Me2HnRaT Mark V and Mark V Plus Injection Systems Service Manual Catalog Number: KMP 826 (ey. Bly —_—_———— Copyright nace Medrad, Inc. KMP 826 _ Revision K Rights ReservedTable of Contents Table of Contents Table of Contents. Preface Copyright Notice ‘Trademarks Patents Restricted Sale Notice Applicability European Council Directive Compliance Manual Purpose Safety Notice Disclaimers Address/Telephone Introduction to Warnings and Cautions Statement of intended Use Contraindications Warnings Cautions NYP NVUOYUNYYND OoOooonmaresei ds Condensed Operating Guide Control Panet 3 ECG/Scope Control Panel 3 Preventive Maintenance Recommended Preventive Maintenance 4 Recommended Preventive Maintenance Schedule 4 Inspection Procedures 4 Cleaning Procedures 4 Leakage Check 4 Ground Continuity Check 4 Basic Checkout Introduction 5-1 Injector Head Mount inspections 5-2 Basic System Checkout 8-2 ECG Trigger Checkout 5-6 Oscilloscope Checkout 5-9Mark V and Mark V Plus injection Systems 1-2 CPU Card CPU - Summary of Operation CPU Card Type B Block Diagram: CPU Card Type B CPU Card Type C Block Diagram: CPU Card Type © CPU Chip Designation Chart Input/Output Card VO- Summary of Operation Block Diagram: VO Card Servo Control Card Servo Control Card - Summary of Operation Biock Diagram: SCC Card Pre-Programmed injection Card PPI Card - Summary of Operation PPI Card Type B Blook Diagram: PPI Card - Type B PPI Card Type Block Diagram: PPI Card - Type G Control Panel Circuit Control Panel - Summary of Operation Block Diagram: Control Panel Power Drive Circuit Desoription of Power Drive Circuit POC Card (Serial Numbers below 60000) Block Diagrams: PDC Card PDCP Card (Serial Numbers 60000 and above) Block Diagrams: PDCP Card PDC! Card (Serial Numbers 70000 and above) Blook Diagrams: PCI Card Mechanical Stop Drive Mechanical Stop Drive Card - Summary of Operation Block Diagram: MSD Card eaanaa Oabove W-4 11-2 1-7 11-9 11-16 11-17 11-23Table of Contents Power Supply Circuit Power Supply Card - Summary of Operation Block Diagram: PSP Card Injector Head Description of injector Head Description of Motor and Drive System Description of Feedback Pots Description of Syringe Heater Circuit Descriptions: Mark V Injector HeadCard A Block Diagram: Head Card A. Mark V Plus Injector Head Card B ‘SIP Switch Settings Block Diagram: Head Card B Imaging System Interface - IS! 100 Description of imaging System interface IS! 100 Cautions Analog Output Signals Block Diagram: Analog Output Signals Imaging System interface Circuits Block Diagram: Imaging System Interface 5 Option jiemens Interface (with switchbox) jiemens Interface (without switchbox) Phillips Interface XMC 925 Phillips Angio Interface XMC 926 Phillips interface XMC 935 ‘Schematic: Phillips P/F Interface XMC 936 Remote Panel Description of Remote Panel Remote Panel Control Card Block Diagram: Remote Panel Digital Logic DC to DC Converter Block Diagram: Remote Panel DC to DC Converter ECG Trigger and Scope Description of ECG Trigger and Scope ECG Input Block Diagram: ECG Input Section ECG Preamp: Low Level ECG Input High Level ECG Input (IS! Card) R-Wave Detection (\/O Card) 17-1 17-2 17-2 17-3 17-3 17-4 1-3Mark V and Mark V Plus Injection Systems 1-4 ECG/Scope Control Panel Block Diagram: ECG/Scope Display Circuits ECG/Scope Function Manager Block Diagram: ECG/Scope Function Manager ‘Scope Input Control Block Diagram: Scope Input Control Scope Memory Gard Input Processor Block Diagram: Scope input Processor Memory Processor Block Diagram: Scope Memory Processor Intensified Spot Circuit Block Diagram: Scope Intensified Spot Circuit Clock and Syne Circulits Block Diagram: Scope Clock and Syne Circuits Fiow Profile Generator Block Diagram: Scope Flow Profile Generator ‘Scope Deflection Card Block Diagram: Scope Detlection Card ‘Scope Power Supply Card Block Diagram: Scope Power Supply Card Diagrams For a complete list ofall drawings included in Section 18 or any other section, see the Table of llustrations found in this section. Troubleshooting Guide Required Tools and Test Equipment Replacement Parts ‘Suggested Spare Parts Domestic Interchangeabilty Matrix Interchangeabilty Matrix Replacement Circuitry How to Order Parts Service Access Card (SAC) SAC Test Points ‘General Troubleshooting Guidelines ‘Suggested Troubleshooting Sequence Message Faults: List of Sentinel Messages Non-Message Faults: Dead Unit No Drive Will Not inject Garbled Message 17-5 17-6 17-6 17-7 17-7 17-8 47-10 17-10 17-10 w- 17-44 17-12 17-12 17-13 17-14 17-14 47-15 17-16 17-17 17-18 18-1 19-4 19-3 19-3 19-5 19-6 19-7 19-10 19-11 19-12 19-15 19-16 19-18 19-19 19-19 19-45 19-46 19-47 19-48 19-48Table of Contents No ECG or Scope Display 19-49 No Scope Display 19-49 Weak oF Erratic R-Waves 19-50 High-Level ECG input 19-50 Low-Level ECG Input 19-51 ‘System Disassembly and Reassembly Procedures Control Unit 20-2 PC Cards 20-4 Overlay 20-5 Motherboard 20-8 Cord Reel 20-10 Power Chassis 20-12 PC Cards, 20-13 Injector Head Covers 20-14 ‘Syringe Heater 20-15 Plunger Position Pot 20-17 Mechanical Stop Pot 20-20 Plunger Motor Drive Belt 20-22 Plunger Drive Motor 20-24 Mechanical Stop Motor (Type 2) 20-26 Mechanical Stop Motor (Type 3) 20-28 Mechanical Stop Motor (Type 4) 20-30 Head Control Panel 20-32 Turret Limit Switch 20-35 Mechanical Stop Limit Switch 20-36 Injector Head Cable (Mark V) 20-37 Injector Head Cable (Mark V Plus) 20-38 Oil Seal 20-39 Pivot Knuckle Adjustment 20-41 Power Switch 20-42 Line Voltage Conversion 20-43 Line Frequency Conversion 20-46 Line Frequency Checkout 20-48 ‘Service Parts Injector Head Parts 21-4 Console Parts. rae Cables 21-3 Miscellaneous 21-4Mark V and Mark V Plus Injection Systems Table of Illustrations Section 6: CPU Card CPU BOARD ASSEMBLY 20K SERIES CPU BOARD ASSY Section 7: 10 Card VO BOARD ASSEMBLY Section 8: SCC Card SERVO CONTROL ASSEMBLY Section 9: PPI Card PPI CARD ASSEMBLY Section 10: Control Panel KEYBRD. DISPLAY CARD ASSY. Section 11: Power Drive Circuit POWER DRIVE CARD ASSY. POWER DRIVE CARD ASSY. POWER DRIVE CARD ASSY. POWER DRIVE RELAY CARD (INTL) POWER DRIVE RELAY CARD ASSY. POWER CHASSIS MECH. ASSY. Section 12: MSD Card MECH. STOP DRIVE CARD ASSY. Section 13: Power Supply Circuit POWER SUPPLY CARD ASSY. POWER SUPPLY CARD ASSY. Section 14: Injector Head INJ. HEAD. MJR. PTS. DETAIL. INJECTOR HEAD DISPLAY CARD MN 60/150 HEAD CARD ASSY. HEAD MAJOR PARTS IDENT. WIRING INTERCON. DIAG. HEAD INTERCON. CD. ASSY. 78101-10-AP-14 78101-10-AP-01-1 78101-10-AP-02 78101-10-AP-03-1 78101-10-AP-06-1 78101-05-AP-02 78101-06-AP-10 78101-06-AP-09 78101-06-AP-06 85106-04-AP-03 85106-04-AP-02 78101-03-AM-07 78101-04-AP-05 78101-07-AP-03 78101-07-AP-01 78101-13-LD-02 3002083 78101-15-AP-01 78101-04-LD-01 78101-04-W-01 78101-04-AP-07 8-5 9-7 10-3 41-25 11-28 44-31 11-34 11-36 11-38 12-3 14-13 14-16 14-18 14-20 14-28 14-25Table of Contents Table of Illustrations (continued) Section 15: [SI 100 MK V PLUS OPTION CARD ASSY. 78101-10-AP-16 MK V ISI 100 CARD ASSY. 78101-10-AP-09 Section 16: Remote Panel PCP CARD ASSEMBLY (MN) 85102-15-AP-01-3 RPCP CARD ASSEMBLY 85102-01-AP-02-3 PC CARD ASSEMBLY 85102-01-AP-01-1 Section 17: ECG/Scope ECG/SCOPE INTERCON. SCHEM. 78101-08-WI-01 FRONT PNL. DISPLAY BD. ASSY. 78101-08-AP-11 ‘SCOPE DISPLAY. MEM. CARD. ASSY. 78101-08-AP-08 ‘SCOPE DEFL. CARD. ASSY. 78101-08-AP-02 ‘SCOPE POWER SUPPLY CARD. ASSY. 78101-08-AP-09 ECG/SCOPE MODULE ASSEMBLY —78101-00-AM-10 CRM MAIN CARD ASSY 85106-10-AP-01 ECG PRE-AMP MDL. CRD. ASSY. 78101-09-AP-01 Section 18: Drawings INTL. PEDESTAL INTERCONNECTIION 410004337 ANALOG INTERCONNECT DIAGRAM — 78101-00-WI-02 MN PEDESTAL INTERCONNECT 78101-15-WI-02 60/150 INJ. CON. IDENT/LOG. DETAIL 78101-00-LD-06 60/150 INJ. CON. IDENT/LOC. DETAIL 78101-00-LD-05, MK V PLUS COLUMN WIRING DIAG. 78101-03-WI-07 60/150 INJ. CNSLICOL. WRNG DIAG. _78101-03-WI-06 CONSOLE/COLMN WRNG, DIAG. 78101-03-WL01 MOTHERBOARD EPVESR: 78101-03-AP-06 CRC PLUS CON. LOCATION DETAIL —87101-15-LD-01 INTL. CRC MOTHERBOARD ASSY. 85106-07-AP-03-5 MN CRC MOTHERBOARD ASSY. 85106-07-AP-02-5, MN LPM WIRING DETAIL 78101-15-WL01 MN INTERFACE CON. CARD ASSY. —_78101-15-AP-04 15-15 15-17 16-7 16-10 16-13 17-19 17-20 17-22 17-25 17-27 17-29 17-33 17-36 18-2 18-3 18-4 18-6 18-7 18-8 18-10 18-12 18-14 18-16 18-17 18-19 18-21 18-22Mark V and Mark V Plus injection Systems NOTES:Introduction | 2 Introduction Copyright Notice Trademarks Patents, Restricted Sale Applicability CE vias Purpose Important Safety Notice Copyright 2000 by Medrad Inc. All rights reserved. No part of this man- ual may be reproduced in any form without prior written permission of Medrad. Printed and assembled in the U.S.A. Mark V Injector, Mark V Plus Injector, FluiDot, Medrad, and Quality for Life, are registered trademarks of Medrad Incorporated. ‘The Mark Vand Mark V Plus Injection Systems are the subject of the following U.S. patent numbers: 4,677,980; 4,854,824; 5,383,858, Federal (U.S.A.} law restricts the sale of this device to, or by the order of a physician. This manual applies to Mark V and Mark V Plus Injection Systems in the following configurations: Pedestal Mounted Systems: SYS 500-P, SYS 500, SYS 500 P2I, and SYS P2ID Control Room Consoles: RMT 605-P/510-P, RMT 505/510, RMT 505 P21/510 P2i, and RMT 505 P21D/510 P2ID_ Remote Panel Systems: RPS 615(P) and RPS-500 Models SYS500 P2!, SYS500 P2ID, RMT505 P2I, RMT 505 P2ID, RMT 510 P2I, and RMT 510 P2ID are designed to be in compliance with EN 60601-1 (Safety) and EN 60601-1-2 (EMC/Emissions). ECG and Ocilloscope options to the SYS 500 and RMT 505 model systems do not comply with the EN 60601-~1-2 standards, and are not available with any P2l system model number. CE az Represents compliance o the European Council Directive 0123 concerning medical devices - 94/42/EEC. This manual is intended to provide instructions for servicing the Mark V and Mark V Plus injection Systems safely and accurately. Itis intended ‘or those qualified to service the injection system, whether they be Medrad Service Personnel, Laboratory Service Technicians, or Medrad Authorized Dealers. ‘The information in this manual is intended for people with adequate backgrounds and experience in electronics and electromechanical devices. Any attempt to repair a sophisticated medical device such as the injector may result in personal injury, property damage, or patient injury. 