Welch Allyn SP-10 User manual

..

Cardio Menu

Operator Manual

.

SCHILLER

SERVICE

SP-I

WDBOOK

Spirometry

Issue

7

Unit

2

July

I998

Sp

SP=l

irom

etry

Unit

.

Service

CH-6340

Phone:

Fax:

Home page:

Hundbook

SCHILLER

Altgasse

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http://www.schiller-ag.ch

68

41

760 87 87

761

AG

08

80

July1

998

Article Number:

i

2.

540

OII

Issue Issue

1:

2

March July

1998,

1996

Update

SP-1

Article

and

revision

Service

Number

to

incorporate

SERVICE

Handbook

2.540

011

latest

hardware

SCHlUER

SP-I

HANDBOOK

and

software.

Spirornetry

Issue 2 July

Unit

1998

f

Associated

Guide

and

SCHILLER SCHILLER SP-1 USER GUIDE SCHILLER SP-1 USER GUIDE

Documents

to

SCHILLER Interpretation

Measurement Rogram

SP-1

USER GUIDE - English / German

v/

E

/

D / F

-

French

/

Italian

-

Spanish

I

Portuguese

93/42/EEC Medical Devices: 0124

'Notified Body'

DEKRA

AG

Article Article Article Article

No. No. No.

No.

2.510

179

196

197

103

0

Copyright

1998

by

SCHILLER

AG

11

SCHILLER SERVICE

HANDBOOK

SP-I

Spiromem

Issue

Unit

2

July

1998

DECLARATION

Diagnostic

Serial numbers Year of manufacture:

System

starting

:

with:

OF'

CONFORMITY

Spirovit

SP-1

040.

1997 Onwards

We, the undersigned, hereby declare that the medical device (class above conforms with the essential requirement listed

in

Annex 1 of

93/42/EEC.

This

declaration

Certificate

of

is

approval

supported

No.:

11425-01 45112-60-01 45112-16-01

by:

IS0

9001

(REV.

1994)

IS0

9001/08.94EN46001/

Annex

II,

Section

3

of

EN

the

directive

46001

12.93

IIa)

specified

EC

Directive

by

SQS

byDEKRAmd

93/42"EEC

Baar

(Switzerland) Dated 30.06.1998

J.J.

Schmid

&

Research

Development Manager

(€01

.

24

Markus

Butler

Quality Assurance Manager

...

111

SCHILLER

SERVICE

SP-1

HANDBOOK

Spirometry

Issue

2

July

Unit

1998

Where

Asia Pacific

to

Obtain

America

Austria

Canada

France

Service

1

WELCH

92121,

Telephone:

Fax:

SCHILLER Asia Pacific, Petaling Jaya, Malaysia

Telephone: Fax:

I

SCHlLLER Handelsgesellschaft mbH Medizintechnik, , Kampmiillerweg

24,

Telephone: Fax:

I

SCHILLER France

F

Telephone: Fax:

ALLYN

USA

800-535-6663

315-685-3361

(603) 777 5336 (603) 777

A4044

Linz,

0732 70 9 90 0732 7157

-94350

Villiers s/Marne, France

01 49 41 24 40

01

SCHILLER Inc.,

1OA

Jalan

5744

Ausma

OOO

SA.,

Zac des Luats

49 41 24 49

,7420 Carroll

SS

3/33,

58,

Road, San Diego, CA

Taman University,

route de Champigny,

47300

1

Germany

(EU-Bevollmachtigter))

India

IMY

Switzerland

All

Other

Countries

SCHILLER Medizintechnik GmbH, Rudolf Diesel

D

-85521

i

Telephone:

1

F~:

~

Hotline:

SCHILLER Healthcare India Pvt. Ltd. Kalpatarn Motwane Lane, Ground Floor, Fon Mumbai

Telephone:

Fax:

ESPAOTE SPA (SCHILLER)) Via di Caciolle Telephone:

Fax: SCHILLER Reomed AG, Riedstrasse

Telephone: Fax:

SCHILLER AG, Altgasse Telephone:

Fax:

1

Home page:

Ottobrunn, Germany

089 629 981 089 609 089 629 981 36

+91 22 263 4381 +9122 263 4384

+39

055

+39

055

01 741 02 09 01 740 37 10

41

41 760 87 87

41

41 761 08 80

http://www.schiller-agxh

0

50

9

422 91 422 920 8

68,

CH-6340

0

14, CH-8953

Baar,

Su.

14,

Chambers,

400

023

15,1-50125

Dietikon, Switzerland

Switzerland

Nanik

Firenze, Italy

I

iv

-

&.

-.

SCHILLER

SERVICE

SP-1

HANDBOOK

Warranty

Disclaimer

The Information given

as

regarding the contents changes any person of such revision

Trademarks

SCHILLERandSP-1 of their

Copyright Notice

0

Copyright

transcribe, store in a retrieval system

electronic, mechanical, magnetic, optical, chemical,

publication without express written permission

Spiromev Unit

issue

2

July

1998

in

this

guide

has

been carefully checked for reliability; however no guarantee is

to

the correcmess

in

the

specification of the product described within at any

owners.

