Service Manual - 010611 - RMS1P00

CAPNOSTREAM™20 and 20P SERVICE
MANUAL
Document Information: CAT No. 3-09-020-0002-06
PN: 010611_RMS1, Rev. P
MEDICAL DEVICE USER MANUAL DISCLAIMER
© Copyright Oridion Medical 1987 Ltd. 2018
Oridion owns all rights to this manual and intends to maintain this manual as confidential.
This service manual is intended for use solely by authorized Oridion service engineers that have been trained
in the installation of the CAPNOSTREAM™20 and/or the CAPNOSTREAM™20P device, and who have a
working knowledge of medical procedures and terminology as required for the installation of the
CAPNOSTREAM™20 and CAPNOSTREAM™20P devices.
Before installation and operation of the CAPNOSTREAM™20 and the CAPNOSTREAM™20P devices, you
must read and understand this manual and all other information accompanying the CAPNOSTREAM™20 and
CAPNOSTREAM™20p devices.
ORIDION SHALL NOT BE LIABLE FOR ANY DAMAGE, INJURY, LOSS OR LIABILITY CAUSED TO ANY
PERSON USING THIS MANUAL OR RELYING ON IT, WHO DOES NOT COMPLY WITH THE ABOVE
CONDITIONS, OR WHO HAS USED THIS MANUAL OR RELIED ON IT IN A MANNER THAT IS NOT FULLY
CONSISTENT WITH THE TERMS HEREOF. ORIDION SHALL NOT BE LIABLE TO ANY PERSON FOR ANY
INDIRECT LOSS, DAMAGE, INJURY, LIABILITY, COST OR EXPENSE OF ANY NATURE, INCLUDING
WITHOUT LIMITATION INCIDENTAL, SPECIAL, DIRECT OR CONSEQUENTIAL DAMAGES ARISING OUT
OF OR IN CONNECTION WITH THE USE OF THIS MANUAL OR RELIANCE THEREUPON.
Oridion seeks to maintain this manual as a copyright. This manual is to be used solely for the purpose of
reference, operation and maintenance of the applicable Oridion equipment/device.
The contents of this manual are proprietary. Reproduction, translation or distribution of any part of this manual in
any form is prohibited.
All information in this manual is believed to be correct. However, some information contained in this manual may
be inaccurate due to undocumented changes in the device or operating system since this version of the manual
was completed.
Oridion shall not be liable for errors contained herein with the performance or use of this manual.
The scope of repairs, as described in this manual, is restricted to the replacement of sub-assemblies only. No
component level repair is allowed under any circumstances. Oridion shall not be responsible for consequences
arising out of such repairs.
2
Refer to the relevant section of the operating manual for any safety related information.
The information contained in this 2018 version of the CAPNOSTREAM™20 and CAPNOSTREAM™20P manual
supersedes all previous versions. It is recommended to review this manual periodically and it is the responsibility
of the user of this manual to determine whether there have been any such updates or amendments. Users must
be aware that updates and amendments will be made from time to time to this manual, without any notification.
The following conventions are used in this manual:

A Warning describes precautions necessary to prevent injury or loss of life.
A Caution describes precautions necessary to protect the product.
The right side of the CAPNOSTREAM™ monitor is to your right as you stand facing the back side of the unit.
MB means Main board.
Contact for any document related information:

Oridion Medical 1987 Ltd.
7 Hamarpe St., P.O. Box 45025
Jerusalem 9777407, Israel
Tel: +972-2-589-9111
Fax: +972-2-586-6680
Contact for any service related information: CapnographyTechnicalSupport@medtronic.com
3
Table of Contents
Chapter 1. INTRODUCTION ....................................................................................................................................8
1.1. Audience ......................................................................................................................................................8
1.2. About the System ........................................................................................................................................8
1.3. System Software..........................................................................................................................................8
Chapter 2. SAFETY ..................................................................................................................................................9
2.1. Electrical Safety ...........................................................................................................................................9
2.1.1. Warnings .................................................................................................................................................9
2.1.2. Caution Notes ..........................................................................................................................................9
2.2. Equipment Safety ..................................................................................................................................... 10
2.2.1. Caution Notes ....................................................................................................................................... 10
2.3. Cleaning and Disinfection ......................................................................................................................... 10
2.3.1. Caution Notes ....................................................................................................................................... 10
2.4. Electro-static Discharge (ESD) Protection................................................................................................ 10
2.4.1. ESD Protection Materials ..................................................................................................................... 11
Chapter 3. SYSTEM ARCHITECTURE ................................................................................................................. 12
3.1. System Description ................................................................................................................................... 12
3.1.1. Main Board ........................................................................................................................................... 12
3.1.2. CO2 Module .......................................................................................................................................... 13
3.1.3. SpO2 Module ........................................................................................................................................ 13
3.1.4. Power Supply ....................................................................................................................................... 13
3.1.5. Display Unit .......................................................................................................................................... 13
3.1.6. Keyboard & Optical Encoder ................................................................................................................ 14
3.1.7. Accessories .......................................................................................................................................... 14
3.2. System Controls ....................................................................................................................................... 16
3.3. Signal Flow ............................................................................................................................................... 20
3.4. Alarm Data ................................................................................................................................................ 21
3.5. Nellcor™ Oximax® Pulse Oximetry.......................................................................................................... 22
3.6. Masimo™ Pulse Oximetry ........................................................................................................................ 23
3.7. MiniMediCO2 ............................................................................................................................................. 24
3.8. MicroMediCO2........................................................................................................................................... 26
3.9. Outputs ..................................................................................................................................................... 27
3.9.1. Analog Output ...................................................................................................................................... 27
3.9.2. Nurse Call ............................................................................................................................................. 28
3.10. Communication Ports ............................................................................................................................... 29
4
3.10.1. RS-232 ................................................................................................................................................. 29
3.10.2. USB ...................................................................................................................................................... 31
3.10.3. Thermal Printer (optional)..................................................................................................................... 31
3.11. General Characteristics ............................................................................................................................ 32
3.12. Equipment Classification .......................................................................................................................... 33
3.13. Compliance ............................................................................................................................................... 33
Chapter 4. Installation ............................................................................................................................................ 34
4.1. Input Mains Details ................................................................................................................................... 34
4.2. Installation Site Requirements .................................................................................................................. 34
4.2.1. Ventilation ............................................................................................................................................. 34
4.2.2. Placement ............................................................................................................................................ 34
4.3. Unpacking ................................................................................................................................................. 34
4.4. Product Setup ........................................................................................................................................... 35
4.4.1. Installing the Battery Pack .................................................................................................................... 35
4.4.2. Testing the Battery and AC Connections ............................................................................................. 37
4.4.3. Mounting the Monitor ............................................................................................................................ 38
4.4.4. Turning on the Monitor ......................................................................................................................... 39
4.4.5. Testing CO2 Monitoring ........................................................................................................................ 39
4.4.6. Viewing CO2 Data on the CAPNOSTREAM™ Monitor ........................................................................ 39
4.4.7. Testing SpO2 Monitoring ...................................................................................................................... 40
4.4.8. Viewing SpO2 Data on the CAPNOSTREAM™ Monitor ...................................................................... 40
4.4.9. Testing Report Printing ......................................................................................................................... 41
4.4.10. Description of The Co2 Board............................................................................................................... 42
4.4.11. Power Supply Tests ............................................................................................................................. 42
4.5. TFT Display .............................................................................................................................................. 43
4.6. LED Display .............................................................................................................................................. 43
Chapter 5. DISASSEMBLY GUIDE ....................................................................................................................... 44
5.1. General Disassembly Issues .................................................................................................................... 44
5.1.1. Removal ............................................................................................................................................... 44
5.2. Battery ...................................................................................................................................................... 44
5.2.1. Battery Replacement ............................................................................................................................ 44
5.3. Rear Cover ............................................................................................................................................... 45
5.3.1. Carrying Handle ................................................................................................................................... 46
5.4. Printer Assembly....................................................................................................................................... 48
5.5. AC-DC PCBA ............................................................................................................................................ 51
5.6. Connector Panel ....................................................................................................................................... 53
5
5.7. CO2 PCBA ................................................................................................................................................ 54
5.8. SpO2 PCBA............................................................................................................................................... 57
5.9. Front Panel ............................................................................................................................................... 58
5.10. Inverter PCBA ........................................................................................................................................... 59
5.11. TFT Display .............................................................................................................................................. 60
5.12. LED Display Kit ......................................................................................................................................... 61
5.13. Main Board PCBA..................................................................................................................................... 61
5.14. DC-DC PCBA ........................................................................................................................................... 65
Chapter 6. SERVICE SUPPORT ........................................................................................................................... 67
6.1. Service Support ........................................................................................................................................ 67
6.2. Demo Mode .............................................................................................................................................. 69
6.3. Institutional Defaults ................................................................................................................................. 70
6.4. Service Data ............................................................................................................................................. 71
6.5. SPO2 Module Connected.......................................................................................................................... 72
6.6. Software Support ...................................................................................................................................... 73
6.7. CO2 Direct ................................................................................................................................................. 74
6.8. Monitor Software Upgrade ........................................................................................................................ 76
6.9. CAPNOSTREAM™20P 3rd edition information ........................................................................................ 80
6.10. Download and Upload Defaults ................................................................................................................ 81
6.11. CO2 CAL ................................................................................................................................................... 82
6.12. CAL ........................................................................................................................................................... 82
6.13. CAL Check ................................................................................................................................................ 84
6.14. Printer Installation ..................................................................................................................................... 85
Chapter 7. PERFORMANCE TESTS .................................................................................................................... 88
7.1. Visual Inspection....................................................................................................................................... 88
7.2. Leak test ................................................................................................................................................... 88
7.3. Flow rate test ............................................................................................................................................ 89
7.4. Buttons and trim knob check .................................................................................................................... 90
7.5. SpO2 functional tests ................................................................................................................................ 90
7.5.1. Nellcor™ units ............................................................................................................................. 90
7.5.2. Masimo™ units ............................................................................................................................ 90
7.6. Battery operation test................................................................................................................................ 91
7.7. CO2 test .................................................................................................................................................... 91
7.7.1. CO2 calibration check .................................................................................................................. 92
7.8. Calibration Procedure for CO2 Module ..................................................................................................... 93
7.9. Calibration Interval .................................................................................................................................... 94
6
7.10. Calibration Kit ........................................................................................................................................... 94
7.11. Calibration Failures ................................................................................................................................... 94
7.12. Printer Check (If Applicable) ..................................................................................................................... 94
7.13. Nurse Call Check ...................................................................................................................................... 95
7.14. D/A Check ................................................................................................................................................. 95
7.15. USB Check ............................................................................................................................................... 95
7.16. RS232 Check ............................................................................................................................................ 95
7.17. Safety Test Procedure .............................................................................................................................. 96
Chapter 8. Troubleshooting And Maintenance ...................................................................................................... 98
8.1. Error Codes .......................................................................................................................................... 98
8.2. Unit not working .................................................................................................................................... 99
8.3. CO2 module not working .................................................................................................................... 101
8.4. SPO2 module not working .................................................................................................................. 103
8.5. No Display* ......................................................................................................................................... 104
8.6. Preventive Maintenance ..................................................................................................................... 105
Chapter 9. Spare Parts/ Accessories List ............................................................................................................ 106
7
Chapter 1. INTRODUCTION
Before servicing the portable bedside monitor CAPNOSTREAM™20P, please read the information in this
manual. This manual applies to the service of CAPNOSTREAM™ by authorized service engineers only.
Only authorized service engineers are permitted to service CAPNOSTREAM™ Devices.
1.1. Audience
The intended audience of this manual is authorized service personnel.
1.2. About the System

