Manual de Servicio Desfibrilador Mark Iv Birtcher PDF

Defibrillator/Monitor Mark IV
Intellectual Property Statement

BIRTCHER MEDICAL SYSTEMS
owns the intellectual property rights to this product and this manual. This manual
may refer to information protected by copyrights or patents and does not convey any license
under the patent rights of Mindray, nor the rights of others. Birtcher Medical Systems does
not assume any liability arising out of any infringements of patents or other rights of third parties.
Revision History
This manual has a revision number. This revision number changes whenever the manual is
updated due to software or technical specification change. Contents of this manual are subject
to change without prior notice.
 Version number 1.2
 Release time: July 2009
© 2009 Birtcher Medical Systems All rights reserved.
I
Preface
Manual Purpose
This manual provides detailed information about the assembling, dissembling, testing and
troubleshooting of the equipment to support effective troubleshooting and repair. It is not
intended to be a comprehensive, in-depth explanation of the product architecture or technical
implementation. Observance of the manual is a prerequisite for proper equipment
maintenance and prevents equipment damage and personnel injury.
Intended Audience
This manual is for biomedical engineers, authorized technicians or service representatives

responsible for troubleshooting, repairing and maintaining the defibrillator/ monitors
Acronyms
Acronyms used in this manual are:

MPM Multi-Parameter Module
Passwords
Passwords may be required to access different modes. The passwords are listed below:
 Installation mode: 888888

 Service mode: 332888
 Configuration mode: 315666
II
Contents
1 Safety.................................................................................................................................1-1
1.1 Safety Information..........................................................................................................1-1
1.1.1 Dangers..............................................................................................................1-2
1.1.2 Warnings.............................................................................................................1-2
1.1.3 Cautions.............................................................................................................1-2
1.1.4 Notes..................................................................................................................1-3
1.2 Equipment Symbols........................................................................................................1-3
2 Theory of Operation........................................................................................................2-1
2.1 The Basics.......................................................................................................................2-1
2.1.1 Overview............................................................................................................2-1
2.1.2 Main Functions...................................................................................................2-1
2.2 Components....................................................................................................................2-2
2.3 Main Unit........................................................................................................................2-3
2.4 Front Housing Assembly.................................................................................................2-6
2.5 Paddle Tray.....................................................................................................................2-8
2.6 Rear Housing Assembly..................................................................................................2-8
2.6.1 Power System.....................................................................................................2-8
2.6.2 Main Control System.........................................................................................2-9
2.6.3 Therapy System................................................................................................2-10
2.6.4 Parameter Measurement System......................................................................2-10
2.7 External Device Connectors...........................................................................................2-11
3 Testing and Maintenance.................................................................................................3-1

3.1 Introduction.....................................................................................................................3-1
3.1.1 Test Report.........................................................................................................3-2
3.1.2 Recommended Frequency..................................................................................3-2
3.2 Visual Test.......................................................................................................................3-3
3.3 Power On Test.................................................................................................................3-4
3.4 User Test..........................................................................................................................3-4
3.5 Module Performance Tests..............................................................................................3-5
3.5.1 Manual Defibrillation Test.................................................................................3-5
3.5.2 Pacing Test.........................................................................................................3-7
3.5.3 CO2 Module Tests...............................................................................................3-7
3.5.4 ECG Test............................................................................................................3-9
3.5.5 Resp Test............................................................................................................3-9
3.5.6 NIBP Tests........................................................................................................3-10
3.5.7 IBP Tests...........................................................................................................3-13
1
3.5.8 SpO2 Test..........................................................................................................3-15
3.5.9 Temp Test.........................................................................................................3-15
3.6 Analogue Output Test....................................................................................................3-15
3.7 Electrical Safety Tests...................................................................................................3-16
3.7.1 Enclosure Leakage Current Test.......................................................................3-17
3.7.2 Earth Leakage Current Test..............................................................................3-18
3.7.3 Patient Leakage Current Test...........................................................................3-18
3.7.4 Patient Auxiliary Leakage Current Test...........................................................3-19
3.8 Recorder Check.............................................................................................................3-19
3.9 Factory Service.............................................................................................................3-20
3.9.1 Accessing Service Mode Menu........................................................................3-20
3.9.2 Calibrating NIBP..............................................................................................3-20
3.9.3 Calibrating/Zeroing Impedance........................................................................3-21
3.9.4 Device Information..........................................................................................3-22
3.10 Program Upgrade........................................................................................................3-23
4 Troubleshooting................................................................................................................4-1
4.1 Overview.........................................................................................................................4-1
4.2 Part Replacement............................................................................................................4-1
4.3 Defibrillator/Monitor Status Check.................................................................................4-1
4.4 Software Version Check..................................................................................................4-2
4.5 Technical Alarm Check...................................................................................................4-2
4.6 Troubleshooting Guide....................................................................................................4-3
4.6.1 Defibrillation Problems......................................................................................4-3
4.6.2 Pacing Problems.................................................................................................4-5
4.6.3 Power On/Off Problems.....................................................................................4-5
4.6.4 Display Problems...............................................................................................4-6
4.6.5 Alarm Problems..................................................................................................4-8
4.6.6 Button and Knob Problems................................................................................4-9
4.6.7 Recorder Problems...........................................................................................4-10
4.6.8 Output Interface Problems................................................................................4-11
4.6.9 CF Card Problems.............................................................................................4-11
4.6.10 Power Supply Problems.................................................................................4-12
4.6.11 Software Upgrade Problems...........................................................................4-13
4.7 Error Codes...................................................................................................................4-14
4.7.1 Power management board................................................................................4-14
4.7.2 Battery..............................................................................................................4-15
4.7.3 Main Control System.......................................................................................4-16
4.7.4 Therapy Module...............................................................................................4-17
4.7.5 MPM Module...................................................................................................4-18
4.7.6 Birtcher Medical ManufacturingCO2
Module......................................................................................4-20
4.7.7 Oridion CO2 Module........................................................................................4-20
5 Disassembly and Repair..................................................................................................5-1
2
5.1 Tools Required................................................................................................................5-1
5.2 Preparations for Disassembly..........................................................................................5-2
5.3 Disassembling the Main Unit..........................................................................................5-3
5.3.1 Removing Hook Mount......................................................................................5-3
5.3.2 Removing Paddle Tray.......................................................................................5-4
5.3.3 Separating the Housing......................................................................................5-5
5.3.4 Removing the Measurement Module Panel.......................................................5-6
5.3.5 Removing the Power Supply Assembly.............................................................5-8
5.3.6 Removing the Therapy Module Low-voltage Board..........................................5-9
5.3.7 Disarming the Capacitors.................................................................................5-10
5.3.8 Removing the Therapy Module High-voltage Board........................................5-11
5.3.9 Disassembling the MPM Module.....................................................................5-12
5.3.10 Removing the CO2 Module...........................................................................5-13
5.3.11 Removing the CPU board Assembly..............................................................5-13
5.3.12 Removing the Therapy Port Assembly...........................................................5-14
5.3.13 Removing the Right Capacitor.......................................................................5-15
5.3.14 Checking Waterproof Material on the Rear Housing.....................................5-15
5.4 Disassembling the Front Housing Assembly.................................................................5-17
5.4.1 Removing the Keypad board............................................................................5-17
5.4.2 Removing Display Assembly...........................................................................5-18
5.4.3 Removing the Speaker.....................................................................................5-20
5.4.4 Removing the Indicating Lamp Board and Alarm Lamp Board......................5-20
5.4.5 Removing the Mode Select Knob....................................................................5-21
5.4.6 Removing the Rotary Encoder.........................................................................5-22
5.4.7 Removing the Recorder....................................................................................5-22
5.5 Disassembling the MPM Module..................................................................................5-23
5.5.1 Removing the Fan............................................................................................5-23
5.5.2 Removing the SpO2 board...............................................................................5-24
5.5.3 Removing the MPM Module Analog Board....................................................5-25
5.5.4 Removing the MPM Module Digital Board.....................................................5-26
5.5.5 Removing the NIBP Module............................................................................5-27
5.6 Disassembling the Power Supply Assembly.................................................................5-28
5.6.1 Removing the AC/DC board............................................................................5-28
5.6.2 Removing the Power Supply Sheet Metal and the Grounding Terminal..........5-29
5.7 Disassembling the CO2 Module...................................................................................5-30
5.7.1 Disassembling the Microstream CO2 Module.................................................5-30
5.7.2 Disassembling Birtcher Medical ManufacturingCO2
Module..............................................................5-31
5.8 Disassembling the Measurement Module Panel Assembly...........................................5-32
5.8.1 Disassembling the Measurement Module Panel with Birtcher Medical ManufacturingCO2
Module..5-32
5.8.2 Disassembling the Measurement Module Panel with Microstream CO2 Module
...................................................................................................................................5-33
5.8.3 Disassembling the Measurement Module Panel without CO2 Module...........5-33
5.9 Disassembling the Recorder..........................................................................................5-34
5.9.1 Disassembling the TR6F Recorder...................................................................5-34
3
5.9.2 Disassembling the TR8A Recorder..................................................................5-35
5.10 Disassembling the External Paddle.............................................................................5-37
5.10.1 Disassembling the Adult Paddle.....................................................................5-37
5.10.2 Disassembling the Apex Pediatric Paddle......................................................5-37
5.10.3 Disassembling the Sternum Pediatric Paddle.................................................5-38
6 Parts..................................................................................................................................6-1
6.1 Introduction.....................................................................................................................6-1
6.2 Main Unit........................................................................................................................6-2
6.2.1 Exploded View...................................................................................................6-2
6.2.2 Parts List............................................................................................................6-2
6.3 Front Housing Assembly (0651-30-76859).....................................................................6-3
6.3.1 Exploded View...................................................................................................6-3
6.3.2 Parts List............................................................................................................6-4
6.4 Rear Housing Assembly (0651-30-76861)......................................................................6-6
6.4.1 Exploded View...................................................................................................6-6
6.4.2 Parts List............................................................................................................6-7
6.5 Rear Housing (0651-30-76941)......................................................................................6-8
6.5.1 Exploded View...................................................................................................6-8
6.5.2 Parts List............................................................................................................6-9
6.6 Measurement Module Panel Assembly (0651-30-76955).............................................6-10
6.6.1 Exploded View.................................................................................................6-10
6.6.2 Parts List...........................................................................................................6-11
6.7 Power Supply Assembly (0651-30-76862)...................................................................6-12
6.7.1 Exploded View.................................................................................................6-12
6.7.2 Parts List..........................................................................................................6-13
6.8 Therapy Module Low-voltage Board (0651-30-76945)................................................6-14
6.8.1 Exploded View.................................................................................................6-14
6.8.2 Parts List..........................................................................................................6-14
6.9 MPM Module................................................................................................................6-15
6.9.1 Exploded View.................................................................................................6-15
6.9.2 Parts List..........................................................................................................6-16
6.10 Capacitor Assembly (0651-30-76943)........................................................................6-17
6.10.1 Exploded View...............................................................................................6-17
6.10.2 Parts List........................................................................................................6-17
6.11 Sidestream CO2 Module Kit (MO2B)(0651-30-76985).............................................6-18
6.11.1 Exploded View...............................................................................................6-18
6.11.2 Parts List.........................................................................................................6-18
6.12 Microstream CO2 Module Kit (0651-30-76986)........................................................6-19
6.12.1 Exploded View...............................................................................................6-19
6.12.2 Parts List........................................................................................................6-20
6.13 Paddle Tray Assembly (0651-30-76865).....................................................................6-20
6.13.1 Exploded View...............................................................................................6-20
6.13.2 Parts List........................................................................................................6-21
4
6.14 External Paddle (0651-30-76937)...............................................................................6-22
6.14.1 Exploded View...............................................................................................6-22
6.14.2 Parts List........................................................................................................6-22
6.15 Sternum Pediatric Paddle Kit (0651-30-76920)..........................................................6-23
6.15.1 Exploded View...............................................................................................6-23
6.15.2 Parts List........................................................................................................6-24
6.16 Sternum Adult Paddle Kit (0651-30-76922)...............................................................6-24
6.16.1 Exploded View...............................................................................................6-24
6.16.2 Parts List........................................................................................................6-25
6.17 Apex Pediatric Paddle Kit (0651-30-76921)...............................................................6-25
6.17.1 Exploded View...............................................................................................6-25
6.17.2 Parts List........................................................................................................6-26
6.18 Apex Adult Paddle Kit (0651-30-76923)....................................................................6-27
6.18.1 Exploded View...............................................................................................6-27
6.18.2 Parts List........................................................................................................6-27
6.19 External Paddle Cable (0651-20-76827).....................................................................6-28
6.19.1 Exploded View...............................................................................................6-28
6.19.2 Parts List........................................................................................................6-28
6.20 Hook Mount (0651-30-76864)....................................................................................6-29
6.20.1 Exploded View...............................................................................................6-29
6.20.2 Parts List........................................................................................................6-29
6.21 Replacement Parts.......................................................................................................6-30
6.21.1 Main Unit.......................................................................................................6-30
6.21.2 Cables.............................................................................................................6-32
5
FOR YOUR NOTES
6
1 Safety
1.1 Safety Information
DANGER
 Indicates an imminent hazard that, if not avoided, will result in death, serious
personal injury or property damage.
WARNING
 Indicates a potential hazard or unsafe maintenance practice that, if not avoided,
could result in death, serious personal injury, product / property damage.
CAUTION
 Indicates a potential hazard or unsafe maintenance practice that, if not avoided,
could result in minor personal injury or product/property damage
NOTE
 Provides application tips or other useful information to ensure that you can better
service your product.
1-1
1.1.1 Dangers
WARNING
 Do not open the equipment cases to avoid shock hazard. All servicing and future
upgrades must be carried out by the personnel trained and authorized by our
company only.
1.1.2 Warnings
WARNING
 To avoid high voltage shock, disconnect the defibrillator/monitor from AC adapter
and remove the batteries before disassembly.
 The equipment must be connected to a properly installed power socket with
protective earth contacts only. If the installation does not provide a protective
earth conductor, do not use this socket and operate the equipment on rechargeable
batteries.
 When disposing of the packaging material, be sure to observe the applicable waste
control regulations and keep it out of children’s reach.
1.1.3 Cautions
CAUTION
 Make sure that no electromagnetic radiation interferes with the performance of the
equipment when preparing to carry out performance tests. Mobile phone, X-ray
equipment or MRI devices are a possible source of interference as they may emit
higher levels of electromagnetic radiation.
 Before connecting the equipment to the power line, check that the voltage and
frequency ratings of the power line are the same as those indicated on the
equipment’s label or in this manual.
 Protect the equipment from damage caused by drop, impact, strong vibration or
other mechanical force during servicing.
1-2
1.1.4 Notes
NOTE
 Refer to Operation Manual for detailed operation and other information.
1.2 Equipment Symbols
Attention: Please read this

manual carefully before Equipotential terminal
servicing.
Danger: High-voltage Service indicator
Alternating current(AC) Network connector
Battery Video output
USB connector Analog input/out
ESD warning symbol for Electrostatic sensitive devices.
Type CF applied part. Defibrillator-proof protection against electric shock.
Type BF applied part. Defibrillator-proof protection against electric shock.
1-3
FOR YOUR NOTES
1-4
2 Theory of Operation
2.1 The Basics
2.1.1 Overview
The BeneHeart defibrillator/monitor (hereinafter called the equipment) provides four

operating modes: Manual Defib, AED, Pacer, and Monitor. The equipment is for use in
hospital and pre-hospital settings. It adopts the most advanced biphasic defibrillation
technology and can deliver up to 360J of defibrillation energy.
The BeneHeart has an 8.4" LCD display.
2.1.2 Main Functions
The equipment has the following main functions:
 Manual Defib Mode