1998

of

the

contents and SCHILLERmakes no representations

of

this

manual. We

or

change.

areregisteredtrademarksofSCHlLLERAG.All

by

SCHILLER

AG.

reserve

All

rights reserved.

or

translate into any language, in any

of

the

right

to

You

manual

SCHILLER

AG.

or

revise

this

document and make

time

without obligation

mdemarksare the property

may

not reproduce, transmit,

fonn

or

by any means,

or

otherwise,

any

part

warranties

to

notify

of

this

Terms

of

Warranty

The SCHILLER SP- 1 is warranted against defects in material and manufacture for one year or Any unqualified persons attempt

In case The manufacturer

apparatus

'

persons authorized by

'

instructions.

THERE

WARRANTES

MERCHANTABILITY ORFITNESS FOR APARTICULARPURPOSE

THE

(as

from date of purchase). Excluded from

as

a result of improper handling. The warranty entitles free replacement of the defective part.

liability

assembly operations, extensions, readjustments, modifications, or repairs

the

PRODUCT

for subsequent damage

to

make repairs.

of

a

defect send the apparatus to your dealer or directly

can

only be held responsible for the safety, reliability, and

if:

him,

and

unit

and approved attached equipment is

ARE

NO

EXPRESS

HEFEINABOVE

OR

PARTS

THEREOF.

is

IMPLIED

SET

FORTH. SCHTLLER

this

guarantee is damage

excluded. The warranty

to

the manufacturer.

used

in

accordance with

WARRANTES WHICH

MAKES

is

void

EXTEND

NO

the

duration

caused

by

an

accident

if

unauthorized or

performance

are

carried out by

the

manufacturers

BEYOND

WARRANTY OF

WITH

RESPECTTO

of

the

THE

of

V

-.

.

..

.

c

...

.-

SCHILLER

SERVICE

.

._

.

_.

...

.

i

.

Safety

Notices

TO

PREVENTELECTRICSHOCKDONOTDISASSEMBLETHEUNIT.NOSERVICEABLE

PARTS INSIDE. DO NOT USE

THE

OR

PRESENCE

REFER

THIS

UNIT

SERVICING TO

IN AREAS

OF

FLAMMABLE

QUALIFIED

WHERE

THERE

GASES SUCH

PERSONNEL ONLY.

IS

ANY

AS

ANAESTHETIC AGENTS.

HANDBOOK

DANGER

SP- I Spirometry

OF

EXPLOSION

Issue

2

July

Unit

I998

IFTHEDISPL.AY IS DAMAGED, ALEAKAGEOFFLUIDMAY OCCUR.DONOTINHALE

THE

VAPOUR FROM THIS

CONTACT

IS

MADE, CLEAN CONTAMINATED AREA

FLUID

AND

AVOID CONTACT

WITH

MOUTH

IMMEDIATELY

AND

WITH

SKIN.

FRESH

IF

WATER. THIS PRODUCT IS NOT DESIGNED FOR

SWITCH

DONOT,LJNDERANY

IN

DO NOT OPERATE MAINS

THE

UNIT

OFF

BEFORE CLEANING

CIRCUMSTANCES,JMMERSETHEUNITORCABLEASSEMBLIES

LIQUID.

THE

UNIT

IF

THE

LEAD IS DAMAGED OR SUSPECTED

STERILE

USE.

AND

DISCONNECT FROM

THE

EARTH CONNECTION IS SUSPECT OR

OF

BEING DAMAGED.

MAINS.

IF

THE

I

DO

NOT USE HIGH TEMPERAW STERILISATION PROCESSES (SUCH AS

AUTOCLAVING). DO NOT USE E-BEAM OR GAMMA RADIATION STERDLISATION.

DO

NOT

USE

SOLVENT

USE ONLY ACCESSORIES SCHILLER AG. USE RESULT

THE

AFFORDS

IN

INJURY INACCURATE INFORMATION

SP-1 COMPLIES WITH EMC REGULATIONS FOR MEDICAL PRODUCTS WHICH

PROTECTION AGAINST EMISSIONS

HOWEVERSPECIALCAREMUSTBEEXERCISEDWHENTHESP-1

CLEANERS

AND

OF

OTHER

OTHER PARTS RECOMMENDED OR SUPPLIED BY

THAN

RECOMMENDED

AM)

OR SUPPLIED PARTS MAY

AND/

OR DAMAGE TO

THE

UNIT.

ELECTRICAL INTERFERENCE.

ISUSED WITHHIGH

FREQUENCY EQUIPMEN?:

IT

MUST BE ENSURED THAT NEITHER THE PATIENT NOR

(INCLUDING

PERSONS OR CONDUCTING OBJECTS WHEN

ENSURE

THE

NEUI'RAL

NON-LMEDICAL DEVICES

ELECTRODE) COME

EVEN

IF

THESE

ARE

CONNECI'ED TO

INTO

THAT BOTH UNITS ARE SECURELY CONNECTED TO

ARE

THE

ELECTRODES

CONTACT

WITH

EARTHED).

THE

Rs-232 INTERFACE

THE

SAME

OTHER

EARTH

POTENTIAL.

WHEN

NONMDICAL DEVICES,

OPERATING

THE

UNIT ON BA?TERY

THE

RS-232

AND

INTERFACE

MUST BE FULLY ISOLATED.

SIMULTANEOUSLY USING

vi

SCHILLER

SERVICE

HANDBOOK

SP-1

Spirometry

c

Unit

Issue

2

July

1998

Safety

BEFORE USING

UNIT

SCHLLER REPRESENTATIVE.

