HeartStart MRx Service LibraryService Manual

HeartStart MRx

M3535A/M3536A

iNotice About This EditionPublication number 453564042441Edition 3; Printed in the USAThe information in this document applies to the HeartStart MRx versions indicated below. This information is subject to change without notice.

Philips shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this material.

Edition History

CopyrightCopyright 2003 2010Koninklijke Philips Electronics N.V.All rights are reserved. Permission is granted to copy and distribute this document for your organizations internal educational use. Reproduction and/or distribution outside your organization in whole or in part is prohibited without the prior written consent of the copyright holder.

SMART Biphasic is a registered trademark of Philips.

Q-CPR is a trademark of Laerdal Medical. Nellcor is a registered trademark of Nellcor Puritan Bennett, Inc. FilterLine is a registered trademark and CapnoLine is a trademark of Oridion Medical Ltd. Rosetta-Lt is a trademark of General Devices.

The HeartStart MRx contains an Ezurio PC Card with Bluetooth wireless technology. The Bluetooth wordmark and logos are owned by the Bluetooh SIG, Inc. and any use of such marks by Ezurio is under license.

Other trademarks and trade names are those of their respective owners.

Warning: Radio frequency (RF) interference coming from devices other than the HeartStart MRx may degrade the performance of the MRx. Electromagnetic compatibility with surrounding devices should be assessed prior to using the monitor/defibrillator.

Use of supplies or accessories other than those recommended by Philips may compromise product performance.

Medical Device Directive The HeartStart MRx complies with the requirements of the Medical Device Directive 93/42/EEC and carries the 0123 mark accordingly.

Manufacturer: Philips Medical Systems3000 Minuteman Road Andover, MA USA 01810-1099

(978) 687-1501

Authorized EU-representative: Philips Medizin Systeme Bblingen GmbHHewlett Packard Str. 271034 BblingenGermany

U.S. FCC and Industry Canada Radio Compliance: Contains FCC ID: PQC-WMTS-MODULE

When using with IntelliVue Networking Option, operation of this equipment requires the prior coordination with a frequency coordinator designated by the FCC for the Wireless Medical Telemetry Service. This device complies with Part 15 of the FCC rules and RSS-210 of Industry Canada. Operation is subject to the following conditions: This device may not cause harmful interference. This device must accept any interference received, including

interference that may cause undesired operation.

Any changes or modifications to this equipment not expressly approved by Philips Medical Systems may cause harmful radio frequency interference and void your authority to operate this equipment.

Canada EMC: ICES-001

China: After-Sales Service: Beijing MEHECO-PHILIPS Medical Equipment Service Center.After-Sales Service Address: No. 208, 2nd District, Wang Jing Li Ze Zhong Yuan, Chao Yang District, Beijing.Postal code: 100102.Telephone: 8008100038. Registration number: SFDA(I)20083211481Product Standard number: YZB/USA 1863-2008.

Chemical Content: REACH requires Philips Healthcare to provide chemical content information for Substances of Very High Concern (SVHC) if they are present above 0.1% of the product weight. Components of/within electric and electronic equipment may contain phthalates above the threshold (e.g. bis(2-ethyl(hexyl)phthalate), CAS nr.: 117-81-7). The REACH SVHC list is updated on a regular basis. Therefore, please refer to the following Philips REACH website for the most up-to-date information on products containing SVHC above the threshold:

http://www.philips.com/about/sustainability/reach.page

Pub. Number Ed. S/W Version Print Date

M3535-90900

1 A.00/A.01 Dec., 2003

2 A.02 June, 2004

3 B.03 Nov., 2004

4 B.04 Jan., 2005

5 B.05 Oct., 2005

453564042441

1 7.00 Sept., 2006

2 9.00 Sept., 2007

3 F.01 Apr., 2010

ii

Conventions Used in This ManualThis book contains the following conventions:

WARNING: Warning statements describe conditions or actions that can result in personal injury or loss of life.

CAUTION: Caution statements describe conditions or actions that can result in damage to the equipment or loss of data.

NOTE: Notes contain additional information on usage.

TIP: Tips provide hands-on insight into using or servicing this product.

The bulls eye icon indicates a process or a procedure (a set of steps to achieve a certain goal)Screen Text represents text that appear on the device screen, including the softkey labels.

Label Text or Label Text represent other keywords.

On-line viewing onlyHypertext represents hypertext links, which will display as blue; click on the blue link to go

to that destination.

Click for quick accessAbbreviations

Name Abbreviation

Acute Cardiac Ischemia Time-Insensitive Predictive Instrument

ACI-TIPI

Batch LAN Data Transfer BLDT

Dial-Up Networking DUN

End-tidal carbon dioxide EtCO2, CO2

File Transfer Protocol FTP

HeartStart MRx Monitor/Defibrillator HeartStart MRx; device

Invasive Pressure IP

Invasive Pressure/Temperature IP/Temp

Non-invasive Blood Pressure NBP

Periodic Clinical Data Transmission PCDT

Pulse Oximetry SpO2

Thrombolytic Predictive Instrument TPI

Chap

Who ShouldHow to

Overview

Features and

Tour of the

General Ser

Accessing Se

Navigating iService Device

Other Resou

Chap

IntroductionHeartSt

NBP ModuNBP CNBP SaNBP C

NBP ModuAccuracLeakageLinearit

EtCO2 ModEtCO2 EtCO2 EtCO2

EtCO2 ModEtCO2 EtCO2 AmbienLeakagePump CFlow RaNoise CCalibratContents

ter 1 Introduction 1

Use this Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Obtain Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Capabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

vice Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

rvice Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

n Service Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Mode Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

rces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ter 2 Maintenance 13

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

art MRx Calibration Overview . . . . . . . . . . . . . . . . . . . . . . . . 13

le Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14alibration Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14fety Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15alibration Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

le Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17y Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17y Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ule Calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18Calibration Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . 18Calibration Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18Calibration Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ule Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Module Check Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . 23iii

Status Display Check . . . . . . . . . . . . . . . . . . . . . . . . . . . 24t Pressure Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24heck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26te Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26heck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26ion Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Table of Content

iv

Chap

Overview .

