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VistaXL Service Manual

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© © All Rights Reserved
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Available Formats
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0% found this document useful (0 votes)
200 views150 pages

VistaXL Service Manual

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 150

Infinity Vista XL Patient Monitors

Service Manual
Service Manual VistaXL Patient Monitors

8 Draeger Medical Systems, Inc. ASK-T898


vista.ftcvr.fm/08-04/Sulak
Infinity Vista XL Patient Monitor Service Manual

ADVISORY

Dräger Medical is liable for the safety of its equipment only if maintenance, repair, and modifications are
performed by authorized personnel, and if components affecting the equipment's safety are replaced with
Dräger Medical spare parts.

Any modification or repair not done by Dräger Medical personnel must be documented. Such documenta-
tion must:
• be signed and dated
• contain the name of the company performing the work
• describe the changes made
• describe any equipment performance changes.

It is the responsibility of the user to contact Dräger Medical to determine warranty status and/or liabilities if
other than an authorized Dräger Medical technician repairs or makes modifications to medical devices.

Not a Controlled Document Draeger Medical Systems, Inc.


vista.advisory.fm/08-04/Sulak
Service Manual Infinity Vista XL Patient Monitor

Draeger Medical Systems, Inc. Not a Controlled Document


vista.advisory.fm/08-04/Sulak
Table of Contents
Chapter 1: General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2.1 R50 Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2.2 Remote Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2.2.1 Passive Remote Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2.2.2 Keypad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2.3 PSL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2.4 Interface Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Service Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
4 Related Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
5 Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
6 Technical Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
7 Brief Operating Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
7.1 ViataXL Monitor Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
8 Peripheral Device Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
9 Passwords . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
9.1 Clinical Password . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
9.2 Service Password . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
10Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
10.1Main Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
10.2Service Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
10.3Install Monitoring Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
10.4Configuration Download Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
10.5Diagnostic Log Upload Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Chapter 2: Theory of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7


1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Figure 2-1 VistaXL Bus Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.1 Main Processor Bus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
1.2 Front End Bus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Chapter 2: Theory of Operation (Continued)
1.3 REMOTE COMM Bus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Figure 2-2 REMOTE COMM Bus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
1.4 Error Handling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

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Figure 2-3 VistaXL Block Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9


2 Main Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
2.1 Front Bezel Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2.2 Cooling System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2.3 Real Time Clock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2.4 Non-volatile Memory Battery Backup and Power Reset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2.5 MPC 860 Communication Channels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2.6 Device CPS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2.7 etCO2 cartridge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2.8 External Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2.9 Interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2.9.1 Local Fixed Keys Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2.9.2 Local Rotary Knob Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2.9.3 Fast Analog Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
2.9.4 HiFi Audible Alarm Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
2.9.5 LED/Status Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
2.9.6 QRS Sync Out Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
2.9.7 Local Alarm Out Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
2.9.8 Remote Alarm Out Interface for Nurse Call . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
2.10Recorder Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2.11Backlight Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2.12Serial EEPROMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Figure 2-4 Graphics Subsystem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
3 Graphics Subsystem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
3.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
3.2 Functional Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
3.3 Video Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Figure 2-5 DSP Subsystem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
4 DSP Subsystem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Figure 2-6 POD Communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
5 POD COM Subsystem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Chapter 2: Theory of Operation (Continued)
5.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Figure 2-7 Power Conversion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
5.2 Outputs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
5.3 Error Handling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
6 Power Conversion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

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6.1 Power Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16


6.1.1 Power Buss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
6.1.2 Control and Load Sequencing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
6.1.3 Power On / Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
6.1.4 Power Source Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
6.1.5 Battery charging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
6.1.6 Indicator LEDs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Table 2-1 Power and Charger LED Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
6.1.7 Power Mode Indication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Table 2-2 Power Mode Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
6.1.8 Piezo Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Table 2-3 Piezo Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
6.1.9 Fault Protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
6.1.10 External Pod and Cartridge Overload Protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
6.2 Electrical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
6.2.1 Power Supply Input . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
6.3 System Power Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
6.3.1 Maximum Power Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
6.3.2 Main Battery Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
6.3.3 External Battery Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
7 Front Bezel Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
7.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
7.2 Functional Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
7.3 LCD Backlight Invertor Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
7.4 Ambient Light Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
7.5 Local Rotary Knob/fixed Keys Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
7.6 Battery/power LED Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
8 MultiMed Front End . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
8.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
8.2 2.9.2 Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Figure 2-8 MultiMed Front End . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Chapter 2: Theory of Operation (Continued)
8.3 Functional Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
8.3.1 ECG/Resp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Table 2-4 Parameter Sampling Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Figure 2-9 Lead Forming Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Figure 2-10 Respiration Functional Block Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Not a Controlled Document Draeger Medical Systems, Inc. iii


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Figure 2-11 Temperature Functional Block Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24


8.3.2 Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Figure 2-12 SpO2 Functional Block Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
8.3.3 SpO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Figure 2-13 NBP Functional Block Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
9 NBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
9.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
9.2 Pneumatic Subassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
9.3 Transducers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
9.4 Pneumatic Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
9.5 Safety timer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
9.6 Logic gate array . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
9.7 Non-volatile memory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
9.8 Hose detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
9.9 Watchdog Timer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Figure 2-14 HemoMed Front End . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
10HemoMed Front End . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
10.1Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
10.2Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
10.3Cardiac Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Figure 2-15 etCO2 Sensing Process Functional Block Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
11etCO2 Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
11.1System Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
11.2System Memory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
11.3User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
12HEMO 2/4 POD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
12.1Functional Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
12.2Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Figure 2-16 HEMO 2/4 POD Functional Block Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Figure 2-17 IBP Functional Block Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
12.2.1 Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
12.2.2 Cardiac Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Chapter 2: Theory of Operation (Continued)
12.2.3 EEPROM Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
12.2.4 LCD and Push Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
12.2.5 Current Limiting the Voltage Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
13Remote Comm Subsystem Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

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13.1Connection Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
14Infinity Network CPS and IDS (w/ Power Supply) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
14.1Network Board Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Figure 2-18 Communications Functional Block Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
14.2EEPROMs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
14.3CPS Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
15Infinity Docking Station (IDS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Chapter 3: Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37


1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
2 Service Policy and Replaceable Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
2.1 Base Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
2.2 R50 Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
2.3 Modules, PODs, and Peripherals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
3 Safety Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
4 Replaceable Parts and Subassemblies That DO NOT Require Opening the Monitor . . . . . . . . . . . . . . . 38
4.1 Replacing Rotary Knob . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
4.2 Replacing Front Bezel Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
4.2.1 Removing Existing Label . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
4.2.2 Installing Language Label . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
4.2.3 Installing Metal Logo Label . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
4.2.4 Installing Monitor Model Label . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
4.3 Replacing Foot Pads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
4.4 Removing / Installing External Battery and Support Components . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
4.4.1 External Battery (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Figure 3-1 VistXL Rear View w/ Cover Removed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Figure 3-2 Rear Housing Components/Subassemblies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
4.4.2 External Battery Compartment Door . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
4.4.3 Replacing External Battery Ejection Spring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
4.5 Removing / Installing Main Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Figure 3-3 Battery Cable Ties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
4.6 Replacing Power Cable and Speaker Subassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Chapter 3: Repair (Continued)
4.7 NP Filters and Pump Subassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Figure 3-4 NP Subassembly in Rear Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
4.7.1 Replacing Manifold and Air Intake Filters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
4.7.2 Removing NP Subassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
4.7.3 Installing NP Subassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

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4.7.4 NBP Characterization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44


4.8 Replacing Monitor Handle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Figure 3-5 Removing Left and Right Side Panels (VistaXL left side panel shown in illustration) . . . 45
5 Opening Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
5.1 Removing/Installing Side-Panels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
5.1.1 Removing Ejection Shaft Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
5.1.2 Installing Ejection Shaft Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
5.1.3 Removing Right Side Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
5.1.4 Installing Right Side Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
5.1.5 Removing Left Side Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
5.1.6 Installing Left Side Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Figure 3-6 Bottom Release Tabs for Front Bezel Subassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
5.2 Separating Front Bezel Subassembly and Rear Housing Subassembly . . . . . . . . . . . . . . . . . . . . . . 47
Figure 3-7 Top Release Tabs for Front Bezel Subassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
6 Replacing Subassemblies in Rear Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
6.1 Removing/Installing Funnel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
6.2 Main Processor PCB Subassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
6.2.1 Removing Main Processor PCB Subassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
6.2.2 Installing Main Processor PCB Subassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
6.3 Replacing Rear Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Figure 3-8 Main Subassemblies of VistaXL Patient Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
7 Replacing Subassemblies in Front Bezel Subassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Figure 3-9 Front Bezel Subassembly Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Figure 3-10 Front Bezel Subassembly - Interior View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
7.1 Front Bezel PC Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
7.1.1 Removing Front Bezel PCB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Figure 3-11 Optical Encoder Subassembly. See Note in Figure 3-9 caption. . . . . . . . . . . . . . . . . . . . 52
7.1.2 Installing Front Bezel PC Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
7.2 Optical Encoder Subassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Figure 3-12 Display Screen Subassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
7.3 Backlight Lamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Chapter 3: Repair (Continued)
7.4 Front Bezel/Lens Subassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
7.5 Front Bezel Subassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
8 Closing Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Chapter 4: Functional Verification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57


1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

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2 Recommended Tools and Test Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57


Table 4-1 Recommended Tools and Test Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
3 Power Circuits and Start-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
3.1 Power ON/OFF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
3.2 Power-Up Sequence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
3.3 Monitor Powered From External Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
4 Rotary Knob . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
5 LCD Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
6 Fixed Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
6.1 ON/OFF Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
6.2 Main Screen Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
6.3 Alarm Silence Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
6.4 All Alarms Off Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
6.5 Record Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
6.6 NBP Start/Stop Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
6.7 Fast Access Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
6.8 Mark Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
7 ECG/RESP Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
7.1 ECG/RESP Test Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
7.2 Waveforms/Digital Readouts/Tones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
7.3 Pacer Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
7.4 Lead-Off Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
7.5 Alarm Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
7.6 Asystole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
8 SpO2 Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
8.1 SpO2 Test Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
8.2 Waveforms/Digital Readouts/Tones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Chapter 4: Functional Verification (Continued)
8.3 Pulse Tone Generator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
8.4 SpO2 Limits Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
9 Temperature Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
9.1 Temperature Test Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
9.2 Digital Readout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
10Non-Invasive Blood Pressure Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Figure 4-1 NBP Calibration Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
10.1Test Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
10.2Calibration Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

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10.3Hardware Overpressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
10.4Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
10.5Interval Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
10.6Safety Timer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
11etCO2 Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Figure 4-2 IBP Functional Verification Test Setup for HemoMed Pod . . . . . . . . . . . . . . . . . . . . . . . 67
12HemoMed Pod . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
12.1IBP Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
12.1.1 IBP Test setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
12.1.2 Channel A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
12.1.3 Channel B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
12.1.4 Channel C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
12.1.5 Channel D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
12.2Cardiac Output Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
13HEMO POD2/4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
13.1IBP Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
13.1.1 IBP Test setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
13.1.2 HEMO2/4 POD Channel A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Figure 4-3 IBP Functional Verification Test Setup for HEMO2/4 PODs . . . . . . . . . . . . . . . . . . . . . . 69
13.1.3 HEMO2/4 POD Channel B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
13.1.4 HEMO4 POD Channel C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
13.1.5 HEMO4 POD Channel D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
13.2Temperature Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
13.3Cardiac Output Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
14Memory Backup Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
15CPS/IDS Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
16DirectNet Mode (requires ŠVC2-level installed software) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Chapter 4: Functional Verification (Continued)
17Leakage Current Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Figure 4-4 Leakage Current Test Setups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Table 4-2 Leakage Current Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
18Battery Charger Circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
19Recorder Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

Chapter 5: Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75


1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
2 Recommended Tools and Test Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

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Table 5-1 Recommended Tools and Test Equipment 75


3 Power Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
3.1 Monitor won’t power ON when connected to external power source . . . . . . . . . . . . . . . . . . . . . . . 76
Figure 5-1 Connector I/O PCB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
3.2 Using main battery as power source, monitor won’t power ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
3.3 With external battery installed, monitor fails to function on battery power for prescribed time. . . . 78
3.4 ON/OFF control problem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
3.5 Internal or external (auxiliary) battery doesn’t charge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
3.6 Power-Up Sequence Fails to Complete Properly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Table 5-2 Power-up Process Malfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
4 Monitor Resets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
5 Power On/Off Piezo Tone Fails to Sound. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
6 Rotary Knob Malfunction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
7 Fixed Key Fails to Function. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Table 5-3 Power-off Alarm Malfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Table 5-4 Rotary Knob Malfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Table 5-5 Fixed Key Malfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
8 LCD Display Malfunction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
9 Isolating Cable Malfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Table 5-6 LCD Display Malfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
10Visible or Audible Alarm Reporting Failure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
11MultiMed POD - Parameter Signal Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Table 5-7 Alarm Malfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Table 5-8 Parameter Signal Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
12NBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
12.1NBP Error Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
12.2NBP Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Chapter 5: Troubleshooting (Continued)
Table 5-9 NBP Malfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
13etCO2 Malfunction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
14HEMO2/4 Pod / HemoMed Pod . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Table 5-10etCO2 Malfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
14.1Readings Missing or Inaccurate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
14.2IBP Malfunctions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Table 5-11IBP Malfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
15No Printout from Recorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Table 5-12Recorder Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89

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16Patient-Related Data Not Retained or Monitor Fails to Compute Trends . . . . . . . . . . . . . . . . . . . . . . . . 90


17Software Loading Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
18Difficulty acquiring export protocol data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
19Total or partial loss of network communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90

Appendix A: Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93


Figure A-1 Major Subassemblies, w/ Funnel and Side Panels (Exploded View) 94
Figure A-2 Front Bezel Subassembly - Replaceable Parts/Subassemblies . . . . . . . . . . . . . . . . . . . . 95
Figure A-3 Rear Housing - Replaceable Parts/Subassemblies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Figure A-4 R50 Recorder - Replaceable Parts/Subassemblies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97

Appendix B: Connector / Cable Pinouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99


1 Docking Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Figure B-1 Monitor Docking Connector (Refer to Table B-1.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Figure B-2 CPS/IDS, Interface Plate Docking Connector (Refer to Table B-1.) . . . . . . . . . . . . . . . . . 99
Figure B-3 Docking Station Cable Connector (Refer to Table B-1.) . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Table B-1 Docking Connector Pinouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
2 Infinity Basic/Device CPS Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Figure B-4 Basic / Device CPS Connectors - Infinity Network (Refer to Table B-2.) . . . . . . . . . . . . 100
Table B-2 Basic / Device CPS Connector Pinouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
3 Infinity Docking Station Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Figure B-5 Infinity Docking Station Connectors(Refer to Table B-3.) . . . . . . . . . . . . . . . . . . . . . . . 101
Table B-3 Infinity Docking Station Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
4 Interface Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Figure B-6 )Interface Plate Connectors (Rear View (Refer to Table B-4.) . . . . . . . . . . . . . . . . . . . . 102
5 Recorder / Alarm Y Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Figure B-7 Recorder / Alarm Y Cable (Accessory (Refer to Table B-5.)) . . . . . . . . . . . . . . . . . . . . . 102
Appendix B: Connector / Cable Pinouts (Continued)
Table B-4 Recorder / Alarm Y Cable Connector Pinouts and Wire Color Code . . . . . . . . . . . . . . . 102
6 MultiMed Pods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
6.1 MultiMed Pod . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Figure B-8 MultiMed Pod (Refer to Table B-6.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Table B-5 MultiMed Pod Connector Pinouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
6.2 MultiMed 12 Pod . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Figure B-9 MultiMed 12 Pod (Refer to Table B-7.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Table B-6 MultiMed 12 Pod Connector Pinouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
7 MultiMed Pod Cable Connector on VistaXL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

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Figure B-10 MultiMed Pod Cable Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104


Table B-7 MultiMed Pod Cable Connector Pinouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
8 HemoMed Pod Cable Connector on VistaXL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
Figure B-11 HemoMed Pod Cable Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
Table B-8 HemoMed Pod Cable Connector Pinouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
9 VistaXL Analog Output Connector, X10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Figure B-12 Analog Output Connector (refer to Table B-8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Table B-9 Analog Output Connector, X10, Pinouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
10VistaXL Network Connector (Requires ŠVC2 software) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Figure B-13 Network Connector (Refer to Table B-11.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Table B-10Network Connector Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
11VistaXL RS-232, Keypad Input, Alarm Out Connector, X8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Figure B-14 RS-232, Keypad Input, Alarm Out Connector (see Table B-12) . . . . . . . . . . . . . . . . . . . 106
Table B-11RS-232, Keypad Input, Alarm Out Connector Pinouts . . . . . . . . . . . . . . . . . . . . . . . . . 106
12Remote Alarm Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Figure B-15 Remote Alarm Cable - Unterminated (Refer toTable B-13) . . . . . . . . . . . . . . . . . . . . . . 106
Table B-12Remote Alarm Cable Connector Pinouts and Wire Color Code . . . . . . . . . . . . . . . . . . 106
13Analog Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Figure B-16 Analog Cable (Unterminated - Refer to Table B-14.) . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Table B-13Analog Cable Color Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
14PSL Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Figure B-17 PSL Connector (Refer to Table B-15.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Table B-14PSL Connector Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
15Cardiac Output Intermediate Cable Wiring Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Figure B-18 Cardiac Output Intermediate Cable Wiring Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
16Input Connector on etCO2 Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Appendix B: Connector / Cable Pinouts (Continued)
Figure B-19 Input Connector on etCO2 Module (Refer to Table B-16.) . . . . . . . . . . . . . . . . . . . . . . 109
Table B-15etCO2 Module Input Connector Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
17SHEMO Pod . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Figure B-20 HEMO Pod Connectors (Refer to Table B-18.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Figure B-21 Press Adapter Input (Refer to Table B-19.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Table B-16HEMO Pod Connector Signals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Table B-17PRESS Input Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111

Appendix C: Diagnostic/Error Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113


1 Overview of Diagnostic Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

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Table C-1 Diagnostic Log Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

Appendix D: Functional Verification Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .135

Clinical Site Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .138

Appendix E: Service Setup Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139


1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
2 Initial Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
2.1 Acccessing Service Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
3 Configuration Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
4 Configuring Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142

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Chapter 1: General Information
1 Introduction This Manual is intended to serve as a source of technical information for
qualified personnel to use in servicing VistaXL Monitors and associated
peripheral devices. In light of the state-of-the-art technology used in the
manufacture of Dräger equipment, proprietary nature of the software, and
specialized equipment required for replacement of most individual parts,
Dräger policy (see Section 3) is for VistaXL monitors, and peripheral
modules specifically related to the VistaXL to be serviced only to the field-
replaceable subassembly level. Replacement of components other than
those listed in “Appendix A: Replacement Parts”, should be performed
only at Dräger service depots.

2 Overview VistaXL patient monitors have been designed to function as a portable or a


stationary monitor with equal ease. Each has an internal main battery, as
well as provision for an additional external (auxiliary) battery for extended
operation as a portable monitor. For stationary operation near a bedside,
the monitor is placed on a specially designed docking station attached to a
shelf, wall, or IV pole that securely locks it into place. While on the docking
station, the monitor is powered by an external power supply that also
charges the monitor's main battery and external battery (if installed). In
addition, the docking station provides audio, video and data signal
connection to the local network as well as a variety of locally installed
peripheral devices such as a remote display/controller, recorder, MIB
converter, and Surgical Display Controller or SDC (sometimes referred to
as the Independent Surgeon Display or ISD). NBP is included as an integral
function. For airway and sidestream CO2 monitoring, an etCO2 cartridge
can be installed on a slide mount on the back of the VistaXL. Employing the
"Pick-and-Go" concept, the monitor is simply picked up off of the docking
station to return it to portable operation, with no interruption in patient
monitoring.
2.1 R50 Recorder An R50 Recorder connects to the VistaXL via a CPS or IDS. The recorder
may be either a network or local recorder, depending on configuration of a
CPS. If plugged directly into an IDS, the recorder functions as only a local
recorder for any monitor mounted on the IDS. For standalone portable
operation, an interface plate can be used to provide recorder connection.
The R50 Recorder prints on 50mm wide paper, and has three control keys
-- Start Cont., Alternate Speed, and Stop.
2.2 Remote Display
2.2.1 Passive Remote Display The passive remote display unit connects to a CPS or IDS via an AV cable,
and with the hand-held keypad, replaces the SC 9015 Remote Display/
Control unit (see Sections 2.2.2 and 2.5.3). It is powered separately from
the CPS/IDS by its own line cord, and includes the following hardware:
• 15” color VGA 640 x 480 screen or SVGA 800 X 600 screen (driven by
graphics hardware in the Monitor)
• power LED
2.2.2 Keypad The hand-held keypad provides for control of the monitor via the Passive
Remote display and manual entry of calculation data from the bedside.
2.3 PSL The PSL power supply plugs directly into the PSL connector on the back of
the VistaXL, and is used for operating the monitor in a stand-alone
configuration. The PSL provides the following:

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• powers the VistaXL from an AC power source


• provides power to charge both main and external batteries
2.4 Interface Plate The Interface Plate provides connectivity to an R50 Recorder, remote alarm
out, SC 9015 Remote Display/Control (or Passive Remote Display) when
the monitor is in a standalone configuration powered by a PSL.

3 Service Policy The design of the VistaXL facilitates repair to the replaceable subassembly
(e.g., PCB, module) or selected component (e.g., rotary knob, battery) level
in the field. PC Boards are NOT field repairable. The repair philosophy for
any unit is to replace specified subassemblies. A listing of replaceable
items is given in “Chapter 3: Repair” and “Appendix A: Replacement
Parts”.

4 Related • User Guide for the installed software version


Documentation • Hardware and Software Installation instructions
• Service Setup Instructions

5 Cleaning Contact with chlorine bleach, Cidex, or body fluids does not damage or
cause discoloration of any component case of an VistaXL installation. Clean
Base Unit, pods, cartridges, and cables using a 95% solution of isopropyl
alcohol. If contaminants enter the chimney (slot in middle of unit), flush
chimney with one cup of water not under pressure.
Note: Bac solution mars the finish of the monitor case.

6 Technical Data A complete set of technical data is given in the Operating Instructions (User
Guide) for the installed software version.

7 Brief Operating This section provides a brief overview of VistaXL monitor controls to assist
technical personnel in servicing and testing procedures. For detailed operating
Instructions instructions and additional information, consult the monitor’s User Guide and
supplements for the installed software version.
7.1 VistaXL Monitor Control of all VistaXL functions is via fixed keys that have tactile feedback,
Controls and a rotary knob for selecting from on-screen menus. Turning the rotary
knob locates different menu items, and pressing the knob in selects the
item. Depending on the item selected, pressing the knob in may either bring
up another menu or initiate an action. “Ghosted” items cannot be selected.
The Remote Keypad has an identical set of keys and a display knob, that
mimic the action of those on the VistaXL Base Unit. Except for the ON/OFF
key, the monitors can be operated from either the base unit or the Remote
Keypad.

8 Peripheral Device Individual cartridges, pods, and peripheral devices (such as the recorder)
also have fixed keys that control specific aspects of their operation. Refer
Controls
to the monitor’s User Guide for specific key functions.

9 Passwords VistaXL systems have two kinds of basic password protection -- clinical
password, and service password. Clinical and service passwords are
entered via selections on a keypad that appears whenever a password-
protected function is selected. To enter a password, turn the rotary knob
to highlight a number and then press in on the knob to enter the number.
When all numbers of the password have been entered, turn the knob to
highlight “Accept,” and press in on the knob.

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9.1 Clinical Password The clinical password is available to authorized supervisory personnel at
the clinical site as well as to service personnel.
9.2 Service Password The service password is available to only authorized service personnel.

10 Menus
10.1 Main Menu The Main Menu uses a three column layout for menu navigation: Level 1 =
main selection list, Level 2 = workspace A, and Level 3 = workspace B.
Selecting any function category on Level 1 of the Main Menu brings up a
list of selectable related functions and menus in Level 2. Selecting a
function in Level 2 produces a similar result in Level 3.
Press MENU fixed-key to display MAIN screen with overlay of Main Menu.
10.2 Service Menu The Service Menu is accessed via the Monitor Options selection under the
Monitor Setup function on the Main Menu. To access the Service menu
and related functions, do the following:
1. Select Monitor Setup on Level 1, then select Biomed on Level 2, and
then select Service on Level 3.
2. Input the service password (4712).
Note: In general, the Service Menu provides access to the following
(may vary with software version):
• Language selection
• Regulation
• Alarm Sounds
• Network control
• Network Configuration (requires installed SW version ≥VC2)
• Transport Brightness
• Line frequency setting
• Restore factory defaults
• Copy setups to card
• Copy setups to monitor
• Install Software
• Locked Options
• Waveform Simulator
10.3 Install Monitoring Software and languages for VistaXL Monitors are installed from a memory
Software card via the monitor’s memory card reader. If the software loading process
fails to complete properly, and/or the monitor sounds a steady tone (other
than the Piezo), repeat the procedure. If the process fails a second time,
either the card or the Monitor is defective. Troubleshoot and repair or
replace as necessary.
1) With Monitor switched off, insert and firmly seat PCMCIA card into
memory card slot. Do NOT remove PCMCIA card until instructed to do
so.
Note: The card can be seated in only one orientation because of
keyed channels on the end of the card. If the card can not be easily
seated, remove card, turn card over, reinsert, and firmly seat. Do NOT
attempt to forceably seat the card.
2) Power Monitor ON to initiate download process.

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Note: During the download process, the pick and go icon (running
man) and the Dräger logo appear on the screen. The icon initially
displays as green and changes to white. The logo toggles between
green and white, and finally displays as green on a white background.
The newly installed software version appears under the logo.
3) After a single alert tone sounds and a message regarding patient data
loss appears, select “Continue” and then select YES for new patient.
4) Access Bedside Setup, and verify that settings of Language,
Regulation, Alarm Sounds, Transport Brightness, and Line Frequency
are appropriate for customer site. Also, assure that Waveform
Simulator is set to OFF.
5) Remove PCMCIA card.
6)• If SW version <VC2, or ≥VC2 and monitor to be mounted on a docking
station or IDS, set Monitor on active docking station and then set
Network Mode for CPS/IDS. Select “Save ALL” and then go to step 7.
Note: Monitor power-cycles automatically when “Save ALL” is
selected, if Network Mode is changed.
• If SW version ≥VC2, and monitor to be directly connected to INFINITY
NETWORK, refer to procedure in Software Installation Instructions or
Service Setup Instructions to set Network Mode for DirectNet and
configure monitor. Then go to step 9.
7) Affix new software version label (supplied) over existing software
version label near top of memory card slot on right side panel.
8) Verify that monitor returns to MAIN screen, after timeout.
9) Recycle PCMCIA card when it is of no further use.
10.4 Configuration The configuration download procedure (-- not to be confused with monitor
Download Procedure configuration procedure required for DirectNet functioning; see “Appendix
E: Service Setup Instructions”) is applicable only to monitors set for use
with a docking station or IDS. In general, the procedure is to completely set
up one monitor, save the setup to the CPS or IDS, and then transfer the
setup to a Data Card. The configuration stored in the Data Card can then be
used to setup monitor configurations in other CPS/IDSs.
1) With no Data Card inserted and monitor on docking station, adjust
settings for monitor exactly as required by customer.
2) Review configuration with appropriate customer personnel before
proceeding.
3) Press Menu key, and select Save/Restore → Save Setup.
4) Enter clinical password, 375, and select Accept.
5) Highlight setup to be saved, and press rotary knob in to save selection
to CPS/IDS.
6) Only the Default configuration supports “Pick and Go.”
7) Wait for message “New Setup Saved.”
8) Repeat steps 1 through 7 for optional setups as required, and select
Rename Setup in Biomed menu to name each setup in accordance
with site requirements.
9) With MAIN screen displayed on monitor, insert and firmly seat Data

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Card into memory slot.