THE GUIDELINES FOR PATIENT ELECI'RODE PLACEMENT

OVERVIEW

~

THE

PHYSICIANS ORPERSONNEL UNDERTHEIRDIRECTSUPERVISION. THENUMERICAL

AND

RECORDING

CLINICAL CONDITION.

GENERAL RECORDED DATA QUALITY, WHICH COULD EFFECT

ACCURACY, MUST

IT IS THE PHYSICIANS RESPONSIBILITY

EXPERT OPINION ON

INDICATED.

Notices

THE

UNIT,

ENSURE

FUNCTIONS

SP-1 ECG UNIT IS PROVIDED FOR

GRAPHICAL RESULTS

ONLY.

MUST

AND

THEY

BE

ALSO

THE

SAFETY

ARE

NOT A

AND

EXAMINED

THE

RECORDING PREPARATION QUALITY AND

BE TAKEN

RESULTS,

THAT

AN

INTRODUCTION REGARDING THE

PRECAUTIONS

SUBSTl"E

THE

ANY

INTERPRETATION DERIVED

WITH

RESPECT

INTO

ACCOUNT.

TO

MAKE

AND

TO

INSTITUTE

HAS

FOR MEDICAL EXPERTISE.

EXCLUSIVE USE

TO

THE

DIAGNOSIS OR TO OBTAIN

CORRECT TREATMENT

BEEN PROVIDED BY A

ARE

PROVIDED AS

OF

QUALIFIED

PATlENTS

OVERALL

FROM

ON

A

THE

REPORT DATA

IF

vii

-

SCHILLER SP-1

SERVICE

HANDBOOK

Spirometr?,

Issue

2

July

Unit

1998

~

._..

_-

What’s

in

THE

SERVICE

MODULE

TION

NECESSARY

AND

REPLACE A FAULTY

EDGEOFTHESP-1

WITH

STANDARD

The

book

Chapter

The purpose

to give a basic introduction operation and function of each key briefly explained. The information in background to SCHILLER

Chapter

This chapter provides a functional overview by functional block diagrams.

Chapter

2

3

this

Book

PHILOSOPHY

LEVEL.

is

1

-

Operating Elements

SP-1

-

Functional Overview

-

Fault Diagnosis

THE

TO

BUTDOESREQUIRETHATTHESERVICE~G~RISFAMlLIAR

WORKSHOP PRACTICES.

divided

into the following

of

this chapter is

the

operating functions

Operating Manual.

PURPOSE OFTHIS

ENABLE

to

the

FOR

ALL

THE

MODULE.

chapters:

provide

an

SP-1.

This chapter gives details of the operator controls with the

only.

SCHILLER

BOOK

SERVICE

THIS

BOOK

easy reference for all the

Complete opting information is provided in the

of

the

SP-1

UMTS

IS

TO

ENGINEER

ASSUMES

The functional description

IS FAULT

PROVIDE

TO

EFFlCIENTLY LOCATE

NO

main

ALL

DETAILED

operator functions and

this

FINDING

THE

INFORMA-

KNOWL-

chapter provides

is

supported

TO

a

!-

-\

7’

3

1

This chapter provides a guide logical sequence of the text where needed.

Chapter

and after replacement. Functional checks that must be

also

Chapter

test procedures

Chapter

This Chapter provides the part numbers and reordering information for

Also

adjustment or fault finding procedures.

Chapter

4

-

This

chapter gives attributes of the unit briefly described. The physical description showing the internal location of all modules. Removal and Replacement instructions for replaceable modules are also provided in of

tools,

jumper settings, adjustments,

provided.

5

-

Adjustments

This chapter provides

6

-

Spare Parts

included

7

-

Technical

fault

Module Removal

an

all

that

can

in

this chapter

to

locate a fault

finding algorithms and procedures. Illustrations are provided to support

and

overview of the physical construction of the

and

adjustments and settings.

be

performed to check the functioning

are

details of my

to

module level. The diagnostics are presented in a

Replacement

SP-1

with the main physical

is

supported by illustrations

this

chapter. Each procedure

settings or

special

carried

Also

detailed in

special

test

requirements

out after replacing a new module are

equipment or

is

autonomous with details

that

are

this

chapter are basic functional

of

the unit.

all

replaceable modules.

special

tools

required before

Data

all

required for

The full technical specification of the

Chapter

This Chapter explains diagrams.

8

-

Glossary

all

the acronyms and signal titles used in

SP-1

is

given in

...

Vlll

this

chapter.

this

book and in the

SP-1

circuit

,

..

SCHILUR

SERVICE

.-.

.

What’s in this

SP-I

HANDBOOK

Index

Spiromrry

Issue

Book

Unit

2

July

I998

Circuit

The

circuit

for

information

Diagrams & Board

diagrams

and component

only.

The philosophy ment.

Our

aim

information and the latest technological developments. We reserve the right improvements at any time.

Your

suggestions and comments are welcome. Please contact

the

SCHILLER

Fax

41

Layouts

layouts

are

provided

We

Need

Your

of

SCHILLER

is

to provide the

to

revise

this

document and make changes

Technical Documentation Department:

761

03

34

for

all

boards.

Help

is

one

of

continuous improve-

user

with the most up-to-date

These details are provided

or

.

. . .

.

-

__

.

__

.

-

.