TroubleshooObtaini

Ready For U

Automated Automa

Weekly ShoShift ChWeekly Operati

Service Mod

Configurati

Troubleshoo

Troubleshoo

M3538A LiFaulty B

TroubleshooAudio TDevice Access LStartup GeneralECG MNBP MSpO2 MCO2 MQ-CPRDefibrilPacing PDisplayPrintingAudio PControlInternalExternater 3 Troubleshooting 29

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

ting Tools and Equipment . . . . . . . . . . . . . . . . . . . . . . . . 29ng Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

se Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31ted Test Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

ck Test and Operational Check . . . . . . . . . . . . . . . . . . . . . . . 33eck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33Shock Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33onal Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

e Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

on Password Management. . . . . . . . . . . . . . . . . . . . . . . . . 42

ting Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

ting Flowcharts . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

thium Ion Battery Troubleshooting . . . . . . . . . . . . . . . . . . . . . 50atteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

ting Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52ones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53Status Log Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . 54og Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66onitoring Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . 67onitoring Problems. . . . . . . . . . . . . . . . . . . . . . . . . . . . 68onitoring Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

onitoring Problems. . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72lation Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74roblems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77roblems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78s Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79 Memory Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . 79l Data Card Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . 80

Chap

Overview

Who Should

Repair PhiloCalling

Repair NoteSafety PDisposa

Repair Tool

Key Compo

External AssBedrail CPR MHandleLabels Paddle TPaddle TPrinter TherapyTherapy

Top AssembBluetoo

Internal AssOpenin

Internal AssOverviePCMCISpeakerInternalSpO2 PInvasiveMeasureTherapyFan AssProcessoClock BPrinter DisplayReady FFront PFront CTable of Content

ter 4 Repair 81

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

Perform Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

sophy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81for Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82

s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83recautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

s and Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

nents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

emblies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85Hook Mount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86eter Rear Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 and Cap Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

ray and Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93ray 50-ohm Load Resistor . . . . . . . . . . . . . . . . . . . . . . . . . 95

Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 Cable Stabilizing Collar . . . . . . . . . . . . . . . . . . . . . . . . . . 98 Knob . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100

lies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101th Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101

emblies Introduction . . . . . . . . . . . . . . . . . . . . . . . . 103g the Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

emblies Front Case . . . . . . . . . . . . . . . . . . . . . . . . . 108w of Front Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108A Hole Plug . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 and Microphone Assembly . . . . . . . . . . . . . . . . . . . . . . . . 110 Memory Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111CA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112 Pressure/Temperature (IP/Temp) PCA . . . . . . . . . . . . . . . . . . . . 115ment Module Panel . . . . . . . . . . . . . . . . . . . . . . . . . . 117 Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119

embly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120r PCA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121attery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128Connector PCA . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129 Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130or Use Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132anel Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133ase Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134 v

Table of Content

vi

Chap

Internal AssOvervieTherapyPower PNBP anTherapyTherapyNBP MCO2 MCO2 CoBattery Rear Ca

Closing the

Chap

Overview . About tAbout PAbout B

IntelliVue NConfiguConnecInstallat

Service . . Service IntelliVPeriodicBatch L

WMTS Dev

Chap

Overview .

Required Te

Verification

Test and Ins

PerformanceVisual IService FunctioSafety Tter 4 Repair (Continued)

emblies Rear Case . . . . . . . . . . . . . . . . . . . . . . . . . . 136w of Rear Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136 Capacitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137CA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138d CO2 Module Tray . . . . . . . . . . . . . . . . . . . . . . . . . . . 141 PCA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143 Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146odule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148odule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149mpartment Door . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152

Connector PCA . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153se Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156

Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158

ter 5 Networking and Data Transfer 161

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161

he IntelliVue Networking Option . . . . . . . . . . . . . . . . . . . . . . . 161eriodic Clinical Data Transmission . . . . . . . . . . . . . . . . . . . . . . 162atch LAN Data Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . 162

etworking Option Installation . . . . . . . . . . . . . . . . . . . . . . . 163ring the HeartStart MRx for IIC Connection . . . . . . . . . . . . . . . . . . 163ting to the Network . . . . . . . . . . . . . . . . . . . . . . . . . . . 163ion Verification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167

Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167ue Network Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . 167 Clinical Data Transmission Troubleshooting . . . . . . . . . . . . . . . . . . . 176AN Data Transfer Troubleshooting . . . . . . . . . . . . . . . . . . . . . . 178

ice Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180

ter 6 Performance Verification 181

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181

sting Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181

Test Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183

pection Matrix . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184

Verification Procedures . . . . . . . . . . . . . . . . . . . . . . . . . 188nspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 188Mode Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189nal Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195ests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201

Appe

Overview

Parts and AcOrderinOrderinKey CoReplace

Electrical AsProcessoOther ROther EIndividuExternaInternalPaddles

Mechanical ReplaceIndividu

Labels. . InstructHazardoBrandinSpeakerConnec

Supplies and

Key Compo

Appe

Overview

Schematic DSystem Signal aECG Si

Functional DProcessoTherapyPower PBattery Power/BDisplayIndicatoRFU InFront PTherapyTable of Content

ndix A Parts and Accessories 203

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203

cessories Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203g Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . 203g Supplies and Accessories . . . . . . . . . . . . . . . . . . . . . . . . 203mponent Tracking . . . . . . . . . . . . . . . . . . . . . . . . . . . 204ment Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204

semblies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205r PCA and Software Support Tool . . . . . . . . . . . . . . . . . . . . . . 205eplacement PCAs . . . . . . . . . . . . . . . . . . . . . . . . . . . 206lectrical Assemblies . . . . . . . . . . . . . . . . . . . . . . . . . . . 206al Electrical Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . 207

l Electrical Components . . . . . . . . . . . . . . . . . . . . . . . . . 207 Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208

Assemblies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209ment Mechanical Assemblies . . . . . . . . . . . . . . . . . . . . . . . . 209al Mechanical Parts. . . . . . . . . . . . . . . . . . . . . . . . . . . 209

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210

ion Label Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210us Shock Warning Label Set . . . . . . . . . . . . . . . . . . . . . . . . 211g Label Set. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211 Label Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211tor Label Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211

Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211

nents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 220

ndix B Theory of Operation 223

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223

iagrams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224Level Interconnections . . . . . . . . . . . . . . . . . . . . . . . . . 224nd Data Flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225gnal Flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 226

escriptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227r PCA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227 PCA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 228CA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 228Connector PCA . . . . . . . . . . . . . . . . . . . . . . . . . . . . 228atteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 228

Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229rs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229dicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230anel Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230 vii

Knob . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230

Table of Content

viii

AppePaddle IPrinter ECG MDefibrilTranscuAudio . Data StClock BNBP MIP/TemSpO2 PCO2 MBluetooQ-CPR

Waveforms

Indexndix B Theory of Operation (Continued) ndicators and Controls . . . . . . . . . . . . . . . . . . . . . . . . . . 230Assembly and PCA . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230onitoring Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . 231lation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232taneous Pacing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233

orage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234ackup Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234odule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234p PCA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234CA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235odule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235th Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236

241

NOTE

Who S

Ho

Overv1

Introduction

This Service Manual provides the information needed to successfully service the M3535A/M3536A HeartStart MRx monitor/defibrillator. This manual provides you with information on troubleshooting, repairing, and performance verification and safety testing of the monitor/defibrillator. There is also information on the theory of operation, maintenance procedures, and ordering parts and supplies.