2-1Mark V and Mark V Plus Injection Systems Disclaimers Medrad makes no warranties on the contents of this manual, and specifi- cally disclaims any implied warranties of merchantability or fitness for any Purpose. Medrad reserves the right to change specifications and the contents of this manual without obligation. Medrad reserves the right to modify the specifications and features described herein, or discontinue manufacture of the product described at any time, without prior notice or obligation. Please contact your authorized Medrad representative for the most current information. External Wiring and Modification: Medrad disclaims liability for any modifications or interfaces with other equipment which are not in conform- ity with the specifications and information contained within this manual. ‘Such unauthorized action could jeopardize injector operation, safety, or reliability. Accessory equipment connected to the system interfaces must be certified according the IEC 601-1 standards. Furthermore, all P2! configurations with attached accessory equipment shall comply with the system standard IEC 601-1-1. Anyone who connects additional equipment to the signal input or output configures a medical system, and is therefore responsible that the system complies with the requirements of the system standard IEC 601-1-1. To obtain on-site consulting or consulting references, contact Medrad Factory Service. All drawings in this manual are for reference purposes only, and may not ‘reflect the construction of units produced prior to the publication of this ‘manual. Reproduction quality of these drawings may have been affected by the level of reduction required. Call Medrad Factory Service if assist- ance in drawing interpretation is required. ‘Mark V and Mark V Plus Injectors are not intended for portable use. Problems or Ifyou experience problems with any Medrad Injection System, contact: Questions, Medrad Factory Service MEDRAD EUROPE, B.V. MEDRAD, ING. Postbus 3084 ‘One Medrad Drive 6202 NB Maastricht Indianola, PA 15051-0780 ‘The Netherlands Phone: (412) 767-2400 Phone: (31) (0) 43 3585600 4-800-MEDRAD-S FAX: (31) (0) 43 3650020, 4-800-633-7237 FAX: (412) 767-4126 Nihon MEDRAD K.K. Central Shin-Osaka Building 9F 4-5-36 Miyahara Yodogawa-ku Osaka, 532-0003 \ Japan V4) Phone:(81) (0) 66 350-0680 FAX: (81) (0) 66 398-0670Intended Use Contraindications WARNINGS Introduction INTRODUCTION TO WARNINGS / CAUTIONS ‘This manual contains important information about safe servicing of the ‘Mark V and Mark V Plus Injection Systems. Medrad urges the service technician to read this manual carefully, become familiar with the procedures and system functions that it describes, and follow its recommendations to assure proper servicing of the system. Warning labels on the Mark V and Mark V Plus systems or Warning statements in this manual preceeded by any of the following words. and/or symbols are of special significance: WARNING: Indicates a potentially hazardous situation. If J not avoided, this could result in death or serious injury. WARNING: Indicates electrical hazards which could result AX in death or serious injury. ‘CAUTION: Indicates potential hazards or unsafe practices which could cause product, system, or property damage. NOTE: Indicates helpful information is being offered. This device is intended to be used specifically for the purpose of inject- ing intravenous contrast medium into humans, for the purpose of diag- ostic studies. 00 NOT attempt to use the injector for any other purpose. This device is not to be used for drug infusion, chemotherapy, or any other use for which the device is not indicated. Hazardous voltages exist within the Mark V and Mark V lus Systems that can shock, burn, or cause death. To avoid injury, the system should be opened and serviced by qualified service personnel only. Disconnect the system from line power before cleaning or attempting to perform any maintenance or repairs. Possible explosion hazard in the presence of flammable anesthetic gases. The Mark V and Mark V Plus systems are not designed for use in association with anesthetic gases and equipment 2-3Mark V and Mark V Plus Injection Systems WARNINGS (continued) > & >PeP B&B Disconnect the patient immediately from the injector if any “sys- tem matfunction” occurs. If a system malfunction message ‘appears, do not attempt to use the system until the source of the condition has been identified and corrected by qualified service Personnel. Do not attempt to recreate any fault conditions while ‘connected to a patient. Electronic assemblies contain potentially hazardous materials. Dispose of system components or accessories properly. Follow all local regulations for the recycling or disposal of, electronic assemblies, or contact Medrad Service for assistance. ‘Worn power cords or control cables may shock, injure, or cause death. Examine power cords and cables for cuts, frays, or any other visible damage. Do not use the system if any of the cords or cables show signs of damage. Any damaged or worn connec- tion cables or power cords should be replaced. Check for proper voltage and frequency before connecting the injector to an electrical outlet. Failure to do so may result in per- sonal injury or equipment damage/maifunction. Check the volt- age and frequency marked on the back of the unit. Ensure that the outlet providing power to the injector supplies a voltage, fre~ quency, and volt-ampere rating within the range speci Do not immerse any injection components in water or any type of cleaning solution, Fluid entry into the system may result in a shock hazard. Ensure that the FluiDot labels are clearly visible on all pressure jackets. FluiDot labels are intended to help in the avoidance of air embolization, which could result in patient