-

List

qf

Symbols

6

A

Mains

Supply

Battery Operation

FllSe

LCD Contrast

Potential

Attention - General Warning

Equalisation

(common

SCHILLER

SERWCE

Ground)

Sign

-

see accompanying documentation

HANDBOOK

SP-I

Spirometry

Issue

2

July

Unit

I998

Type

BF

equipment - safe for external applications

Manufacturers Take-back

0

-

Mains Power

I

-

Mains Power

ONlOFF

Off

-

mains supply disconnected from unit

On

-

mains

guarantee

supply

for used batteries

connected

to

unit

X

SCHILLER

SERVICE

HANDBOOK

SP-1

Spirometry

Issue

Unit

2

July

1998

Chapter

Operating Elements

I

Procedure Overview

Introduction Location

Keyboard

Main

Menu Overview

Setting Screen Contrast

System

Pulmonary

Obtaining

Flow Sensors

Setup Menu

Sending

Function Test Procedure

a

Printout

and

Contents

Entering

Operating

Data

Chapter

Elem

1.2

1.3

1.4

1.5

1.6

1.7

1.8

1.10

1.13

1.15

1.16

en

1

ts

Page

1.1

Chapter Operaring Elements

I

SCHILLER

SERVICE

HANDBOOK

SP-I

Spirometry Unit

Issue

2

July

I998

Procedure

.

.,

--

/

General Settings

1

Date Time

1

Device Norm values

1

Contrast

1

Print User

1

Memory

etc.

L--

Overview

for

every

Insert new filterkcreen

Insert new sensor

-7

I

Enter Patient Data

newpafient

(SP-20)

I

Repeat tests

or

I

(3

more times)

1

Make Measurements

P

1

I

Post-medication

tests

1

Switch

ON

2

Make

Settings preference

3

Insert new screen/filter

4

Calibrateunit

5

Enter patient

6

Select test

7

PressSTART

8

Patient Makes test

9

RessSTOP

10

Repeat

11

Display

12

PrintResult

13

Send

result

as

many

result

data

if

required

times

if

required (remembered

or

sensor

as

required

(Best,

or

best

two

when

+

unit switched

last printed)

ofl

Page

1.2

SCHILLER

SERVICE

HANDBOOK

SP-I

Spirometry

Issue

Unit

2

July

1998

Chapter

Operming

I

Elements

-

Introduction

TEST INDICATORS POWER

The SCHILLER SPIROVIT

SP-1

PAPER REEASE

INMCATORS

is

a stand-alone pulmonary function

CATCH

SYSTEM

INDICATORS

MSPUY

WINS

AN0

RS-232

tb

POTENTIAL

CONNECTOR

features

EauALlSAnONCONNECTORS

sting unit four modes for the measurement of inspiratory andexpiratory values. The unit incorporates aliquid crystal display clear and comprehensive result analysis is provided for msmission of

are

initiated

test being carried out and function

sensor disconnected, paper and hygienic open pneumotacho sensor. Two sensors are available. The

to

instantly show the test results.

test

results to

via

an

easy to use keypad with dedicated test keys. Test indicators show the current

LEDs

tray

empty and paperjam. Measurements are

An

integral high quality thermal printer provides

in

anumber of different formats and

a

PC

with the

provide visual indication

SEMA

program.

for

an

RS-232

All

tests

functions such

made

with a lightweight

SP-20

open pneumotacho

interface

and settings

as

power,

sensor incorporates a disposable filter and is easily dismantled for cleaning and sterilisation. The

SP-150 sensor

the sensor after each use. The SP-1

has

a disposable, single patient sensor/fdter assembly eliminating the need to clean

has

the following features:

Direct function keys for measuring the following:

FVC

Forced Vital Capacity

SVC

Slow

Vital

Capacity

MVV

Maximum Voluntary Ventilation

MV

Expired or Minute Ventilation

Low weight and compact dimensions Built-in rechargeable battery for mains-independent use Selectable printing formats with integrated quality thermal printer

9

Patient memory for up Choice

of

6

languages for display and printing

to

100

measurements (option)

Page

1.3

ic

Chapter

I

Operating Elements

Location

As

with

all

The

unit

The

unit

The

unit

transformers unit

and

Potential Equalisation

In certain

equipment. Connect the earth potential'equalisation hospital common frame. Note same common ground. The part number of

Power Supply

SERVICE

medical

should

units,

the following general

not

be

stored

or

rules

are

to

be

not&

operated in a wet, humid or dusty environment. may not come into contact with acidic steams or liquids. should not

the

circumstances

be

set up near radiology or diathermic systems, or near Iarge

or

electrical motors.

mains

supply

intederence

Ensure

is

maintained

can

that

a

minimum

be

caused by externai electrical equipment or

distance of 1 meter between the

connection

ground

or,

if

a

that

all

other electrical equipment

common

ground is

not

present,

in

close

proximity

the

potential equalisation cable is

to

should

SCHILLER

HANDBOOK

at the back

of

the

SP-1

Issue

to

a metal framework e.g. the

also

be

connected to the

2.310

005.