In Manual Defib Mode, the operator analyzes the patient’s ECG, and, if appropriate, follows
this procedure:
1 Select the Manual Defib mode, adjust the energy level if necessary
2 Charge; and
3 Deliver the shock.
Defibrillation may be performed through external paddles or multifunction electrode pads. In

Manual Defib Mode, you can also perform synchronized cardioversion.
 AED Mode
In AED mode, the equipment automatically analyzes the patient’s ECG rhythm and
indicates whether or not a shockable rhythm is detected. Voice prompts provide
easy-to-follow instructions and patient information to guide you through the
defibrillation process. Messages and flashing buttons are also presented to reinforce the
voice prompts.
2-1
 Pacer Mode
The Pacer Mode offers non-invasive transcutaneous pacing therapy. Pace pulses are
delivered through multifunction electrode pads using a monophasic square waveform.
 Monitor Mode
In Monitor Mode, the equipment is intended for monitoring, displaying, reviewing,
storing and printing multiple physiological parameters and waveforms including ECG,
pulse oximetry (SpO2), temperature (Temp), non-invasive blood pressure (NIBP),
invasive blood pressure (IBP) and carbon dioxide (CO2).
2.2 Components
The equipment consists of a main unit, accessories and PC software.
The main unit is the core of the equipment. It provides:

 Overall system control;
 System power supply;
 Display;
 Defibrillation and pacing;
 AED ;
 Man-mahcine interface;
 Audible and visible alarms;
 Multiple parameter measurements;
 External connectors and communication; and
 Recording, printing and data storage.
2-2
2.3 Main Unit
The main unit is composed of the front housing assembly, rear housing assembly and the
paddle tray assembly. External paddles are rested in the paddle tray.
 The front housing assembly mainly consists of LCD, keypad board, recorder, speaker,
microphone, Mode Select knob, navigation knob, backlight inverter, alarm lamp board,
indicating lamp board, front housing and front housing sheet metal, etc.
 The rear housing assembly consists of CPU board, therapy module, high voltage
capacitors, MPM module, CO2 module, power management board, wireless network
adapter, fan, measurement module panel, therapy port, and rear housing, etc.
 The paddle tray is for holding the external paddles.
The main unit consists of the following subsystem:

 Input subsystem: Its input includes keypad board, microphone, Mode Select knob,
navigation knob, and paddle handle controls.
 Output subsystem: includes display screen, alarm lamp board, recorder, and speaker
 Processing and communication subsystem: includes CPU board, therapy module, MPM
module, and CO2 module.
 Power management subsystem: includes batteries, AC/DC board and power
management board.
 External device connection subsystem: includes USB connector, network connector,
VGA connector and multifunction connector for analog output and synchronous input.
2-3
System Structure
2-4
System Signal Flow
2-5
2.4 Front Housing Assembly
The front housing assembly consists of display assembly (including the backlight inverter), a
keypad board, a recorder, a speaker, a microphone, a Mode Select knob, a navigation knob,
an alarm lamp board, an indicating lamp board, a front housing and front housing sheet metal,
etc.
Navigation Knob
You can rotate the knob clockwise or counterclockwise and then press it to confirm a
selection. The knob is connected to the keypad board.
Mode Select Knob

A 8-position encoder is used to select the operating mode (Monitor, Manual Defib, AED and
Pacer) and power-off. The unused positions are mechanically disabled.
Recorder
The recorder receives data from the CPU board and then sends the data to a thermal head for
printing. The recorder front panel has a key for starting/ stopping the recorder and a green
indicator which is lit when working normally. The recorder is connected to the keypad board
which board provides connection for the TR6F recorder. The block diagram and functional
modules of the recorder are shown as below.
2-6
Module Description
Power Interface Introduces DC power supply from the CPU board.
Recorder Power Module Adjusts input voltage to run each module.
Coordinates module communication, controls and processes module

Recorder CPU
status.
Serves as the data communication channel between the keypad board
Keypad board Interface
and the recorder CPU.
Receives control signals sent by the recorder CPU to drive the step
Motor Drive Circuit
motor.
Keypad and Indicator Sends keypad commands to CPU and receives CPU commands to
Interface control the indicator.
Sends print head information to CPU and receives CPU commands to
FPC Interface
control the print head.
Speaker
The speaker emits alarm tones, key-stroke tone, heart beats and PR sound. It supports the
functions of PITCH TONE and the multi-level volume. The speaker is connected to the
keypad board.
Microphone
It provides the function of voice recording.
Alarm Lamp Board

The keypad board interfaces with the alarm lamp board. The alarm lamp transmits signals to
drive the green and yellow alarm lamp.
Indicating Lamp Board

The keypad board interfaces with the indicating lamp board. On the equipment’s front panel,
there are 3 indicators: AC power indicator, battery indicator and service indicator, each has an
icon aside.
2-7
2.5 Paddle Tray
The paddle tray is used to hold paddles. It has a short circuit conducting strips inside. When
the equipment runs self tests, test current will pass through these strips.
2.6 Rear Housing Assembly
Rear housing assembly consists of the CPU board, the therapy module, high voltage
capacitors, a MPM module, a CO2 module, wireless network adapter, a power management
board, a fan, a rear housing, a measurement module panel, and a therapy port, etc.
2.6.1 Power System
System power supply
1. AC/DC board
It has AC mains as an input and outputs 18VDC.
2. Battery
Its rated voltage is 14.8V, 6600mAh.
2-8
3. Power Management Board
It is responsible for power transform and battery charge control. The system has four
power supplies: 18V (when AC mains is used) or 14.8V (when batteries are used), 12V,
5V, and 3.3V. The priority of system power supply is rated in the order of AC mains,
Battery 1 and Battery 2. That is to say, when AC is not available, Battery 1 is used; if
Battery 1 is defective or depleted, Battery 2 is used.
2.6.2 Main Control System
The CPU board is connected with the power management board with stacking connectors, as
shown below.
The main control module mainly consists of the CPU and FPGA. CPU is used to provide
least required internal storage, program memory, large capacity non-volatile storage, and the
watch dog. It connects EEPROM and other peripheral ICs such as Ethernet PHY chip. FPGA
performs the main functions of display and audio. Besides, it has the function of adapting
interfaces from CPU to MPM module, the keypad board and the recorder. CPU controls
FPGA via Flexbus.
2-9
2.6.3 Therapy System
The therapy system possesses the functions of defibrillation, pacing and AED analysis. The
therapy module consists of three boards: a low- voltage board, a high -voltage board and a
Pads ECG board. The Pads ECG board is responsible for ECG and impedance detection. The
low -voltage board is mainly responsible for controlling, pacing and ECG algorithm. The
high -voltage board is mainly used for controlling defibrillation charge and discharge. When
disassembling the therapy system, make sure you have discharge the device and no high
voltage remains in the system.
The principle of the therapy system
The therapy module adopts DSP+MCU framework. MCU is responsible for therapy control
while DSP for ECG and impedance detection, AED algorithm, monitoring algorithm, pacing
algorithm, auxiliary therapy control, etc.
2.6.4 Parameter Measurement System
MPM modules and the CO2 module are used to provide parameter monitoring. However,
ECG monitoring can also be implemented by the therapy module. .
2-10
2.7 External Device Connectors
6
7
2
8
3 9
4 5
1. Hook
2. Battery 2
3. Battery 1
4. External power input: It connects an AC power cord or a DC/AC adapter to run the
equipment respectively on the external AC mains or DC power supply.
5. Equipotential grounding terminal: When the defibrillator/monitor and other devices are
to be used together, their equipotential grounding terminals should be connected
together to eliminate the potential difference between them.
6. USB connector: It connects the USB memory for data export. Data stored in the internal
CF card can be transferred to the USB memory and then export to a PC via the data
management software.
7. Network connector: It is a standard RJ45 connector, through which software can be
upgraded.
8. Multifunctional connector: provides ECG analog output and defibrillation
synchronization input.
9. VGA connector: connects an external VGA display.
2-11
FOR YOUR NOTES
2-12
3 Testing and Maintenance
3.1 Introduction
To ensure the equipment always functions normally, qualified service personnel should
perform regular inspection, maintenance and test. This chapter provides a checklist of the
testing procedures for the equipment with recommended test equipment and frequency. The
service personnel should perform the testing and maintenance procedures as required and use
appropriate test equipment.
The testing procedures provided in this chapter are intended to verify that the equipment
meets the performance specifications. If the equipment or a module fails to perform as
specified in any test, repairs or replacement must be done to correct the problem. If the
problem persists, contact our Customer Service Department.
CAUTION
 All tests should be performed by qualified service personnel only.
 Care should be taken to change the settings in [Installation Mode] and [Service
Mode] menus to avoid loss of data.
 Before testing, service personnel should acquaint themselves with the test tools and
make sure that test tools and cables are applicable.
 When testing monitoring parameters, move the Mode Select knob to Monitor to
access the Monitor Mode.
 When performing therapy function tests, move the Mode Select knob to
corresponding mode.
3-1
3.1.1 Test Report
After completing the tests, service personnel are required to record test results in this table
and report them to Birtcher Medical ManufacturingCustomer Service Department.
Test Equipment
Name Model/PN Expiry Date
Test Record
No. Test Item Test Site Test Results
1
2
Conclusion
Pass/Fail: Tested by: Date:
3.1.2 Recommended Frequency

Check/Maintenance Item Frequency
Visual test 1. When first installed or reinstalled.
Power on test 1. When first installed or reinstalled.
2. Following any maintenance or the
replacement of any main unit parts.
3. At least once every day.
User check. 1. When first installed or reinstalled.
Following any maintenance or the
replacement of any main unit parts.
3: At least once every day.
Manual Charge/discharge function 1. When you suspects that the measurement.
defibrillation test Energy disarming 2. Following any repairs or replacement of
any module.
Synchronous defibrillation
3. At least once every two years.
Pacing test 1. If user suspects that the measurement is
incorrect.
2. Following any repairs or replacement of
respective module.
3-2
CO2 module tests Leakage 1. If user suspects that the measurement is
Module calibration incorrect.
respective module.
3. At least once a year.
ECG tests Module performance 1. If user suspects that the measurement is

Module calibration incorrect.
Resp test
respective module.
NIBP tests Accuracy test
Leakage test
Calibration
IBP tests Performance test

Pressure calibration
SpO2 test
Temp test
Analogue output test If user suspects that the measurement is
incorrect.
Electrical safety Enclosure leakage current 1. Following any repair or replacement of the
tests Earth leakage current power module.
Patient leakage current
Patient auxiliary current
Recorder check Following any repair or replacement of the
recorder.
3.2 Visual Test
Inspect the equipment for obvious signs of damage. The test is passed if the equipment has no
obvious signs of damage. Follow these guidelines when inspecting the equipment:
 Carefully inspect the housing, the display screen and the buttons for physical damage.
 Inspect accessories for signs of damage.
 Inspect all external connections for loose connectors, bent pins or frayed cables.
 Inspect all connectors on the equipment for loose connectors or bent pins.
 Make sure that safety labels and data plates on the equipment are clearly legible.
3-3
3.3 Power On Test
This test is to verify that the defibrillator/ monitor can power on normally. The test is passed
if the defibrillator/ monitor starts up by following this procedure:
1. Place the external paddles on paddle tray, insert the battery (install both if two batteries
are configured) in the battery compartment, and then connect the equipment with AC
mains. In this case, both the AC indicator and battery indicator shall light.
2. Turn the Mode Select knob to Monitor. Check that the equipment passes the self test and
is turned on properly.
3. Check the display of technical alarm area, prompt area and battery status indicator on
the upper right corner of the main screen to judge whether the equipment runs normally.
3.4 User Test
Perform user test to verify whether the defibrillation function, pacing function and batteries
work normally. Follow this procedure to perform the user test:
1. If you use external paddles, place them on the paddle tray; if you use a pads cable,
connect it to the test load.
2. Insert batteries (2 if configured) into the equipment. Connect the AC mains if no battery
is available.
3. Select the Menu key on the equipment’s front panel. In the Main Menu, select [User
Test>>]. Then a prompt “Enter user test?” pops up. Select “Yes” to enter the User Test
screen.
4. Press the [Start] soft key to start testing.
The test results indicate the condition of the system. If any item fails, the service indicator
flashes. Refer to 4.7 Error Code for locating and solving the problem.
3-4
3.5 Module Performance Tests
3.5.1 Manual Defibrillation Test
Test tools:
 Defibrillator/pacer analyzer
Charge/Discharge
1. Remove the batteries and connect the equipment with AC mains. Turn the Mode Select
knob to Manual Defib.
2. Connect the external paddles to the equipment and place the paddles on the
defibrillator/pacer analyzer.
3. Enter the Configuration-Main screen. From the Record Setup menu set [Shock Event]
to [On] so that shock events can be recorded automatically if happened.
4. Set the analyzer to Energy Measurement mode. In this case, the energy value should be
displayed as 0 or blank.
5. Select the energy level to 1J.
6. Charge/discharge the equipment to verify the energies measured by the analyzer meet
the following accuracy:
Selected Energy (J) Measured Value (J)

1 0 to 3
100 85 to 115
360 306 to 414
7． Set the energy to 100J and 360J respectively. Repeat Step 6.

