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Mantenimiento Preventivo
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0% encontró este documento útil (0 votos)
71 vistas37 páginasDesfibrilador Hewlett Packard M17238
Mantenimiento Preventivo
Cargado por
Berenice CastellanosDerechos de autor
© © All Rights Reserved
Nos tomamos en serio los derechos de los contenidos. Si sospechas que se trata de tu contenido, reclámalo aquí.
Formatos disponibles
Descarga como PDF o lee en línea desde Scribd
/ 37
CodeMaster XL+ (M1722B) Defibrillator/Monitor
Service Manual
ti HEWLETT”
"EB PACKARD
Printed in USA,
HP Part Number: M1722-91909
Print Date: May 16, 2000
Edition 6 Performance Verification and Maintenance
Introduction
This chapter describes the tests and inspections required to verify performance of and
‘maintenance procedures for the CodeMaster XL* and XL Defibrillator/Monitor,
The information is presented in the following sequence:
‘Test Results Matrix Lists an overview of performance! safety tests
and provides expected CodeMaster XL¥/XL
results
Setup/Diagnostic Menu Tests Explains how to use the defibrillator’ built-in
‘Setup/Disgnostie Menu Tests to calibrate the
defibrillator and do quick operational checks
Explains how to verify the defibrillator’
performance
Preventive Maintenance Explains preventive maintenance procedures;
including how to check battery capacity and do
basic care and cleaning
Equipment List Lists specifications that must be met by the
equipment used to verify the defibrllator’s,
performance
Provides a performance verification checklist
Checklist
For simple checking without using extemal equipment, you can use the menu-driven tests
built into the defibrillator. However, these tests are not as thorough as the tests listed for
performance verification. The exception is the battery capacity test, which is a built-in
‘menu-driven fest that discharges and monitors the battery voltage. This testis included in
preventive maintenance for checking battery capacity
34 Table 3-1. Performance Vert
Pesfarmanc Vtifiation and Maitonanee
Tost Results Matrix
Test Results Matrix
Table 3-1 summarizes performance verification for the CodeMaster XL; including test
name, tes or inspection to perform, expected test results, and data to record. Auxiliary
function tests include the CRT Test, the Recorder Test, the Controls Test, and the Indicator
Test. Parameter function tests include the SpO2 Test (if option is installed), the HR Alarm
Test, the ECG Simulation Test, and the Synch Cardioversion Test. The sections that follow
explain the individual tests and inspections in detail
All performance verification tests outlined in Table 3-1 must be performed following any
service procedure performed on the CodeMaster XL+. In addition to testing after
servicing, instrument recalibration is always recommended should any of the following
events occur:
+ Ifthe user suspects thatthe defibrillator is delivering an energy level lower than the level
selected via the Energy Select control,
+ Ifthe [CRETBRATE|DEPIBY date on the main sctup/diagnostic menu is no longer dis-
played. Refer to Chapter 2, Setup and Configuration for information about the menu.
(Note that the defibrillator is shipped with no date displayed),
‘Ifthe SETUP LOST message is displayed on the sercen. Refer to Chapter 2, Setup and
Configuration for information about the message.
ation: CodeMaster XL+(M17228)
‘Test Block. Testor “Inspection” to. | Expected (Passing)
e Perform ‘Test Resul
Visual Inspection | « Inspect the unit—including | » No apparent wear, Vix
power cord, recorder, elec- damage or corrosion:
trodes, and cables—for signs of
wear, damage, oF example:
corrosion v
+ Cycle power off and on; + AC Power &
verify indicator light function- | Battery Charge light and
ality stay on; Charge, Syne
and Pacer On light
momentarily
Calibration Calibrate defibrillator from | Message displayed: Cx
the setup/dingnostic menu | "Calibration passed”
32 Peformance Vocation and Maintenance
Test Results Matrix
Table 34 Performance Verification: CodeMaster XL+(M1722B)
Data to Record
‘Test Block Expected (Passing)
Nariel “Test Resul X=P (pass) or F_
Name ‘Test Results r
Defibrillator Test | Using only battery power, set | DTvaaaa,bbb,ccdd,
or Energy Select to 100; test: cecesfif,gg,hbii,
iii kisim
(conduct these tests | + MSec. to charge - saa +2000
in setup/diagnostic
mode) + Delivered Energy - bbb + 10044 15% example:
DT:1300,100,50,
‘Impedance - ce +50 Ohm +!- 10% 30,3600,360,50,
55,12000,360,50,
+ Peak Current - dd +3044 10% 35.p
Using only battery power, set
Energy Select to 360; test:
‘+ MSec. to charge - eve +3500
+ Delivered Energy - ff
+ Impedance -g8
+ Peak Curtent =
Using AC power (battery
removed), set Energy Select to
360s tests
+ MSce. to charge i
+ Dolivered Energy i
+ Impedance - kk
+ Peak Current -Il
Conduct Disarm Test
(charge to 360; disarm) - m
+ 3604/- 15%
+50 Ohm +/- 10%
+55. A+l- 10%
+1500
+ 36041 15%
+50 Ohm +: 10%
+55,A4 10%
pass or fail ‘Table 3-1. Performance Verification: CodeMaster XL+(M1722B)
Perfomance Vetfiaton and Maintenance
Tost Results Matrix
+ Selected Output set to 100mA ~
bbb
+ Delivered mA is 100mA_
41-10%
" Data to Record