Spirometry

2

July

radio

the

bed

Unit

1998

The unit can

connection

connected to the battery capacity the

mains

15

hours

A

fully

remain connected to the

Switching

The

SPIROVlT

be

operated from the

is

on the

mains

is

supply

by

to

be

fully

rear

of the unit. The

supply. A battery indicator lamp confirms

limited, the indicator flashes.

means of the supplied power cable. A totally discharged battery needs less than

recharged

(60%

mains

in less

or

from

mains

than

To

charged battery lasts approximately 7 hours of normal use

mains

supply without any danger of damage toeither the battery or the

On

and

Off

SP-1

is

switched on and off with the

the built-in rechargeable battery. The mains

indicator lamp

is

always lit when the unit

battery

operation. When the

recharge the battery, connect the apparatus

3

hours,

90%

in 6 hours).

(SP-1R

6

hours). The unit can

ON

and

OFF

keys.

is

to

unit.

Page

1.4

..

.

:-

..

SCHILLEU

SERVICE

SP-I

HANDBOOK

Keyboard

Indicates the being carried

Spirometv

test

out

Unit

Issue

2

July

1998

currently (Commence each measurement with

Enter Lung Function Test Menu as designated each measurement with STOP) unit

L

START;

Chapter

Operaring Elements

end Switch Switch

off

unit on

I

Move Display

Stop Measurement

Display Menu options

Cursor

Start

Print Measurement

or

1

Measurement

Stop Printout

for

Enter Patlent Data

the indirect functions

Display Result

Change key to second function

Delete a character/delete last measurment

or

Escape

of

the test

1

Calibibrate unit

Enter menu option displayed

Pre and Post medication test

Battery Operation

Paper jam

or

confirm entry

/

Mains Connected'

Sensor not connected

or

no paper in paper tray

Post test being carried out

Page

IS

Chapter

Operating

I

Elements

Main Menu Overview

SCHILLER

SERVICE

SP-I

HANDBOOK

Issue

Spirometry Unit

2

July

1998

1

Main

Menu

Memory

MTA Ident

Send

Setup

When a menu

to

move the cursor

enter field

use these keys

RIGHT

:/

. . . .

is

.

....

..c

is

displayed use these keys

UP

displayed e.g.

to

move the

Use

this

used the same

The

SP-1

has

a memory for up to

memory menu item

Display a previously recorded patient

.

To

.

Enter the name (medical technical Assistant) is given on printouts. The users name entered here, needs updating when a new user takes over. See below.

When selected interface (for example the

delete a patient record

RS-232

protocol settings must

to:

of

the person carrying out the

is

remembered when the unit

all

recordings are

to

the

100

sent

SEMA

be

measurements. Select the

test.

The

MTA

is

switched

automatically

PC

storage program).

defined

in

the

off;

over the

Note

setup

menu before

it

name only

RS-232

that

transmission.

See System Setup Menu following

I

WWN.

When

h4TA

Ident

cursor

LEn

key

to

display the main menu

as

the

ENTER

an

I

key

to

confii

When a menu select highlighted menu option. When

is displayed e.g.

field

to

confm

as

above. When

entry and

is

displayed - press this key

entry and

an

enter field

to

exit field

h4TA

to

exit field

is

Ideat, use

displayed,

an

this

-.

to

enter

key

I

key

is

Page

1.6

_-

-

..-

SCHILLER

SERVICE

SP-I

Spirometry Unit

HANDBOOK

Issue

2

July

I998

Setting Screen Contrast

Setting

Change the contrast

Press the

and

Entering

Printed below certain keys on the keyboard key once to enter the first the third character.

The character is displayed on the screen and move

Use

Press the

When an enuy field requires anumericai input e.g. date of selected. When an entry field requires a letter input e.g. patient name, the letter keys are automatically selected. conversely a letter input required number key enables

the

Contrast

of

the screen

ALT

key and the

MENU

DOWN

data

in

a field

character,

to

the

next character position.

the left and right cursor keys at any the to select a position

ENTER

key or the MENU key to

If

a numerical input is required for example in the patient name, or

in

this.

Therefore when entering

Operaring Elements

and

to

Entering

your preference

key together then change the contrast with the cursor keys

are

letters.

twice

to enter the second character, and three times to enter

as

entered.

the date

Press

confum

of

birth,

dam

Data

as

follows:

In

a

data

field (e.g.

the right cursor key to confm the entry

to

entry and exit the field.

birth,

the number keys are automatically

pressing the

ALT

MTA

Ident) press the

change that character.

key before the character/

UP

Chapter

I

ALT

+

key = number input in character field

ALT

+

key = character input in number field

Page

1.7

L

Chapter

Operating Elements

I

SCHULER

SERVICE

SP-I

HANDBOOK

Spirometry

Issue

2

July

Unit

I998

System

Press this option

key

Setup

to

Menu

key

or

to

change setting.

program

to

select highlighted menu

Press

the

settings and

exit

menu

i

.=-

\\

MENU

This menu option defmes switched off) until overwritten. The settings are

User Ident

Measurement

all

the general

Use

this

operates

This

is how the

key toggle the options

Row Row=lOop

Vol

settings.

to

enter the name of the consultant

the

unit

FVC

gmph is displayed and printed. With the

=

f(v0l)

=f(t)

All

enaies remain stored (even when the unit is

as

follows:

or

department

to

set a flow display of one of the following:

that

ENTER

Page

1.8

SCHILLXR

SERVICE

SP-I

Spirometry Unit

HANDBOOK Issue 2 July

I998

System Setup Menu (cont.)