8. Disconnect the equipment from the AC mains. Run the equipment on fully charged
battery. Move the Mode Select knob to Manual Defib. Repeat Steps 2 to 7.
9. Verify that the equipment records the shock events automatically and correctly.
10. Use multifunctional electrode pads. Repeat Step 3 to Step 9.
Energy Disarming
1. Run the equipment on fully charged battery. Move the Mode Select knob to Manual
Defib.
2. Connect the external paddles to the equipment and place the paddles on the
3-5
5. Charge the equipment.
6. Verify that the charge tone is issued during charging.
7. Press the “Disarm” soft key to discharge the energy internally.
8. Verify that a prompt “Charge Removed” appears and the charge done tone stops.
9. Verify that the value measured by the analyzer is 0J or blank.
10. Enter the Configuration-Main menu, select [Manual Therapy Setup] and set [Time to
Auto Disarm] to [60s].
11. Exit “Configuration Management”. The equipment restarts automatically.
14. Charge the equipment. Count time after charging is completed.. Verify that the prompt
“Shock Removed” appears on the equipment and the energy measured by the analyzer is
0J or blank after 60 seconds.
15. Use multifunctional electrode pads. Repeat Step 3 to Step 14.
Synchronous Defibrillation
1. Connect the external paddles and ECG cable to the equipment. Place the paddles ECG
electrodes on the defibrillator/pacer analyzer.
2. Set the analyzer to Time Measurement Mode and output normal sinus rhythms, e.g.
amplitude value 1mV and HR 60bpm.
3. Enter Configuration Management. In the [Manual Therapy Setup] menu, set [Sync
After Shock] to [On].
4. Adjust the energy setting of the equipment to be 10J.
5. Press the [Sync On] soft key to start synchronous defibrillation. If Remote Sync is
switched on, press the [Sync On] soft key and select [Local] to start synchronous
defibrillation
6. Select Pads as the ECG source and begin charging.
7. When charging finishes, press and hold the “Shock” button to deliver a shock.
8. Verify that synchronous discharge succeeds and the delivery energy measured by the
analyzer is 10J±2J.
9. Verify that the delay time of synchronous defibrillation measured by the analyzer is less
than 60ms.
10. Verify that the synchronous discharge mark appears on the R wave.
11. Verify that the prompt messages are correct during testing.
12. Select lead II as ECG source and perform charging. Repeat steps 7 to 11.
13. Use multifunctional electrode pads. Repeat steps 2 to 12.
3-6
3.5.2 Pacing Test
Test tools:
 Defibrillator/pacer analyzer
1. Run the equipment on fully charged battery. Move the Mode Select knob to Pacer. Set
[Pacer Mode] to [Fixed].
2. Connect the pads cable to the equipment and properly place the pads on the
3. Set the analyzer to Pacing Measurement mode. Use test load of 50Ω.
4. On the equipment, set [Pacer rate] to [70ppm] and [Pacer Output] to [30mA].
5. Press the [Start Pacing] soft key. Verify that the pacer rate measured by the analyzer is
70 ppm±1ppm and the pacer output measured is 30 mA±5mA.
6. Press the “Stop Pacing” soft key, and then set [Pacer rate] to [170ppm] and [Pacer
Output] to [200mA].
7. Press the [Start Pacing] soft key. Verify that the pacer rate measured by the analyzer is
170 ppm±2ppm, and the measured current is 200 mA±10mA.
3.5.3 CO2 Module Tests
Leakage Check
1. Access the [CO2 Setup] menu and set [Operating Mode] to [Measure].Wait for CO2
warm-up.
2. Block the CO2 module gas inlet completely. This will cause different reactions from the
Sidestream and Microstream CO2 modules.
 Sidestream: Check that alarm message [CO2 Filter Line Err] is displayed on the
screen in 3s. Block the gas inlet for another 30s, if the alarm message does not
disappear, the module does not leak.
 Microstream CO2 module: [CO2 Purging…] is displayed in 3s. Block the gas inlet
for another 30s, if the alarm message [CO2 Tubing Err] appears, the module does
not leak.
3-7
Module Calibration
Test tools
 Gas cylinder, with5% of CO2.
 T-shape connector
1. Make sure that the CO2 module has been warmed up or started up.
2. Access the [CO2 Setup] menu and select [Zero].
3. When calibration finishes, connect the gas cylinder with the tubing using a T-shape
connector as shown below. Check the airway and make sure there are no leaks.
To the air
Tubing
Gas valve
Defibrillator
/monitor
Gas cylinder
4. Vent the tubing to the CO2 by opening the gas valve.

5. Access the [Maintain CO2] menu. To do so, press the Menu key on the equipment’s
front panel. Select [Others>>]→[Installation Mode>>] →enter the required
password→ [Maintain CO2].
6 . I n the [Maintain CO2] menu, select a CO2 value equal to the vented CO2
concentration.
7 . I n the [Calibrate CO2] menu, the measured CO2 concentration is displayed. Wait till
the measured CO2 concentration becomes stable; select [Calibrate] to start CO2
calibrate.
The message [Calibration Completed!] is displayed after a successful calibration. If the
calibration failed, the prompt [Calibration Failed!] will be displayed. In this case, perform
another calibration.
3-8
3.5.4 ECG Test
Performance Test
Test tools
 ECG simulator
1. Connect the simulator to the ECG connector on the module.

2. For 3- and 5-lead sets, the simulator is configured as HR=80 bmp.
3. The displayed HR should not exceed 80±1 bmp;
ECG Calibration
1. Select the ECG parameter window or waveform area→[Filter]→[Diagnostic]..

2. Select [ECG Setup]→[Others>>].
3. Select [Calibrate]. A square wave signals appear on the screen and the message [ECG
Calibrating] is displayed in the prompt information area in the lower left corner of the
screen.
4. Compare the amplitude of the square wave with the wave scale. The difference should
be within 5%. If needed, you can also print out the square wave and the wave scale.
3.5.5 Resp Test
Test tools
 Resp Patient simulator
1. Connect the patient simulator to the Resp connector on the module.

2. Configure the simulator as follows: base impedance line 1500 Ω; delta impedance 0.5 Ω,
respiration rate 40 rpm.
3. The displayed Resp value should not exceed 40±2 rpm.
3-9
3.5.6 NIBP Tests
Accuracy Test
Tools required:
 Tubing
 Balloon pump
 Metal Vessel, volume 500±25 ml
 Calibrated manometer for reference, accuracy not lower than 1 mmHg
To perform the accuracy test:
1. Connect the equipment as shown below.
Defibrillator/monitor
Manometer
Connector for
Tubing
NIBP cuff
Balloon pump Metal vessel
2. Before inflation, the reading of the manometer should be 0. If not, disconnect the airway
and reconnect it until the readings is 0.
3. Press the Menu key on the equipment’s front panel. Select [Others>>]→[Installation
Mode>>]→ enter the required password→[Maintain NIBP]→ [Start Accuracy Test].
4. Compare the value of manometer with the value displayed on the equipment’s screen.
The difference should be no greater than 3 mmHg.
5. Raise the pressure in the metal vessel to 50 mmHg with the balloon pump. Repeat
steps 4 and 5.
6. Raise the pressure in the metal vessel to 200 mmHg with the balloon pump. Repeat
steps 4 and 5.
Note
 You can replace the balloon pump and manometer with a blood pressure simulator
to form a test system.
3-10
NIBP Leakage Test
Tools required:
 An adult cuff
 An air tubing
A correct sized cylinder
To perform the leakage test:

1. Connect the cuff to the equipment’s NIBP connector.
2. Wrap the cuff around the cylinder as shown below.
Cylinder
Defibrillator/monitor
Connector for Tubing
NIBP cuff Cuff
3. Press the Menu key on the equipment’s front panel. Select [Others>>]→ [Installation
Mode>>]→ enter the required password→[Maintain NIBP]→ [Start Leakage Test].
4. After about 20 seconds, the equipment automatically deflates. This means the leakage
test finishes.
5. When the accuracy test is completed, the result will be displayed. If the message [NIBP
Pneumatic Leak] is displayed, it indicates that the NIBP airway may have leakages.
Check the tubing and connections for leakages, and then perform a leakage test again.
3-11
Calibrating NIBP
Tools required:
 Tubing
 Balloon pump
 Metal Vessel, volume 500±25 ml
 Calibrated manometer, accuracy higher than 1 mmHg
1. Connect the equipment as shown below
Defibrillator/monitor Manometer
Connector for Tubing

NIBP cuff
Balloon pump Metal vessel
2. Before inflation, the reading of the manometer should be 0. If not, disconnect the
airway and reconnect it until the readings is 0
3. Press the Menu key on the equipment’s front panel. Select [Others>>]→ [Service
Mode>>]→ enter the required password→[Calibrate NIBP].
4. Calibrate pressure. To do so, set the calibration value to 150 mmHg and adjust the pump
output pressure to 150 mmHg. After the system is stable, click the [Calibrate] button to
start calibration.
5. Calibrate overpressure. To do so,
 set [Patient Cat.] to [Adu/Ped] and adjust pump output pressure to 330 mmHg.
Click the [Calibrate] button and start calibration. Or
 set [Patient Cat.] to [Neo] and adjust pump output pressure to 165 mmHg. Click
the [Calibrate] button and start calibration.
All the calibration results will be displayed in the [Calibrating NIBP] screen. If the
calibration fails, please check the connections and then perform a calibration again.
3-12
3.5.7 IBP Tests
Performance Test
Test tools
 Patient simulator
1. Connect the patient simulator to the pressure connector on the module.

2. Set the pressure value of patient simulator to 0.
3. Press the Zero Key on the module to start a zero calibration
4. Set the static pressure of the simulator to P=200 mmHg.
5. The displayed value should not exceed 200±2 mmHg.
6. If the difference exceeds ±2 mmHg, calibrate IBP.
Pressure Calibration
Tools required:
 Standard sphygmomanometer
 Balloon pump
 Tubing
3-13
To perform a calibration:
1. Connect the 3-way stopcock, the sphygmomanometer and the balloon pump through a
T-shape connector, as shown below.
2. Zero the transducer. Then open the stopcock to the sphygmomanometer.
Pressure transducer
3-way stopcock
Pressure adapter cable

T-shape connector
IBP Module
Sphygmomanometer
3. Press the Menu key on the equipment’s front panel. Select [Others>>]→ [Installation
Mode>>]→ enter the required password→[Maintain IBP]. Then configure IBP
calibration value.
4. Inflate using the balloon pump until the reading of sphygmomanometer approximates
the preset calibration value.
5. Adjust the calibration value in the [Maintain IBP] menu until it is equal to the reading
of sphygmomanometer
6. Select the [Calibrate] button to start a calibration
7. The message [Calibration Completed!] is displayed after a successful calibration. If
the calibration failed, the prompt [Calibration Failed!] will be displayed.
3-14
3.5.8 SpO2 Test
Test tool
 Patient simulator.
1. Connect the patient simulator to the SpO2 connector on the MPM.

2. Select the model and manufacturer of the tested SpO2 module. Configure the parameter
as below: SpO2 96% and PR 80 bmp.
3 . Th e displayed SpO2 and PR values should be within the ranges listed below
SpO2 (%) PR (bmp)

Birtcher Medical Systems 96% ±2% 80±3
Masimo 96% ±2% 80±3
MAX-A, MAX-AL, MAX-N, MAX-P, MAX-I,
96% ±2%
MAX-FAST
Nellcor OxiCliq A, OxiCliq N, OxiCliq P, OxiCliq I 96% ±2.5% 80±3
D-YS, DS-100A, OXI-A/N, OXI-P/I 96% ±3%
MAX-R, D-YSE, D-YSPD 96% ±3.5%
3.5.9 Temp Test

Test tools
 Resistance box
1. Connect the two pins of any Temp connector on the module to the two ends of the
resistance box using 2 wires.
2. Set the resistance box to 1354.9Ω (corresponding temperature is 37℃). The displayed
value on the equipment should not exceed 37±0.2℃.
3.6 Analogue Output Test

Test tool:
 Oscillograph
1. Connect the oscillograph to the multifunction connector (DB9 port) of the defibrillator/
monitor.
2. Make sure the waveforms displayed on the oscillograph should be the same with those
displayed on the defibrillator/ monitor.
3-15
3.7 Electrical Safety Tests
WARNING
 Electrical safety tests are a proven means of verifying the electrical safety of the
equipment. They are intended for determining potential electrical hazards. Failure
to find out these hazards timely may cause personnel injury.
 Commercially available test equipment such as safety analyzer, etc. can be used for
electrical safety tests. Be sure that the test equipment can be safely and reliably
used with the defibrillator/ monitor before use. The service personnel should
acquaint themselves with the use of the test equipment.
 Electrical safety tests should meet the requirements of the new edition of standards
EN 60601-1 and UL60601.
 These electrical safety tests do not supersede local requirements.
 All devices using the AC mains and connected to medical equipment within patient
environments must meet the requirements of the IEC 60601-1 medical electrical
systems standard and should be put under electrical safety tests at the frequency
recommended for the defibrillator/ monitor.
Electrical safety tests are intended to check if potential electrical hazards to the patient,
operator or service personnel of the equipment. Electrical safety test should be performed
under normal ambient conditions of temperature, humidity and pressure.
The electrical safety test plan described hereafter takes 601 safety analyzer as an example.
Different safety analyzers may be used in different areas. Be sure to choose applicable test
plan.
3-16
Connection of the equipment is shown below:
Test tools
 Safety analyzer
 Isolation transformer
3.7.1 Enclosure Leakage Current Test
1. Connect the 601 safety analyzer to an AC power supply (264 V, 60 Hz).

2. Connect SUM terminal of the applied part connection apparatus to RA input terminal of
601 safety analyzer, another terminal to the applied part of EUT.
3. Connect the EUT to the analyzer’s auxiliary output connector using a power cord.
4. Attach one end of the red lead to the “Red input terminal” of the analyzer, and the other
end to tinsel over the enclosure of the EUT.
5. Power on the 601 safety analyzer and then press the “5-Enclosure leakage” button on the
analyzer’s panel to enter the enclosure leakage test screen.
6. Under normal condition, the enclosure leakage current should be no greater than 100 µA.
Under single fault condition, it should be no greater than 300 µA.
3-17
3.7.2 Earth Leakage Current Test

4. Power on the 601 safety analyzer and then press the “4-Earth leakage” button on the
analyzer’s panel to enter the earth leakage test screen.
5. Under normal condition, the earth leakage current should be no greater than 300 µA.
Under single fault condition, it should be no greater than 1000 µA.
3.7.3 Patient Leakage Current Test

4. Power on the 601 safety analyzer and then press the “6-Patient leakage” button on the
analyzer’s panel to enter the Patient leakage test screen.
5. Repeatedly press the “Applied Part” button to measure AC and DC leakage alternatively.
DC leakage reading is following by “DC”
6. Under normal status, the patient leakage current should be no greater than 10 µA. Under
single fault condition, it should be no greater than 50 µA.
3-18
3.7.4 Patient Auxiliary Leakage Current Test
1. Connect the 601 safety analyzer to an AC source (264 V, 60 Hz).

