)
If any are lit, goto Bad Boot 1
No lights in ALARMS OFF buttons
If any are lit, goto Bad Boot 1
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Section 3 - Troubleshooting
3.4 Diagnostic Tests
X lit on AUTO
If not lit, or a number lit, goto Bad Boot 1
AC~ lit
If not lit, goto LED 1
CRT display comes on slowly if cold, quickly if still warm from last use. May see version string in center if comes on quickly , not a problem if not seen because it comes on slowly CRT: three dashes for Heart Rate Heart picture Lead select symbol Scale bar One or two lines of dashes for waveforms – depends upon settings Three dashes for MAP – or blank, depends upon settings.
If not seen goto CRT 2
Error message(s) at bottom of screen?
If message, review cause in User Guide
Test Setup 1
If 622xx or 623xx, pull AC cable. Should be no change except AC~ unlit.
If system dies immediately , check fuse on battery cable
If fuse is OK, either charge battery for 2+
hours or goto Battery 1 If errors of low, very low or depleted battery , plug back in and repeat test in 2 hours
Press <DA TE/TIME><TREND> Get Advanced Configuration menu
Set language to your native tongue if necessary to allow you to write down the other settings. The top
item is always the language, press either <SET> button to step through list. Write down all settings for resetting to customer preference later Press <PRINT> if printer fitted
If printer problems, goto Printer 1
Press <TREND> to return to idle screen
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Section 3 - Troubleshooting
3.4 Diagnostic Tests
Press <DA TE/TIME> Get date/time menu Verify date/time, set if necessary .
If date was significantly wrong, goto Date 1
Press <TREND> to return to idle screen
Press <DA TE/TIME><LEAD SELECT> Get Service Mode menu Examine version/configuration data in lower half of menu, and write it all down Press <SELECT> to highlight Reset to factory defaults Press <BP ST ART/CANCEL> to reset configuration Press <TREND> to return to idle screen Press <DA TE/TIME><TREND> Get Advanced Configuration menu
Set language to your native tongue if necessary
We have just reset to factory defaults. Compare settings to factory defaults appropriate for the country – in Operator manual if not here too.
If not matching, goto NVRAM 1
Press <TREND> to return to idle screen
Test Setup 2
Test Setup 3
Compare version numbers from T est Setup 3 to table in Service Guide
Press <DA TE/TIME><LEAD SELECT> Get Service Mode menu Press <SELECT> to highlight CRT T est pattern Note screen alignment
If misaligned, mechanical adjustment required on disassembled unit Press <TREND> to return to idle screen
If no display at all on CRT :
Check connections:
CRT to Y oke cable CRT to Anode cable CRT to Deflection board
Deflection board to Main board cable Replace CRT Replace Deflection board Replace Main board
Test Setup 4
CRT 1
CRT 2
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Section 3 - Troubleshooting
3.4 Diagnostic Tests
Button 1
If distorted display on CRT :
Check connections:
CRT to Y oke cable CRT to Anode cable CRT to Deflection board
Deflection board to Main board cable Replace Deflection board Replace CRT
If good display but some items are distorted or missing from CRT display:
If ECG waveform, heart rate, lead selected, heart
symbol missing:
Replace Main board
Press <DA TE/TIME><LEAD SELECT> Get Service Mode menu Press <Select> to highlight Button test Press <BP ST ART/CANCEL> to start test Press every button on system, <BP ST ART/CANCEL> last V erify that buttons match up with their names, and that all buttons are functional.
If a button does not report its name, goto Button 2 If a button reports the WRONG name, goto NVRAM
1 Press <Trend> to return to Idle screen
Button 2
20 WELCH ALL YN ATLAS MONITOR
If a single button does not report its name: Replace Dis­play board If multiple or all buttons do not report their names:
Check Display board to main board cable Replace Display board Re-install software Replace CPU board Replace Main board
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Section 3 - Troubleshooting
Press <DA TE/TIME><LEAD SELECT> Get Service Mode menu Press <Select> to highlight Display A/D channels (three or four screens worth)
Write down all values for later review
Need to provide tables of reasonable values, trouble­shooting pointers
Press <Set> and write down all values for each screen
If data missing, corrupt or questionable, goto NVRAM 1 or Replace Display Board?
Press <Trend> to return to Idle screen
Press <DA TE/TIME><LEAD SELECT> Get Service Mode menu Press <Select> to highlight LED test Press <AUTO> to turn on all LEDs Press <BP ST ART/CANCEL> to show automatic test pattern Watch for a while, look for glitches in pattern Press <Set> to go to manual mode and step through individual segments if needed to observe a problem
If any failed LEDs, multiple segments lighting at once, or other problems: Replace Display Board
Press <Trend> to return to Idle screen
3.4 Diagnostic Tests
A/D 1
LED 1
Press <DA TE/TIME><LEAD SELECT> Get Service Mode menu Press <Select> to highlight Printer test pattern (if fitted) Press <BP ST ART/CANCEL> to start test pattern Printer should print test pattern Press any key to end printing Examine printout
If too dark/too light Goto Printer Settings 1 and
Printer Settings 2
If alignment errors: Adjust printer mechanism If feeding problems: Adjust printer mechanism, replace feed roller If missing sections/rows of printout: Replace Printer Hardware If darkness not consistent across page: Replace Printer Hardware
SERVICE MANUAL 6200-43E REV. A
Printer 1
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Section 3 - Troubleshooting
3.4 Diagnostic Tests
Printer 2
NOTE: Configuration settings for printing are different for text pages (Advanced Configuration and Trend displays) and for waveforms.
Connect ECG simulator to generate a sample waveform Press <PRINT> and look at waveform printout. Look for darkness, thickness of lines, legibility of text, blurring, “blooming” of text
Press <DA TE/TIME><TREND> Get Advanced Configuration menu Press <PRINT> and look at text printout.
If waveforms too light or dark: goto Printer Settings 1: If text too light or dark: goto Printer Settings 2 If alignment errors: Adjust printer mechanism If feeding problems: Adjust printer mechanism, replace feed roller If incorrect printout, missing elements, missing grid, etc
Printer Settings 1
Connect serial cable between Atlas and PC Start HyperT erminal on PC At Pangea> prompt, type:
Pangea>
nvram get
printer_strobe_width_normal<ENTER>
Write down this value If problem is that WA VEFORM printout is too light, increase this number. If the W A VEFORM printout is too dark, de­crease this number. Range is 0-256. Set new value with:
Pangea>
nvram set printer_strobe_width_normal
XXX<ENTER>
Pangea>
Where XXX is the new value. Repeat the test that showed the problem. Repeat this test-and-set process until ideal value is achieved Disconnect serial cable
nvram write<ENTER>
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Section 3 - Troubleshooting
Connect serial cable between Atlas and PC Start HyperT erminal on PC At Pangea> prompt, type:
Pangea>
Write down this value If problem is that TEXT printout is too light, increase this number. If the TEXT printout is too dark, decrease this num­ber. Range is 0-256. Set new value with:
Pangea>
nvram get printer_strobe_width_text<ENTER>
nvram set printer_strobe_width_text
XXX<ENTER>
Pangea>
Where XXX is the new value. Repeat the test that showed the problem. Repeat this test-and-set process until ideal value is achieved Disconnect serial cable
nvram write<ENTER>
3.4 Diagnostic Tests
Printer Settings 2
A bad date may indicate a battery problem. If date was bad, turn off unit, pull power cable, reconnect power cable, turn on unit. Check date again.
If date comes back bad:
Model 621xx: test/replace lithium on-board battery Model 622xx/623xx: charge/test battery If battery OK/Charged/Replaced repeat T est Setup 2
If still not maintaining date goto NVRAM 2
Failure to correctly reset factory defaults indicates memory problems. Changing only the language should not change any of the other factory default settings.
Reinstall software and repeat test.
If still failing
Replace CPU board
Date comes back wrong and battery already tested good
Reinstall software and repeat test
If still failing
Replace CPU board
Date 1
NVRAM 1
NVRAM 2
Save Settings does not work
Reinstall software and repeat test
If still failing
Replace CPU board
SERVICE MANUAL 6200-43E REV. A
NVRAM 2
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Section 3 - Troubleshooting
3.4 Diagnostic Tests Battery 1
System must have been plugged in for 24 hours for a real battery test to guarantee that battery is fully charged. Press <BP Start/Cancel> to start a BP measurement; press <BP Start/Cancel> again after three seconds to abort the measurement – this puts an entry into the Trend list. Press <DA TE/TIME><LEAD SELECT> Get Service Mode menu Press <SELECT> to highlight Battery test The menu reports:
Battery Low Time XXX and
Battery Dead Time YYY These are the results from the last battery test. The Battery Low Time is the time in hours and minutes that the battery ran in the last test until the Low Battery alarm started, and the Battery Dead Time is the time from the beginning of the Low Battery Alarm until the system turned itself off when the battery voltage reached the cutoff level. Write down the Battery Low Time and Battery Dead T ime. Note that the value 2:08 is the default (128 minutes) and indicates that no test has been run before. Unplug AC cord to start battery test. The timers will begin. Leave the system until it powers down. One minute before power down, the system should print a Trend printout (if equipped with printer)
If Trend printout does not occur: When system powers off, plug in AC and turn the system on. Press <DA TE/TIME><LEAD SELECT> Get Service Mode menu Press <SELECT> to highlight Battery test The menu reports:
Low Time XXX and
Dead Time YYY write down the new values. Compare these to the previous values, and to the minimum specification: Low Time >= 60 minutes; Dead Time >= 10 minutes If either number is below specification, replace the battery
Sound 1
24 WELCH ALL YN ATLAS MONITOR
Power-on beep
Turn off system, and turn on. Should hear loud Power-on beep.
If beep not heard: Continue with this test. If no other
sounds are heard, Replace Speaker Hardware.
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ECG pulse tone, pulse volume control, saving set­tings, <HR ALARMS Off> button
Connect ECG simulator with a normal ECG setting. Should hear: heart rate beep, at constant high pitch.
If heart rate beep not heard, press SPO2 volume button “+” three times If heart rate beep still not heard:
If power-on beep was heard,
isolate to CPU/main board. Could also be display board with a bad button.
Press SPO2 volume button “-“ 8 times. Should get quieter and finally silent.
If heart rate beep does not change volume: Replace Display Board
Press <DATE/TIME><PRINT> or <DATE/TIME> <FREEZE> to Save settings. Turn system off and back on. Heart rate beep should be silent even though heart rate is displayed.
If heart rate beep is not silent on power up: goto NVRAM3
3.4 Diagnostic Tests
Press SPO2 volume button “+” 8 times. Pulse tone should get audible and then louder.
If heart rate beep does not change volume: Replace Display Board hardware
Disconnect ECG cable Should hear Technical alarm and see error message.
If alarm not heard:
Press <HR ALARMS Off> button. Should stop Technical alarm sound, erase error message, and light LED in <HR ALARMS OFF> button.
If alarm not silenced: If error message not erased If LED not lit:
Press <HR ALARMS OFF> button again. Should hear Technical alarm sound, see error message, LED unlit in <HR ALARMS Off> button.
If alarm not heard: If error message not displayed
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3.4 Diagnostic Tests
If LED not unlit:
Turn system off and on to clear state.