Note: The card can be fully inserted in only one orientation, because
of keyed channels on the end of the card, and can be damaged if
forced into the slot. Insert the card firmly, but do NOT attempt to
force the card. Be sure that Write Protect on the card is OFF.
10) Press Menu key, and select Monitor Setup → Biomed → Service.
11) Enter Service password, 4712, and select Accept.
12) Select More → “Copy Setups to Card.”
13) Select “Copy All.”
14) Wait for message “Memory Card Transfer Complete.” Then press
Main Screen key and remove Data Card from monitor.
15) Insert card into monitor connected to next CPS to be identically
configured.
16) Press Menu key, and select Monitor Setup → Biomed → Service
17) Enter Service password, 4712, and select Accept.
18) Select More → “Copy Setups to Monitor.”
Note: In actuality, this copies the setups to the CPS or IDS, which in
turn reconfigures the setup of the monitor when “Restore Setups”
function is invoked.
19) Select “Replace All.”
20) Wait for message “Memory Card Transfer Complete.” Then press
Main Screen key and remove Data Card from monitor.
21) Press Menu key, and select Save/Restore → Restore Setup.
22) Select “Default” → “Patient and Monitor Settings.”
23) Repeat steps 15 through 22 until all CPSs/IDSs to be identically
configured have been set up.
10.5 Diagnostic Log Upload The monitor is constantly checking its performance during monitoring. If
Procedure errors occur, they are logged in the unit and stored in non-volatile memory.
The logs are useful in diagnosing problems remotely at the factory. The
following procedure can upload the diagnostic logs from approximately 10
to 16 monitors to a Data Card, depending on the size of the individual logs.
Assure that Write/Protect switch on Data Card is set to Write position.
1) With MAIN screen displayed on monitor, insert and firmly seat Data
Card into memory slot.
2) Press Menu key, and select Monitor Setup → Biomed → Logs
3) Select “Copy All Logs.”
4) Remove Data Card from monitor, and repeat steps 1, 2 and 3 for next
monitor from which logs are to be uploaded.
5) After all required diagnostic logs have been uploaded to the Data Card,
send the Card (in its pre addressed return case when possible) to:
Draeger Medical Systems, Inc.
16 Electronics Avenue
Danvers, MA 01923 U.S.A.

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Att: VistaXL Project Manager


Note: The battery in the Data Card must be recharged for a period of
12 hours approximately every six months. Any VistaXL Monitor
powered by a CPS, IDS, or PSL can be used to recharge the Data
Card. Insert the card into the Monitor, and allow it to remain in the
monitor for 12 hours.

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Chapter 2: Theory of Operation
1 Introduction The VistaXL are high-end single-board patient monitors. The board provides
the following parameters; 6 lead ECG, Respiration, two Temperatures,
SpO2, NBP, an interface connector for an etCO2 cartridge, and two onboard
5 watt patient isolated ports for additional parameters. It has connectors for
flat panel display, simultaneous CRT, user interface, audio, batteries, NBP
pneumatic assembly, chart recorder, analog out, defib sync, memory card,
Uarts, and "Pick & Go" docking connector. The board contains the computer,
power supply and patient isolated front ends.
Computer Architecture Hardware architecture of the monitors is based on a dual processor design
using two Motorola MPC860s with onboard cache. The main processor is
responsible for graphics and communications, while the second processor
is dedicated to data acquisition and algorithm processing. A DSP
subsystem preprocesses the front end data.
There are three major bus structures within the system; MAIN processor
bus, FRONT END bus, and REMOTE COMM bus (see Figure 2-1). The
buses operate at different speeds and efficiency. The FRONT END bus and
REMOTE COMM bus have multiple bus masters and common memory to
allow exchange between I/O devices.
The REMOTE COMM bus is special in that it may be connected and
disconnected without causing a monitor fault. This patented connect and
disconnect function of the monitor is advertised as "Pick and Go". This
allows monitors to be moved to different locations within the hospital and
to connect to multiple REMOTE COMM links without interruption of
monitoring. The traditional central station alarm function of alarming when
the patient monitor is suddenly disconnected from the network is modified
in this system by ensuring that a disconnect is intentional. A redundant
signal is used to verify a true “pick-and-go” such that a single fault does not
prevent an alarm by imitating a “pick-and-go.”

MAIN BUS

32
40
48
Megabytes/sec Memory
Local Memory Graphics I/O
Expansion

Processor Bridge 32 40
48 Megabytes/sec FRONT END BUS
Remote Comm.
Transmitter

860
Common Memory DSP Pod I/O
50MHz Processor
SC 7000 /
SC 9000XL

IPS

Remote Comm
Receiver

3 16 REMOTE COMM BUS


Megabytes/sec

Common Network
Processor
Memory Adapter

Figure 2-1VistaXL Bus Structure

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1.1 Main Processor Bus The Main processor bus is a 32 bit data bus connecting the MPC860 to its
main bank of 16 Meg DRAM memory. The Program for the monitor is
stored in 8 Meg Flash memory and uploaded to DRAM during initialization.
The DRAM is optimized for multiple word transfers allowing efficient cache
fills. This bus has an optional daughter card connector allowing expansion
of the main memory space. The graphics controller is connected to this bus
to allow high bandwidth access to video memory. The bus has a max
bandwidth of 40 megbytes/sec.
This bus also has an I/O space implemented in an FPGA. These functions
include audio, chart recorder interface, keypad and rotary knob interface,
and EEPROM. The EEPROM contains serial #’s, calibration constants and
configurations. The I/O space also includes the Bridge to the FRONT END
bus and a port to the REMOTE COMM bus. The Bridge to the FRONT END
bus is unidirectional. This means that the Main processor may read and
write to the FRONT END bus, but the Front end processor can not access
the MAIN bus.
1.2 Front End Bus The Front End bus is a 32 bit data bus connecting the second MPC860 to
its main bank of 4 Meg DRAM memory. The program for this processor is
downloaded from the main processor during initialization. The DRAM is
optimized for multiple word transfers allowing efficient cache fills. Both
processors contain 512K of battery-backed SRAM for trend and other
patient data storage. Data is exchanged through the common memory.
This bus has multiple bus masters that include the following:
• Front End 860
• Main 860
• DSP DMA
• POD Comm DMA (a POD is a configured front end)
• DRAM Refresh

IDS (= Dk. Sta. + XCVR)

VistaXL
/ CPS

Figure 2-2 REMOTE COMM Bus


1.3 REMOTE COMM Bus The REMOTE COMM bus (Figure 2-2) is a bus extender used to extend the
main bus to a second chassis. The parallel address bus and data bus are
serialized using high speed FDDI transceivers, allowing virtual parallel
access to a remote parallel bus. The parallel bus is located in the CPS
communication power supply module or in the Infinity Docking Station
(IDS). This bus interfaces to a network controller and other local serial
buses including MIB, lGraphics, Gas Monitoring, and other peripherals. The
host is stalled until completion of all read operations, but is released after
a write is latched to be serialized.

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1.4 Error Handling The hardware provides several circuits for error detection, error recovery,
and safety. The main processor bus, front end processor bus, and REMOTE
COMM bus both have timeouts implemented with the arbiter to prevent a
lock up of the system. The REMOTE COMM bus also contains a CRC for
serial transmission to and from the CPS or IDS. If a bad CRC is detected an
interrupt is sent to the main 860. The main 860 and the Front End 860 are
both protected with watchdog timers. If a timer expires, the system initiates
a reset and restarts the monitor.
The power supply is also monitored with a piezo alarm that sounds during
power up (for test) and power down. This is to alert the user that the
monitor has turned off. The piezo alarm does not sound during a "Pick and
Go" since the monitor switched to battery operation without interruption.
The piezo is also sounded continuously if the monitor does not reset
properly after a watchdog timer has expired and the computer has halted.

Memory 860 860


MultiMed Pod
Card Main Processor Front End
Processor
ECG/Resp
CRT
Temp
RAM Memory
SpO 2
RAM Memory

HemoMed Pod
LCD Display Flash Memory

Press
A C.O.
Front Panel
VGA Graphics
Controls
B etCO2 Cartridge
POD
RAM Memory Com
Bridge C

Pod 1
Remote Comm
D

Front Panel
Pod 2
Audio
2181 DSP
Uart & Comm
Alarm Out I/O Interfaces HEMO2
Keypad HEMO4
Possible
RT Clock 12 Lead
Chart NBP PODs
Recorder tcpO 2
Recorder
EEG

Analog Out
I/O Interface
External Internal QRS Sync
Battery Battery

Figure 2-3 VistaXL Block Diagram

2 Main Unit Both monitors are designed to be lightweight and portable. The division of
the REMOTE COMM bus and internal buses are a direct mapping of what
is needed during transport and what can be left in the patient’s room. The
REMOTE COMM bus is connected and disconnected via a docking station
which has a locating feature for the monitor as well as a locking latch. The
main unit has been designed as a single board computer. In addition to the
main board there is a front bezel board to interface to a flat panel display,
and a connector board used as a cable harness in the rear chassis. The
main processor board contains three sections (see Figure 2-3): processor,
power conversion, and front end. Each section is shielded from the others.

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Processor Section The processor section contains all computer functions of the monitor. It
contains two MPC 860 processors, a VGA graphics controller, and a 2181
DSP. All of these devices communicate using one large FPGA (field
programmable gate array) that is downloaded at initialization. The FPGA
contains all custom circuitry used in the computer, including the processor
bridge, remote comm transmitter, pod com DMA, DSP interface, NBP
interface, and I/O interfaces for both processors. Configuration of the FPGA
may be updated with the Software through the memory card adapter.
Power Conversion Section The power conversion section operates on a DC input from +11 to +15
volts. It switches between the external supply, the external battery and the
internal battery for the proper power source, and generates all necessary
dc voltages for the unit. It charges and maintains the internal and external
battery. This section also contains the patient isolation for the two internal
front ends as well as two general pod com ports. It also has the power
control for the NBP pneumatics.
Front End Section The front end contains MultiMed and HemoMed circuitry. The MutiMed
front end provides the following parameters; 6-lead ECG, Respiration, Pulse
Oximetry, and Temperature. The NBP pressure transducer is also contained
in this front end. The front end is based on a single 16 bit oversampling
converter. Oversampling allows for a reduction in anti-aliasing analog circuitry
while maintaining superior noise rejection. The HemoMed front end provides
four invasive pressures and Thermal Dilution Cardiac Output.
2.1 Front Bezel Board The front bezel board is an interface board used to adapt a particular LCD
panel to the processor board. It also interfaces the front bezel rotary knob
and keypad to the processor. The front bezel board contains the backlight
inverter with a PWM input to allow for LCD brightness control in order to
save power.
2.2 Cooling System The cooling system for the main monitor is convection based and uses a
patented chimney approach. The chimney is comprised of a heatsink which
cools the electronics and a plate which cools the LCD backlight. The
chimney is in the middle of the monitor and therefore is vented on top and
bottom. These vents should remain unobstructed for proper operation. The
chimney is waterproof and accidental liquid entering the chimney is safe.
CARE should be taken to operate the monitor below 45° C and store the
monitor below 60° C, since damage to the LCD can occur at 70° C. If the
internal temperature of the circuit board exceeds 80° C the monitor shuts
down to prevent damage to the electronics. The monitor does not restart
until the temperature is below the shut off value.
2.3 Real Time Clock The Real Time Clock function is implemented with the EPSON-SEIKO
RTC4513 device, and is synchronized by the Central Station.
2.4 Non-volatile Memory The shared RAM and real time clock are provided with a lithium battery
Battery Backup and backup circuit to prevent corruption of this non-volatile memory during a
Power Reset power loss condition (both primary and battery power are lost). Note that
the battery used for non-volatile memory backup should not be confused
with the internal and external batteries that are used to provide power to
the monitor base unit when primary power is lost. Non-volatile memory
lithium battery backup is controlled by a power supervisory device that
provides a power reset during a power loss condition.
Note: No provisions have been made to recharge this non-volatile
memory backup battery. Eventually (≈10 years), the battery must be
replaced.

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2.5 MPC 860 MPC 860 has an embedded communications processor capable of
Communication executing several protocols such as UART or Ethernet. The 860
Channels communications channels are used as follows:
Main Processor SCC1 Ethernet 10 Mbits/sec (future option)
SCC2 SC 9015 UART selectable baud
SCC3 MVP-1 UART selectable baud
SCC4 MVP-2 UART selectable baud
SMC1 main diag UART 19.2 Kbaud
SPI a/d (power monitor)
Front End Processor SCC3 serial pod data
SCC4 serial pod data
SMC1 front end diag UART
An additional UART implemented in the FPGA contains a large FIFO and
interfaces to the chart recorder.
2.6 etCO2 cartridge The etCO2 cartridge is a hardware component attached to the back of the
VistaXL. The cartridge is a self contained computer capable of mainstream
and side stream measurements.
2.7 External Battery The external battery is a low cost lead acid battery and may be charged in
either the monitor or with an external charger. The external battery may be
hot-swapped to extend battery life during transport.
2.8 Interfaces
2.8.1 Local Fixed Keys Interface There are eight fixed function keys on the monitor base unit, and a fixed
key dedicated as a power on/off switch. The power on/off switch is unique
in that it is not directly available via a status read command. The on/off
switch is input to the power supply subsystem interface, where the switch
state is detected and processed. Detection of a power off condition causes
an interrupt to the host processor.
2.8.2 Local Rotary Knob Interface The rotary knob is a 16 detent rotary knob. Each detent position indicates
a "click" clockwise or counter-clockwise. The change in detent position is
detected via a 2 bit quadrature code that changes value every time the
rotary knob is moved into a detent position. Also included in the rotary knob
is a push button switch that is operated by a press/release action. This
switch is used to select menu items on the screen.
2.8.3 Fast Analog Output The ANALOG OUT interface consists of two identical channels. Each
ANALOG OUT channel provides a 12 bit D/A function. The design uses a
dual DAC to produce the D/A conversion. The sampled analog data is then
passed through a 2 pole low pass filter. The analog output has a maximum
delay of 20ms, and can be used for a defibrillator or balloon pump.
Separate Pacer Spike generation circuits for analog outputs 1 and 2 are
provided.
2.8.4 HiFi Audible Alarm Interface The Audible alarm interface consists of an FM synthesis and Audio DAC
chip set. There is also power amplifier drive circuitry for the two speaker
interfaces: the internal speaker located in the base unit and the speaker
located in the remote CRT. Circuitry has been included to provide a
mechanism for automatically generating an error tone when a watchdog
failure occurs via the piezo alarm (see section 6.1.8).
The chip is loaded with tone frequency, pitch, harmonics, and volume
information by the host processor, which controls the duration of the tone.

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The audio DAC converts the received sampled tone data and produces a
sampled analog representation of the tone data.
The local speaker interface (also designated as main speaker interface) is
designed for an 8 ohm speaker load. This local speaker interface produces
1 watt of power into an 8 ohm load, and has thermal shutdown capability.
The remote speaker interface is designed to produce a 1Vrms maximum
signal into a 1 kohm load, and provides an ac coupled output.
2.8.5 LED/Status Interface Five LEDs provide information in the present VistaXL configurations. Two
are dedicated to the front end processor, to the DSP, and two to the main
processor.
2.8.6 QRS Sync Out Interface A QRS sync output is provided. The QRS SYNC OUTPUT is an open
collector type output driver that is pulled up to +12 volts (active HIGH). The
output is initialized to Gnd on reset or power on.
This QRS signal is available via an external connector mounted on the main
PC board. High level = +6V min (10KΩ load), +12.6V (no load); Low level
(no QRS) = 1V @ 5ma.
2.8.7 Local Alarm Out Interface A Local Alarm output is provided. This Local Alarm Output is an open
collector type output driver that is pulled up to +12 volts. The output is
initialized to ground (0 volts) on reset or power on (active HIGH).
Loopback status is available via a status read command.
The Local Alarm Out signal is available via an external connector mounted
on the main PC board.
2.8.8 Remote Alarm Out The Remote Alarm Output Interface is located in the CPS/IDS subsystem.
Interface for Nurse Call This output is an open collector output with a +12V pullup resistor, fed from
the monitor. The Remote Alarm Output is silenced when a monitor is
undocked.

2.9 Recorder Interface The Recorder interface has been designed to connect to an external
recorder via the base unit docking station connector. The recorder interface
provides all of the necessary control, data and power supply signals
required to drive an external recorder. The interface consists of current
limited DC power and a UART with handshake signals. The UART is
implemented in the main processor FPGA to allow for an extended FIFO.
2.10 Backlight Control VistaXL displays require a fluorescent backlight for visibility. The backlight
invertor is located on the front bezel board. Intensity of the light is controlled
by a variable power ac inverter and is based on ambient light detection as
well as operator selection. A 10KHz 6 bit PWM is implemented in the main
processor FPGA, and a filter on the front bezel board converts this digital
signal to an analog voltage to control the backlight intensity.
2.11 Serial EEPROMS Four serial EEPROM devices, which contain the Monitor serial number,
Ethernet address, NBP pneumatic characterization and calibration
constants, and monitor setups, are located on the connector I/O board and
are part of the rear housing. If the main processor board is replaced the
monitor will keep its set ups from these serial EEPROMs.
Two EEPROMs can be written only at the factory, and contain the Monitor
serial number and Ethernet ID address. The other devices are writable by
the main processor and are changed during service menu setups. These
devices are used for the monitor as well as network setups, device

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compatibility, and software feature locks.

MAIN BUS

32

CRT Interface
VGA Controller
Video
LCD Interface
Crystal

32

DRAM Video
Buffer

Figure 2-4 Graphics Subsystem

3 Graphics Subsystem
3.1 Overview The Graphics Subsystem is based on a commercial VGA controller (see
Figure 2-4), and drives both a CRT and LCD display from a local memory
used to refresh the screen. It uses a special video crystal which enables it
to synchronize to most video standards. The graphics chip is capable of
running resolutions such as 800 x 600, when these displays are added to
the monitor. The standard resolution is set to 640 X 480.
3.2 Functional Description The VGA subsystem is designed to optimize the Bitblit operation, which
allows for quick updates of the screen. This is accomplished by writing
images to non-viewable areas of video memory before they are needed
and copying them to the screen on demand. The copy function is
performed by the VGA controller.
3.3 Video Output The Graphics Subsystem provides output to an internal flat panel display,
while simultaneously providing the same output for a remote analog
display. The remote display signals are available on the docking station
connector and can drive a standard VGA monitor. The CRT interface uses
three 8 bit DACs for its three color outputs. The front bezel interface is
digital and contains 6 bits for each color.

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2181 DSP

32
DSP 32 Kwords
Engine SRAM

32 Bus 16
Sizing IDMA I/O Serial Front End
Port Port Ports Processor

Front
Control Pod Com C & D
End
8 Pod Com A & B
Bus Main FPGA

DSP DMA
MUX
Memory Controller Main Processor

Address
(Download)

Figure 2-5 DSP Subsystem

4 DSP Subsystem The monitor uses a DSP for preprocessing of oversampled data (see Figure
2-5). The DSP is a specialized microprocessor that executes high speed
repetitive functions such as digital filters. The DSP acquires data from the
incoming serial pod com data streams. The data sent to the DSP is selected
by the control words in the pod com memory buffer. Typically only high
acquisition rate data is sent to the DSP.
The DSP has two other communication ports both of which can access the
internal 32Kword memory. The IDMA port is used to DMA data to and from
the common memory. Bus sizing logic converts the DSP 16 bit port to the
32 bit FRONT END bus. During initialization this path is used to download
code to the DSP. The main processor takes control of the DMA port during
this time. Once the system is operational the DSP takes control of the
DMA controller by using its I/O port. The I/O port is a dedicated 8 bit path
into the main FPGA, which allows the DSP access to the DSP DMA
controller as well as other internal FPGA registers, including analog out and
QRS sync.

5 POD COM A pod is a front end device that acquires data for a particular set of
parameters. A pod may contain a processor and return preprocessed data
Subsystem or it may provide raw A/D samples.
Refer to Figure 2-6.
5.1 Overview Data acquisition of the monitor is controlled by several DMA controllers

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+3.3V

Computer
Section
Docking Station
+5.0V

MultiMed
Power
PSL ±12V
+12VDC

+40V
V Buss
Enable
MUX +40V HemoMed
Switches Power
Auxiliary
Battery Battery
Battery
Charger

NBP Pump
Main
Pod Com
Battery
Backlight
NBP Valves
Cartridge

Recorder

On/Off Power Status Control


Conversion Main Processor
ASIC

Figure 2-6 Power Conversion

6 Power Conversion Refer to Figure 2-6.

6.1 Power Control


6.1.1 Power Buss Most monitor loads are powered from a DC power buss, called VBUSS,
within the monitor. VBUSS powers the +3.3VDC, +5.0VDC, ±12VDC,
+40VDC and charger power converters. VBUSS also powers the external
pods, cartridge, strip recorder and backlight. The NBP pump and valves as
well as the internal multimed and hemomed front ends are powered from
the regulated +12V supply.
6.1.2 Control and Load The switching of the VBUSS power inputs and the power converters is
Sequencing managed by the power supply gate array. This gate array controls the
power on and power off of the monitor, and the battery charging process.
It also provides a safety timer for the NBP pneumatics, which are controlled
by the main processor FPGA.
Logic circuits on the main gate array sequence the power to the Pods,
Cartridges, and Recorder to reduce power on load transients.
6.1.3 Power On / Off The monitor is normally switched on by the user pushing the On/Off button
for at least 1 second. (The monitor may switch on when the switch is
pushed for as short a time as 50 msec.)
The power down sequence may be initiated either by the user pushing the

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on/off switch for at least 1 second or when the batteries are depleted.
When the power down sequence is initiated, the power conversion board
control logic generates an interrupt for the processor. 100 ms later, the
power supply shuts down. An immediate shutdown is initiated if a power
fault occurs (such as overvoltage).
6.1.4 Power Source Control Power for the monitor is provided by the Docking Station / PSL, External
(Auxiliary) Battery, or Main (Internal) Battery.
The PSL and Docking Station inputs are wired in parallel and are therefore
treated as a single power source. This input is monitored by a voltage
comparator to determine that adequate voltage is present for Dock Power
operation. The main and external batteries also have voltage comparators
indicating that their voltage is high enough to provide power.
Based on the information provided by the comparators, a power source is
connected to VBUSS in the priority of docking station, external battery, and
then main battery.
6.1.5 Battery charging The battery charger is a two-level constant voltage charger with a fixed
current limit and temperature compensated voltage levels. When the
docking station power comes on, the main battery is fast charged at the
high voltage until the current drops below a specific threshold. Then the
charger switches to charge the auxiliary battery. When both have been
charged, the charger voltage drops to the lower “float” voltage and is time
multiplexed between the two batteries.
Since the presence of the auxiliary battery is established by the voltage
comparitor, a means for detecting that it has been unplugged during the
charging process is necessary. For this reason, the external battery voltage
comparitor is disabled during the battery’s ”float” charge interval. This
function is not needed during the fast charge interval since no current will
flow when the battery is disconnected and the fast charge mode will be
exited automatically.
The fast charge cycle for the main battery is initiated every time the
docking station power comes on. The auxiliary battery will fast charge
every time the main battery finishes the fast charge or when the main
battery is charged and the auxiliary battery is plugged in.
6.1.6 Indicator LEDs Two green LED indicators on the front bezel of the monitor indicate power
and charger status, as given in Table 2-1.

Table 2-1 Power and Charger LED Indicators


LED CONDITION LED STATE

Power Processor power on on


processor power off off
Charger Docking station power on on
Docking station power off off
*Battery or power fault off
* The charger LED is off if the main battery temperature is
excessive or if there is a power fault.

6.1.7 Power Mode Indication The source of power is indicated to the processor via the power mode bits,

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as given in Table 2-2.

Table 2-2 Power Mode Table


MODE1 MODE0 INDICATION

1 X operating on dock power


0 0 operating on auxiliary battery
0 1 operating on main battery

6.1.8 Piezo Alarm The piezo alarm activates at power up, power down, and if a software
watchdog is activated. At turn on, the software shuts the piezo off after
two seconds. The piezo functions are as indicated in Table 2-3.

Table 2-3 Piezo Alarm


Cause Duration

Turn on 2 seconds
Turn off >4 seconds, <10 seconds
Processor watchdog Continuos (until successful reboot)
+5V Undervoltage >4 seconds, <10 seconds
+3.3V Undervoltage >4 seconds, < 10 seconds

6.1.9 Fault Protection Reverse polarity protection for the batteries and the PSL input are provided
by shunt diodes and fuses on the connector board. There is also a fuse in
series with the internal battery harness. +5V, +3.3V, and +12V supplies are
provided with overvoltage protection.
The main battery has a temperature sensor that is used to disable charge
or discharge of the battery if the temperature is excessive. The auxiliary
battery has a thermostat (65 ±5°C) built in to prevent operation or charging
if an over temperature condition exists.
A temperature sensor in the power supply section of the main board will
shutdown the power system if the board temperature is excessive.
All power converters are fused to limit fault currents.
6.1.10 External Pod and Cartridge The external pods and cartridge current limit circuits are implemented in
Overload Protection the following manner:
When an overload occurs, the load is switched off after the 0.2 second
overload timeout. A retry occurs after 5 seconds.
6.2 Electrical The following specifications indicate the design limits of the power system
Specifications and do not relate to a present design configuration of the VistaXL.
6.2.1 Power Supply Input Docking Station, PSL Source (measured at monitor connectors)
11.0 to 15 volts DC @ 6.0 Amps Max.
Buss Fault Detection <8.97 V±1%
Battery Source: 12V Lead Acid, 9.8 to 15 VDC @ 6.0 Amps Max.
Note: Due to the voltage measurement tolerance of the battery
comparitors, and resistive voltage drop, all VBUSS loads must
function to a minimum voltage of 9.4 volts. They must also ride

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through a VBUSS dip of 0.4 volts for 25µsec.


6.3 System Power
Specifications
6.3.1 Maximum Power Summary Total 68.2 Watts
Typical transport power = 19.4 watts (backlight = low, NBP = 15 min.
interval, no pods or cartridges, taxi and ethernet disabled, no alarms)
6.3.2 Main Battery Specifications Voltage 12V
Capacity 3.4 Ah
Discharge Time 75 minutes
Charge Time 4.5 hours
6.3.3 External Battery Voltage 12V
Specifications
Capacity 2.3 Ah
Discharge Time 50 minutes
Charge Time 3.5 hours

7 Front Bezel Board


7.1 Introduction The Front Bezel Board provides an interface to the various operator related
functions. The interface consists of circuitry and connectors that allow the
main processor to access all of the operator related functions.
7.2 Functional Description The Front Bezel Board provides an interface between the main board and
the front bezel components. It is a cable harness for these components and
is unique in its construction. The front bezel board is made with a process
called "rigid - flex" allowing the board to act as a flex cable. This board may
be flexed for service, however CARE must be taken not to bend this
material at a sharp angle. This process allows direct connection to the LCD
assembly. The front end board mates to the main processor via a "floating"
44 pin high density D connector. This connector has a mechanical float to
allow the front and back of the unit to be snapped together without concern
for a cable between the two halves. The 44 pin D connector attaches to the
processor board with a flex cable.
The Front Bezel Board provides connectors and circuitry need for the
following functions:
• LCD display and Power Switch
• LCD Backlight Invertor
• ambient light sensor
• base unit rotary knob and keypad interface
• battery and power LED's
• Jumper for selecting LCD power voltage (currently +5V)
7.3 LCD Backlight Invertor The Backlight circuitry for the LCD backlight is resident on the front bezel
Interface board. The backlight inverter converts VBUSS power from the main board
to the high voltage ac power used by the backlight. The voltage may be
controlled by a digital PWM input supplied by the processor board.
7.4 Ambient Light The base unit's ambient light sensor is mounted on the front bezel board.
Interface The ambient light sensor is a photocell that exhibits a logarithmic change in

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resistance vs. light intensity. The ambient light sensor is connected in


series to a 2kΩ potentiometer which is used to calibrate the ambient light
sensor at the factory.
7.5 Local Rotary Knob/ The VistaXL base units each have eight fixed keys. An additional key is
fixed Keys Interface dedicated as the power on/standby switch. The rotary knob interface
provides a 2-bit encoder output and also a rotary knob push button signal
output. All of the key/rotary knob signals are filtered. All of the keypad
switches have pulldowns except the power on/standby switch. Thus, the
power switch signal output from the Front Bezel board is pulled up by the
power switch interface located in the power supply section.
7.6 Battery/power LED The battery LED is turned on or off via the associated LED control signal
Interface from the main board. The power LED is connected to +5V. Both the battery
and power led's are green when turned on.
The power and battery LED's have been integrated into the membrane
switch interface used for the fixed key and power on/standby switch. The
LED on/off control signals are provided by the base unit's power supply
section. Thus, the LED control signals originate in the power supply,

8 MultiMed Front End


8.1 Introduction The MutiMed front end section of the main board combines 6-lead ECG, 2-
lead respiration, temperature, and saturated oxygen data gathered by the
MultiMed Pod from transducers at the patient and converts them to digital
form for transmission through isolators to the computer section of the main
board. This section also houses the NBP pressure transducer which uses
the same acquisition system. See Figure 2-7 on page 20.
The hardware design uses a single oversampling 16 bit converter to
measure all of the parameters. This allows bulky analog filters to be
replaced by software filters. Careful shielding and filters protect against
very high frequency interference from upsetting measurements.
8.2 2.9.2 Safety • Patient isolation withstands 5kV during defib.
• Leakage currents are limited to safe values normally and during single
fault conditions.
• Patient is protected against electrosurgical burns at the electrodes.
• Defibrillation protection does not drain excessive current away from
the patient.