2. Connect the equipment under test (EUT) to the analyzer’s auxiliary output connector
using a power cord.
3. Connect the sensors of the applied part to the applied part connection apparatus, whose
RA-P terminal is connected to 601 safety analyzer’s RA terminal (which is turned on)
and SUM terminal to 601 safety analyzer’s LA terminal. RA terminal is switched to on.
4. Power on the 601 safety analyzer and then press the “8-Patient Auxiliary Current Test”
button on the analyzer’s panel to enter the patient auxiliary current test screen.
5. Repeatedly press the “Applied Part” button to measure AC and DC leakage alternatively.
DC leakage reading is following by “DC”.
6. Under normal status, the patient auxiliary leakage current should be no greater than 10
µA. Under single fault condition, it should be no greater than 50 µA
3.8 Recorder Check
1. Print ECG waveforms. The recorder should print correctly and printout should be clear.
2. Set the recorder to some problems such as out of paper, paper jam, etc. the defibrillator/
monitor should give corresponding prompt messages. After the problem is removed, the
recorder should be able to work correctly.
3. Switch automatic alarm recording for each parameter ON and then set each parameter’s
limit outside set alarm limits. Corresponding alarm recordings should be triggered when
parameter alarms occur.
3-19
3.9 Factory Service
3.9.1 Accessing Service Mode Menu

To access the factory service menu, press the Menu key on the equipment’s front panel.
Select [Others>>]→ [Service Mode>>]→ enter the required passwords. The Service
Mode-Main menu is shown below.
3.9.2 Calibrating NIBP

Refer to 3.5.6 NIBP Tests for calibrating NIBP.
3-20
3.9.3 Calibrating/Zeroing Impedance
The equipment enables impedance calibration and impedance zeroing.

 To zero the impedance, short the defibrillation terminals to perform zeroing.
 To calibrate impedance, connect the defibrillation electrodes with a 100Ω test
impedance.
Follow this procedure to perform impedance calibration/zeroing:

1. If not pre-connected, connect the pads cable to the equipment. Only pads cable can be
used for impedance calibration/zeroing
2. Enter the Calibrate/Zero Impedance screen.
3. Connect a calibration load of zero ohm to the pads cable; then select “Zero”. A message
“Zero Completed” shall be shown. If the message “Zero Failed” is displayed, check the
connection of pads cable.
4. Connect a calibration load of 100 ohms to the pads cable; then select “Calibrate”. A
message “Calibration Completed” shall be shown. If the message “Calibration Failed” is
displayed, check the connection of pads cable.
5. Restart the equipment and select the Monitor mode. Press and hold the Menu key, and
then press the Mark Event key, the following menu appears.
Connect a test load of 300 ohms to the pads cable and observe the reading of “RT Imped”.
Calibration successes if the value of RT Imped is between 3000±450.
Impedance calibration/zeroing is a must after the replacement of low-voltage board,

high-voltage board or pads board.
3-21
3.9.4 Device Information
Press the Menu key on the equipment’s front panel. Select [Others>>]→ [Service
Mode>>]→ enter the required passwords→ [Device Information].menu. In the Device
Information screen, you can view the device information such as software version, system
status, and etc, as shown below.
3-22
3.10 Program Upgrade
You can upgrade the software of the equipment by downloading the upgrade software
through network. At the same time, you can view the upgrade status log. The upgrade
software can directly run on a portable PC or desktop PC. Through the network or by
connecting the defibrillator/ monitor to a PC via a crossover network cable, you can upgrade
the following programs:
 Boot program
 System program
 Multilingual library
 BMP files (including screen icons, start-up screens, standby screens)
 General configurations (including passwords, company logo)
 System functional configuration
 FPGA program
 Power module
 Parameter module programs: MPM, Birtcher Medical Systems CO2 module, therapy module
For details, refer to help and instructions for program upgrade.
CAUTION
 Disconnect the equipment from the patient and make sure the important data are
saved before upgrade.
 Do not shut down or power off the equipment when upgrading the boot program.
Otherwise, it may cause the equipment to break down.
 Program upgrade should be performed by qualified service personnel only.
 Crossover network cable shall be used if a PC is connected for equipment upgrade.
NOTE
 After upgrading the boot program, re-upgrade the system program and other
programs to ensure compatibility.
 Make sure the version of the upgrade package is the one that you desired. If you
want to obtain the latest upgrade package, contact Birtcher Medical Systems Customer Service
Department.
3-23
FOR YOUR NOTES
3-24
4 Troubleshooting
4.1 Overview
In this chapter, the defibrillator/monitor problems are listed along with possible causes and
recommended corrective actions. Refer to the tables to check the defibrillator/monitor,
identify and eliminate the problems.
The problems we list here are frequently arisen difficulties and the actions we recommend
can correct most problems, but not all of them. For more information on troubleshooting,
contact our Customer Service Department.
4.2 Part Replacement
Printed circuit boards (PCBs), major parts and components in the defibrillator/monitor are
replaceable. Once you isolate a defective PCB, follow the instructions in 5 Disassembly and
Repair to replace the PCB with a known good one and check that the trouble disappears or
the defibrillator/monitor passes all performance tests. If the trouble remains, replace the PCB
with the original suspicious PCB and continue troubleshooting as directed in this chapter.
To obtain information on replacement parts or order them, refer to 6 Parts.
4.3 Defibrillator/Monitor Status Check
Some troubleshooting tasks may require you to identify the hardware version and status of
your defibrillator/ monitor. To check its status,
1. Select [Main Menu]→[Event Review >>]. Then you can view the information on
system start time, self check, etc.
2. You can also view the information on the defibrillator/monitor’s current status by
pressing the Menu key on the equipment’s front panel, and then selecting
[Others>>]→[Service Mode>>]→ enter the required password →[Device
Information>>].
4-1
4.4 Software Version Check
Some troubleshooting may involve software compatibility. Thus it requires you to know your
defibrillator/monitor configuration and software version. For detailed information on version
compatibility, please contact our Customer Service Department. To identify your software
version:
 Press the Menu key on the equipment’s front panel, and then select
[Others>>]→[Installation Mode>>]→enter the required password →[Version]. In the
Version screen, you can view system software version and module software version. Or
 Press the Menu key on the equipment’s front panel, and then select
[Others>>]→[Service Mode>>]→ enter the required password →[Device
Information>>].
4.5 Technical Alarm Check
Before troubleshooting the defibrillator/monitor, check for technical alarm message. If an

alarm message is presented, eliminate the technical alarm first. For detailed information on
technical alarm message, possible cause and corrective action, refer to the
defibrillator/monitor’s Operation Manual.
4-2
4.6 Troubleshooting Guide
4.6.1 Defibrillation Problems
Symptom Possible Cause Corrective Action
Keypad board failure Connect external paddles. Press the
“Charge” button on the Apex paddle to
start charging. If the “Charge” button
The equipment
on the paddles works, it indicates the
does not charge
keypad board fails.
by pressing the
2. Replace the keypad board.
Charge button on
The Charge button fails to be Disassemble the keypad board to
the front panel.
pressed down effectively due to replace or reshuffle the keypad.
the damaged or dislocated silica
gel keypad.
Paddles not connected properly. Reconnect the paddles.
Paddles failure. 1. Isolate the problem by connecting
The equipment
pads to perform charging/discharging
cannot be charged
2. If the paddles are failed, replace
by pressing the
them.
Charge button on
Failure of therapy module Replace the low-voltage board.
the external
low-voltage board.
paddles.
Failure of connection wire to the Replace the connection wire
therapy module.
Battery failure. Replace the battery or connect the
equipment with external power supply.
The equipment is Power management board failure. Replace the power management board.
charged too Therapy module low-voltage Replace the low-voltage board.
slowly board failed
Therapy module high-voltage Replace the high-voltage board.

board failed
A shock cannot be Keypad board failure. 1. .Locate the problem by connecting
delivered by paddles to perform
pressing the charging/discharging.
Shock button on 2. .If the keypad board is defective,
the equipment’s replace it
front panel in The Charge Button fails to be Disassemble the keypad board to
Manual Defib pressed down effectively due to replace or reshuffle the keypad
Mode or AED the failure or dislocated silica gel
Mode. keypad.
4-3
Paddles not connected properly. Reconnect the paddles.
Paddles failure. 1. Locate the problem by connecting
pads to perform charging/discharging.
A shock cannot be
If normal discharge can be performed,
delivered by
it indicates the paddles are defective.
pressing the
2. Replace the paddles.
Shock button on
Failure of therapy module Replace the low-voltage board.
the paddles.
low-voltage board.
Connection wire to the therapy Replace the connection wire.
module broken
The message. Failure of therapy module Replace the high-voltage board.
“Disarming high-voltage board.
Failed” is Failure of therapy module Replace the low-voltage board.
displayed. low-voltage board.
Too high or too low patient

The equipment
impedance detected. Ensure good connection between the
can be properly
1. Pads/paddles are detached from patient and pads/paddles. If the
charged, but the
the patient. problem persists, replace Pads, paddles
energy is
disarmed 2. Pads/paddles failure. or Pads cable.
automatically at 3. Pads cable failure.
the completion of Failure of therapy module Replace the low-voltage board.
charging or when low-voltage board.
the equipment is
Failure of therapy module Replace the high-voltage board.
being discharged.
high-voltage board.
Defibrillation Defibrillation hardware circuit 1. Replace the high-voltage board
malfunction. defective. 2. Replace the low-voltage board.
Keypad board failure 1. Locate the problem by connecting
paddles to perform energy setting.
Energy Select
2. If the keypad board is defective,
buttons on the
replace it
equipment front
The Energy Select Buttons fail to Disassemble the keypad board to
panel do not
be pressed down due to the replace or reshuffle the keypad
work.
damaged or dislocated silica gel
keypad.
Paddles not connected properly. Reconnect the paddles
Energy Select Paddles failure. Replace the paddles.
buttons on the Failure of therapy module Replace the low-voltage board.
paddles do not low-voltage board.
work
Connection wires to the therapy Replace the connection wires.
module broken
4-4
4.6.2 Pacing Problems

Does not deliver Failure of the therapy board Replace the low-voltage board..
correct pacing low-voltage board.
current.
Does not deliver Failure of the therapy board Replace the low-voltage board..
correct pacing low-voltage board.
rate.
Pacer Equip Pacer hardware failure 1. Replace the low-voltage board.
Malfunction 2. Replace Pads ECG board.
4.6.3 Power On/Off Problems

The AC mains not connected or Check that AC mains is properly connected
defibrillator/monitor battery too low or battery capacity is sufficient
fails to start. AC Power supply protection Refer to 4.6.10 Power Supply Problems.
LED or battery LED
Cables defective or poorly 1. Check that the cables between the power
does not light
connected switch and the keypad board, the keypad
board and the power management board
and between the power module and the
power management board are correctly
connected.
2. Check that wires and connectors are not
defective.
Power switch or keypad Replace the power switch or keypad board.
board failure
AC/DC board defective Replace the AC/DC board.
Power management board Replace the power management board.
failure
4-5
4.6.4 Display Problems

The LCD screen is Connection cable 1. Check that wires between the display and
blank, but the defective or poorly the keypad board, the backlight board and
defibrillator/monitor connected. the keypad board, the backlight board and
works properly. the display and between the keypad board
and the power management board are
correctly connected.
2. Check that the cables and connectors are
not defective
Backlight inverter Replace the backlight board.
defective
LCD Display failure Replace the display.
Keypad board failure Replace the keypad board.
CPU board failure. Replace the CPU board.
failure.
Secondary display Cable failure 1. Check that the wires between the display
does not function. and the defibrillator/monitor are correctly
connected.
not defective.
failure.
Secondary display Connection cable 1. Check that the wires between the display
displays snows or defective or poorly and the defibrillator/ monitor are correctly
flashing specks connected. connected.
not defective.
failure.
4-6
The colour of images Connection cable 1. Check that wires between the display and
deviates from the defective or poorly the keypad board, the backlight board and
standard connected. the keypad board, the backlight board and
configuration. the display and between the keypad board
and the power management board are
correctly connected.
not defective.
Display failure Replace the display.
failure.
Images overlapped or FPGA failure Update or upgrade FPGA
distorted Connection cable 1. Check that the wire between the display
defective or poorly and keypad board is correctly connected.
connected. 2. Check that the cables and connectors are
not defective.
4-7
4.6.5 Alarm Problems

The alarm Connection cable defective or 1. Check that wire between alarm LED board
lamp is not poorly connected. and keypad board are properly connected.
light or 2. Check that connection wires and
extinguished connectors are not defective.
but alarm
Alarm LED board failure Replace the alarm LED board.
sound is issued
Power management board
Replace the power management board.
failure.
No alarm Audio alarm disabled Check that alarm tone volume is set to a value
sound is issued other than zero by pressing the Menu key on
but alarm lamp the equipment’s front panel, and then
is lit selecting [Alarm Setup >>].
Connection cable defective or 1. Check that the wire between the speaker
poorly connected. and keypad board is properly connected.
2. Check that connection wires and
connectors are not defective.
FPGA audio logic ERROR Upgrade the audio logic part of the FPGA
program.
Speaker failure Replace the speaker..
Power management board
Replace the power management board.
failure.
4-8
4.6.6 Button and Knob Problems

Buttons do not Connection cable 1. .Check that the wire between the keypad and the
respond. defective or poorly keypad board is properly connected.
connected. 2. Check that that the wire between the keypad
board and the power management board is properly
connected
3. Check if the connection wires and connectors are
defective.
Keypad board Replace the keypad board.
failure
Power management Replace the power management board.
board failure.
Mode Select knob Connection cable 1. Check that wires between the knob to keypad
does not respond. defective or poorly board, and between the keypad board and the power
connected. management board are properly connected
2. Check that connecting wires and connectors are
not defective.
Knob failure Replace Mode Select knob.
failure
board failure.
Navigation knob Connection cable 1. Check that wires between the knob to keypad
does not respond. defective or poorly board, and between the keypad board and the power
connected. management board are properly connected
2. Check that connection wires and connectors are
not defective.
Knob failure. Replace the navigation knob.
failure
board failure.
4-9
4.6.7 Recorder Problems

No printout Connection cable 1. Check the wire between the recorder and the
defective or poorly keypad board is connected properly.
connected. 2. Check that connection wires and connectors are not
defective.
Recorder power Check if the power module outputs 5 V DC and 12V
supply failure DC correctly
Recorder failure Replace the recorder
Poor print quality Paper roll not Stop the recorder and re-install the paper roll.
or paper not properly installed
feeding properly Print head dirty 1. Check the thermal print head and the paper roller
for foreign matter.
2. lean the thermal print head with an appropriate
clean solution
Recorder failure Replace recorder
Blank printout Paper-roll installed Reload paper-roll
reversely.
Recorder failure Replace the recorder
4-10
4.6.8 Output Interface Problems

No analog output signals The wires of analog Replace the cable.
output ports defective..
Power management Replace the power management
board failure. board.
U Device with USB port does CPU board failure. Replace the CPU board.
not function (Assume that the Power management Replace the power management
peripheral devices are good) board failure. board.
4.6.9 CF Card Problems

CF card malfunctions Wrong CF card or Use only INNODISK-manufactured CF
limited memory space storage cards. Those with minimum 1GB
memory space are recommended.
CF card defective Insert a known good CF card into the
defibrillator/monitor. If it works normally,
the original CF card fails.
CF card slot failure Replace the CPU board.
CF card failure Format the CF card.
4-11
4.6.10 Power Supply Problems

Battery failure Battery damaged. Replace battery.
Battery interface failure. 1. Check batteries are installed properly.
2. Check if the battery interface is defective.
3. If the battery interface is defective,
replace the power management board.
board failure.
Batteries can not be Battery damaged. Replace batteries.
fully charged. Battery interface failure. 1. Check batteries are installed properly.
2. Check if the battery interface is defective.