Test Block | Test or “Inspection” to. =
Tes st Block Test or “Inspection” to Sa
a ~— fai
ECG Tests (E) | Check: Ess, aaaefit
+ Leads Status, Paddle "Good" displayed on
Status, and DSP Status-x | sereen example:
E:p,0,1,60
+ DC Offset - aaa XXX mv
+ PCI Calibration
o paddles shorted -€ + 041-2 ohms
o paddles in pocket - AF +20 100 ohms
‘Auxiliary Conduct the following tests: | "Pass" displayed on =| Asx
Function ‘Tests (A) sereen forall tests
+ CRE Test
example:
+ Reconder Test Ap
+ Controls Test
+ Indicator Test
Bacer Fest (PT) | Conduct the Pacer Test with: Piiaa.bbb
+ Selected Output setto.40mA - | + Delivered mA is 40mA | example:
a 5% Pr40.99 Peformance Vocation and Maintenance
Test Results Matix
Table 31 Performance Verification: CodeMaster XL+(M1722B)
Data to Record
‘Test Block | Test or "Inspection" to_ =I
Tes st Block Test or tas pecton to eee
Name Perform r
Parameter ‘Conduct the following tests: Fx
Eunction ‘ests (F)
+ Sp02 Test + Sp02 option is
(if option is installed) functional example:
Fp
+ HR Alarm Test “HR alarm sounds at
alarm setting
+ ECG Simulation Test + leadwines
integrity verified; gain
settings accurate
+ Synch Cardioversion Test + set unit to syne mode;
check if defibrillator fires
onsyne
Safety Tests(S) | Check: Staaa,bbb,cce,dd,
eet
+ Chassis-to-Ground +<0.1 ohm
Resistance - aaa
example:
+ Groundwire Leakage +5500uA $:09,400,90,7,7,16
‘Curent - bbb
+ Enclosure Leakage + 100uA
‘Current - coe
+ Patient Lead Leakage
Curent
© To Ground - dd +s 10uA
© Between patient leads “ec | +< 10uA
© With ine voltage applied - ff | +< 20uA
‘Note: When recording test results, separate tests by a semi-colon(;). For example:
Vip: 00, 100,50,30,3600,360,50,55,psE:p,0,1,60;A:p:PT:40,99;
$:09,400,90,7,7,16
35 NOTE
Pesfamanc Vtifiation an Maitenanee
SetupiDiagnostic Menu Tests
Setup/Diagnostic Menu Tests
The sctup/diagnostic menu tests provide an casy method to check most areas of
defibrillator operation and the battery capacity. These tests are available in the
sctup/diagnostie menu
+ Defibrillator test
+ BCG test
+ CRT test
+ Recorder test
+ Controls test
+ Indicators test
+ Battery capacity test
+ Pacer test (Option installed)
The CRT test, recorder test, controls test, and indicators test require visual verification of
displayed or printed output. For these tests, visible failure symptoms appear in the
displayed or printed test information, or are shown by indicator operation, For other tests,
you determine whether atest has failed by examining test-results data shown on the
display.
The setup/diagnostic tests do not test the patient electrodes or the 3- or S-wire patient
cables. You can test the patient electrodes and cables by recording an ECG from a patient
or ECG simulator as described in “Parameter Function Tests—ECG Simulation” on page
3-26,
To acess the setupdiagnosie mena tess, tum the Energy Select contol to Monitor On,
while pressing the (Sine) and CHR Ala) keys, The fllowing display appears
36 Figure 341
Peformance Voifeation and Maintenance
‘SetupiDiagnostic Menu Tests
SBTUP/DIAGNOSTIC MENU
CALIBRATE DEFIB (ast calib:
SETUP MENU 1 (ast setup date)
SETUP MENU 2
RESTORE FACTORY SETTINGS
PRINT Loc
TEST DEFIB
TEST ECG
TEST CRT
TEST RECORDER
TEST CONTR
TEST INDICATORS
TEST BATTERY
TEST PACER
tion date)
TURN OFF TO EXIT DIAGNOSTIC
SotupiDiagnostic Menu
NOTE
The pacer test is listed only if the pacer option is installed.
‘The dates appear only if the unit has already been calibrated and the configuration has
been set up. See “Configuration” on page 2-16 for detailed information,
The setup/diagnostic menu lists the built-in tests and other items. With the panel keys, you
step through the menu items and select tests, When you select a test, the display changes
to show test information, Using the panel keys to select and start a testis deseribed in
Table 3-2. These two eys select and initiate a test:
= Moves the highlight bar down or up, depending on
aes) whether you pres th et or right side ofthe hey
aa) Selects the menu item that is highlighted.
34 Table 32
Performance Verification and Maitonance
Porformanes Verification
Performing a Setup/Diagnostic Test
Description =
hig teeta nena tet Pres (@ ECGS) tog te test cane inte
Sabet he st Pres (Load Se) Fer soe tty, th tet hat
‘you selected then starts uring, ar repeats unt you
stop it For ote tet, the esa changes to show
test attr otha tst information,
Perform the tet Fellow the instructions in this hap for the test you
sect
Tato tet or tun oth wtpiagostc menu Pres bth rows on th CW ECG Sea) fay sn
taney
To ont the setupdaprosti mony exit test Tum the Energy Slt contra to Of (Standby
Performance Verification
Verify the performance of the defibrillator every six months and after servicing. The
procedures listed below make up performance verification. For daily check
of the defibrillator, see "Operational Checks" in the CodeMaster XL*Defibrillator/
Monitor User's Guide"
TThe performance verification checklist at the end of this chapter summarizes the tests you
should perform to verify the defibrllator’s performance. These are some suggested uses
for this checklist:
+ Make copies of the blank checklist; then, fill out @ eopy each time the defibrillator is
tested.