CAPNOSTREAM™20/ 20p is a portable dual-parameter bedside monitor that integrates Oridion
Microstream™ Capnography technology and pulse oximetry technology developed by Nellcor™ or
Masimo™, depending on product version. For the sake of brevity, the device will be referred to in this
document.
The monitor provides continuous, non-invasive measurement and monitoring of the carbon dioxide
concentration of expired breath (EtCO2), inspired breath (FiCO2), and respiration rate (RR). This monitor
also provides arterial oxygen saturation (SpO2) and pulse rate (PR). These measurements are available
both real time and in trend summaries. The monitor stores trend data for 72 hours. The monitor displays
data in numeric on a 6.4" color TFT screen, and also displays the CO2 and SpO2 waveforms. The monitor
has graded and color-coded visual and audio alarms.
Monitor parameters can be set in three levels:
• Values set by the operator/nurse and applicable until the monitor is switched on.
• Values by the user/biomedical engineer and applicable at startup.
• Factory presets to which the user can revert.
This allows hospitals and clinics to configure the monitor based on the environment in which it will be used.
In addition, it also allows the individual operator to override these institutional preferences. The data is
available for output via RS232, flash drive specific USB, a built-in two-channel thermal printer and a 7-
channel D/A. CAPNOSTREAM™ devices have a 2.5-hour battery backup.
1.3. System Software

The monitor software resides in Flash Memory. It can be upgraded externally through the USB port using
the Software Download facility.
The CO2 module software can be upgraded externally through the RS232 port when the monitor is
configured for CO2 Direct Communication.
Refer to the Service Screen (see Figure 54. CAPNOSTREAM™ monitor Service Screen on page 67) for
software and hardware version of the monitor and modules. (Refer to 6.1Service Support on page 67.)
The software is being periodically updated. It is recommended to always use the updated software if
applicable.
8
Chapter 2. SAFETY
Read the information in this manual before attempting to service CAPNOSTREAM™ devices. This chapter
explains the safety requirements with respect to servicing.
2.1. Electrical Safety

This equipment has been designed to meet IEC 60601-1 standards and the corresponding national
standards. It has Class I type of protection against electrical shocks, degree Type 'BF' as applied parts.
2.1.1. Warnings
• Use insulated tools while adjusting controls.
• Do not open the system enclosures in power ON condition.
• All internal adjustments and replacements must be done by qualified technician or service
personnel.
• Do not operate the system without the back cover in the presence of flammable gases or
anesthetic agents. This could lead to an explosion.
• Disconnect the AC power cable from the system before cleaning system.
• Inspect the AC power adapter cord and plug on a regular basis. Ensure that they are not damaged.
• Use properly grounded equipment. Shock hazards might occur if the AC power adapter is not
properly grounded. Grounding reliability can only be achieved when equipment is connected to a
receptacle marked "Hospital Only" or "Hospital Grade" or the equivalent. The grounding wire must
not be removed.
• Use accessories and peripherals recommended for CAPNOSTREAM™ monitors per instructions in
the User Guide.
2.1.2. Caution Notes

The following precautions can help reduce electro-static discharge (ESD):
• Anti-static spray on carpets.
• Anti-static spray on linoleum.
• Anti-static mats.
• Anti-static wrist bands.
• Proper grounding of the work area.
If the device has a back-panel switch, turn OFF the system by switching the power ON/OFF hot key on the
front panel and the ON/OFF switch on the rear panel. If the device does not have a back-panel switch, turn
OFF the system by switching the power ON/OFF hot key on the front panel and unplugging the device.
To avoid rise in temperature of the system, do not block the airflow to the ventilation holes on the back
panel of the system.
9
2.2. Equipment Safety
• Be sure to turn OFF the power (using the back-panel switch, if your device has such a switch, and
the front panel ON/OFF button) and remove the power plug from all equipment before working on
it.
• Excessive bending or twisting of cables can cause a failure or intermittently affect the operation of
the device.
• Take care when connecting or disconnecting cables. A damaged cable can cause a short in the
electrical circuit.
• Do not plug in or remove PCBA cards while the unit is in ON condition.
• Improper cleaning or disinfecting any part of the system with non-recommended solutions can
cause permanent damage (Refer to 2.3 Cleaning and Disinfection, below.)
• Do not use solvents such as thinner or benzene or abrasive cleaners on any part of the system.
• Do not spill liquid on the system.
• Do not handle PCBAs without proper static protection. Improper handling may damage
components.
• Do not assemble or configure incorrectly. Use proper power source.
• Prevent damage to the connectors by aligning connector pins before you connect the cable.
Misaligned connector pins can cause damage to system components at power ON.
2.3. Cleaning and Disinfection

To clean the monitor's surfaces, lightly dampen a cloth with a 70% alcohol solution and wipe all surfaces.
Alcohol wipes may also be used. Frequency of the cleaning procedure should be in keeping with hospital
policy.
To clean the screen, use a damp, lint-free cloth.

• Do not autoclave or sterilize this device.
• Do not spray or pour any liquid directly on the monitor, accessories or consumables.
• Do not use caustic or abrasive cleaners, or harsh solvents, including petroleum-based or acetone
solutions, to clean the device.
• Microstream™ EtCO2 consumables are designed for single patient use and are not to be reused.
Do not attempt to disinfect or flush the FilterLine™ as the monitor can be damaged.
• If a 1:10 bleach dilution (0.5% to 1% Sodium Hypochlorite solution) in the form of wipes is used to
disinfect external surfaces of the monitor, exposure of the connectors and the display to the bleach
solution should be avoided. Repeated cleaning with bleach over time may cause discoloration and
residue on the surfaces.
2.4. Electro-static Discharge (ESD) Protection

ESD is defined as the transfer of charge between bodies at different electrical potentials. This can change
the electrical characteristics of a semiconductor device, degrading or destroying it. ESD also may upset the
normal operation of an electronic system, causing equipment malfunction or failure.
The damage done by ESD may cause the immediate failure of the unit or result in performance
degradation and eventual failure.
The instruments can be damaged by the electric field radiating out from an electrostatic body. MOS
10
technology devices are most susceptible to voltage or electrostatic field damage. Bipolar and TTL devices
are more susceptible to current damage.
2.4.1. ESD Protection Materials
11
Chapter 3. SYSTEM ARCHITECTURE
3.1. System Description
The monitor is designed as a portable patient monitor for easy transportation and clear viewing of
waveform and parameters. The unit works on AC Mains and on internal battery. It provides RS232-based
communication with a PC and USB memory stick data transfer.
It consists of following main functional groups:
• Main board
• SpO2 Module
• CO2 Module
• Power Supply
• Display Unit
• Keyboard and Optical Encoder
• Accessories
3.1.1. Main Board

The Main board is based on MCF5270 microcontroller (32-bit), a part of the ColdFire® family of reduced
instruction set computing (RISC) microprocessors.
Its main features include:
• Provides System debug support
• On-chip Memories - 8-Kbyte cache & 64-Kbyte dual-ported SRAM on CPU internal bus
• Three Universal Asynchronous Receiver Transmitters (UARTs), two of which communicate with
the Thermal Printer and Debug port, and the third is optional.
• I2C Module which communicates with the power supply regarding battery information
• Queued Serial Peripheral Interface (QSPI)
• Four 32-bit DMA Timers
• Four Periodic Interrupt Timers (PITs)
• Software Watchdog Timer
• Frequency Modulated Phase Locked Loop (PLL)
• DMA Controller
• External Bus Interface - Glueless connections to external memory devices (e.g., SRAM, Flash,
ROM, etc.); 32-bit bi-directional data bus; 24-bit address bus
• Chip Configuration Module (CCM)
• General Purpose I/O interface
• JTAG support for system level board testing
• Fast Ethernet Controller (FEC)
The Main board also consists of:
• Flash Memory containing the boot loader and image (OS kernel + application software)
• SDRAM from which the code executes.
• Non-Volatile RAM containing data such as institutional default settings, trend data, etc. that must
be retained even after power OFF.
• Real Time Clock (part of the NVRAM) which maintains system date and time.
• Display Controller that provides interface between the microprocessor, EDORAM, and TFT display.
• EDORAM which stores data for display controller.
• USB Controller that provides the interface between Main board and USB port.
• External UART with asynchronous communication elements which communicates with the
12
modules and RS232 port.
• Keyboard interface which provides the interface between Main board and keyboard/optical encoder
• Analog Output section, which provides Digital to Analog converted signals.
3.1.2. CO2 Module

This module is produced by Oridion. It communicates with the Main board with a serial protocol providing a
CO2 waveform, inspired/expired carbon dioxide and respiration rate, which are refreshed on the display.
The method for measuring CO2 is based on non-dispersive IR absorption of the CO2 in the breath sample,
using the Oridion IR source.
3.1.3. SpO2 Module

This module is a product of either Nellcor™ Inc., USA, or Masimo™ Corp., USA technology, depending on
product version. It communicates with the Main board on serial protocol, providing SpO 2 waveform, PR,
SpO2%, Signal IQ Waveform (feature specific to Masimo™ monitors) and SatSecondsTM (feature specific to
Nellcor™ monitors) or Perfusion Index (feature specific to Masimo™ monitors) information that is refreshed
on the display. The probe houses an infrared source, red LED and a photo detector. It picks up the signal
from the patient's body. This signal is conditioned by the module to derive the oxygen saturation level and
pulse rate.
(If IPI is enabled and thus no SpO2 waveform is displayed, the SpO2 pulse beat is represented by the green
bar on the left side of the box.)
The pulse oximetry parameters that are shown depend on the probe currently connected to the device.
Before a SpO2 sensor is inserted all parameters for which CAPNOSTREAM™ monitor has been enabled
will show on the Home screen. Once a probe is connected, the device will calibrate its SpO2 function, and
then only the relevant parameters will be displayed. For example, when a probe that supports the standard
SpO2 data is connected to the CAPNOSTREAM™ pulse oximetry port, the CAPNOSTREAM™ monitor will
display only standard SpO2 data. If a probe that measures standard SpO2 data and one other parameter is
connected, the display will show standard SpO2 data and that additional parameter.
3.1.4. Power Supply

The power supply comprises:
• AC-DC converter
• DC-DC converter
• Battery Management circuit
Wall power is supplied to the AC-DC converter, the output of which is fed to the DC-DC converter. The
output of DC-DC converter is fed to all the sections of the monitor for their functioning. The Battery
Management circuit senses the percentage of battery charge and sends this information to the Main board.
This is used to shut down the monitor under low battery conditions.
3.1.5. Display Unit