3. If the battery interface is defective, replace
the power management board.
board failure.
Battery cannot be Battery failure. Replace battery and recharge the replacement
charged battery. If the replacement battery can be
recharged, the original one fails.
Cable defective or Check batteries are installed properly.
poorly connected 2. Check if the battery interface is defective.
3. If the battery interface is defective, replace
the power management board.
board failure.
No +3.3 V B output 1. Power supply failure 1. Turn off the defibrillator/monitor then
No +3.3 V output 2. Power management restart it.
board failure. 2. If the problem remains, disconnect the AC
Not +5.0 V output
mains for 5 s and reconnect it, then restart
No +12 V output
the defibrillator/ monitor.
3. If the problem still remains, replace the
power management board
4-12
NOTE
 When the power module has a failure, it may cause problems to other components,
e.g. the defibrillator/monitor suddenly breaks down during start-up, as the power
module may have a power supply protection. In this case, troubleshoot the power
module per the procedure described in the table above.
 Components of the main unit, SMR and parameter modules are powered by the
power module. In the event that a component malfunctions, check if the operating
voltage is correct. Refer to Chapter2 Theory of Operation for the operating voltage
and measurement points of each component.
4.6.11 Software Upgrade Problems

Boot file upgrade fails Power failure or Return the CPU board to factory for repair.
unintended power off
during boot file upgrade
Program upgrade fails Incorrect network 1. Check that the network cable is properly
connection connected and is not too long (shorter than
50m).
2. Make sure that the network cable is of the
right type. Network cable with crossed wires
inside is used for LAN upgrade and those
with parallel wires inside for WAN.
Wrong upgrade package Upgrade package shall be .pkg files. Select
package according to system requirement
Incorrect IP address Configure a fixed IP address in range C as
configuration specified for the defibrillator/monitor. We
recommend not to upgrade a program when
the defibrillator/monitor is connected to a
network with multiple PCs.
4-13
4.7 Error Codes
4.7.1 Power management board
Definition of the error code for power management board (3 bytes)
Error Code Corrective Action
Byte 1: [BX]=1: battery in place; [BX]=0: battery not in place

[B0] Detecting whether Battery 1 1. Install batteries if no battery is installed.
is in place 2. Remove the batteries and replace them if the batteries
have been installed.
3. If the problem persists, use new batteries.
4. Replace the power management board.
[B1] N/A N/A
[B2] N/A N/A
[B3] N/A N/A
[B4] N/A N/A
[B5] N/A N/A
[B6] N/A N/A
[B7] N/A N/A
Byte 2: [BX]=1: OK; [BX]=0: ERROR
[B0] DC/DC self-test result Replace the power management board.
[B1] N/A N/A
[B2] Self-test result of Battery 1. Replace the battery
[B3] N/A N/A
[B4] Self-test result of Battery 2 Replace the battery
[B5] AC/DC adapter connection 1. Insert AC/DC module if the module is not installed.
status 2. Check if AC/DC module is well connected with the
power management board if there is an AC/DC module
already.
3. Check that the wires and connectors are not defective
4. Replace AC/DC Module.
5. Replace the power management module.
[B6] N/A N/A
[B7] N/A N/A
Byte 3. [BX]=1: ERROR; [BX]=0: OK
[B0] 3.3V self-test result 1. Replace 3.3V DC/DC Module
4-14
[B1] 5.0V self-test result 1. Replace 5.0V DC/DC Module.
[B2] 12.V self-test result 1. Replace 12V DC/DC Module.
[B3] 18.V self-test result 1. Replace the power management board.
2. Replace AC/DC Module.
[B4] N/A N/A
[B5] N/A N/A
[B6] N/A N/A
[B7] N/A N/A
4.7.2 Battery
Definition of the error code for batteries (2 bytes)
Byte 1: [BX]=1: ERROR; [BX]=0: OK

[B0] N/A N/A
[B1] N/A N/A
[B2] Battery 1,2 abnormal alarm Replace the batteries.
[B3] Battery 1, 2 out of life. Replace the battery.
[B4] N/A N/A
[B5] N/A N/A
[B6] N/A N/A
[B7] N/A N/A
Byte 2.
[B0] The battery cannot reach its Charge the batteries
capacity when being fully
charged.
[B1] N/A N/A
[B2] N/A N/A
[B3] N/A N/A
[B4] N/A N/A
[B5] N/A N/A
[B6] N/A N/A
[B7] N/A N/A
4-15
4.7.3 Main Control System
Definition of the error code for main control system (3 bytes)
Byte 1: [BX]=1: INEXISTENT or ERROR; [BX]=0: OK

[B0] CF card inexistent or 1. Remove and then reinsert the CF card.
abnormal 2. Replace CF card.
3. Replace the CPU board.
[B1] Fan inexistent or 1. Check if the wire between the fan and the low-voltage board
abnormal is connected properly.
2. Check if the wire and connector are defective.
3. Replace the fan.
4. Replace the therapy module low-voltage board.
[B2] Speaker inexistent or 1. Check if the wire between the speaker and the low-voltage
abnormal board is connected properly.
2. Check if the wire and connector are failure.
3. Replace the speaker.
4. Replace the keypad board.
[B3] RTC inexistent or 1. Remove the button cell and replace it.
abnormal 2. Use a new the button cell.
[B4] N/A N/A
[B5] N/A N/A
[B6] N/A N/A
[B7] N/A N/A
Byte 2: [BX]=1ERROR ; [BX]=0:OK
[B0] CPU error Replace the CPU board.
[B1] SDRAM error. Replace the CPU board.
[B2] Flash error. Replace the CPU board.
[B3] N/A N/A
[B4] N/A N/A
[B5] N/A N/A
[B6] N/A N/A
[B7] N/A N/A
Byte 3:
[B0] N/A N/A
4-16
[B1] N/A N/A
[B2] N/A N/A
[B3] N/A N/A
[B4] N/A N/A
[B5] N/A N/A
[B6] N/A N/A
[B7] N/A N/A
4.7.4 Therapy Module

Definition of the error code for therapy module (2 bytes)
Byte 1: [BX]=1: OK; [BX]=0: ERROR

[B0] Powerup self-test result
[B1] N/A N/A
[B2] N/A N/A
[B3] N/A N/A
[B4] N/A N/A
[B5] N/A N/A
[B6] N/A N/A
[B7] N/A N/A
Byte 2. [BX]=1: OK; [BX]=0: ERROR
[B0] Pacing function 1. Replace the low-voltage board.
2. Replace the pads board.
3. Replace the high-voltage board.
[B1] Defibrillation function 1. Replace the high-voltage board.
2. Replace the low-voltage board
3. Replace the pads board.
[B2] N/A N/A
[B3] N/A N/A
[B4] N/A N/A
[B5] N/A N/A
[B6] N/A N/A
[B7] Whether connected to a test Connect the test load to a pads cable.
load
4-17
4.7.5 MPM Module
Definition of the error code for MPM module (6 bytes)
Byte 1: DSP Self-test information. [BX]=1: OK; [BX]=0: ERROR

[B0] CPU Replace MPM digital board
[B1] SDRAM Replace MPM digital board
[B2] Flash Replace MPM digital board
[B3] Watchdog Replace MPM digital board
[B4] N/A N/A
[B5] N/A N/A
[B6] N/A N/A
[B7] N/A N/A
Byte 2: 7024 Self-test information [BX]=1: OK; [BX]=0: ERROR
[B0] Watchdog Replace MPM analog board
[B1] CPU Replace MPM analog board
[B2] RAM Replace MPM analog board
[B3] ROM Replace MPM analog board
[B4] A/D Replace MPM analog board
[B5] ECG Replace MPM analog board
[B6] TEMP Replace MPM analog board
[B7] N/A N/A
Byte 3: 2131 Self-test information. [BX]=1: OK; [BX]=0: ERROR
[B0] Watchdog Replace MPM digital board
[B1] CPU Replace MPM digital board
[B2] RAM Replace MPM digital board
[B3] ROM Replace MPM digital board
[B4] A/D Replace MPM digital board
[B5] N/A N/A
[B6] N/A N/A
[B7] N/A N/A
4-18
Byte 4: ECG Self-test information. [BX]=1: OK; [BX]=0: ERROR
[B0] ECG1 Replace MPM digital board
Byte 5: PCB configuration information. [BX]=1: OK; [BX]=0: ERROR
[B0] N/A N/A
[B1] N/A N/A
[B2] N/A N/A
[B3] Watchdog Replace Birtcher Medical Systems SpO2 board
[B4] CPU Replace Birtcher Medical Systems SpO2 board
[B5] RAM Replace Birtcher Medical Systems SpO2 board
[B6] ROM Replace Birtcher Medical Systems SpO2 board
[B7] A/D Replace Birtcher Medical Systems SpO2 board
Byte 6: Module Status
[B0] 2131 Handshake Replace MPM digital board
[B1] 7024 Handshake Replace MPM analog board
[B2] N/A N/A
[B3] N/A N/A
[B4] N/A N/A
[B5] N/A N/A
[B6] N/A N/A
[B7] N/A N/A
4-19
4.7.6 Birtcher Medical Systems CO2 Module
Definition of the error code for Birtcher Medical Systems CO2 module (5 bytes)
Byte X=0:OK; Byte X =1: ERROR

Byte 1 The first byte of run error Replace Birtcher Medical Systems CO2 module
Byte 2 The second byte of run error Replace Birtcher Medical Systems CO2 module
Byte 3 The third byte of run error Replace Birtcher Medical Systems CO2 module
Byte 4 The first byte of system error Replace Birtcher Medical Systems CO2 module
Byte 5 The first byte of communication 1. Check if CO2 module and the power
error management board are well connected.
not defective.
3. Replace Birtcher Medical Systems CO2 module.
4.7.7 Oridion CO2 Module
Definition of the error code for Oridion CO2 module
ERROR Code Corrective Action

“Fail” Replace Oridion CO2 module
4-20
5 Disassembly and Repair
5.1 Tools Required
To disassemble and replace the parts and components, the following tools may be required:
 Phillips screwdrivers
 Tweezers
 Sharp nose pliers
 Socket wrench
 Adjustable spanner
5-1
5.2 Preparations for Disassembly
Before disassembling the equipment, finish the following preparations:

 Stop patient monitoring and therapy, turn off the equipment and disconnect all the
accessories and peripheral devices.
 Disconnect the AC power source and remove both batteries.
 High voltage hazard-strictly follow the procedure as defined in section 5.3.7 for
disassembling.
WARNING
 Before disassembling the equipment, be sure to eliminate the static charges first.
When disassembling the parts labeled with static-sensitive symbols, make sure you
are wearing electrostatic discharge protection such as antistatic wristband or
gloves to avoid damaging the equipment.
 Put the cables or wires in place when reassemble the equipment to avoid short
circuit.
 When assembling the equipment, be sure to select proper screws. If an unfit
screw is tightened by force, the equipment may be damaged and the screw or the
part may fall off during use, causing unpredictable damage or human injury.
 Be sure to follow the correct sequence to disassembly the equipment. Otherwise,
the equipment may be damaged permanently.
 Be sure to disconnect all the cables before disassembling any parts. Be sure not to
damage any cables or connectors.
 Place the screws and disassembled parts properly, preventing them from being lost
or contaminated.
 Place the screws and parts from the same module together to facilitate
reassembling.
 To reassemble the equipment, first assemble the assemblies, and then the main
unit. Carefully route the cables.
 Make sure that the waterproof material is properly applied during reassembling.
 After the power supply is removed, wait at least 30 minutes before disassembling
the equipment.
5-2
5.3 Disassembling the Main Unit
WARNING
 To disassemble the equipment, first remove the external assemblies, such as the
hook mount, paddle tray and front housing, and then the internal assemblies and
parts.
 The power supply assembly and recorder can be removed without removing any
other assemblies.
 To disassemble the equipment, place the equipment on a work surface free from
foreign material, avoiding damaging the antiglare screen, LCD and the knob. Be
careful not to break the two cotters on the front ends of rear housing.
 All the operations should be performed by qualified service personnel only. Make
sure to put on the insulating gloves during service operations.
 Never disassemble the equipment before the AC power source has been
disconnected and the batteries have been removed for 30 minutes.
5.3.1 Removing Hook Mount

1. Stand the equipment on the work surface with the back of the equipment facing to you.
Loose and remove the two M3×16 Philips screws; take off the flat washer and spring
washer. Pull out the hooks.
5-3
5.3.2 Removing Paddle Tray
1. Stand the equipment on the work surface with the back of the equipment facing to you.
Tweeze the five plastic plugs in the screw holes.
2. Loose and remove the five M3×10 Philips screws. Remove the paddle tray.
Make sure that the waterproof strip is properly applied when replacing the paddle tray in the
equipment.
Waterproof strip on
the top of rear case
5-4
5.3.3 Separating the Housing
1. Lay the equipment on a padded work surface with the display facing down and the
bottom of the equipment nearest to you. Be careful not to damage the LCD and controls.
Loose and remove the 7 M3×10 Philips screws.
2. Stand the equipment on the work surface. Carefully separate the front housing and the
rear housing. Disconnect the cable between the CPU board and keypad board, and then
remove the front housing.
Make sure that the waterproof strip is properly applied when reassemble the front housing.
Cotter
Disconnect this cable
Waterproof strip (in the slot)
5-5
5.3.4 Removing the Measurement Module Panel
1. Stand the equipment on the work surface. Loose and remove the M3×6 Philips screw
that secures the flexible cable. You can also disconnect the flexible cable by loosening
the plastic nut behind the SpO2 board. Remove the flexible cable.
2. Remove the frame that fastens the measurement module panel.
Fastening
frame
Flexible cable
M3×6 Philips
screws
3. If you equipment is configured with a NIBP module, disconnect the NIBP air tube. If
you equipment is configured with a CO2 module, disconnect the cables between the
CO2 module and the module connector.
 If Birtcher Medical Systems CO2 module is configured, disconnect the Nafion tube, CO2 exhaust
tube, micro-active switch connector and flow limit tube.
 If the microstream CO2 module is configured, disconnect the CO2 exhaust tube
and remove the CO2 connector assembly. If the connector assembly is difficult to
be removed, disconnect the air tube and cable on it. Take care not to damage the air
tube and cables. Remove the measurement module panel.
 Birtcher Medical Systems CO2 module
Nafion tube
NIBP air tub
CO2 exhaust tube