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NBP Pressure Low-Pass NBP


Amp
Hose Transducer Filter

Power Monitor 4

Temp 2
Linearizer Amp
Temp Ref. 2

RF Filter
Lead Off Pre- Bandpass ECG 4
Amp
Neutral Amp Filter
SW
Pace 2
Amp

Current M 16 Bit
Modulator
Sources U A/D
Lead X Converter
Temp Select
MultiMed Resp 2
Bandpass
Demodulator Amp
ECG Filter
Defib
Resp Protection Control Asic

ESU Data Control


SpO 2 Modulator LED Drive

Cal Resistor Power

Red
Ambient Pod Com
Differential
I/V Light Demodulator
Converter Rejection I/R

Figure 2-7 MultiMed Front End


• Specially shielded connectors and cables are used to provide excellent
immunity up to 1000MHz and can not be touched by patient even
when disconnected.
• Single cable from MultiMed Pod to main VistaXL unit reduces clutter
between bed and monitor.
8.3 Functional Description Transducers gather physiological data at the patient and feed them into the
small MultiMed Pod at the bed. The MultiMed Pod in turn is connected via
a 3-meter cable to the MultiMed front end in the main unit where analog
ECG, Respiration, Temperature, and SpO2 signals are converted to digital
form and sent through isolators for processing.
8.3.1 ECG/Resp The MultiMed Pod located close to the patient accepts a set of 3, 5 or 6
shielded ECG electrode leads, an SpO2 (Nellcor) cable adapter, and a
temperature sensor. The ECG section contains RF filters, and overvoltage
clamps that include 1k series resistors to limit shunting of defibrillator
current. The SpO2 and temperature sections also contain RF filters.

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Impedance respiration is sensed through the ECG electodes. Void-free


potting and internal shielding enable compact containment of high voltage
defibrillator and electrosurgery pulses. The small interconnecting cable to
the main assembly is captive at the MultiMed POD but plugs into the
MultiMed front end via a specially shielded connector.
The front end accepts physiological signals from the MultiMed POD
connector and feeds temperature, respiration, and ECG signals via RF
filters, configuration multiplexers, and pre-amplifiers to a high-speed
multiplexer driving a 16-bit analog-to-digital (A/D) converter. The data
stream is sent to the Main Processor board via an opto-isolator. Control
commands from the Processor are sent out to the front end on a similar
isolating link. Isolated DC power is also provided.
The ECG signals are conductively coupled to the isolated circuits via current-
limiting series resistors, whereas the SpO2 signals are optically isolated at
the transducer. Temperature signals are doubly insulated at the patient by
disposable boots on the sensors. AC (40kHz) excitation currents for
respiration monitoring are dc-isolated by high-voltage ceramic capacitors.
The A/D samples the following parameters:
Table 2-4 Parameter Sampling Table
Parameter # of Channels
ECG 4
Pace 2
SpO2 Red 1
SpO2 IR 1
NBP 1
Resp 1
Temp 2

The pace signal samples are used directly by the DSP to detect pace
pulses. All other signals are decimated and filtered using digital signal
processing to the above specifications. Additional filtering is user
selectable and invokes additional digital signal processing in the computer
section of the board. The high oversampling rate is required to minimize the
requirements (and size) of the analog anti alias filters. Superior rejection to
ESU and other types of interference is achieved with this type of design.
ECG • Pacer pulses may be detectable by software on two lead-pairs.
• Bandwidth is set flexibly by software filters.
• Reconfigurable neutral selector can drive any electrode.
• Lead-on detection functions with even poor electrodes.
• Calibration voltages can be superimposed on patient wave-forms or
onto flat baselines.
See Figure 2-8. Composite electrocardiographic (ECG) signals generated
by the heart and by a pacemaker are filtered to reduce RF interference from
impedance respiration and electrosurgery and then injected with dc lead-
off detection currents. Over-voltage clamps protect the semiconductors
from the surges passing the sparkgaps in the MultiMed Pod and also
reduce the dc current applied to the patient due to a component fault.

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+ Clamp

RA RF Filter RA I
RA LA

- Clamp Augmented
aVL, aVR,
Leads V
+ Clamp aVF
W Chest

III
LL RF Filter LL
II

- Clamp
Wilson
+ Clamp Star Ref

LL
Normal Leads
LA RF Filter LA
MUX Chest
- Clamp RA LA
Demod Resp
aVR aVL
+ Clamp

Chest RF Filter

- Clamp
aVF

+ Clamp

RL RF Filter RL LL
Augmented Leads

- Clamp

Figure 2-8 Lead Forming Network


The Wilson point, "W", the average of the LA, RA, and LL electrode
potentials, serves as the negative reference potential for the V and V' lead-
pairs and is also used as a measure of the common-mode potential of the
patient Figure 2-8. By driving the isolated common of the front end at the
same potential as the Wilson point, the common-mode voltage across the
electrodes is reduced nearly to zero and the effective common-mode
rejection is improved. As most of the common-mode current is now forced
through the neutral electrode, it becomes noisier and hence is not used as
part of another signal path. Switches are provided to select other
electrodes to be neutral if the RL electrode is off or missing. If the V'
electrode is present, then it can be selected to be neutral so that the three
Einthoven and the V lead pairs can still be used. However, the V' lead-pair
will be corrupted due to neutral current noise. Similarly the V electrode can
be selected to be neutral. Now that the RL is disconnected from the neutral
driver, its potential can be monitored to determine whether it has been
reconnected to the patient and thus is able to be reselected to be neutral.
If only the three Einthoven (LA, RA, and LL) electrodes are connected, one
is selected as neutral leaving the remaining two electrodes to form one
valid lead-pair. The "W" now contains the neutral drive signal which
bypasses the neutral electrode and reduces the gain of the neutral driver
amplifier. To improve the resulting poor common-mode rejection, a Wilson
Grounding "WG" switch is activated to selectively disable the offending
input to the "W".
Respiration Refer to Figure 2-9.
• Respiration is both ac- and dc-coupled in hardware. DC is used for
high Z sensing; ac is used for signal acquisition.
• Respiration may be monitored on leads I and II.
• Detection sensitivity has low dependence on base resistance or
electrode unbalance.

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Figure 2-9 Respiration Functional Block Diagram


Impedance respiration is monitored by injecting a nominally 40kHz square
wave of current into one ECG electrode and removing it at another ECG
electrode. The resulting 40kHz voltage drop across those electrodes is
proportional to the impedance. Specially balanced true current sources do
not load the ECG electrodes or distort the ECG morphology. The waveform
of the current is pre-emphasized to reduce bypassing effects of cable
capacitance. The returning 40kHz differential voltage is amplified,
synchronously demodulated, and low-pass filtered. The resulting dc-
coupled waveform is converted to single-ended form, further low-pass
filtered, and passed to the A/D multiplexer. An ac-coupled stage with an
"autobloc" dc-restorer feeding a separate input to the A/D multiplexer also
provides additional gain.

Figure 2-10 Temperature Functional Block Diagram


8.3.2 Temperature Refer to Figure 2-10.
• Designed to meet the stringent German PTB requirements including
detection of marginal accuracy due to degradation of a single
component.
• A second temperature channel is also available.
Temperature is sensed at the patient by a non-linear negative-temperature-
coefficient thermistor. This is linearized with a precision resistor network and
excited by the same reference as the A/D converter to a produce ratiometric
digital output. An input multiplexer (MUX) selects among the external signal
and internal reference dividers simulating -5 and +50°C. The dc amplifier
matches the dynamic range of the A/D by combining, amplifying, and
precisely offsetting the small signal from the multiplexer. Power supplies
whose failure would invalidate temperature measurements are also
monitored and compared against the A/D reference.

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DAC

MUX ADC

Figure 2-11 SpO2 Functional Block Diagram


8.3.3 SpO2 Determination of the concentration of oxygen in the blood depends on the
principle that the absorption of red (R) light depends on the degree of
oxygenation of the blood, whereas the absorption of infrared (IR) radiation
is independent of oxygenation and causes only constant attenuation. Refer
to Figure 2-11. In the SpO2 sensor, R and IR emitting leds are alternately
pulsed on at a 25% duty cycle. The intensity of light (including ambient)
transmitted through or scattered by the blood is converted to a current by
a photodiode in the sensor. The current that appears when both leds are
off depends mainly on the ambient light. This ambient contribution is later
subtracted to leave only the R or IR signal levels. The large dynamic range
of the light intensities requires constant automatic monitoring and
adjustment.
The intensities of the R and IR sources are independently controlled by two
digital-analog converters attenuating the 2.5V reference.
Attenuated radiation falling on the photodiode in the sensor is converted to
a current which passes through an RF filter balun in the HVPOD and enters
the current-to-voltage converters in the MultiMed front end. The resulting
unipolar stream of pulses is then ac-coupled to a controllable-gain
differential amplifier. The signal is then synchronously demodulated into
Red and IRed signals with ambient light subtracted. Additional gain control,
filtering, and signal offset are provided for each signal prior to A/D
conversion.
The calibration of each sensor is coded into the value of a precision resistor
built into the sensor. The value of this resistor is sensed by forming a
voltage divider. The value of the resistor ratio is read by a separate A/D
input, and out of range values are interpreted as “sensor unplugged.”
Communications The multiplexers and A/D are controlled by the Main Processor via a
Manchester-encoded serial communications channel (Pod Com) optically
coupled to the isolated front end. Most of the digital logic is contained in
the MultiMed FPGA. Outputs from the A/D are Manchester-encoded in the
MultiMed FPGA and fed to the opto-coupled data flow to the Main
Processor.
A power-on monitor resets the FPGA until both ±5V have risen to normal
range. The isolated dc-dc converters are synchronized to the data
acquisition sequence via the Main Processor FPGA. The A/D converter
isautomatically calibrated after the power-on reset is cleared.

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Figure 2-12 NBP Functional Block Diagram

9 NBP Refer to Figure 2-12.

9.1 Introduction The NBP design measures blood pressure non-invasively using an
inflatable cuff and the oscillometric method. The NBP algorithms are
performed in the front end processor. The NBP circuit contains two
pressure transducers which measure the hose pressure. The second
redundant pressure sensor is used to measure overpressure for safety.
This pressure transducer is mounted in the power section while the other
pressure transducer is mounted in the MultiMed front end. A plastic
manifold connects the two transducers together and to the pneumatic
assembly in the rear case. The MultiMed front end A/D samples the
pressure transducer.
9.2 Pneumatic The pneumatic subassembly consists of two modulating solenoid valves
Subassembly (V1, V2), a pump (P1), a filter, and a manifold. The manifold provides the
interconnection of the air passages between the individual components
and provides for their mechanical mounting. It also provides an acoustic
attenuation of the valve and pump noise. The filters prevent contamination
from entering the pneumatic system from the cuff hose or ambient air.
P1 provides the pressurized air to inflate the blood pressure cuff. V1 and
V2 are used to control the air flow during the de-flation phase of a blood
pressure measurement. V1 is a normally closed exhaust valve with a
relatively small orifice. V2 is a normally open exhaust valve with a
comparatively large orifice.
When a blood pressure measurement is initiated V2 is closed, P1 is turned
on and the rising cuff pressure is monitored via pressure transducers.
When the pressure has reached the target inflation pressure, P1 is turned
off. Neonate inflation cycles are identical except that a speed control circuit
is used to reduce the pump output to approximately 15% of the adult
mode.

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After the inflation, there is a short delay after the pump stops to allow
thermal transients to settle. Either V1 or V2 is now modulated to control the
deflation rate. The choice of V1 or V2 and the initial pulse width is made
based on the inflation cycle. The chosen valve is modulated and the pulse
width (open time) is continuously adjusted to provide a constant deflation
rate. If initial deflation was started with V1 the software may determine
that it needs to switch to V2 to maintain proper deflation. In any case when
the measurement cycle is complete, V2 is opened fully (de-energized) to
allow for rapid deflation.
9.3 Transducers (if locked The measurement pressure transducer is DC coupled to a 16 bit A/D
Option installed) converter so that cuff pressure is measured with adequate resolution to
detect blood pressure pulses.
The overpressure transducer has two threshold settings. The adult setting
is 300 ±30 mmHg and the nominal neonatal setting is 158 ±7 mmHg. Both
transducers share a common manifold and are mounted on the main PC
board.
9.4 Pneumatic Controls The P1 control provides 3 functions.
• It limits current to the pump when the pump starts to prevent power
supply overload.
• It rapidly decelerates the pump when the pump is shut off, by
applying a low resistance across the motor.
• It provides a closed loop speed control for low speed neonatal operation.
A relatively high pulse voltage is used to drive V1 and V2 to get quick
response. This pulse lasts for approximately 2 milliseconds after which
time the valve voltage is lowered to a holding value. At the end of the valve
"on" time period, the valve voltage is allowed to reverse and the energy
stored in the solenoid inductance is rapidly released into a relatively high
voltage clamp circuit.
P1 and V2 are supplied by a redundant power switch so that, under fault
conditions, they can be de-energized.
9.5 Safety timer The software limits measurement time to 119 secs for adult mode, 89 secs
for neonatal mode and 59 secs for French neonatal mode. A safety timer
circuit monitors current in P1 and V2, and if due to some failure (hardware
or software), P1 or V2 remain activated for more than 120±1 seconds in
adult mode, 90±1 seconds for neonatal mode or 60±1 seconds in French
neonatal mode, the circuit latches on, causing the redundant power switch
to P1 and V2 to switch off. When the safety timer latch has been set, V1 is
opened as an additional safety feature. Only recycling the monitor resets
the safety timer latch. The safety timer circuit is functionally independent
of the logic gate array.
When the unit is powered up, the safety timer is de-activated until the
pump is started the first time. This feature allows service calibration
without triggering the safety timer. Once the pump has been activated the
timer circuit becomes functional.
9.6 Logic gate array The main FPGA provides the following control functions for the pneumatics
and the communications.
• Clock generation for safety timer
• 12 bit 20 Hz PWM and pulse control for V1 and V2
• Pump control

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• Neonatal mode switching of pump and overpressure


• Safety logic
9.7 Non-volatile memory A EEPROM stores pneumatic component flow factors. During calibration
at production system test and in the field, a 0.5 liter canister is connected
to the NBP input on the monitor. The monitor automatically measures the
pump and valve flow rates and determines their flow factors for the use in
the flow control algorithm.
9.8 Hose detection An electromagnetic coil located at the hose connector detects the metal in
the hose connector when the connector is present.
9.9 Watchdog Timer A watchdog timer is implemented in the power conversion FPGA to
monitor the safety timer clock input from the main FPGA in case the main
FPGA or its crystal become damaged.

Keypad

Power Monitor

4 4
Clamp and Pressure
Press Filter 16 Bit
M
Transducers A/D
HemoMed U
2 Converter
Cardiac 2 X
Pressure Sense Excitation
Output Excitation
Reference
Temperature Asic
Control
Temperature 3
Keypad Linearization Data Control
(Inj. blood, .7R)

Power

Pod Com

Figure 2-13 HemoMed Front End

10 HemoMed Front End If Locked Option installed

10.1 Introduction Refer to Figure 2-13. The HemoMed front end section of the monitor’s
main board takes invasive blood pressure, and thermal dilution cardiac
output data gathered by the HemoMed Pod from transducers at the patient
and converts them to digital form for transmission through isolators to the
computer section of the main board. The HemoMed front end may also be
used with a single or dual pressure cable instead of using the HemoMed.
10.2 Pressure The pressure data acquisition front end is designed to operate with
resistive strain gage pressure transducers having an output impedance of
less than 3000 Ohms and an input impedance between 3000 and 200
Ohms. Excitation voltage is applied in pairs. Press 1 and 3 share a driver as
well as Press 2 and 4. The output signals generated from the pressure
sensors are passed through filter and clamp networks which limit and filter
RF noise. The pressure excitations are monitored for fault detection.
10.3 Cardiac Output The two thermistor signals are connected to a precision resistor network

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to linearize voltage vs temp curve of the thermistor. The thermistor signals


are filtered and clamped before amplification. Two calibration voltages are
also sampled by the A/D converter to correct amplifier offset and gain
errors. The catheter also has a reference resistor which is read for
calibration.
The front bezel switches on the HemoMed are converted to unique
voltages when pressed, allowing a voltage to be sent to the A/D converter,
which can be decoded by the front end processor into the corresponding
switch closure.

Figure 2-14 etCO2 Sensing Process Functional Block Diagram

11 etCO2 Module The etCO2module non-invasively monitors end-tidal CO2 using a technique
that relies on the selective absorption properties of the CO2 to specific
frequencies of infra-red radiation. See Figure 2-14.
In the sensor a thick film infra-red source is pulsed at a rate of approximately
87 Hz, generating a broad- band spectrum of IR. Selective filtering separates
this into two narrow regions, one inside and one outside the band of CO2
absorption. The detector associated with the filter outside the band of CO2
absorption records the maximum level of the source energy since the signal
it receives is not affected by CO2. It provides a baseline which serves as a
Reference for the level of CO2 in the airway. The other detector senses a
filtered energy level modified by the presence of CO2. As the level of CO2
increases, the CO2 gas molecules in the airway absorb more of the light
energy and less signal reaches the detector. This signal, converted by the
detector, is referred to as the Data signal. Current through the thick-film
source is bidirectional to offset the tendency of particles within the source to
migrate when exposed to a strong unidirectional electric field caused by
current flow only in one direction. This keeps the structure of the source
uniform and enhances system integrity and life of the product.
To acquire a precise level of CO2, both channels are simultaneously
sampled and the level of CO2 is determined from the ratio of the Data and
the Reference channels. The ratio is compared to a look-up table in
memory to establish the correct value in units of mmHg.
The module then sends the results to the host system for further
processing and display.
11.1 System Hardware The module is a three-part system composed of a Digital Board, an Analog

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Board, and an Accessory Assembly. The Digital Board has two major
functional areas: the power supply section and the bulk of the digital control
logic. The Analog Board provides for data acquisition and conversion, and
contains the servos for controlling the temperature of the case and
detector heaters, and the source pulser used to control the probe. The
Accessory Assembly contains the CO2 sensor and the Calibrator (that
contains the calibration switches and calibrator EEPROM).
11.2 System Memory The system has three types of memory:
• PROM Programmable Read Only Memory
• SRAM Static Random Access Memory
• EEPROM Electrically Erasable Read Only Memory
PROM stores the module's program. Its contents remain intact even when
power is removed from the module. It has been socketed to allow for
future program updates, if required. Besides containing the module's
program, it also contains various look-up tables for calculating CO2
parameters and the Interrupt Vector Table.
The system's Static RAM functions as a scratch pad to temporarily hold
various system variables until they are either no longer needed by the
system and are overwritten with new information, or power is removed
from the module and the RAM contents are lost.
The EEPROM holds system parameter information that must be retained
when power is removed, but must also be modifiable by the processor.
The device contains multiple copies of system information such as
calibration factors, sensor serial number, and span cell number, to ensure
data integrity.
A Supervisor chip performs various monitoring tasks to ensure that the
microprocessor and system run properly.
11.3 User Interface The user interface provides capability for airway and adapter calibration,
and also compensation for effects of N2O and O2. When calibrating the
accessory assembly, switches inside the sensor, one for the Zero Cell and
one for the Span Cell, tell the processor when the assembly has been
placed on the proper cell for system calibration.

12 HEMO 2/4 POD


12.1 Functional Description HEMO 2/4 PODs have provisions for monitoring either 2 or 4 invasive blood
pressures, 2 temperatures and cardiac output. See Figure 2-15
12.2 Pressure The pressure data acquisition front end is designed to operate with
resistive strain gage pressure transducers having an output impedance of
less than 3000 Ohms and an input impedance between 3000 and 200
Ohms (see Figure 2-16). Excitation voltage is applied, one at a time, to each
resistive strain gauge pressure transducers by a single, current limited
voltage reference circuit which is time-multiplexed across four pressure
sensors. The differential output signals generated by the pressure sensors
are passed through filter and clamp networks which limit the differential
and common mode voltage swings and filter out RF noise.

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ZERO
PUSH LCD
+5V OUTPUT +12V INPUT BUTTONS CO START
NON-ISOLATED
SWITCH TIMING BUS

4 VOLTS CURRENT LIMITED


SWITCHING POWER WEDGE
S1L VOLTAGE SUPPLY
CLAMP AND REFERENCE A LCD
1 2 FILTERING 200KHZ SYNC SIGNAL
NETWORKS -5V OUTPUT CONTROLLER

S2L
A
1 2 DIFFERENTIAL TO
SINGLE-ENDED
P CONVERTER AND
4 TO 1 MULTIPLEXER
S3L
A (USING FLYING
CAPACITOR
4PRESS
200 mmHg
MUX
FIXED GAIN OF 311
A EEPROM
1 2 DATA AND CONTROL WRITE
TECHNIQUE) PROTECTED
P
0 mmHg LOGIC GATE ARRAY
CALIBRATION CONSTANTS
S4L D
A
A DATA
1 2 16 BIT

200mmHGL
4PRESSL
P EEPROM

ZEROL
CLOCK R/W

A
PA0
PA1

PRESSURE SENSORS
I4L
I1L
I2L
I3L

+4.0 VOLTS VOLTAGE


REFERENCE
LINEARIZE
FILTER AND
CLAMP TA0 TA1 MANCHESTER
DATA OUT
T1 DATA TRANSMITTER
OFFSET
T TCA0 TCA1
MANCHESTER
CAL POINTS

FIXED GAIN OF 10 FIXED GAIN OF 2 DATA IN


T37
+
MUX DATA RECEIVER
A T10 +

+5V MONITOR
T2 A MUX
A
T -5V MONITOR

TEMPERATURE SENSORS A OFFSET


O.7R
R?
BLOOD TEMP +
T +
INJECTATE TEMP
MUX
T R_EDWARDS FIXED GAIN OF 20
GROUND A

Figure 2-15 HEMO 2/4 POD Functional Block Diagram

Figure 2-16 IBP Functional Block Diagram


Next, the signals enter a functional block that converts the differential
signals into single ended signals which are then presented one at a time in
a time-multiplexed fashion to a fixed gain single ended amplifier.
Calibration voltages for zero and 200 mmHg are periodically switched into
the amplifier input to correct errors in amplifier offset and gain respectively.
An A/D converter samples the resulting output voltage. Timing is
coordinated by the logic gate array.
12.2.1 Temperature Each of two thermistors is connected to a functional block that consists of
a precision resistor network to partially linearize the voltage verses
temperature transfer curve of the thermistor. This functional block also
consists of means for filtering RF noise and limiting the voltage swing. A
4.5 Volt reference is connected to power each linearization network.

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A multiplexer selects one of the two temperatures or one of the two


calibration points and connects the voltage to the input of a fixed gain
amplifier. The two calibration points are used to correct gain and offset
errors in the amplifier circuits.
An offset is added to center the signal within the dynamic range of the A/
D converter. The signal is then further multiplexed with two power supply
voltage monitors and Cardiac Output. A fixed gain of two is finally applied
to match the signal range to the full scale range of the A/D converter.
12.2.2 Cardiac Output Cardiac output operates in much the same way as temperature. The
thermistor signals are filtered and clamped then multiplexed to the input of
a fixed gain amplifier. Two calibration voltages are also multiplexed in to
correct amplifier offset and gain errors.
Next, an offset is added to the signal to center it to the dynamic range of the
A/D converter. The amplified signal is then multiplexed with temperature,
then through a fixed gain of two and finally to the A/D converter.
12.2.3 EEPROM Storage Two EEPROM's are used for non-volatile information storage. One
EEPROM is used for reading and writing data that changes during the
operation of the POD, such as pressure offsets, the other stores more
permanent information such as POD serial number and is therefore write
protected. A state machine inside the logic gate array supports
communications between the Host and the two EEPROM's. A mechanism
is provided which allows service personnel to disable the write protection
of the otherwise write protected EEPROM.
12.2.4 LCD and Push Buttons A total of 16 LCD characters are provided for use as pressure labels. Each
pressure channel is allocated 4 LCD characters. The Logic Gate Array
supports communication of control between the Host and the LCD's.
Up to three push buttons are provided for user interface. There is one for
pressure zero, one for Cardiac Output Start and one spare. The interface of
the buttons to the Host is handled by the gate array.
12.2.5 Current Limiting the Voltage In the event a defective pressure sensor presents a short circuit to the
Reference excitation voltage source, the voltage source goes into current limit during
the bad transducer's time slot.

13 Remote Com The main processor sees the Remote Bus interface to the CPS or IDS
Network as a slave device with a dedicated address space. The responding
Subsystem
devices, however, are in the CPS/IDS. Status bits indicate when the
Hardware remote device is connected and powered up, and signal validity on the
communication link. If a proper connect is established, a periodic poll is
sent to the CPS/IDS to up-date the interrupt status to the monitor every 8
microseconds.
13.1 Connection Two mechanisms are used to verify physical attachment to a docking station.
Characteristics • First, a hardwired signal between the monitor and CPS or IDS is
activated when a cable connection is achieved. This signal is valid
even if the CPS or IDS is powered off.
• Second, an opto-isolator is activated when a powered CPS or IDS is
attached to the monitor. A current loop is established by current
flowing thru the receive lines, opto-isolator and transmit lines.
A time filter is applied to both functions, such that the function must be
valid for a minimum of 100ms before activating. Deactivation is immediate.

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14 INFINITY Network The VistaXL has been designed to function in standalone mode or in an
INFINITY NETWORK. They are not compatible with SIRENET.
CPS and IDS (w/
Power Supply) The INFINITY NETWORK Basic and Device CPSs contain a data
communications network controller and a power supply. The CPS/IDS
supplies power and communications interface for an VistaXL patient
monitor, and for peripheral devices associated with the monitors. In
addition they support two RS232 ports, access to both CPS/IDS
diagnostics and Host diagnostics, and support for a passive remote display.
14.1 Network Board The major circuits include a high speed serial link to the Patient Monitor,
Hardware control and status registers to the 68302 and 8344 processors, and
miscellaneous functions. The serial link functions as a bus master on the
local bus. The 68302 performs bus arbitration (and provides a serial channel
for communication with an SC6000). The registers and miscellaneous func-
tions are slave devices on the bus and completely accessible to the 68302.

VistaXL
Config.

Figure 2-17 Communications Functional Block Diagram


Motorola 68302 CPU
The Motorola 68302 CPU serves as the processing engine for the
SC6000 serial port link. The 68302 CPU runs at a frequency of 20MHz,
and is connected to the CPS Bus. It accesses the FLASH (its code
space) and the 68302 External RAM (its data space) via the CPS/IDS
Bus.
FLASH memory is used for storage and execution of the 68302
software, and also to store care unit specific setups. The 68302
executes its code directly out of the FLASH, and is accessible from
the Bus to provide the ability to program it with new software from an
VistaXL monitor.
Serial Communication Controller - User Interface
Note: The SCC also provides an SC 6000 series patient monitors link.
“SCC3” of the Motorola 68302 CPU provides a diagnostic user
interface, to run embedded diagnostics on the CPS/IDS hardware
and trace operations during software analysis and debugging
sessions. “SCC3” is used with a UART baud rate of 19.2K.
External RAM is used for software downloader code, runtime stack,
SCC data buffers, monitor configuration data and error logs.