SPO2 pulse tone
Attach SPO2 cable and cuff, and attach to simulator. Set simulator to normal heart and SPO2 settings. Should hear heart rate beep, different tone than when ECG was connected.
If heart rate beep not heard:
Change SPO2 setting on simulator, should hear tone pitch change up or down tracking simulator setting.
If pitch does not change with simulator SPO2 per-
centage changes:
Limit Alarm, alarm volume control, Silence button, Technical Alarm, <SPO2 ALARMS Off> button
Press right <Select> button until SPO2 LO is flashing, press right <Set> UP to change SPO2 LO setting to 99. Wait until SPO2 LO stops flashing (10 seconds). Set simulator SPO2 at 90%. Should hear Limit alarm.
If alarm not heard:
Press <Alarm Volume> “-“ eight times. Should get quieter but not silent.
If alarm volume does not change: Replace Display
Board hardware.
If alarm volume goes all the way to silent: Replace
display board. Press <Alarm Volume> “+“ eight times. Should get louder.
If alarm volume does not change: Replace Display
Board hardware Press <Silence> and start stopwatch. Should be quiet for
the time set in Advanced Configuration menu, then alarm comes back on.
If alarm not silenced for set period:
Disconnect SPO2 cable from Atlas. Should hear technical alarm, see error message.
If alarm not heard: If message not shown:
Press <SPO2 ALARMS Off> button. Should stop Technical alarm sound, and erase error mes-
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Section 3 - Troubleshooting
sage, and light LED in <SPO2 ALARMS OFF> button
If alarm not silenced: If error message not erased If LED not lit: Replace Display Board hardware
Press <SPO2 ALARMS OFF> button again Should hear T echnical alarm sound, see error message, LED unlit in <SPO2 ALARMS Off> button
Turn system off and back on to clear state.
<CO2/RESP ALARMS Off> button
Press <DA TE/TIME><TREND> Get Advanced Configuration menu. Set Second trace selection to CO2. Press <TREND> to return to idle screen. Insert CO2 watertrap with hose. Breath into hose until waveform is displayed.
If waveform not displayed after 30 seconds goto
CO2 1
3.4 Diagnostic Tests
Remove CO2 watertrap. Should hear T echnical alarm and see error message.
Press <CO2/RESP ALARMS Off> button. Should stop T echnical alarm sound, and erase error mes­sage, and light LED in <CO2/RESP ALARMS OFF> button
If alarm not silenced: If error message not erased If LED not lit: Replace Display Board hardware
Press <CO2/RESP ALARMS OFF> button again. Should hear T echnical alarm sound, see error message, LED unlit in <CO2/RESP ALARMS Off> button.
Turn system off and back on to clear state.
<BP ALARMS Off> button
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3.4 Diagnostic Tests
With no hose connected to BP port, press <BP ST ART/ CANCEL> button. Place finger over BP port, blocking flow, causing BP to detect overpressure and abort. Should hear T echnical alarm and see error message.
If alarm not heard: If error message not displayed
Press <BP ALARMS Off> button. Should stop T echnical alarm sound, and erase error mes­sage, and light LED in <BP ALARMS OFF> button
If alarm not silenced: If error message not erased If LED not lit: Replace Display Board hardware
Press <BP ALARMS OFF> button again Should hear T echnical alarm sound, see error message, LED unlit in <BP ALARMS Off> button
If alarm not heard: If error message not displayed If LED not unlit: Replace Display Board hardware
Turn system off and back on to clear state.
Battery tone
System must have been plugged into AC for at least 2 hours. Disconnect AC power on running system. Connect BP hose to simulator . Press <AUTO> to select 1 minute intervals. Wait for battery to run down. With fully charged battery , after no less than 50 minutes, should hear single tone, get mes­sage that system will shut down in 10 minutes.
If alarm tone not heard: If message not shown:
Should hear tone again in two minutes, and again two minutes after that.
If alarm tone not heard at two minute intervals:
Five minutes after first message, should start hearing tone every minute, and get message that 5 minutes remain until shutdown.
If alarm tone not heard at one minute intervals: If message not shown:
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T en minutes after first message, should hear technical alarm, see a printout of Trend data if there is any unprinted trend data accumulated, (which there is, we have been running BP measurements) and error message that system shutdown is imminent.
If alarm not heard: If message not shown: If Trend not printed:
Plug system back into AC.
Connect the BP port to the BP simulator. Set the simulator for a normal reading (140/80, 100BPM, NSR). Press <BP ST AR T/CANCEL> System should start pump, display manometer value in SYSTOLIC LED; this value should track and be very close to pressure displayed by manometer in BP simulator (if fitted). Largest number shown in SYSTOLIC should be very close to the Initial pressure setting recorded earlier from Ad­vanced Configuration in step T est Setup 1. System should step down pressure, showing step values in SYSTOLIC LED, and then display correct SYSTOLIC and DIASTOLIC values. System may show MAP value depending upon country and Advanced Configuration setting.
If in-process display is wrong calibrate or blank: replace main board If final Systolic / Diastolic / MAP display is incorrect:
Calibrate BP
3.4 Diagnostic Tests
BP 1
Press <DA TE/TIME><TREND> to get to Advanced Con­figuration menu Press <Select> to highlight Initial pressure Press <Set> to change Initial pressure to 280 mmHg Press <Select> to highlight MAP Press <Set> to change MAP to Yes Press <TREND> to return to idle screen.
Press <BP ST AR T/CANCEL> System should start pump, display manometer value in SYSTOLIC LED; this value should track and be very close to pressure displayed by manometer in BP simulator (if fitted).
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Section 3 - Troubleshooting
3.4 Diagnostic Tests
Largest number shown in SYSTOLIC should be very close to the Initial pressure setting of 280 mmHg.
If pressure shown exceeds 300 mmHg: Replace
Main Board hardware System should step down pressure, showing step values in
SYSTOLIC LED, and then display correct SYSTOLIC and DIASTOLIC values. System should show MAP value. MAP value should match what is shown by simulator.
If in-process display is wrong or blank: If final Systolic / Diastolic / MAP display is incorrect:
Calibrate BP Set simulator to highest Systolic <=250, lowest Diastolic >=
30, and lowest heart rate >=30 Press <AUTO> X goes unlit, 1 flashes for 10 seconds 20 seconds after 1 stops flashing, BP measurement starts BP reading as above.
If BP does not start: Replace Main Board hardware If BP measurement incorrect: Calibrate BP
No less than 30 seconds after completing the measure­ment another measurement should start.
If measurement does not start automatically: Re­place Main Board hardware
While it is pumping up, press <BP ST ART/CANCEL>. Measurement stops immediately and pressure is dumped (as seen on manometer on simulator).
If measurement does not stop immediately: Replace Main Board hardware or Display Board hardware (if button is the problem) If pressure does not drop below 10mmHg immedi-
ately: Replace Main Board hardware, BP V alve Press <AUTO> and X lights up (not flashing) Disconnect the tubing from the BP port on the Atlas.
Press <BP ST ART/CANCEL> and note the time (to the second) The BP should abort with an alarm after no longer than one minute?
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Connect a 5 lead cable set to the simulator and to Atlas. Configure the simulator for NSR 100BPM and Impedance Respiration, Plug the cable into Atlas. Press <DA TE/TIME> <TREND> Get Advanced Configuration menu. Press <Select> to highlight ECG lead set Press <Set> to: Set ECG lead set to 5 wire Set ECG gain to Automatic Set ECG speed to 25mm/s Set ECG bandwidth to Monitor Set Second trace selection to ECG Press <TREND> to return to idle screen Should see:
ECG cascading onto second line Scale bar on left of top line Heart rate displayed as set on simulator Lead Selected = II Heart rate tone high pitched If ECG waveform not seen If ECG waveform not cascading In Scale Bar not on top line If Heart Rate not displayed (or displayed incorrectly) If Lead Selected not shown If Heart rate tone not heard
Re-install software Replace CPU board Replace Main board
3.4 Diagnostic Tests ECG 1
Press <LEAD SELECT> and step through each of the lead settings Should see:
Different looking ECG waveforms Heart Rate will go to dashes and alarms on some leads
Set lead selected to II Press <DA TE/TIME><TREND> Get Advanced Configuration menu. Press <Select> to change Second trace selection to
Respiration
Press <TREND> to return to idle screen Should see:
ECG on top line Scale bar on left of top line Heart rate displayed as set on simulator
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3.4 Diagnostic Tests
SpO2 1
Note: The Nellcor or Nonin should be accurate* to the simulators.
Lead Selected = II
Pulse tone high pitched
Respiration waveform on second line
Respiration Rate displayed as set on simulator
If ECG waveform not seen
If ECG waveform not cascading
In Scale Bar not on top line
If Heart Rate not displayed (or displayed incorrectly)
If Lead Selected not shown
If Heart rate tone not heard
If Respiration waveform not shown
If Respiration Rate not displayed correctly
Re-install software Replace CPU board
Replace Main board Disconnect ECG simulator Turn system off and back on to clear state.
Connect SpO2 cable and cuff and install cuff on simulator (or your finger). Set simulator to normal readings. See pleth signals immediately
If Pleth signals not seen within 10 seconds: goto
SpO2 2
*2% or 3bpm for any in­range settings on the simulators.
See SpO2 percentage within several seconds
If SpO2 percentage not seen within 1 minute: goto
SpO2 2 See Pulse display at the same time as SpO2 percentage
If Pulse display not seen at same time as SpO
2
percentage: goto SpO2 2 Disconnect SpO2 cuff from simulator
T echnical alarm sounds See error “SpO2 cuff not detected”
If alarm not heard: goto Sound 1 If error not seen:
Reconnect SpO2 cuff to simulator T echnical alarm stops Error message erased Unplug SpO2 cable from Atlas T echnical alarm sounds See error “SpO2 cable missing”
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Section 3 - Troubleshooting
If alarm not heard: goto Sound 1
If error not seen: Re-install software Turn system off and back on to clear state. Verify that proper SpO2 cuff is being used: Nonin or Nellcor
Replace cuff. Check cable connections between SpO2 board and Main board Replace SpO2 cuff socket Replace SpO2 board
Press <DA TE/TIME><TREND> Get Advanced Configuration menu Set Second trace selection to CO
2
Press <TREND> to return to idle screen Insert watertrap with tubing attached Should see: Hear pump motor start See dashed line waveform on lower trace See dashes in Respiration Rate See 0 in mmHg (or % or kPa, as configured)
If pump motor does not start: goto CO
If dashed waveform does not start: Perform CO
2
2
calibration
If Respiration Rate does not display dashes: Per
form CO2 calibration
If CO2 concentration is not 0: Perform CO2 calibra
tion
3.4 Diagnostic Tests
SpO2 2
1
CO
2
Breathe gently and repeatedly over end of tubing Should see: See waveform within seconds of breathing See respiration rate non zero within one minute See CO2 concentration non zero within one minute
If waveform does not track breathing: Perform CO
calibration
If respiration rate does not show reasonable value: Perform CO2 calibration
If CO2 concentration does not show reasonable
value: Perform CO2 calibration If CO2 calibration did not solve problem, replace CO2 board
Remove watertrap from Atlas Turn system off and back on to clear state.