Flow limit tube
Micro-active switch connector
5-6
 Microstream CO2 module
NIBP air tube
CO2 exhaust tube
Microstream
CO2 connector
NOTE
 Be careful not to damage the air tube when disconnecting the air tube or the cable
between the CO2 module and the module connector. During reassembly, route the
air tube and cable so that they are placed between the MPM module and CO2
module, making sure not to block the air tube.
 When replacing the measurement module panel, do not screw the flexible cable
forcibly avoiding screw slipping. In case the screw slips, fasten the plastic bolt with
the nut before screwing.
 When the equipment is reassembled, make sure that the frame securing the
measurement module panel does not bend the two cotters on the rear housing.
5-7
5.3.5 Removing the Power Supply Assembly
1. Lay the equipment on a padded work surface with the display side facing down and the
bottom of the equipment nearest to you. Be careful not to break the two cotters in the
front of rear housing. Loose and remove the two M3×8 Philips screws and pull out the
power supply assembly.
M3×8 Philips
screws
Disconnect the cable between the power management board and AC/DC module. Remove the
Power Supply Assembly.
Cable between the power management

board and AC/DC module
Make sure to place the cable near the

rear case when replacing the power
supply assembly.
5-8
5.3.6 Removing the Therapy Module Low-voltage Board
1. Stand the equipment. Loose and remove the four M4×8 Philips screws. Disconnect the
therapy port cable; remove the therapy module low-voltage board and the pads ECG
board.
Therapy module
low-voltageboard
M4×8 Philips
Therapy
screws
port cable
Pads ECG board
2. Loose and remove the three M3×6 Philips screws; separate the therapy module
low-voltage board and the pads ECG board.
Therapy module
low-voltage board
M3×6 Philips
screws
Pads ECG
board
5-9
5.3.7 Disarming the Capacitors
1. You can see the insulating plate when the low-voltage board is removed. Take out the
insulating plate.
2. Disarm one of the capacitors by connecting one end of the discharge load to the
high-voltage ground, and the other end to a high-voltage connector. Wait till the
indicating lamp on the discharge load turns off. The capacitor is not completely
discharged if the indicator remains on.
3. Connect the discharge load to the other high-voltage connector to disarm another
capacitor.
4. Set the multimeter to DC 1000V. Measure the discharge resistance to check if its voltage
is lower than 30V. If yes, you can safely disassemble the equipment now.
5. To ensure absolute safety, after the capacitors are completely discharged, do not touch
other places and disconnect the capacitors.
5-10
Discharge
resistance
High voltage
connectors
High voltage
ground
5.3.8 Removing the Therapy Module High-voltage Board

1. Take out the insulation sheet between the PCBAs; disconnect the cables from the
therapy port and the two capacitors.
2. Loose and remove the four M4×36 bolts and two M4×8 Philips screws. Remove the
therapy module high-voltage board.
M4×8 Philips screws
Therapy module
high-voltageboard
Therapy
port cable
Left capacitor
cable
Right capacitor
cable
M4×36 bolts
5-11
NOTE
 When replacing the therapy module low-voltage and high-voltage boards, carefully
route the cable to the therapy port so that it comes out through the gaps of PBCAs
and insulation sheet. Make sure the cable is not pressed by the PCBAs.
 Route the cables to the left and right capacitors, making sure that the cables are
placed in the gaps between the PCBAs.
 When connecting two PCBAs, align the connectors and make sure they are firmly
engaged.
5.3.9 Disassembling the MPM Module

1. Stand the equipment on the work surface. Disconnect the fan cable; then remove the
four M4×8 Philips screws.
Do not forget to
connect the fan cable
when reassembling
M4X8 Philips
the MPM module.
screws
2. Disconnect the MPM cable and remove the MPM module assembly.
MPM cable
MPM module
assembly
5-12
5.3.10 Removing the CO2 Module
1. Stand the equipment. Remove the 2 screws integrated with the left capacitor sheet metal
and the two M3×8 Philips screws. Remove the sheet metal and the CO2 module, if it is
configured. Remove the left capacitor.
Screws integra
ted with the
sheet metal
Left capacitor
sheet metal
M3X8 Philips
screws
5.3.11 Removing the CPU board Assembly

1. Remove the insulation sheet for the power management board. Pull out the magnetic
ring. Disconnect the cable between the power management board and keypad board.
2. Remove the six M4×20 blots and the two M3×8 Philips screws; remove the CPU board
assembly. To remove the data card, remove the M4×10 socket head screw.
M3×8 Philips
screws
For replacement,
place the magnetic
ring in the gap
between PCBAs
and rear case
For replacement,
first pass this cable
M4×10 socket
through the gap of
head screw
rear case.
M4×20 blots
5-13
3. Remove the 4 M3×6 Philips screws. Separate the CPU board and power management
board.
M3X6 Philips
screws
CPU board
NOTE
 To reassemble the CPU board assembly, pass the cable between the power
management board and AC/DC module through the gap on the rear housing; then
replace the CPU board assembly.
 Carefully route the therapy port cable so that it comes out through the gap of
PBCA. Be careful not to press the cable under the PCBA. Make sure the magnetic
ring is fixed at the gap of the CPU board and rear housing.
5.3.12 Removing the Therapy Port Assembly

1. Remove the M20 nut with a spanner and remove the therapy port assembly
M20 nut
5-14
5.3.13 Removing the Right Capacitor
1. Remove the two M3×8 Philips screws. Take off the capacitor sheet metal and remove
the capacitor.
Capacitor sheet metal
M3X8 Philips
screws
Capacitor
5.3.14 Checking Waterproof Material on the Rear Housing

Before reassembling the equipment, make sure that the waterproof material on the rear
housing are stuck to the proper places.
1. Check that the battery elastic pad and the silicone pad are stuck in place.
Silicone
pads. Apply
Battery
glue here
elastic pad
before close
the rear case.
5-15
2. Check that power supply waterproof pads 1, 2 and 3 are stuck in place.
Power supply waterproof pad 1
Power supply
waterproof pad 3
Power supply waterproof pad
3. Check that the white waterproof strip is adhered to the proper place.
White waterproof
strip (45 cm long)
5-16
5.4 Disassembling the Front Housing Assembly
NOTE
 To disassemble the equipment, place the equipment on a work surface free from
foreign material, avoiding damaging the antiglare screen, LCD and the knobs.
 After repairing any other front housing assembly, verify that the speaker is not
damaged by powering on the equipment and testing the speaker.
 Clear the LCD before replace it.
5.4.1 Removing the Keypad board

1. Cut the cable tie. Remove the seven M3×8 Philips screws and remove the front housing
sheet metal.
M3X8 Philips
screws Front housing sheet
metal
Cut the cable tie.
2. Disconnect all the cables. Before disconnecting the rotary encoder cable, remove the
hot-melt glue using the sharp nose pliers.
When reassembling, a
pply hot-melt glue to
the cable connector
Encoder cable
5-17
3. Remove the eight M3×8 Philips screws and remove the keypad board.
M3×8 Philips
screws
NOTE
 When reassembling the equipment, apply hot-melt glue to the rotary encoder’s
cable connector to help fastening the cable. Be careful not to damage the cables and
connectors when plugging and unplugging the cables. Properly route the cables
5.4.2 Removing Display Assembly
1. Disconnect the cables from the alarm lamp board and the indicating lamp board. Your
equipment may be configured with a high brightness LCD or a low brightness LCD.
Alarm lamp board cable Alarm lamp board cable
LED board cable LED board cable
Low brightness LCD High brightness LCD
5-18
2. Remove the display assembly from the front housing, Remove the LCD from the shield;
disconnect the cables; remove the inverter.
High brightness LCD

inverter
Display
Low brightness
cable
LCD inverter
Cable between the

Cable between
Display inverter and keypad
the inverter and
cable board
keypad board
3. Disconnect the cables and separate the LCD from the rubber frame.
For low brightness

LCD, inverter cable
For high brightness passes through this
LCD, inverter cable gap.
passes through this
gap.
Inverter cable
Using hot-melt glue to

help fixing the cable
LCD cable
to the connector.
NOTE
 Be careful not to damage the rubber frame. Properly route the cables.
 Protect the antiglare screen, LCD and the rotary knob from being scratched.
 When reassembling the equipment, apply hot-melt glue to the display’s cable
connector to help fastening the cable.
5-19
5.4.3 Removing the Speaker
1. Remove the two M3×8 Philips screws. Take off the speaker bracket, and then remove
the speaker.
2. After repairing any other front housing assembly, verify that the speaker is not damaged
by powering on the equipment and testing the speaker.
M3×8 Philips
screws.
5.4.4 Removing the Indicating Lamp Board and Alarm Lamp
Board
To remove the alarm lamp board and indicating lamp board, remove the three M3×8 Philips
screws. Then you can remove the alarm lamp shade and indicating lamp shade.
Alarm lamp board
Alarm lamp
Apply glue (DP-10
shade
M3×8 Philips 5) at the snaps
screws
5-20
5.4.5 Removing the Mode Select Knob
1. Turn the knob to AED and pull the switch off its shaft. Loosen and remove the nut and
washer using a socket wrench. Disconnect the cable from the knob.
Knob
cable
Washer
and nut
with the
knob
Check that the

knob is aligned
with the labeling.
NOTE
 When replacing the Mode Select knob, check that it is aligned with the labeling.
Adjusting the knob using sharp nose pliers if necessary.
5-21
5.4.6 Removing the Rotary Encoder
1. Pull the encoder off its shaft. Loosen and remove the nut and washer using a socket
wrench. Disconnect the encoder cable.
Encoder
cable
Washer and
nut with the
encoder
Rotary
encoder
5.4.7 Removing the Recorder

1. Remove the two M3×6 Philips screws. Pull the recorder out of the recorder well.
Disconnect the cable from the recorder, and then remove the recorder.
M3×6 Philips
screws
5-22
Recorder cable
5.5 Disassembling the MPM Module
NOTE
 Take care not to damage the plastic bolts and nuts when disassembling and
replacing the PCBAs of the MPM module.
 The MPM module can be flexibly configured according to the customer’s
requirements. Make sure correct PCBAs are used when reassembling the MPM
module.
5.5.1 Removing the Fan
Remove the two M3×14 Philips screws and the φ3 flat washer. Then remove the fan.
M3×14 Philips
screws + φ3 flat
washer
5-23
5.5.2 Removing the SpO2 board
1. If your equipment is configured with a Masimo SPO2 module, remove the three M3×14
Philips screws. Thus you can remove the Masimo SPO2 board, Masimo SPO2 adapter
board and Masimo PCBA stacking sleeves.
Masimo SPO2 board
Masimo PCBA Masimo SPO2

M3×14 Philips
stacking sleeves adapterboard
screws
2. If your equipment is configured with a Nellcor or Birtcher Medical Systems SPO2 module, remove the
three M3×6 Philips screws. Thus you can remove the Nellcor or Birtcher Medical Systems SPO2
module.

Nellcor SPO2 board Birtcher Medical Systems SPO2 board
5-24
5.5.3 Removing the MPM Module Analog Board
1. If your equipment is configured with the SpO2 module, remove the three M3×6 Philips
screws and a M3×12 plastic bolt. Remove the MPM module analog board.
M3×12 plastic
bolt M3×6 Philips
screws
Analog board
2. If your equipment is not configured with the SpO2 module, remove the three M3×6
Philips screws. Then you can remove the MPM module analog board.
M3×6 Philips
screws
5-25
5.5.4 Removing the MPM Module Digital Board
1. Remove the 3 M3×15+6-8 plastic bolt and a M3×6 Philips screw. If your equipment is
configured with the NIBP module, disconnect the cable and then remove the MPM
module digital board.
M3×6 Philips
screws
MPM module
M3X15+6-8 digital board
plastic bolt
and insulation
flat washer
Dumping valve cable Linear valve cable
Pump
cable
3×100 mm cable tie
5-26
5.5.5 Removing the NIBP Module
Cut the cable ties. Disconnect the air tubing; remove the pump and airway connector.
Remove the four nuts; then you can remove the NIBP valves shield and the dumping and
linear valves.
NIBP valves
shield
Pump
Airway
connector
Dumping valve (blue

and black wires)
Linear valve
(white & black wires)
5-27
5.6 Disassembling the Power Supply Assembly
5.6.1 Removing the AC/DC board
Remove the seven M3×6 Philips screws. Disconnect the cable from the AC power input and
remove the AC/DC board.
AC power input
cable
5-28
5.6.2 Removing the Power Supply Sheet Metal and the
Grounding Terminal
1. Remove the M3×6 Philips screw; disconnect the ground wire. Remove the M6 nut; the
power supply metal sheet; the φ6 flat washer and the M6 nut in turn. Then you can
remove the grounding terminal.
Power supply
metal sheet
M6 nut
Ground wire
M3×6 Philips screw

+ washer
φ6 flat washer
+ M6 nut
2. Make sure that the waterproof pad is properly applied when replacing the power supply
module.
Power module
waterproof pad 1
5-29
5.7 Disassembling the CO2 Module
5.7.1 Disassembling the Microstream CO2 Module
1. Remove the six M3×6 Philips screws, and then remove the microstream CO2 module
and the CO2 adapter board.
Microstream Microstream
CO2 adapter CO2 module
board
Bolt
M3X7+8-6
5-30
5.7.2 Disassembling Birtcher Medical Systems CO2 Module
1. Remove the four M3×6 Philips screws, and then remove the Birtcher Medical Systems CO2 module.
M3×6 Philips
CO2 module
screws
(M02B)
Bolt
M3X7+8-6
5-31
5.8 Disassembling the Measurement Module Panel
Assembly
5.8.1 Disassembling the Measurement Module Panel with
Birtcher Medical Systems CO2 Module