: This manual describes all optional features. If your HeartStart MRx does not have some of the optional features listed in this manual, disregard the features, controls, and related information described in the manual.

hould Use this Manual The intended users of this manual are technical personnel who have been trained in the safe and proper servicing of the HeartStart MRx.

w to Obtain TrainingTo assist in training, the Service Training DVD (453564044671) is available.

Philips IntelliVue Clinical Network Information Center (IIC), Patient Monitoring System, and Telemetry System and other training is available through Philips Technical Education at www.healthcare.philips.com/main/education/.

iewIn this chapter, you will find general information that you should know before servicing the HeartStart MRx. Detailed information regarding controls, operation, and capabilities of the device can be found in the HeartStart MRx Instructions for Use that was shipped with the product and provides information on setting up the device and regular maintenance procedures, such as performing operational checks and battery maintenance. We recommend you review the HeartStart MRx Instructions for Use before servicing this device. This Service Manual assumes you are familiar with the controls and basic operations.

This chapter is organized into the following sections:

Topic Page Topic Page

Features and Capabilities 2 Accessing Service Mode 8 Tour of the Device 3 Navigating in Service Mode 10 General Service Information 6 Other Resources 121

1: Introduction Features and Capabilities

2

Features and CapabilitiesThe HeartStart MRx is a lightweight, portable, monitor/defibrillator. It provides four modes of operation: Monitor, Manual Defib, AED, and Pacer (optional).

In Monitor Mode you can monitor up to four ECG waveforms, acquired through a 3-, 5-, or 10-lead ECG set or multifunction electrode pads. Optional monitoring of pulse oximetry (SpO2), invasive pressure (IP), non-invasive blood pressure (NBP), temperature (Temp), and carbon dioxide (EtCO2) are also available. Measurements from these parameters are presented on the display and alarms are available to alert you to changes in the patients condition.

Monitor Mode also provides an optional 12-Lead ECG function, enabling you to preview, acquire, store, transmit, and print 12-Lead ECG reports, with or without analysis/interpretation.

Manual Defib Mode offers simple, 3-step defibrillation. You analyze the patients ECG and, if appropriate: 1) select an energy setting, 2) charge, and 3) deliver the shock. Defibrillation may be performed using paddles or multifunction electrode pads. Manual Defib Mode also allows you to perform synchronized cardioversion and internal defibrillation.

In AED Mode, the HeartStart MRx analyzes the patients ECG and determines whether a shock is advised. Voice prompts guide you through the 3-step defibrillation process, providing easy-to-follow instructions and patient information. Voice prompts are reinforced by messages that appear on the display.

Both Manual Defib and AED Mode incorporate the Philips low energy SMART Biphasic waveform for defibrillation, Q-CPR, and audio recording.

Optional Pacer Mode offers non-invasive transcutaneous pacing therapy. Pace pulses are delivered through multifunction electrode pads, using a monophasic waveform.

The HeartStart MRx is powered by rechargeable lithium ion batteries. Available battery power is easily determined by viewing the convenient battery power indicators located on the device display or by checking the indicators on the battery itself. Additionally, an external AC or DC power supply may be applied as a secondary power source and for continual battery charging.

The HeartStart MRx performs Automated Tests on a regular basis. The status of the devices critical functions are reported to the Ready For Use (RFU) indicator. Prominently displayed, the RFU indicator communicates the status of your device, letting you know if it is operating correctly, needs attention, or is unable to deliver therapy. In addition, performing the specified Operational Check ensures that the HeartStart MRx is functioning properly.

The HeartStart MRx M3535 model with the IntelliVue Networking Option can connect to the Philips IntelliVue Clinical Network.

The HeartStart MRx automatically stores critical event and trend data in its internal memory, such as Event Summaries and 12-Lead Reports. The HeartStart MRx also enables you to copy data and event information to an optional external data card for downloading to Philips data management solution, HeartStart Event Review Pro, as well as transfer data using Bluetooth Card. 12-Lead reports can also be transferred using Rosetta-Lt.

The HeartStart MRx is highly configurable to better meet the needs of diverse users. Be sure to familiarize yourself with the devices configuration before using the HeartStart MRx.

Tour of the D

Tour o

FroFigure 1

Lead Selbutton

Mark Evebutton

Display

Alarbuttevice 1: Introduction

f the DeviceThis section gives an overview of the outside of the device.

nt of the Device Front View

Sync

Shock

Charge

SelectEnergy 1

150

200

170120100

7050

30

20

15

1-10

AdultDose

O OnAED

On

MonitorPacer

3

2

Man

ual D

eb

Man

ual D

eb

Synchronized Cardioversion (Sync) button

Ready For Use (RFU) Indicator

Therapy Knob

CHARGE button

SHOCK button

Printer

Printer door latch

Speaker

Menu Select button

Navigation buttons

Softkeys (4 total)

ect

nt

Printer door

External Power Indicator

Event Summary button

m Pause on

Network Ready label (optional)

Print button 3

1: Introduction Tour of the Device

4

Rig

Lefht Side

t Side

Figure 2 Right Side View

Data Card

Therapy connector

Therapy port (behind connector)

Figure 3 Left Side View

2

1

ECG

ECG

Micro

str

eam

CO2

Measurement Module Panel

CO2 Inlet port

CO2 Outlet port

Temp port

ECG Out(Sync) jack

IP ports

NBP port

ECG port

SpO2 port

Tour of the D

Rea

Top

Figure 4

Battery / AC /Radio moduleCompartment

LAN Connector

RS-232 Serial Po

Therapy Connector and Cable evice 1: Introduction

r Side

Side

Rear Side View

B

Bed Rail Hook Mount

Battery Compartment A

Battery

DC Power Input

AC Power Module

rt

Figure 5 Top Side View

Top access panel PCMCIA card slots

Internal memory card slot

Bluetooth card slot 5

1: Introduction General Service Information

6

Gener

Inst

Dis

Pas

Upal Service Information Keep the following points in mind when servicing this product.

allationThe HeartStart MRx does not require installation (for HeartStart MRx installation on the IntelliVue Clinical Network, see IntelliVue Networking Option Installation on page 163). The HeartStart MRx Instructions for Use describe the setup required before placing the device into service, as well as configuration options. All setup activities are designed to be performed by personnel trained in the proper operation of the product. To obtain a copy of the HeartStart MRx Instructions for Use and other HeartStart MRx documentation in your local language visit: http://www.philips.com/ProductDocs and follow links to Product Downloads > Resuscitation > M3535A/M3536A Philips HeartStart MRx > Instructions for use.

play MenusTo display a menu, press the Menu Select button. Then use the up or down Navigation buttons to scroll through the available choices until the desired selection is highlighted. To activate the selection, press the Menu Select button. Press Exit to close the menu without activating a selection.

swordsIn order to access different modes within the monitor/defibrillator, a password is required. The passwords are listed below:

Service Mode: 27689

Configuration Mode: 387466 (default password)

grades Upgrades are available to add specific functionality to the device after purchase. These upgrades are:

M3530A SpO2

M3531A NBP

M3532A EtCO2

M3533A Pacing

M3534A 12-leadOption B02: Acquisition Option B04: 75-mm printer Option B05: Asian 75-mm printer

M3549A Wide bedrail hook

M3801A 12-lead transmission (Bluetooth)

M3802A 12-lead transmission (RS-232 and Bluetooth)

M3806A Software

M3808A Therapy PCA

M4737A Display cover

M4760A Handle and Cap Plate

M4765A B-level Hardware, option B02

General Serv

Pre

Rep

CAUTIONice Information 1: Introduction

M4770A Q-CPR (with Compression Sensor)

M4771A Q-CPR Data Capture

M4772A Audio Recording

M4773A 256 MB Data Card (internal and external)NOTE: If your HeartStart MRx still has a smaller data card, then it is recommended to perform this upgrade next time you perform an internal repair.