injury or death. Do not move the injector or pedestal by pulling on the syringe heater cable. This practice will cause the pivot pin to wear pre~ maturely, and may cause the injector head to fall, resulting ir possible patient or technician injury.Introduction CAUTIONS > > be > > Electrostatic Discharge (ESD). Failure to follow ESD protec- tion practices may result in equipment damage. To avoid damage, ESD protection practices must be followed when servicing any component of this system. if memory compo- nents are to be shipped, place the components in conductive carriers (as supplied at Medrad). Disconnect the power cord before removing or replacing PG boards. Sensitive circuits on the boards can be damaged by abrupt interruption or application of supplies. Allow system temperature to stabilize before use. When the system is exposed to an extreme temperature change (heat oF cold), allow it to stabilize to room temperature before serv- icing. Use only accessories and options designed specifically for the Mark Vand Mark V Plus systems. To ensure compatibility and proper operation, do not use an accessory or option designed for another system. Perform regular preventive maintenance. To ensure that your injection system remains properly calibrated, and that all pr- mary and backup circuits are functioning properly, regular preventive maintenance is recommended. An annual preven- tive maintenance package (offered in the U.S.A., Canada, and Europe) is available at an additional cost. Contact your local Medrad Factory Service Representative for details. Do not soak or immerse any part of the injection system in water. Improper or careless cleaning methods may result in equipment damage. While cleaning any outside portion of the system, avoid allowing any water to seep inside system com- ponents. Do not short the PPI Card Batteries. Do not place the card or the batteries on any conductive surface. When checking or replacing the PPI card batteries, discharge can occur with even a momentary short. Do not connect injector head extension cables in parallel. Connecting the extension cables in parallel, or extending the total extension length beyond 100 feet (80.5 m), can adversely effect injector performance and specifications. NOTE: All relevant institutional, local, or national safety regula- tions related to cable routing and installation should be followed.Mark V and Mark V Plus Injection Systems CAUTIONS (continued) Do not apply voltage to external start lines ifthe injector is being started by an external start connection. Provide only a ‘switch closure. If the external circuit contains excessive line frequency noise or voltage transients, injector damage or malfunction may result. Do not plug the cord reel connector into the Auxiliary Start Switch Connector at J13. If notin use, allow the cord reel ‘connector to remain disconnected. This improper connection could result in intemal equipment damage or matfunction, ‘The Remote Start Signal from the film changer programmer (at pins 7 and 9 of 140), must never contain voltage or AC noise. Any voltage applied to these pins can damage the injector and void the warranty. An excess of 50 or 60 cycle AC noise on these lines may cause intermittent problems of premature, or no injections. ‘The Remote Start Signal from the film changer programmer must remain closed throughout the duration of the injection. If the start signal is removed before the injection volume limits. when armed in the SINGLE mode, the injection will stop, the unit will disarm, and display “PREMATURE TERMINATION” ‘on the Control Panel. If the start signal is removed before the injection volume limits when armed in the MULTiple mode, the injection will stop, the Mechanical Stop will reposition at the selected volume, and the unit will remain armed. Ifa start signal is received at this time, an additional injection will result at the selected Flow Rate and Volume. ‘When starting the injection process from a remote location by the use of a relay closure in the film changer programmer, always install a “panic button’ in series with the start signal. This function must be provided in the event that the operator must immediately terminate the injection. This button should be installed in a convenient location, properly labeled, and instructions for use provided to all users of the injection sys- tem. Do not apply voltage to ISI connector J40 pins 5,6,7,8 or 9. Equipment damage or malfunction may result. Do not connenct the J19/J20 X-ray connector to the J13 Aux- iliary Start connector. Equipment damage or matfunction may result.ee FLOW RATE Press Delta? to nate change of FLOW RATE forthe injection ‘ortheincicatedlevelofa Mul-Lovelinjection curently displayed fon he Control Panel. SET ight wil flash to indeate program ‘changefo:Fiow Rate. Usekeypadto seloctnewvalve. Minimum ‘and iaximum Flow Fate values depend on syringe size, Press Doia 2againtolockin value. SET indicator igrtwil stop flashing and ight continuously when the MIL valve displayedin tha Flow Rte Window islockedin. Lighted Flow Soale tothe rghtf the FLOW RATE Display Window is the current Flow Scale. ‘Toselectanew Flow Scale, press Dalta3. Pressthe YES button in responeeto Sentinel prompt. Anew Flom Seale wil ight. if necessary, repeat the process untithe desired iow Soaleist. RISE/FALL Condensed Operating Guide Condensed Operating