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Monitor Connection Characteristics


The network board communicates with the attached monitor by the
high speed serial link (or by the 68302 serial channel for an SC6000
series monitor). Because of the different characteristics of each type of
link, relays are used to select one or the other. (The default selection is
the SC6000 link.) If an VistaXL unit is detected, the relays switch to the
REMOTE COMM type link. A time filter is applied to each signal, such
that the function must be valid for a minimum of 64 milliseconds before
activating. Deactivation is immediate.
A hardwired signal between the monitor and CPS or IDS is activated
when a cable connection is achieved. This signal is valid even if the
monitor is powered off. For an VistaXL Monitor, a current loop is
established by current flowing thru the transmit lines, opto-isolator and
receive lines. A voltage comparator activates when the loop is sensed.
The link is generated when a receive signal is sensed by the T1 receiver.
The connection state of the monitor is defined as
• Monitor docked
• No Monitor
• Error
• Transitional
Note: If the transitional state persists for greater than one second, a
faulty docking or error condition exits
14.2 EEPROMs The CPS and IDS contain SERIAL EEPROMs which are programmed in the
factory with various configuration parameters. One contains factory-
programmed field service data and is read-only in the field. A second
EEPROM is field-programmable and contains various configuration
parameters.

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Chapter 3: Repair
1 Introduction This chapter describes how to disassemble VistaXL Patient Monitors,
replace parts and subassemblies that Dräger has identified as field-
replaceable (see “Appendix A: Replacement Parts” on page 93), and
reassemble the monitors. The structure of an VistaXL consists of a base
unit with attachable modules and pods.

Warning

After replacing a part or subassembly, always functionally verify


proper operation of the monitor, before returning the monitor to
clinical service.

2 Service Policy and Qualified service personnel may replace the following specific items in the
field. Except for specified items, component-level repairs should not be
Replaceable Parts
attempted and will void any warranty or exchange allowance for returned
subassemblies. A complete list of replaceable components and part
numbers is given in Appendix A.
2.1 Base Unit Front Bezel/Lens Subassembly
Language Label Set
LCD Backlight Lamps
Optical Encoder Subassembly
Rotary Knob
Front Bezel PC Board
Front Bezel Subassembly w/ Language Label Set
NP Pump Subassembly
NP Filters
Batteries (main and external)
Power Harness w/ Speaker
External Battery Compartment Door and Ejection Spring
Main Processor PCB Subassembly
Funnel
Monitor Handle
Rear Housing Side Panels w/ Label Set
Rear Housing / Connector I/O PCB
F1, F2, and F3 on Connector I/O PCB
2.2 R50 Recorder Since an R50 Recorder operates in conjunction with the monitors,
replaceable subassemblies for the R50 are included in Appendix A.
Front bezel
Printer subassembly
A100 PC Board

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2.3 Modules, PODs, and The following modules, PODs, and peripherals have no field-replaceable
Peripherals parts or subassemblies.
• MultiMed and MultiMed 12 Pods, tcpO2/CO2 Pod, NeoMed Pod
• etCO2 Module
• CPS/IDS (except for dc power cable in IDS-PS, and MIB Options in
IDS, which are field-replaceable)
• Hemo4 Pod / Hemo2 Pod, HemoMed Pod
• Remote Display
• PCMCIA Card

3 Safety Precautions Remove all power sources, attached modules and cables, before
attempting to replace any items or open the monitor case.

Caution
3
Open monitor only in a static-protected environment. Observe
standard precautions for protecting the equipment from static
electricity.

4 Replaceable Parts The following components and subassemblies can be replaced without
opening the monitor.
and Subassemblies
That DO NOT • rotary knob

Require Opening the • front bezel language and monitor model labels

Monitor • foot pads


• external battery (optional)
• external battery compartment door and battery ejector spring
• main battery
• power cable and speaker subassembly
• NP filters
• NP pump subassembly
• monitor handle
• rear housing side panels
4.1 Replacing Rotary The rotary knob (¿ in Figure 3-9 on page 49) is press fitted onto the metal
Knob shaft of the optical encoder subassembly. It must be removed very
carefully if it is to be reinstalled.
To remove the knob, grip it very firmly with vise-grips or a similar tool, and
pull it straight out and off of the metal shaft. Avoid turning the knob.
Note: Placing a piece of cloth around the knob should prevent
scratching by the vise-grips, and allow the knob to be reused.
To install or reinstall a knob, align and firmly press knob onto shaft.
4.2 Replacing Front Bezel The Language Label kit ships with a set of language labels and VistaXL
Labels model labels (see A in Figure 3-9 on page 49). A Dräger logo label ships
with the bezel (see ; in Figure 3-9).

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4.2.1 Removing Existing Label To remove existing label, carefully peel up one corner of label and pull it
towards opposite corner.

Caution

Use extreme care to not damage underlying membrane keypad


when replacing Language Label. If membrane keypad is damaged
the Front Bezel/Lens Subassembly must be replaced.

4.2.2 Installing Language Label 1) Peel protective covering from section of new label under function
keys.
2) Position label on membrane keypad so that it fits squarely in label
depression allowance on front bezel, and using a sweeping or rolling
motion to prevent air bubbles from becoming trapped under label,
press on label to secure it to membrane keypad.
3) Remove protective covering from remainder of language label, and
with a similar motion affix label along bottom of bezel.
4.2.3 Installing Dräger Metal Use this procedure if Dräger metal logo label not already installed on front
Logo Label bezel.
1) Peel protective covering from new label.
2) Position in left rectangular depression in area near top left corner of
front bezel.
3) Press firmly, using a sweeping motion to prevent air bubbles from
becoming trapped under label.
4.2.4 Installing Monitor Model 1) Peel protective covering from appropriate new monitor model label.
Label Discard other new label.
2) Position NEW label in rectangular depression to right of Dräger metal
logo label in area near top left corner of front bezel.
3) Press firmly, using a sweeping motion to prevent air bubbles from
becoming trapped under label.
4.3 Replacing Foot Pads Two feet are on the bottom of the front bezel subassembly (see ¬ in Figure
3-9 on page 49, and four are on the bottom of the rear housing (see ý in
Figure 3-2 on page 38). The pads are secured in foot wells by adhesive.
1) Remove all remnants of existing pad and adhesive from foot well.
2) Remove protective covering from adhesive surface of replacement pad.
3) Position replacement pad in foot well, and press firmly on pad to
secure it in well.
4.4 Removing / Installing The external battery (ý in Figure 3-1) and main battery (¿ in Figures 3-1 and
External Battery and 3-2) are contained in compartments on the rear of the monitor. It is
Support Components necessary to remove the back cover Ý only to replace the main battery.
4.4.1 External Battery (optional) The external battery compartment door is hinged to the compartment
housing on the right-hand end (facing the back of the monitor). The door («
in Figure 3-2) has been designed to lift the battery as an assist to the
ejection spring (¾ in Figure 3-2) at the opposite end of the compartment
when the battery is being removed. It also secures the battery in the
compartment and assures good electrical connection to the battery
connector when closed.

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6
2
X5
4
X3
X8
X7
7

10

~
1

~
3
8

Figure 3-1 VistaXL Rear View w/ Cover Removed

9
5
4

10

10
2 2
9
6

1 1 7
3
4 pl. 8
6
Figure 3-2 Rear Housing Components/Subassemblies (Left Side-Panel Removed) Note: Numbers in white
circles call out replaceable parts. Numbers in black circles are for text references.

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Removing Battery To remove installed external battery, open hinged door to lift battery. An
ejector spring pushes the battery partially out of compartment, releasing it
from connector. Pull battery out to remove it from compartment.
Installing Battery To install external battery, open hinged door and insert battery (contact end
first, oriented with contacts toward rear of monitor) into compartment.
Close hinged door against battery to compress ejector spring and firmly
seat battery into battery connector. Assure that door latches securely.
4.4.2 External Battery The external battery compartment door is hinged to the compartment
Compartment Door housing on the right-hand end (facing the back of the monitor), and is held
in operating position by the rear cover. Do the following to replace the door:
Removing External 1) Remove external battery (if installed).
Compartment Door
2) Remove and save three Phillips-head screws (ª in Figure 3-2) securing
back cover (Ý in Figure 3-2) to rear housing.
3) Slide battery compartment door (« in Figure 3-2) out of rear housing.
Installing External 4) Slide replacement battery compartment door into position in rear
Compartment Door housing, and reinstall rear cover.
5) Reinstall external battery contact end first, oriented with contacts
toward rear of monitor, (if previously installed), and close external
battery compartment door.
4.4.3 Replacing External Battery 1) Remove external battery (if installed).
Ejection Spring
2) Remove and save three Phillips-head screws (ª in Figure 3-2) securing
back cover (Ý in Figure 3-2) to rear housing.
3) Slide external battery ejection spring (¾ in Figure 3-2) out of its
channel at the head of the external battery compartment.
4) Slide replacement ejection spring into channel at head of external
battery compartment, and reinstall back cover and external battery.
4.5 Removing / Installing The main battery (¿ in Figures 3-1 and 3-2) is in a compartment below the
Main Battery external battery compartment behind the rear cover (Ý in Figure 3-2). Use
the following procedure to remove the main battery.

Caution

After removing the rear access panel, do NOT cut the ty-wraps
securing the Main Battery to the rear housing. They have been
designed to be releaseable, and the monitor must be opened to
replace them. See Figure 3-3.

Removing Battery 1) Remove and save three Phillips-head screws (ª in Figure 3-2 on page
38) securing rear cover Ý to rear housing, and remove panel.
2) Using long nose pliers or similar tool, unplug two battery connectors
from main battery terminals. Be careful to NOT damage in-line fuse
(if installed). Note polarity of battery cable wires!

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Figure 3-3 Battery Cable Ties


3) Depress release tab on each ty-wrap lock (see Figure 3-3) and pull ty-
wrap tongues out of locks to free battery.
4) Note routing of speaker cable, and slide battery out of compartment.
Installing Main Battery Reverse steps of removal procedure to install main battery. Route speaker
cable as noted in step 4 above before resecuring ty-wrap on main battery.
4.6 Replacing Power 1) Remove external battery (if installed).
Cable and Speaker 2) Remove and save three Phillips-head screws (ª in Figure 3-2) securing
Subassembly back cover Ý on back of monitor, and remove cover.
3) Using long nose pliers, unplug battery connectors from main battery.
Be careful to NOT damage in-line fuse (if installed). Note polarity
of battery cable wires! Red goes to +; Black goes to -.
4) Slide external battery connector out of channel in battery
compartment.
Note: Do not remove ferrite filter (² in Figure 3-2) from cable
subassembly. Note positioning of filter in connector compartment,
and locate in same position when installing new cable subassembly.
5) Using long-nose pliers, unplug speaker connector from X7 (see Figure 3-1
on page 38) and power cable connector (¡ inFigure 3-1 and in Figure 3-2)
from Connector I/O PCB in connector cavity (Ý in Figure 3-1), and remove
power cable subassembly.
6) Depress release tab on each ty-wrap lock (see Figure 3-3) and pull ty-
wrap tongues out of locks to permit removal of speaker cable. Note
routing of speaker cable for use in reassembly.
7) Slide speaker out of slots in rear housing, and remove power cable
and speaker subassembly.
8) Reverse procedure of steps 1 through 5 to install replacement power
cable and speaker subassembly.

Caution

Sandwich wires of power cable and speaker subassembly


between left side of housing and flat plastic cable guide (… in
Figure 3-1 on page 38) to prevent possible damage to harness when
installing rear housing screws.

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1 2 9 3

7
8 4 5
10

Figure 3-4 NP Subassembly in Rear Housing


4.7 NP Filters and Pump The NP subassembly, Ð in Figures 3-1 and 3-2, is housed in a compartment
Subassembly above the external battery on the back of the monitor. Use the following
procedure to replace filters and/or the NP subassembly.
4.7.1 Replacing Manifold and Air Refer to Figure 3-4. The manifold filter ¿ and air intake filter Ý are mounted
Intake Filters directly on the NP pump subassembly.
1) Remove and save three Phillips-head screws, ª in Figure 3-2 on page
38, securing back cover Ý on back of monitor, and remove cover.
2) Remove cap from holder of filter to be replaced.
Note: If replacing air intake filter, slide holder out of retainer plate
before removing cap.
3) Using long-nosed pliers or tweezers, remove and discard filter,
4) Insert replacement filter into holder. Observe following precaution.

Caution

The filter has a hole in one end. Insert the filter hole-end first, so
that the hole is at the internal end of the holder and the end
without the hole is at the cap end of the holder. This provides for
proper filtering with minimal restriction of air flow.

5) Reinstall cap on filter holder.


Note: If replacing air intake filter, slide holder back into slot in retainer
plate Ý after reinstalling cap.
6) Reposition back cover on monitor, and reinstall three securing screws
removed in step 1.
4.7.2 Removing NP Subassembly 1) Remove and save three Phillips-head screws, ª in Figure 3-2 on page
38, securing back cover Ý on back of monitor, and remove cover.
2) Refer to Figure 3-4, and using long-nosed pliers, tweezers, or similar
tool, carefully pull transducer tubing ¡ off of mounting port on filter
housing ¿, and back through slot in retainer plate Ð. Observe the
following precaution.

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Caution

Be careful that the pliers or tweezers do NOT damage the tubing.


Also, do NOT put any tension on the other end of the tubing,
routed through the access hole in the back of the rear housing.
Routing of tubing inside the rear housing is critical.

3) Carefully pull cuff connector tubing (¬ in Figure 3-4) off of cuff


connector on rear housing, observing precaution above.
4) Refer to Figure 3-1 on page 38. Using long-nosed pliers, unplug NP
subassembly cable connectors from X3 and X5 in connector cavity Ý.
Note: It may be necessary to slide ferrite filter on power cable
subassembly (À in Figure 3-2 on page 38) along the cable to permit
access to connectors in the connector cavity. Be sure to slide the
filter back into proper position after installing NP subassembly.
5) Note dress of cables through ferrite bead (« in Figure 3-4 on page 41)
on NP subassembly cables. Note also, that cable from NP coil sensor
(ƒ in Figure 3-4) loops through bead twice. Remove and save bead.
6) Carefully cut ty-wrap bundling cuff connector ring filter cable (at … in
Figure 3-4) to NP subassembly cables.
7) Slide air intake filter holder Ý out of slot in retainer plate (Ð in Figure 3-
4) and move cuff connector filter cable out of slot.
8) Grasp pump mounting plate (ý in Figure 3-4) and retainer plate (Ð in
Figure 3-4), and pull NP subassembly straight out of NP compartment.
4.7.3 Installing NP Subassembly 1) Slide NP subassembly into compartment.
2) Perform steps 1 - 8 of section 4.7.2 above in reverse order (including
re-securing of ferrite bead) to complete installation of replacement NP
subassembly. When installing new ty-wrap, be sure to secure near
plate (ý in Figure 3-4) to keep cables in slot in plastic wall.
3) Perform an NBP characterization. Go on to section 4.7.4
4.7.4 NBP Characterization Set up NBP Calibration assembly (kit Art. No. 28 77 855 EE54U) as
illustrated in Figure 4-1 on page 64, and assure that fixed volume and
system pneumatic leakage is within specifications before continuing.
Note: The Dräger recommended Pressure Transducer Tester can be
used in place of the manometer.
Fixed Volume Leakage Test 1) Pinch off hose attached to monitor (e.g., with a hemostat or clamp),
and using hand bulb, increase pressure to 250 ±5 mmHg. Let
pressure stabilize for 1 minute.
2) Observe pressure drop for an additional 5 minutes. Pressure drop
should be < 2 mmHg in 5 minutes. If not, tighten all connections and
fittings and retest equipment for leakage. When leakage test OK, go
on to step 7.
System Leakage Test 3) Remove hose clamp, and if necessary, use hand bulb to assure that
pressure on manometer is 250mmhg.
4) Observe pressure drop for an additional minute. Pressure drop should
be <8mmhg. If not, replace NBP Subassembly.

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5) Power monitor ON and set following in NBP parameter field menu:


• Interval Time - OFF
• Continuous Mode - OFF
• Calibrate Mode - ON. (Observe “NBP Cal. = 0 mmHg” appears.)
6) Perform a calibration check. Refer to Section 10.2 on page 65 in
Chapter 4.
7) Press Main Menu key, and select Monitor Setup → Biomed →
Service.
8) Enter service password (4712) and select Accept.
9) Select Characterization → NBP Char.
10) Verify that “NBP Characterizing” displays in message field. When
message blanks, process has completed.
11) Press Main Screen key.
12) Functionally verify proper operation of monitor’s NBP function.
4.8 Replacing Monitor 1) Remove left and right side panels from monitor. See Section 5.1.
Handle 2) Remove and save securing screws (æ in Figure 3-2), and extract
handle through top of monitor.
3) Install new handle through top of monitor, reinstall securing screws,
and reinstall left and right side panels.

Left Right
Figure 3-5 Removing Left and Right Side Panels (VistaXL left side panel
shown in illustration)

5 Opening Monitor Before attempting to open the monitor, always do the following:
• Remove all attached modules and unplug all cables from the monitor.
• Disconnect all external power sources, remove external battery (if
installed), and remove back cover and unplug cable from main battery.

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• Assure that both you and the work area are properly protected against
static-electricity discharge.
5.1 Removing/Installing The first step in opening the monitor is to remove the left and right side
Side-Panels panels, which are each secured to the monitor housing with several locking
tabs and two pressure-sensitive latches. Remove the panels as follows:
Note: Before the right-hand panel can be removed, it is necessary to
remove the cover from the PCMCIA card ejector shaft.
5.1.1 Removing Ejection Shaft 1) Insert PCMCIA card into memory card slot on right-hand side of
Cover monitor to force ejector button out.
2) Remove and save ejector shaft cover.
To remove cover, grasp front and back sides of cover between your
1 thumb and forefinger, squeeze cover slightly, and carefully rock cover
off of shaft in direction of arrow shown at left.

Caution

The cover has nubs (see ¿ in illustration at left) that grip grooves in
the top and bottom sides of the shaft. Grasping the cover by
the top and bottom sides tends to increase the effectiveness of
the nubs. The increased force required to remove it can pull the
shaft completely out of the ejector mechanism, requiring depot
repair of the monitor.

3) Push ejector shaft back in, and remove PCMCIA card.


5.1.2 Installing Ejection Shaft Use the procedure of section 5.1.1, reversing the action in step 2, to install
Cover PCMCIA card ejector shaft cover.
Note: The button cover is not centered on the shaft, and can be
installed in only one orientation.
5.1.3 Removing Right Side Panel 1) Place monitor left side down on a smooth clean surface.
2) With PCMCIA card ejector shaft cover removed, press firmly on dots
below each side of sync output connector (see narrow arrows in
Figure 3-5), to release latch.
3) While pressing on dots, slide panel downward (see broad arrows in
Figure 3-5) to release locking tabs, and then lift cover off of monitor.
5.1.4 Installing Right Side Panel 1) With monitor left side down on a smooth clean surface, position side
panel locking tabs into slots in monitor housing, and press inwards
and upwards to lock side panel to monitor.
2) Reinstall PCMCIA card ejector shaft. See section 5.1.2.
5.1.5 Removing Left Side Panel 1) Place monitor right side down on a smooth clean surface.
2) Press firmly on dots just below each side of IBP connector port shown
in Figure 3-5 (VistaXL side panel used in illustration), to release latch.
3) While pressing on dots, slide panel downward to release locking tabs,
and then lift cover off of monitor.
5.1.6 Installing Left Side Panel With monitor right side down on a smooth clean surface, position side
panel locking tabs into slots in monitor housing, and press inwards and
upwards to lock side panel to monitor.

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Figure 3-6 Bottom Release Tabs for Front Bezel Subassembly


5.2 Separating Front After left and right side panels have been removed, opening the monitor is
Bezel Subassembly the process of separating the front bezel and rear housing subassemblies,
and Rear Housing which are secured to each other by four locking tabs -- two on the top and
Subassembly two on the bottom of the Front Bezel.
1) Turn the monitor backside down, with bottom of monitor facing you.
2) Press in firmly on thumb depressions on bottom of monitor to release
latches (see Figure 3-6), and slightly separate bottom of front bezel
subassembly from rear housing.

Figure 3-7 Top Release Tabs for Front Bezel Subassembly


3) Return monitor to its proper upright position, with back of monitor
facing you.
4) Insert tip of small screwdriver into each of two release slots on top of
monitor (seeFigure 3-7), as you apply a slight tension between front
bezel subassembly and rear housing, to slightly separate top of front
bezel subassembly from rear housing.
Note: It is helpful to lift the handle as shown in Figure 3-7 to access
the release slots.
5) Turn monitor around so that display screen is facing you.
6) Carefully pull Front Bezel Subassembly straight out from rear housing
to unplug interfacing connector on back right-hand side of Front Bezel
PCB from corresponding connector on Main Processing Board, and
separate the two subassemblies.

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6 Replacing The only replaceable components contained in the rear housing, that
require the monitor to be opened, are the Main Processor PCB
Subassemblies in
Subassembly, the Funnel, and the Rear Housing Subassembly. Other
Rear Housing replaceable components and subassemblies, that do not require that the
monitor be opened, are discussed in section 4 above.
6.1 Removing/Installing Tabs on the top edge of the funnel located on the top of the heat sink on
Funnel the Main Processor PCB Subassembly lock the funnel into the rear
housing.
Removing Funnel 1) After opening monitor, set rear housing subassembly bottomside
down so that Main Processor PCB Subassembly is facing you.
2) Using small common-blade screwdriver, depress locking tabs near left
and right sides of funnel through slots on top edge of rear housing (À
in Figure 3-8) to release funnel, and slide funnel out of rear housing.
Installing Funnel Reverse steps 1 and 2 to install funnel.
6.2 Main Processor PCB The Main Processor PCB Subassembly is secured in the rear housing as
Subassembly follows:
• Tabs on the top edge of the funnel (¡ in Figure 3-8 on page 48) lock
into slots in the top of the rear housing (À in Figure 3-8). The back
bottom edge of the funnel restrains the top edge of the heat sink and
holds the subassembly securely in the housing.

Caution

The funnel must be removed before attempting to remove the


Main Processor PCB Subassembly.

• The Front Bezel Subassembly, when installed, further locks the Main
Processor PCB Subassembly in place and completes mechanical
integration of the monitor’s several internal subassemblies.
6.2.1 Removing Main Processor 1) After opening monitor Section 5, set rear housing subassembly
PCB Subassembly bottom side down on a clean flat surface.
2) Using long nose pliers, carefully pull NBP tubing off of transducer port
(¿ in Figure 3-8) and out of its routing channel. Note routing of NBP
tubing. Use exactly same routing when reassembling monitor.
Save grommet for use in reassembly. Tuck tubing temporarily under
monitor handle on top of housing (to keep it out of the way).
3) Using small common-blade screwdriver, depress locking tabs near left
and right sides of funnel through slots on top edge of rear housing (À
in Figure 3-8) to release funnel, and slide funnel out of rear housing.
4) Reaching through rectangular slot on right hand side of rear housing,
apply pressure behind the 14-pin mini-champ connector housings on
main PCB to unplug Main Processor PCB Subassembly from X4 on
the Connector I/O PC Board.
5) Grasp handle on Main Processor PCB support (¬ in Figure 3-8), and
pull sub-assembly straight out from rear housing to slide connectors
on left side of main PCB out of channels in rear housing and remove
subassembly.

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6) Place Main Processor PCB Subassembly in static-protected


environment.
6.2.2 Installing Main Processor Reverse procedure of section 6.2.1 to install Main Processor PCB
PCB Subassembly Subassembly.
Note: Mating Main Processor PCB Subassembly into Rear Housing
Subassembly requires that Pod Com connectors (ƒ in Figure 3-8) align
properly in channels (Œ in Figure 3-8) in left side of rear housing.
6.3 Replacing Rear Replacing the rear housing is a matter of removing subassemblies and
Housing components (except the Connector I/O PCB) from the old rear housing, and
installing them in the new Rear Housing Subassembly in accordance with
procedures given in appropriate sections above. Perform the procedures in
the order given in the following steps:
N. B. The monitor’s serial number is electronically embedded in a
chip on the Connector I/O PCB and also printed on a label on back of
the rear housing. The replacement Rear Housing Subassembly must
be specially prepared at the factory, with an identical serial number,
as a specific replacement for a defective housing or Connector I/O
PCB. The required serial number is embedded in the new Connector
I/O PCB installed in the replacement subassembly, and the proper
label is placed on the back of the housing. It is the responsibility of
the individual replacing a defective Rear Housing Subassembly to
ensure destruction and proper disposal of the subassembly replaced.

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2
2
4

5
5

3
1

Rear Housing Subassembly


Main Processor PCB Subassembly
Front Bezel Subassembly

Figure 3-8 Main Subassemblies of VistaXL Patient Monitors (left side panel not shown). Note: Numbers in
black circles relate to corresponding numbers in white circles. See text.
1) Open monitor. Transfer Main Processor PCB Subassembly and Funnel.
2) Transfer NP Subassembly.
Note: Be sure to plug the NP cuff connector sensor ring on the new
housing into X8 on the Connector I/O PCB. See Figure 3-1.
3) Close monitor and transfer remaining components and subassemblies
into the compartments on back of monitor under rear cover.
4) Functionally verify proper operation of reassembled monitor.

7 Replacing Replaceable subassemblies in the Front Bezel Subassembly are as follows:


Subassemblies in • Front Bezel PCB Subassembly (Ð in Figure 3-9)
Front Bezel • Optical Encoder Subassembly (¿, ¡, ¬, and ƒ in Figure 3-9, also see
Subassembly Figure 3-11)
• Front Bezel/Lens Subassembly (… in Figure 3-9, includes bezel w/
lens, display subassembly mounting frame, metal logo, and feet)
• Backlight Lamps (see Figure 3-12)

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10
11

8
8
(¡ in Figure 3-10)
4
6

1
2
3

10
7

(¬ in Figure 3-10) 5
5 (¿ in Figure 3-10)

Figure 3-9 Front Bezel Subassembly Components. Note: Numbers in white circles call out replaceable parts.
Numbers in black circles are for text references.

1
4

Figure 3-10 Front Bezel Subassembly - Interior View

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Note: The Front Bezel Subassembly, which includes all components


shown in Figure 3-8 on page 48, is also available for replacement as a
complete subassembly, (except for the language and model labels
which must be ordered as a separate kit).
7.1 Front Bezel PC Board
7.1.1 Removing Front Bezel PCB It is necessary to remove the retainer plate, optical encoder subassembly,
and display screen subassembly, to access and remove the Front Bezel
PCB.
1) With front bezel subassembly laying face down on a smooth clean
surface, remove and save six securing screws (see ¿ in Figure 3-10)
from retainer plate.
2) Move retainer plate slightly left to slide tabs on right hand side of plate
(» in Figure 3-9 and ƒ in Figure 3-10 on page 49) out of tab slots in side
of front bezel frame.
3) Lift bottom edge of retainer plate and slide plate out of tab slots (Ð in
Figure 3-10) in top of front bezel frame.
4) Set retainer plate aside for use in reassembly.

5
5

Figure 3-11 Optical Encoder Subassembly. See Note in Figure 3-9 caption.
5) Remove rotary knob (¿ in Figure 3-9 on page 49 and in Figure 3-11.
Note: Rotary knob is press fitted onto metal shaft of optical encoder
subassembly. It must be removed very carefully if it is to be
reinstalled. To remove knob, grip it very firmly with vise-grips or
similar tool, and pull it straight out and off of metal shaft. Avoid
turning knob. Placing a piece of cloth around knob should prevent
scratching by vise-grips, and allow knob to be reused.
6) Unplug optical encoder ribbon cable connector (½ in Figure 3-9 and
Figure 3-11) from Front Bezel PCB.
7) Refer to Figure 3-9 or Figure 3-11. Unscrew nut ² securing optical
encoder shaft in position in front bezel, and remove optical encoder
subassembly ƒ through back of panel. Save nut, and lock washer /
positioning washer combination ³ for use in reassembly.
8) Refer to Figure 3-9. Unplug membrane switch ribbon cable connector
¾ and display backlight connectors º from Front Bezel PCB, and
display screenflex cable connector ¼ from display screen
subassembly PC board.