+ Attach the recorder test output, simulator ECG trace, and error log printout to the com-
pleted checklist and file with the defibrillator's permanent maintenance record,
Visual Inspection
Before beginning the inspection, tur the Energy Select control to Off (Standby) and
unplug the power cord from the wall outlet, Then carefully examine the defibrillator and
its accessories forthe following:
+ Worn or damaged power cord
+ Loose or missing hardware
38 Peformance Voifieation and Maintenance
formance Veriieation
+ Mechanical damage
+ Bvidence of liquid spill
+ Wom recorder roller
+ Wom or damaged cables or connectors
+ Comroded or damaged electrodes
+ Forcig material on the thermal printhead or paper sensor
Connect the defibrillator to AC power, observe thatthe CACPOWER) and CBATTGHRE)
indicators come on. Tum the Energy Select control to Monitor On and observe tht the
(Chage_) and CSyne_) indicators light momentarily, and that the monitor screen displays a
trace and other information. Also, the (Pe Os) indicator should light momentarily if
pacer is installed)
Replace any damaged or missing items and clean the printhead, paper sensor, and patient
electrodes as necessary. Leaning instructions are listed under “Preventive Maintenance”
oon page 3-28.
Defibrillator Calibration
The defibrillator should be recalibrated after any of the following events
+ The user suspects that the defibrillator is delivering an energy level lower than the level
selected via the Energy Select control.
+ The [[EREEBRATEIBEREB! date on the main setup/diagnostic menu is no longer dis-
played. See Table 2-3, “Displaying/Printing a Configuration Setting,” on page 19 for
information about the men, (Note thatthe defibrillator is shipped with no date dis-
played),
+The SETUP. LOST message is displayed on the screen, See “Configuration” on page 2-
16 for information about the message,
+ Afer servicing which requires replacement of the HV capacitor, the Control board, or
each time the unit is opened,
+ Afr each scheduled preventive maintenance,
When the defibrillator charges, it uses a measured value for the capacitance of the charge
capacitor to determine the energy required to reach the selected charge level. The
CALIBRATE. DEFEB. choice on the menu guides the user through a routine that
measures the capacitance of the HV capacitor, and adjusts the capacitance value based on.
the routine’s results, The capacitance value is stored in battery-maintained memory and
39 Performance Verification and Maitonance
Porformanes Verification
used cach time the defibrillator is charged. On the [E1SSEDEEHB) screen, the stored
capacitance value is displayed after CAPACI TANC
WARNING
Figure 3-2
‘Avoid touching any metal surfaces on the defibrillator and do not touch
equipment connected to the defibrillator during shock. Dangerous high voltage
exists on the paddles when the defibrillator is discharged. Contact with this high
voltage could cause death or serious injury.
Test Prerequisites
Connect the external paddles and place them firmly in their holders in the defibrillator.
c
rating the Defibrillator
To start the defibrillator calibration routine, select [[@REEBRATEIDEREB! on the
setup/diagnostic menu; the sereen displays the information shown in Figure
( IB CALIBRATION
PUT PADDLES IN POCKETS.
2. TORN ENERGY SELECT TO 3
3. PRESS CHARG!
4. WAIT FOR CALIBRATION TO FINISH.
MBASURED CAPACITANCE:
TURN OFF TO EXIT DIAGNOSTIC
X
Calibrate Defibrillator Sereen
Follow the instructions displayed on the sereen, (Ifyou set the Energy Select control toa
level below 300 joules, the message, BAD USAGE: SEE MANUAT.
is displayed.) WARNING
Peformance Voifieation and Maintenance
formance Veriieation
Ifthe test completes successfully, CALIBRATION PASSED is displayed at the bottom of
the screen. Ifthe test fails, CALIBRATION FALLED is displayed and the nominal
capacitance value is used; see Chapter 4, Troubleshooting, and Table 4-13 for detailed
troubleshooting information,
Defibrillator Test
This test verifies defibrillator performance to specifications. You should run the
Defibrillator Calibration routine before performing the Defibrillator Test. You can
perform the defibrillator test using either extemal paddles or pads.
fusing pads adapter M1750A/B, connect an M1781A test load when performing
the defibrillator test,
Test Prerequisites
Connect the external paddles and place them firmly in their holders in the defibrillator or
attach the MI781A test load if you are using the pads adapter cable. The battery must be
fully charged.
Testing the Defibrillator
It is recommended that you test the defibrillator in the power configuration in which itis
normally used: battery only, or AC power. You should also test the disarm function as
described at the end of the defibrillator test.
The testis designed to check the defibrillator in these power configurations:
+ With fully-charged battery installed; no AC power.
+ With the defibrillator plugged into AC power; battery is removed
With the defibrillator powered by battery only, you run the test at 100 joules and at 360
Joules, The values of some test results vary depending on the power configuration being
used, Table 3-3 lists acceptable test result values for each power configuration,
To run the Defibrillator Test, follow these steps:
1 For battery only testing:
‘4. Make sure that the battery is installed and is fully charged.
», Disconnect the defibrillator from AC power.
For AC power only testing:
a Disconnect the battery
b, Plug the defibrillator into AC power. Performance Verification and Maitonance
Porformanes Verification
2. Sclect {SIRBERIB) in the setup/diagnostic menu; the sereen displays the informa-
tion shown in Figure 3-3. This able shows defibrillator performance parameters. Some
of these parameters are not available until after the defibrillator is discharged,
Figure 33
(— DEFIB TEST
AVALLABLE ENERGY xxx (Joules)
MSEC ‘TO CHARGE xx (milliseconds)
SEC TO DISARM xx (seconds)
DELIVERED ENERGY xx (Joules)
IMPEDANCE xx (ohms)
PEAK CURRENT: xx (amps)
DEPIB ERRORS: rooonnx (error code)
CAPACITANCE vox (in 0.4 UF units)
SHOCK COUNTER: wx
a ‘TURN OFF TO EXIT DIAGNOSTIC
Defibrillator Test Sereon
AVAILABLE Current charge in joules; 0 when the defibrillator is not
ENERGY armed.