Guide VOLUME Press Deta 4 to inate a program change for the Volume: parameter. SET indicator ight on panel begins to fash, Use keypadioselectnen value. Press Data dasacondtimeto look innew Volume. SET incicatoright on panel stops ashing anc lights continuously when Volume value dsplayed in Volume Window is programmed. Rangeot acceptable values is inked bysyringesizeandvolumeremainingin syringe. Volumecenbe (enteredin tenths of mi (one decimal pace). SENTINEL - pispiays system messages. Press Delta 1 to change Fiseall me. Indeator fight above Dats 1 button will ‘tash oindoate program change to Fise/ Falitimevalue. Usethe keypadto selecta ew value om 0109.9 seconds in tenth ot ‘second increments (one decimal digit ‘oniy). Press Dota 1 Button again‘olock in ew value. Indicator light siops flashing andligntseoldwhenthevaluedieplayedin the RISE/FALL Dieplay Window is looked in. INJECTION DURATION Press the Deltas button to change Injec- tion Duration. SETindeatonignton pane! flashes. Use keypedto select new value Injaction Duration time value can besetin tenthofasecondinerements (one decimal igi). The new value willbe csplayedin the Injection Duration window. Press the Data 5 bution again to lock in the new value. SETindicatorwilightcontnoously ‘when valuedeplayedinthelrjecton Dura- tion window is locked in. Changing the Injection Duration automatically changes the Volumeto be delivered fortheinjecton ‘or level. Normally, Injection Duration is automaticaly setandcaleiatedwhenother ‘dogendont injection parameters are pro- grammed, PRESSURE Press Detta 6 to inte a change of the Pressure value displayed in the Pressure Window. SET indcator, stove Dota 6, begins o ash. Usethe keypad io enter new Pressure value. Press Delta 6 a ‘second time to lock in the change. SET incator stops flashing and stays It wen ‘hevaluecispiayedin thePressureWindow islockedin. Minimum and Maximum Pres ‘sure values depend on eyringo size and selected Flow Scale, X-RAY OR INJECT DELAY TIME Press Delta7 tonite changefor Detay time ancior type of delay being set. The Delay value, splayed inthe Delay Dis- play Window, wil reset to 0. Whatever Indieator light is flashing, X-RAY or IN- JECT, that ie the type of cela being ro- ‘grammed. To change the typo of delay being programmed, press Delta 7 again before entering any Delay value. Use the koypadto select new Delay value. Pross Della tolockin the Delay time. Indicator stopstlashingandligh's continously when thevalue dsplayedinthe Delay Windowis ‘programmed. Minimum andmaximumde- lay values are from 0 ~ 98.9 seconds in tenth of second increments (one decimal Sgtoniy.Mark V and Mark V Plus Injection Systems ARMING SINGLE Arm Butlon-Ater entering. injection paramo- ters, press hisbuttontobegin hearing: ‘Single injection. The DISARMindicator wil beltand wil ‘emain Ft unl arming Sertinel massage is answered. ‘Alterproperresponsesto Sentinel, theuntwilbe armed. ‘The DISARM indicator wll extinguish and the SINGLE indeator ashes. injectors armed and raady to iroct. ‘Aipha-Numeric Keypad - This keypad is the operator's input device. itis used to selectnewvaluesorinjactien parameters, select a program number to be stored or recalled, enteratite fora stored injection, ‘MULTI Arm Button - Ater entering all njocton parameters, ress to begin the arming sequence for MULTiplerjectons. ‘The DISARM indicator remains it unl Sentinel prompts are ‘ontimed. When MUL Tlincicatoron panel beginsto ash, tre Injector is'srmed for Mutiple injestons. Durng a Mutiple Injection theunitdoes notclsarmaftertheinjoction. Instead tne injector automatically rears ater each injection asiong asa sufficient volume ramainsin the syringo. LEVELS TOTAL LEVELS Widow - Dis- plays the number of levels con- tained in tho currenty displayed Injocion program. Aninjecsonmay have up to levels. ‘orresporite Sentinel prompts. LEVELWindow-Dispaysthelevel ‘umber curently ésplayedon the ‘contro panel. Upto levels may ‘SHIFT Button-Tho Shittouttonisusedto ‘selectbetwean letters ornumberson the beprogrammed. ‘lpha-numerickeypadcuringtne program ‘storage procedure. Press this key ifthe ‘eis to contain ities. 3-2 LEVEL UP and DOWN ARROW Buttons ~ Use these keys to ad- vance up or down one evel of & ‘muitple‘evelinecion. TheLEVEL ‘window nextio the artow butons willcisplay the curentlevelCondensed Operating Guide PROGRAM STORE/RECALL PROGRAM Window -Disaystheprogam _PressINeRECALL Butlontorecataprew: Press he STORE Baton ose in umber otarecaledinjesionprogm. Tre cuslyetoredinedion rogremorasyelom 80100 parameters in permanent Tunberwilbediplayedesiongasnamack. URE program ecfon programe are _—_‘evovy. Sorin prompts wh next Icatonstatheprogamrecaiedtenmenery _stored'nioeatone trough 18. Garage _—_svalabestragekcatonrurbe Use wreomase. locaion numbers 60-O8arereservedior _thekeyped tener the number, then syetemutyprograms,Theprorecwefer _—f 658 the STORE buston a second recalingany stored programistofrstpress ‘time. Sentinel prompts for atte. Use TeRECALLbutonthenenterhenumoer __theKeypad to ertr aie f deste cfthepreoramtoberecaled. Prese RE: _‘Pressthe STORE bution ater enter Call secondtimetocrnatheprogam «aha tle. Al curently layed into acve memory. The number ote __—jelenperemetrsarestoredinps srogramis éslayedinthe Propem wie atertmemery. ow. any moxseatone ere made'o he ‘ecalledrogrem,theprogrem number ‘xtngsh fo show hat the progr oe