The monitor has an active matrix color Liquid Crystal Display (LCD) comprising amorphous silicon (Thin
Film Transistor) TFT. It has a built-in backlight that includes long-life lamps. The 6.4" diagonal display area
contains 640 x 480 pixels and can display 262144 colors simultaneously.
13
3.1.6. Keyboard & Optical Encoder
The monitor has a keyboard with ON/OFF key and four hard keys - Event Admit/ Discharge Pump
Off and Alarm Silence . Soft Menu buttons appear on the screen. The optical encoder on the front
panel is used for the on-screen user interface.
3.1.7. Accessories
CAPNOSTREAM™ monitors supports a line of accessories produced by Oridion Medical for capnography.
FilterLine™ Accessories are henceforth referred to as FilterLine™.
CAPNOSTREAM™ monitors supports different types of sensors for Pulse Oximetry, seen in the photos
below. When choosing sensors, please note that only the sensors appropriate for the pulse oximetry board
in your monitor (Nellcor™/Masimo™) may be used.
Nellcor™ Accessories
OxiMax MAX-A Sensor OxiMax MAX-N Sensor
Nellcor™ Extension Cable, P/N: 010541
14
Masimo™ Accessories
LNCS Adtx LNCS Pdtx
Masimo™ Extension Cable, P/N: 011150
15
3.2. System Controls
Front View 12
11
10
2 3 4 5 6 7 8 9
Figure 1. CAPNOSTREAM™ Monitor, front view
Label Name Description Label Name Description
1 Monitor power Button switch 7 Temporary Temporarily disables

ON/OFF alarm the Audio Alarm for two
silence minutes.
button
2 AC power Orange light 8 Red alarm Indicator that flashes

indicator indicator during High Priority
alarms
3 Monitor power Green light 9 Yellow alarm Indicator that lights or

on indicator indicator flashes according to
the alarm status
4 Event button Starts the process of 10 Control Rotary knob used to

placing either a Quick knob navigate the screen
or Detailed Event and select a function
marker in the trend when pressed.
data.
16
5 Patient Allows Starting and 11 Display Screen displaying the
Admit/Discharge Stopping a case and screen patient data, menu bar,
button entering patient ID. patient mode, date-
time, and any
information or error
messages.
6 Pump Off button Shuts off the 12 Carrying Allows the monitor to
Capnography pump for handle be carried.
a preset time in order
to protect the monitor
during suctioning
procedures.
Right View (when looking at the back side of the unit)
5
1
3
6
Figure 2. CAPNOSTREAM™ Monitor, right view
NO. DESCRIPTION FUNCTION
1. FilterLine™ Input To connect FilterLine™ to the monitor.

connector Provided with an automatic door close
2. CO2 Outlet (can be connected to a

scavenging system)
3. SPO2 To connect SPO2 sensor to the monitor

with an extension cable
4. Battery Housing To replace the battery pack
5. Handle
6. Serial Number
17
Left View (when looking at the back side of the unit)
4
Figure 3. CAPNOSTREAM™ Monitor, left view
NO. DESCRIPTION FUNCTION
1. Printer (If applicable) Thermal Printer for real-time recording

and trend printing
2. Feed button Feeds paper to the printer.
3. Error LED This LED indicates a malfunction.
4. Power LED This LED indicates that the printer is

receiving power.
18
Rear View 9
2
6
1
10
Figure 4. CAPNOSTREAM™ Monitor, rear view 7
The table below describes the functions of the rear-monitor connections.
Label Function Description Label Function Description
1 Mains fuse Two 3.15A fast blow 6 Analog output 15 pin female D
holder fuses. type connector
for 7 channel
analog output.
2 Mains plug Connection for AC 7 Equipotential For external

power. ground grounding.
3 USB port For flash memory 8 Manufacturer

stick. labels
4 RS-232 9 pin female D type 9 Carrying handle

connector for RS-232
communication.
5 Nurse Call Port used for 10 Power Cord

attaching to Nurse Strain Relief
Call system.
19
3.3. Signal Flow
Switch ON the monitor
AC-DC takes input supply from mains (100/240V) and converts it to +18.3V DC
DC-DC receives +18.3V from AC-DC/ or 14.8V from battery and generates +5V, +12V, -12V, 8.5V & isolated +5V
Main Board receives +5V, +/-12V, +8.5V and isolated +5V from DC-DC
Voltage regulators on Main Board generate 3.3V &1.5V from +5V for operation of Main Board components and
peripherals
Main Board distributes supply to MiniMediCO 2 Module (+5V), Nellcor/Masimo SpO2 Module (+3.3V, +5V, +12V),
Thermal Printer (+8.5V), Keyboard and Optical Encoder (+5V)
The application code gets loaded onto the SDRAM from the Flash Memory and Main Board begins code execution
Main Board performs a self-test by sensing the connected modules and displays the hours of usage while starting up
Main Board loads all institutional default settings from the NVRAM and starts patient monitoring while starts patient
monitoring while starting up
User can navigate through the menus to access various features such as CO2 menu, SpO2 menu, System setup Menu,
Trend Data, RS232 communication, USB access printing on thermal printer, a 7-channel D/A, and Vuelink interface (on
the RS232)
Power supply monitors the battery charge levels and communicates that information to the Main Board. Main Board
displays the battery charge level continuously on the screen. When battery charge is drained, the Main board generates
a LOW BATTERY error message.
When the battery level reaches a level where it cannot power all modules a BATTERY EMPTY message is displayed on
the screen and at 14V the unit switches OFF.
20
3.4. Alarm Data
Item Value
Alarms Adjustable Alarm Limits
SpO2 high, SpO2 low, Pulse Rate high, Pulse Rate low
High Priority Patient Warning Flashing Red LED

Alarms
Flashing Red Numeric
High Priority Alarm beep pattern
Alarm Indication on Screen
Nurse Call
Patient Caution Alarms Flashing Yellow LED

Flashing Yellow Numeric
Medium Priority Alarm Lit Yellow LED

Triple beep every thirty seconds
Alarm Indication on Screen
Nurse Call
Advisories Beep once

Advisory Indication on Screen
Silent Advisories Advisory Indication on Screen
Alarm Volume Control 5 steps
Temporary Alarm Silence All audible alarms silenced for 2 minutes
21
3.5. Nellcor™ Oximax® Pulse Oximetry
Item Value
SpO2 Measurement Range 0-100%
SpO2 Accuracy
Adult and Pediatric Modes
SpO2 range 70% - 100%  2 digits
SpO2 range 0 - 69% Unspecified
Infant/Neonatal Mode
SpO2 range 70% - 100%  3 digits
Pulse Rate Range 20-250 bpm
Pulse Rate Accuracy  3bpm
Alarms Adjustable Alarm Limits

SpO2 high, SpO2 low, Pulse Rate high, Pulse Rate low
Sat Sec Range 10, 25, 50, 100
22
3.6. Masimo™ Pulse Oximetry
Item Value
SpO2 Measurement Range 0-100%
Range
Saturation (% SPO2) 1-100%
Pulse Rate (bpm) 25-240
Perfusion 0.02% - 20%
Resolution
Saturation (% SpO2) 1%
Pulse Rate (bpm) 1
Low Perfusion Performance
>0.02% Pulse Amplitude Saturation (% SpO2) +/- 2 digits
And % Transmission > 5% Pulse Rate +/- 3 digits
SpO2 Accuracy - During No Motion Condition
Adult Mode
SpO2 range 70% - 100% ±2 digits
Neonate Mode
Pulse Rate Accuracy ±3bpm
SpO2 Accuracy - During Motion Conditions
Adult Mode
23
Item Value
Neonate Mode
Pulse Rate Accuracy ±5bpm
* SpO2 accuracy of LNCS TC-1 and LNOP TC-1is  3.5% under no motion, for these sensors both
SpO2 and PR accuracy are N/A under motion.
3.7. MiniMediCO2
* Note: The MiniMediCO2 is used in CAPNOSTREAM™20 monitors only.
Item Value
Measurement Parameters
CO2 waveform, EtCO2, FiCO2, respiration rate
Performance
CO2 Range: 0 to 150 mmHg, 0 to 20 Vol %, 0 to 20 kPa

Accuracy: 0-38 mmHg ±2 mmHg
39-99 mmHg ± (5% of reading + 0.08 for every 1 mmHg above 38 mmHg)
Flow rate: 50 ml/min (+15ml/min, -7.5ml/min) flow measured by volume
Initialization time: Full time to accuracy (Power on to first reading): Typically 30 seconds for
both reading and waveform (max 180 seconds).
At full accuracy when value appears.
Respiration rate: 0-150 breaths/min
Mode
Adult, neonate
Physical Characteristics
Power requirements: 15VDC, 5VDC 1.5W (typical in operation), 0.9W in standby mode
24
Weight: 160 g (5.64 oz.)
Dimensions: 30 mm H x 65 mm W x 76.5 mm L (1.18 in H x 2.56 in W x 3 in L)
Communication interface: RS-232 full duplex
Environmental
Temperature
Operating: 0° to 50° C (32° to 122° F)
Storage: -20° to 70° C (-4° to 158°F)
Pressure and Altitude (operating and storage)
Pressure: 430 mmHg to 795 mmHg
Altitude: -380m to 4,570m (-1,250 ft. to 15,000 ft.)
Relative Humidity: 10% to 95% (non-condensing)
25
3.8. MicroMediCO2
* Note: The MicroMediCO2 is used in CAPNOSTREAM™20P monitors only.
Item Value
Measurement Parameters
CO2 waveform, etCO2, FiCO2, Respiration Rate
Performance
CO2 range 0 to 150 mmHg, 0 to 20 Vol%, 0 to 20 kPa

Accuracy 0-38 mmHg ± 2 mmHg
CO2 sampling flow rate 50 ml/min (+ 15ml/min, -7.5ml/min) flow measured by volume
Initialization time Typically 40 seconds to obtain both reading and waveform.
At full accuracy when value first appears.
Respiration rate 0-150 breaths/min
Mode
Adult, pediatric, neonatal
Physical Characteristics
Power requirements 1.0W (typical in normal operation for 3.3V RS232)

Powering options 3.3V only, 3.3V to digital supply; 3.3V - 5.5V to DC/DC input, 5V only
Weight 110 g
Dimensions 72 mm L x 25.4 mm H x 50.8 mm W
Communication interface RS232 Standard; USB, RS485 and TTL available upon request
Environmental
Temperature (maximum measured inside the host enclosure)

Operating 0° to 65° C (32° to 140° F)*
*Above 55°C module temperature, ± 1mmHg or ± 2.5% (whichever is greater) should be
added to the tolerance of the accuracy specs.
Storage -40° to 70° C (-40° to 158° F)
Pressure
Operating 430 to 795 mmHg
Storage 88 to 795 mmHg
Altitude
26
Operating and Storage -380m to 4,572m (-1,250 ft. to 15,000 ft.)
Relative Humidity
Operating and Storage 10% to 95% (non-condensing)
3.9. Outputs
3.9.1. Analog Output
15-pin female D-type connector
Pinout:
Pin Assignment Pin Assignment
1 Ground 9 Ground
2 Ch 1 Signal 10 Ground
3 Ground 11 Ch 5 Signal
8 Ch 4 Signal
27
3.9.2. Nurse Call
Normally Open/ Normally Closed Relay
Rated Carrying current : 2A
Max Allowable Current : 2A
Max Allowable Voltage : 24V DC
Contact Capacity: 2A @ 24V DC.
1/8” Capacity: 2A @ Pin out of mating

stereo phono plug
N1 - N2: Normally Closed relay

N1 - N3: Normally Open relay
28
3.10. Communication Ports
3.10.1. RS-232
RS-232 in CAPNOSTREAM™20 Monitor

Pinout
Pin Assignment
1 --
2 PC_RX
3 PC_TX
4 --
5 Isolated Ground
6 --
7 --
8 --
9 --
29
RS-232 in CAPNOSTREAM™20P Monitor

Pinout
Pin Assignment
1 --
2 PC_RX
3 PC_TX
4 +5V*
5 Isolated Ground
6 --
7 +5V*
8 --
9 --
Warning: There is a live voltage on pins 4 and 7 for the purpose of providing power to interface adapters.
Either pin can be used for this purpose.
30
3.10.2. USB
USB Type A Host connector (female)
For use only with flash memory drives.
Pinout
Pin Assignment
1 VBUS
2 Data -
3 Data +
4 Ground
3.10.3. Thermal Printer (optional)
Item Value
Type Two Channel
Printing Method Thermal Recording
Dot Density 203 dpi
Paper Width 58mm (2 % in)
Paper Roll Diameter

40mm (1 1/2 in)
(maximum)
Paper Length 15.2 meters (50 ft.)