MSEC TO CHARGE: After the defibrillator charges to the energy level selected,
the entry shows how many milliseconds the charge
required.
SEC TO DISARM: After the defibrillator signals Charge Done, it holds the
charge for 60 seconds, and then starts disarming the
charge through an internal safety relay. The entry shows
‘the time required to disarm the defibrillator to the "safe"
state,
The calculated delivered energy (in joules) based on the
ENERGY internal peak current measurement.
IMPEDANCE The calculated load impedance based on available energy
and the internal peak current measurement (in Amps).
"BAK CURRENT. The peak current measured during defibrillator dis-
charge.
IB ERRORS: Defibrillator errors that have occurred while in diagnostic
test mode. Peformance Voifieation and Maintenance
formance Veriieation
CAPACITANCE: The capacitance used when charging the defibrillator.
The capacitance value is established during Defibrillator
Calibration (See “Defibrillator Test” on page 3-11 for
information).
SHOCK The number shown is the number of shocks since the
COUNTER: shock counter was reset. You can clear the shock counter
by pressing the (Se) and (HR Alam) keys simulta-
neously, while displaying this screen. Only clear the shock
counter after replacing a patient circuit component, such
as the high voltage (HV) capacitor, HV inductor, patient
relay, or HV charger board, Record the value of the shock
counter prior to clearing it.
3. Tum the Energy Select control to the energy evel for the power configuration you
selected,
4. Press CGlaw®). The value for AVATEABLE. ENERGY increments
5 Check that it reaches the energy level you selected, when the Charge Done LED is lit
‘on the front panel or the apex paddle,
6 Check that the entry for MSEC TO CHARGE is within the limits listed in Table 3-3 for
the power configuration you selected,
WARNING ig any metal surfaces on the defibrillator and do not touch
equipment connected to the defi ig shock. Dangerous high voltages
exist on the paddles when the defibrillator is discharged. Contact with this high
voltage could cause death or serious injury.
7. Discharge the defibrillator by pressing the two shock buttons.
8 Check that the values for DELIVERED ENERGY, IMPEDANCE, and
PEAK CURRENT are within the limits listed in Table 3-3
Ifthe displayed Impedance is outside these limits, see “Adjusting the Internal Delivered
NOTE
Energy Calibration” on page 5-30.
To test the automatic disarm funtion
9 Press Car) again,
10 Wait until an altermating tone sounds, and then the AVATLABLS ENERGY value dec-
roments to 0.
AL Repeat the test for the other power configuration if you are doing the battery only test;
or for the other energy level, if desired. Table 3:3. Defibrillator Test
Performance Verification and Maitonance
Porformanes Verification
, ‘itale Sect Devered
Defirltor Contig Impedance Peak Current
a Exergy Enoray
Battery Only 09) <2000 = Ce ee
380) ~<5000 = 306-414) 45-550 «BOSD
AC Ony (Battery removed) 360) < 15000 646) ASSES A
Disarm Test 380) = aso fll
‘To tes the manual disarm function:
12. Tum the Energy Seleet contro! to 360 joules.
13 Press Coharge)
14 When the charge reaches 360 joules, turn the Energy Select control directly to Moni
tor On, Turn the control quickly and do not stop at any level selection between 360
joules and the Monitor On position. This step disarms the defibrillator
1S Check to see that the SEC TO DTSARN test passed oF failed as listed in Table 33.
16. Press both sides of (¥ FOS Svea) at once, to exit the test menu,
Delivered Energy Level Test
To perform the delivered energy level test, you nced a test box. See Table 3-5 for
equipment specifications. The test checks that the delivered discharge energy measured by
the test box is equivalent tothe charge level displayed on the defibrillator
To verify the delivered energy level, follow the instructions provided with the test box.
WaRning ‘Avoid touching any metal surfaces on the defibrillator and do not touch
equipment connected to the defibrillator during shock. Dangerous high voltage
exists on the paddles when the defibrillator is discharged. Contact with this high
voltage could cause death or serious injury.
ECG Tests
This test verifies the operation of the leads and paddles ECG front end amplifiers and
checks digital signal processor filtering, The test also verifies communication between the
front end board and the control board Figure 3.4
Test Prerequisites
Peformance Voifieation and Maintenance
formance Veriieation
Requires a calibrated ECG simulator for use with pads and leads. Also requires an AMI
simulated patient load. See “Equipment List” on page 3-32 for equipment information.
Testing the ECG
To nun the ECG test, follow these steps:
1 Sclect [HBBSRTEE]] in the setup/diagnostic menu; the display shows the information
shown in Figure 3-4
( ce
SELECTED LEAD
Notca FILTER:
TEST
PADDLES
50 or 60 HZ
ov
LEADS STATUS oop
PADDLES STATU oop
DSP STATUS goon
Dc OFFSET soo (mV)
PEAK TO PEAK:
DIAGNOSTIC soca (LV)
MONITOR p00e (LV)
Pct ohms Ow
XN
‘TURN OFF TO EXIT DIAGNOSTIC
ECG (Monitor) Test
SELECTED LEAD
NOTCH R.
LEADS STATUS
Lets you select the ECG source.
Current power line filtering frequency: 50 or 60 Hz; you
‘ean change the filtering and turn the filter off and on.
10D indicates that communication between the Leads
Front End and DSP is acceptable.
000 indicates that communication between the paddles!