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9) Slide small screwdriver under tab near bottom on right hand side of
display subassembly, and carefully lift display subassembly (Ð in
Figure 3-9) out of front bezel frame. Set subassembly aside on a clean
flat surface for use in reassembly.
Note: Be very careful that no dust or other foreign matter gets on the
front bezel lens or on the display screen surface.
10) Remove and save two screws (¡ in Figure 3-10) securing Front Bezel
PC Board interface connector to mounting tabs on front bezel frame.
11) Remove and save two remaining screws (¬ in Figure 3-10 and « in
Figure 3-9) securing Front Bezel PC Board to front bezel frame.
12) Lift bottom right hand side of Front Bezel PC Board off of front bezel
frame, and slide board out from under interface connector mounting
tabs to remove board.
7.1.2 Installing Front Bezel PC 1) With optical encoder and display screen subassemblies removed, and
Board front bezel subassembly laying face down on a smooth clean surface,
bottom facing you, slide Front Bezel PC Board into position on
mounting posts on front bezel frame, with interface connector
housing under front bezel frame connector mounting tabs.

Caution

The flex cable and connector on the right-hand side of the Front
Bezel PC Board can be easily damaged. Be particularly careful
when positioning the board in the front bezel subassembly or
reinstalling the display screen subassembly in step 5 below.

2) Install screws removed in step 10 above into interface connector


housing but do not tighten until step 4.
3) Install screws removed in step 11 above, and tighten to secure Front
Bezel PC Board to front bezel frame.
4) Tighten screws installed in step 2 to secure interface connector
housing to front bezel frame.
5) Locate display subassembly in front bezel frame and press to seat
subassembly into position.
Note: Be very careful that no dust, finger prints, or other foreign
matter is on the front bezel lens or on the display screen surface.
6) Refer to Figure 3-9. Plug display screen flex cable connector ¼ into
display screen subassembly PC board, and display backlight
connectors º and membrane switch ribbon cable connector ¾ into
Front Bezel PC Board.
7) Dress display backlight cables into space between display
subassembly and front bezel PC board.
8) Slide optical encoder subassembly shaft through hole in front bezel,
positioned such that keyway on shaft is toward top of panel.
9) Slide positioning washer removed in step 7 of section 7.1.1 above
onto subassembly shaft so tab on hole in washer slides into keyway
on subassembly shaft and locking tab on washer is into hole in front
bezel above shaft.

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Note: This assures that optical encoder subassembly is positioned so


that its ribbon cable connector plugs properly into the front bezel PC
board and the subassembly doesn’t rotate in subsequent use.
10) Slide lockwasher and nut removed in step 7 of section 7.1.1 above
onto subassembly shaft, and tighten to secure subassembly in front
bezel.
11) Plug optical encoder ribbon cable connector into Front Bezel PC Board.
12) Slide retainer plate tabs into tab slots (Ð in Figure 3-10) in top of front
bezel frame.
13) Press down on plate and slide plate right to insert tabs on right hand
side of plate into tab slots on side of front bezel frame.
14) Secure to frame using screws removed in step 1 of section 7.1.1.
15) Reassemble monitor. Refer to Section 8.
7.2 Optical Encoder Refer to steps 1 through 7 of section 7.1.1 to remove Optical Encoder
Subassembly Subassembly, and to steps 8 through 15 of section 7.1.2 to install Optical
Encoder Subassembly. Install new rotary knobSection 4.1.

1
2
Figure 3-12 Display Screen Subassembly
7.3 Backlight Lamps The backlight fluorescent lamps are located inside the display screen
subassembly (ý in Figure 3-9 on page 49). Replace lamps as follows:
1) With front bezel subassembly separated from rear housing and laying
face down on a smooth clean surface, remove and save six screws (¿
in Figure 3-10 on page 49) from retainer plate (Ý in Figure 3-9).
2) Move retainer plate slightly left to slide tabs on right hand side of plate
(» in Figure 3-9 and ƒ in Figure 3-10 on page 49) out of tab slots in side
of front bezel frame.
3) Lift bottom edge of retainer plate and slide plate out of tab slots (Ð in
Figure 3-10) in top of front bezel frame, and set aside for reassembly.
4) Unplug display screen flex cable connector (¼ in Figure 3-9) from
display screen subassembly PC board. Note pad that keeps connector
in place.

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5) Unplug backlight connectors (¿ in Figure 3-12) from front bezel PC


board, and lift subassembly out of frame.
6) Using very small screwdriver, depress black nub on latch of each
backlight lamp holder (located at ¡ in Figure 3-12) to release latch, and
draw backlight lamps out of display screen subassembly in direction
of heavy arrows in Figure 3-12.
Note: As you remove backlight lamps, note that each has a small
on the side that faces up. Install the replacement lamps in the same
orientation as the lamps being removed. Always replace both lamps.
7) Perform steps 1 through 6 in reverse order to install backlight lamps.
7.4 Front Bezel/Lens A replacement Front Bezel/Lens Subassembly ships with an installed lens,
Subassembly mounting frame, Dräger Metal Logo, and feet. The Language Label Set
which includes VistaXL Monitor Model Labels (see … in Figure 3-9) must
be ordered separately,
1) Install “Dräger” metal logo (if not already installed) and Monitor Model
labels on front bezel, using original bezel as a model.
2) Remove LCD display subassembly, optical encoder, Front Bezel PC
Board, and retainer plate from original Front Bezel and install in
replacement bezel. Refer to steps 1 through 5 of section 7.3, and
sections 7.2 and 7.1.
7.5 Front Bezel A replacement Front Bezel Subassembly ships with LCD display
Subassembly subassembly, optical encoder, Front Bezel PC Board, and retainer plate
installed. Only the Language and Monitor Model labels (ordered separately
from replacement front bezel) need to be installed on the bezel before
closing the monitor. Refer to section 4.2 to install labels, and then go on to
section 8 to close monitor.

8 Closing Monitor 1) With open side of rear housing subassembly facing you, position front
bezel subassembly such that positioning guides on sides of the
subassembly are partially inserted into guide-channels along sides of
rear housing subassembly.
2) Turn partially assembled monitor backside down.
3) Assuring that interfacing connectors are properly aligned, carefully
press the two subassemblies together until four locking tabs on rear
housing (two on the top and two on the bottom) seat properly in front
bezel and lock the two subassemblies together.
4) Reinstall left and right side panels (see sections 5.1.4 and 5.1.6), and
ejector shaft cover (see section 5.1.2).
5) Reconnect battery power and reinstall rear cover.
6) Functionally verify proper operation of the monitor before returning
the monitor to clinical service. Refer to “Chapter 4: Functional
Verification” on page 57.

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Chapter 4: Functional Verification
1 Introduction All calibration and adjustments required for proper operation of VistaXL
Patient Monitors have been programmed into the software for the monitor.
Specific calibration and adjustment procedures needed in routine
operations of the monitor are detailed in the User Guide for the installed
software version, and are required to be performed only when directed to
do so by a message in the message field on the monitor display.
If specific reading of a patient parameter is suspect, Dräger recommends
functional verification for that function. Dräger recommends a full
functional verification for all patient parameters, including a pneumatic
leakage check and a leakage current check, be performed in accordance
with local regulations or at least annually. This chapter describes functional
verification procedures for monitors in the field. The procedures verify
proper operation of the monitor, using industry-standard patient simulators
and test equipment, to verify that the monitor properly processes and
reports patient physiological parameter signal inputs. Record results of
functional verification testing in a copy of “Appendix D: Functional
Verification Checklist”.
Software and certain of the monitor’s hardware components are
continually checked, first during power-up and later during on-line self-
tests. All monitor functions that are tested are performing in accordance
with design specifications if no error messages exhibit.
Perform all functional verification procedures with the main battery
installed, and the monitor off-line if mounted on a docking station and
powered by a CPS or IDS. Disconnect all patient parameter signal inputs
from the monitor, and plug in signal inputs from patient simulators and
industry-standard test equipment only as instructed to do so. To assure
that the monitor is off-line, unplug network cable from, IDS, CPS, or
monitor (if monitor functioning in DirectNet mode).
If the monitor fails to perform as indicated for any specific function during
functional verification procedures, troubleshoot the monitor using
procedures in “Chapter 5: Troubleshooting” of this Manual and remedy the
malfunction before attempting to complete functional verification.

2 Recommended Use specified recommended tools and test equipment given in Table 4-1
below, or a known equivalent, when performing functional verification
Tools and Test
tests. Substitutions are approved only if an equivalent is listed. Use of other
Equipment test equipment and/or accessories could result in inconclusive tests or
damage to system components.

Table 4-1Recommended Tools and Test Equipment


Tools & Test Equipment Description
ECG/Resp:
Patient ECG/Resp simulator DNI Medsim 300B or equivalent
Leads: Three-lead grabber set, or IEC color code 1 Art. No. 33 75 230 E530U
IEC color code 2 Art. No. 33 75 248 E530U
Five-lead grabber set IEC color code 1 Art. No. 33 75 255 E530U
IEC color code 2 Art. No. 33 75 263 E530U

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Table 4-1Recommended Tools and Test Equipment (Continued)


Tools & Test Equipment Description
SpO2
Patient SpO2 simulator, or Nellcor® PT2500 or equivalent
Reusable SpO2 sensor: Durasensor Adult Art. No. 45 34 475 EH50U
Non-Invasive Blood Pressure:
NBP simulator (calibrated) or Dynatech CuffLink®, or Veri-Cal®
Pressure Transducer Tester, or
equivalent
Mercury manometer with hand bulb Baumanometer®, 0-300 mmHg
NBP Calibration Assembly Art. No. 28 77 855 EE54U
NBP connection hose, 3.7 m Art. No. 12 75 275 EH40U
etCO2
5.00 ±0.03% CO2, balance N2, Calibration Gas Cylinder Art. No. 28 68 532 EE54U
Calibration Gas Regulator, with elbow fitting Art. No. 28 68 540 EE54U
Mercury barometer with mm grade
Invasive blood pressure:
IBP simulator w/ test cable DNI Medsim 300B or equivalent
Cardiac Output
SHP ACC C.O. INTERMEDIATE CABEL Art. No. 33 68 458 E530U
Temperature
Temperature simulator w/ test cable (2 cables req’d) DNI Medsim 300B or equivalent
Temperature Y Cable Art. No. 55 92 154 E530U
SHP ACC TEMP ADPT CBL 1/4” JACK (2 req’d) Art. No. 51 98 333 E530U
Leakage
Leakage Tester Bender µP-Safety Tester 601/751,
or equivalent
Output Cables:
Recorder ÷ Interface Plate or CPS/IDS Art. No. 47 21 770 E530U
IDS (or equivalent CPS), unless Monitor used only in DirectNet mode Art. No. 52 60 110 E5460

3 Power Circuits and The following procedures check the monitor’s power circuits, power-up
sequence, and power off indicator. Begin this procedure with the monitor
Start-up turned off and powered only by fully charged main battery.
Note: If the monitor is mounted on a docking station, be sure that the
locking lever is in the unlocked position.
3.1 Power ON/OFF 1) Press ON/OFF switch on front panel and verify that power LED in ON/
OFF key turns on.
2) Press and hold ON/OFF key for approximately two seconds.

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3) Verify that high pitched piezo tone sounds briefly and power LED in
ON/OFF key turns off.
3.2 Power-Up Sequence Press ON/OFF key and verify following sequence of events:
• Power LED in ON/OFF key turns on.
• Display illuminates briefly, monitor beeps, high-pitched piezo tone
sounds briefly, and Battery charger LED illuminates briefly.
• After a few moments, during which display is NOT illuminated,
monitor sounds a chime.
• After a few more moments, New Patient prompt displays.
• Select NO, and press rotary knob in to clear prompt.
Note: With all patient inputs removed from the monitor, only
“adult” and “ALL Alarms OFF” appear on MAIN screen.
• Battery charge level bar graph, date and time report in message area
at bottom of display.
3.3 Monitor Powered 1) Move docking station lever to locked position.
From External Source 2) Verify that Battery charger LED illuminates and battery charge level bar
graph disappears.
3) Remove monitor from docking station or move docking station lever
to unlocked position if additional functional verification procedures are
to be performed using only main battery power. Otherwise, continue.

4 Rotary Knob The Rotary Knob in the lower right corner of the front panel controls an
optical encoder for pointing to and selecting display fields and functions.
1) Press Menu key, and verify that selected menu item changes for each
detent as knob is rotated one complete revolution in either direction.
2) Rotate knob until ← in upper left corner of Main Menu is selected.
3) Press knob in and verify that MAIN screen displays.

5 LCD Display The display is composed of an active-matrix LCD screen with backlight.
Test the LCD display as follows:
1) With MAIN Screen displayed, verify that ≤17 Pixels are inoperative
(“stuck” ON).
2) Press Menu key and select Monitor Setup → Display Options.
3) Select Brightness
4) Change setting of rotary knob and observe that brightness of display
screen varies accordingly. (monitor must be on battery power)
5) Set brightness for AUTO.
6) Verify that backlite provides sufficient and uniform background
illumination for LCD, while connected to external power source (CPS,
IDS, PSL).
7) Verify intensity change with change in ambient light.
8) Press Main Screen key to return to MAIN screen.

6 Fixed Keys The following tests verify that membrane switches on the front panel are
functioning properly, and that the signal from the key is processed by the
Front Panel Control PCB. Functions controlled by the fixed keys are
individually verified elsewhere in this Chapter as required.

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Note: Before beginning Key tests access Main menu. Select Monitor
Setup → Monitor Options → Speaker Volumes, and assure that
Attention Tone Volume is set to other than OFF.
6.1 ON/OFF Key The ON/OFF key initiates the power-on sequence if the monitor is powered
off, and powers-off the monitor, initiating a brief power-off piezo alarm, if
the monitor is powered-on.
Note: This test can be omitted if the procedure of section 3.1 has
already been performed.
1) Press and momentarily hold ON/OFF key.
2) Verify that powered state of monitor changes from ON to OFF or from
OFF to ON.
3) Set monitor to powered-on state, if monitor powered off.
6.2 Main Screen Key The Main Screen key sets the display to the MAIN screen.
1) Press Menu key to display Main menu.
2) Press Main Screen key, and verify that Main menu extinguishes, and
display returns to MAIN screen.
6.3 Alarm Silence Key The Alarm Silence key silences an alarm tone for one minute.
1) Assure that HR alarm is enabled, and without any input applied to
MultiMed POD, plug MultiMed or MultiMed 12 cable into monitor.
Monitor should Alarm.
2) Press Alarm Silence key and verify that alarm ceases.
3) Turn off HR alarm in Alarm Limits Table before proceeding. Refer to
section 6.4.
6.4 All Alarms Off Key The All Alarms Off key silences all alarms for a period of 2 minutes.
1) Press All Alarms Off key.
2) Verify that 2 minute countdown field appears at top center of display.
6.5 Record Key The Record key starts and stops a recording of limited duration when the
monitor is mounted on an IDS (or CPS).
1) With monitor mounted on IDS (or CPS) press Record key.
2) Verify that message “Recording Not Accepted” appears in message
field at bottom right-hand side of display.
6.6 NBP Start/Stop Key The NBP Start/Stop key initiates or terminates the inflation cycle for the
non-invasive blood pressure monitor function.
1) Press Menu key. Access Monitor Setup → Monitor Options →
Speaker Volumes, and set Attention Tone Volume to 50%.
2) Press NBP Start/Stop key.
3) Verify that monitor sounds a tone. (Cuff must not be plugged into cuff
connector.)
6.7 Fast Access Key When a patient is being monitored, the Zoom key calls up a 1-hour trend
display for a quick overview of patient status.
1) Press Zoom key, and verify that “Fast Access Menu” displays.
2) Press Main Screen key to return.

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7 ECG/RESP Functions With the cable plugged into the monitor connect either a 3-lead, 5-lead, or
6-lead ECG cable from the Patient Simulator into the MultiMed POD.
7.1 ECG/RESP Test Setup 1) Select HR parameter box and press rotary knob in to bring up ECG menu.
• Set all ECG Lead settings at default values and remaining
parameters as follows:
-- ARR Monitoring Basic
-- RESP Monitoring ON
-- Pacer Detection ON
• QRS Sync Marker ON
• Pulse Tone Source ECG
• Pulse Tone Volume 10%
2) Set simulator as follows:
• ECG = Normal Sinus
• HR = 80 beats per minute (bpm)
• amplitude = 1.0 mV
• RESPIRATION = Normal Rest.
• rate = 20 breaths per minute (BPM)
• ohms = 1.0
• LEAD SELECT = II/RA-LL
• BASELINE IMPEDANCE = 500
7.2 Waveforms/Digital 1) Verify the following:
Readouts/Tones • Waveform and HR correspond to data provided by simulator.
• Heart symbol (♥) blinks and pulse tone sounds for each QRS complex.
• White spike present at each QRS complex.
• RESP and HR digital readout correspond to settings of simulator.
2) Vary Tone Volume setting and verify that pulse tone volume changes.
3) Set Tone Volume to OFF, and verify that pulse tone stops.
7.3 Pacer Detection 1) Apply paced signal from simulator.
2) Verify that small “P” accompanies heart symbol (P♥) for every
detected, paced beat, blue spike appears for each paced signal, and
HR digital value agrees with pacer bpm setting.
3) Generate asystole condition in simulator, with pacer output still active.
4) Verify that ASY appears in ARR parameter box, an asystole alarm
sounds, and waveform is flatline with pacer pulses.
5) Disable pacer signal, and return simulator to setup above (section 7.1).
7.4 Lead-Off Indicators 1) One at a time, disconnect each ECG lead from simulator.
2)• For LL and RA electrodes, verify “Lead-Off” and “ECG Leads Invalid”
messages appear in message area, pulse tone ceases, *** replaces
digital heart rate in HR field.
• For V and RL electrodes, verify “Lead-Off” message, loss of V trace.
• For LA electrode, verify “Lead-Off” message only.
3) Reconnect all leads to simulator.

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7.5 Alarm Function This procedure also tests that the alarm function of the monitor, as
applicable to all other patient parameters, is operational in the monitor.
1) In Alarm Limits Table, set HR alarm parameters as follows:
• Upper limit = 110 bpm
• Lower limit = 40 bpm
• Alarm = ON
2) Set emulator to HR = 120 bpm.
3) Verify that monitor responds with following Serious Alarm indications:
• HR in parameter field = 120
• HR parameter field blinks and color changes.
• Serious Alarm tone sounds.
• Message HR > 110 appears in message area at bottom of display.
4) Reset simulator to HR = 80 bpm.
5) Verify the following:
• HR parameter field returns to normal color
• HR returns to 80
• Message area continues to report cause of most recent alarm, HR
>110.
6) Press Alarm Silence fixed key.
7) Verify that “HR > 110” ceases to be reported.
7.6 Asystole Switch power to simulator OFF. Verify that HR parameter field reports
ASY, “Asystole” appears in message area at bottom of display, and
monitor responds with Life-Threatening alarm.
Switch power to simulator ON.

8 SpO2 Function VistaXL monitor oxygen saturation (SpO2) and pulse rate using the
spectrophotometric method. SpO2 software is checked on monitor power-
up and also periodically while the monitor is in operation.
8.1 SpO2 Test Setup The SpO2 parameter box appears when an SpO2 input is applied to the
monitor through the MultiMed POD.
1) Select SpO2 parameter box to access menu. Set parameters as
follows:
• Pulse Tone Source - SpO2
• Pulse Tone Volume -10%
• Waveform Size - 10%
• Averaging - Normal
2) Do either of the following as appropriate:
a If using a variable SpO2 simulator, set SpO2 level to 98% and
pulse rate to 70 bpm, and plug simulator into SpO2 input adapter
cable to MultiMed POD.
b If using a Nellcor PT-2500 pocket tester or equivalent, plug tester
into SpO2 input adapter cable to MultiMed POD.
8.2 Waveforms/Digital 1) Verify the following:
Readouts/Tones • Simulated SpO2 waveform appears, and digital SpO2 and pulse rate

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(PLS) values correspond to simulator settings.


• ♥ symbol blinks in SpO2 field, and pulse tone sounds synchronous
with appearance of ♥ symbol.
8.3 Pulse Tone Generator 1) Select Pulse Tone Volume in SpO2 menu.
2) Vary volume setting and verify that pulse tone volume changes.
3) Set Pulse Tone Volume to OFF, and verify that tone stops. Then reset
pulse tone to ON.
4) Do either of the following as appropriate:
a If using variable simulator change oxygen saturation value, and
verify that pulse tone frequency (pitch) increases as SpO2 level
increases, and decreases as SpO2 level decreases.
b If using pocket tester or equivalent, replace tester with adult finger
sensor and place sensor on your finger. Your SpO2 reading should
be > reading obtained from tester, and frequency (pitch) of pulse
tone should increase.
8.4 SpO2 Limits Alarms 1) In Alarm Limits Table, set SpO2 upper limit to 100%, lower limit to
80%, and assure that alarm is ON.
2) Set simulator to an SpO2 value outside of set limits.
3) Verify that monitor responds with serious Alarm indication.
4) Reset simulator to value within alarm range. Verify that alarm ceases

9 Temperature
Function
9.1 Temperature Test Using the Temperature Y Cable input to the MultiMed Pod, set up the
Setup patient simulator to supply a temperature input to Temp A.
Set the simulator for a standard 37°C.
9.2 Digital Readout 1) Verify that monitor indicates temperature of 37±0.1°C.
2) Change simulator to temperature above and then below 37°C.
3) Verify that monitor readout agrees with simulator settings ±0.1°C.
4) Repeat procedure for Temp B input to Temperature Y Cable.

10 Non-Invasive Blood VistaXL measure non-invasive blood pressure (NBP) according to the
oscillometric method. You can either start a manual measurement using
Pressure Function the NBP Start/Stop fixed key or set the monitor to take automatic NBP
measurements at selected intervals.

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Figure 4-1 NBP Calibration Setup


10.1 Test Setup 1) Set up monitor and NBP Calibration Assembly (Art. No. 28 77 855
EE54U), as illustrated in Figure 4-1.
Note: A pressure indicator such as the VERI-CALTM Pressure
Transducer Tester can be used in place of the manometer.
2) Select NBP parameter box and press rotary knob in.
3) Set following in NBP parameter field menu:
• Interval Time - OFF
• Continuous Mode - OFF
• Calibrate Mode - ON. (Observe “NBP Cal. = 0 mmHg” appears.)
Note: You may have only 2 min. to perform this test if the pump has
run since the monitor was powered on, before the H/W deflation
error initiates. If this happens, you will need to reset monitor. If the
pump has not run, however, there is no time limit.
4) Press Main Screen key or select ← at top of NBP field menu to return
to Main menu.Using hand bulb, increase pressure to 250 ±5 mmHg,
and allow it to stabilize for 1 minute.
5) At manometer (or equivalent pressure indicator), observe pressure
drop for an additional minute. Verify pressure drop <8 mmHg in 1 min.
10.2 Calibration Check 1) Using hand bulb, increase pressure to 250 mmHg.
2) Verify that pressure values displayed on monitor and manometer are
within ±3 mmHg of each other.
3) Slowly release pressure in 50 mmHg increments. At pressures of 200,
150, and 100 mmHg, verify that cuff pressure values on monitor and
manometer are within ±3 mmHg of each other at each level.
10.3 Hardware 4) With monitor still in calibration mode, slowly increase pressure. while
Overpressure observing pressure rise on monitor’s screen.
5) Verify that pressure suddenly drops at 300 ±30 mmHg.

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6) Release all remaining pressure before proceeding.


7) Set patient category to neonatal and repeat steps 4 through 6, using a
pressure limit of 157±8 mmHg for step 5.
10.4 Pump 1) Set Calibrate Mode in NBP parameter field menu to OFF.
2) Press NBP Start/Stop key.
3) Verify the following:
• Pressure increases and then decreases.
• Inflation and deflation pressures reported in message field.
• Message “NBP No Pulsation” exhibits at end of deflation phase.
• All digital readouts in NBP field are ***.
10.5 Interval Mode 1) With NBP Calibrate Mode set to OFF, set Interval Time to 1 min.
2) Verify the following:
• A one-minute countdown bar graph appears at bottom of NBP
parameter box.
• NBP pump starts immediately when rotary switch is pressed in.
• NBP sequences through an inflation/deflation cycle and produces an
“NBP No Pulsation” message in message field at the bottom of
display
• NBP pump starts again when one-minute countdown bar resets to
initiate another cycle.
3) Press NBP Start/Stop key to stop cycle, and reset Interval Time to OFF.
10.6 Safety Timer 1) Assure that NBP Calibrate Mode is set to OFF.
2) Press NBP Start/Stop fixed key to start pump.
3) Press same key again to stop measurement.
4) Set NBP Calibrate Mode to ON, and press MAIN SCREEN key.
5) Press CODE key to start screen stopwatch. Observe monitor screen.
6) Press CODE key again to stop watch when “NBP Cuff Deflation
Error” message displays, indicating that safety timer has activated.
7) Verify that elapsed time is as follows:
• Adult 120 ±5 seconds.
• Neonatal 90 ±5 seconds
• French Homologation 60 ±5 seconds
8) Press NBP Start/Stop fixed key.
9) Verify that tone sounds and pump fails to start.
10) Power-cycle monitor to clear fault condition.

11 etCO2 Function The etCO2 Module enables the VistaXLto non-invasively monitor end-tidal
CO2 (etCO2) using a technique that relies on the selective absorption
properties of CO2 to specific frequencies of infrared radiation. The module
automatically compensates for variations in ambient barometric pressure if
set to automatic mode. Before beginning this procedure, use a mercury
column barometer or equivalent other device to determine local
atmospheric pressure. Record this value.
1) Plug accessory assembly into module.

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Note: Observe that the parameter box appears on the monitor display
screen, and that “etCO2 Sensor Warming Up” followed by “etCO2
Place Sensor on Zero Cell” appears in the message field.
2) While sensor is warming up, select etCO2 parameter box.
3) Assure that Atmospheric Pressure is set to “Manual”, and is set to
value indicated by mercury column barometer.
4) Place sensor on Zero Cell.
5) Note that “etCO2 Calibrating Sensor” appears in message field,
followed by “etCO2 Place Sensor on Ref Cell”.
6) Place sensor on Reference Cell.
7) Verify that”etCO2 Verifying Sensor Cal” followed by “etCO2 Sensor
Cal Verified” appears in message area, and reading in etCO2
parameter box = 38 ±2mmHg.
8) Attach adult airway adapter to calibration gas cylinder. Do NOT open
valve on cylinder.
Note: As CO2 is heavier than room air, set up the airway adapter such
that the point where the gas exits from the adapter is higher in
elevation than the point where it enters.
9) Place sensor on adult airway adapter and note reading = 0 ±1 mmHg.
10) Turn valve on the cylinder until it is fully open.
11) Wait for 30 seconds and record displayed value.
12) Close valve and remove sensor from airway.
13) Verify that measured value is in range (0.05 x local pressure) ±3,
rounded to nearest integer.
14) Select etCO2 parameter box and set Atmospheric Pressure to AUTO.
15) Repeat steps 4 through 12.
16) Verify that measured value = previously measured value ±3, rounded
to nearest integer.