(maximum)
Speed 25mm/s
31
3.11. General Characteristics
Item Value
Unit Dimensions 167mm(h) x 220mm(w) x 192mm(d) (6.6in (h) x 8.7in (w) x

7.6in (d))
Unit Weight 3.6kg (7.94lb)
Operating Temperature 0°C to 35°C (32°F to 104°F)
Operating Pressure and Pressure: 430 mmHg to 795 mmHg

Altitude
Altitude: -381m to 4572m (-1,250 feet to 15,000 feet)
Operating Humidity 10% to 95% non-condensing
Storage & Transport -20°C to 60°C (-4°F to 140°F)

Temperature
Storage & Transport Pressure 430 mmHg to 795 mmHg

Storage & Transport Altitude
-381m to 4572m (-1,250 feet to 15,000 feet)
Storage & Transport Humidity 10% -95% non-condensing
Packaged Dimensions 315mm (h) x 340mm (w) x 285mm (d)
(12.4in (h) x 13.4in (w) x 11.2in (d))
Packaged Weight 6.6kg (14.55lb)
32
3.12. Equipment Classification
Item Value
Types of Protection against Class 1

Electric Shock
Degree of Protection against Defibrillator-Protected Type BF

Electric Shock
Mode of Operation Continuous
Degree of Protection against IEC 60601-1, sub-clause 44.6 for class IPX1 Drip-proof
Ingress of liquids equipment
3.13. Compliance
This product is designed to conform to the following standards:
IEC/EN60601-1
UL 60601-1
IEC60601-1-6
CSA C22.2 No 601.1-M90
IEC/EN60601-1-2 Class A Radiated and Conducted Emission
IEC 60601-1-8 (Audible and Visual Alarms)
IEC 60601-2-49 Particular requirements for the safety of multifunction patient monitoring
equipment.
ISO80601-2-55
ISO80601-2-61
33
Chapter 4. Installation
Adhere to the installation requirements for the proper functioning of CAPNOSTREAM™ monitors.
4.1. Input Mains Details
Item Value
Input Voltage 100-240VAC, 50/60Hz
Fuses Two F3.15A 250V
Mode of Operation 90 VA
4.2. Installation Site Requirements

4.2.1. Ventilation
To ensure a long operating life, run in a dust free and properly ventilated area. Keep ambient temperature
<35º C and relative humidity in the range of 10 to 95% (non-condensing).
4.2.2. Placement
CAPNOSTREAM™ devices are portable bedside patient monitors. It can be placed on a table, stand, or
trolley or mounted on a pole. Do not place the equipment in an enclosed area that could restrict heat
dissipation from the front or rear of the unit.
4.3. Unpacking
The CAPNOSTREAM™ monitor is properly packed to ensure safety during transport. Read the following
instructions carefully before unpacking.
Carefully remove the CAPNOSTREAM™ monitor and the accessories from the box.
Check that the items on the enclosed packing list are included:
• CAPNOSTREAM™ Monitor
• Operating Manual
• Two 3.15 Amp Type F fuses
• CD with additional documentation (RS-232 CAPNOSTREAM™ Data Transfer Protocols, the
Patient Data Transfer Application Note, and this manual in additional languages) - (Not included in
monitors P/N CS051COV packages)
• Mains Electrical Power Cord
• SpO2 Sensor Pack
• SpO2 Extension Cable
• Printer Paper Roll (one installed and one extra roll), in case a printer’s monitor P/N was ordered.
34
• Battery Pack
• CD with additional documentation (RS-232 CAPNOSTREAM™ Data Transfer Protocols, the
Patient Data Transfer Application Note, and this manual in additional languages) - (Not included in
monitors P/N CS051COV packages)
Inspect each component. If any component is damaged or missing, contact your local representative.
4.4. Product Setup

4.4.1. Installing the Battery Pack
The monitor operates on AC power or on a battery. It is equipped with a rechargeable Lithium–Ion battery
pack. To install the battery pack, open the battery cover on the side of the monitor as shown below.
Battery
Connection
Socket Restraining lever
Battery
Compartment
Door
Figure 5. Battery Compartment
WARNING: The unit should always be operated with the battery installed in order to provide back-up
power in the event of a momentary or temporary power outage.
Press the release latch and open the battery compartment door.
While holding the battery pack with the wires on the right, rotate the restraining lever up to the horizontal
position and place the battery pack in the monitor.
Push the battery pack all the way in.
Hold the battery pressed in and lock it in position by returning the restraining lever to the vertical position.
Plug the battery cable into the battery connection socket. Push the wires back into the monitor.
35
Restraining lever
Battery
Connection
Socket
Figure 6. Battery Compartment Close-up
Align the flaps on the battery compartment door with the slots in the monitor casing and close the door.
After that, slide the two lockers into position to insure a proper closure of the battery door.
Ensure that the battery pack is fully charged before using the monitor without AC power. A fully charged
battery pack provides 2.5 hours of operation (without printer usage). When the monitor is connected to the
AC mains with the main power switch at the back of the monitor ON (or the monitor plugged in, if it does
not have a back-panel switch), even if the monitor is turned off, the battery pack charges automatically. It
takes approximately 12 hours to fully charge an empty battery pack.
Note: Must charge the battery pack every 3 months for proper operation.
Note2: Before air shipping the CAPNOSTREAM™ monitor with its battery/ battery pack spare part, the
battery should be tested to contain no more than 30% of the full capacity voltages in the battery pack.
A new and unopened Battery Pack spare parts which comes from Oridion already was tested for 30%
capacity and does not require another test.
To test the battery, follow section for testing the battery connections on page 37.
When you start using the monitor, verify that the battery icon at the bottom left of the monitor screen is full.
It is recommended to always have a battery installed. If the battery is not installed, the unit will operate
properly on AC power, but if AC power is lost for any reason the monitor will not work.
36
4.4.2. Testing the Battery and AC Connections
The battery pack charge level and AC power connections should be confirmed before each use.
Press the ON/OFF ® button to turn on the monitor.
Observe the battery icon level in the bottom left hand corner of the screen.
Figure 7. Menu Bar with Battery Charge Level
If you have previously fully charged the battery, the battery icon should indicate that the battery is full.
Note: As part of the monitor power-up, the battery charge level indicator will show full for about 15
seconds after the monitor is turned on. The monitor will then update the battery charge level indicator to
show the true battery level.
Recharge the battery pack when the advisory message BATTERY LOW appears on the display screen. To
recharge the battery, make sure that the monitor is plugged into the AC mains and the power switch on the
rear of the monitor (if your device has one) is turned to the ON position. The orange AC power indicator on
the front panel of the monitor -will light up.
For normal operation, always check that the orange AC power indicator light is on during monitor use. This
will ensure the battery is charged during use and the monitor is prepared in case of a power outage or a
patient transfer. If a patient has to be transferred to another location, the unit can be unplugged and
transferred with the patient. Care should be taken to reconnect the monitor to the AC mains following the
transfer.
• Testing the battery connections before air shipping
Before air shipping the CAPNOSTREAM™ monitor with its battery/ battery pack spare part, the battery
should be tested to contain no more than 30% of the full capacity voltages in the battery pack.
To test the voltages, use a DVM as shown below.
37
Acceptance criteria: Reading voltage shall be in the range of 13.8VDC to 14.4VDC
Figure 8. Battery capacity measurement
4.4.3. Mounting the Monitor

The bottom of the CAPNOSTREAM™ device is designed to fit GCX model FLP-0002-17C Mounting
Adaptor with (100mm) VESA Standard Mounting (can be ordered from Oridion; part number is 010713).
The adaptor fits the GCX model RS-0006-64C Roll Stand Assembly. Please refer to the appropriate
Directions for Use for these products.
Rubber
feet (4)
Mounting
Holes (4)
Figure 9. Monitor Mounting Plate
WARNING: Do not remove the rubber feet from the bottom of the monitor. The mounting adaptor
includes spacers that allow the monitor to be mounted with the feet in place, ensuring that the air vents on
the bottom of the monitor are not covered, so that the monitor does not overheat.
38
4.4.4. Turning on the Monitor
This section explains how to turn on the monitor.
WARNING: The monitor is intended only as an adjunct in patient assessment. It must be used in
conjunction with clinical signs and symptoms.
WARNING: Use only Microstream® EtCO2 consumables and approved SpO2 sensors, to ensure that
the monitor functions properly.
WARNING: Do not connect anything other than a SpO2 sensor to the sensor port (for example, do not
attempt to connect a PC to the monitor at the sensor port).
Plug the electrical cord into the mains plug in the rear of the monitor.
Plug the electrical cord into the mains AC supply.
Turn on the power switch on the back of the unit (if your device has one).
The orange power indicator on the front panel will light up.
Press the Power ON/OFF button on the front panel to turn on the monitor. The following happens:
The green power-on indicator lights up, showing that the monitor is turned on.
An hourglass figure appears on the screen for a few seconds followed by the blue monitor salutation
screen for about 5 seconds as the monitor performs a self-test.
The red alarm and yellow alarm lights will briefly light up and the speaker will beep.
If the red and yellow alarm lights do not light up or there is no sound from the speaker, the monitor should
not be used and should be sent for servicing.
You will hear the pump briefly turn on for a few seconds, and then turn itself off. However, if a FilterLine™
is connected to the monitor, the pump will remain on.
4.4.5. Testing CO2 Monitoring

To test the CO2 monitoring function of the monitor, the appropriate FilterLine™ must be connected to the
monitor.
Slide open the FilterLine™ input connector shutter and connect the appropriate FilterLine™.
Connect the FilterLine™ to Breath Simulator as described in the Directions for Use supplied with the
FilterLine™.
When the FilterLine™ is connected, the monitor will immediately begin to search for breaths, but it will not
indicate a No Breath condition before any valid breaths have occurred.
4.4.6. Viewing CO2 Data on the CAPNOSTREAM™

Monitor
The CAPNOSTREAM™ monitor Home screen displays real-time CO2 data. The displayed data includes:
• Real-time EtCO2 and FiCO2 values along with selected unit.
• Real-time FiCO2 values along with selected unit.
• Respiration rate (RR) in breaths per minute.
• CO2 Waveform.
EtCO2, FiCO2 and
Respiration Rate
values
39
CO2 waveform
Figure 10. CO2 Display on CAPNOSTREAM™ Monitor
The CO2 section of the monitor screen will appear as seen in the figure above.
4.4.7. Testing SpO2 Monitoring