Press <DA TE/TIME><TREND>
SERVICE MANUAL 6200-43E REV. A
2
WELCH ALLYN ATLAS MONITOR 33
Page 60
Section 3 - Troubleshooting
3.4 Diagnostic Tests CO2 2
TEMP1
Get Advanced Configuration menu Set Second trace selection to CO
2
Press <TREND> to return to idle screen Remove and reinsert watertrap in socket. Make sure that it seats fully .
If pump does not start:
Insert finger in socket and attempt to press microswitch If pump does not start:
Check connections between CO
2
board and Main board Check connections between CO
2
receiver and CO2 board Replace CO2 receiver Replace CO2 board
T emp display is blank Connect temp probe See temp display of ambient temperature
If display is not close to ambient temperature: Cali­brate T emp – if out of spec, replace probe, repeat. If still out of spec, replace main board.
Bad Boot 1
Fan 1
Disconnect temp probe T emp display becomes dashes
If temp display does not become dashes: Replace
main board
Turn power off and back on and see if anomaly returns Re-install software Repeat test
If problem remains: Replace CPU board
Models 622xx and 623xx: If fan does not start when power turned on:
Check Fan to Main board cable Replace Fan Replace Main board
34 WELCH ALL YN ATLAS MONITOR
SERVICE MANUAL 6200-43E REV. A
Page 61
Section 4 - Disassembly and Repair, Domestic
This section is a guide for disassembly and reassembly of the Atlas Monitor. Always refer to current revision schematics, diagrams and final safety test procedures before attempting to service this device.
Do not attempt to service this instrument unless you have received Service Training from Welch Allyn or an authorized agent, and are equipped with approved processes and test equipment. For more information about this call the Welch Allyn Cus­tomer Service phone number listed in Section 1 of this manual.
General:
The outside housing is removed to provide full access to all internal printed circuit boards and other compo­nents. Most of these are held in position with the sur­rounding “E-Pac” foam. E-Pac provides shock absorbtion, ventillation channels, and spaces for the components and boards. Pneumatic tubing and cables must be placed correctly in E-Pac to avoid problems with pinched tubing.

About Section 4

Abstract of Disassembly
and Reassembly:
Problems During Service:
A Technical Support phone number is listed in Section 1 of this manual to answer questions you may have during the servicing of the Atlas Monitor.
Printer:
Print-head, printer motor, and printer roller can be re­placed as necessary .
Printed Circuit Boards:
There are no component level repairs for the Printed Circuit boards. These are replaced if found to be de­fective. During the warranty period, boards that are found to be defective should be returned to Welch Allyn.
CRT:
The CRT and CRT Deflection Board are aligned at the factory and as such are replaced as a matched set if one or the other should fail in service.
EXERCISE EX­TREME CAUTION WHEN SERVICING THE ATLAS MONI­TOR! THE CRT AS­SEMBLY AND CRT DEFLECTION BOARD OPERATE ON APPROXI­MATELY 8,000 VOLTS.
SERVICE MANUAL 6200-43E REV. A
WELCH ALLYN ATLAS MONITOR 1
Page 62
.
Section 4 - Disassembly and Repair, Domestic
Unplug Monitor from Mains before disassem­bly! EXERCISE EXTREME
CAUTION WHEN SERVICING THE ATLAS MONITOR! THE CRT ASSEMBL Y AND CRT DE­FLECTION BOARD OPERATE ON APPROXIMATELY 8,000 VOLTS.
ESD: Circuit boards are sensitive
to static electricity. Use wrist strap, ESD mats and ESD storage bags.

4.1 MODEL 200 Dissassembly.

4.1.1 Open the paper door and remove the paper roll. Close paper door.
Place Monitor on a foam pad to protect the front of the unit and the pressure fitting on the front of the unit.
Model 200
4.1.2 Remove 4 T orx Machine screws with Torx - 10 screw driver.
4.1.3 Open the rear housing and disconnect 2 ground wires from ground lug as well as printer cable..
Caution: Do not pull display cable.
2 WELCH ALL YN A TLASMONIT OR
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Section 4 - Disassembly and Repair, Domestic
4.1.4 Unplug the printer cable from jack J7 of the Main PCB.
4.1.5 Remove Pump section.
4.1.6 Unplug Display Board Cable from jack J8 of the Main PCB.
Note: Make sure this end of the cable is
installed in J8 during reassembly so that cable folds will be correct.
SERVICE MANUAL 6200-43E REV. A
WELCH ALLYN ATLAS MONITOR 3
Page 64
Section 4 - Disassembly and Repair, Domestic
4.1.7 Remove E-Pac from over the CRT .
4.1.8 Unplug CPU/PCB from Main PCB PCA connector J4.
4.1.9 Unplug CRT socket board.
Do not bend pins.
4 WELCH ALL YN A TLASMONIT OR
SERVICE MANUAL 6200-43E REV. A
Page 65
Section 4 - Disassembly and Repair, Domestic
4.1.10Protect CRT pins with cap T-XXXXX
4.1.1 1Unplug Yoke cables from connector J2 of CRT Deflection Board.
4.1.12Unplug CRT Deflection Board from Main PCB with connector tool T-16654
Do not bend pins.
SERVICE MANUAL 6200-43E REV. A
WELCH ALLYN ATLAS MONITOR 5
Page 66
Section 4 - Disassembly and Repair, Domestic
4.1.13Unplug 4 connectors from side of Main PCB.
4.1.14Remove Power Supply assembly.
4.1.15Remove alarm speaker.
6 WELCH ALL YN A TLASMONIT OR
SERVICE MANUAL 6200-43E REV. A
Page 67
Section 4 - Disassembly and Repair, Domestic
4.1.16 Remove Main PCB from E-Pac and disconnect tubing and connectors.
4.1.17 Disconnect SpO2 board and remove it from E-Pac.
4.1.18 Remove main E-Pac section.
SERVICE MANUAL 6200-43E REV. A
WELCH ALLYN ATLAS MONITOR 7
Page 68
Section 4 - Disassembly and Repair, Domestic
4.1.19Disconnect tubing from fitting.
4.1.20Remove SpO2 connector from front panel.
4.1.21Remove CRT ground wire. Do not remove screw and washer.
8 WELCH ALL YN A TLASMONIT OR
SERVICE MANUAL 6200-43E REV. A
Page 69
Section 4 - Disassembly and Repair, Domestic
4.1.22 Remove opposite CRT ` mounting screw and remove CRT.
4.1.23 Remove Keypad circuit board.
4.1.24 Remove Display PCB.
SERVICE MANUAL 6200-43E REV. A
WELCH ALLYN ATLAS MONITOR 9
Page 70
Section 4 - Disassembly and Repair, Domestic
4.1.25 Remove soft keys from Bezel.
4.1.26 Unscrew Alarm Silence Button holding screw to remove Silence button.
4.1.27 Remove printer by depressing tab.
10 WELCH ALL YN A TLASMONIT OR
SERVICE MANUAL 6200-43E REV. A
Page 71
Section 4 - Disassembly and Repair, Domestic
4.1.28 Slide printer out of rear housing.
4.1.29 Unplug motor connector.
4.1.30 To remove printhead, disconnect cable from printer PCB. Lift spring and remove printhead from printer frame.
For reassembly , place connector on motor so orange wire is near mounting screw.
SERVICE MANUAL 6200-43E REV. A
WELCH ALLYN ATLAS MONITOR 11
Page 72
Section 4 - Disassembly and Repair, Domestic
4.1.31Remove backing plate.
4.1.32Remove connector.
Flex circuit is delicate. Therefore, do not pull on connector.. Use small screwdriver to pry connector apart.
4.1.33For reassembly of printhead, use long nose pliers to attach cable to eliminate stress on flex circuit of printhead.
12 WELCH ALL YN A TLASMONIT OR
SERVICE MANUAL 6200-43E REV. A
Page 73
Section 4 - Disassembly and Repair, Domestic
4.1.34 Slide Power Supply cases apart.
4.1.35 Location of Power Supply fuse.

4.2 MODEL 200 Re-assembly.

4.2.1
SERVICE MANUAL 6200-43E REV. A
Reassemble in reverse order of disassembly with special attention to paths for cables and tubing.
Two types of screws are used. Dis­play PCB is fastened with self tap.
WELCH ALLYN ATLAS MONITOR 13
Page 74
Section 4 - Disassembly and Repair, Domestic
4.2.2 Detail of Pump/V alve/CheckV alve subassembly for reassembly .
4.2.3 Printer chassis rests on lip at back of case.
4.2.4 The IEC connector must be centered in the hole before 4 screws can be installed.
14 WELCH ALL YN A TLASMONIT OR
SERVICE MANUAL 6200-43E REV. A
Page 75
Section 4 - Disassembly and Repair, Domestic
4.2.5 Plug MCU/PCB in like this.
4.3 Other models dissassembly/ reassembly.
Due to the similarities between the ATLAS models, only key points are shown. Refer to the latest revision interconnect drawing, schematics, and layouts when servicing this product.
SERVICE MANUAL 6200-43E REV. A
WELCH ALLYN ATLAS MONITOR 15
Page 76
Theory of Operation – Model 622/623
1 DC/DC Power Supply
1.1 Overview:
1.2 On/Off Circuits
1.2.1 Backup Regulator and Micro-Controller
1.2.2 18V boost converter and FET ON/OFF switch
1.3 +12V Boost Converter
1.4 Battery Charger:
1.5 Linear Regulators – 5VDC and 3.3VDC
1.5.1 5V regulator
1.5.2 3.3V Regulator
2 Patient Isolated Circuits
2.1 Isolated Power
2.2 A/D Circuits
2.2.1 PWM A/D
2.2.2 A/D Multiplexer
2.3 Serial Communication
2.4 Signal Isolation
2.5 ECG Circuits
2.5.1 Overview
2.5.2 Defib Protect, RFI Filtering
2.5.3 Front End Buffer - 1st Gain Stage
2.5.4 Wilson Network - Lead Select Mux
2.5.5 Differential Amplifier and Slew rate limit
2.5.6 Right Leg Drive Amplifier
2.5.7 High Pass and Gain Stage
2.6 Temperature Amplifier
2.7 Impedance Respiration
2.7.1 Overview
2.7.2 Signal Source – Current Drive
2.7.3 Differential Amplifier and Peak Detector
2.7.4 Gain and Filtering
2.8 SpO2 Circuits
3 Non-Isolated circuits - A/D and Mux
3.1 A/D – grounded circuits
3.2 A/D Mux – grounded circuits
4 NIBP Circuits
4.1 Overview - Safety:
4.2 Primary Transducer - Amplifier:
4.3 Safety Transducer - Amplifier
4.3.1 Current Source:
4.3.2 Differential Amplifier and Offset Centering:
4.4 Hardware Overpressure:
4.5 Pump and Relay Drive:
5 CRT Deflection Board
5.1 Overview:
5.2 Vertical Amplifier:
5.2.1 Ramp Generator:
5.2.2 Vertical Amplifier:
5.2.3 Zero Adjust:
5.3 Horizontal Amplifier:
5.3.1 Horizontal Gain:
5.3.2 Grid Voltages:
5.4 Video Amplifier:

Appendix A 10/14/99

Page 77
6 Recorder Electronics
6.1 Overview:
6.2 Power Supply – 24 Switcher
6.3 Motor Driver:
6.4 Temperature Amplifier:
Appendix A 10/14/99
Page 78
Appendix A 10/14/99
1 DC/DC Power Supply
1.1 Overview:
Atlas Model 622 and 623 can be powered either from AC or battery. A 50W, medical grade, offline switcher provides 12VDC from a universal AC input (85VAC to 264VAC – 50/60Hz). The battery is a rechargeable 6-Volt, 6.5 Amp-Hour, Sealed Lead Acid Battery, and will provide about 1.5 hours on a fully charged battery (Battery Life depends on usage, especially printer usage, NIBP cycles, and CO2 operation).