This

Print

defines the format and content of the printout when the

key

is

pressed. The settings

are

as

follows:

\

Chapter

Operating Elements

I

PRINT

Device

STANDARD

NORMALS

UNITS

DATE

RACE

Graph

Time

Axis

Flow

graph

Volume

Diagnosis

Graph

PEF

Select

ALL

or

BEST

(measurements)

This

defines

the

time

axis

1-s

Set

to

ON

or

2Ws

OFF

-

gaph printed or not printed

Print the volume graph - select

Diagnosis

printed

or

not printed -select

Peak Expiratory flow calculation - select litred min or litredsecond

Set

to

'International' for

all

countries outside the USA and Canada or

to 'American' for USA and Canada

The

diagnosis

value standards are given at the end

is

based on the standard defrned here. The Normal

of

this

section- 'Diagnosis

Norm Value Tables'

cm

/

kg

PF,

Set

to

:

cm

/

kg PC,

Set the order of the date to month

y

ear-month-day

inch / Ib. /OF

-

day - year,

NONE (no race); recommended for Europe,

W/B

(White/ Black) for

C/H/B/A (Caucasian

all

countries outside the

/

Hispanic / Black / Asian) for USA and Canada

of

the

graph

YES

day

-

month - year or

USA

and Canada

or

-

set

NO

YES

to

or NO

and

The standards and (Diagnosis and

of

effect

page)

race

Norm

Values are detailed at the end

Norm

Values).

on

results is detailed in the Patient data (see following

LANGUAGE This defines the language on the printout and menu smcture. Set to

Clock

RS-232

English, German, French, Set the time and date

The

Baud rate and parity setting (Noloddeven) can be stored.

Italian,

The following table shows typical setup combinations.

The

dividual

setting

Spanish, or Portuguese

iohl

IblF

of

for

race,

this section

and

the

Page

I.9

Chapter Operating

I

Elements

SCHILLER

SERVICE

SP-I

HANDBOOK

Spirometry Unit

Issue

2

July

I998

Pulmonary

The

1.

2.

The relevant keyboard lamp display

The coordinates represent the in

litres

Function

test

method for

Calibrate

At

If

When

Press the

as

shown

being represented on the vertical

the

FVC, SVC,

the

unit

THE

the beginning

the sensor

is

a

siNicant

function

FVC

SVC

MVV

MV

in

this

example for

Test Procedure

MVV

and

MV

UNIT

of

changed

ternmature or

test key

lights

graph

MUST

each

day

and the corresponding coordinate presentation appears on the

FVC

on

which

BE

mssure

the curve

axis

and the time in seconds

test

is

the same.

Proceed

CALIBRATED

difference

will

be

drawn

occurs

with

on

as

follows:

the respiratory volume the horizontal

axis.

:-

I

.”;

3

Page

1.10

3.

Press

the START key

c

SCHILLER SP-I Spirometry

SERVICE

Pulmonary

HANDBOOK

Issue

Function

The

flow

sensor must be

least one second before

The message volume counter graph for sensor, the display. The break-off point for the expiration measurement the Stop key

4.

Press the

5.

Repeat steps 3 and 4 until three measurements have

Note:

"READY

the

unit

is

STOP

Ifthe Start

measurements are stored.

Unit

2

July

1998

Test

held

quite

and

after the

FOR

MEASUREMENT'

the

value.

begins to

pressed).

record

the expiratory

key on completion

key

is again pressed (a founh

Procedure

still

and

no

air

should

START

key

is

pressed

appears

As

soon

as

the

patient

flow.

The corresponding curve

of

the

test.

or

more times), only the best three

(cont.)

be

breathed into the device

on

the display together with a

starts

to

breathe into the flow

is

reached automatically (or

been

taken.

Chapter

Operating Elements

for

at

is

represented on

I

When American deviation measurements

Following a series the

last

test

printed graphical dong with The table of the best measurements can

Definition

In accordance with the defined

The measurement table (on the printout and on the display) gives the highest individual measurements (e.g. last recording made. This is true for all parameters except the folIowing which are the highest

'

as

FEFo.2.

EEF,%.75%

FEF,,%.,S%

standards

(as

stipulated by the

is

not greater than

of

made (which may

of

Best

the highest value from the calculation:

Best

=

FVC + FEVl

FVC,

FEV1,

FVC

+

1.2

are stipulated,

patient measurements the best two results are recorded and stored along

or

may

a

table of

ATS

Spirometry Standard

SVC,

MVV

FEVl

value:

the

message

American

2OOml

Thorasic Society) between

or

5%.

not

be

one of the

the

best individual measurements (from

also

be displayed on

etc.) from

the

"ATS

criteriamet" appears on the printout

the

best and second best

best

three). These three results can then be

these

the

screen.

(11

November

two

best recordings

19941,

the

best recordings

as

defined above, and the

three

based

if

with

results).

are

soleIy on

FEFZ5

'

FEF,,

FEF,,%

%?%

and

when loop graph selected:

ERV

IRV

*Tv

the

Page

I.11

Chapter

I

Operating Elements

_-.

.

-..

L

c

SCHILLER

SERVICE

HANDBOOK

SP-I

Spirometry

Issue

2

July

Unit

1998

i'

F

,

_.

I-

Pulmonary Function

Displaying

Press

.

the

measurement table is displayed for the

the

Results

RESULT

Key

Test

in Tabular

after

a

measurement,

Procedure (cont.)