To test the SpO2 monitoring function of the monitor, the appropriate sensor must be connected to the
monitor and to the patient.
Connect the SpO2 extension cord firmly to the monitor SpO2 sensor port, and then connect the appropriate
SpO2 sensor to the extension cord.
Connect the SpO2 sensor to the human as described in its Directions for Use.
When the SpO2 sensor is plugged into the extension cable and connected to the monitor, the monitor will
immediately begin to search for a pulse. It will indicate NO PULSE FOUND and SpO2 SENSOR NOT ON
PATIENT until the time that the sensor is placed on the patient. This is classified as a Low Priority Alarm,
and will generate a beep once a minute. To avoid the alarm message and beeping, connect the extension
cable to the monitor, but do not connect the SpO2 sensor to the extension cable until it is time to connect
the patient to the monitor.
4.4.8. Viewing SpO2 Data on the CAPNOSTREAM™

Monitor
The CAPNOSTREAM™ monitor Home screen displays real time SpO2 data. The displayed data includes:
• Pulse Rate
• SpO2 Numeric
• Plethysmograph (SpO2 waveform)
• Signal IQ Waveform (waveform indicating quality of signal) (for Masimo™ version only)
• Sat Seconds data/Perfusion Index data (for Nellcor™ and Masimo™ versions respectively)
SpO2, Sat
SpO2 Seconds, and
waveform Pulse Rate values
40
Figure 11. SpO2 (Nellcor™) Display on Capnostream Monitor
SpO2
waveform
Figure 12. SpO2 (Masimo™) Display on CAPNOSTREAM™ monitor
The SpO2 section of the monitor screen will appear as seen in the figure above. If the monitor is displaying
IPI, the SpO2 section will appear as seen in the figure below.
Figure 13. SpO2 (Nellcor™) display on Capnostream monitor when IPI is enabled
4.4.9. Testing Report Printing

The Print screen is accessed from the Home screen.
The Print screen allows you to choose what report to print, and also to start and stop the printing of
a report.
From the Home screen, select PRINT to display the Print screen.
Use the control knob to select the type of report to print. Only one type of report can be selected at a time.
An asterisk (*) will indicate the report that has been selected. If you choose a case report and no case is
currently active, the field to the right of the report name will read NO CASES.
Choose data to be printed:
Select the PRINT FORMAT option from the Print screen. On the Print Format screen, select the
parameters that you want to print on the report.
Three columns of data appear in one printed report in the tabular formats and two graphs appear in one
printed report in the graphical formats. The print format selected applies to all reports to be printed.
For tabular reports, EtCO2, FiCO2, RR, SpO2, PR, and blank are available for selection. For graphical
reports, EtCO2, RR, SpO2, PR, and blank are available for selection. Selecting blank means that nothing
will be printed in that column.
Click BACK on the Menu bar at the bottom of the screen to return to the Print screen.
Click START PRINTER on the Print screen to begin printing. To stop printing, in order to stop continuous
printing or abort other reports that have not completed, click the STOP PRINTER button on the screen.
41
4.4.10. Description of The Co2 Board
The monitor uses Oridion MiniMediCO2 or MicroMediCO2 Capnography modules.
The Main board provides 5V to power the module (For the micro 3.3-5v). The module communicates with
Main board using standard non-isolated RS 232-level serial interface. The module provides
inspired/expired carbon dioxide and respiration rate data, which are refreshed on the display every 1
second and CO2 waveform data in real time. The method for measuring CO2 is based on non-dispersive IR
absorption of the CO2 in the breath sample using the Oridion IR source.
The major components of the module are as follows:
• CO2 sensor assembly, including the Oridion long-life IR source.
• Flow System, including pump.
• Microcontroller + peripherals.
• Serial interface.
• Power supply.
• FRS to identify the correct usage of a Microstream™ FilterLine™.
• Input gas connector with the FRS interface.
Before the module begins to measure CO2, it completes the self-test and initialization procedures required
for proper operation. The module enters the power-up mode after powering the module or after external or
software reset. In the Power-up mode, the module performs a set of self-tests. If the module passes the
self-test, it transfers to measurement/initialization mode. If the Main board fails to detect the module during
the self-test, it shuts down. The power-up takes up to 10 seconds, during which time there is no
communication available.
During the self-test, if either of the modules fails to communicate properly or does not pass its self-test, an
error message is displayed; the respective error is displayed as CO2 ERROR on the monitor.
4.4.11. Power Supply Tests

Note: The following tests shall be performed following replacement of the AC/DC component
Put two 3.15 A slow blow fuses in the rear panel fuse socket (Refer to Figure 14. Rear Panel Fuse Socket,
Type 1, below).
Main Fuse Holder
Main ON/OFF
Switch
Main power Cord
Figure 14. Rear Panel Fuse Socket, Type 1
42
Main Fuse Holder
Main power Cord
Figure 15. Rear Panel Fuse Socket, Type 2
4.5. TFT Display

TFT Display of CAPNOSTREAM™20 monitor is TFT (Thin Film Transistor) active matrix color Liquid
Crystal Display (LCD) comprising amorphous silicon TFT attached to each signal electrode, a driving circuit
and a backlight. It has a built-in backlight that includes long-life lamps. These lamps are replaceable.
The 6.5" diagonal display area contains 640 x 480 pixels and can display 262144 colors simultaneously.
The display features:
• High luminance (300 cd/m2, typical)
• Low reflection
• Wide viewing angle with retardation film (anti-glare treatment)
• Display reverse scan function
• 6-bit digital RGB signals
• Edge type backlight with long-life-lamps (two lamp holders, inverter-less)
• Variable luminance control
4.6. LED Display

The LED Display of CAPNOSTREAM™20P monitor composed of a TFT-LCD panel, driver ICs, control and
power supply circuit board and a backlight unit including LED driving circuit. The 6.5" diagonal display is
designed for industrial applications with VGA (640 X RGB X 480) resolution and 16.2M (RGB 6-bits + FRC)
OR 262k colors (RGB 6-bits).
43
Chapter 5. DISASSEMBLY GUIDE
This chapter explains the procedure to disassemble the monitor so that faulty assemblies can be removed
and replaced as needed. Do not disassemble the product further beyond the point described in these
procedures. Reassemble the monitor in the reverse order. When assembling the enclosure back onto the
monitor, the CO2 tube should be routed carefully.
Every unit which returns for service needs to pass all the tests in Chapter 7.
5.1. General Disassembly Issues

5.1.1. Removal
Disconnect the Mains supply before disassembling the monitor. Gently remove all the accessories that are
connected to the monitor. Disconnect the internal battery as explained below.
WARNING: Do not pull the wires. Hold firmly on the connector housing.
WARNING: Anti-static precautions are a must for ESD protection.
5.2. Battery
Battery release latch
Battery
Compartment
Door
Figure 16. Battery Compartment
5.2.1. Battery Replacement

Follow the general steps explained in 5.1 General Disassembly Issues above before disassembling the
battery.
Open the battery compartment door and press the battery release latch (Refer to Figure 16. Battery
Compartment, above).
Disconnect the battery cable from the battery connection socket as shown in Figure 17. Battery
Compartment Close-up, below.
44
Battery
Connection
Socket
Battery Cable
Battery
Compartment Door
Figure 17. Battery Compartment Close-up
Rotate the battery release latch in the anticlockwise direction.

Slide out the battery from the monitor.
Replace the defective battery with the new battery.
Note: Before air shipping the CAPNOSTREAM™ monitor with its battery/ battery pack spare part, the
To test the battery, follow section concerning battery testing on page 37.
5.3. Rear Cover

Follow the steps explained in Sections 5.1 General Disassembly issues and 5.2 Battery before
disassembling the rear cover.
Remove the 4 screws as shown in Figure 18. Rear Cover Removal, below. Screw 3
Screw 4
Screw 1
Screw 2
45
Figure 18. Rear Cover Removal
Slide out the rear cover partially and disconnect the printer cable from the Main board as shown in Figure
19. CAPNOSTREAM™ monitor with Rear Cover Partially Removed, below.
Figure 19. CAPNOSTREAM™ monitor with Rear Cover Partially Removed

Slide out the rear cover completely.
Note: Before assembling the rear panel, disassemble the printer (if present) and slide in the rear panel.
Ensure that one end of the printer connector is connected to the Main board and the other end is outside
the printer slot as shown in Figure 23. Printer Cable Position below.
5.3.1. Carrying Handle

The Carrying Handle of every unit which comes for repair should pass a visual inspection.
To perform the visual inspection for the Carrying Handle follow the steps explained in Sections 5.1 General
Disassembly issues, 5.2 Battery and 5.3 Rear Cover.
Remove the 2 Carrying Handle screws as shown below in Figure 20. Carrying Handle screws.
46
2 Carrying
Handle screws
Figure 20. Carrying Handle screws

Remove the Carrying Handle and check for cracks and breaks in the screw insert.
Figure 21. Carrying Handle Screw Insert

If the Carrying Handle has cracks, breaks or damage replace it.
To assemble the Carrying Handle back on the rear cover, insert the Carrying Handle into its place and
verify that it is seated properly on the rear cover.
Assemble back the 2 Carrying Handle screws as shown in Figure 20. Carrying Handle screws, above.
Use RTV P/N SP010500 or the RTV which supplied with the Carrying Handle spare part to glue the
Carrying Handle to the rear cover, as shown in Figure 22. RTV for the Carrying Handle, below.
Note: Check the RTV glue expiration date before usage.
47
Figure 22. RTV for the Carrying Handle
Note: Wait at least 4 hours for the RTV to get dry before assembling the rear cover back on the monitor.
5.4. Printer Assembly

Slide out the rear cover completely.
Note: Before assembling the rear panel, disassemble the printer (if present) and slide in the rear panel.
Ensure that one end of the printer connector is connected to the Main board and the other end is outside
the printer slot as shown in Figure 23. Printer Cable Position below.
Printer Cable
(CN17)
Figure 23. Printer Cable Position
48
Other end of
printer cable
One end of
printer cable
Figure 24. Connecting the Printer
Connect the printer as shown in Figure 24. Connecting the Printer, above.
Align the printer into the slot provided and plug in the printer till it clicks into place as shown in Figure 25.
Inserting the Printer Assembly, and Figure 26. Completing the Insertion of the Printer Assembly, below.
Figure 25. Inserting the Printer Assembly
49
Figure 26. Completing the Insertion of the Printer Assembly
Note: To confirm if the thermal printer is installed properly, open the printer door and check if the printer
is clicked into position by pressing the notch on either sides of the printer as shown in Figure 27. Testing
Printer Positioning, below.
Press these
notches
Figure 27. Testing Printer Positioning
Once the printer is installed, the printer option on the Home Screen will be enabled.
50
5.5. AC-DC PCBA
Follow the steps explained in 5.2 Battery and 5.3 Rear Cover, before disassembling the AC-DC.
Remove the 2 screws as shown in Figure 28. Placement of Screws for AC-DC Disassembly, below.
Screw 2 Screw 1
Figure 28. Placement of Screws for AC-DC Disassembly
Disconnect cable JP2 from AC-DC PCBA as shown in Figure 29. Placement of JP2 Cable, below.
JP2 Cable
Figure 29. Placement of JP2 Cable
Slide out the AC-DC PCBA along with the bracket attached to it and disconnect the cable connected to AC-
DC and the Mains Filter as shown in Figure 30. Placement of AC-DC and Cable, below.
51
Cable connected
Slide out AC-DC to the main filter
Figure 30. Placement of AC-DC and Cable
Note: If the AC-DC Bracket cannot be easily pulled out of the assembly, loosen the screws at the filter
side of the monitor as shown in Figure 31. Screws for Loosening on Filter Side of Monitor, below, and slide
out the AC-DC Bracket.
Loosen these
2 screws
Figure 31. Screws for Loosening on Filter Side of Monitor
Remove 4 screws as shown in Figure 32. Placement of Screws for Disassembling AC-DC PCBA from its
Bracket, below to disassemble the AC-DC PCBA from its bracket.
52
Screw 1
Screw 3
Screw 2
Screw 4
Figure 32. Placement of Screws for Disassembling AC-DC PCBA from its Bracket
Take out the AC-DC PCBA.