Front End and DSP is acceptable.
GOOD indicates that the DSP is communicating properly
with the monitor. Performance Verification and Maitonance
Porformanes Verification
De OFFSET: ‘An offset value used when measuring Leads Off, Largest
absolute value offset of any wire used in lead combination
according to the lead selected (mV).
TO PEAK —Peak-to-peak signal of the SELECTED LEAD measured
GNosTIC over a one-second interval. Results are given for both “ON.
MONITOR: TOR (0.SHz to 40 Hz) and DIAGNOSTIC (0.08Hz to 150
Hz) bandwidth.
Paddles impedance measured in ohms. Used to
determine PADDLES OF, and for PCI (paddles contact
indicator) bar graph on sternum paddle. Patient imped-
ance can be calibrated. See “PCI Calibration” on page 3-16
for instructions. PCT ON indicates that displayed data is,
calibrated. PC OFF indicates that displayed data is not,
calibrated.
2 Check that LEADS STV
is Goon.
3c
yeek that PADD!
'§ STATUS is GOOD.
4 Cheek that DSP_ STATUS is GOOD.
PCI calibration should be performed whenever setup is lost or whenever the user suspects
that PCI indication is wrong, Perform the following steps to calibrate PCL
1 Attach the paddle set to the defibrillator.
2 Access the setup/diagnostic menu,
3 Sclect [HRESINZEGY in the sctup/diagnostic menu
4 Press (Syne) and (Alam) simmultancously, so that OP appears tothe right of the PCI
value
5. While shorting the paddles together, press (Sye_) and (WR Alam) simultancously. The
PCI value should now indicate 0=2 ohms and ON should now appear next to the PCT
value.
NOTE
Tuming the PCT indicator off, then on again calibrates it to 0 ohms, Ifyou do not short the
paddles together, you will miscalibrate the PCI indicator.
6 Replace paddies in pockets. The PCI value with the paddles in the pockets should be
between 20 and 100 ohms (the PCI value varies because of inductance in the circuit),
Auxiliary Function Tests—CRT Test
This test lets you check the operation and alignment of the CRT. Figure 35
Peformance Voifieation and Maintenance
Performance Verification
Test Prerequisites
Avruler that measures in millimeters is required to measure the display size.
Testing the CRT
To perform the CRT test, follow these stops:
1. Sclect [HEHSTERAY in the setup/diagnostic menu; the display shows the
information shown in Figure 3-5
70mm
41-5%
|< 104 mm #/- 5% >|
HEWLETT PACKARD
Mrre2-11
CAT Test: Test Pattern
2 To determine whether the defibrillator CRT meets specifications, observe the test pat-
tem to ensure!
+ accurate rendition of all Hines
+ no random Fines or dots in the display
NOTE
Ifany of the following steps require adjustment, see
“Adjusting the CRT” on page 5-27 for adjustment information. Performance Verification and Maitonance
Porformanes Verification
3. Check thatthe height and width ofthe display is within the limits shown in
Figure 3-5.
4 Check that all lines and characters ae in focus.
5 Check that the display is centered on the CRT face, vertically and horizontally. Check
that the display is aligned horizontally and vertically
6 Check that the intensity ofthe displayed image is acceptable.
Auxiliary Function Tests—Recorder Test
The recorder test checks recorder parameters and prints a test pattern to check the
printhead and paper drive mechanism,
Test Prerequisites
Recorder paper, and a ruler that measures in millimeters.
Testing the Recorder
Torun the recorder test, follow these steps
1 Check thatthe recorder contains pape.
2 Hightight [SHRERECORDER! on the mein setupignostc menu,
3. Press CPi?) or ClaxdSibct) The recorder starts printing a series of test patterns
44 When the printed strips about 3 fet long, press CFs) or CYB SHPA) 10 stop the
printing and return othe setup diagnostic mem Figure 5-6 shows the areas ofthe test
patter
“Inspect the recorder stip for Consistent print quality for al pate areas
+ Constant width for al pater areas
Saight diagonal Tnes
+ Visible separation between the else parallel ines
+ Clean black bars with no dropout in lack areas
+ Aceurate rendition of all characters
+ A distance of 25 mm 42 mm between the longest tick marks (5 mm between the interme-
diate tick marks) Figure 36
Peformance Voifieation and Maintenance
Performance Verification
IHSHHHeHHHeHHetHHatttetttett
acunaconeronecenetenetaneeede
acesecnsecasernerenetaneeed
Marre2-12
Recorder Test: Tost Pattorn
A. Test pattern for checking print speed
B. Major tick marks
. Test pattern printout of all characters and symbols.
Auxiliary Function Tests—Controls Test
This test checks the operation of the panel keys. Performance Verification and Maitonance
Porformanes Verification
To test the panel key operation, follow these steps
1. Sclect [RSIRJCONTROLS! in the sctup/diagnostic menu. The information shown in
Figure 3-7 is displayed.
Figure 37
(— CONTROLS TEST
PADDLE TYPE (Paddles, Pads, or
Internal Paddles)
ENERGY SELECT: MONITOR
PRESSED KEYS ARE HIGHLIGH
PAD. CHARGE
CHARGE RECORD LEAD SELECT
sync MARK LECG SIZE +
HR ALARM
1 REVIEW 1
PACER SP02 ON/OF
PACER ON SPO2 ALARM
CRATE +
START/STOP MODE
\ OUTPUT +
a ‘TURN OFF TO EXIT DIAGNOSTIC
Controls Tost
lore The pacer information is displayed only ifthe pacer option is installed
2. Chock thatthe entry for PADDLE TYPE matches the type that is attached
(paddles, pads, or internal paddles)
Ifyou disconnect the paddles cable, the entry changes to NONE.