M5527A External Paddles with tray Option C01: Standard Option C02: Water-resistant

861325 Event Summary, Bluetooth

861326 12-Lead Transmission, Rosetta-Lt interface (available in the USA only)

861356 IntelliVue Networking Option (wired, available for M3535A only)

861357 IntelliVue Networking Option (wired and wireless, available in the USA for M3535A only)

861359 Invasive Pressures

861360 Temperature

861442 ACI-TIPI & TPI

861443 Periodic Clinical Data Transmission (PCDT)

861444 Q-CPR (with CPR meter)

861447 Batch LAN Data Transfer (BLDT)

989803153411 Internal Bluetooth Card

Consult your sales representative, dealer, or distributor for the latest details. See Ordering Supplies and Accessories on page 203.

ventive MaintenancePreventive maintenance and periodic operational checks are intended to be performed by the user. Both topics are covered in the Maintenance chapter of the Instructions for Use.

The Maintenance chapter of this manual provides EtCO2 and NBP calibration and testing procedures. Experienced and trained HeartStart MRx users (e.g. nurses and paramedics) may perform the calibration using the NBP and EtCO2 calibration kits (453564063841 and 453564063851 respectively). The training material is included in the kits. Only qualified service personnel should perform the testing procedures.

air Philosophy

Monitor/DefibrillatorThe repair philosophy of the HeartStart MRx is subassembly replacement. Examples of subassemblies are the printer, the Processor Printed Circuit Assembly (PCA), Therapy PCA, and selected connectors and other items. Repairs that involve replacing components on a PCA are not supported.

: Individual component replacement should not be attempted. Component level repair is inadvisable due to the extensive use of surface mount technology and the high parts-density on the circuit boards. Unauthorized component replacement can impair performance of the HeartStart MRx. 7

1: Introduction Accessing Service Mode

8

WARNING

WARNING

CAUTION

Acces

CAUTION

NOTE

: Remove all power sources (AC, battery, DC) before opening the device. Failure to do so may allow the device to charge without warning and could result in serious injury or death.

BatteriesThe M3538A Lithium-Ion battery is rechargeable. The battery periodically requires a calibration. At the end of the batterys useful life, it should be recycled or discarded according to local regulations and replaced. Refer to the HeartStart MRx Instructions for Use for additional information.

For information on ordering replacements, see Ordering Supplies and Accessories on page 203.

: Never crush, penetrate, or attempt to open lithium-ion batteries. Never incinerate lithium-ion batteries. High case temperatures resulting from abuse of the battery could cause physical injury. The electrolyte is highly flammable. Rupture of the battery pack may cause venting and flame.

: Due to their high energy density, lithium-ion batteries can deliver significant power. Use care when working with or testing lithium-ion batteries. Do not short-circuit the terminals.

sing Service Mode

: Be sure that the monitor/defibrillator is not connected to a patient when performing any function in Service Mode.

: Make sure that you insert a battery charged to at least 20% into the device or connect external power when you are performing functions in Service Mode.

To access Service Mode:

1 Turn the Therapy Knob to Monitor.

2 Press the Menu Select button to display the Main menu.

3 Select Other.

4 From the Other menu select Service. The message appears:

Leaving Normal Operating Mode. Patient Monitoring Is Off.

To Return To Normal Operating Mode, Press The Exit Softkey.

5 Press the Menu Select button to acknowledge the message.You are prompted to enter a password.

6 Enter the password (27689) by scrolling through the list until the desired number is highlighted.

7 Press the Menu Select button to activate each selection.

8 Select Done when you have entered all of the numbers.

9 Press the Menu Select button to display the Service Mode Main menu, as shown in Figure 6.

Accessing Se

rvice Mode 1: Introduction

Figure 6 Service Mode Main Menu

Calibrate

Cycle Counter :Last Calibration :

50,01030 Jun 2006 09:42

Replacement recommended Calibration recommended

BA02 Mar 2010 10:52

Service - MAIN

Exit Service

ServiceOperational Check

Status Log

NBP

CO2

Controls

Display

Printer

CPR

Audio Recording

Instrument Telemetry

Device Info

Software Upgrade 9

1: Introduction Navigating in Service Mode

10

Naviga

NOTE

Ser

NOTEting in Service Mode Service Mode uses the same navigation controls as normal operating mode:

To select a menu item, use the Navigation buttons to highlight your choice, then select that choice by pressing the Menu Select button.

To exit Service Mode and return to clinical mode, press the Exit Service softkey.

To return to the Service Mode Main menu from any service screen press the Main Service softkey.

: The devices default configuration settings are restored when you return to clinical mode after exiting Service Mode.

vice Mode FunctionsYou can perform a variety of service-related activities from Service Mode, as follows:

Run an Operational Check Operational Check on page 34.

View, print and clear the Device, Network, and PCDT Status logs See Device Status Log Messages on page 54.

Perform maintenance on the NBP module See NBP Module Calibration on page 14.

Perform maintenance on the EtCO2 module See EtCO2 Module Calibration on page 18.

Run the Controls test See Controls Test on page 190.

Run the Display test (Version B.05 and greater) See Display Test on page 191.

Run the Printer test See Printer Test on page 192.

Run the CPR Test See CPR Meter and Compression Sensor Tests on page 193.

Run the Audio Recording Test See Audio Recording Test on page 194.

Install software and change the devices language using the Software Support Tool See Installing Software on page 125.

View information about the device, such as model number, serial number, options enabled on the device, and the devices language See Device Information below. Use the Device Info menu to enter the serial number and to enable options on the device after a Processor PCA repair. See Entering the Serial Number on page 124 for more information.

: You can print detailed information on board and module levels through the Print Device Info option, available in normal operating mode. See Printing the Device Information on page 11.

Navigating in

Dev

NOTE Service Mode 1: Introduction

ice Information To view information about the device:

From the Service Mode Main menu, select Device Info.