Caution: Before assembling the AC-DC PCBA please perform the following actions:
• Visual inspect it and verify that the AC-DC is not damaged or broken.
• Verify that the cables and the connectors which connect to the AC-DC are not damaged and their
insulation is not torn or missing.
• Insure there are no foreign objects on the AC-DC or near the power supply, such as loose screws
or solder which can cause a short on the power supply.
• When connecting the AC-DC connectors, verify the AC-DC cables routed carefully with no pinched
cables and there are no additional or missing washers.
5.6. Connector Panel

Follow the steps explained in 5.2 Battery and 5.3 Rear Cover before disassembling the connector panel.
Remove the 2 screws as shown in Figure 33. Placement of Screws for Disassembly of Connector Panel,
below to disassemble the connector panel.
53
Screw 1
Screw 2
Figure 33. Placement of Screws for Disassembly of Connector Panel
5.7. CO2 PCBA

Follow the steps explained in in 5.2 Battery, 5.3 Rear Cover and 5.6 Connector Panel, before
disassembling the CO2 PCBA.
Remove the 4 screws as shown in Figure 34. Placement of Screws for Disassembly of CO2 , below.
Screw 2
Screw 1
Screw 3 Screw 4
Figure 34. Placement of Screws for Disassembly of CO2 PCBA
54
Screw 2
Screw 1
Screw 3 Screw 4
Figure 35. Placement of Screws for Disassembly of CO2 PCBA
Disconnect the connectors from the CO2 inlet and CO2 exhaust which are on the connector panel of the
monitor.
a) CO2 inlet: Turn and hold the CO2 connector spring clockwise and disconnect the CO 2 connector as
shown in Figure 36. Disconnecting the CO2 Connector, below.
Pull the
CO2 inlet
Turn the
spring
Figure 36. Disconnecting the CO2 Connector
b) CO2 exhaust: Pull the CO2 exhaust connector as shown in Figure 37. Disconnecting the CO2
Exhaust, below.
55
Pull the CO2
exhaust
Figure 37. Disconnecting the CO2 Exhaust
Disconnect all the cables connected from the CO2 PCBA to the Main board.
Take out the CO2 PCBA.
56
5.8. SpO2 PCBA
Follow the steps explained in 5.2 Battery, 5.3 Rear Cover and 5.6 Connector Panel, before disassembling
the SpO2 PCBA.
NELLCOR™
• Disconnect the following connectors from the SpO2 PCBA to the connector panel.
• J4 of SpO2 - CN11 of Main board
• J5 of SpO2 - Flexi cable
• Remove the 2 screws as shown in Figure 38. Cables and Screws for Disassembly of SpO2 PCBA
– NELLCOR™, below.
Screw 2
J5 of
SPO2
J4 of SPO2
Screw 1
Figure 38. Cables and Screws for Disassembly of SpO2 PCBA – NELLCOR™
• Take out the SpO2 PCBA.
57
MASIMO™
• Disconnect the following connectors from the SpO2 PCBA to the connector panel.
• J1 of SpO2 - Flexi cable
• CN1 of SpO2 - CN11 of Main board
• Remove the 4 screws as shown in Figure 39. Cables and Screws for Disassembly of SpO2 PCBA
– MASIMO™, below.
Screw 3
Screw 1
CN1 of SPO2
J1 of SPO2
Screw 2 Screw 4
Figure 39. Cables and Screws for Disassembly of SpO2 PCBA – MASIMO™
• Take the SPO2 PCBA.
5.9. Front Panel

• Follow the steps explained in 5.2 Battery, 5.3 Rear Cover and 5.6 Connector Panel, before
disassembling the front panel.
• Remove the 2 screws as shown in Figure 40. Screws for First Step of Disassembly of Front Panel,
below.
Screw 1 Screw 2
Figure 40. Screws for First Step of Disassembly of Front Panel
58
• Remove the 3 bottom screws as shown in Figure 41. Screws for Disassembly of Front Panel,
below.
3 Bottom screws
Figure 41. Screws for Disassembly of Front Panel
• Disconnect the cables connected from the front panel to the Main board and DC-DC.
• CN1 - To Display PCBA
• CN6 - To Keyboard PCBA
• CN8 - To CN1 of Inverter PCBA
• CN10 - To Optical Encoder
• J4 of DC-DC - To CN1 of Inverter PCBA
• Take out the front panel.
5.10. Inverter PCBA

• Follow the steps explained in 5.2 Battery, 5.3 Rear Cover, 5.6 Connector Panel and 5.9 Front
Panel, before disassembling the inverter PCBA.
• Disconnect the cables connected from inverter PCBA to display.
• CN1 - J4 of DC-DC
• CN2 - Display PCBA
• Remove the 2 screws as shown in Figure 42. Screws for Disassembly of Inverter , below.
59
Screw 1
Screw 2
Figure 42. Screws for Disassembly of Inverter PCBA
5.11. TFT Display

• Follow the steps explained in 5.2 Battery, 5.3 Rear Cover, 5.6 Connector Panel and 5.9 Front
Panel and 5.10 Inverter , before disassembling the display from the front panel.
• Remove 4 screws as shown in Figure 43. Screws for Disassembly of Display from Front Panel,
below, to disassemble the display bracket from the front panel.
Screw 1 Screw 3
Screw 2 Screw 4
Figure 43. Screws for Disassembly of Display from Front Panel
• Remove 4 screws as shown in Figure 44. Screws for Disassembly of Display from Its Bracket,
below, to disassemble the display from its bracket.
60
Screw 1 Screw 3
Screw 2
Screw 4
Figure 44. Screws for Disassembly of Display from Its Bracket
5.12. LED Display Kit

For disassembling the LED Display Kit follow the steps explained in 5.2 Battery, 5.3 Rear Cover,
5.6 Connector Panel and 5.9 Front Panel.
5.13. Main Board PCBA

• Follow the steps explained in 5.2 Battery, 5.3 Rear Cover, 5.6 Connector Panel, 5.9 Front Panel
and 5.10 Inverter , before disassembling the Main board PCBA.
• Disconnect all the cables connected to the Main board.
• CN12 - To Speaker and Nurse call
• CN17 - CN2 of Printer PCBA
• CN8 - CN1 of Inverter PCBA
• CN11 - J4 of SpO2 PCBA
• CN6 - To Keyboard PCBA
• CN10 - To Optical Encoder
• CN7 - J6 of CO2 PCBA
• CN15 - To D/A Output
• CN3 - CN2 of USB PCBA
• CN5 - PC COM
• CN1 - To Display PCBA
• Remove the following 6 screws to disassemble the Main board Bracket from the chassis.
• Remove 4 screws as shown in Figure 45. Screws for Disassembly of Main board Bracket from
Chassis, below, to disassemble the Main board bracket from the chassis.
61
Screw 1
Screw 3
Screw 2 Screw 4
Figure 45. Screws for Disassembly of Main board Bracket from Chassis
• Remove the 2 screws placed on either side of the main board as shown in Figure 46. Screws for
Disassembly of Main board Bracket from Chassis, and Figure 47. Screws for Disassembly of Main
board Bracket from Chassis, below, to disassemble the Main board bracket from the chassis.
Screw 5
• Slide out the Main board from its bracket as shown in Figure 48. Taking out Main board , below.
• Take out the Main board PCBA.
62
Screw 6
Figure 48. Taking out Main board PCBA
Note: Before assembling the Main board into the chassis, connect the cables to the Main board as shown
Figure 49. Main Board USB Cable, Figure 50. Main Board PC Cable, and Figure 51. Main Board Battery
Management Cable, all below.
The remaining cables of the Main board can be connected after the Main board is fixed to the chassis.
63
USB Cable
Figure 49. Main Board USB Cable
PC Connector
Figure 50. Main Board PC Cable
64
Battery
Management
Cable
Figure 51. Main Board Battery Management Cable
Note:
After replacing Main Board on CS20 and CS20P the serial number of the monitor must be manually
entered. This action is to be taken in order to ensure continuous detectability of the serial number.
Enter SERVICE DATA option on the SERVICE screen.
• Input the password ORIDION to work with these options.
• Enter SERIAL NUMBER menu.
• Manually insert Serial number copied from serial number label located on side panel of monitor.
5.14. DC-DC PCBA

Follow the steps explained in 5.2 Battery, 5.3 Rear Cover, 5.6 Connector Panel, 5.9 Front Panel and Main
Board before disassembling DC-DC PCBA.
• Disconnect all the connectors connected to the DC-DC PCBA.
• J1 of DC-DC - CN9 of Main Board
• J3 of DC-DC - JP1 of Battery PCBA
• J4 of DC-DC - CN1 of Inverter PCBA
• Remove 4 screws as shown in Figure 52. Screws for Disassembly of DC-DC PCBA from Chassis,
below, to disassemble DC-DC PCBA from the chassis.
• Slide out DC-DC from its bracket as shown in Figure 53. Taking Out DC-DC , below.
65
Screw 3
Screw 1 Screw 4
Screw 2
Figure 52. Screws for Disassembly of DC-DC PCBA from Chassis
Figure 53. Taking Out DC-DC PCBA
66
Caution: Before assembling the DC-DC PCBA please perform the following actions:
• Visual inspect it and verify that the DC-DC is not damaged or broken.
• Verify that the cables and the connectors which connect to the DC-DC are not damaged and their
insulation is not torn or missing.
• Insure there are no foreign objects on the DC-DC or near the power supply, such as loose screws
or solder which can cause a short on the power supply.
• When connecting the DC-DC connectors, verify the DC-DC cables routed carefully with no pinched
cables and there are no additional or missing washers.
Chapter 6. SERVICE SUPPORT
6.1. Service Support

The monitor provides the technician with on-screen menus to help service the unit. Upgrading the monitor
can also be done using this menu.
Enter the Service menu through SYSTEM SETUP screen by selecting the SERVICE option. To service the
unit:
Select SYSTEM option in the Home Page.
Select SERVICE option in the SYSTEM SETUP screen. The SERVICE ENTRY screen will be seen as
shown in Figure 54. CAPNOSTREAM™ monitor Service Screen, below.
Figure 54. CAPNOSTREAM™ monitor Service Screen
67
Note: the Service screen in the CAPNOSTREAM™ monitors P/N CS051COV does not include the address
email for assistance.
This screen displays information which includes total hours of use for the modules (CO 2 and SpO2), total
number of hours remaining until service and calibration is required (only CO2 module), serial number of
CO2 module, SpO2 module and monitor, and hardware revisions of CO2 module, SpO2 module, and
Monitor.
Other than HOME and ENTER PASSWORD, all the other options are disabled in this screen.
To enter the SERVICE screen, enter the password: SERVICE or SERV.
Entering Password as SERVICE will enable the following options: DEMO MODE, INST DEFAULTS,
SERVICE DATA, SOFTWARE SUPPORT and CO2 CAL.
Figure 55. Service Screen with Service Options Enabled
This allows access to:

DEMO MODE: This option is used to set the monitor to demonstration mode.
INST DEFAULTS: This option is used to set institutional default values for all settings.
SERVICE DATA: This option is used to do the following when entering the password ORIDION.
• To transfer data to a PC through the USB Port.
• To print data through the thermal printer.
68
To view the monitor serial number and hardware revision number and change them if required.
SOFTWARE SUPPORT: This option allows the user to
Enable monitor to directly communicate with the CO2 Module.
Download the monitor software.
CO2 CAL: This option is used to perform a CO2 calibration to the monitor.
6.2. Demo Mode

This allows the user to set the unit in demonstration mode. The DEMO MODE screen is shown in Figure
56. Demo Mode Screen - Nellcor™ SpO2, below.
Figure 56. Demo Mode Screen - Nellcor™ SpO2
Note: In CAPNOSTREAM™ monitors, printing is done only using the thermal printer.
69
6.3. Institutional Defaults
WARNING: Setting institutional default alarm limits to extreme high or low values will impair the
alarm system’s effectiveness.
Selecting the INST DEFAULTS option on the SERVICE screen brings up the INST DEFAULTS Screen.
This screen gives 6 soft-menu options: ALARM LIMITS, TREND, MONITOR, CO2, SPO2 and BACK, as
shown in Figure 57. Institutional Defaults Screen, below.
6.3.1.TO UPLOAD OR DOWNLOAD DEFAULTS:
1. For upload, insert a USB Flash Memory drive with at least 2 KB in free memory into the USB
port on CAPNOSTREAM™. For download, insert a USB Flash Memory drive with Institutional
Defaults previously loaded on it into the USB port on CAPNOSTREAM™.
2. Click the SYSTEM menu button to enter the main System screen.
3. Click the SERVICE menu button to enter the Service screen and input the Service password
(see CAPNOSTREAM™ Service Password on page 139).
4. Click the SOFTWARE SUPPORT menu button to enter the Software Support screen. The
Software Support screen can be seen in Figure 47 - Software Support Screen on page 121.
5. Click the UPLOAD DEFAULTS button to upload defaults to a USB Flash Memory drive from
CAPNOSTREAM™ or click the DOWNLOAD DEFAULTS button to download defaults from a
USB Flash Memory drive to CAPNOSTREAM™.
Downloading defaults will create a folder called settings on the USB Flash Memory drive, which will contain
files that can be used to upload defaults to another CAPNOSTREAM™ monitor. After uploading defaults,
the monitor will shut itself off; restart the monitor to resume operation.Note:On selecting RESET, trend will
be cleared.
Figure 57. Institutional Defaults Screen
Input the password ORIDION to work with these options.
70
6.4. Service Data
Figure 58. Service Data Password Screen
Selecting the SERVICE DATA option on the SERVICE screen brings up the SERVICE STATISTICS
Screen. This screen gives 3 soft-menu options: USB OUTPUT, PRINTER OUTPUT and SERIAL
NUMBER. The service data screen is as shown in Figure 58. Service Data Password Screen and Figure
59. Service Statistics Screen, above and below.
Input the password ORIDION to work with these options.
Figure 59. Service Statistics Screen
71
The SERVICE STATISTICS screen contains product data for factory use only.
In this screen selecting the “SERIAL NUMBER” brings up the unit’s serial number.
6.5. SPO2 Module Connected

By selecting the first option “SPO2 MODULE CONNECTED”, two options will appear: “NELLCOR™” or
“MASIMO™”, as shown in Figure 60. Serial Number Screen, below. Select the relevant option.
Figure 60. Serial Number Screen

If the message “SPO2 ERROR” is displayed, and the SpO2 function no longer works, the SpO2
type must be selected as follows
a. From HOME screen, press soft key SYSTEM then soft key SERVICE
b. Enter the password “SERVICE”
c. Press the soft key SERVICE DATA
d. Enter the password “SPO2”
e. Select the appropriate SpO2 type from the dropdown (Masimo™ or Nellcor™)
f. Press BACK until the HOME soft key appears, then press HOME.
72
6.6. Software Support
Figure 61. Software Support Screen
Selecting the SOFTWARE SUPPORT option on the SERVICE screen brings up the SOFTWARE
SUPPORT Screen. This screen gives 6 soft-menu options: CO2 DIRECT, MONITOR SOFTWARE,
DOWNLOAD DEFAULTS, UPLOAD DEFAULTS, SpO2 SOFTWARE, and BACK. The SOFTWARE
SUPPORT screen appears as shown in Figure 61. Software Support Screen, above.
The BACK button will take the user back to the SERVICE Screen.
73
6.7. CO2 Direct
Selecting the CO2 DIRECT option on the SOFTWARE SUPPORT screen brings up the CO 2 DIRECT
Screen. The CO2 DIRECT screen is as shown in Figure 62. CO2 Direct Screen, below. Selecting BACK
returns the user to the previous screen.
Figure 62. CO2 Direct Screen
Once the monitor enters CO2 mode it is the responsibility of the user to monitor its operation. The monitor
will not give any warning or error messages in CO2 mode. The user should SHUTDOWN the monitor once
the CO2 Direct Communication has ended, in order to return the monitor to normal operation.
Note: When CO2 Direct Communication is in progress, the user cannot navigate to any other screen.
After connecting the cable, if the user presses START, Direct Communication with the module is
established and the user can communicate with the module through the RS232 port. The screen displays
the message as shown in Figure 63. Direct Communication Message, below.
74
Figure 63. Direct Communication Message
Because normal operation is stopped in this mode, the monitor has no way of knowing if a MiniMediCO 2 or
MicroMediCO2 software download was completed properly. Thus it will not exit download mode if a
download aborted, or if corrupted software was downloaded, and it will not be able to respond to normal
commands from the monitor. After a shutdown and restart, if the monitor is unable to communicate with the
CO2 module, it displays a CO2 ERROR message, similar to any other MiniMediCO 2 or MicroMediCO2
modules malfunction.
75
6.8. Monitor Software Upgrade
The latest software version can be downloaded from the following link:
www.medtronic.com/PatientMonitoringSoftwareUpgrades
Figure 64. Monitor Software Upgrade Screen
Selecting the MONITOR SOFTWARE option on the SOFTWARE SUPPORT screen brings up the
MONITOR SOFTWARE Screen. The MONITOR SOFTWARE screen is as shown in Figure 64. Monitor
Software Upgrade Screen, above.
Selecting BACK returns the user to the previous screen.
Note:
The USB Flash Memory drive must be inserted with care in the USB port, without using excessive force. If
the Flash Memory drive cannot be inserted easily into the port, do not use the drive.
Insert a USB device on which the software upgrade was installed in the root folder and press START to
begin software download. Monitor software download will begin as shown in Figure 65. Monitor Software
Download Progress Screen, below.
After pressing START, if no USB device is found, an error message NO USB DEVICE FOUND appears in
the message area and the same screen continues to be displayed.
CAPNOSTREAM™ devices recognize flash memory drive devices manufactured by SanDisk, Lexar,
and PNY Technologies. The monitors will not recognize flash memory drives that have advanced
capabilities which require the installation of additional drivers, such as the SanDisk U3. The capacity
limit for a USB drive that can be used with CAPNOSTREAM™ devices is 8 GB.
76
Figure 65. Monitor Software Download Progress Screen
When Monitor Software Download is in progress, the user cannot navigate to any other screen. No menu
option appears. Once the software is downloaded successfully, the screen shows a message asking the
user to shut down and restart the monitor so that the new software becomes active.
The user must select the SHUTDOWN option at this time to shut down the monitor or switch OFF the
monitor from the ON/OFF button on the keyboard. When turned on again, the monitor will contain the new
software version.
6.8.1.Upgrade from a version earlier than3.0 to a version 3.0:
Folder UpgradetoV3 has requisites to upgrade a unit to software versions 3.0. UpgradetoV3 contains two
folders, firmware and upgrade.
Copy the two folders on a thumb drive.
Do an upgrade following steps (1) through (6) as in Type-I upgrade. Shut down the unit without removing
the thumb drive and switch it back on. Up to this point screenshots represented in Figure will appear, just
as in the standard upgrade procedure.
On restart, this time the unit will boot an application that will instruct the user to connect the thumb drive
and start firmware upgrade process as shown below in Figure 66. Monitor Software Update Progress
Screen.
77
Figure 66. Monitor Software Update Progress Screen
Press START UPDATE to do a firmware download. Shut the unit down after the firmware download has
completed. At this point, both the new boot loader and a version of V3.0 have been uploaded to the unit.
Note: Any software upgrade to a version higher than V3.0 from a version earlier than V3.0 has to undergo
an upgrade to V3.0 as explained in Type-II upgrade; and then an upgrade to a version higher than V3.0 as
explained in Type-I upgrade. Once V3.0 is already installed in the unit one should not try reloading V3.0 by
Type-II upgrade.
6.8.2.Upgrading CAPNOSTREAM™20 & 20P to software rev. 8.5 or higher version

CAPNOSTREAM™20 with software version of 4.5 or above can be upgraded to software version 8.5 or
newer version by following the procedure.
Note: There are features utilizing the hardware of the CAPNOSTREAM™20p, which do not work with the
older CAPNOSTREAM™20 hardware. The major feature in that category which is currently released are
the parameters of Apneas/hr and ODI (ASA). The monitor recognizes the hardware difference and will not
display settings associated with these features. There are features to be released in the future which also
are not available on CAPNOSTREAM™20 hardware.
• Important software updates version 4.5 to version 5.81

o add selectable alarm delay for EtCO2 High, RR High, SpO2 Low, PR High, PR Low
o new connectivity features via RS232 connection
o changes in default events
• Important software updates version 5.81 to version 7.8

o Japanese language screens
o FilterLine™ disconnected and SpO2 sensor disconnected become medium priority alarms
78
o Trend printout is full trend memory rather than just what is currently displayed on the
screen
o Parameter Standby Mode
• Important software updates version 7.8 to version 8.5:

o CAPNOSTREAM™ 20p monitor will display an "X" over the battery icon when no battery is
installed during monitor startup.
o Upper and lower alarm limits will now be displayed for etCO2, SpO2, and Integrated
Pulmonary Index™ algorithm (IPI).
6.8.3.Software Upgrade Procedure

Ensure that the CAPNOSTREAM™20 monitor has the following software version:
• V5.7A, V5.8, V5.81, V7.8, V8.5.
• 8.6 version has been validated to be upgraded only from this list of versions and no others.
Note: To ensure software compatibility turn the CAPNOSTREAM™20 monitor on and
observe the turn-on screen. If the CAPNOSTREAM™20 monitor has a software version
prior to 4.5, upgrade the software following procedure 6.8.1.
General directions for software upgrade
1. Software version 8.6 is intended for both CAPNOSTREAM™20P and CAPNOSTREAM™20
monitors with the software version mentioned above only.
2. Unzip the folder downloaded from Medtronic™ website. Copy the entire content of the zip file on to
your USB stick.
• Confirm folder named "firmware" is on the USB stick
• The folder must be in the root directory of the USB stick – not in any folder.
• This folder contains two files "checksum.md5" and "image.bin"
• DO NOT change the name of the folder
3. Turn on the CAPNOSTREAM™20P Monitor.
4. Insert the USB Stick with the firmware folder into the CAPNOSTREAM™20 or 20P monitor
5. Navigate to the "SERVICE" screen via the "SYSTEM" screen and enter the password "SERVICE".
6. Select "SOFTWARE SUPPORT -> MONITOR SOFTWARE and select "START"
7. Progress bar will indicate download status
8. After successful download, a message will be displayed to restart the device. Select
"SHUTDOWN"
• Follow standard CAPNOSTREAM™20/20P monitor software download procedure with software

version 8.5 software or newer.
Note: If the message “SPO2 ERROR” is displayed, and the SpO2 function no longer works, follow
Section 6.5, SpO2 Modules for appropriate SpO2 module selection.
Note2: If the CO2 software is lower than 2.50, IPI is not supported. In that case, remove the empty
IPI block from the monitor screens as follows
i. Enter the password “SERVICE”

ii. Press Soft key INST DEFAULTS
iii. Press soft key MONITOR
iv. Set IPI Display to DISABLED using the dropdown menu
v. Press the BACK soft key until at the main service screen and then the HOME soft
key.
79
6.9. CAPNOSTREAM™20P 3rd edition
information
A several updates have been added to the CAPNOSTREAM™20P monitor S/W version and the monitor’s
labels.
The 3rd edition monitors shall be recognized by the following combination:
• Software version 8.5 or newer.