BlayedontieConroPanclisnttnoceme Estheonestoredin memory. STATUS STATUSButton-Atoggleewiteh that allows a user to compare AGTUAL values to SET values. ross after an injection to nave ACTUAL njectonparametersdis- played. ‘The ACTUAL incicator ligntwilight (the SETingieators wilextinguish). Values displayed Inthevarious windows re Actual values. Press the Status bution again. The SET indeators wil lightand the values cisplayedin ‘thevarious windows are the pro- ‘grammed values. Tho Sentinel Wil display CUMULATIVE PA. TIENTVOL XXXML. Thisnum- ber represents the total volume ivered sineethe contalpanel was last reset with the RESET button, RESET Press RESET to doar Cumulative Pa- tient Volume, set the Control Pane! splay aluesto ero, or recover ram afaultcondton. Sentinelvmilpromptto confirnresetingot Cumulative Pationt Volume and Control Pane! values. Prose RESETimmediately atterpower Upto splay softwareversion umber cof curerityinstalled system software. SENTINEL RESPONSE AND ARROW BUTTONS ‘YESINO ARROW Buttons - These butions serve a dual purpose. Their primary purpose so sarveas a moans to respondto Sentinal prompts. Thesekeys are also "used when entering he tleot a stored program. Usethe NO artow key ater entering ‘each characterorspaceinthetile. Usethe ES arowto deletecharactersandspaces.Mark V and Mark V Plus Injection Systems eee ECGONOFF Button-Power switch for ECG panel. Press fo tum power on. Press a second te to tur power of ‘Whenever poweris applied the ECS ‘panel, the light above the ONOFF but- ton willbo tt ECG/ScopeControlPanel ECG Trigger GAIN uptdown Arrow Buttons- Press up _artoworaisetne gainofthe ECG signal ‘coming from the monitor or cre om the patient. Press the down antow to lower the gain. When gain is propery adjusted the P-WAVE incieator ight to thetight othe gain rrow keys wil ight with each heartbeat, MUSICAL NOTE Button - A toggle ‘wich that allows a user to select an ‘audio tone to sound with each R- wave. When thie function fe act vated, the light above the musical note Key wil be it X-RAY SYNC Button-Usetthiskey to ‘synchronize XraytotheEOGR. Wave. When this function is tumed on, a signal is avalable to sychronize the image acquisition wih each Fave. “Thisensures thatatim wilbsinplzce-| for each bolus injeved. The ight above thiskey wil urinate when X- RAY SYNC function i on. INJPREVButton-Alowsthe userta preview an injeson by displaying a 2M Ss CI cit} ‘wavetorms andeimulingthe injec: tion onthe scope. Theincicator ight abovethe IN PREV button vl i= mingte when his functionison, The iejector cannot be armed when IN PREVis on. No signals to external equipment are sont during an injec- ‘ion preview. ‘OPTION Butons 2,and3-Prese Option 1 to provide an Injector Delayat theboginning of an ECG triggered inition. Enter the IN- JECT DELAY is from the Maln keyboard. Opion2and3keysare reserved for future expansion. ‘Theyhavenotunctonatthistime, DELAY (SEC) Window - Displays the leagih oftime ater the R-wave untithe injection begins (postion of intensified dol). Use the arrow keys below the Delay window to adjust the delay fme. Delay time's shovm in hundredths ofa ‘second. Maximum delay tie Is 0.99 seconds, BOLUS Button and Window - Press ‘he $ BOLUS button te program the number ofbolusesto be delivered dur- ingthe njoction program. Each press ‘ofthe # BOLUS’ buton inereases the ‘number of boluses by one. Up ta 9 luses may binjectedduringasingle jection. The number scrolls back to ‘number 1 afler reaching number 9 ‘Number oftoluses fora given injection isdisplayedinthewindownextiothe# BOLUS button. Total injection volume (#B0lus x Volume) is splayed on the Sentinal. HEART RATE (BPM) Window - Dis- plays the patent neartraten beats per inate, RR (SEC) Window - Displays thotime, in hundredths of @ second, betwoed, each Rewave. RAWAVE TERM Button - Controle wether or not an injection oan eon tinue through the next Revave, of be automatically terminatedbythenext A Wave. Press tho R-WAVE TERM button totum hisfunctionon. Thelignt abovethebuttoniights to incicatethat this feature is active. ‘Tho default set- tingis OFF.Condensed Operating Guide (CHANNEL 1 INPUT SELECT Button and ing- ators - Press the INPUT SELECT button to ‘choose what willbe deplayedon CHANNEL 1, (the wavetorm displayed on the top part of oop. Usually he patient's ECG wavetorm is splayed on this channel. Press the INPUT ‘SELECT button to toggle between ECG and ‘AUX. Check theghledindicstorto see what inputsignalisbeingdiplayed. UsethePositon and Gaineontelstoadfustibe Channel signal, SWEEPMODE Button and ndcators Lighted ‘odenextiobuton, (STOP. CONT, ard AUTO}, Indicates curenty eeiected mods. Press the SWEEP MODE button to advance to next mode setting. Sweep Mode determines ithe scope display wil move all the time (CONT mode), start and siop wth the injection (AUTO mode), cr freeze te image STOP mode). SWEEPSPEED Buttonsandlaccators-Hluri- ated speed value on panel, (10 MM/SEC, 25: NMISEO, 60 M/SEC Inceators) isthe cur- Fenty selected speed . Press the SWEEP SPEED button to advance to next sweep speed. 