The unit will operate from AC when the unit is plugged in, and switches to battery operation when AC is removed. The battery is automatically charged whenever AC is connected.
The following supplies are generated on the Atlas Main Board: +12V DC Input: Output of AC/DC supply or Battery. Supply for CRT and miscellaneous analog circuits.
+5V DC Input: Output of Battery Charger or Battery.
Supply for front panel LED’s.
+3.3V DC Input: +5V DC Supply for CPU board. Backup Regulator: Input Output of AC/DC supply or Battery.
3.3V supply, for real time clock and On/Off circuits.
Battery Charger: Input: Output of AC/DC supply Charge SLA battery.
DC/DC Circuits Block Diagram
AC/DC Converter
Battery
AC+12V
Battery Charger
1.2 On/Off Circuits
Backup Regulator
AC Not Present
AC Present
Q311
D310
Q303
On/Off Control Circuits
+12VDC Regulator
+5VDC Regulator
+3.3VDC Regulator
+12V
On/Off
+5V
+3.3V
1.2.1 Backup Regulator and Micro-Controller
A 3.3V low backup regulator, U307, provides power to the On/Off circuits and provides power to the real time clock on the CPU board. The On/Off circuitry is controlled by the mirocontroller U10. This
Page 79
Appendix A 10/14/99
controller performs the following functions:
1. Monitors the status of the front panel ON-OFF key. If the unit is off and the ON-OFF key is pressed, the controller will drive U10-6 high, which will enable power to the remainder of the instrument.
2. At power up, the microcontroller will drive the beeper for about 1 second.
3. At power up, the microcontroller will reset Shift Register U2. This will cause the following: The front panel LED's are blanked. The NIBP pump drive is placed in the off state.
4. When the unit is powered on the microcontroller will communicate with the system CPU. When the front panel ON-OFF key is pressed, the CPU will store away present operating conditions, then issues a command to the microcontroller to shut instrument power off. U10-6 is driven low which will remove power from the remainder of the instrument.
1.2.2 18V boost converter and FET ON/OFF switch
The PWM controller, U301, is configured as an 18V boost-converter. An N-Channel MOSFET transistor, Q303, is used to switch power to the 12V regulator. As Q303 is configured as a high side switch, it is necessary to develop a gate voltage of proper magnitude to turn Q303 on. Then, to enable power to the 12V regulator, the following takes place:
1. The microcontroller drives U10-6 high, turning transistor Q302 on.
2. Transistor Q301 is switched on, supplying power to the PWM controller, U301.
3. The boost regulator develops 18VDC, which will switch transistor Q303 On.
AC+12V
Battery
On/Off-Key
On/Off
Heatsink for D301
HS301
6078
1 324
D301
MBR2535CTL
R303
51.1K
Vbackup
R22 10K
(pg 1)
PIC-Data
(Front Panel Key)
(pg 3)
U2-Reset
(To U2)
On/Off Switch
4 2 3
R307
4.64K
L301 1mH
1
R306
61.9K
Q303 MTP30N06VL
D302 BAV99L
3
2
U307
8
VIN
u307-6
7
FDBK
+Vfuse
Q301-b
1
1
14
Vss
RB0 RB1 RB2 RC0 RC1 RC2
3 6
2 4
Q301 MPSW51A
2
R302
1.96K
Q302-c
3 2
U10
13 12 11 10 9 8
SHTDN TAP
SENS GND
D
3
C302 1uF
Q302 MMBT3904L
D
LP2951CD-3.3
C331
+
4.7uF
D D
F303
4Amp
C339
+
1uF
2 3 4 5 6 7
R301 10K
R304 100K
Q302-B
C42 .047uF
1
Vdd
ClkIn/Osc1/RB5 Clkout/Osc2/RB4 Vpp/MCLR/RB3 TC5/TOCK1 RC4 RC3
D620361-MX10000
C301
+
330uF
1
VOUT
5
ERR
On/Off Circuit 18V Boost - Mosfet Gate Voltage
R305 1
+
PIC-Clk
PIC-audio
U301-pwr
U301-ct
C303 470pf
U301 MC34063AD
7
IPK
6
Vcc
VBackup
C332
+
4.7uF
U301-7
8
IDC
1
ISWC
2
ISWE
53
COMPTCAP
GND
4
U301-sw
U301-comp
V
1
+18V
+
C304 100uF
Page 80
Appendix A 10/14/99
1.3 +12V Boost Converter
The +12V boost circuit provides regulated 12VDC. The input to the 12V converter is either battery or 12V from the AC/DC converter. The circuit is configured as a boost PWM using current mode feedback. The PWM controller is a UC3843A. The controller includes an internal 2.5V, 2% reference, and an external 5V, 2% reference. Nominal output voltage for the boost converter is Vout = [2.5V*(1 +
173.8K/4.64K)] = 12.1V.
The UC3843A requires 8.5V minimum to power on. The maximum voltage allowed on the switching transistor, Q305, is 15V. To meet both these requirements, the UC3843A is powered from 12.9V (+18V –
5.1V zener diode D303)
When operating from battery, the converter will run at duty cycles over 50%, which requires slope compensation for a current mode controller. Slope compensation is achieved by summing in part of the oscillator signal (pin 4) with the current sense line.
The PWM controller is current limited on a cycle to cycle basis by monitoring the voltage on the Isense line, U302-5. Current limit is activated when the voltage at the sense line reaches 1V. The nominal DC voltage at Isense is about 0.5V when operating from battery only, and 0.7V when operating from AC. Then, current limit is set to 5Amps when Atlas in operating on battery and 3Amps when operating on AC.
5VRef
+18V
+
C335 .047uF
10
57
C306 1uF
Q303-s
U302-out
U302-sense
R314 10
+
L303 Bead
C310 1000uF
R315 196
C309 5600pF
Q305-g
L302-1
Q305-d
2314
Q305-s
L302 22uH
D304 MBRS340T3
Q305 MTP30N06VL
R316
0.1
L305
D304-C
+
C311 1000uF
Bead
+
C312 1000uF
C336 .047uF
+12V
+
C313 330uF
+V
+12V Boost (12.1V nominal)
U302-pwr
13
Q304 MMBT3904L
D312 BAV99L
3
D303
5.1V
U302
VFB COMP VREF
Q304-e
UC3843A
OUT
ISENSERT/CT
PWR-GND Vcc
GND Vc
8 12
9 11
R312
3.83K
R313
1.96K
R317
7.5K
D312-c
2
3 1
14
C307 .047uF
R308
17.8K
R309
4.64K
R311 10K
C308 2200pF
AC+12V-fuse
C305-1
U302-fb
R310 10K
C305 5600pF
U302-comp
U302-ct
312
1
Page 81
Appendix A 10/14/99
1.4 Battery Charger:
The battery charger is a PWM buck converter. The input to the battery charger is 12VDC from the offline switcher. The UC3843A, normally a current mode controller, is configured for voltage feedback mode. The UC3843A has an under-voltage lockout for Vcc<8.5V. The controller operates such that with Vcc less than 8.5V, the reference out is 0V, and will be at 5V with Vcc>8.5V. Then, the reference out (pin 14) can be used as an AC-ON detect signal.
The switching transistor for the buck converter is a P-Channel MOSFET (Q308). The output drive of the controller is the wrong polarity for driving a P-Channel MOSFET in a step down mode. Therefor, transistor Q306 is added to invert the PWM out signal. Fast turn-on of Q308 is provided when Q306 is low, fast turn-off is though Q307 (configured as an emitter follower).
The battery charger is a current limited - temperature compensated charger. Current limit is set to
1.5Amps. Current through the 0.1Ohm sense resistor R327 is measured with Diff-Amp U305B. When the charger current is at 1.5Amps, feedback is controlled by Op-Amp U304A. When the current drops below
1.5Amps, the output of U304A goes low, reverse biasing Diode D308, and feedback will be controlled by Op-amp U304B.
Battery charge voltage is temperature compensated using Thermistor RT301, a 10K negative temperature coefficient resistor. Voltage over temperature follows the following charge profile:
Temperature Voltage Thermistor 0C 7.05V 26.9K 10C 7.0V 20.7K 25C 6.85V 10K 40C 6.7V 5.17K 50C 6.65V 3.45K
For optimum battery life, the float voltage (25C, full charge) should be set to 6.85V +/- 50mV (6.85V +/-
0.7%). To accomplish this tight tolerance, charge voltage at room temperature will be adjusted with potentiometer R328. Nominal charge voltage at room temperature is: Vcharge = 5V * (1 + RA/RB) where,
5V is the reference in U303.
RA is the series/parallel combination of R335, R336, and RT301 (nominal 3.465K @ 25C).
RB is the series combination of R337and R338 (nominal 936 Ohms)
It is necessary to minimize current out of the battery when the unit is off. To reduce off current, transistor Q309 disconnects the battery from the battery sense resistors when AC in off. In addition, diode D307 is added to prevent current from flowing from the battery into the battery current sense circuit, and to the output of the AC/DC converter.
Page 82
Battery
F301 4Amp
Appendix A 10/14/99
Bat-fuse
AC+12V
R318 10K
C315 .047uF
F302 4Amp
F302-2 AC+12V-fuse
.047uF
U303-fb
R319
19.6K
3 1
14
U303-ct
ACON
Ref-Batcharge
VFB COMP VREF
C316 2200pF
U303-cp
R320
7.5K
Battery Charger
L306 BeadC340
PWR-GND Vcc
8 12
C337 .047uF C338
C314 .047uF
U303 UC3843A
R323 1.96K
10
U303-out
OUT
U303-5
57
ISENSERT/CT
GND Vc
9 11
R321
27.4K
R322 10K
Q307 MMBT3904L
312
R325
1.96K
R324 10K
C318
+
330uF
Batt-fb
Q308 MTP23P06V
3
Q308-g
1
Q307-e
1
2
Q306-c
1
Q306-b
Current Limit (1.5 Amp)
2
Float Voltage
2 4
R326 10
D305 BAV99L
3
3
Q306 MMBT3904L
2
D308 BAV99L
3
R340 10K
U304-7
Q308-d
1
L304 47uH
D306 MBRS340T3
U304-1
U304A
MC34072
R339
19.6K
U304B MC34072
1000uF
1
AC+12V-fuse
7
AC+12V-fuse
C319
C320 .01uF
8 4
R339-2
8 4
D307
R335
4.32K
D307-A
R329 1K
U305-6
RT301-1
6 5
U305-pwr
RT301 10K
-
+
8 4
MBRS340T3
R331
33.2K
U305B MC34072
t
7
Q309
MMBT3906L3
Q309-3
ACON
R327
0.1
C319-1
+
.047uF
R328 1K
R330
33.2K
U305-5
R332
19.6K
U304-2
-
2
+
U304-3
3
C322 .047uF
C321 .01uF
-
U304-6
6
+
U304-5
5
2
Bat-Adj
13
R337
8.87K
R338 1K
R334
19.6K
Ref-Batcharge
R333
19.6K
R336
7.5K
Ref-Batcharge
To Linear Regulators
Input to 5V and
3.3V linear regulators.