Printing the Device InformationYou can print detailed information on software versions, board and module levels, and internal memory card capacity from the Print Device Info menu option. This option is available from the Other menu in clinical modes.

To print the device information:

1 Be sure a battery charged to at least 20% is in place, or that external power is connected.

2 Turn the Therapy Knob to Monitor.

3 Press the Menu Select button to access the Main menu.

4 From the Main menu, select Other.

5 From the Other menu, select Print Device Info. Detailed information about the device is printed.

: Run an Operational Check after you have updated software, enabled an option, or performed a repair to update the Device information.

Figure 7 Device Info Screen

BA02 Mar 2010 10:52

Service - DEVICE INFO

MainService

Model Number :Serial Number :Language :Options :

M3535AUS00100320 American EnglishSpO2, NBP, EtCO2, IBP, Temp, 12-Lead, 12-LTx Serial,12-LTx Bluetooth, Pacing, Q-CPR,vData, Audio Rec, 75mm Printer,EventSum Bluetooth, IntelliVue Net, Per Data Tx

MENU 11

1: Introduction Other Resources

12

OtherHardware Version (Primary) Label TheHeartStart MRx ships with a Hardware version label (also known as a Primary label) affixed to battery compartment B, as shown in Figure 8.

Resources For additional information on the HeartStart MRx, refer to the following Learning Products:

HeartStart MRx Instructions for Use (989803160421)

HeartStart MRx Service Training DVD (453564044671)

M3538 Lithium Ion Battery Characteristics and Care Application Note (453564119661)

Other documentation can be found on the Philips website at: http://www.philips.com/ProductDocs.

Figure 8 Rear Case Labels

Hardware Version

Hardware Version(Primary) label

Generic labels

B2

Introd

He

1. The user2. The user2

Maintenance

uction This chapter describes routine maintenance on the HeartStart MRx monitor/defibrillator.

Most routine maintenance, including periodic operational checks, paper replacement, lithium ion battery maintenance and charge, etc. is performed by the user. Refer to the Instructions for Use for detailed information on these maintenance procedures.

Service personnel are responsible for the following routine maintenance: Yearly calibration (or every 10,000 cycles) of the Non-invasive Blood Pressure (NBP) module.1 NBP module testing. Yearly calibration (or every 4000 hours) of the End-tidal Carbon Dioxide (EtCO2) module.

2 EtCO2 module checking.

Click these links to access the maintenance procedures:

artStart MRx Calibration Overview Consider reviewing the HeartStart MRx Calibration instructional video available online at http://theonlinelearningcenter.com/schtml/mrx/calibration/.

Perform calibration when prompted by the CO2 Calibration Overdue and NBP Calibration Overdue inops. If a calibration is overdue, then the HeartStart MRx Operational Check fails with the code Fail/D (Versions B.05 and above) or Fail/NC (Versions prior to B.05).

Regardless of your configuration settings, millimeters of mercury are the unit of measure for pressure in the HeartStart MRx calibration. Use the conversion formulae in Table 1 if necessary:

Topic Page Topic Page

NBP Module Calibration 14 EtCO2 Module Calibration 18 NBP Module Tests 17 EtCO2 Module Checks 23

Table 1 Units of Pressure Conversion

1 unit = __ mmHg

1 kPa = 7.5 mmHg

1 mb = .75 mmHg

1 psi = 51.7 mmHg

1 atm. = 760 mmHg

1 inHg = 25.4 mmHg13

s may perform NBP calibration themselves if they obtain the NBP Calibration Kit, part # 453564063841. s may perform EtCO2 calibration themselves if they obtain the EtCO2 Calibration Kit, part # 453564063851.

2: Maintenance NBP Module Calibration

14

NBP M

NB

odule Calibration This section describes how to calibrate the HeartStart MRx NBP module.

To calibrate the HeartStart MRx NBP module you need:

A manometer and cuff assembly or 500 ml expansion chamber. These instructions refer to the cuff assembly, but can be used with the expansion chamber as well.

A plastic container to wrap the cuff around.

Both the manometer/cuff assembly and plastic container are provided in the NBP Calibration Kit, part # 453564063841.

P Calibration SetupTo prepare for NBP calibration:

1 Access the Service Mode Main menu as described in Accessing Service Mode on page 8.

2 From the Service Mode Main menu, select NBP.

3 The NBP Service screen is displayed (see Figure 9). You may hear a soft, high-pitch tone, this is normal NBP pump operation.

4 Check the Cycle Counter. If the NBP module has executed more than 50,000 cycles, replacement is recommended. Do not proceed with the calibration. Call for service.

5 Connect the test cuff assembly to the NBP port and wrap the cuff around the container (see Figure 10). Do not overtighten the cuff. It should have space for about 500 mL of air. Leave room for two fingers between the cuff and container before connecting the hook-and-loop fastener.

Figure 9 NBP Service Screen

BA02 Mar 2010 10:52

Service - NBP

Main Service

Cycle Counter :Last Calibration :

Pressure in Cuff :

50,01030 Jan 2010 09:42

0

Replacement recommended Calibration recommended

Calibrate

NBP Module

NB

Calibration 2: Maintenance

P Safety Features The NBP module is equipped with the Timeout and Overpressure safety features that prevent injury to the patient and damage to the device.

NBP Timeout The NBP module times out when the pressure remains greater than 10 mmHg for 3 minutes. Do not keep the cuff pressurized for more than 3 minutes during the calibration.

NBP Overpressure The NBP module overpressure occurs when the cuff pressure reaches 300 mmHg. Do not raise the pressure in the cuff to more than 280 mmHg during the calibration.

The safety features cause the valve to open and the pressure to drop.

To reset the module if a safety feature is triggered during calibration:

1 Press the Main Service softkey

2 Access the NBP Service screen to restart the calibration.

Figure 10 NBP Calibration Setup

Container

Loosely fitted NBP cuff

Manometer

Pump 15

2: Maintenance NBP Module Calibration

16

NB

NOTEP Calibration Procedure Complete the calibration process within three minutes to avoid the NBP module timeout.

To calibrate NBP:

1 Press the Calibrate softkey.The message Apply 0 mmHg. Select Next when ready is displayed.

2 Release all of the pressure in the cuff so that the manometer reads 0 mmHg.

3 Press the Next softkey.The message Apply 250 mmHg. Select Next when ready is displayed.

4 Increase the pressure so that the manometer reads 250 mmHg. Take time to allow the pressure in the unit to equalize and stabilize. One way to do this is to pressurize the cuff to 255 or 260 mmHg and wait for 30 seconds, then gently adjust the pressure with the pump and valve.

5 When the pressure is stable at 250 mmHg, press the Next softkey again.

6 Wait until the message Calibration complete. Please perform the accuracy and leakage tests to check the results is displayed.