25 MMISEC Is tho usual standarg seting, ‘SCOPE ON/OFF Button-Presstoapplypower {o the Osciloscope. Indicator ight abo buttoniluminateswheneverpowerisappiedto scope and related contrls. Press bution a sscondtime to remove power ram scape sec- tion of EOG Control Pane CHANNEL 2 INPUT SELECT Controls and Indeators-Pressthe NPUTSELECTbutionto choose what wile dsplayedon CHANNEL 2, Unuallyaprofi ofthe injoction's displayed on thischannel. PresstheINPUTSELECT button to toggle bewaen INJ and AUX 2. Check the lighted ncicatorto see whatinputsignalisbeing splayed. Use the Postion and Gain controls toadjust the Channel 2 signal. ECG/ScopeContro!Panel Scope (Patient Monitor) ‘1mVCALButton-Causesthetvaoe fn Channel 1 to move up 1mV. Enables operator to calbrate the Gaintothegrdiinescnthedisplay. Calibration s accurate ony when Using an ECG preamp and con- necting the ECG input drocly to the petient. Do rat use the 1mV ‘CAL buttonithereisaarightevel ECGiinputconnectedto the neo tor, orf AUX tis selected. CHANNEL 1 POSITION Up and Down Buitons - Press to change the verical positonotthetraceon Gnen- nel CHANNEL 1 GAIN Up and Down buttons - Press to change the size {heigh ofthe Channel defections. ‘Changes the size ofthe waveform on the Channel 1 portion ofthe seape, OSCILLOSCOPE SCREEN- Dieplays to wavetorms. CHANNEL 2 GAIN Up and Down buttons - Press to change the size {height ofthe Channel? defections. CChangesthesizeottne wavetormon the Channel 2 portion of the scope. 20 ML CAL Button - Causes the trace on CHANNEL 2 to move up ONL. Enables operator to cal= rate Gain to od tines, INPUT CHANNEL 2 POSITION Up and pees ereeainpengie Down Buttons -Pressfo change the Sweep Mode must te sete Petts gnatasron he we 3-5Mark V and Mark V Plus Injection Systems NOTES:Preventive Maintenance Recommended Procedures Preventive Maintenance This section contains recommended procedures for preventive main- tenance of Mark V and Mark V Plusinjection systems. Routine main- tenance and inspection will: + Ensure the continued performance of your injector. + Reduce the possibility of equipment malfunction. Preventive maintenance of the injection system should consist of four procedures: Inspection, cleaning, performance checks, and leakage checks. This section contains guidelines, recommended methods, and expected results for each of these procedures: 1. Inspection: This first step should encompass inspection of the entire system, looking for obvious signs of damage, such as; ‘cracks in the housing, frayed or worn cables, missing or damaged labels, and contrast spills that may have leaked into the injector. 2. Cleaning: This cleaning procedure involves thorough cleaning of the console and head to remove any deposits of contrast medium. If any substances have leaked into any part of the unit, the subas- sembly should be disassembled and thoroughly cleaned. 3. Electrical Leakage / Ground Continuity Checks: To ensure the safety of the patient and hospital personnel in injector operations. 4, Operational Checkout: A complete functional performance check- ut of the injection system.Mark V and Mark V Plus Injection Systems Recommended ‘Schedule ‘Your Mark V or Mark V Plus Injection System must be properly main- tained to ensure that itis in peak operating condition. Your individual maintenance schedule depends upon how your injector is used; the type of procedures performed, and frequency of use. The following guidelines represent a suggested maintenance schedule: Daily: Before use each day, the system should be inspected, and the piston rod thoroughly cleaned. Monthly: Once @ month, the entire system should be thoroughly inspected and leaned, and an operational checkout should be performed. Annually: Once per year, Electrical Leakage and Ground Continuity checks ‘should be performed. NOTE: Local regulations or hospital protocol may require elec trical leakage checks at more frequent intervals. If this applies, local regulations for leakage must be followed. Medrad also recommends that a complete system calibration and per-” formance checkout, by a qualified Medrad Service Representative, be performed once a year. Contact Medrad Factory Service, or your local Medrad office for details. In the United States, Canada, Europe, and other select areas of the world, the Medrad Service Department offers Preventive Maintenance Programs. These annual programs greatly assist in maintaining accu- racy and reliability, and can extend the life of the injection system. Contact Medrad for details. In Europe, contact Medrad Europe B.V., or your local dealer, for further information. Refer to Section 2 of this ‘manual for address and telephone numbers. NOTE: Failures which occur due to lack of proper mainte- nance, or abuse, will not be covered under warranty.Inspection Procedures Injector Head Control Unit Remote Panel Preventive Maintenance The following procedures are recommended for the Injector Head, Control Unit, Remote Panel (if the system is so equipped), and mount- ing systems. If defects are detected, either repair the system, or call Medrad for service. Do not use the unit until the problem has been corrected. 1, Inspect the head case for any cracks that could allow fluid to leak inside, or weaken the case. 2. Inspect the head cable for cuts, cracks, or worn areas. 8. Inspect the head connector for cracks, loose pins, or a loose strain relief. 4. Inspect the Pressure Jackets for small cracks, crazing, or discolor- ation. As a matter of preventive maintenance, we recommend replacement of the pressure jackets annually. 5. Inspect the syringe heater and cable; look for cuts, cracks, or any worn areas. 6. Inspect the Control Panel for cuts or cracks that could allow fluid to leak inside. 