R341 10K
2
1
Q309-b
R344 10K
R345 10K
Q310-b
R342
19.6K
132
1
+12V
R343-1
3
Q310
MMBT3904L
2
R343 10K
D309
BAV70L
1.5 Linear Regulators – 5VDC and 3.3VDC
1.5.1 5V regulator
A series pass 5V regulator is built using transistor Q312 and op amp U305A. The reference for the regulator is the 5V reference from the PWM control IC U302. The output of the 5V regulator is turned off when the unit is turned off. When the 18V-boost circuit is shut down, power is removed to U302, and then the U302 reference is driven to 0V. Setting the reference to 0V will cause op amp U305 to turn the series pass transistor Q312 off.
When operating from AC, transistor Q310 is turned on, which will turn transistor Q311 off. Power to the 5V regulator is then provided through Diode D310 from the output of the battery charger circuit. Note that this voltage tap is before the current sense resistor, then load current on +5V does not affect the battery charger current limit circuit. When AC is removed, the AC-On signal goes low, and Q310 turns off. The gate of Q311 is then pulled up to 11.4V (12V – Vdiode). Transistor Q311 then turns on, and the 5V regulator is powered from the battery.
1.5.2 3.3V Regulator
3.3VDC is derived using a three terminal regulator. The output of the 5V regulator is used to power the
3.3V regulator. The 3.3V regulator does not have an independent shutdown, but powers down as the 5V regulator shuts down.
Page 83
Appendix A 10/14/99
+Vpump
+5V
+3.3V
C330 .047uF
DD
Batt Charger input
From Batery Charger Circuit.
Battery
To Q309
R344 10K
ACON
R345 10K
R341 10K
Q310-b
R342
19.6K
132
1
Q311
MTP30N06VL
+12V
R343-1
3
Q310 MMBT3904L
2
R343 10K
D309
BAV70L
D310 MBRS340T3
1
4 23
C323
+
100uF
+5V Linear Low Dropout
+12V
AC+12V-fuse
Q312 MTP30N06VL
4 2 3
Q312-g
1
R346 100
U305-1
D311 BAV70L
1
2
C324 1000pF
U305A MC34072
HS302
6078
C324-2
1
3
R347 10K
-
+
8 4
Heatsink forQ312
2 3
U305-3
C327 .047uF
U305-2
R348 10K
+
C326 .01uF
R349 10K
C325 100uF
U306 LF33CV
1 3
IN OUT
C328 .047uF
2
5VRef
R350 10K
C329
GND
D
+
100uF
D
2 Patient Isolated Circuits
2.1 Isolated Power
Isolated power is provided to the ECG, Temperature, Respiration and SpO2 circuits using an Isolation Transformer, T401. The power supply is a PWM controlled flyback converter. The PWM controller is an LM3524. Output voltage f+V is sampled and compared with the reference voltage s+5V. An error voltage is generated, and this voltage returned via opto U410. Voltage f+V is regulated to 7.4V. Additional taps on transformer T401 provide f-V (-7.4V). The switcher operates at 76.8KHz, controlled by a sync signal from the CPU board. The power supply is synchronized with the A/D converter used to digitize ECG, Temperature and Respiration signals.
Isolation
T401-4
iso401-a
Barrier
T401
1
2
3
4
IsoXfmr
U410 4N25
1 6
2
S
+12V
C409 470pf
C409-1
R405
5
215
T401-8
8
4
Q401
MTD3055V231
iso401-b
5 4
Q401-g
R406
0.2 R410
Q401-s
opto-fb
R404 196K
TP449
TP466
R407 10
TP456
MMBT3906L 3
+5V
R411
5.11K
Grounded Circuits
C412
+
10uF
+12V
C414 .047uF
TP453
D405 BAV99L
TP454
3
1
2
Q402-e
2
Q402
1
TP458
R408 100
12
U402-sen
C410 .01uF
CA
11
EA
13
CB
14
EB
4
+SENSE
5
-SENSE
U402-e
R409
5.11K
15
VIN SHTDWN
GND
8
U402
VREF
OSCOUT
COMP
LM3524DM
U402-ref
16 10 3
U402-rt
6
RT
U402-ct
7
CT
2
V+
1
U402-1
V-
9
C411 2200pF
TP451
C420 .047uF
7.5K
FE-Pwr-Sync
TP455 TP457
Patient Isolated Circuits
D401
f+V
f-V
R422 10K
R423
5.11K
s+5V
f+V T401-1
C402 .047uF
C404 .047uF
TP459
U401-3 U401-2
TP462
C408
R401
.01uf
10K
R417 10K
S
MBRS130T3
C405 100uF
S
C407 100uF
S
f+V
3
+
2
-
C408-2
R419
+
215
S
MBRS130T3
+
S
84
1
U401A LM358
SS
R402 10K
TP450
R419-2
C433 470pf
ED SE
D403
R403
1K
U401-1
TP464TP463
Page 84
Appendix A 10/14/99
From the raw f+V and f-V voltages, the following supplies are generated for the various patient isolated circuits:
1. iso+5dig: Regulated 5V supply. This voltage is used to power the opto-isolators, digital control logic, and 5V digital supply for the Nellcor SpO2 board.
2. s+5V: Regulated +5V supply: Analog 5V supply for the Nellcor SpO2 board. This is also the reference voltage used in the regulation of f+V.
3. f+5V: Regulated +5V supply: Filtered and buffered from s+5V, this voltage is used for the A/D reference.
4. s-5V: Regulated –5V supply: Analog –5V supply used for the Nellcor SpO2 board.
5. fVcc: LC Filtered voltage, derived from f+V. This voltage is used to power the Op-Amps used in the ECG, Respiration, Temperature, and A/D circuits.
6. fVee: LC Filtered voltage, derived from f-V. This voltage is used to power the Op-Amps used in the ECG, Respiration, Temperature, and A/D circuits.
U407 78L05
C401 .047uF
S
8 1
IN OUT
C430 .047uF
8 7 3
6 2
U403-fb
4
S
S
2 1 3 6 7
GND
GND
GND
236
S
VIN FDBK SHTDN
TAP SENS GND
IN OUT IN IN IN
GND
5
S
L401 220uH
C434
+
10uF
S
L402 220uH
C435
+
10uF
S
VOUT
ERR
GND
7
U403 LP2951C
U404 79L05
C403 .047uF
S
1 5
+
S
S
C415
+
1uF
S
C421
+
1uF
S
TP452
C431 10uF
TP468
C432
+
10uF
f+V
S
f-V
C424 .047uF
iso+5Vdig
C406
+
100uF
SS
s+5V
R416 10K
C418
4.7uF
s-5V
fVcc
fVee
Isolated Supply Voltages Regulation and Filtering
f+V
TP460
U401-5
5
+
6
+
S SS
-
U401B
84
LM358
U401-7
7
C417 680pF
TP465
R415 100
TP461
f+5V
C416 .047uF
2.2 A/D Circuits
2.2.1 PWM A/D
A pulse width modulator is used as an A/D converter. The PWM runs at a 1.2KHz rate, synchronized by the A/D sync signal. A/D sync is low for 52.1uSec, high for 781.25uSec. Using the values shown, the integrator will ramp down 10.01V, and ramp up 25V. The voltage at the integrator output (U601-1) is limited to about 5V [5V*(73.2/83.2) + Vdiode)]. Then, the integrator starts at 5V and ramps linearly down to –5V.
The analog input voltage to be digitized and the integrator output are the inputs to a comparator. The output of the comparator is low at the start of an A/D cycle, and switches high as the integrator ramp drops below the input voltage being digitized (see the timing diagram below). A/D conversion is accomplished by measuring the width of the PWM output signal. The A/D timer runs at 25.175MHz, then the A/D resolution is about 21000 counts (over 14 bits). Hysteresis is added to the comparator to avoid oscillations during switching. Note that since the output of the comparator is low at the start of the A/D cycle, a resistor divider is formed at the comparator input. This divider reduces the Analog-In signal by
0.75% [464K/(464K+3.48K)].
Page 85
Appendix A 10/14/99
U602-2
R607 464K
iso+5Vdig
fVcc
U602-5
U602-7
5
6
8
2
+
7
3
-
U602 LM311
4
1
fVee
E
R608 1K
f+5V
14
9 8 7
74HCT04
E
PWM-Out
U604D
A/D-sync
f+5V
14 11 10
7
U604E
74HCT04
E
U604-10
Integrator Input
(U604-10)
Comparator Inputs
PWM-Out
(U604-8)
f+5V
R604 10K
Analog In
R603
46.4K
R605
C603 680pF
U602-3
3.48K
Analog In
U601-3
E
3
C601
1000pF
52uSec
833uSec
fVcc
84
3
+
2
-
fVee
1
1
U601A MC34072
U601-1
PWM A/D Converter
R606
3.48K
R601 10K
R602
73.2K
U601-2
D601-2
2
D601 MMBD1503A
+5V
-5V
PWM-timer
2.2.2 A/D Multiplexer
A 16-channel multiplexer (formed by two 8-channel multiplexers) is used to select the analog signal to be digitized. Control of the multiplexer is through a serial communication channel from the main CPU. The following signals are digitized:
1. Ground Ground Reference for digitized signals, used in calibrating the A/D converter
2. f1.24V Reference Voltage, used in calibrating the A/D converter
3. ECG Amplified ECG signal
4. V Buffer Output of the V-lead buffer, used to determine leads off
5. LL Buffer Output of the LL-lead buffer, used to determine leads off
6. LA Buffer Output of the LA-lead buffer, used to determine leads off
7. RA Buffer Output of the RA-lead buffer, used to determine leads off
8. RL Output Output of the RL amplifier
9. Patient Temp Analog voltage representing patient Temperature
10. Respiration Amplified Respiration signal
11. Resp Leads Off DC impedance for respiration, used to determine respiration Leads off.
Page 86
Mux-A/D-C Mux-A/D-B Mux-A/D-A
Mux B
Resp-LdsOff
An-Resp
Patient-Temp
Mux A
Analog ECG
f+1.24V
vRL RA
LA LL V+
Appendix A 10/14/99
fVee
E
9
C
10
B
11
A
6
INH
4
X7
2
X6
5
X5
1
X4
12
X3
15
X2
14
X1
13
X0
VDD VSS
E
16 8
fVcc
E
9
C
10
B
11
A
6
INH
4
X7
2
X6
5
X5
1
X4
12
X3
15
X2
14
X1
13
X0
VDD VSS
fVcc
16 8
E
VEE
VEE
X
fVee
X
7
U609 4051
MuxB
3
7
U603 4051
MuxA
3
Analog In
2.3 Serial Communication
Serial data is transmitted to the isolated circuits through Optical Isolators. The following signals are transmitted from the CPU board to the isolated circuits:
1. FE-Serial-Data: Serial Data transmitted from the CPU board to the Isolated circuits.
2. FE-Data-Clk: Serial Data Clock.
3. A/D Clk: Serial Data latch. Also used as clock for PMW A/D converter.
Serial Data is converted to a parallel format using Shift Register U605 and U606. The following Data is transmitted from the CPU board to the isolated circuits:
1. Mux-A/D-A Control bit A for A/D Mux
2. Mux-A/D-B Control bit B for A/D Mux
3. Mux-A/D-C Control bit C for A/D Mux
4. Mux-Lds-A Control bit A for ECG Lead Select Mux
5. Mux-Lds-B Control bit B for ECG Lead Select Mux
6. Mux-Lds-C Control bit C for ECG Lead Select Mux
7. Sw-RLD-RA Switch Reference Electrode to RA
8. Sw-RLD-LA Switch Reference Electrode to LA
9. Sw-RLD-LL Switch Reference Electrode to LL
10. Sw-RLD-RL Switch Reference Electrode to RL
11. MonBW Select 0.5Hz ECG high pass pole (used to restore ECG baseline).
12. MuxB 0 – Select A/D Mux B; 1 - Select A/D Mux A
13. Sw-RLD-V Switch Reference Electrode to V
14. Sw-RespReset Switch Respiration High Pass Pole, used to restore baseline
15. SpO2Reset Reset Nellcor SpO2 board
16. Resp-Off Turn respiration off when respiration not used (shuts down drive signal).
Page 87
iso+5Vdig
Appendix A 10/14/99
Resp-Off
SpO2-Reset
Sw-RespReset
Sw-RL-V
MuxB
MonBW
SW-RLD-RL
SW-RLD-LL
SW-RLD-LA
SW-RLD-RA
Mux-Lds-C Mux-Lds-B Mux-Lds-A Mux-A/D-C Mux-A/D-B Mux-A/D-A
15
1 2 3 4 5 6 7
9
U605-out
15
1 2 3 4 5 6 7
9
U605
QA QB QC QD QE QF QG QH
QH
74HCT595
U606
QA QB QC QD QE QF QG QH
QH
74HCT595
VCC
SER
SRCLK
SRCLR
RCLK
GND
VCC
SER
SRCLK
SRCLR
RCLK
GND
16 14
11 10
12 13
G
8
ED
16 14
11 10
12 13
G
8
ED
FE-Serial-Data FE-Data-Clk
A/D-Clk
2.4 Signal Isolation
Optocouplers are used to electrically isolate signals. The following signals are transmitted across the isolation barrier through the optocouplers:
1. SpO2 out: SpO2 serial data, waveform and status information.
Opto U411 Data from the SpO2 board to the CPU board.
2. Serial Data: Serial Control data for isolated circuits.
Opto U613 Data from the CPU board to isolated circuits.
3. Serial Data Clock: Data clock for serial control data.
Opto U612 Clock from the CPU board to isolated circuits.
4. ADC Clock Clock for PWM A/D converter, also used to latch control shift registers.
Opto U611 Clock from the CPU board to isolated circuits.
5. PWM A/D data A/D Pulse width data.
Opto U610 Pulse width data from isolated circuits to CPU board.
6. Respiration Clock Clock for Respiration drive circuit (same signal as power supply sync)
U710 Clock from the CPU board to isolated circuits.
2.5 ECG Circuits
2.5.1 Overview
The front end will meet all applicable AAMI standards. Atlas provides a 5-wire front end, and will be compatible with both a 3-wire and 5-wire cable. Monitor (0.5Hz to 40Hz) Extended (0.05Hz to 100Hz) bandwidth will be provided. The ECG amplifier always transmits 0.05Hz to 100Hz data to the CPU board (unless in baseline restore mode), additional filtering for Monitor Bandwidth is implemented in software
2.5.2 Defib Protect, RFI Filtering
The ECG lead set includes a 1K resistor for current limiting. The neon bulbs act as a voltage clamp, limiting voltage to about 100V. Neons are chosen for their low capacitance and high DC isolation. Series resistors and diode clamps are used as a second set of protection for the front-end amplifiers. Resistors R506, R507 and Diodes D506, D507, are used to reverse bias the lead clamp diodes (D501 to D505). Two passive RC filters are used to reduce susceptibility to RFI and ESU.
Page 88
Defib Protect
R506 10K
fVcc
R507 10K
fVee
R501
RA
N501
LAMP NEON C506
51.1K
C501 220pF
RFI Filtering
+clamp
-clamp
D501 MMBD1503A
1
3
D501-3
2
R508 10K
Appendix A 10/14/99
D506
5.1V
13
1 3
D507
5.1V
220pF
E
To Buffer Amp
S
E E
2.5.3 Front End Buffer - 1st Gain Stage
Gain of the first stage is 9.26 (1+10K/1.21K). Bias current for each input buffer is set to 1.25V/44Meg = 28nA (VldsOff = 1.25V). On a leads-off condition, the two 22Meg resistor drives the input of the buffer to
1.25V (VldsOff), and the amplifier output saturates high (at about 5.5V). The voltage out of each buffer is monitored to detect a leads-off condition.
84
MC34002
Input Buffers Gain = 9.26
1
U501A
R517 10K
0.1%
R518
1.21K
0.1%
E
C510 220pF
Out
fVcc
U501-3
U501-2
3
+
2
-
fVee
In
R509 22Meg
R509-1
R557 22Meg
VLdsOff
2.5.4 Wilson Network - Lead Select Mux
A 5 wire front end must be able to render the following vectors:
I LA - RA II LL - RA III LL - LA aVR RA - 1/2*(LA + LL) aVL LA - 1/2*(RA + LL) aVF LL - 1/2*(LA + RA)
V V - 1/3*(RA + LA + LL) A resistor divider network (Wilson Network) is used to create the terms above. These vectors are then switched though the two Mux’s, into the differential amplifier.
Page 89
Appendix A 10/14/99
Lead Select
fVcc
fVcc
U505
168
4051
13
X0
14
X1
VDDVSS
15
X2
12
X3
1
X4
5
X5
2
X6
4
X7
6
INH
11
A
10
B
9
C
VEE
E
U506
168
4051
13
X0
14
X1
VDDVSS
15
X2
12
X3
1
X4
5
X5
2
X6
4
X7
6
INH
11
A
10
B
9
C
VEE
E
mux-
3
X
7
fVee
mux+
3
X
7
fVee
Wilson
RA
LA
LL
V+
Network
R529 10K
R530 10K
R531 10K
R532 10K
R533 10K
R534 10K
R535 10K
R536 10K
R537 10K
RA RA LA
aVR
aVL aVF V-
E
LA LL
RA LA LL V+
E
2.5.5 Differential Amplifier and Slew rate limit
A traditional 3-opamp gain stage (U507 and U508) is used to construct the differential amplifier. The topology is modified slightly with the addition of slew rate limiting (U509). The ECG signal is slew rate limited to about 100V/sec. This is done to minimize distortion of the ECG trace in the presence or large pace pulses. The differential outputs of this stage are used as input to the RLD amplifier.
Diff Amp and Slew Rate Limit
mux-
mux+
fVcc
84
3
+
-
fVee
fVcc
+
-
fVee
MC34002
84
MC34002
1
U507A
7
U507B
2
5 6
diff-
diff+
DC Gain = 1
R544 10K
0.1% 0.1%
U508-3
R545 10K
0.1%
R547 10K
0.1%
3 2
u508-2
E
fVcc
+
-
fVee
C544 1000pF
R546 10K
C543 .047uF
fVcc
84
1
U508A AD712
C542 220pF
u501-8
C545 1000pF
E
R565 121K
u509-4
E
25
4
-
3
1
+
U509 LMC7101
fVee
SingEnd Out
2.5.6 Right Leg Drive Amplifier
The right leg amplifier performs two functions. First is to provide bias current to the input buffer amplifiers. Second, to reduce 60Hz interference (increase CMR). Patient Common mode signals are amplified and inverted, and this resultant signal used to drive the patient. Gain of the RLD amplifier at 60Hz is maximized, while keeping the system gain stable. The RLD output is mux’d to the appropriate wire depending on the chosen input vector. For example, when looking at Lead I (LA-RA), the RLD signal is switched to the LL buffer.
Page 90
Appendix A 10/14/99
RLD Mux
U504
To RL
To LL
To LA
To RA
Sw-RLD-RL
Sw-RLD-LL
Sw-RLD-LA
Sw-RLD-RA
fVcc fVee
E
3 1
14 16
11
9 6
8
13
4 5
S1 IN1
S2 IN2
S3 IN3
S4 IN4
V+ V­GND
DG202CSE
2
D1
15
D2
10
D3
RL-mux
7
D4
R516 10K
RLD Amp
U503A MC34002
TP551
R527 1K
fVcc
84
3
+
1
-
fVee
C514-2
R528
51.1K
2
C514
0.1uF
E
U503-2
TP552
R525 10K
R526 10K
Diff+
Diff-
2.5.7 High Pass and Gain Stage
The signal from the output of the differential amplifier is AC coupled before a final stage of amplification. The High Pass Pole is set to less than 0.05Hz (a 3.3 second time constant). Large DC signals are sometimes present, for example, following a Leads Off condition. In order to quickly restore the baseline, a transistor switch (Q504,Q505) is used to change the AC pole time constant to 0.33 seconds. Op Amp U508 provides the final amplification prior to the A/D converter.
Diff-out
High Pass (0.05Hz or 0.5Hz) 2-pole low pass
C515
3.3uF
R548 1Meg C517
E
Q504 2N7002
Q505 2N7002
ecg-hp
Q504-d
3
Q504-s
2
2
3
E
R549 110K
R550
19.6K
1
1
C516 .047uF
Q504-g
U508-5
E
R553 100K
5 6
U508-6
fVcc
84
+
-
fVee
Gain Stage Gain = 74
7
U508B AD712
Sw-MonBw
R551
73.2K
R552 1K
E
An-ECG
.01uF
2.6 Temperature Amplifier
The temperature option of Atlas is designed to operate with YSI-400 series probes. This probe has a negative temperature coefficient, R@30C = 1815Ohms, R@40C = 1200Ohms. The temperature amplifier is configured as a non-inverting gain stage. The positive input to the amplifier is a 1.25V reference. The output of the temperature amplifier is V = Ref*(1+Rfb/Rthermistor).
The A/D converter will digitize the An-Temp input, along with the reference voltage and ground. The gain of the A/D can be calibrated from the reference voltage measurement, and any drifts in the reference voltage or A/D gain are compensated.