: The message instructing you to perform the accuracy and leakage tests is for troubleshooting only(see NBP Module Tests on page 17). These tests are not performed as part of calibration.

7 After several seconds the message clears, and the NBP Service screen is displayed. Release the pressure in the cuff to avoid the safety timeout.

8 Run an operational check to update the calibration status. See the Troubleshooting chapter of HeartStart MRx Service Manual for guidance.

NBP Calibration Failure If the error message Calibration failed. Check that the pressure applied is correct. Please restart calibration appears at any moment during NBP calibration, then:

1 Recheck the manometer and cuff assembly connections.

2 Loosen the cuff. If less than ten pump compressions fill the cuff, then it is too tight.

3 Press the Main Service softkey.

4 Select NBP from the Service Main Menu.

5 Restart the NBP Calibration Procedure on page 16, making sure that the applied pressures are correct.

6 Call for service if you cannot successfully complete the calibration.

NBP Module

NBP M

Acc

Lea

Lin

Tests 2: Maintenance

odule Tests Perform NBP Module Tests only if there is an uncertainty about the module performance.

Each of the procedures assumes the monitor/defibrillator, the manometer, and the cuff assembly are still set up as they were at the end of the previous test.

If all results are as described, the device passes that portion of the test. Return to the Service Mode Main menu by pressing the Main Service softkey.

If there is any failure, begin troubleshooting and repairing the device as needed. See Troubleshooting on page 29.

uracy Test To test the NBP Module accuracy:

1 Connect the NBP tubing to the NBP port on the monitor/defibrillator, and connect the test manometer and cuff to the tubing. See Figure 10 NBP Calibration Setup on page 15.

2 Pressurize the cuff to approximately 250 mmHg.

3 Wait for 30 seconds to allow the pressure in the unit to equalize.

4 When the pressure stabilizes, compare the displayed pressure reading to the pressure indicated by the manometer.

5 If the difference between the manometer and the displayed pressure is more than 2 mmHg, calibrate the NBP module as described in NBP Module Calibration on page 14 and repeat the test.

6 Release the pressure in the cuff before proceeding to the next test to avoid the safety timeout.

kage Test To test the NBP Module for leaks:

1 Pressurize the cuff to approximately 250 mmHg.

2 Wait for 30 seconds to allow the pressure in the unit to equalize.

3 Watch the displayed pressure for 60 seconds.

4 Record the pressure drop at the end of 60 seconds.

5 If the pressure decreases by more than 6 mmHg, there is a leak. Replace the tubing and cuff assembly and try the leakage test again. If the pressure still decreases by more than 6 mmHg, begin troubleshooting and repairing the device as needed.

6 Release the pressure in the cuff before proceeding to the next test to avoid the safety timeout.

earity Test To test the NBP Module linearity:

1 Pressurize the expansion chamber to approximately 150 mmHg.

2 When the pressure is stabilized, compare the displayed pressure reading to the pressure indicated by the manometer.

3 If the difference between the manometer and the displayed pressure is more than 2 mmHg, calibrate the NBP module as described in NBP Module Calibration on page 14 and repeat the test. 17

2: Maintenance EtCO Module Calibration

18

EtCO2

EtC

EtC

2

Module Calibration This section describes how to calibrate the HeartStart MRx EtCO2 (sometimes called CO2) module.

O2 Calibration Equipment To calibrate the HeartStart MRx EtCO2 module you need:

Gas flow valve

Modified Filterline set with T-shaped tubing assembly

5% calibration gas cylinder (15210-64010, six cans per case)

Calculator

Barometer to measure ambient pressure or other means of determining the ambient pressure.

Both the gas flow valve and Modified Filterline are provided in the CO2 Calibration Kit, part # 453564063851. The CO2 Calibration Kit, also contains a flow tube and two air plugs that are used for troubleshooting only (see EtCO2 Module Checks on page 23) and not used in calibration.

O2 Calibration Setup

To prepare for the calibration:

1 Access the Service Mode Main menu as described in Accessing Service Mode of the Introduction chapter of HeartStart MRx Service Manual.

2 Connect the Modified FilterLine from the kit to the CO2 inlet marked . See Figure 11.

3 From the Service Mode Main menu, select CO2. After a few seconds delay, the CO2 Service screen is displayed, as shown in Figure 12.

Figure 11 CO2 Preparation Setup

Modified FilterLine

!

EtCO2 Modu

le Calibration 2: Maintenance

You may hear a soft, low-pitch tone, this is normal EtCO2 pump operation. Another indication of the EtCO2 pump activity is the difference between the Ambient and Cell pressures. Subtract the Cell pressure from the Ambient pressure and consult Figure 2 to interpret the difference.

4 Older models of the EtCO2 sensor must warm up for at least 20 minutes before the calibration. a Check Device Info.b If EtCO2 Module SW version is 01.xx, then warm up the sensor before calibration. Note the

warm-up time. You can use the HeartStart MRx screen clock. Do not start calibration until the EtCO2 sensor has been warmed up. Continue the preparation.

c If EtCO2 Module SW version is 02.xx or above, then proceed with calibration without waiting for warm-up.

Figure 12 CO2 Service Screen

Table 2 Modified FilterLine Connection Checking and Troubleshooting

Ambient Pressure Cell Pressure

Possible Cause Suggested Solution

0 Bad connection 1 Reconnect the Modified FilterLine.

2 Go back to Main Service and reselect EtCO2.

Pump malfunction Call for service.

9 mmHg or less Modified FilterLine is broken

Replace the Modified FilterLine.

Pump malfunction Call for service.

10 - 30 mmHg The pump is operating normally, and the sensor is warming up.

31 mmHg or more Modified FilterLine is blocked

Check that the Modified FilterLine is not kinked and free of blockages. Replace if necessary.

BA02 Mar 2010 10:52

Service - CO2

Main Service

CO2 Operating Hours :Last Calibration :Ambient Pressure :Cell Pressure :

15,004 hours30 Jan 2010 09:42760 mmHg733 mmHg

Replacement recommended Calibration recommended

CO2Ambient Pressure

Leakage Check Pump Check

Flow Rate CheckNoise Check

Calibration CheckExit 19

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5 Check the CO2 Operating Hours. If the CO2 module has clocked more than 15,000 hours, replacement is recommended. Do not proceed with the calibration. Call for service.

6 Obtain a reliable measurement of local atmospheric pressure by using a barometer or by getting the local atmospheric pressure data from the Internet, local airport, or weather station located at the same altitude as your HeartStart MRx.