Form

or

series

of

measurements have been

test

mode

(as

indicated by the test lamp)

as

follows:

made.

A

FVC

svc

..

;

MV

The display gives the measured values and the predicted values (calculated from the entered patient The predicted values

The result displayed is in accordance with

parameter,

from the

When subsequent measurement column.

It

can

happen that

Measurement

three

tests

the

bestlVC value

2.

can

only

tests recorded.

are

made,

Press

the

be

calculated when the patient

ATS

recommendations and is the best resultfor

the

result with the highest

MENU

Key to return

is

taken from Measurement 1 and the best FEVl value is taken from

data

has

been entered.

value

will

always

to

the graphic display.

be

saved and given in the

data).

each individual

Page

1.12

SCHILLER

SERVICE

SP-I

Spiromtry

HANDBOOKIssue

Unit

2

July

Obtaining a Printout

1998

Chapter

Operaring

I

Elements

Press

The following

The patient

is

data

given:

after

taking

all

measurements.

The selected norm values The

date

of

last calibration

The number of tests stored. If more than

three

tests

are

made the figure given in brackets indicates the total number of tests wries out The number of post tests stored, and the total number of post test made are given in

opposite, a The

value The diagnostic statement The

FVC

and

is

within

MTA

identification

total

of

5

tests were canied out and a total of 6 post tests.

FEVl variation

2oOml

or

in

5%

the message

(if

enabled

the

same manner after the slash. In

ml

between the best and second best measurements.

'ATS

criteria

met'

is

printed.

in

Settings menu)

the

example given

The user identification The date and The software version and the

bottom

The second section

the test results presented values

the graph of the best test or the curves for

16).

other curves and

time

of

the printout

installed

of

this

page.

of

the printout comprises:

as

a

table

as

a

percentage of the predicted.

data

dependent on test made

options

giving the

all

(M

=

memory) are also indicated

best

values, the predicted values and

three

tests depending on selection

at

(

see

the

If

this

best

page

The Graphs of the measurements are given on the subsequent page(s). Note and the

ERV

values

are

only given

if

Inspiration

is

taken with the

FVC

test and if Loop is selected

in for measurement (see system setup menu).

that

the

FIVC

values

Page

1.13

c

Chapter

I

Operating Elements

Pulmonary

_.

..

-.

..~

SERVICE

Function Test Procedure (cont.)

. . . . .

SCHILLER

HANDBOOK

SP-1

.

..

. . .

Spirometry Unit

Issue

2

July

1998

._.

-.

T.

L

crl

::.

.

j

Forced

For Note:

To

Vital

this

Capacity (FVC)

test

the

patient must exhale

Test

as

quickly

as

possible

The FVC test employs the "Back extrapolation" method.

(>0.15

lim

or

5%

of

FVO,

is too large

carry

out

the

test

for Forced

Vital

Capacity

then a waming appears

0,

from

press

key

the time of

If

"FVC"

coordinate presentation appears on the display The patient must exhale

understands what

be

immediately followed by a

is

required

as

quickly

as

of

him.

If inspimtory

maximum

possible &om the time

measurements

of

starring

are

required, the exhaiation can

inhalation. The inspimion results will

printout.

Before initiating a printout previously. Press the

Slow

Vital

PRINT

Capacity (SVC)

key to

obtain

Test

ensure that the

if

printout

as

seuings

defined.

of

the

FVC

Test,

The patient should breathe normally 3 times and then inhale maximally then exhale maximally. Make

MVV

Test

The patient should breathe make

sure

that he understands what is required of him.

sure

as

deeply and

that

the patient understands

as

rapidly

as

what

possible over a

period

starring

the test.

the extrapolated volume

on

the display

and the corresponding

the test

so

be

sure

that

be

given on the

are

correct

as

detailed

to

total lung capacity and

is

required

of 6 to

of

him.

12

seconds

he

so

,

WARNING

EXTREMECARESHOULDBEEXERCISEDWHENPERFORMINGTHIS~TAS

IS

A

DANGER

OF

HYPERVENTILATION.

ENSURE

THAT

THE

PATIENT

DOWN.

MV

Test

The patient should breathe

that

Make sure

the patient understands what is required

as

normally

as

possible for up

to

of

60

seconds,

him.

but

for at

least

THERE

IS

SITTING

20

seconds.

Page

1.14

SCHILLER

SERVICE

HANDBOOK

SP-I

Spiromrry

Issue 2 July

Unit-

I998

Chapter

Operating Elements

I

Pulmonary Function

...

.

:.

7

Post-Medication

In

order

to

cany

Lamp

lights

The post-medication measurements stored). The printout following post-medication pre and post-medication shown

as

the best results (pre/post), results

and the percentage change (i.e. difference) between pre and post-medication results.

Tests

out

post-medication

tests

Test

are carried

Procedure

tests

for

comparison,

out

in

the

(the premedication curve is bold). The measurement results are

as

a percentage

(cont.)

press

same way

of

the

PEWPOST

as

the premedication tests (three

tests

will give the curves

those predicted,

key and

(both

pre and post)

"POST"

of

both

The

diagnosis resulting

from

the premedicarion

Sending

Measurements can be sent cation parameters,

side. See Chapter

Connect the Carry out the measurement(s)

Press the

When the transmission is complete a message

has

been completed.