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300
290
280

260
270
Inflation
250
240
230
Bulb
220
210
200
190
180
170
160
150
140
130
120
110
100
90
80
70
60
5
40

20

Manometer

Stopcock
(Closed)

Pressure
Transducer
Tester

Figure 4-2 IBP Functional Verification Test Setup for HemoMed Pod

12 HemoMed Pod Refer to Figure 4-2 for test setup. Invasive blood pressure and cardiac
output functions of HEMO2/4 PODs are incorporated in the HemoMed
Pod. A single cable connects the Pod to the HemoMed 1input on the left
side of the VistaXL. Pressure labels for HemoMed Pod channels are set in
the monitor.
12.1 IBP Function (Locked
Option)
12.1.1 IBP Test setup 1) With MultiMed cable and all other patient inputs unplugged from
monitor, power-cycle monitor. Select NO to clear display.
2) Plug cable from HemoMed Pod output into HemoMed 1 connector on
VistaXL monitor. See Figure 4-2.
12.1.2 Channel A 3) With MAIN screen displayed, connect BP output from simulator to
first input, channel A, on HEMO POD adapter.
4) Set IBP simulator for a static pressure = 0 mmHg.
Note: “Zero Required” message, appears on display.
Monitor Zero Function 5) Press Zero All key on HemoMed Pod.
Note: All four pressures are zeroed simultaneously in the monitor,
even if only channels A and B are to be used in the HemoMed Pod.
6) Verify that a “Zero Accepted” message that changes to “Static
Pressure” appear in the message field.
7) Select a pulsatile pressure on patient simulator.
8) Assure that Cal Factor and Manometer Cal are set to 100.
9) Verify that pressure reading on monitor is in agreement with values
generated by pressure signal from simulator.
If verifying only VistaXL, omit remaining steps in this section and go to

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section 12.2. If also verifying HEMO POD, go on to step 10.


12.1.3 Channel B 10) Unplug BP adapter cable from channel A on HEMO POD and plug it
into channel B.
11) Verify that pressure reading on monitor is in agreement with values
generated by pressure signal from simulator.
12) Do either step a or step b as appropriate.
a If HemoMed Pod has four channels, unplug the BP adapter cable
from channel B and plug it into channel C. then go on to step 13.
b If HemoMed Pod has only two channels, bypass remaining steps
of this section and go to section 12.2.
12.1.4 Channel C 13) Unplug BP adapter cable from channel B on HemoMed Pod and plug it
into channel C.
14) Verify that pressure reading on monitor is in agreement with values
generated by pressure signal from simulator.
12.1.5 Channel D 15) Unplug BP adapter cable from channel C on HemoMed Pod and plug it
into channel D.
16) Verify that pressure reading on monitor is in agreement with values
generated by pressure signal from simulator.
17) Unplug simulator input adapter cable from HemoMed Pod, and go on
to section 12.2.
12.2 Cardiac Output 1) Plug C.O. output from simulator into C.O. test adapter cable, and plug
Function adapter cable into C.O input on HemoMed Pod.
2) When READY appears in CO parameter field verify that blood
temperature indication is 37±0.15°C.
3) Press C.O. START key on simulator, and verify an Injectate
Temperature indication of 1±0.2°C.

13 HEMO POD2/4 Refer to Figure 4-3 on page 67 for test setup.

13.1 IBP Function IBP parameter boxes for up to two pressures for a HEMO 2 POD or up to
four pressures for a HEMO 4 POD display automatically when the IBP
signal from the HEMO POD is plugged into the monitor, when the Display
Mode has been set to automatic.
If verifying proper IVP functioning of only the Monitor, do sections 13.1.1
and 13.1.2, and then go on to section 13.2. If functionally verifying the
HEMO POD also complete sections 13.1.3, 13.1.4, and 13.1.5.
13.1.1 IBP Test setup 1) With MultiMed cable and all other patient inputs unplugged from
monitor, power-cycle monitor. Select NO to clear display.
2) Plug cable from HEMO POD IBP VistaXL output into Aux./Hemo3
input on VistaXL monitor.
13.1.2 HEMO2/4 POD Channel A 3) With MAIN screen displayed, connect BP output from simulator to
first input, channel A, on HEMO POD adapter.
4) Set IBP simulator for a static pressure = 0 mmHg.
Note: “Zero Required” message, identified by same pressure label is
shown in LCD window for channel A on front of HEMO POD appears
on display.

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300
290
280

260
270
Inflation
250
240
230
Bulb
220
210
200
190
180
170
160
150
140
130
120
110
100
90
80
70
60
5
40

20

Manometer

Stopcock
(Closed)

Pressure
Transducer
Tester

Monitor Zero Function 5) Press Zero All key on HEMO POD.

Figure 4-3 IBP Functional Verification Test Setup for HEMO2/4 PODs
6) Verify that a “Zero Accepted” message that changes to “Static
Pressure”, both identified by the same pressure label, appear in the
message field.
7) Select a pulsatile pressure on patient simulator.
8) Assure that Cal Factor and Manometer Cal are set to 100.
9) Verify that pressure reading on monitor is in agreement with values
generated by pressure signal from simulator.
10) If monitor is an VistaXL, plug cable from HEMO POD IBP VistaXL
output into Aux./Hemo2 input and repeat steps 3 through 9.
Otherwise, continue.
11) If functionally verifying only the VistaXL, omit the remaining steps in
this section and go to section 13.2. If also functionally verifying HEMO
POD, go on to step 12.
13.1.3 HEMO2/4 POD Channel B 12) Unplug BP adapter cable from channel A on HEMO POD and plug it
into channel B.
13) Observe that pressure label changes to same pressure label as is
shown in LCD window for channel B on front of HEMO POD.
14) Verify that pressure reading on monitor is in agreement with values
generated by pressure signal from simulator.
15) Do either step a or step b as appropriate.
a If the HEMO POD has four channels, unplug the BP adapter cable
from channel B and plug it into channel C. then go on to step 16.
b If the HEMO POD has only two channels, bypass remaining steps
of this section and go to section 13.2.
13.1.4 HEMO4 POD Channel C 16) Unplug BP adapter cable from channel B on HEMO POD and plug it

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into channel C.
17) Observe that pressure label changes to same pressure label as is
shown in LCD window for channel C on front of HEMO POD.
18) Verify that pressure reading on monitor is in agreement with values
generated by pressure signal from simulator.
13.1.5 HEMO4 POD Channel D 19) Unplug BP adapter cable from channel C on HEMO POD and plug it
into channel D.
20) Observe that pressure label changes to same pressure label as is
shown in LCD window for channel D on front of HEMO POD.
21) Verify that pressure reading on monitor is in agreement with values
generated by pressure signal from simulator.
22) Unplug simulator input adapter cable from HEMO POD, and go on to
section 13.2.
13.2 Temperature Function 1) Plug fixed temperature (37°C) output from simulator into TEMP A
connector on side of HEMO POD.
2) Plug selectable temperature output from simulator into TEMP B
connector on side of HEMO POD, and set temperature for a value
other than 37°C.
3) Verify the following:
• a T field appears on the MAIN screen
• T1a temperature = 37 ±0.1°C
• T1b temperature = simulator setting ±0.1°C.
4) Select Temperature field, and press rotary knob in to access TEMP1
menu.
5) Select TEMP Display and then select ∆T1 .
6) Verify that T1b changes to ∆T1 and reports temperature difference
between T1a and T1b ±0.2°C.
7) Reset TEMP Display in TEMP1 menu to T1b.
8) Press Main Screen key to clear table and return to MAIN Screen.
13.3 Cardiac Output 1) Plug C.O. output from simulator into C.O. test adapter cable, and plug
Function adapter cable into C.O./Temp B input on HEMO POD.
2) When READY appears in CO parameter field verify that blood
temperature indication is 37±0.15°C.
3) Press C.O. START key on simulator, and verify an Injectate
Temperature indication of 1±0.2°C.

14 Memory Backup The monitor retains patient-related data, such as alarm limits, trends, and
stored alarm recordings when it is powered off.
Function
1) With monitor powered-up and no patient inputs applied, press Alarms
Limits fixed key and change limit for any parameter.
Note: Note time on Real Time Clock.
2) Power monitor off for approximately 2 minutes, and then power it
back on again.
3) After MAIN screen displays, press Alarm Limits fixed key to call up
Alarm Limits Table.

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4) Verify that new limit(s) you set in Step 1 have been retained, and that
clock has advanced the proper amount of time.

15 DirectNet Mode This checks for proper configuration of a monitor set up for DirectNet
functioning, and for monitor communication via the INFINITY NETWORK. Omit
(requires ≥VC2-level
this test if monitor used exclusively in CPS/IDS mode.
installed software)
1) With monitor disconnected from docking station, connect monitor to
INFINITY NETWORK using ethernet connector on right side of monitor.
Note: Remove label covering ethernet connector on right-hand side
of monitor, if necessary.
2) Press Menu key, and select Monitor Setup → Biomed → Service.
3) Enter Biomed password (4712) and select “Accept.”
4) Select Network Setup → Network Config. → DirectNet → Save ALL.
Note: Monitor resets if Network Config. previously set for CPS/IDS.
5) Setup monitor for simulated patent using external patient simulator.
6) Verify that waveforms display on MVWS.
Note: If INFINITY NETWORK not equipped with MVWS, use remote
view function of another monitor on network to view waveforms.
Then skip step 7 and go to step 8.
7) Access netInfo on MVWS and verify that monitor labels are unique.
8) Follow procedure in steps 2 through 4 to reset monitor to CPS/IDS
mode, if required.

16 Leakage Current VistaXL monitors are battery operated devices, functionally grounded
through CPS or IDS power supply when operated from a docking station.
Tests
Leakage current tests assure that under both normal and fault conditions,
any leakage current does not exceed values given in Table 4-2 on page 70.
1) Perform leakage current tests with monitor on a docking station, and
CPS, IDS Power Supply, or PSL plugged into leakage tester. See
Figure 4-4 on page 70.
2) Follow leakage tester manufacturer’s instructions to measure each of
leakage currents given in Table 4-2, for each of following conditions:
• open ground
• reversed polarity
• open ground reversed polarity

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LEAKAGE
IDS DOCKING
CPS
Power MONITOR
TESTER STATION
Supply

IDS
LEAKAGE DOCKING
TESTER Power
CPS OR PSL
STATION MONITOR
Supply

.Figure 4-4 Leakage Current Test Setups

Table 4-2 Leakage Current Tests

TEST Max. Current

Combined Lead Leakage <10µA


Individual Lead Leakage <10µA
Paired Lead Leakage <10µA
Leakage with Line Voltage on Leads <50µA

3) Verify that current does not exceed values given in Table 4-2.
4) Record all values in monitor’s functional verification checklist.

17 Battery Charger 1) With a partially discharged main (internal) battery and no external
(auxiliary) battery installed, place monitor on powered docking station
Circuit
and bring up MAIN screen.
2) After 1 hr., verify that charge level on battery has increased.
3) With main battery at full charge and monitor on battery power, insert
external battery. Verify that battery charge level indicator at bottom of
MAIN screen changes from internal indicator to external indicator.

18 Recorder Function The R50 Recorder connects to the monitor through the CPS or IDS, or
through an interface plate. The following procedure verifies that the
monitor is communicating with the Recorder.
1) Connect known good R50 Recorder to monitor, either through a CPS/
IDS or via an interface plate.
2) Press Menu key, and access Monitor Setup → Biomed → Service
3) Enter Service password (4712) and select Accept.
4) Select Bedside Setup, and set Waveform Simulator to ON.
5) After monitor cycles, bring up MAIN screen.
6) Press Record fixed key.

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7) Verify that recorder begins to dispense waveform printout.


8) Press Stop key on recorder to stop paper flow.
9) Press Menu key, and access Monitor Setup → Biomed → Service.
10) Enter Service password (4712) and select Accept.
11) Select Bedside Setup, and set Waveform Simulator to OFF.

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Chapter 5: Troubleshooting
1 Introduction Troubleshooting VistaXL monitors is either a two- step or three-step
process.
Step 1) Determine whether the trouble is external, such as a
malfunctioning module, Pod, connector, or cable, or internal.
Step 2) Do either a or b as appropriate.
a If external, recalibrate or replace malfunctioning item.
b If internal, go on to step 3.
Step 3) Usual remedial action is to replace malfunctioning component
or subassembly. See “Appendix A: Replacement Parts” for
complete listing of replaceable system components and
subassemblies. After replacing an internal subassembly,
functionally verify all monitor functions before returning
monitor to clinical service.
VistaXL monitoring system devices consist of the Base Unit, and peripheral
devices including the Docking Station, CPS, IDS w/ Power Supply, R50
Recorder, etCO2 Module, MultiMed or MultiMed 12 Pod, HEMO or
HemoMed Pod, and Remote Display.

2 Recommended Tools and Test Equipment


Use the specified, recommended tools and test equipment, or a known
equivalent, when troubleshooting VistaXL monitors and peripheral
equipment. Substitutions are approved only if an equivalent is listed. Use
of other test equipment and/or accessories could result in inconclusive
tests or damage to system components.

Table 5-1 Recommended Tools and Test Equipment

Tools & Test Equipment Description

Digital Multimeter (DMM), 4.5 digit Fluke, model 8050A (or equiv.)
Patient ECG/RESP, Temp, IBP simulator DNI Medsim 300B or equivalent
Leads: Three-lead grabber set, or IEC color code 1 Art. No. 33 75 230 E530U
IEC color code 2 Art. No. 33 75 248 E530U
Five-lead grabber set IEC color code 1 Art. No. 33 75 255 E530U
IEC color code 2 Art. No. 33 75 263 E530U
Patient SpO2 simulator, or Nellcor® PT2500 or equivalent
Reusable SpO2 sensor: Durasensor, Adult Art. No. 45 34 475 EH50U
NBP simulator (calibrated) or DNI CuffLink®
Mercury manometer with hand bulb, or Baumanometer®, 0-300 mmHg
Electronic pressure indicator with handbulb Veri-Cal® Pressure Transducer Tester, or
equivalent
NBP Calibration Assembly Art. No. 28 77 855 EE54U
NBP connection hose 3.7 m Art. No. 12 75 275 EH40U

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3 Power Problems
Before troubleshooting power problems, keep in mind that fuses are used
to protect delicate circuits from potentially harmful currents. Replacement
of a fuse may provide only a temporary solution and may not remove the
source of the fault. Never replace a fuse with other than what is specified.
3.1 Monitor won’t power 1) Is external AC power present?
ON when connected Yes: Continue.
to external power
source (CPS, IDS, IDS No: Troubleshoot line.
Power Supply, or PSL) 2) If monitor being powered by a CPS or IDS, depress curved docking
connector cover door on docking station to access docking connector,
and measure output voltage across pins 11 and 12 of connector (see
illustration at left), or if monitor being powered by an IDS Power
Supply or PSL, measure output voltage.
3) Is voltage = 11.6 to 13.8 VDC?
Yes: Continue.
No: Replace CPS/IDS or IDS Power Supply.

C19
C20
C18

C24
C25
C21
C22
C26

C27
C17

BATEXT
C16

F2 C10 F2
PSL
F1 BATINT F3 F1
F3
C15 J5 J4
J1
C29 C28
J3
C14

C12
C11
C13

J2
C5
C4
C7
C6

R11
C9 R6
R5
R7
R8
R2
R1
R4
R3
L3
L2

C8
1
X4

X4
External Connector Side Interior Side
Figure 5-1 Connector I/O PCB
4) Does Monitor power ON using battery power?
Yes: Then problem is either with main processor PCB or, if
powering monitor from PSL, fuse F1 may be open.
If powering monitor from CPS/IDS, replace Main Processor
PCB Subassembly. If powering monitor from PSL. continue
to step 5.
No: Go to Section 3.4, Troubleshooting ON/OFF control.

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5) Open monitor and remove Main Processor PCB Subassembly from


rear housing to access Connector I/O PCB.
6) Check continuity of F1. See Figure 5-1 on page 74.
Note: It is not necessary to remove Connector I/O PCB from rear
housing or lift one side of fuse. With power sources unplugged from
monitor and nothing plugged into X1, continuity of F1 can be checked
from solder points on interior side of board.
Removing the Connector I/O PCB requires that the slide lock on the
etCO2 connector on back of the monitor be removed to release the
board. This damages the label above the connector. The damaged
label must be removed and a replacement label (supplied with
replacement fuses) installed.
7) Does F1 measure as open? (>5Ω)
Yes: Remove Connector I/O PCB, replace F1, reassemble
monitor, and perform monitor power-on check. If F1 opens
a second time, replace F1 and Main Processor PCB
Subassembly.
No: Replace Main Processor PCB Subassembly.
3.2 Using main battery as 1) Does unit power ON while connected to an external power source?
power source, monitor Yes: Continue
either doesn’t
maintain monitor No: Go to Section 3.4, Troubleshooting ON/OFF control.
operations for 2) Remove all external power sources (including external battery if
prescribed time, or installed), remove back cover, and unplug battery cable from main
won’t power ON. battery.
3) Is voltage = 11.6 to 13.8 VDC present at battery terminals?
Yes: Continue to step 4.
No: Battery is not charged to 12VDC. Reconnect battery cable
to battery terminals, and go to Section 3.5.
4) Check in-line fuse in power harness (if installed), and check for <5Ω
between black wire battery terminal connector and pin 4 on connector
X1. See Figure 5-1 on page 74.
5) Is harness fuse OK, and resistance between black wire terminal
connector and pin 4 on connector X1 <5Ω?
Yes: Open monitor and remove Main Processor PCB
Subassembly from rear housing to access Connector I/O
PCB. Then continue to step 6.
No: Either fuse in battery power harness is open or there is
discontinuity between black wire terminal connector and pin
4 on X1. Replace harness, and perform monitor power-on
check. If fuse opens a second time, replace harness and
Main Processor PCB Subassembly.
6) Check continuity of F3. See Figure 5-1 on page 74.
Note: It is not necessary to remove Connector I/O PCB from rear
housing or lift one side of fuse. With power sources unplugged from
monitor and nothing plugged into X1, continuity of F3 can be checked
from solder points on interior side of board.

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Removing the Connector I/O PCB requires that the slide lock on the
etCO2 connector on back of the monitor be removed to release the
board. This damages the label above the connector. The damaged
label must then be removed and a replacement label (supplied with
replacement fuses) installed in its place. It is necessary to remove a
Connector I/O PCB only if a fuse needs to be replaced.
7) Is F3 open? (>5Ω)
Yes: Replace fuse, reassemble monitor, and continue to step 8.
No: Replace Main Processor PCB Subassembly.
8) Does monitor power ON using only main battery as power source?
Yes: Return monitor to service after checkout.
No: Replace fuse and Main Processor PCB Subassembly.
3.3 With external battery 1) Remove external battery and measure battery terminal voltage.
installed, monitor fails 2) Is voltage = 11.6 to 13.8 VDC?
to function on battery
power for prescribed Yes: Continue to step 5.
time. No: Battery is not charged to 12VDC. Reinsert external battery
into monitor, and go to Section 3.5.
3) Remove back cover, and with external power plugged into monitor
check voltage between pins 1 and 2 of X1. See Figure 5-1 on page 74
4) Is voltage = 13.6 to 13.9 VDC?
Yes: Go to Section 3.2.
No: Continue to step 5.
5) Check continuity of F2. See Figure 5-1 on page 74.
Note: It is not necessary to remove Connector I/O PCB from rear
housing or lift one side of fuse. With power sources unplugged from
monitor and nothing plugged into X1, continuity of F2 can be checked
from solder points on interior side of board.
Removing the Connector I/O PCB requires that the slide lock on the
etCO2 connector on back of the monitor be removed to release the
board. This damages the label above the connector. The damaged
label must then be removed and a replacement label (supplied with
replacement fuses) installed in its place. It is necessary to remove a
Connector I/O PCB only if a fuse needs to be replaced.
6) Is F2 open? (>5Ω)
Yes: Replace fuse, reassemble monitor, and continue to step 8.
No: Replace Main Processor PCB Subassembly.
7) Install charged external battery and unplug power harness from either
terminal of main battery.
8) Does monitor power ON using only external battery as power source?
Yes: Reconnect power harness cable to main battery, and return
monitor to service after checkout.
No: Replace fuse and Main Processor PCB Subassembly.

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3.4 ON/OFF control 1) Open monitor and remove Main Processor PCB Subassembly from
problem rear housing to access Connector I/O PCB.
2) Check continuity of F1, F2, and F3. See Figure 5-1 on page 74.
Note: It is not necessary to remove Connector I/O PCB from rear
housing or lift one side of fuse. With power sources unplugged from
monitor and nothing plugged into X4, continuity of F1, F2, and F3 can
be checked from solder points on interior side of board.
Removing the Connector I/O PCB requires that the slide lock on the
etCO2 connector on back of the monitor be removed to release the
board. This damages the label above the connector. The damaged
label must then be removed and a replacement label (supplied with
replacement fuses) installed in its place.
3) Does F1, F2 or F3 measure as open?
Yes: Remove Connector I/O PCB, replace open fuse(s),
reassemble monitor, and perform monitor power-on check.
If fuse(s) open(s) a second time, replace fuse(s) and Main
Processor PCB Subassembly.
No: Inspect 44-pin connector for bent pin or misalignment. If
OK, replace Front Bezel.
4) Does replacement of Front Bezel remedy problem?
Yes: Functionally verify proper operation of monitor and return
monitor to clinical service.
No: Replace Main Processor PCB Subassembly.
3.5 Internal or external (auxiliary) battery doesn’t charge
1) When monitor connected to external power source, does battery
charger LED illuminate?
Yes: Battery possibly defective, fuse on power harness open, or
fuse on connector I/O board open. Continue to step 2.
No: Replace battery. If problem persists, replace Main
Processor PCB Subassembly. If still no charge indication,
replace Front Panel Subassembly.
2) Remove battery/NBP compartment access door and unplug battery
power cable connector from X1. See Figure 5-1 on page 74.
3) Connect external power source to monitor.
1 4) Refer to illustration at left.
2 • Measure voltage between pins 3 and 4 of X1 on Connector I/O board
3 to check charging voltage for main battery.

4 • Measure voltage between pins 1 and 2 of X1 on Connector I/O board


to check charging voltage for external battery.
5) Is voltage = 13.6 to 13.9 VDC?
Yes: For main battery, go on to step 6. For external battery, go
on to step 8.
No: Go to step 8.
6) Check continuity of in-line fuse in power cable harness.

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7) Is resistance <5Ω?
Yes: Go on to step 8.
No: Replace power cable harness.
8) Plug power cable connector back into X1, unplug battery connectors
from battery terminals (main battery) or remove external battery, and
measure voltage at battery connectors on power cable.
9) Is voltage = 13.6 to 13.9 VDC?
Yes: Replace battery.
No: Replace power cable. If problem recurs, Replace Main
Processor PCB Subassembly.
10) Open monitor and remove Main Processor PCB Subassembly from
rear housing to access Connector I/O PCB.
11) Check continuity of F2 (if external battery problem) or F3 (if main
battery problem). See Figure 5-1 on page 74.
Note: It is not necessary to remove Connector I/O PCB from rear
housing. With power sources unplugged from monitor and nothing
plugged into X1, continuity of F2 and F3 can be checked from solder
points on interior side of board.
Removing the Connector I/O PCB requires that the slide lock on the
etCO2 connector on back of the monitor be removed to release the
board, which damages the label above the connector. The damaged
label must then be removed and a replacement label (supplied with
replacement fuses) installed.
12) Does F2 or F3 measure as open? (>5Ω)
Yes: Remove Connector I/O PCB, replace open fuse(s),
reassemble monitor, and perform monitor power-on check.
If fuse opens a second time, replace fuse and Main
Processor PCB Subassembly. Otherwise, go on to step 13.
No: Replace Main Processor PCB.
13) Does battery charge after replacing harness, fuse(s) or battery?
Yes: Return monitor to service after checkout.
No: Replace Main Processor PCB Subassembly.

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3.6 Power-Up Sequence Fails to Complete Properly


Table 5-2 Power-up Process Malfunction

Symptom(s) Possible Cause(s) Troubleshooting and Remedial Action

Power inputs all OK but Software program 1. If power ON LED illuminates but monitor fails to
monitor fails to corrupted complete power-up sequence, check the following:
complete power-up Main Processor PCB 2. If monitor has been functioning properly and
sequence, e.g., sounds malfunction problem occurred spontaneously, software may
continuous tone or
have become corrupted. Try reinstalling software.
powers itself down,
sounds two tones and 3. If problem persists, replace Main Processor PCB
then a continuous tone, Subassembly.
continually resets. 4. If problem persists, contact local service
organization.

4 Monitor Resets
During startup and also during normal monitor operations, diagnostic
programs running in the background environment provide a constant
monitoring of critical hardware components and software functions.
In the event a critical component or software function is determined by the
software to be malfunctioning or there is no response to a requested task,
the diagnostics may force a full or partial main processor reset. Such
events can be identified by either a temporary loss of display or by a highly
audible watchdog alert tone. Monitor resets are typically recorded in the
diagnostic error log, which can be retrieved for interpretation and diagnosis
by factory trained experts.
Should a monitor exhibit symptoms of a reset, compare contents of the
diagnostic error log with the list of Error Messages and Diagnostic Codes
in Appendix C, for possible remedial action. Otherwise, record the
information on a copy of the “Problem Report” on page 91 at the end of
this Chapter, and forward it along with the diagnostic error log to your
respective TSS center.

5 Power On/Off Piezo Tone Fails to Sound.


Table 5-3 Power-off Alarm Malfunction

Symptom(s) Possible Cause(s) Troubleshooting and Remedial Action

Piezo tone fails to Main Processor PCB 1. Replace Main Processor PCB Subassembly.
sound when monitor malfunction
2. If problem persists, contact local service
powered ON or OFF,
organization.
or loses power.

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6 Rotary Knob Malfunction.


Table 5-4 Rotary Knob Malfunction

Symptom(s) Possible Cause(s) Troubleshooting and Remedial Action

Rotary knob fails to Optical Encoder 1. Replace Optical Encoder.


properly select fields, malfunction
2. Replace Front Bezel PC Board.
or pressing the knob in Front Bezel PC Board
fails to activate a menu malfunction 3. If problem persists, replace Main Processor PCB
or select a default. Subassembly.
Main Processor PCB
malfunction 4. If problem persists, contact local service
organization.

7 Fixed Key Fails to Function.


Table 5-5 Fixed Key Malfunction

Symptom(s) Possible Cause(s) Troubleshooting and Remedial Action

A Fixed Key fails to Front Bezel Membrane 1. Replace Front Bezel/Lens Subassembly.
initiate change Switch or PC Board
2. If problem persists, replace Front Bezel PC Board.
malfunction
Main Processor PCB 3. If problem persists, replace Main Processor PCB
malfunction Subassembly.
4. If problem persists, contact local service
organization.

8 LCD Display Malfunction.


Table 5-6 LCD Display Malfunction

Symptom(s) Possible Cause(s) Troubleshooting and Remedial Action

Display backlight Sensor malfunction 1. If in brightly lighted environment, cover ambient


intensity does not vary Front Bezel PC Board sensor on upper right corner of front bezel.
with change in malfunction If in dimly lighted environment, shine light source
ambient light
directly on ambient sensor on upper right corner of
front bezel.
2. If no change in display intensity, replace Front Bezel
PC Board. If problem persists, replace Main
Processor PCB Subassembly.
3. If problem persists, contact local service
organization.
> 17 inoperative pixels LCD screen malfunction Replace Front Bezel Subassembly.
(“stuck” ON or OFF).
Backlight fails to Backlight defective 1. Replace backlights.
provide sufficient and Front Bezel PC Board 2. If problem persists, replace Front Bezel PC Board.
consistent background malfunction
illumination for the 3. If problem persists, replace Main Processor PCB
Main Processor PCB
LCD display. Subassembly.
malfunction
4. If problem persists, contact local service
organization.

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9 Isolating Cable Malfunctions


In general, the troubleshooting and repair approach for cable malfunctions
is to use a known input signal for any given parameter, and then replace a
cable or sensor found to be malfunctioning. Cable malfunctions, including
those associated with connectors on the cables, generally fall into one of
three categories -- Open circuits, Short circuits, and Intermittent conditions
Open circuits and short circuits manifest themselves as a loss of signal.
Software in the Monitor senses the loss, and generates an error message
such as “ECG Leads Off” and “SpO2 Transparent.” Typically, short circuits
result in software resets.
An intermittent condition manifests itself as noise on the signal. The source
of the noise can often be isolated by removing the signal and shorting the
input(s) to the cable. Then flex along the cable, particularly at connectors,
while watching for noise indications on the monitor display.