7 Press the Menu Select button and select Ambient Pressure.

8 Using and buttons, adjust the HeartStart MRxs Ambient Pressure setting to the measurement obtained in Step 6.

9 Press the Menu Select button again to accept the adjusted Ambient Pressure value.

10 Calculate the expected CO2 reading.The expected CO2 reading depends on both the gas concentration you are using (5.0%) and the ambient pressure. Calculate as follows: a Cal. Gas Concentration ambient pressure = Expected CO2 value

For example:[0.05] [760 mmHg] = 38 mmHg

b Calculate the allowable tolerance, which is 5% of the expected reading. Calculate as follows: [0.05] Expected CO2 value= tolerance (mmHg)

For example:[0.05] 38 = 1.9 (mmHg)

In this example, the displayed reading is expected to be 38 1.9 mmHg. c Round to the nearest whole number because HeartStart MRx does not show fractions. The

expected CO2 reading in our case should be between 36 and 40 mmHg. d Save your calculations. You will compare the numbers with the actual CO2 sensor reading

during the calibration validation.

11 Fit the 5% CO2 gas cylinder with the valve. Screw the valve on tightly.

12 Watch the manometer on the valve. While the gas pressure does not have to be high for successful calibration, it should be present.

13 Connect the soft tubing at one end of the modified Filterline to the gas valve outlet, and leave the other end open to atmosphere. See Figure 13.

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O2 Calibration Procedure If you warm up the sensor as determined in Step 4 of EtCO2 Calibration Setup, then make sure the EtCO2 sensor has been warmed up for at least 20 minutes before starting the calibration steps.

To calibrate the EtCO2 module:

1 From the CO2 Service menu, select Calibration Check. The CO2 Calibration screen is displayed.

2 Wait a few seconds until the softkeys become active. See Figure 14.

Figure 13 CO2 Calibration Setup

Gas flow valve

Do not touch this regulator

Gas flow regulator

Manometer

5% EtCO2 calibration gas cylinder

Modified FilterLine

Figure 14 CO2 Calibration Screen

BA02 Mar 2010 10:52

Service - CO2

Main Service

CO2 : 37 mmHg

DoneCalibrate 21

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3 Fully open the gas flow valve.Turn the regulator on the side of the valve counterclockwise. Do not touch the regulator on the top of the valve.

4 Allow the CO2 value to stabilize.

5 Press the Calibrate softkey.

6 Use the Menu Select button to confirm that you are using the 5% CO2 gas mix. See Figure 15. You can calibrate the CO2 module with 4% or 6% CO2 gas mix, but Philips recommends and provides instructions for the 5% calibration gas.

7 Do not turn off gas or touch any buttons or tubing until completion. The CO2 calibration in progress message indicates that the calibration has started. The Calibration complete message indicates that the calibration is successful.

8 Turn off the gas.

9 Validate the calibration by checking the displayed CO2 value against the expected value calculated in the section Step 10 on page 20 of the EtCO2 Calibration Setup section. The displayed value should match the expected value within the calculated allowable tolerance.

10 Press the Done softkey. Note that even though the calibration is successful (the time of last calibration is updated), the calibration status does not get updated until the operational check is completed. See Figure 16.

11 Run an operational check to update the calibration status. See the Troubleshooting chapter of HeartStart MRx Service Manual for guidance.

Figure 15 CO2 Calibration Gas Selection

Figure 16 Successful CO2 Calibration

Done MENUMain ServiceCancel

Cal

5 %

BA02 Mar 2010 10:52

Service - CO2

CO2 Operating Hours :Last Calibration :Ambient Pressure :Cell Pressure :

1504 hours02 Mar 2010 10:50760 mmHg739 mmHg

Calibration recommended

Calibration is successful, but the Calibration recommended message does not disappear until the Operational Check is completed.

EtCO2 Modu

EtCO2

EtC

TIle Checks 2: Maintenance

EtCO2 Calibration Failure If the error message Calibration failed. Please restart calibration appears at any moment during CO2 calibration, then:

1 Recheck the Modified FilterLine, gas cylinder, and valve connections.

2 Recheck gas presence in the gas cylinder. While the gas pressure does not have to be high for successful calibration, it should be present.

3 If the warm-up process if necessary, and the CO2 module is off, then restart the warm-up process and wait for 20 minutes. See the section EtCO2 Calibration Setup on page 18.

4 Restart the calibration as described in EtCO2 Calibration Procedure on page 21.

5 If you cannot successfully complete the calibration, call for service.

Module Checks Perform the EtCO2 Module checks only if there is an uncertainty about the module performance.

In addition to the equipment listed in EtCO2 Calibration Equipment on page 18, for EtCO2 Module checks you will need:

Electronic flowmeter, part # 453564178121.

A flow tube and two air plugs. The flow tube and air plugs are provided in the CO2 Calibration Kit, part # 453564063851.

Each of the procedures assumes that the HeartStart MRx, flowmeter, and tubing are still set up as they were at the end of the previous test.

If all results are as described, the device passes that portion of the test. Return to the Service Mode Main menu by pressing the Main Service softkey.

If there is any failure, then troubleshoot and repair the device as needed. See the Troubleshooting chapter of HeartStart MRx Service Manual.

O2 Module Check Setup

To prepare for EtCO2 checks:

1 Access the Service Mode Main menu as described in Accessing Service Mode on page 8.

2 Connect the FilterLine to the HeartStart MRx CO2 inlet marked . See Figure 11 CO2 Preparation Setup on page 18.

3 From the Service Mode Main menu, select CO2. After a few seconds delay, the CO2 Service screen is displayed, as shown in Figure 12 CO2 Service Screen on page 19.

4 Follow the steps of EtCO2 Calibration Setup on page 18. The CO2 Service screen is displayed, as shown in Figure 12 CO2 Service Screen on page 19.

P: To check the EtCO2 module, you do not need to wait for the module warm up, except for the Calibration Check. 23

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O2 Status Display Check 1 Check the EtCO2 Operating Hours.

Replace the CO2 module after 15,000 hours of operating time. If the number of hours is more than 15,000, then the message Replacement Recommended is displayed. See the Repair chapter of HeartStart MRx Service Manual for instructions on replacing the CO2 module.

2 Check calibration status. Check the date of the last calibration (see Figure 12 on page 19). The CO2 module should be calibrated every year or after 4000 hours. If more than one year has passed, or the module has operated more than 4000 hours since the last calibration, the message Calibration Recommended is displayed. If this message appears, then perform a calibration as described in EtCO2 Module Calibration on page 18 regardless of the passed CO2 tests.

3 Check the ambient and cell pressure (see Ambient Pressure Check below).

bient Pressure Check This option enables you to adjust the ambient pressure setting of the HeartStart MRx.

Obtain a reliable measurement of local barometric pressure (reference value). This is typically available from a local airport, weather station, or the Internet. Be sure the reading is taken at the same altitude as the HeartStart MRx is at now. Check that the HeartStart MRxs internal setting of ambient atmospheric pressure (barometric pressure) is within 12 mmHg of the reference value. If the ambient pressure is not within 12 mmHg of the reference value, adjust it through the Ambient Pressure menu, otherwise proceed with the Leakage Check below.