3. Tum the Energy Select control to cach energy level position, checking that the entry for
Energy Select on the display matches the current contol position,
4 Under PRESSED KEYS ARE HL "ED, press each key listed. Simulta-
neously, check that the key name in the display is highlighted while the key is
3.20 Table 34
Peformance Voifieation and Maintenance
formance Veriieation
depressed. Highlighting indicates that the defibrillator has detected the key press. See
‘Table 3-4 fora list of keys and the response you should see on the monitor display.
Controls Test Stops
ey Koy Press
Paddles Charge Pres the Charge button onthe side of the
right external pail,
Cirae) Press the pant hag) ty.
Cyne.) Press the panel (Syne) key.
‘CRecord ) Press the panel ( Record) key.
Cita) Prat th panel (Mar) hey
ClendSnect) Prost panel (le Set) fy
ECG Sten) Pros th pane (W E08 Se) Key
Prose th pan (EUS Si)
Gitiem) Prost pret Glo ty
(Coreinn =) Prost Ce Bvow)
Press the panel (Revow © ) kay
XL+ only, with pacer option installed:
(art) Prost Pas)
Graton) Prost panel (ate) to
Pri pnt Fat) ep
Oe er
(Cita) Prt pl A) tp
Prt pn C Oat) by
(Hse) pnt Node)
W570 tin stale
Gab Ont) Petpet S050 ty
(Sot Alam) Prose the panel CSp0; Alarm) ky
Auxiliary Function Tests—Indicator Test
Response on Display
PADDLES,PADS, o INTER-
NAL PADDLES is highlighted,
(CHARGE is fhe
‘SYNC is fhe.
RECORD is hight
MAR is hgh
LEAD SELECT ishighabe
The A aon iid
Th yew i iahlighted
IR ALARMis highightod.
The bit is highigted
The right is highlighted,
PACER ONis ighightod
The arrow i ighightd.
The is hight.
START/STOP is Nghlghtd
Thea row sights
They atrow is higNghted.
‘MODE fs highlighted.
SPO2 ON/OFF ishighighte,
'SPO2 ALARNs Nhlghted.
The indicator test exercises each LED and audio tone controlled by the defibrillator,
Testing the Indicators
3.21 Figure 3
Performance Verification and Maitonance
Porformanes Verification
To test the defibrillator indicators, follow these steps:
1. Sclect [RSIRUENGYEATORS) on the setup/diagnostic menu; the defibrillator
displays the information in Figure 3-8,
(— INDICATOR TEST
RECORDER STATUS OKAY
SELECT INDICATOR TO TEST:
LIGHTS
CRT MESSAGE ALERT
HEART RATE ALARM
CHARGE DONE TONE
AUTO DISARM WARNING
SHUTDOWN WARNING
a ‘TURN OFF TO EXIT DIAGNOSTIC
Indicators Test
2 Check that the entry for RECORDER STATUS is OKAY. (Ifthe recorder is out of paper,
the entry is CHECK.)
3 ‘Theitems under SELECT INDICATOR TO TEST are tests forthe lights and audible
tones. Use the (¥ 8 Sina) and Clot Set) keys to select and start atest. To stop
one of these tess, press load Sale) again. Each testis described, next
LiGins Sequentally lights the C5ine), the key panel
(CGHARGEDONE), the pacer (Fxer0a), and the
paddle (BiARGEDONE) indicators for about one
second, each. If the unit has PCI indicators,
they are lt while the [EEGHES) tests running
Generates the CRT Alert tone: three short
tones; after a pause, the tones repeat.
Generates a continuous tone.
CRT MESSAGE ALERT
BEART RATE ALARM
3.22 Peformance Voifieation and Maintenance
formance Veriieation
TS Generates a continuous tone; this tone is lower
in frequency than the Heart Rate Alarm tone.
AUHOUSESARMIWARNENG] Generates an intermittent tone that is the same
frequency as the Charge Done tone.
Sina 0) yaks ‘Outputs a tone that alternates continuously
between the Charge Done tone and the HR
‘Alarm tone frequencies.
Pacer Test (Option installed)
Testing the pacer does not check the energy level that pacing delivers; testing verifies that
the current delivered is equivalent to the levels indicated on the defibrillator screen,
To verify pacer operation, use a commercially available pacer tester, See Table 3-5 for
equipment information, Follow the instruetions provided with the pacer tester to perform
the test
Test Prerequisites
‘A test load (IIP M1781A) is required.
Testing the Pacer
Follow these steps to perform the pace test:
1. White pressing the CS) and Ga) Keys, tum the Energy Select contro fom the
Off (Standby) postion to Monitor On, The seupidiagnostic menu appears after a
2. Select (FBBBUPAGER) on the setup/diagnostic menu,
4 Press lend Sekt) to sees th Pacer es The monitor displays the information shown
in Figure 39 Figure 39
Performance Verification and Maitonance
Porformanes Verification
PACER DIAGNOSTIC
PACER STATUS (OFF, STOPPED, or
PACING)
SELECTED RATE xx (in ppm)
DELIVERED mAMPS xx (in ma)
TURN OFF TO EXIT DIAGNOSTIC
Test
PACER STATUS — Shows whether the pacer function is turned off, is turned on
but is not pacing (S70PPED), or is pacing (PACING). The
(rae) key turns the pacing function on and off; pacing
can be turned on and also be stopped. (PACER STATUS may,
also show NO PADS or PADS OFF momentarily after START
is pressed.)
SSLBCTED RATE Indicates the current output rate, in pulses per minute, as
selected by the pacer Rai) key.