Page 91
Appendix A 10/14/99
f+1.24V
J601
2 1
CON2
R624
51.1K
D602 BAV99L
1
3
Temp-In
Temperature Thermistor
fVcc
U608-3
3
E
R625 1K
2
C636 2200pF
+
-
fVee
C633 .01uF
E
+Clamp-Clamp
2
84
U608A AD712
R627 1.21K
Temperature Amplifier
U608-1
1
C634 .01uF
0.1%
C635 .01uF
R626 1K
Patient-Temp
2.7 Impedance Respiration
2.7.1 Overview
Impedance respiration is accomplished by measuring a change of resistance across the patient’s chest during breathing. The RA and LA electrodes (Lead I) are uses to acquire the respiration signal. A current source is driven through the patient, and the voltage developed across the patient is measured. The change in resistance caused by respiration is small, in the order of 1 Ohm. This small change must be measured on top of a large baseline impedance, typically 100 to 1000 Ohms.
2.7.2 Signal Source – Current Drive
An AC current source is used as the input signal, a 34.8KHz square wave. The Power supply sync signal, at 76.8KHz, is transmitted across opto isolator U710. Flip Flop U701, configured as a divide by 2, converts this signal to a 34.8KHz. Current through the patient is about 150uA Pk-Pk, set by the output of U710 (5V) and the circuit series impedance, 69K including cable resistance. The impedance of the patient is small (<2K) compared to the series impedance and has minimal affect on the magnitude of the drive current. Diode clamps are used to protect the respiration circuits in the event of a Defibrillation pulse.
f+5V
+Clamp
D701 MMBD1503A
D702 MMBD1503A
2
C701
D701-3 C701-1
3
D702-3
3
1000pF
2
C702 1000pF
Respiration Drive Circuit
R703
31.6K
RespDr+
R704
31.6K
RespDr-C702-1
C719
+
4.7uF
E
U701A
4
74HC74
14
VCC
5
6
2
D
Q
PR
3
CLK
Q
CL
7
GND
1
E
Resp-Clk
Resp-Off
Right-Arm
Left-Arm
R701
1.96K
R702
1.96K
-Clamp
1
1
Page 92
Appendix A 10/14/99
2.7.3 Differential Amplifier and Peak Detector
The AC current driven though the patient develops a voltage across the RA to LA electrodes. This signal is measured and amplified with the Differential Amplifier formed by U702A/B. This amplifier converts the differential voltage across the patient to single ended signal, with a gain of 16.8. Inverting this signal (U703A), and summing the original signal and inverted signal through the dual Diode D705 then forms a synchronous peak detector. Then, the voltage on C711 is the DC resistance seen across the RA to LA buffer. This baseline resistance is digitized, and if the signal is too large (>2.5K), a Respiration Lead Fault message is displayed. Note that this circuit measurement includes the two 1K resistors in the EKG cable set. This 2K resistance is subtracted in software before determining a leads off condition.
+Clamp-Clamp
Right-Arm
Left-Arm
R707
1.96K
R708
1.96K
D703 MMBD1503A
1
D704 MMBD1503A
1
fVcc
Respiration
2
C706 330pF
U702-3D703-3
3
R709 464K
2
3
C707 330pF
R710 464K
3 2
E
fVcc
U702-5D704-3
5 6
fVee
U702-6
E
Diff Amp
84
+
1
-
U702A AD712
fVee
U702-2
U702B
84
AD712
+
U702-7
7
-
R711
15.8K
R712 1K
R714
15.8K
R713 1K
R715
3.16K
U703-2
E
U702-1
D705
R716
3.16K
fVee
-
2
+
3
U703A AD712
8 4
fVcc
MMBD354LT1
1
2
D703-1
1
R724 196K
3
R717
3.16K
Resp-DC
C720 .047uF
E
D605-C
C711
0.1uF
EE
E
2.7.4 Gain and Filtering
The DC content (baseline resistance) of the respiration signal is not needed, so the signal is next AC coupled, and additional gain applied before digitization. Low pass filtering is performed at this stage to reduce high frequency noise outside the respiration signal bandwidth. A baseline-reset circuit (transistor switch Q701) is used to quickly restore the high pass pole if excessive DC voltage is present, for example following a Leads-Off condition.
Page 93
Appendix A 10/14/99
U703-6
R722 316
E
2
fVcc
B.W. = 10Hz
84
5
+
-
fVee
7
U703B AD712
R721 316K
C714 .047uF
Resp-Reset
6
An-Resp
D605-C
B.W. = .06Hz to 16 Hz Gain =1000
2 1
R719
51.1K
Q701-d
E
R720 100K
3
Q701-g
R723 1Meg
E
C713
0.1uF
E
D706 MMBD1503A
1
U703-5
3
C712
3.3uF
MMBF4393L
Resp-AC
Q701
E
R718 825K
2.8 SpO2 Circuits
The SpO2 transducer senses oxygen content of functional arteriolar hemoglobin through the use of light (red and infrared) passed through the sensor. The reflective characteristics of hemoglobin at the wavelengths used allow the pulse oximetry circuits to obtain changing saturation levels. This data is then processed to obtain the oxygen saturation percentage and pulse rate.
Nellcor or Nonin Medical provides the SpO2 board (Nonin only for the model 621). The SpO2 board includes amplifiers and processing, and transmits serial data to the CPU board (Waveform data, SpO2%, and pulse rate). The Atlas monitor provides electrical isolation (power and data) for the SpO2 board. Note that you must use Nonin probes with the Nonin SpO2 board, and Nellcor probes with Nellcor SpO2 board.
3 Non-Isolated circuits - A/D and Mux
3.1 A/D – grounded circuits
The A/D converter is designed by building a pulse width modulator (PWM) and a timer circuit. The PWM runs at a 1.2KHz rate, synchronized by the A/D sync signal (NIBP-ADC-Clock). A/D sync is low for
52.1uSec, high for 781.25uSec. Component values are selected such that the integrator will ramp down
4.7V, and ramp up 7.83V. The voltage at the integrator output (U601-1) is limited to about 5V [5V*(73.2/83.2) + Vdiode)]. Then, the integrator starts at 5V and ramps linearly down to 0.3V.
The analog input voltage to be digitized and the integrator output are the inputs to comparator U210. The output of the comparator is low at the start of an A/D cycle, and switches high as the integrator ramp drops below the input voltage being digitized (see the timing diagram below). A/D conversion is accomplished by measuring the width of the PWM output signal. The A/D timer runs at 25.175MHz, then the A/D resolution is about 21000 counts (over 14 bits). Note that since the output of the comparator is low at the start of the A/D cycle, a resistor divider is formed at the comparator input. This divider reduces the Analog-In signal by 0.75% [464K/(464K+3.48K)].
Page 94
Appendix A 10/14/99
+C218
4.7uF
A
NIBP-ADC-Clock
Integrator Input -f=1.2KHz
(U207-3)
Comparator Inputs
Analog In
PWM-Out
(U207-6)
P+5V
U207A 74HCT00
14
1 2
7
A
+5V
0.31V
P+5V
1 2
3 6
PWM A/D Converter
R237 464K
C225 .047uF
475
U210 MAX941
U210-7
A
+
-
A
P+5V
14
4
6 5 7
U207B 74HCT00
A
NIBP-PWM-ADC
NIBP PWM A/D Converter
R230 10K
R231
73.2K
R232 10K
3
R233
3.48K
U207-3
A
U208-2
D201-C
C219 .047uF
A
2
U208-3
3
D201
MMBD1503A
P+12V
3 2
1
Analog-Input
84
+
-
U208A MC34072
A
C221 .047uF
1
C220
.01uF
R235
3.48K
U209-Out U210-2
C224
U208-1
R234
3.48K
1000pF
A
U210-3
52uSec
781uSec
PWM-timer
3.2 A/D Mux – grounded circuits
Analog signals are switched to the A/D converter through MUX U209. Control of the multiplexer is through a serial communication channel from the main CPU. The following signals are digitized:
12. +5V/2 Sampled version of the 5V supply. Used to verify A/D operation.
13. SafetyPres Safety Pressure Transducer
14. PrimaryPres Primary Pressure Transducer
15. P.75V Reference voltage for A/D calibration. 0mmHg pressure for Primary Transducer.
16. P4.25V Reference voltage for A/D calibration. 300mmHg pressure for Primary Transducer.
17. Print-Temp Printhead Temperature, used to compensate printer strobe width.
18. BattVoltage Battery Voltage, used to warn of low battery condition.
19. BattCurrent: Battery Charger Current, used only in service mode verification.
4 NIBP Circuits
4.1 Overview - Safety:
Two pressure transducers are used, a primary and safety transducer. The primary is used to make all BP measurements. Hardware circuits monitor the output of the primary transducer, looking for overpressure faults. In addition, Software monitors the digitized outputs of the primary transducer, and detects overpressure faults. The following overpressure faults are detected in software (monitored once per second):
Page 95
Appendix A 10/14/99
1. >=10mmHg pressure for 295 seconds
2. >=15mmHg pressure for 175 seconds
3. >295mmHg pressure for 0.5 seconds.
Software detected overpressure faults are considered application faults. The user is warned of a fault with an audible alarm and a ‘Check blood pressure cuff’ message on the CRT display. NIBP is not disabled for this type of fault. In the event of a fault, the drive signals to the NIBP pump and valve are opened.
Two hardware faults are detected, pressure over 330mmHg (nominal trip point 314mmHg, and pressure over 15mmHg for three minutes (13.3mmHg nominal trip point). These faults are considered more serious (since software should have detected and corrected this condition). The user is notified with a ‘BP SYSTEM FAULT’ message, and NIBP is disabled. A redundant safety transistor is opened to ensure the NIBP pump is off and the valve is open.
The primary and safety transducer outputs are continuously digitized. The outputs of the transducers are checked vs. each other, and if they disagree, an ‘NIBP Fault Message’ is declared and the NIBP system is disabled. The outputs of the transducers are linearly proportional to the supply voltage (supply current for the safety transducer). The transducers use unique reference voltages to ensure that a fault in one reference will not cause an equivalent gain error in both transducers.
The A/D also has redundant checks. Two reference voltages (derived from the primary transducer reference supply) are measured, and the A/D gain and zero is checked. In addition, a unique reference is digitized, and compared vs. expected results. An error in any of these A/D measurements will again cause an ‘NIBP Fault Message’, and the NIBP system will be disabled.
4.2 Primary Transducer - Amplifier:
The primary pressure transducer is a fully calibrated and compensated transducer with built in voltage amplification. The output of the transducer is proportional to the supply voltage. With a 5V supply, the output of the transducer is: 0mmHg = 0.5V. 300mmHg = 4V. Op amp U204A is used to level shift the output of the transducer such that the nominal voltage for 0mmHg is set to 0.75V. The CPU monitors the digitized zero pressure voltage, and any offset is corrected. This correction comes from the summation of an error correction signal through op amp U204B. The CPU will output a pulse width modulated signal at 76.8KHz. This signal is RC filtered to provide ad DC voltage at U204-5. This signal can adjust the offset seen at the A/D converter by +/-20mmHg.