1, Inspect the Control Unit and Control Panel case for cracks that Could allow fluid to leak inside, or weaken the assembly. 2. Inspect the power cord for cuts, cracks, or worn spots. Inspect the plug for cracks, loose prongs, loose wires, or a loose strain relief. 8. Inspect the handswitch and cord: Look for cuts, cracks, or wom ‘spots in the cable; look for cracks and loose parts in the switch and housing. 4. Inspect the film changer connector and cord: Look for cuts, racks, or worn spots in the cable; look for loose pins, or a loose strain relief on the connector. 5, Inspect any other cables connected to the control unit: Look for cuts, cracks, or worn spots in the cables; look for cracks, loose pins, or loose strain reliefs on the connectors. 1. Inspect the Remote Unit and Control Panel case for cracks that could allow fiuid to leak inside, or weaken the assembly. 2. Inspect the interface cable for cuts, cracks, or worn spots. Inspect the connector for cracks, loose prongs, or a loose strain relief. 3. Inspect the handswitch, cord, and connector: Look for cuts, ‘cracks, or wom spots in the cable; look for cracks and loose parts in the switch, housing, and connector.Mark V and Mark V Plus Injection Systems Pedestal Mount Injector Head ‘Support Arm 4-4 1, Inspect the case and legs for cracks and other defects that could ‘weaken the structure. Ensure that all mounting bolts and screws are secure. Inspect the connectors on the pedestal for cracks or loose pins. Ensure that the casters roll smoothly, with no binding and scraping. Ensure that the locking mechanism on all locking casters is functional. seen ‘The injector head support arm is typically associated with pedestal type injection systems and free standing injector head stands. Carefully inspect the areas shown below for any signs of damage. Stop Pin Pivot Knuckle (ap i Figure 4.1: Head Supprt Arm Inspection The injector head pivot knuckle should rest flat and rotate smoothly on the ‘support arm. The injector head, or support arm, should not rotate more than 360 degrees. If either assembly is able to rotate more than 360 degrees, one or more of the stop pins is not properly positioned, or is missing. If the stop pins are not in the proper position, the head cable can wrap around the support arm, causing damage to the head cable, and possibly lifting the injector head from the support arm. Contact Medrad Factory Service for support arm replacement information.Preventive Maintenance Counterpoise Systems Syringe Heater 1. Inspect all parts of the mounting system for cracks and other defects that would weaken the assembly. 2. Ensure that the mounting system is securely assembled, with no Joose parts. The system should be stable with the head installed. 3. Ensure that the system moves smoothly in all directions, with no binding, scraping, or drifting. 4. Verify that all cabling is tied back and does not interfere with the movement of the supporting parts or the injector head. NOTE: All relevant guidelines for institutional, local, or national safety recommendations related to cable routing and installation should be followed. 1. Ensure that the device is warm to the touch. 2. Ensure that the LED indicator is not illuminated or flashing when installed on the pressure jackel/syringe. The lamp may illuminate if the syringe heater is not installed on the pressure jacket/syringe. If the lamp is illuminated while the heater is installed on the pres- ‘sure jacket/syringe, the heater is too hot and should be replaced. 3. Inspect the cable and connector for cracks, worn areas, loose pins, or a loose strain relief.Mark V and Mark V Plus Injection Systems Cleaning Procedure Deposits of contrast media can interfere with proper operation of the Mark V and Mark V Plus injection Systems. The following guidelines should be followed when removing deposits, or cleaning any portion of the system. WARNING: Remove the power cord from the power AX source before cleaning any part of the system. Failure to do this could result in the exposure of lethal voltages, ‘causing injury or death. + Using warm water and soft cloths, clean the injector console and head thoroughly to remove contrast medium or other deposits. + The injector head requires particular attention. Remove the turret, then: Clean the front casting where the piston moves in and out; Clean the turret and its pivot point; Remove any contrast from the entire length of the piston rod. CAUTION: Do not soak or immerse any parts of the injeo- tor in water. Improper or careless cleaning methods may result in equipment damage. While cleaning the outside of the unit, avoid letting any liquids seep inside injector com- ponents. | contrast medium has leaked inside the head or console, the affected subassembly should be disassembled and cleaned. This cleaning procedure can be done in the field by trained Medrad Service personnel, or returned to Medrad Factory Service. If the Cleaning will be performed in the field by a properly trained individ- ual, ensure that any internal wiring or components are not dis- turbed, and that the system is completely dry before applying power. + Check all of the System Safety and Warning Labels for legibility. Ensure that the labels are not damaged or missing. WARNING: Ensure that the system is completely dry before connecting to a power source and applying power.