DELIVERED _ Indicates the output level ofthe delivered pulses as measured
AMPS by the defibrillator in mA.
4 Connect the test load (HP M1781)
5 Press (FarerOn) once, to tum on the pacer function. The indicator in the key should turn
on; PACER STATUS should say STOPPED.
6 Press (¥ Ouiput) to increment the pulse output to the desired level. The current level is
displayed on the screen
7 Press (StartiStep ) to start pacing. PACER STATUS should say PACING.
3.24 Peformance Voifieation and Maintenance
formance Veriieation
8 Check that the DELIVERED mAMPS on the display is within these
specifications:
Output level DELIVERED mAMPS|
‘50 mk Sma
> 80m 2K
Parameter Function Tests—SpO, Test
Testing of the Sp, option includes an internal selftest and a functional test
‘pO, Internal Self-Test
Every time the SpO, monitoring is tumed on, the instrument runs a self-test on the SpO,
PCA’
1. Tum the defibrillator on by turning the Energy Select switch to Monitor On,
2. Press the SpO, On/OfT button to turn SpO2 monitoring on.
3 Verify that no error messages appear on the display.
4 Press the SpO) On/OfT button to turn SpOz monitoring off
pO, Functional Test
1 Attach an SpO; sensor to a normal, healthy person. Refer to the sensor
packaging for directions on how to attach the sensor.
2 Plug the sensor into the defibrillator. Ifyou are not using a Hewlett-Packard
sensor, you must use the M1900B adaptor cable,
3 Tum the Energy Select switch to Monitor On
4 Press the SpO, OwOfT button
5 After 15 seconds, verify thatthe display shows an SpO» reading and pulse rate
6 Verify that the Pulse Amplitude Indicator moves up and down,
7. Verify that the SpO> reading is between 95% and 100%, Ifthe SpO, reading is much
bbelow 95% and the person is healthy, the reading indicates a monitor or sensor error.
8 Press the SpO, On/OfM button to turn SpO monitoring off,
3.25 Performance Verification and Maitonance
Porformanes Verification
Parameter Function Tests—HR Alarm Test
To test the HR Alarm an ECG simulators needed
1 Runa normal ECG at 60 Hz
2. Press CHAIN, verity slam sting in upper right comer of he display
3. Change the ECG simulator fo get beyond both the upper and lower HR Alarm mits
4 After a few seconds (approximately six seconds) the recorder will print a report and the
alarm will sound.
Parameter Function Tests—ECG Simulation
Taking an ECG using a 12-Iead ECG simulator lets you verify areas of operation that the
setup/diagnostie menu tests cannot test
+ the integrity of the leadwires
+ the accuracy of the gain settings
To simulate an ECG, use a commercially available ECG simulator. Follow the testing
instructions provided withthe simulator.
Parameter Function Tests—Syne Cardioversion Test with External
Monitor
The syne cardioversion test should be performed only ifthe defibrillator will be used with
an external monitor as the synchronizing source. The test verifies thatthe delay introduced
by the extemal monitor is <60 ms of the R-wave detected,
Using an external monitor as the synchronizing source adds some amount of delay
between the patient R-wave and defibrillator discharge. This test verifies that the total
delay is within acceptable limits (<60ms).
To test syne cardioversion with an external monitor, follow this procedure:
1. Use a defibrillator test box capable of measuring synchronized cardioversion delay
time.
2 Connect a patient cable between the defibrillator test box and the extemal
monitor. See Figure 3-10.
3.26 Peformance Voifieation and Maintenance
Figure 3-10
formance Veriieation
ECG input | External Monitor
Patient Cable
ddd
Datibrilator Test Box
Defibrillator’
Monitor
A
/ /
Paddles Paddles /
Connector ECG Input
Connector
“ Syne Cable
\
Monitor Defibrillator
Sync Out
Adaptors,
mi7e0s1
Syne Cardiover
ion Test Setup
3 Connect the syne interface cable between the external monitor's DEFIB/SYNC
and the defibrillator EC
In connector
Setup the external monitor to monitor LEAD IL
On the defibrillator, select LEAD II as the ECG source.
ut the defibrillator test box into cardioversion test mode.
should have synchronization markers highlighting the EC
necessary.
the apex paddle, Wait for the Charge Done indicators on the
Press C56) on the defibrillator to put the instrument in syne mode. The ECG signal
trace. Adjust ECG SIZE, if
Tum the Energy Select control on the defibrillator to 50 joules.
Place the paddles on the defibrillator test box paddle pads; press the charge button on
defibrillator.
10 Press and hold both shock buttons on the paddles until the defibrillator discharges.
3.27 Pesformanc Vtifiation and Maitonance
Preventive Maintenance
Safety Tests
The safety tests listed below are performed a the time of manufacture to assure
compliance with these standards: IEC 601-1, IEC 601-2-4, UL $44, and CSA 22.2 No.
601.1
+ Chassis-to-ground resistance within an expected range of < 0.1 ohm
+ Ground wire leakage current within an expected range of < $00 uA,
+ Enclosure leakage current within an expected range of < 100 uA,
+ Patient lead leakage current (source leakage) to ground within an expected
range of < 10 uA.
+ Leakage current between patient leads within an expected range of < 10 uA
+ Patient lead leakage current sink current) with line voltage applied within an expected
range of < 20uA.
These tests should be part of your preventive maintenance program, and should be
performed after any corrective maintenance to assure continued compliance with the
named standards,
‘To perform these tests, use commercially available safety testers or analyzers designed
specifically for this purpose. Follow the manufacturers operating instructions for hookup
and test procedures,
Preventive Maintenance
Preventive maintenance for the defibrillator is a superset of performance verification and
consists of the battery capacity test, printing the system error log, cleaning and inspection,
followed by routine maintenance andior troubleshooting.