Page 96
P+5V
Appendix A 10/14/99
1
R214 10K
L202
3
Gain and Comp
A
R215 100K
Bead
2
6
+3.3V
P201-6
R244
21.5K
C207-1
A
Primary Transducer
0mmHG = 0.5V 300mmHG = 4.0V
R236
3.83K
P201-Out
C227 680pF
A
Zero Adjust +/-20mmHg range
R216
19.6K
U204-5
C208
+
C207
1uF
1uF
A A
R212
56.2K
P+12V
C209
3 2
R218
23.7K
.047uF
1
R217
5.62K
C231 .01uF
A
U204-1
R219
1.96K
C228 .047uF
A
84
+
-
U204A MC34072
A
C206 .047uF
A
P+12V
84
5
+
7
6
-
A
U204B MC34072
U204-7
+
R213 237K
U204-3
U204-2
P+.75V
A
A
P201
XFPM-050KPGR-P1
NIBP-Offset-DAC
PWM D/A
76.8KHz
C226 .047uF
P201-pwr
C232 .047uF
4.3 Safety Transducer - Amplifier
The safety transducer is compensated for temperature drift, but gain and zero are not calibrated. The safety transducer does not include built in voltage amplification. The safety transducer output is a differential voltage, proportional to the supply current through the device.
PrimaryPres
The initial accuracy of the safety transducer is very loose, in the order of +/-50%. However, the drift over time and temperature is very good. Then, it is necessary to calibrate the output of the safety transducer. This is done my measuring a know pressure, measuring the output of the safety transducer, and storing calibration constants in NVRAM. A two-point calibration procedure is used. Calibration is done at the factory, and can be recalibrated in the field if necessary.
4.3.1 Current Source:
Op amp U205A is configured as a current source for the Pressure Transducer, with the current through the transducer set to 1.5mA. Nominal gain for the transducer is 300mmHg = 75mV.
4.3.2 Differential Amplifier and Offset Centering:
The output of the safety transducer is a differential voltage, with a nominal gain of 0.25mV/mmHg, and a zero pressure offset voltage of +/-25mV. The A/D converter has an input voltage range of 0.5V to 5V. It is necessary to both add both signal gain and offset centering to the transducer output before digitization.
Op amp U206A/B is configured as a differential amplifier, with a voltage gain of 22.5. The output of the differential amplifier is offset by 1.2V (U205B).
Page 97
Appendix A 10/14/99
U205-3
3 2
P+12V
84
+
-
C211
.047uF
U205A MC34072
A
1
C212 680pF
P+12V
84
+
-
84
+
-
P+12V
84
+
-
A
A
A
C216 .047uF
1
U206A MC34072
7
U206B MC34072
7
U205B MC34072
U206-1
U206-2
U206-7
U205-7
A
TP226
R223
21.5K
R224 1K
R225 1K
R226
21.5K
C214 .047uF
C215 .047uF
R227
5.11K
SafetyPres
C217 .047uF
A
Safety Transducer
A
P202-2
P202
2
FPNS-07PGR
3
P202-5
C213 .01uF
5
R220 806
A
Zero Offset
-+
A
1 6
5VRef
P202-Out-
R221
3.16K
R222 1K
A
P202-Out+
3 2
P+12V
5 6
5 6
4.4 Hardware Overpressure:
The output of the primary transducer is monitored for two overpressure conditions; pressures in excess of
13.3mmHg (nominal) and 314mmHg (nominal) are detected. These error conditions are transmitted to the gate array on the CPU board, and if the error conditions are present for a long enough time period, a fault message is displayed, and NIBP is disabled (see above for safety performance operation).
The output of the Primary Transducer drives the two comparators U203A/B. The comparison voltage is derived through a resistor divider chain from a 5V regulator (U201). This regulator is the supply voltage for the primary transducer, and sense the primary output is proportional to the supply voltage, tolerance errors in the regulator are not critical.
L201 220uH
C229 10uF
.047uF
+
A
C201
P+12V+12V P+5V
U201 78L05
8 1
IN OUT
GND
GND
GND
236
A
7
A
R207 464K
C205
A
A
U203-3
U203-5 U203-6
P+12V
R210 464K
P+12V
.047uF
84
3
+
2
-
A
84
5
+
6
-
A
PrimaryPres
R201 576
U203-2
GND
C204 .047uF
R202 174
C202
+
4.7uF
R203
3.32K
R204 150
R205 750
U202-3
U202-5
A
A
A
P+12V
P+12V
C203
.047uF
A
84
3
+
1
2
-
U202A MC34072
A
84
5
+
7
6
-
U202B MC34072
A
P+4.25V
P+.75V
R206 1K
R209 1K
C222 .01uF
C223 .01uF
A
1
U203A LM393
7
U203B LM393
Over Pressure Fault Circuit
+3.3V
+3.3V
R208
1.96K
R211
1.96K
NIBP-Overpressure
NIBP-15mmHg
Page 98
Appendix A 10/14/99
4.5 Pump and Relay Drive:
Two independent dual transistor switches, Q202 and Q203 control the pump and valve. Q202 is controlled by logic circuits on the CPU board, and is normally in the on state. Q202 is only opened in a fault condition (over pressure, A/D calibration error, or transducer mismatch). Once a fault is detected, Q202 will remain open until power is cycled. Under normal operation, dual transistor Q203 is used to switch the pump on and close the valve. The pump-on and valve-close commands are controlled by software. Note that the valve is normally open. Then, in the case of no power, the valve will be in the open state.
+5V +Vpump
8
5
6
Q202 MMDF2N02E
4
3
Valve+
Valve­Pump+
Pump-
8
5
6
Q203 MMDF2N02E
4
3
R248 1K
NIBP-Pump-OnNIBP-Valve-Close
J201
1 2 3 4 5
CON5
NIBP-Safety
R240 10K
R241 10K
Q201-B
Q201
MMBT3904L
+12V
R242 10K
Q202-G
3
1
R243
2
100K
D202
BAV99L
D201-A
R247 1K
3
R246
31.6
7
2
1
2
1
7
2
1
5 CRT Deflection Board
5.1 Overview:
Atlas uses a 5-inch monochrome CRT display. This CRT will display Waveform Data (ECG and Respiration or SpO2 orETCO2), plus Text Data (Heart Rate, Alarm Values, Trend Data, setup, and service menus). The CRT Deflection board performs the following functions:
1. Vertical Deflection.
2. Horizontal Deflection.
3. CRT Grid Voltages.
4. Video Amplifier. CRT Deflection is magnetic, vertical and horizontal deflection is controlled by regulating current through the vertical and horizontal coils of the CRT Yoke. The Deflection board is designed to the following specifications:
Resolution: VGA (640X480)
Dot Clock: 39.7nSec (1/25.175Mhz) Display Size: 100mm (Horizontal) X 68mm (Vertical)
Vertical: Scan Rate: 60Hz
Reset Time: 750uSec
Page 99
Blanking Time: 1.2mSec
+
-
Horizontal: Scan Rate: 31.5Khz
Reset Time: 5uSec Blanking Time: 5.7uSec
5.2 Vertical Amplifier:
5.2.1 Ramp Generator:
Appendix A 10/14/99
Vertical Sync
750uSec
16.7mSec
Vsync
R52
1.96K
U4A
1 2
74HCT04
+5V
U4.2
R43
5.11K
d6.c
R1 1K
R3
23.7K
D6 1N4148
Ramp Generator
U1.3
R2
7.50K
3 2
U1.2
12
+12V
84
+
-
D1 1N4148
1
U1A
TLC272
C1 .1uF
12
C3 .047uF
Ramp
Vertical Sync
5.0V
3.95Vpp
750uSec
16.7mSec
A ramp generator is built from the integrator (U1A, C1, and R3). The slope of the integrator is: V = (I*T)/C. The integrator is designed so that it ramps up 6.97V in 750uS and ramps down 3.95V in 15.9mS. Diode D1 clips the output voltage at about 5.0V (U1-pin3 + Vdiode). Then the ramp resets at 5.0V each cycle, and integrates down 3.95V.
Vertical Amplifier
+12V
C4 .047uF R19
3
Ramp
+
2
-
U2A
MC34072
C2 100pf
u2.2
R4 10K
R5
42.2K
u1.7
7
U1B TLC272
R9
+5V
1.47K
1
+12V
6 5
u1.6
R12 562
R14 562
u1.5
vcadj
R10 1K
R13 169
MPSW51A
R8
41.2K
q1.b
2
q2.b
2
Q2
R6
41.2K
R7
41.2K
Zero Adjust
vcadj-vcadj+
3
Q1 MPSW01A
1
q1.e
1 3
R11
1.96K
R15 38.3
R16 10
Size Adjust
+12V
7
U2B MC34072
u2.7
+12V
+5V
5
+
-
R23 10K
R22 10K
6
u2.6
+
C5 22uF
R18 562
vadj
R17 10
Q3
MPSW01A
3 1
1 3
q3.b
2
q4.b
2
Q4 MPSW51A
L
Vertical Yoke
562
R20 169
R21 562
Page 100
Appendix A 10/14/99
5.2.2 Vertical Amplifier:
The Vertical amplifier will generate a linear current ramp of +/-200mA. The vertical amplifier is an H­Bridge type driver. Positive current flow (deflecting the beam above the centerline) is defined as current from +12V to Q1 to Rsense through the coil to Q4 to Ground. The negative current path is from +12V to Q3 through the Coil to Rsense to Q2 to Ground.
The input to the vertical amplifier is the ramp voltage generated above. The objective of the vertical amp is to match the current through the vertical coil with the input ramp control voltage. Current through the vertical coil is monitored through the sense resistor, formed from R15, R16, and R17. Voltage across the sense resistor is measured with the differential amplifier U1B. This voltage is then used as the feedback voltage to the control opamp, U2A.
5.2.3 Zero Adjust:
The output voltage from the ramp generator is a ramp from 5.0V to 1.05V (nominal). The center of this ramp is 3.0V. Then, the output of the current sense diff amp must be offset by 3.0V. This is accomplished with the Zero Adjust Network, Resistors R9, R10, and R11. Vertical centering is then accomplished by writing a pattern to the CRT, and adjusting R10 to center the display.
Size Adjust:
Adjusting the current through the Vertical Coil changes vertical deflection. The voltage across the sense resistor is:
Vsense = (Vramp-Voffset) / 1.02 (1.02 is the gain of the current sense diff amp)
Current through the coil is equal to current through the sense resistor network.
Icoil = Isense = Vsense / Rsense Then, adjusting the value of the sense resistor will change the current through the vertical coil. Vertical gain is then accomplished by writing a pattern to the CRT, and adjusting R16 to set vertical deflection.
5.3 Horizontal Amplifier:
Current through the transformer increases linearly as Transistor Q6 is On (I = VdT/L). When the transistor opens, the drain voltage kicks up, and the current through the Transformer coil flows through C9, L2, L3, and the Horizontal Coil to Ground The transformer quickly loses flux (reset time < 5uSec). Current continues to flow in load inductance, from Ground through Q6-diode, C9, L2, L3, and the Horizontal Coil to Ground. This current flow charges capacitor C9. The current decreases linearly to 0, then changes directions. This is due to the AC coupling capacitor C9 being charged to a negative voltage. Current flow is then from Ground through the Horizontal Coil, L2, L3, C9, and Q6 to Ground.
The drive to MOSFET Q6 is AC coupled. This will prevent Q6 to be driven high in the event of a faulty driver on the CPU board.
In order to get adequate deflection current (about +/-2.3Amps), 18.5V across the transformer coil is necessary. A “boost” winding is added to the transformer, then when the voltage on the transistor drain flys up, current flows into capacitor C11. C11 charges to a voltage determined by the turns ratio in the transformer.
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