10 Visible or Audible Alarm Reporting Failure.


Table 5-7 Alarm Malfunctions

Symptom(s) Possible Cause(s) Troubleshooting and Remedial Action

Audible Alarm O.K., Software problem 1. Try reinstalling software.


but Visible Alarm Fails.
2. If problem persists, contact local service
organization.
Visible Alarm O.K., but Speaker malfunction 1. Power-cycle monitor and listen for tone after icon
Audible Alarm Fails. Main Processor PCB appears on power-up screen (not the piezo, which
malfunction sounds before the icon appears).
2. If tone fails to sound, remove rear cover and check
speaker cable plugged into X7 on Connector I/O
board.
3. If speaker cable plugged in OK, replace Speaker
Subassembly.
4. If problem persists, replace Main Processor PCB
Subassembly.
5. If problem persists, replace Rear Housing
Subassembly.
6. If problem persists, contact local service
organization.

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11 MultiMed POD - Parameter Signal Problems


Table 5-8 Parameter Signal Problems
Symptom(s) Possible Cause(s) Troubleshooting and Remedial Action
Failure to report lead-off MultiMed POD 1. Check MultiMed Pod contact for possible contamina-
condition malfunction tion. Clean if required. If problem persists, replace Pod.
Main Processor PCB 2. If problem persists, replace Main Processor PCB
malfunction Subassembly.
3. If problem persists, contact local service organization.
ECG/Resp waveform Incorrect setting of line 1. Access the Service Menu under Monitor Setup →
noise frequency for customer Biomed → Service in the Main menu.
site
2. Assure that the setting is proper for the frequency of
Poor connection or the power source at the customer site.
intermittent break
3. If problem persists, check cables, connections, and
MultiMed POD
MultiMed POD for intermittent breaks.
malfunction
Main Processor PCB 4. Connect grabber connectors of an ECG lead set to a
malfunction common conductor, such as the shank of a
screwdriver blade, to produce a flatline ECG waveform.
5. Watch for a distinct change in noise level, indicating
the source of the problem, as you flex each lead and
cable (particularly at connectors).
6. Replace a defective ECG lead, cable, or MultiMed POD
7. If no cable, connector, or POD problem, replace Main
Processor PCB Subassembly.
8. If problem persists, contact local service organization.
SpO2 parameter box Sensor malfunction 1. Check illumination of red LED in the sensor.
fails to appear when Open cable or connector 2. • If LED not illuminated, replace sensor and continue
sensor plugged into MultiMed POD to step 3.
MultiMed POD, or SpO2 malfunction
• If LED illuminated, place sensor on your finger and go
readings missing Main Processor PCB on to step 3.
malfunction
3. If problem persists, replace intermediate cable
between sensor and MultiMed POD.
4. If problem persists, replace MultiMed POD.
5. If problem persists, replace Main Processor PCB
Subassembly.
6. If problem persists, contact local service organization.

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Table 5-8 Parameter Signal Problems (Continued)


Symptom(s) Possible Cause(s) Troubleshooting and Remedial Action
SpO2 waveform noise Poor connection or 1. With the SpO2 sensor on your finger, observe the
intermittent break in waveform while you flex the lead and cable, particularly
cable at the sensor, at connectors, and at the MultiMed POD.
MultiMed POD 2. Watch for a distinct change in the waveform (distinctly
malfunction different from artifact) as you flex along the length of
Main Processor PCB the cables as well as at the sensor and connectors.
malfunction
3. Replace a defective sensor , cable or MultiMed POD.
4. If no cable, connector, or POD problem, replace Main
Processor PCB Subassembly.
5. If problem persists, contact local service organization.
Temp parameter box Sensor malfunction 1. Replace sensor
fails to appear when Open cable or connector 2. If problem persists, replace MultiMed POD.
sensor plugged into MultiMed POD
MultiMed POD, Temp 3. If problem persists, replace Main Processor PCB
malfunction
readings missing or Subassembly.
Main Processor Board
inaccurate malfunction 4. If problem persists, contact local service organization.

12 NBP
12.1 NBP Error Messages
NBP Open Line Results if the NBP measurement circuit does not sense pressure changes
after initiating inflation. Possible causes include an open line out to the
patient, an open or occluded line on the pressure measurement line
running between the NBP assembly and the pressure transducer on the
main processor board, a leaky cuff or cuff connector, or a defective valve
on the NBP pump assembly.
NBP Blocked Line Result of the NBP measurement circuit detecting an occlusion on the line
to the patient, or a neonatal cuff with monitor in adult mode.
NBP Overpressure Result attributable to hardware or software detecting overpressure.
NBP Cuff Deflation Error Result of the two minute NBP measurement timer expiring. It is typically
triggered when an NBP measurement had been taken prior to placing the
unit in calibration mode. (When calibrating, power-cycle monitor and then
don’t run pump until after calibration.)
NBP Artifact Result of erratic pressure values being sensed and could be related to an
application problem or could caused by an intermittent connection to the
sense line.
12.2 NBP Troubleshooting Before attempting to troubleshoot NBP malfunctions, do the following:
1) Check calibration. Refer to Section 10.2 on page 65 in Chapter 4.
2) Perform leakage test on fixed volume and hose, and on the system.
Refer to Section 4.7.4 on page 44 in Chapter 3.

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3) If problem persists, proceed with troubleshooting procedures.


Table 5-9 NBP Malfunctions

Symptom(s) Possible Cause(s) Troubleshooting and Remedial Action

NBP fails NBP pneumatic system 1. If monitor fails calibration, perform characterization
characterization, or malfunction procedure (see Section 4.7.4 in Chapter 3).
fails calibration check Connector I/O PCB 2. If monitor fails characterization or problem persists,
EEPROM malfunction open monitor and assure NBP transducer tubing
Main Processor PCB properly routed and unobstructed, and all
malfunction connectors properly plugged into Connector I/O
PCB. See Figure 3-1 on page 40, Figure 3-4 on page
43, and Figure 3-8 on page 50 in Chapter 3.
3. Close monitor and try recharacterization.
4. If problem persists, replace NBP Subassembly.
5. If problem persists, replace Main Processor PCB
Subassembly.
6. If problem persists, replace Rear Housing
Subassembly.
7. If problem persists, contact local service
organization.
NBP pump fails to Front Bezel Membrane 1. Functionally verify NBP Start/Stop key function. See
start/stop when NBP Switch or PC Board Section 6.9 “NBP Start/Stop Key” on page 61 in
key on front bezel is malfunction Chapter 4.
pressed Main Processor PCB 2. If problem persists, replace Front Bezel PC Board.
malfunction
3. If problem persists, replace Main Processor PCB
NBP pump subassembly
Subassembly.
malfunction
4. If monitor reporting NBP in fault mode, or error
message displays, power-cycle monitor. If problem
persists, recharacterize. Refer to Section 4.7.4 on
page 44 in Chapter 3.
5. If problem persists, replace NBP Subassembly.
6. If problem persists, contact local service
organization.

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Table 5-9 NBP Malfunctions (Continued)

Symptom(s) Possible Cause(s) Troubleshooting and Remedial Action

NBP pump starts, but Cuff assembly 1. Recheck cuff assembly and installation, and replace
cuff fails to inflate/ malfunction cuff assembly if defective.
deflate properly NBP pneumatic system 2. If problem persists, remove rear cover and check
malfunction hose routing to cuff connector in NBP compartment
in rear housing.
3. If problem persists, open monitor and check that
pneumatic tubing to NBP transducer properly routed
and not obstructed.
4. Close monitor and perform characterization
procedure if tubing rerouted or obstruction removed
(see Section 4.7.4 in Chapter 3).
5. If problem persists, replace NBP Subassembly.
6. If problem persists, contact local service
organization.
NBP fails Interval Main Processor PCB 1. Replace Main Processor PCB Subassembly.
Mode or Safety Timer Subassembly
2. If problem persists, contact local service
Check malfunction
organization.
Software problem
NBP fails hardware Blockage between pump 1. Power-cycle monitor to ensure that measurement
overpressure check manifold and cuff timeout did not trigger premature pressure release,
connector and recheck.
Main Processor PCB 2. If problem persists, remove rear cover and assure
malfunction no blockage in tubing between pump manifold and
cuff connector.
3. If problem persists, replace Main Processor PCB
Subassembly.
4. If problem persists, contact local service
organization.

0Ω
15
Aux/Hemo2
or
Aux/Hemo3

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Table 5-9 NBP Malfunctions (Continued)

Symptom(s) Possible Cause(s) Troubleshooting and Remedial Action

NBP parameter box MAIN screen display 1. Assure MAIN screen display mode set to automatic.
fails to appear when mode set for Manual
2. If parameter box fails to appear, remove rear cover
cuff hose plugged into Cuff sensor defective or and check that cuff sensor cable is plugged into X8
NBP module not plugged into on Connector I/O PC Board.
Connector I/O PC Board.
3. • If sensor unplugged, plug sensor into X8 on
Main Processor PCB
Connector I/O PC Board, and retest. If OK, return
malfunction
monitor to clinical service.
• If sensor plugged in, unplug sensor and check for
continuity across pins of sensor cable connector.
— If continuity OK, (≈1.5Ω) replace Main
Processor PCB Subassembly.
— If continuity not OK, replace Rear Housing
Subassembly.
4. If problem persists, contact local service
organization.

13 etCO2 Malfunction.
Table 5-10 etCO2 Malfunctions

Symptom(s) Possible Cause(s) Troubleshooting and Remedial Action

Parameter box fails to Sensor or cable 1. Clean calibration windows.


appear when sensor malfunction
2. Replace etCO2 Sensor.
plugged into module etCO2 module
3. If problem persists, replace etCO2 Module.
malfunction
Connector I/O Board 4. If problem persists, replace Main Processor PCB
malfunction Subassembly.
Main Processor PCB 5. If problem persists, replace Rear Housing
malfunction Subassembly.
6. If problem persists, contact local service
organization.

Sensor fails calibration Sensor or cable 1. Replace etCO2 Sensor.


malfunction
2. If problem persists, replace etCO2 Module.
etCO2 module
3. If problem persists, replace Main Processor PCB
malfunction
Subassembly.
Main Processor PCB
malfunction 4. If problem persists, contact local service
organization.

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Table 5-10 etCO2 Malfunctions (Continued)

Symptom(s) Possible Cause(s) Troubleshooting and Remedial Action

Persistent Adapter Airway adapter or sensor 1. If adapter or sensor window occluded, clean
Failure message window occluded window.
Airway adapter 2. If problem persists, replace airway adapter.
malfunction
3. If problem persists, replace sensor.
Sensor malfunction
4. If problem persists, replace etCO2 Module.

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13.1 IBP Malfunctions.


Table 5-11 IBP Malfunctions

Symptoms Possible Cause(s) Troubleshooting and Remedial Action

IBP fails to zero Cable malfunction 1. Unplug all patient parameter inputs to the monitor.
properly or fails Pod malfunction 2. Set Patient simulator for an IBP static pressure = 0
calibration check Main Processor PCB mmHg, and plug simulator into Pod.
malfunction
3. Plug Pod output cable into monitor.
4. Check that “Zero Required” appears in the message
field and that the IBP parameter box appears on the
display.
5. If either message or parameter box fails to appear,
replace Pod and cable with known-good Pod and
cable.
6. If problem persists, replace Main Processor PCB
Subassembly. Otherwise, continue.
7. Select IBP parameter field on MAIN screen, and
assure that Cal Factor is set to 100.
8. Select Zero in menu, and press in on rotary knob.
9. • If “Zero Accepted” appears in message field,
continue.
• If “--- Did Not Zero” appears in message field, do
either a or b as appropriate.
a If HemoMed Pod, try replacing Pod. If problem
persists, continue to c.
b If Hemo 2/4 Pod continue to c.
c Replace Main Processor PCB Subassembly, if not
already replaced in step 6. If Main Processor PCB
Subassembly already replaced, return monitor to
Dräger for repair.
10. Increase simulator pressure to 100 mmHg.
11. • If monitor reading = 100 ±1mmHg, return monitor
to clinical service.
• If monitor reading ≠ 100 ±1mmHg, replace Main
Processor PCB Subassembly, if not already
replaced in step 6 or step 9. If Main Processor PCB
Subassembly already replaced, contact local
service organization.

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14 No Printout from Recorder.


Table 5-12 Recorder Problems

Symptoms Possible Cause(s) Troubleshooting and Remedial Action

Recorder Power LED Recorder malfunction 1. Assure that all units in the power chain are properly
NOT illuminated Cabling malfunction connected and powered ON.
Interface Plate (if 2. If problem persists do either a or b. Refer to
installed) malfunction illustrations below left.
CPS / IDS (if installed) a If Recorder has installed Interface Plate, detach
malfunction Interface Plate from Recorder and check voltage
Main Processor PCB between pins 1 and 2 on Interface Plate docking
malfunction connector.
b If Recorder mounted on Auxiliary Docking Station,
check voltage between pins 1 and 2 on Auxiliary
Docking Station connector.
3. If voltage O.K., replace Recorder. (With newer SW
versions voltage may pulse. This is normal.)
4. If voltage NOT O.K., check for +12VDC between pins
1 and 2 on monitor docking connector.
5. • If voltage O.K., check for +12VDC between pins 1
and 2 of all docking connectors in path between
monitor and recorder, and between pins 2 and 15
of X13 on CPS or IDS. Replace component that
fails to provide 12VDC at the appropriate pins.
• If voltage not O.K. on monitor docking connector,
replace Main Processor PCB Subassembly.
Local Recorder Recorder malfunction 1. With an ECG waveform from patient simulator on
connected directly to Interconnecting cable or Monitor display, press Record key.
Monitor in standalone connection malfunction 2. • If “Recorder Not Connected” message appears in
configuration Recorder or Monitor the message field, continue to step 3.
Recorder power LED Interface Plate
illuminated • Press Zoom key and select Event Recall. After ≈20
malfunction
sec, BED TIMED strip should appear on display. If
Main Processor PCB BED TIMED strip fails to appear, replace Front
malfunction Bezel Subassembly and go to step 6. Otherwise,
continue to step 4.
3. If problem persists, and Recorder Cable Art. No.
4318130E530U is installed, replace Recorder cable
and go to step 5.
4. If separate Interface Plates and Recorder cable are
installed, replace each item one at a time to isolate
possible malfunction.
5. If problem persists, replace Recorder.
6. If problem persists, replace Main Processor PCB
Subassembly.
7. If problem persists, contact local service
organization.

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Table 5-12 Recorder Problems (Continued)

Symptoms Possible Cause(s) Troubleshooting and Remedial Action

Local Recorder Recorder malfunction 1. With an ECG waveform on Monitor display, provided
connected to Monitor CPS/IDS - Recorder by patient simulator, press Record key.
through CPS or IDS cable malfunction 2. • If “Recorder Not Connected” message appears,
Recorder Interface Plate check cables and connections between Monitor,
malfunction CPS/IDS, and Recorder. If problem persists,
CPS or IDS malfunction continue to step 3.
Docking Station or CPS • Press Zoom key and select Event Recall. After ≈20
Bridge Plate malfunction sec, BED TIMED strip should appear. If BED
Monitor malfunction TIMED strip fails to appear, replace Front Bezel
Subassembly and go to step 5.
3. Substitute Recorder cable Art. No. 43 18 130 E530U
in place of Docking Station, CPS/IDS, and cabling.
4. • If problem persists, replace Recorder.
• If problem disappears, replace each component
substituted in step 3 to isolate source of problem
and replace malfunctioning component.
5. If problem persists, replace Main Processor PCB
Subassembly.
6. If problem persists, contact local service
organization.

15 Patient-Related Data Not Retained or Monitor Fails to Compute Trends


Replace Main PCB Subassembly. If problem persists, contact local service
organization.

16 Software Loading Problems


For problems concerning software downloads, refer to software
installation instructions for version of software you are attempting to install.

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Problem Report
VistaXL Series Patient Monitoring

Enter all applicable data in the spaces provided, and include a copy of this form when faxing a
request for technical assistance.

Name of contact
Telephone
Fax
Email Address (If available)
Monitoring Site: Country:
Region / State / Province:
Hospital or Clinical Site:
Device Type:
Device Serial Number:
Device Operating Software:
Care Unit Type:
Parameters being monitored at time of fault:
Network / Stand-alone Use
Brief Description of Fault:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Can the problem be reproduced or is the problem intermittent?
Has TSS been previously contacted concerning this problem?
Has a customer complaint on this product been filed?
Complaint Reference Number (If applicable)

Fax inquiry to:

TSS LUEBECK (++49) 451/882 - 3779


TSS DANVERS 978-907-7655

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Appendix A: Replacement Parts
The etCO2 cartridge and MultiMed / MultiMed 12 Pods in VistaXL monitoring systems have no internally
replaceable components. If malfunctioning, these system components must be returned to Dräger for repair or
exchange.
The monitor is itself exchangeable as a complete unit. Within the monitor, however, there are basically three
exchangeable major subassemblies -- the Front Bezel Subassembly, Main Processor Subassembly, and Rear
Housing. The Front Bezel Subassembly and Rear Housing contain a number of other replaceable subassemblies
and components. Refer to the Figures and corresponding Tables in this appendix for a listing of spare/exchange
subassemblies and components. The lists contain all information available as of the publication date of this
Manual. Field experience and technological development, however, may require future modifications.

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6
7

5 2

1
5a

Figure A-1 Major Subassemblies, w/ Funnel and Side Panels (Exploded View)
Table A-1 Major Replaceable Subassemblies, Funnel, Side Panels and Labels
Item Dräger Article
Description
No. Number
1 Front Bezel Assembly (incl. all subassembly in front bezel except language labels) 55 88 301 E539U
2 Main Processor PCB Subassembly 55 94 507 E539U
3 Rear Housing Subassembly (incl. Connector I/O PCB) 55 88 319 E539U
4 Funnel 57 33 139 E539U
5 Left Side Panel - VistaXL 57 33 113 E539U
5a Left Side Panel - VistaXL 57 33 188 E539U
6 Right Side Panel - VistaXL 57 33 121 E539U
7 Ejector Shaft Cover (10) 33 76 865 E522U
8 Fuses F1, F2, and F3 on Connector I/O PCB, 10A 60V Axial (10) 47 16 051 B1302

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26

25

22

24
6 PL 27

23

21

Figure A-2 Front Bezel Subassembly - Replaceable Parts/Subassemblies


Table A-2 Front Bezel Subassembly - Replaceable Parts/Subassemblies
Item
Description Dräger Article Number
No.
21 Optical Encoder SC Series 43 11 622 E533U
22 Rotary Knob SC Series 43 16 662 E533U
23 A200 Front Bezel PC Board VistaXL 55 84 821 E539U
24 Foot .40 SQ X .25 THK (Pkg -12) 43 11 374 E533U
25 Language Label Kit, VistaXL 57 34 699 E539U
26 Front Bezel/Lens Subassembly VistaXL 57 34 707 E539U
27 Backlight Fluorescent Lamps 59 44 942 E539U

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37

32

38

33
36

31 35
33 34
6 PL

Figure A-3 Rear Housing - Replaceable Parts/Subassemblies


Table A-3 VistaXL Rear Housing Subassembly - Replaceable Parts/Subassemblies
Item
Description Dräger Article Number
No.
31 Main Battery 55 95 785 B2902
32 NBP Pump Subassembly w/ ty-wrap 55 94 499 E539U
33 Power Cable and Speaker Subassembly 55 88 269 E539U
34 Auxiliary Battery Compartment Door w/ Ejection Spring 55 89 648 E539U
35 Foot .40 SQ X .25 THK (Pkg -12) 43 11 374 E533U
36 Rear Cover w/ Screws 57 33 162 E539U
37 Monitor Handle w/ Handle Stops 57 33 030 E539U
38 NP Intake Filters 28 66 726 E516U

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55
54
4 PL

52

53
51

Figure A-4 R50 Recorder - Replaceable Parts/Subassemblies


Table A-4 R50 Recorder Replaceable Parts/Subassemblies
Item
Description Dräger Article Number
No.
51 THERMAL ARRAY 2” RCDR 43 17 157 E527U
52 FRONT BEZEL ASY R50 47 28 916 E527U
53 FRPNL LNGLBL KIT R50 47 28 106 E527U
54 A100 INTERFACE R50 33 76 659 E527U
55 FOOT RECORDER R50 33 76 683 E527U

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Appendix B: Connector / Cable Pinouts
1 Recorder / Alarm Y
Cable

Figure A-5 Recorder / Alarm Y Cable (Accessory (Refer to Table A-5.))


Table A-5 Recorder / Alarm Y Cable Connector Pinouts and Wire Color Code
Color Code (Alarm Cable)
Connector Pin No. Relay Input Wire Color SPDT Relay Output Circuit Status
1 TAN Brown RTN
2 NC Green Inactive Open
3 NC White Inactive Closed
4-8 NC
9 ORANGE
10 - 14 NC

2 MultiMed Pods
2.1 MultiMed Pod

21 19 17 15 14 12 9 7 5 3 1

22 20 18 16 13 11 10 8 6 4 2

Aux. SpO
2 ECG

Figure A-6 MultiMed Pod (Refer to Table A-6.)


Table A-6 MultiMed Pod Connector Pinouts
Temp SPO2 ECG
Pin No. Signal Pin No. Signal Pins 1, 3, 5, 7, 9 = SHGND
1 TA 1 DETA Pin No. IEC-1/IEC/2 Signals
2 NC 2 DETK SH 2 L LA
3 TCOM 3 NC 4 F LL
4 NC 4 REDK 6 R RA

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Table A-6 MultiMed Pod Connector Pinouts


Temp SPO2 ECG
5 NC 5 RCALRTN 8 C V
6 NC 6 RCALIB 10 N RL
7 NC 7 IRK
2.2 MultiMed 12 Pod

21 19 17 15 14 12 9 7 5 3 1

22 20 18 16 13 11 10 8 6 4 2

Aux. SpO2 ECG


Figure A-7 MultiMed 12 Pod (Refer to Table A-7.)
Table A-7 MultiMed 12 Pod Connector Pinouts
Aux. SPO2 ECG
Pin No. Signal Pin No. Signal Pins 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, 21 = SHGND
1 1 DETA Pin No. IEC-1/IEC/2 Signals Pin.No. IEC-1/IEC-2 Signals
2 2 DETK SH 2 L LA 14 C6 V6
3 3 NC 4 F LL 16 C5 V5
4 4 REDK 6 R RA 18 C4 V4
5 5 RCALRTN 8 C/C1 VC/V1 20 C3 V3
6 6 RCALIB 10 N RL 22 C2 V2
7 7 IRK 12 C+ V+

Network (X14)
Pin No. Signal
1 TxD+
2 TxD-
3 RxD+
4 RxD-

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3 MultiMed Pod Cable Connector on VistaXL

6
1 12
7
2 13

8
3 14

9
4 15

10

5 16
11

Figure A-8 MultiMed Pod Cable Connector

Table A-8 MultiMed Pod Cable Connector Pinouts


MultiMed Pod Cable Connector
Pin No. Signal
1 RCALIB
2 REDK
3 HVPODIDR
4 VEE_1
5 LFT_LEG
6 DET_A
7 DET_K
8 TB
9 TCOM
10 RT_LEG
11 LFT_ARM
12 (RCALRTN)
13 IRK
14 TA
15 VEE_2
16 RT_ARM

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4 HemoMed Pod Cable Connector on VistaXL

6
1 12
7
2 13

8
3 14

9
4 15

10

5 16
11

Figure A-9 HemoMed Pod Cable Connector

Table A-9 HemoMed Pod Cable Connector Pinouts


HemoMed Pod Cable Connector
Pin No. Signal
1 -IBP1
2 -IBP2
3 -IBP3
4 -IBP4
5 P1SWITCHES
6 +IBP1
7 +IBP2
8 +IBP3
9 +IBP4
10 TINJ
11 CO_SW_RET
12 PRES_RET
13 PRES1_3+
14 PRES2_4+
15 7R37
16 TBLD

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5 VistaXL Analog Output Connector, X10

Figure A-10Analog Output Connector (refer to Table A-8)


Table A-10Analog Output Connector, X10, Pinouts
Analog-Out
Pin No. Signal
1 GND
2 Hd Audio Out
3 Hd Audio Rtn
4 NC
5 Diag TxD
6 Chan2 Rtn
7 Chan2 Analg
8 Hd Audio Det
9 AGND
10 AGND
11
12 Chan1 Anlg
13 Chan1 Rtn
14 Diag RxD

6 VistaXL Network Connector (Requires ≥VC2 software)

Figure A-11 Network Connector (Refer to Table A-11.)

Table A-11 Network Connector Pins


Network
Pin No. Signal
1 TxD+
2 TxD-
3 RxD+
4 RxD-

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7 VistaXL RS-232, Keypad Input, Alarm Out Connector, X8

Figure A-12 RS-232, Keypad Input, Alarm Out Connector (see Table A-12)
Table A-12 RS-232, Keypad Input, Alarm Out Connector Pinouts
RS-232, Keypad Input, Alarm Out
Pin No. Signal
1 GND
2 COM 1 TXD
3 REM PWR
4 MC800TL
5 COM2 TXD
6 SER. D OUT
7 SER. FSL
8 COM 1 RXD
9 ALRM OUT L
10 GND
11 COM2 RXD
12 SER. D IN
13 SER. CLK
14 GND

8 Remote Alarm Cable

Figure A-13 Remote Alarm Cable - Unterminated (Refer toTable A-13)


Table A-13 Remote Alarm Cable Connector Pinouts and Wire Color Code
Color Code
Connector Pin No. Relay Input Wire Color SPDT Relay Output Circuit Status
1 TAN Brown RTN
2 - 8, 10 - 14 NC Green Inactive Open
9 ORANGE White Inactive Closed

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9 Analog Cable

Figure A-14 Analog Cable (Unterminated - Refer to Table A-14.)


Table A-14 Analog Cable Color Code
Color Code
Connector Pin No. Wire Color Function
1 TAN NC
2 WHITE NC
3 BLACK NC
4 RED NC
5 GREEN NC
6 YELLOW CHAN 2 RTN
7 BLUE CHAN 2 ANLG
8 BROWN NC
9 ORANGE NC
10 GREY NC
11 VIOLET NC
12 PINK CHAN 1 ANLG
13 LT BLUE CHAN 1 RTN
14 LT GREEN NC

10 PSL Connector

DO

Figure A-15 PSL Connector (Refer to Table A-15.)

Table A-15 PSL Connector Pins


Network
Pin Signal
GND
PWR

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11 Cardiac Output Intermediate Cable Wiring Diagram

1 RTN - YELLOW

2 TBLD - GREEN

3 .7R37 - WHITE .7R37

BROWN
NC
NC
NC
NC
TBLD
1 2

RTN - PINK TINJ

TINJ - GREY RTN

CATHETER CONNECTOR POD CONNECTOR


(OUTSIDE VIEW) (OUTSIDE VIEW)

Figure A-16 Cardiac Output Intermediate Cable Wiring Diagram

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12 Input Connector on etCO2 Module

4 5
3
2 15 6
14 16
1 13 20 7
17
19 18 8
12
11 9
10

Figure A-17 Input Connector on etCO2 Module (Refer to Table A-16.)

Table A-16 etCO2 Module Input Connector Pins


Pin No. Signal
1 SRC-
2 SRC+
3 EE CS
4 REF IN
5 CASE HTR
6 DATA IN
7 EE SK
8 HTR RTN
9 EE DOUT
10 +5V
11 EE DIN
12 SPAN SW
13 SRC SHLD
14 ZERO SW
15 CASE THRM
16 DET HTR
17 DET THRM
18 -12V
19 +12V
20 AGND

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13 HEMO Pod

Pressure Front End Interface Connector Temp A C.O./Temp B IBP VistaXL

Figure A-18 HEMO Pod Connectors (Refer to Table A-17.)

Table A-17 HEMO Pod Connector Signals


Pin No. PRESSURE FRONT END INTERFACE Temp A C.O./Temp B IBP VistaXL
1 +SIG (P1) TEMP 1 TEMP 2 CNTRLH
2 GND GND
3 GND GND GND CNTRLL
4 +EXCIT (P1) GND .7R37 DATH
5 +EXCIT (P2) GND TBLD VDCRTN
6 GND GND TINJ VDC
7 GND GND GND DATL
8 +SIG (P2)
9 -SIG (P1)
10 GND
11 -EXCIT (P1)
12 GND
13 -EXCIT (P2)
14 GND
15 -SIG (P2)

3 7
5
1 9
2 0
6
4 8

Figure A-19 Press Adapter Input (Refer to Table A-18.)