To adjust Ambient Pressure:

1 Select Ambient Pressure from the CO2 Service menu.

2 Use the Navigation buttons to enter the barometric pressure reference value.

3 Press the Menu Select button to set the adjusted pressure value in the HeartStart MRxs memory.

kage Check The leakage check consists of two parts:

1 Check of the internal tubing between the pump outlet and the HeartStart MRxs CO2 Outlet port (device outlet). This test is done by pressurizing the outlet line between the pump and the outlet port.

2 Check of the internal tubing between the pump inlet and the FilterLine inlet. This test is done by pulling a vacuum on the inlet line between the inlet fitting and the pump.

These procedures are described below.

Outlet Leakage

To perform the CO2 outlet leakage check:

1 Set up the flowmeter and the HeartStart MRx as shown in Figure 17. a Connect the FilterLine to the monitor/defibrillator CO2 Inlet port.b Connect the flow tube from the flowmeter outlet to the FilterLine.

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2 From the CO2 Service menu, select Leakage Check.

3 Follow the instructions on the screen to perform Part 1 of the Leakage check.The reading on the flowmeter should decrease to between 0 and 4 ml/min.

4 If this reading is correct, then press the Proceed softkey to proceed to the second part of the leakage test (see the Inlet Leakage below).

If this reading is incorrect (> 4 ml/min. flow), then it indicates a leak in the line between the pump outlet and the CO2 Outlet port. Troubleshoot and repair the device as needed. See Troubleshooting on page 29.

Inlet Leakage

To perform the CO2 inlet leakage check:

1 Set up the flowmeter and the HeartStart MRx as shown in Figure 18. a Leave the FilterLine connected to the monitor/defibrillator CO2 Inlet port.b Disconnect the FilterLine from the flowmeter outlet.c Connect the flow tube from the flowmeter inlet to the monitor/defibrillator CO2 Outlet port.

2 Follow the instructions on the screen to perform Part 2 of the Leakage check.

3 Press the Done softkey.

If this reading is incorrect (> 4 ml/min. flow), then it indicates a leak in the line between the FilterLine inlet and the pump inlet. Troubleshoot and repair the device as needed. See Troubleshooting on page 29.

Figure 17 CO2 Outlet Leakage Check Setup

Figure 18 CO2 Inlet Leakage Check Setup 25

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NOTE

Flo

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p Check This test checks the strength of the pump by occluding the inlet and measuring how deep a vacuum the pump can pull.

: The tests must be conducted in the order they are described here. For example, if you perform the Pump Check, and there is a leak that you have not found because you did not perform the Leakage Check, it may appear that the device has a faulty pump, when in fact it has a loose tubing connection.

To check the pump:

1 From the CO2 Service menu, select Pump Check.

2 Follow the instructions on the screen to perform the pump check.The difference between the cell and ambient pressures displayed should be more than 120 mmHg.

3 Press the Done softkey.

If the pressure reading is correct (difference >120 mmHg), then the device passed the pump test.

If the pressure difference < 120 mmHg, then the pump is defective (regardless of the number of hours it has run) and the CO2 module must be replaced. See the CO2 Module on page 149

w Rate Check Be sure there are no kinks, pinches, or obstructions in any of the tubing this can create a restriction that would diminish the flow rate and cause a false failure of this test.

To check the flow rate:

1 Disconnect the flow tube from the flowmeter inlet.

2 From the CO2 Service menu, select Flow Rate Check.

3 Connect the FilterLine to the flowmeter outlet.

4 Follow the instructions on the screen to perform the Flow Rate check.

5 If the flow rate is within the tolerance limit (50 7.5 ml/min), the test passes.If the flow rate is not within the tolerance limit, proceed to EtCO2 Module Calibration on page 18 to calibrate the flow rate.

6 Use the Navigation buttons to increase and decrease the flow until it is as close as possible to 50 ml per minute as indicated on the flowmeter gauge.

7 When you are satisfied that the flow is set as close as possible to 50 ml, press the Store Flow softkey to confirm the setting. If the adjusted flow is not stored within 60 seconds of the adjustment, the old flow setting is restored.

If the flow cannot be adjusted within tolerance, the CO2 module must be replaced. See CO2 Module on page 149

ise Check This test looks for noise on the CO2 signal due to deterioration of the infrared source.

To check the flow rate:

1 From the CO2 Service menu, select Noise Check.

2 Set up the calibration gas as shown in Figure 19.a Connect the 5% calibration gas to the CO2 Inlet port. b Turn on the gas.

EtCO2 Modu

Calle Checks 2: Maintenance

3 Follow the instructions on the screen to perform the Noise check.

4 Wait until the displayed CO2 value is stable. Check the noise index reading.

5 If the noise index exceeds 3 mmHg, the CO2 module must be replaced. See CO2 Module on page 149.

ibration Check This test checks the accuracy of the CO2 measurement without actually calibrating the CO2 module. The calibration check can be performed using either 5% or 10% calibration gas or both.

1 See the EtCO2 Calibration Setup on page 18 to set up the module.

2 From the CO2 Service menu, select Calibration Check. The CO2 Calibration screen is displayed,

Calibration Check with 5% Gas 1 Set up the calibration gas as shown in Figure 19.

a Connect the 5% calibration gas to the CO2 Inlet port.b Turn on the gas.

2 Wait until the displayed CO2 value is stable.

3 Calculate the expected CO2 reading, which depends on both the gas concentration you are using (5.0%) and the ambient pressure. Calculate as follows:

[concentration of cal gas] [ambient pressure] = expected CO2 value For example:

[0.05] [736 mmHg] = 36.8 mmHg 4 Calculate the allowable tolerance, which is 5% of the expected reading.

Calculate as follows: [0.05] [expected CO2 value] = [tolerance] mmHg

Figure 19 CO2 Noise and Calibration Check Setup

M1920A

End open to atmosphere13907A

M2267A15210-6402010%

15210-640105% 27

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For example:[0.05] [36.8 mmHg] = 1.8 mmHg

In this example, the reading displayed with 5% cal gas must be 36.8 mmHg 1.8 mmHg, or between 35.0 mmHg and 38.6 mmHg.

5 Compare the displayed CO2 value to the allowable range of values.

If the displayed value falls within the allowable range, proceed to the Calibration Check with 10% Gas section below.

If the displayed value does not fall within the allowable range, the CO2 measurement module needs to be calibrated. Perform EtCO2 Module Calibration on page 18.

Calibration Check with 10% Gas 1 Disconnect the 5% gas (and regulator, if needed) and connect the 10% gas.

2 Turn on the gas.

3 Wait until the displayed CO2 value is stable.

4 Calculate the expected CO2 reading, which depends on both the gas concentration you are using (10.0%) and the ambient pressure. Calculate as follows:

[concentration of cal gas] [ambient pressu