1. Remove the two PT2×6 crosshead tapping screws; take out the watertrap receptacle.
Watertrap
receptacl
PT2×6 crosshead
tapping screw
2. Remove the four PT2×6 crosshead tapping screws. Thus you can remove the watertrap
bracket.
Watertrap bracket
PT2×6 crosshead
tapping screw
NOTE
 Make sure the waterproof sheet is properly applied when replacing the CO2
module in the equipment.
5-32
5.8.2 Disassembling the Measurement Module Panel with
Microstream CO2 Module

To remove the CO2 connector, peel the waterproof sheet and loose the four snaps.
Loose the 4
snaps
Microstream
CO2 connector
Waterproof
sheet
5.8.3 Disassembling the Measurement Module Panel without
CO2 Module
1. Remove the four PT2×6 crosshead tapping screws, and then remove the CO2
compartment door.
PT2×6 crossh
ead tapping
screws
CO2
compartment
door
2. Make sure the waterproof sheet is properly applied when replacing the CO2 module in
the equipment.
Waterproof sheet
5-33
5.9 Disassembling the Recorder
5.9.1 Disassembling the TR6F Recorder
1. Loosen the two snaps and remove the recorder drive board.
Snaps
Recorder drive board
2. Loosen and remove the two PT2×6 crosshead tapping screws. Disconnect the flexible
cable and the connection cable between the recorder drive board and recorder keypad
board. Remove the thermal print head and recorder drive board.
Thermal
print head PT2×6 crosshead
tapping screw
Cable between
Flexible the recorder
cable drive board and
recorder keypad
board
5-34
3. Remove the two PT2×6 crosshead tapping screws, and then remove the keypad board.
PT2×6 crosshead
tapping screw
Keypad board
5.9.2 Disassembling the TR8A Recorder
1. Remove the two M3×8 Philips screws.
M3×8 Philips
screws
Recorder drive
board
2. Disconnect the flexible cable and the connection cable between the recorder drive board
and recorder keypad board. Remove the recorder drive board.
Cable between the

recorder drive board
Flexible cable
and recorder
keypad board
5-35
3. Remove the two PT2×6 crosshead tapping screws; take out the print head.
Print head
PT2.6×6 crosshead
mounting
tapping screws
plate
4. Remove the two M2×4 Philips screws and then remove the print head.
5. Remove the two PT2×6 crosshead tapping screws, and then remove the keypad board.
Keypad board
PT2×6 crosshead
tapping screws
5-36
5.10 Disassembling the External Paddle
5.10.1 Disassembling the Adult Paddle
Press the latch and slide the adult paddle in the direction as indicated by the following figure
until it is removed.
Press the latch
5.10.2 Disassembling the Apex Pediatric Paddle

1. Peel up the labels
Sternum
Apex paddle
paddle label
labels
2. Remove the two M3×8 Philips screws; and then remove the handle cover and the P+R
button.
Apex paddle Be sure to install the waterproof

cover strip when reassembling the paddle
M3×8 Philips screws Apex paddle P+R button
5-37
3. Remove the PT3×10 crosshead tapping screw. Take off the button bracket; disconnect
the cable and remove the keypad board.
Apex paddle
button bracket
Apex paddle
PT3×10 crosshead
keypad board
tapping screw
5.10.3 Disassembling the Sternum Pediatric Paddle

1. Remove the two M3×8 Philips screws; remove the handle cover and then the P+R
button.
Sternum paddle
Sternum
P+R button
paddle cover
M3×8 Philips
Apply the water proof strip when
screws
reassembling paddle cover
2. Remove the PT3×10 crosshead tapping screw. Take off the button bracket; disconnect
the cable and remove the keypad board.
Sternum paddle
button bracket
PT3×10 crosshead Sternum paddle

tapping screw keypad board
5-38
6 Parts
6.1 Introduction
This chapter contains the equipment’s exploded views and parts lists. It helps the engineer to
identify the parts during disassembling the equipment and replacing the parts. This manual is
based on the maximum configuration. Your equipment may not have some parts and the
quantity of the screws, stacking sleeves, and etc may be different with those included in the
parts lists.
The figure below shows the hardware architecture of the equipment’s main unit.
Main Unit
Front housing Rear housing Paddle tray Other

assembly assembly assembly assemblies
External
Front housing Rear housing Paddle tray
paddle set
Handle kit Lithium
Anti-glare screen Power supply assembly
batteries
Power management Paddle holding
8.4" LCD
board reed Hook mount
Handle reinforce
Mode Select knob MPM module
sheet metal
High-voltage therapy Paddle sheet
Navigation knob
board metal
Therapy module
Recorder
low-voltage board
Alarm lamp shade CO2 module
Measurement module
Keypad board
panel assembly
Inverter Capacitor assembly
Speaker Therapy port
Indicating lamp shade
Alarm lamp board
Indicating lamp board
6-1
6.2 Main Unit
6.2.1 Exploded View
6.2.2 Parts List

SN P/N Description Qty
1 0651-30-76937 External paddle set 1
2 0651-30-76865 Paddle tray assembly 1
3 M04-002605--- Philips screw, M3×10 12
4 0651-20-76785 Plastic plug 5
5 0651-20-76787 Handle mounting plate 1
6 0651-30-76864 Hook mount 1
6-2
7 M04-021024--- Flat washer 2
8 M04-000104--- Spring washer 2
9 M04-051002--- Philips screw, M3×16 2
10 M05-010005-09 Lithium batteries 2
11 0651-30-76861 Rear housing assembly 1
12 M6G-020015 Silicone tube 1
13 0651-30-76859 Front housing assembly 1
6.3 Front Housing Assembly (0651-30-76859)

6.3.1 Exploded View
6-3
6.3.2 Parts List

Front housing sheet metal 1
0651-20-76760
1 (Depending on
0651-20-76797 Front housing sheet metal (Sharp) configuration)
2 M04-004015--- Philips screw, M3×8 20

3 0651-30-76710 Keypad board 1
0651-20-76783-51 Silicone keypad (Chinese), monitoring 1
4 (Depending on
0651-20-76783-52 Silicone keypad (English), monitoring
configuration)
5 0651-20-76782-51 Silicone keypad, defibrillation 1
0000-10-11020 Inverter, DC/AC 12VDC 500Vrms 6mA 1

6 (Depending on
0000-10-11168 Inverter, DC/AC12VDC/600Vrms 6mA
configuration)
7 M6T-030003--- Conductive foam, 4105AB51K 1
0651-20-76778 Silicone frame for LCD 1
8 (Depending on
Silicone frame for LCD (Sharp)
0651-20-76781 configuration)
9 0651-20-76798 AU LCD mounting pad 1
0010-10-12358 LCD, TFT 8.4" 800*600 220cd/m2 1
10 (Depending on
0010-10-11167 LCD, TFT 8.4" 800*600400cd/m2
configuration)
11 0000-10-10996 Reed, 92-047 1
12 0651-20-76759 LCD shield 1
13 0651-20-76790 Antiglare screen 1
Antiglare screen double-sided adhensive
14 0651-20-76799 2
PET1
Antiglare screen double-sided adhensive
15 0651-20-76800 2
PET2
Optical Encorder, 16 positions, 5VDC
16 0000-10-10789 1
Dip6
17 0651-20-76773 Knob waterproof pad 1
18 0651-21-76884 Mode Select knob cable 1
19 M6T-040001--- Torsion spring, 1707P 2
20 0651-20-76734-51 Mode Select knob 1
6-4
Operation mode label on front housing
0651-20-76820-51
(D6, Chinese, with pacer function)
0651-20-76820-52 1
(D6, English, with pacer function)
21 (Depending on
0651-20-76820-53 configuration)
(D6, Chinese, without pacer function)
0651-20-76820-54
(D6, English, without pacer function)
22 0651-20-76735 Navigation knob 1
23 TR6F-30-67306 TR6F recorder 1
24 0651-20-76758 Alarm indicating lamp 1
25 0651-20-76736 Recorder frame 1
26 0651-20-76731-51 Front housing (D6) 1
27 0651-20-76789 Speaker seal pad 1

28 0000-10-10780 Speaker, 8ohm 1W 40 (Dia)*6.8 (hgt) mm 1
29 0651-20-76784 Indicating lamp shade 1
30 0651-30-76729 Alarm lamp board 1
31 0651-30-76712 Indicating lamp board 1
32 0651-20-76788 Speaker pad 2
33 0651-20-76769 Speaker mounting plate 1
34 9901-10-23920 Conductive cloth pad 2
Insulation plate for front housing sheet
35 0651-20-76989 1
metal
6-5
6.4 Rear Housing Assembly (0651-30-76861)
6.4.1 Exploded View
6-6
6.4.2 Parts List
1 0651-30-76862 Power supply assembly 1
2 0651-30-76941 Rear housing assembly 1
3 M04-011017--- Hexagon thin nut, M20×1 1
4 M04-021075--- Flat washer 1
5 0651-20-76814 Therapy port waterproof pad 1
6 0651-20-76828 Therapy port 1
7 M04-004306--- Bolt, M4×20_7-8 6
Power management board insulation
8 0651-20-76810 1
sheet
9 0651-20-76723 High-voltage therapy board 1
10 0651-20-76813 Therapy board insulation sheet 1
11 M04-000206--- Bolt, M4×36_7-8 4
12 0651-30-76943 Capacitor assembly 2
13 0651-20-76835 Capacitor sheet metal 1
14 M04-004015--- Philips screw, M3×8 8
0651-30-76985 CO2 module (M02B) 1
15 (Depending on
0651-30-76986 Microstream CO2 module
configuration)
16 0651-30-76945 Therapy module low-voltage board 1
17 M04-006412--- Philips screw, M4×8 10
0651-30-77066 MPM module, without NIBP module
0651-30-77067 MPM module (Birtcher Medical Systems SPO2 module)
0651-30-77068 MPM module (Masimo SPO2 module )
1
0651-30-77069 MPM module (Nellcor SPO2 module )
18 (Depending on
0651-30-77070 MPM module (NIBP)
configuration)
0651-30-77071 MPM module (NIBP/BirtcherSPO2)
0651-30-77072 MPM module (NIBP/MasimoSPO2)
0651-30-77073 MPM module (NIBP/NellcorSPO2)
19 0651-30-76928 Power management board 1
Frame for fastening the measurement
20 0651-20-76751 1
module panel
6-7
Measurement module panel assembly
0651-30-76955
(Birtcher Medical Systems SpO2)
1
22 0651-30-76955 (Depending on
(Masimo SpO2)
configuration)
0651-30-76955
(Nellcor SpO2)
6.5 Rear Housing (0651-30-76941)

6.5.1 Exploded View
6-8
6.5.2 Parts List

1 0651-20-76765 Handle mounting plate 2
2 0651-20-76791 MPM connector lock pad 1
0651-20-76834 Warning label 2 (Chinese) 1
3 (Depending on
0651-20-76855 Warning label 2 (English)
configuration)
0651-20-76832 Instruction label (Chinese) 1
4 (Depending on
0651-20-76944 Instruction label (English)
configuration)
5 0651-20-76829 Silicone pad 2
Stainless steel socket head screw,
6 m04-051028---
M4×10 1
7 0651-20-76836 Wall mount reinforce metal 2
8 0651-20-77040 Rear housing 1
9 M04-004015--- Stainless steel screw, M3×8 1
10 0651-20-76774 Handle reinforce sheet metal 1
11 0651-20-76811 Battery elastic pad 2
Mark IV main unit label
0651-20-76903 (Chinese)
1
12 (Depending on
0651-20-76904 (Chinese, for bid)
configuration)
0651-20-76905 (English)
13 0000-20-10800 Service label 1
14 0651-20-76754 Power supply waterproof pad 1 2
17 0651-20-76837 Foot pad (0651) 5
6-9
6.6 Measurement Module Panel Assembly
(0651-30-76955)
6.6.1 Exploded View
6-10
6.6.2 Parts List
1 0651-20-76750 Measurement module panel 1
2 6800-20-50553 MPM module IBP connector 2
3 6800-20-50554 MPM module TEMP connector 2
4 6800-20-50555 MPM module SpO2 connector 1
5 0651-30-76840 Flexible cable for Birtcher Medical Systems SpO2 module 1
6 0651-20-76821 FPC mounting plate 1
7 0651-20-76805 FPC insulation sheet 1
Stainless steel crosshead tapping screws,
8 M04-051025--- 4
PT3×10
9 6800-20-50552 MPM module ECG connector 1
10 0651-20-76815 CO2 connector waterproof sheet 1
11 6800-30-50498 NIBP connector 1
12 M04-000501--- Stainless steel nut, GB6170 M5 1
13 M51A-20-80929 IBP dummy connector 1
14 6200-20-11614 Gas outlet 1
0651-20-76819-51 Measurement module overlay
(ECG+SpO2+NIBP+2 IBP+TEMP+CO2)
(ECG+NIBP)
(ECG+SpO2)
(ECG+SpO2+NIBP+TEMP)
0651-20-77138-51 Measurement module overlay 1
15 (ECG+SpO2+NIBP+2 IBP+TEMP) (Depending on
0651-20-77139-51 Measurement module overlay configuration)
(ECG+CO2)
(ECG+NIBP+CO2)
(ECG+SpO2+CO2)
(ECG+SpO2+NIBP+TEMP+CO2)
0651-20-77143-51 Measurement module overlay (ECG)
6-11
16 M02A-20-25905 Watertrap bracket 1
17 M04-051003--- Crosshead tapping screws, PT2.0×6 6
M02A-30-25913 Watertrap receptacle 1
18 (Depending on
9201-30-35923 Microstream CO2 connector assembly
configuration)
6.7 Power Supply Assembly (0651-30-76862)

6.7.1 Exploded View
6-12
6.7.2 Parts List

1 0651-20-76775-51 Power seat (0651) 1
2 DA6H-20-22911 Grounding terminal 1
3 M04-021048--- Lock washer, GB/T862.2-1987 6 1
4 0651-20-76794 Power supply metal sheet 1
5 M04-011014--- Hexagon nut, GB/T6172-1986 M6 2
6 M04-021003--- Flat washer, GB97.1 6 1
7 0651-20-76803 AC PCB insulation sheet 1
8 M04-004012--- Philips screw, M3×6 8
9 0651-20-76806 AC heat conduction glue 3
10 0651-30-76701 AC/DC board 1
11 0651-20-76804 AC mains label 1
12 0651-20-76990 AC plug protection hook 1
13 0651-20-76879 AC power input cable 1
14 0651-20-76987 Power module waterproof pad 1 2
15 0651-20-76988 Power module waterproof pad 2 2
6-13
6.8 Therapy Module Low-voltage Board
(0651-30-76945)
6.8.1 Exploded View
6.8.2 Parts List

