VistaXL Service Manual
VistaXL Service Manual
Service Manual
Service Manual VistaXL Patient Monitors
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.
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
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
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”.
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.
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.
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
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
Common Network
Processor
Memory Adapter
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
VistaXL
/ CPS
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.
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
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.
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.
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.
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
MAIN BUS
32
CRT Interface
VGA Controller
Video
LCD Interface
Crystal
32
DRAM Video
Buffer
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.
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)
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
+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 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.
6.1.7 Power Mode Indication The source of power is indicated to the processor via the power mode bits,
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.
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
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
Red
Ambient Pod Com
Differential
I/V Light Demodulator
Converter Rejection I/R
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.
+ 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
DAC
MUX ADC
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.
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
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
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
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
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.
ZERO
PUSH LCD
+5V OUTPUT +12V INPUT BUTTONS CO START
NON-ISOLATED
SWITCH TIMING BUS
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
+5V MONITOR
T2 A MUX
A
T -5V MONITOR
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.
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.
Warning
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
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
4.2.1 Removing Existing Label To remove existing label, carefully peel up one corner of label and pull it
towards opposite corner.
Caution
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.
6
2
X5
4
X3
X8
X7
7
10
~
1
~
3
8
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.
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!
Caution
1 2 9 3
7
8 4 5
10
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.
Caution
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.
• 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.
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 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.
2
2
4
5
5
3
1
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.
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
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.
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.
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.
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
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.
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 4-3 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
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.
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
LEAKAGE
IDS DOCKING
CPS
Power MONITOR
TESTER STATION
Supply
IDS
LEAKAGE DOCKING
TESTER Power
CPS OR PSL
STATION MONITOR
Supply
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.
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
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
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.
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.
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.
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.
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)
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
26
25
22
24
6 PL 27
23
21
37
32
38
33
36
31 35
33 34
6 PL
55
54
4 PL
52
53
51
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
21 19 17 15 14 12 9 7 5 3 1
22 20 18 16 13 11 10 8 6 4 2
Network (X14)
Pin No. Signal
1 TxD+
2 TxD-
3 RxD+
4 RxD-
6
1 12
7
2 13
8
3 14
9
4 15
10
5 16
11
6
1 12
7
2 13
8
3 14
9
4 15
10
5 16
11
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
9 Analog Cable
10 PSL Connector
DO
1 RTN - YELLOW
2 TBLD - GREEN
BROWN
NC
NC
NC
NC
TBLD
1 2
4 5
3
2 15 6
14 16
1 13 20 7
17
19 18 8
12
11 9
10
13 HEMO Pod
3 7
5
1 9
2 0
6
4 8
Code
xxx = any
Description Cause Action
alphanumeric
characters
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.
Code
xxx = any
Description Cause Action
alphanumeric
characters
Code
xxx = any
Description Cause Action
alphanumeric
characters
Code
xxx = any
Description Cause Action
alphanumeric
characters
Code
xxx = any
Description Cause Action
alphanumeric
characters
Code
xxx = any
Description Cause Action
alphanumeric
characters
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
Code
xxx = any
Description Cause Action
alphanumeric
characters
Code
xxx = any
Description Cause Action
alphanumeric
characters
Code
xxx = any
Description Cause Action
alphanumeric
characters
Code
xxx = any
Description Cause Action
alphanumeric
characters
Code
xxx = any
Description Cause Action
alphanumeric
characters
Code
xxx = any
Description Cause Action
alphanumeric
characters
Code
xxx = any
Description Cause Action
alphanumeric
characters
Code
xxx = any
Description Cause Action
alphanumeric
characters
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 ______
Address:
IP Address 191.1.y .z
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.
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:
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.