CAUTION
The defibrillator does not require any kind of lubrication. Lubricating any part of the
defibrillator could damage it or diminish its performance.
Battery Capacity Test
The battery capacity test measures the current battery capacity, The battery capacity test
should be performed after any of the following:
+ Afler installing a new battery.
3.28 Peformance Voifieation and Maintenance
Preventive Maintenance
+ After six months of service (more often if defibrillator use frequently depletes the battery
‘without allowing time for full charge cycles).
+ After the defibrillator has been stored for an extended period or each time the unit is
‘opened.
The total time required to perform the battery capacity test is about 30 hours, The first
part of the battery capacity test involyes charging the battery for eight hours to ensure
sufficient charge. Once started, the battery capacity test runs for about 3.5 hours. Because
the battery capacity test discharges the battery, allow an additional 18 hours after the test
harge the battery to full capacity.
Testing the Battery Capacity
Follow these steps to perform the battery capacity test:
1. Charge the battery by plugging the instrument into AC power for eight hours. When
you start charging the battery, verify thatthe CACPOWER ) and BATT CHRS) lights are
2. Verify that there is recorder paper in the recorder.
3 While pressing the CSc) and (IRA) Keys, ru the Energy Select control fom the
Off (Standby) poston to the Monitor On poston. The setpldiagnostie mena
appeat afer @ moment
and C
44 Unplug the instrument ffom AC power (the CAEPOWE) and (BATT HE) lights go
om
5 Press HRSA) to hight [SSATTRE
6 Press lade) to start the Batery Capacity Test The monitor display the informa
thon shown in igure 311
3.29 Figure 3-11
Pesformanc Vtifiation and Maitonance
Preventive Maintenance
TERY TEST
START VOLTAGE xx.xxx (volts)
VOLTAGE NOW xx.29% (volts)
ELAPSED TIME xx (minutes)
LOW BATTERY TIME xx (minutes)
TURN OFF TO EXIT DIAGNOSTIC
Battery Capacity Test
START VOLTAG! The battery voltage when the test started.
VOLTAGE NOW: The battery voltage at the present time.
ELAPSED TIME The elapsed time since the test started. The time
includes the LOW BATTERY TIME.
LOW BATTERY TIME: The length of time that the battery has been below the
low battery warning level.
7 When the battery voltages reaches a low level, the Shutdown Warning tone sounds and
the recorder prints out the final values of the displayed results just prior to tuming off
the instrument,
8 Replace the battery ifthe recorded value for ELAPSED TMB is less than 150 minutes
(25 hours) or the value for elapsed LOW BATTERY TIME is less than 10 minutes.
9 Tum the Energy Select control to the Off (Standby) position
10 Fally recharge the battery by plugging the instrument into AC power for 18 hours. Ver
ify tht the CAE POWER.) and (BATT CHRG) Lights are on
1 The instrument is now ready to be retumed to service,
330 Peformance Voifieation and Maintenance
Preventive Maintenance
Printing the System (Error) Log
When an error occurs during normal operation, an error code associated with the error is
stored in memory in the error log, Selecting [BRENIEIEOS) in the sctup/diagnostic menu
prints the stored error log. To decipher an error code on the printout, refer tothe error lists,
in Chapter 4, Troubleshooting. Store the error log printout with the defibrillators
permanent maintenance record.
When the printout is complete, you can select another test from the setup/diagnostic menu,
Care and Cleaning
The defibrillator and its accessories are chemically resistant to common cleaning solutions
and non-caustic detergents. The following list includes some approved cleaning solutions.
+ 90% Isopropyl alcohol (except adapters and patient cable)
Soap and water
+ Chlorine Bleach (30m1/ water)
NOTE
CAUTION
Keep the outside of the instrument clean and free of dust and dirt. Clean the paddles
thoroughly to prevent build-up of dried electrolyte paste
Do not allow any fluids to penetrate the instrument ease. Avoid pouring fluid on the unit
while cleaning.
Do not use abrasive cleaners, or strong solvents such as acetone, or acetone-based
compounds,
Clean the display sereen carefully. Ibis especially sensitive to rough handling and is
subject to seratching,
Do not steam-sterilize the monitoring leads, submerge them for prolonged periods, or heat
them above 50°C, If metallic surfaces become oxidized, elean them with a very light
abrasive (toothpaste). Do not use highly abrasive cleaners, such as steel wool or silver
polish.
Do not steam- or gas-sterilize the external paddle set
For detailed information on cleaning and sterilizing the intemal paddles, see the
"Maintaining the Defibrillator” chapter in the CodeMaster XL+ Defibrillator/Monitor
User's Guide. Peformance Vtifiation and Maintenance
Equipment List
Equipment List
Table 3-5 lists specifications that must be met by the equipment used to verify
performance of the defibrillator. This equipment is commercially available.
Table 35 Equipment List
Equipmentifont Specifications
arated Loads ECG simulator 6 acuacy
(E05 simuatin et)
Carated Pads ECG simula asuaey
EC sidan et
[RAM pation tormination ‘47 oF npc with K ob tootsie with
EO simuatin et cached wi
Defibritor test bor
(Delivered nea vel test
Load sian: 50.0 21% [rnin
Measurement age
Maxirum ey 450 joes
Maxinum vag: 6000
Maxirum erent 2108
Measurement acuay
220 jules: -$£2% of eating amped sista wareter)
<20jaue: 204s (amped siti wantorm)
Carder measurament age: =150t0 +150
Pacr test
Loa impedance toa
Curent measueent accuracy
1Dimt-80 mA