1 M3×6_GB9074_5 Philips screw, M3×6 6
2 0651-30-76950 Pads ECG board 1
3 M04-030030--- Hexagon bolt, M3×12+6-8 3
4 0651-30-76721 Therapy module low-voltage board 1
5 0651-20-76724 Therapy board connector guide 4
6-14
6.9 MPM Module
6.9.1 Exploded View
6-15
6.9.2 Parts List

M51A-30-80857 MPM module Birtcher Medical Systems SpO2 board 1
1 0010-10-42656 Nellcor SpO2 board (Depending on
0010-10-12275 Masimo M7 Board configuration)
M51A-30-80853 MPM module analog board, Birtcher Medical Systems 1

2 M51A-30-80854 MPM module analog board, Nellcor (Depending on
M51A-30-80855 MPM module analog board, Masimo configuration)
1
MPM module Masimo SpO2 adapter
2a M51A-30-80859 (for Masimo
board
SpO2 board)
MPM module digital board (lead-free
3 M51A-30-80851 4
process)
4 M04-000802--- Flat washer, GB97.1 3 1
5 M90-000136--- Plastic hexagon bolt, M3×15+6-8 3
6 M6Q-100003--- Gas pump, P16B07 1
7 6800-30-50866 Fast release valve assembly 1
Fan, 12V 11.7CFM
8 M90-000169--- 2
21.5dBA60×60×10mm
9 M04-051002--- Philips screw, M3×16 1
10 0651-20-77169 MPM module connector fixer 1
11 0651-20-76755 MPM module sheet metal 1
12 6800-30-50867 Slow release valve assembly 1
13 0010-20-12114 16NIBP multiple connector 1
14 6800-20-50288 NIBP valves shield 4
15 M04-011002--- Hexagon nut and lock washer kit, M3 1
16 M04-004306--- Bolt, M3×16+8-8 7
17 M04-002505--- Philips screw, M3×6
6-16
6.10 Capacitor Assembly (0651-30-76943)
6.10.1 Exploded View
6.10.2 Parts List

1 0651-20-76752 Capacitor pad 2 1
2 0651-21-76881 Phase I capacitor cable 1
3 0651-20-76796 Capacitor protective layer 1
4 0651-20-76792 Capacitor pad 1 1
6-17
6.11 Sidestream CO2 Module Kit
(MO2B)(0651-30-76985)
6.11.2 Parts List

SN P/N Description Qty Remark
1 M04-002505--- Philips screw, M3×6 4 /
2 M02B-30-64513 CO2 main unit (M02B) 1 /
3 M04-000106--- Bolt, M3×7+8-6 2 /
4 0651-20-76762 Left capacitor sheet metal 1 /
5 M6T-030003--- Conductive foam 1 /
Parts that are included in the sidestream CO2 module kit, but not presented in the above figure:
1 6200-20-11614 Gas outlet 1
2 M02A-20-25905 Watertrap bracket 1
Refer to the figure
3 M02A-30-25913 Watertrap receptacle 1
of measurement
Stainless steel hexagon nut, module panel for
4 M04-000501--- 1
GB/T6170-2000 M5 assembly
Crosshead tapping screws,
5 M04-051003--- 4
PT2.0×6
6-18
6.12 Microstream CO2 Module Kit (0651-30-76986)
6-19
6.12.2 Parts List
SN P/N Description Qty Remark
1 M04-002505--- Philips screw, M3×6 6 /
2 9201-30-35908 Microstream CO2 connector assembly 1 /
3 0010-10-42559 Microstream CO2 module 1 /
4 M04-000106--- Bolt, M3×7+8-6 5 /
5 0651-20-76762 Left capacitor sheet metal 1 /
6 M6T-030003--- Conductive foam /
Parts that are included in the microstream CO2 module kit, but not presented in the above figure:
1 6200-20-11614 Gas outlet 1 Refer to the
Stainless steel hexagon nut, figure of
2 M04-000501--- 1
GB/T6170-2000 M5 measurement
module
3 M04-051003--- Crosshead tapping screws, PT2.0×6 4 panel for
assembly
6.13 Paddle Tray Assembly (0651-30-76865)

6-20
6.13.2 Parts List
1 0651-20-76866 Handle kit 1
0651-20-76833-51 Warning label 1 (Chinese) 1
2 0651-20-76833-52 Warning label 1(with illustration (Depending on
only, but without text) configuration)
3 0651-20-76770 Paddle holding reed 6

4 0651-20-76733 Paddle tray 1
5 0651-20-76764 Handle reinforce sheet metal 1
6 0651-20-76795 Rear housing water proof strip, top 1
7 M04-004702--- Flat washer, GB97.1 4 1
8 M04-021005--- Spring washer, GB93 4 2
9 M04-002905--- Philips screw, M4×16 2
10 0651-20-76771 Paddle sheet metal 1
11 0651-20-76817 Paddle sheet metal reed 1
12 9201-20-36010 Reed baffle 1
13 M04-002505--- Philips screw, M3×16 1
6-21
6.14 External Paddle (0651-30-76937)
6.14.2 Parts List

1 0651-30-76920 Sternum pediatric paddle kit 1
2 0651-30-76922 Sternum adult paddle kit 1
3 0651-30-76921 Apex pediatric paddle kit 1
4 0651-30-76923 Apex adult paddle kit 1
5 0651-20-76827 External paddle cable 1
6-22
6.15 Sternum Pediatric Paddle Kit (0651-30-76920)
6-23
6.15.2 Parts List
0651-20-76818-51 Sternum paddle label (Chinese) 1
1 (Depending on
0651-20-76818-52 Sternum paddle label (English)
configuration)
2 M04-004015--- Philips screw, M3×8 2
3 0651-20-76742 Sternum paddle handle cover 1
5 0651-20-76768 Pediatric paddle electrode 1
6 0651-20-76802 Pediatric paddle electrode EVA pad 1
7 0651-20-76740-51 Sternum pediatric paddle base (0651) 1
8 0651-30-76714 Sternum paddle keypad board 1
9 0651-20-76747 Sternum paddle button bracket 1
10 M04-051025--- Crosshead tapping screws, PT3×10 1
11 0651-20-76779 Sternum paddle P+R button 1
6.16 Sternum Adult Paddle Kit (0651-30-76922)
6-24
6.16.2 Parts List
1 0651-20-76744 Sternum adult paddle base 1
2 0651-20-76816 Paddle push bar reed 1
3 0651-20-76746 Paddle push bar 1
4 0651-20-76767 Adult paddle electrode 1
6.17 Apex Pediatric Paddle Kit (0651-30-76921)
6-25
6.17.2 Parts List

0651-20-76849-51 Apex paddle label (Chinese) 1
1
0651-20-76849-52 Apex paddle label (English)
2 M04-004015--- Philips screw, M3×8 2
3 0651-20-76743-51 Apex paddle handle cover 1
5 0651-20-76768 Pediatric paddle electrode 1
6 0651-20-76802 Pediatric paddle electrode EVA pad 1
7 0651-20-76741-51 Apex pediatric paddle base (0651) 1
8 0651-30-76716 Apex paddle keypad board 1
9 0651-20-76748 Apex paddle button bracket 1
10 M04-051025--- Crosshead tapping screws, PT3×10 1
1 (Depending on
11 0651-20-76780-52 Apex paddle P+R button
configuration)
6-26
6.18 Apex Adult Paddle Kit (0651-30-76923)
6.18.2 Parts List

1 0651-20-76745 Apex adult paddle base 1
2 0651-20-76816 Paddle push bar reed 1
3 0651-20-76746 Paddle push bar 1
4 0651-20-76767 Adult paddle electrode 1
6-27
6.19 External Paddle Cable (0651-20-76827)
6.19.2 Parts List

1 0651-20-76822 Paddle cable connector 1
2 0651-20-76824 Torsion spring 1
3 0651-20-76823-51 Connector lock (0651) 1
4 0651-20-76825 Silicone pad 1
5 0651-20-76826 Paddle cable 1
6 0651-20-76826-1 Sternum paddle cable anchorage 1
7 0651-20-76826-2 Apex paddle cable anchorage 1
6-28
6.20 Hook Mount (0651-30-76864)
6.20.2 Parts List

1 0651-20-76776 Hook 2
2 0010-20-42622 Pin 2
3 0010-20-42581 Spring 2
4 0651-20-76756 Hook base 1
5 0651-20-76807 Sleeve 2
6 M04-002605--- Philips screw, M3×10 2
6-29
6.21 Replacement Parts
To replace parts, refer to 5 Disassembly and Repair and the explosive views above.
NOTE
 Here we list most replacement parts. If you need more parts, please contact our
Customer Service Department.
6.21.1 Main Unit
P/N Description Qty
Front housing
0651-30-76710 Keypad board 1
0651-20-76783-51 Silicone keypad (Chinese), monitoring 1
0651-20-76783-52 Silicone keypad (English), monitoring
0651-20-76782-51 Silicone keypad, defibrillation 1
0000-10-11020 Inverter, DC/AC, 12VDC 500Vrms 6mA 1
0010-10-12358 LCD, TFT 8.4" 800*6003.3V 220cd/m2 RoHS 1
0651-20-76790 Antiglare screen 1
0000-10-10789 Optical encorder, 16 position, 5VDC Dip6 1
0651-20-76734-51 Mode Select knob 1
0651-20-76735 Navigation knob 1
TR6F-30-67306 TR6F recorder 1
0651-20-76731-51 Front housing (D6) 1
0000-10-10780 Speaker, 8ohm, 1W 40 (dia)*6.8 (hgt) mm 1
0651-30-76729 Alarm lamp board 1
0651-30-76712 Indicating lamp board 1
6-30
Rear housing
0651-20-76775 Power seat 1
0651-30-76701 AC/DC board 1
0651-20-77040 Rear housing 1
0651-20-76828 Therapy port 1
0651-30-76943 Capacitor assembly 2
0651-30-76925 Birtcher Medical SystemsCO2 module kit 1
0651-30-76926 Microstream CO2 module 1
0651-30-76945 Therapy module low-voltage board 1
0651-30-76933 MPM module 1
0651-20-76871 Fan and cable 1
0651-30-76928 Power management board 1
0651-30-76863 Measurement module panel assembly 1
External paddle
0651-30-76920 Sternum pediatric paddle kit 1
0651-30-76922 Sternum adult paddle kit 1
0651-30-76921 Apex pediatric paddle kit 1
0651-30-76923 Apex adult paddle kit 1
0651-20-76827 External Paddle cable 1
Miscellaneous
0651-30-76865 Paddle tray assembly 1
M05-010005-09 Lithium-ion battery, 14.8V, 6600mAh, LI34I001A 2
0651-30-76864 Hook mount 1
6-31
6.21.2 Cables
P/N Description
0651-20-76870 Cable between the CPU board and keypad board
0651-20-76872 Alarm lamp board cable
0651-20-76873 Recorder cable
0651-20-76874 AU LCD cable
0651-20-76875 Cable between the inverter and keypad board (for AU LCD)
0651-20-76878 Cable between the power management board and AC/DC module
0651-20-76879 AC mains outlet cable
0651-20-76881 Capacitor cable
0651-20-76886 CO2 module cable (M02B)
0651-20-76888 Microstream CO2 module cable
Cable between the inverter and keypad board (for Sharp
0651-20-76898
high-brightness LCD)
0651-20-76871 Cable between the MPM module and the power management board
0651-20-77133 LCD cable (for Sharp high-brightness LCD)
0651-20-77134 Inverter cable (for Sharp high-brightness LCD)
0651-21-76883 Defibrillation port cable
0651-21-76884 Mode Select knob cable
0651-20-76885 Speaker and cable
0651-20-77166 Microstream CO2 connector fixing plate cable (0651)
0651-20-77165 Watertrap cable (0651)
6800-20-50662 Gas pump cable
6800-20-50663 Fast release valve cable
6800-20-50664 Slow release valve cable
9201-20-35932 Cable between CO2 module and microstream adapter board
TR6F-20-67314 Cable between the recorder drive board and keypad board
8000-21-10239 TFT display backlight board cable
6-32
P/N：0651-20-77084（1.2）

Manual de Servicio Desfibrilador Mark Iv Birtcher PDF

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Manual de Servicio Desfibrilador Mark Iv Birtcher PDF

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Defibrillator/Monitor Mark IV

Intellectual Property Statement

This manual is for biomedical engineers, authorized technicians or service representatives

Acronyms used in this manual are:

 Installation mode: 888888

3 Testing and Maintenance.................................................................................................3-1

5 Disassembly and Repair..................................................................................................5-1

1.2 Equipment Symbols

Attention: Please read this

Danger: High-voltage Service indicator

Alternating current(AC) Network connector

Battery Video output

USB connector Analog input/out

ESD warning symbol for Electrostatic sensitive devices.

Type CF applied part. Defibrillator-proof protection against electric shock.

Type BF applied part. Defibrillator-proof protection against electric shock.

The BeneHeart defibrillator/monitor (hereinafter called the equipment) provides four

2.1.2 Main Functions

The equipment has the following main functions:

 Manual Defib Mode

Defibrillation may be performed through external paddles or multifunction electrode pads. In

The equipment consists of a main unit, accessories and PC software.

The main unit is the core of the equipment. It provides:

The main unit consists of the following subsystem:

Mode Select Knob

Recorder Power Module Adjusts input voltage to run each module.

Coordinates module communication, controls and processes module

Alarm Lamp Board

Indicating Lamp Board

2.6 Rear Housing Assembly

2.6.1 Power System

System power supply

2.6.2 Main Control System

The principle of the therapy system

2.6.4 Parameter Measurement System

3.1.2 Recommended Frequency

ECG tests Module performance 1. If user suspects that the measurement is

IBP tests Performance test

3.2 Visual Test

3.4 User Test

Selected Energy (J) Measured Value (J)

7． Set the energy to 100J and 360J respectively. Repeat Step 6.

3.5.3 CO2 Module Tests

4. Vent the tubing to the CO2 by opening the gas valve.

1. Connect the simulator to the ECG connector on the module.

1. Select the ECG parameter window or waveform area→[Filter]→[Diagnostic]..

3.5.5 Resp Test

1. Connect the patient simulator to the Resp connector on the module.

Balloon pump Metal vessel

To perform the leakage test:

1. Connect the equipment as shown below

Connector for Tubing

Balloon pump Metal vessel

1. Connect the patient simulator to the pressure connector on the module.

Pressure adapter cable

1. Connect the patient simulator to the SpO2 connector on the MPM.

SpO2 (%) PR (bmp)

3.5.9 Temp Test

3.6 Analogue Output Test

3.7.1 Enclosure Leakage Current Test

1. Connect the 601 safety analyzer to an AC power supply (264 V, 60 Hz).

1. Connect the 601 safety analyzer to an AC power supply (264 V, 60 Hz).

3.7.3 Patient Leakage Current Test