Table A-18 PRESS Input Connector


Pin No. A, B, C, D Pin No. A, B, C, D
1 +EXCIT 6 +SIGNAL
2 7
3 -EXCIT 8 GND
4 Cable In 9
5 -SIGNAL 0

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Appendix C: Diagnostic/Error Messages


1 Overview of The diagnostic codes given in C-1 may appear in an VistaXL Diagnostic Log,
Diagnostic and help in troubleshooting a malfunctioning Monitor. Both possible cause
Messages and suggested remedial action are listed for the field-significant codes.
Only codes for field-related procedures are given in the Table. There are
also a number of other diagnostic codes, not listed in the Table, that have
significance for engineering in helping to improve product performance. If
observed, report these codes to the factory. Refer to Chapter 1, Section
1.11, for the procedure to download the Diagnostic Log to a DataCard.
To access the Diagnostic Log, on the Main Menu select BIOMED, then
DIAG. LOG.
Diagnostic messages caused by an error condition can be generated by
four sources:
• Replaceable hardware malfunction, such as an etCO2 Cartridge or
HEMO Pod
• Software error
• Intermittent condition
• Hardware error
Notes for Table C-1:
1) When action says replace..., do so only if problem can be reproduced.
2) Convention of A, B, C etc. in the messages given in the Description
column is an abbreviation of actual messages, which will have
numbers in place of the A, B, C, etc., that help engineers uncover the
actual cause.
3) When action says “upgrade to Vxx”, problem can also be solved by
upgrading to any SW version released after Vxx.

Table C-1Diagnostic Log Codes

Code
xxx = any
Description Cause Action
alphanumeric
characters

4f4b Bad Laser Printer Upgrade SW to ≥VC2.x.


Address reset
80007xxx Try upgrading SW to
80008xxx currently released version.
80009xxx If error persists, replace
8000axxx Main Processor Board
Subassembly.
8000bxxx Software did not Try disabling items
8000cxxx allocate enough connected or disabling Auto
memory for user’s Dual View.
current setup. If error persists, replace
Main Processor Board
Subassembly.

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Table C-1Diagnostic Log Codes (Continued)

Code
xxx = any
Description Cause Action
alphanumeric
characters

800c9009 atten OOR = A cal factor = B Speaker too quiet Replace speaker
800c9022 cal factor=A max_sample_value=B Speaker broken Replace speaker
800cd007 Loopback Active = A Expect Active =B Hardware malfuction Check “Nurse Call” circuit.
in “nurse call” circuit.
800d3xxx Cardiac Output-related Try disconnecting/
800d4xxx reconnecting cable.
800d5xxx If problem persists, swap
800d6xxx cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.
800d7xxx Temperature - related (MultiMed Pod) Try disconnecting/
800d8xxx reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.
800d9xxx Pod communications Try disconnecting/
800daxxx problem. reconnecting cable.
Pod cable, Pod, or If problem persists, swap
CPU board failed cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.

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Table C-1Diagnostic Log Codes (Continued)

Code
xxx = any
Description Cause Action
alphanumeric
characters

800dbxxx etCO2 Pod/Cartridge - related Try swapping out airway


800dcxxx adaptor with known-good
components.
Try disconnecting/
reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.
800ddxxx HEMOPOD / HEMOMED - related Try disconnecting/
800dexxx reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.
800dfxxx Pod communications Try disconnecting/
800e0xxx problem. reconnecting cable.
Pod cable, Pod, or If problem persists, swap
CPU board failed cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.
800e1xxx NIBP - related Try disconnecting/
800e2xxx reconnecting pneumatic
tubing.
If problem persists, replace
Main Processor Board
Subassembly.
800e4001 Remote View and Upgrade SW to ≥VC2.x.
Wedge reset

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Table C-1Diagnostic Log Codes (Continued)

Code
xxx = any
Description Cause Action
alphanumeric
characters

800e5xxx RESP-related Try disconnecting/


800e6xxx reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly
800e7xxx SPO2 - related Try disconnecting/
reconnecting cable.
If problem persists, try
replacing sensor.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.
800e9xxx Temperature - related (MultiMed Pod) Try disconnecting/
800eaxxx reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.
800f1xxx Temperature - related (MultiMed Pod) Try disconnecting/
800f2xxx reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly

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Table C-1Diagnostic Log Codes (Continued)

Code
xxx = any
Description Cause Action
alphanumeric
characters

800f5xxx HEMOPOD / HEMOMED - related Try disconnecting/


800f6xxx reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.
800fbxxx NIBP - related Try disconnecting/
800fcxxx reconnecting pneumatic
tubing.
If problem persists, replace
Main Processor Board
Subassembly.
80101xxx Analog Out Replace Main Processor
80102xxx Board Subassembly.

80107xxx RESP-related Try disconnecting/


80108xxx reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.
8010dxxx SPO2 - related Try disconnecting/
8010exxx reconnecting cable.
If problem persists, try
replacing sensor.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.

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Table C-1Diagnostic Log Codes (Continued)

Code
xxx = any
Description Cause Action
alphanumeric
characters

80117xxx Serial Interface to Remote Keypad - Try disconnecting/


80118xxx related reconnecting keypad.
If problem persists, swap
cable with known-good
keypad.
If problem persists, replace
Main Processor Board
Subassembly.
80119xxx Temperature - related (MultiMed Pod) Try disconnecting/
8011axxx reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.
80127xxx bkg_operational determined Background entity Try upgrading SW to
80128xxx MONITORING SW is corrupt. determined that the currently released version.
Main Software was If error persists, replace
corrupted (BAD CRC) Main Processor Board
Subassembly.
8012901e boot_validate_download_card could not Software memory Re-download monitor
open/close one of the boot files. card may have been software. If problem
removed during a persists, replace memory
download or the card card.
may have become
corrupted
8014bxxx RECORDINGS - related Try disconnecting/
8014cxxx reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping Recorder.
If problem persists, replace
Main Processor Board
Subassembly.
8016a00a Image checksum test failed due to TAXI Bad memory/access/ Restart monitor. If error
error! fetch persists replace monitor.

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Table C-1Diagnostic Log Codes (Continued)

Code
xxx = any
Description Cause Action
alphanumeric
characters

80179xxx Pod communications Try disconnecting/


8017axxx problem. reconnecting cable.
Pod cable, Pod, or If problem persists, swap
CPU board failed cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly
8017fxxx Temperature -related (MultiMed Pod) Try disconnecting/
80180xxx reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly
80185008 Pick and Go reset Upgrade SW to ≥VC1.x.
80187020 Error Log was cleared! Manual clear of error None
log via system
console menu
8018bxxx etCO2 Pod/Cartridge - related Try swapping out airway
8018cxxx adaptor with known-good
components.
Try disconnecting/
reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.
8018d005 sn A, status B etCO2 Hardware Fail Replace etCO2 cartridge.
8018fxxx Try upgrading SW to
80190xxx currently released version.
If error persists, replace
Main Processor Board
Subassembly.

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Table C-1Diagnostic Log Codes (Continued)

Code
xxx = any
Description Cause Action
alphanumeric
characters

8019601d Flash program write verify failed at A. Monitor flash failed Re-download software. If
wrote: B, read: C tests when doing a problem persists, replace
download Main Processor Board
Subassembly.
8019700c time=A Heart blip not Ignore
showing; most likely
due to rapid screen
re-draws
80199xxx PCMCIA Interface - related Retry download. If error
8019axxx persists, return card.

801ac00b Pod Type A Conn B, S/N=C, event D Pod would not power Check/replace in this order
state E on or off. Connector pod/cartrige, cable, Main
number in Processor Board
description string are: Subassembly.
1,2,3-hemo pod 4-
reserved 5-etCO2
801ac00c Pod Type A, Conn B, S/N=C, event D Comm error, CRC IF problem persists, check
state E error connector or replace pod
801adxxx Try upgrading SW to
801aexxx currently released version.
If error persists, replace
Main Processor Board
Subassembly.
801b7000 ERROR: load_34010 34010 Failure Replace Main Processor
Board Subassembly
801b7001 ERROR: load_34010 34010 Failure Replace Main Processor
Board Subassembly.
801c7012 Test Failed! TAXI became Unavailable Expected condition, Ignore.
not an error
801c9xxx RECORDINGS - related Try disconnecting/
801caxxx reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping Recorder.
If problem persists, replace
Main Processor Board
Subassembly.
801cf014 Loaded box with Upgrade SW to ≥VC2.x.
Rapid Pod Connects/
Disconnects

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Table C-1Diagnostic Log Codes (Continued)

Code
xxx = any
Description Cause Action
alphanumeric
characters

801e1xxx HEMOPOD / HEMOMED - related Try disconnecting/


801e2xxx reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.
801e3004 Loaded box with Upgrade SW to ≥VC2.x.
Rapid Pod Connects/
Disconnects
801e7xxx Try upgrading SW to
801e8xxx currently released version.
If error persists, replace
Main Processor Board
Subassembly.
801f2004 Change to neonatal Upgrade SW to ≥VC1.x.
category and TCGAS
reset
801f4004 ST Zoom key reset Upgrade SW to ≥VC1.x.
8020fxxx Software did not Try disabling items
80210xxx allocate enough connected or disabling Auto
memory for user’s Dual View.
current setup. If error persists, try
upgrading SW to currently
released version.
If error persists, replace
Main Processor Board
Subassembly.
80231005 LCOM_BAD_SWITCH_COUNT_ERROR Comm error If this message is
accompanied by another
error, check Docking station
connections. Otherwise this
indicates a SW error and
should be reported to
Customer service via
DataCard.

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Table C-1Diagnostic Log Codes (Continued)

Code
xxx = any
Description Cause Action
alphanumeric
characters

8023100a LCOM_CHECKSUM_DIAG_ERROR Comm error If this message is


accompanied by another
error, then check Docking
station connections.
Otherwise this indicates a
SW error and should be
reported to Customer
service via DataCard.
8023dxxx PCMCIA Interface - related Retry download. If error
8023exxx persists, return card.
80249xxx
8024axxx
80255xxx Try upgrading SW to
80256xxx currently released version.
If error persists, replace
Main Processor Board
Subassembly.
8025bxxx RS-232 Output - related Ignore.
8025cxxx If problem persists, upgrade
80263xxx SW to ≥VC2.x.
80264xxx If problem persists, replace
Main Processor Board
Subassembly.
80264001 Invalid status after RX_RESET! Recorder ASIC failed Power cycle unit. If error
rx_data=A hardware test persists, replace Main
Processor Board
Subassembly.
80264002 TX Empty should be set after Recorder ASIC failed Power cycle unit. If error
TX_RESET! tx_data=A cold start test persists, replace Main
Processor Board
Subassembly.

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Table C-1Diagnostic Log Codes (Continued)

Code
xxx = any
Description Cause Action
alphanumeric
characters

8026dxxx Network Communications - related Try disconnecting/


8026exxx reconnecting cable(s)
between Monitor and
network wallbox.
Verify proper SW version(s)
installed in all related
devices, in accordance with
SW compatibility chart for
Monitor SW.
If problem persists, try
swapping CPS/IDS with
known-good device.
If problem persists, replace
Main Processor Board
Subassembly.
80273xxx NIBP - related Try disconnecting/
80274xxx reconnecting pneumatic
tubing.
If problem persists, replace
Main Processor Board
Subassembly.
8027fxxx Software did not Try disabling items
80280xxx allocate enough connected or disabling Auto
memory for user’s Dual View.
current setup. If error persists, replace
Main Processor Board
Subassembly.
80281xxx HEMOPOD / HEMOMED - related Try disconnecting/
80282xxx reconnecting cable.
80283xxx If problem persists, swap
80284xxx cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.

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Table C-1Diagnostic Log Codes (Continued)

Code
xxx = any
Description Cause Action
alphanumeric
characters

80289xxx Pod communications Try disconnecting/


8028axxx problem. reconnecting cable.
80291xxx Pod cable, Pod, or If problem persists, swap
80292xxx CPU board failed cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.
8029fxxx Power -related Replace Battery
802a0xxx Replace Main Processor
802a1xxx Board Subassembly.
802a2xxx
802a3xxx QRS Sync pulse - related Try disconnecting/
802a4xxx reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.
802abxxx RECORDINGS - related Try disconnecting/
802acxxx reconnecting cable.
802adxxx If problem persists, swap
802aexxx cable with known-good
cable.
If problem persists try
swapping Recorder.
If problem persists, replace
Main Processor Board
Subassembly.
802b9xxx RESP-related Try disconnecting/
802baxxx reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly

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Table C-1Diagnostic Log Codes (Continued)

Code
xxx = any
Description Cause Action
alphanumeric
characters

802bbxxx Try upgrading SW to


802bcxxx currently released version.
If error persists, replace
Main Processor Board
Subassembly.
802bf008 memory partition 2 is 91 percent used. Memory utilization Ignore
note
802d4002 shutdown not due to user. Could be low Monitor was shut If runing monitor on internal
battery. down without using battery, ignore this
the user’s front panel message. Otherwise report
switch. Usually this condition to customer
means that the service
monitor was running
on internal batteries
and ran out of power.
802dfxxx SPO2 - related Try disconnecting/
802e0xxx reconnecting cable.
If problem persists, try
replacing sensor.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.
802e701c Powering up the System... Power was turned Ignore
on.
802e701d Indicates that new No action nessessary
software was
installed
802ef011 trends completely cleared, new Software warning Ignore
software loaded

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Table C-1Diagnostic Log Codes (Continued)

Code
xxx = any
Description Cause Action
alphanumeric
characters

802f1xxx Network Communications - related Try disconnecting/


802f2xxx reconnecting cable(s)
between Monitor and
network wallbox.
Verify proper SW version(s)
installed in all related
devices, in accordance with
SW compatibility chart for
Monitor SW.
If problem persists, replace
Main Processor Board
Subassembly.
8030500d b A a=B w=C d=D 0 e=E 0 s=F rx=G SW error Replace Main Processor
ok=H flags=I df=J,K Board Subassembly.
80309xxx Try upgrading SW to
8030axxx currently released version.
If error persists, replace
Main Processor Board
Subassembly.
80323003 Watchdog fired reset Upgrade SW to ≥VC1.x.
80325001 Speaker Out of Range value: A Failed speaker, CPU If sound is heard replace
board or front panel Front Panel Board.
board Otherwise, replace Main
Processor Board
Subassembly
8035bxxx Serial Interface to Remote Keypad - Try disconnecting/
8035cxxx related reconnecting keypad.
If problem persists, swap
cable with known-good
keypad.
If problem persists, replace
Main Processor Board
Subassembly.
803a1xxx 12 LEAD POD - related Try disconnecting/
803a2xxx reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.

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Table C-1Diagnostic Log Codes (Continued)

Code
xxx = any
Description Cause Action
alphanumeric
characters

803a3xxx Serial Interface to Remote Keypad - Try disconnecting/


803a4xxx related reconnecting keypad.
If problem persists, swap
cable with known-good
keypad.
If problem persists, replace
Main Processor Board
Subassembly.
8033b006 Remote View Display Upgrade SW to ≥VC2.x.
Reset with Wedge
803e5xxx SPO2 - related Try disconnecting/
803e6xxx reconnecting cable.
803e7xxx If problem persists, try
803e8xxx replacing sensor.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.
8035900b IMRP Shutdown Timed Out! ROM table on CPS or Reinstall the software on
IDS is corrupt CPS or IDS
8036f000 Bad Network Config Upgrade SW to ≥VC1.x.
Data Reset
8038d001 MIB Connection/ Upgrade SW to ≥VC2.x.
Disconnection reset
803c1000 Remote view, auto Upgrade SW to ≥VC1.x.
dual view reset
803f1xxx etCO2 Pod/Cartridge - related Try swapping out airway
803f2xxx adaptor with known-good
803f3xxx components.
803f4xxx Try disconnecting/
reconnecting cable.
If problem persists, swap
cable with known-good
cable.
If problem persists try
swapping pod.
If problem persists, replace
Main Processor Board
Subassembly.

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Table C-1Diagnostic Log Codes (Continued)

Code
xxx = any
Description Cause Action
alphanumeric
characters

ffffffff boot_program_images failed with Flash programming Retry download. If problem


status: A on image: B error when persists replace Main
performing a Processor Board
download Subassembly if downloading
monitor SW. replace CPS or
IDS, If downloading CPS/IDS
software.

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Appendix D: Functional Verification Checklist


Section Reference in “Chapter 4: Functional Verification” r = Test Passed

3 Power Circuits and Startup Functions _______


3.1 Power ON/OFF key _______
• Power LED _______
• Piezo tone _______
3.2 Power-Up Sequence _______
3.3 Monitor Powered By External Source _______
4 Rotary Knob Functions _______
• Pointing Function _______
• Selecting Function _______

5 LCD Display _______


• Inoperative pixels within spec _______
• Brightness control _______
• Backlite illumination _______

6 Fixed Keys _______


6.1 ON/OFF _______
6.2 Main Screen _______
6.3 Alarm Silence _______
6.4 All Alarms Off _______
6.5 Record _______
6.6 NBP Start/Stop _______
6.7 Fast Access _______
6.8 Mark _______

7 ECG/RESP Functions _______


7.2 Waveforms/Digital Readouts/Tones _______
7.3 Pacer Detection _______
7.4 Lead-Off Indicators _______
7.5 Alarm Function _______
7.6 Asystole _______

8 SpO2 Function _______


8.2 Waveforms/Digital Readouts/Tones _______
8.3 Pulse Tone Generator _______
8.4 Limits Alarm _______

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9 Temperature Function (MultiMed POD) _______


9.2 Digital Readout Temp A _______
Temp B ________

10 Non-Invasive Blood Pressure Function _______


10.2 Calibration _______
10.3 Hardware Overpressure _______
10.4 Pump _______
10.5 Interval Mode _______
10.6 Safety Timer _______
11 etCO2 Function _______
• Sensor Cal. _______
• Sensor Zero _______
• Measured Value w/ Manual Atm. Press. _______
• Measured Value w/ AUTO Atm. Press. _______

12 HemoMed Pod
12.1 Invasive Blood Pressure Function _______
12.1.2 HEMO Channel A (Aux./Hemo3 input)
• Monitor Zero Function _______
• Monitor Pressure Reading _______
12.1.2 HEMO Channel A (Aux./Hemo2 input, VistaXL only)
• Monitor Zero Function _______
• Monitor Pressure Reading _______
12.1.3 HEMO POD Channel B _______
12.1.4 HEMO POD Channel C _______
12.1.5 HEMO POD Channel D _______
12.2 Cardiac Output Function _______
• Blood temperature ______
• Injectate temp ______

13 Memory Backup Function _______

14 Leakage Current Tests _______


• open ground _______
• reversed polarity _______
• open ground reversed polarity _______

15 Battery Charger Circuit _______

16 R50 Recorder Function _______

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Clinical Site Report

Clinical Site Name: Date:

Address:

_______________________________________ Clinical Site Facility Manager:

_______________________________________ Clinical Site Contact Person:

Tel. No: FAX No.


Int’l Code Number Ext:

Monitoring Unit _______________________________

Care Unit ____________________

Monitor Style (check one): VistaXL ____


Monitor Serial No. _________________________
Monitor has passed all required tests.

Dräger Service Representative:

___________________________________ __________________________________ ________________


Name (Print) Signature Date

Clinical Site Representative:

___________________________________ __________________________________ ________________


Name (Print) Signature Date

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Appendix E: Service Setup Instructions


1 Introduction Following repair of an VistaXL Patient Monitor, certain service password-
protected functions may need to be set for the specific customer site, and
for installed software versions ≥VC2 the monitor may also need to be
configured for use in DirectNet Mode.
2 Initial Setup Note: Turn the rotary knob to select a field or menu item, or to
change the default for a selected item. Press in on the knob to access
a menu or menu item, or to set a new default for a selected item.
1. Firmly press ON/OFF key in lower left corner of front panel.
2. After the monitor has completed power-up sequence, as indicated by
illumination of “New Patient?” prompt, press rotary knob to select
“Yes” and bring up MAIN screen.
3. Select Monitor Setup → Monitor Options → Date & Time.
4. Set Time and Date as appropriate for customer site.
5. Press Menu key to return to Main menu.
6. Select Monitor Setup → Unit Manager.
7. Enter Clinical password (375), and then select Menu Setup on Unit
Manager menu.
8. Set Menu Time Limit to OFF.
9. Press Menu key to return to Main menu.
10. Go on to section 2.1.
2.1 Accessing Service 1. Select Monitor Setup → Biomed → Service.
Menu 2. Enter Biomed password (4712).
3. Select Bedside Setup, and verify the following or set as required.
• Language setting is appropriate for customer site.
• Regulation is appropriate for customer site.
• Alarm Sounds set for either Default or Sirecust 900/1200 as preferred.
• Set Transport Brightness (display intensity when monitor is operating
on battery power) as requested by customer. (Lower intensity
conserves battery power.)
• Line Frequency is appropriate for customer site.
• Waveform Simulator is set OFF, for clinical use of Monitor.
4. Select ← in upper left hand corner to return to previous menu.
5. Select Network Date and Time, and verify Current Date and Current
Time as appropriate for customer site. Set if necessary.
6. Select ← to return to previous menu.
7. Set Printer Address, if necessary. Select Printer Address and turn
rotary knob to change number. Press knob in to enter new setting.
Note: “Printer Address” displays the fourth octet of the IP address of
the network printer (if any) to which printouts will be sent from this
monitor if in DirectNet Mode or from the CPS/IDS if monitor in CPS/
IDS Mode.

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8. Select alternative a, b, or c below to set Network Control appropriately


for customer site.
a If VistaXL used only in Standalone mode, set Network Control to
OFF and power-cycle monitor. Verify that MAIN screen displays,
after completion of power-up sequence and proper selection for
New Patient Prompt. This completes Monitor setup.
b If VistaXL is to be connected directly to an INFINITY NETWORK via the
monitor’s ethernet port --
b.1 Assure that monitor is NOT mounted on docking station, and
set Network control to ON.
b.2 Select Network Config., and assure that Network Mode is
set to Direct Net. If necessary to change Network Mode from
CPS/IDS to Direct Net, select “Save ALL” before continuing.
Note: For first-time data entry, if parameters in Network
Config menu cannot be selected plug network cable into
port on right side-panel. Power-cycle monitor. Then
disconnect network cable and continue.
Monitor power-cycles automatically when “Save ALL” is
selected, if Network Mode is changed.
c Skip steps 9 through 15, and complete Table 4 in 3 before
continuing to the configuration procedure of 4.
9. Press Menu key to return to Main menu.
10. Select Monitor Setup → Unit Manager.
11. Enter either Biomed or Clinical password and select “Accept.”
12. Select “Restore Setup” and then “Save Setup” for each Setup listed.
13. Press Main Screen key to return to MAIN screen.
14. Power-cycle monitor.
15. Verify that MAIN screen displays after completion of power-up
sequence and proper selection of Patient Prompt.

3 Configuration Configuring is the process of assigning a unique electronic address and


Parameters alphanumeric addresses (labels) that identify the monitor and enable it to
communicate with other devices in an INFINITY NETWORK. Table 4 is a
replication of the Network Config menu for data entry in the monitor.
Where applicable, the table lists default values (or most likely values). DO
NOT use leading zeros for numbers 1- 99.
1. Network Mode: set for Direct Net. (Select “Save ALL” before
continuing, if changing Network Mode setting.)
2. Bed: a user-defined 7-character alphanumeric field for naming a bed
(e.g. ICBED12, BED1). Label appears in lower left hand corner of
MAIN screen, and on MULTIVIEW WORKSTATION display and recordings.
(Must be unique in Monitoring Unit)
3. CPS/IDS: a user-defined 7-character alphanumeric field for naming
monitor (e.g. SC7k01). Label appears on MULTIVIEW WORKSTATION
display in SHOW DEVICE screen. (Must be different from Bed label,
and unique in Monitoring Unit.)
4. Care Unit: label of Care Unit to which monitor is assigned.

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5. Monitoring Unit: label of Monitoring Unit to which monitor is assigned.


6. Hospital: label for clinical site to which monitor is assigned.
7. Recorder 1, Recorder 2, and Recorder Use: Not configurable in this
software version.
8. Host ID: a number from 1 to 239 (not already used for Host ID of
another device in same Monitoring Unit to which monitor is assigned)
9. Monitoring Unit ID: number of Monitoring Unit to which monitor is
assigned
10. IP address: This field uses 191.1 for first two bytes, Monitoring Unit ID
for third byte, and Host ID for fourth byte. Be sure Monitoring Unit
ID is set to the same number as in step 9.
11. Subnet mask: Use default unless hospital requires a different value.
12. Default router: Use default unless hospital requires different value.
13. Remote Silence: type in y or n. “y” means the MVWS can silence the
bedside alarm. “n” means that alarm cannot be remotely silenced.
14. Remote control enabled: type in y or n. “y” means monitor allows
MVWS to change alarms, setup, and demographics in monitor. “n”
means monitor cannot be remotely controlled through MVWS.
15. Alarm group: 0-255: An alarm group is a group of beds that monitor
each other. Think of this as bed-to-bed communication (as opposed to
bed-to-MVWS communication). Being part of same alarm group
allows you to see alarm messages for all beds in same alarm group.
16. Central Station enabled: yes or no: If you choose yes, bedside monitor
expects an alarm acknowledgment from MVWS. If it doesn’t get one,
it goes to its highest alarm volume and indicates an off-line condition.
• If you choose no, bedside monitor does not expect an acknowledg-
ment from MVWS and will not go to its highest alarm volume.
• If there is no MULTIVIEW WORKSTATION on this INFINITY NETWORK, or
this bed is NOT to be centrally monitored, choose “NO.”

Table 4 Monitor Configuration Parameters


Network Config
­
Network Mode Direct Net. Host ID z

Bed Monitoring Unit ID y

IP Address 191.1.y .z

Care Unit Subnet Mask 255.255.0.0

Monitoring Unit Default Route 0.0.0.0

Hospital Remote Silence

Recorder 1 Remote Control

Recorder 2 Alarm Group

Recorder Use Network Central Station

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Table 4 Monitor Configuration Parameters


Network Config
­
Save ALL

4 Configuring Monitor 1. On Main menu, access Monitor Setup → Unit Manager, and enter
Clinical password (375).
2. Select Menu Setup, and set Menu Time Limit to OFF.
3. On Main menu, access Monitor Setup → Biomed → Service, and
enter Biomed password (4712).
4. For each configuration parameter, enter data from Table 1 and select
“Accept”.
Note: For numerical fields, rotary knob increments and decrements
numbers in the field as well as enters the data.
5. After all data has been entered, recheck data and then select Save
ALL.
Note: Monitor saves all entries, and then power-cycles if Network
Mode or any IP address parameters were changed. Menu Time Limit
automatically resets to ON if monitor power-cycles.
6. Power-cycle monitor, unless monitor power-cycled in 5.
7. Connect monitor to network, and verify on MVWS that monitor
communicates with MVWS and configuration contains no duplicate
names.
8. This completes monitor setup.

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For additional support, Dräger Medical customers can contact their local Dräger Medical Service Representatives.
Dräger Medical Customer Support Engineers can contact the following as required:

In the United States: All others:


Draeger Medical Systems, Inc. Dräger Medical AG & Co. KGaA
16 Electronics Avenue Moislinger Alle 53-55
Danvers, MA 01923 USA D-23558 Lubeck
USA Germany
Tel: (978) 907-7500 Tel: (++49) (0) 1805-3723437
FAX: (978) 907-7655 Fax: (++49) 451/882 - 3779

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VistaXL Patient Monitors - Service Manual Not a Controlled Document

No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, Printed in U.S.A.
electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of the copyright owner in writing.
Subject to alterations without prior notice. TU 0199 0.5
Issued by Draeger Medical Systems, Inc. 16 Electronics Ave., Danvers, MA 02193, U.S.A.

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