PC

and on the unit. Check the cable connection. Ensure

are

the

same

3

PC

MENU

in

both the

to

the

ie

baud

rate, parity etc. are

(RS-232

Check) forfurtherdetails.

to

the

RS-232

key and select

If

an error message

PC

and the

SEMA

connector on the right hand side

as

descriid previously.

SEND

is

unit

fest

is

also

given

on

data

management system. Make sure

set

the Same on the transmitting

To

send ameasurement proceed

is

displayed showing

displayed e.g.

(SETUP

'serial

that

menu).

link

time-out' check settings in the

the

Baud rate and the parity settings

this

printout.

that

the communi-

and

the receiving

as

of

the

unit.

that

successful transmission

follows:

Page

1.15

Chuprer

I

Operating

Elements

SCHILLER

SERVICE

HANDBOOKIssue

SP-1

Spirometry

2

July

Unit

1998

Flow

Sensors

Flow

Sensor

1.

Remove disposable mouthpiece

(2).

2.

Discard

3.

Position new disposable mouthpiece position.

NOTE:

SP-150

the complete assembly.

The disposable mouthpiece can only necessary to insert it on the handle.

(1)

by gently but firmly pulling it away from the handle

(Part

No.

2.100077)

be

positioned

and gently but fdy click it

in

one direction and

no

force

in

is

d'

.

1

-.

Flow

Sensor

I

1.

Slide out

SP-20

the

combined filter/mouthpiece assembly

II

(1).

This

is

only possible

in

one

direction.

2.

Unscrew

3.

Remove and

4.

Clean

5.

Insert a new filter

6.

Carefully screw

not

the

assembly.

discard

Nter

and

disinfect the assembly after

(Part

the

two

displaced

(2).

No.

2.100123).

halves

every

patient.

of

the assembly together again.

Make

sure

that

thefilter

is

Page

1.16

7.

Push

makes

direction.

the combined filtedmouthpiece assembly gently but fmly

contact on the outside edge

of

the

outer

tube.

The assembly

into

the outer tube until it

can

only go in

one

.-

SCHILLER

SERVICE

HANDBOOK

SP-I Spiromtly

Introduction

SPll-

Power Supply CPU and Processing Circuits Memory Them1 Print Head Controller Paper Mark Power

Stepper Motor Controller

Issue

1

On

Unit

2

July

Reset

1998

Chapter

Functional

Contents

Chapter

Functional Overview

2

Overview

2.2

2.4

2.5

Page

2.

I

Chapter

Functional

2

Overview

Introduction

SCHILLER

SERVICE

SP-I

HANDBOOK

Spiromtv

Issue

2

July

Unit

I998

..

This

Chapter

to

enable

modules.

provides a functional overview

the

service

engineer

A

functional block diagram supports the

to

identify

processing

of

the

SP-1

electronics. The

paths in

text.

order

aim

of

this

overview is

to

help iden@ possible faulty

Page

2.2

SCHILLZR

SERVICE

HANDBOOK

SP-I

Spirometry

Issue

Unit

2

July

1998

Chapter

Functional

2

Overview

I

i

*

?

w

Page

2.3

Chapter

Functionul

2

Oveniew

\

SERVICE

c

SCHILLLB

HANDBOOK

SP-1

Issue

Spirometry

2

July

Unit

1998

SPll-

Power

The

1

Supply

mains

approximately voltage generator

When

An

ON/OFF

directly from the keyboard

overvoltage

undervoltage The mains

dc supply (+US) and activates signal

connected (i.e. the

A

Battery low signal compensates only

at

Note:

CPU

and

supply

is

full

15V

and

to

produce

mains

is

not connected,

control logic switches

on

either the

is

detected on

LED

is

lit

directly when mains

unit

(BLOW)

for

voltage drop when the printer stepper motor

1O.W.

The battery voltage is

off

(WFF)

Processing

wave

28 V

depending on

+UD

and

5.2V

+US

is

running on

is

rectified

or

also

to

produce

(13.5V).

is

the

battq

+UD

to

+m

an

unregulated

mains

voltage.

This

chges the battery when

voltage.

three

voltage

regulators.

voltage

then held on from the CPU (signal

24V

supplies directly switches

(indicating over current) the

is

connected. The same circuit

+BAIT

battery

generated when

monitored directly

when

power).

battexy

the

by

the

unit

is directly switched off.

unit is switched on and

voltage

(+US)

is

active and the Blow signal is active

the CPU which switches

when the voltage falls below approxhately

Circuits

dc

supply

(+W

of

between

is

used

by a switched

mains

is

connected.

The unit is switched on

WE).

unit

off.

also

monitors the switched

falls

Detection

Similarly when an

mains

to

11.3V.

A

the

9.4V.

is not

circuit

unit

of

-\

Overall control and coordination

of

the SP-1

Memory

Program Memory

An

EPROM contains the unit software. The EPROM

Static

The battery backup for

Serial

The serial EEPROM

RAM

memory stores

EEPROM

Memory

data

retention when the unit is switched off.

(U12)

the

data

and comprises

stores the unit

is

base

by

68331CPU.

has

two

128

settings.

128kByte of memory.

kbyte

RAM

chips. The static

RAM

has

-.

.,

Page

2.4

Welch Allyn SP-10 User manual

Specifications and Main Features

Frequently Asked Questions

User Manual

Warranty

Introduction

Location

Keyboard

Main Menu Overview

Obtaining a Printout

Introduction