• New Back Panel labels colored in the same color as the monitor.
• New Side Panel label.
Oridion branded product:
New CAPNOSTREAM™20P Monitor Back Panel Label New Patent Label New Side
Covidien Branded Product:
New CAPNOSTREAM™20P Monitor Back Panel Label New Patent Label
The 3rd edition software updates include the following:

a. Audio Alarm Volume OFF functionality.
b. USB File Size Download limits.
c. Alarm Storage and Trend availability.
d. Return to Home screen/operating mode functionality.
e. Unit for Pulse Rate now displayed.
f. Demo Mode indication on main screen added for better visualization.
g. Global Alarm Off icon display.
h. SpO2 Signal Inadequacy icon.
i. Battery Status indication.
j. Upper and Lower Alarm Limits display added.
k. Improved, color-coded Integrated Pulmonary Index status visualization.
80
In case further documentation is required:
a. Newest revision of the Oridion™ branded CAPNOSTREAM™20P operator’s manual P/N

012194.
b. Newest revision of the Covidien™ Branded CAPNOSTREAM™20P Middle East manual P/N
PT00016030
c. CAPNOSTREAM™20P SW Updates FAQ, see
www.medtronic.com/PatientMonitoringSoftwareUpgrades
6.10. Download and Upload Defaults

Note: The USB Flash Memory drive must be inserted with care in the USB port, without using excessive
force. If the Flash Memory drive cannot be inserted easily into the port, do not use the drive.
Click the UPLOAD DEFAULTS button to upload defaults from a USB Flash Memory drive onto
CAPNOSTREAM™ monitor or click the DOWNLOAD DEFAULTS button to download defaults to a USB
Flash Memory drive from CAPNOSTREAM™ monitor. Downloading defaults will create a folder called
settings on the USB Flash Memory drive, which will contain files that can be used to upload defaults to
another CAPNOSTREAM™ device. After uploading defaults, the monitor will shut itself off; restart the
monitor to resume operation.
81
6.11. CO2 CAL
Selecting CO2 CAL on the SERVICE screen brings up the CO2 CALIBRATION Screen as shown in Figure
67. CO2 Calibration Main Screen, below.
This screen displays the hours before next calibration is due and date & time of last calibration. If either of
these is overdue, it displays the corresponding message. This screen gives three soft menu options: CAL,
CAL CHECK and BACK.
Figure 67. CO2 Calibration Main Screen
6.12. CAL
Selecting the CAL option on the CO2 CAL screen brings the Calibration Screen as shown in Figure 68.
Calibration Date Verification Screen, below. This screen allows the user to verify date. If the date is not
accurate, it displays the relevant message at the center of the screen as shown in Figure 68. Calibration
Date Verification Screen, below.
82
Figure 68. Calibration Date Verification Screen
Selecting the CONTINUE option on the CALIBRATION: DATE VERIFICATION screen brings the CO2
Calibration Procedure Screen as shown in Figure 69. First Screen of Calibration Procedure, below.
Figure 69. First Screen of Calibration Procedure
This screen takes the user/technician/service personnel through various steps of calibration as follows:
• Connect FilterLine™ to Monitor
83
• Connect 5% CO2 21% O2, Balance N2 Calibration Gas
• Open gas supply from cylinder
• Not Ready to Calibrate (if CO2 Module is still warming up)
• Calibration in Process
• Calculating Results, Gas supply may be closed.
• Calibration Successful, Next Calibration Date is XX/XX/XX
• Disconnect Calibration Gas and FilterLine™
6.13. CAL Check

Selecting CAL CHECK on the CO2 CAL screen brings the Calibration Check screen as shown in Figure 70.
First Screen of CO2 Calibration Check Procedure, below.
Figure 70. First Screen of CO2 Calibration Check Procedure
When a calibration check is done, the internal calibration table is not updated, but the monitor tells the user
whether measured CO2 is within specifications or not, and whether calibration is recommended.
The Calibration check is done in the following steps:
• Connect FilterLine™ to Monitor
• Connect 5% CO2 21% O2, Balance N2 Calibration Gas
• Open gas supply from cylinder
• Not Ready to Calibrate (if CO2 Module is still warming up)
• Calibration Check in Process
• The Calibration Check takes place at this point
• Calculating Results, Gas supply may be closed
• Disconnect Calibration Gas and FilterLine™
84
• Calibration Check Complete
• Measured CO2 XXXXX; Accuracy specification for a 5% gas is 4.7-5.3%
6.14. Printer Installation

Remove the plastic piece that covers the printer slot on the rear panel of the unit as shown in Figure 71.
Plastic Piece Covering Printer Slot, below.
Printer Slot
Figure 71. Plastic Piece Covering Printer Slot
Plug the printer cable to the Main board and slide in the rear panel. The other end of the cable is to be
connected to the printer as shown in Figure 72. Printer Connector Cable, below.
85
Figure 72. Printer Connector Cable
Align the thermal printer into the printer slot and fix till it clicks into place as shown in
Figure 73. Positioning Printer and Figure 74. Printer Positioning Check, below.
Printer
connector
Printer
Printer Cable
Figure 73. Positioning Printer
86
Figure 74. Printer Positioning Check
To confirm if the thermal printer is installed properly, open up the paper roll cover and check if the printer is
clicked into position.
Once the printer is installed, the printer option on the Home Screen will be enabled.
87
Chapter 7. PERFORMANCE TESTS
Every unit which returns for service needs to pass all the tests below.
In order to complete the following tests, please fill in the operational test result sheet on page 92 according
the next tests results.
7.1. Visual Inspection

Check that there are no cracks or breaks in the plastic covers of the monitor.
7.2. Leak test

Plugged
CO2
Digital
Pump
Manometer Exhaust
Connector
Figure 75. Leak Test
• Make sure the monitor is turned off

• Switch ON the Digital Manometer.
• Set the Manometer to mbar.
• Block the CO2 inlet line as seen in the picture above.
• Connect the digital pump to the exhaust connector.
• Press the Digital Pump, until the Manometer reads 350 mbar (± 20mbar).
• Wait for 1 min for stabilization.
• Start the stopwatch and record manometer reading (V1).
• At the end of one minute, record the manometer reading (V2).
Pass Criteria: (V1 –V2) ≤ 250 mbar
88
7.3. Flow rate test
Mass Flow
Meter
Filter
CO2 sample inlet

connector
Figure 76. Flow Rate Test Diagram
Equipment and material required include:

• Test sample line
• Mass flow meter (manufacture: OMEGA)
Note: Make sure that filter is connected to the inlet of the mass flow meter
Note: For cold start of the Mass flow meter, allow 15 min before taking the reading. This is required to
warm up the mass flow meter
• Make the connections as shown in Figure 76. Flow Rate Test Diagram, above.
• Switch ON the monitor using the front panel button.
• Allow the Mass Flow Meter reading to reach a steady value.
• Record the reading shown by the mass flow meter. This value indicates mass measured in ml/min.
Acceptance criteria are: 42-57 ml/min.
89
7.4. Buttons and trim knob check
• Press the button and verify that “detailed event” screen is shown.
• Press the button and verify that “ADMIT/DISCHARGE” screen is shown.
• Press the button and verify that “PUMP OFF MODE” screen is shown. To return back to the
home screen press the button again.
• Press the button and verify that the bell on the upper right side of the display is covered with
a red X sign, and the sound is muted.
• Spin the trim knob to the right and to the left and verify that the blue frame moves according to the
trim knob movement.
• Press on the trim knob to verify the enter option is functioning.
7.5. SpO2 functional tests

7.5.1. Nellcor™ units
• Connect the SRC-MAX to the SpO2 connector with an extension cable.
• Use the table below to verify the SpO2 saturation and pulse values which appears on the display
are in tolerance.
• Disconnect the SRC-MAX from the unit and observe that the error message “SpO2 SENSOR
DISCONNECTED” appears.
Inspected parameter Tolerance

Saturation Pulse
SpO2 Saturation 75% & 200bpm 73% – 77% 197 – 203 bpm
SpO2 Saturation 90% & 200bpm 88 – 92% 197 – 203 bpm
SpO2 Saturation 90% & 60bpm 88 – 92 % 57 – 63 bpm
SpO2 Saturation 75% & 60bpm 73 – 77% 57 – 63 bpm
7.5.2. Masimo™ units

• Connect finger clip sensor to SpO2 connector.
• Check that reasonable SpO2 and PR values appear on display.
• Disconnect the SpO2 sensor from the Unit, observe that the error message “SENSOR
DISCONNECTED” appears.
90
7.6. Battery operation test
NOTE: Test the battery pack only if the unit is over 3 years old or if the customer reported that the battery is
not operating according to spec.
Battery
Connection
Socket
Battery Cable
Figure 77. Battery Location

• When the unit is off, make sure that the battery is in place and the plug is connected.
• Charge the battery by connecting the AC plug, and turning on the AC switch (if applicable).
• After 12 hours of charging, turn off the AC switch (if applicable), and detach the AC plug.
• Turn on the CAPNOSTREAM™ monitor, connect a FilterLine™ and check that the unit still works
after 2.5 hours. If the unit does not work for at least 2.5 hours on battery power, replace the battery.
Note: Must charge the battery pack every 3 months for proper operation.
Note2: Before air shipping the CAPNOSTREAM™ monitor with its battery/ battery pack spare part, the
To test the battery, follow section 268888339.45.17984184. on page 37.
7.7. CO2 test

The monitor displays the Calibration and Service related information on the Turn-on Screen, Service Home
Screen and Cal Screen.
The screens display the Remaining Hours to Calibration and indicate a Calibration Overdue condition to the
user. The CO2 Calibration screen recommends a date by which Calibration must be done, irrespective of
the hours of usage.
On the Home Screen, a Silent Advisory message CALIBRATION REQUIRED is shown if CO2 calibration is
overdue.
The module is calibrated and the calibration check is done using the CO 2 Cal Menu on the Service Screen.
The Service Screen displays the CO2 Hours Remaining before Service and CO2 Hours Remaining before
Calibration. The monitor takes the user through various steps of calibration. The CO 2 Cal screen gives the
user two options: Calibration or Calibration Check. It also gives the user information on the Date and Time
of Last Calibration and Hours before next calibration is due.
The Calibration sequence includes an Auto Zero, measurement of externally supplied gas, and updating
91
the internal calibration table. In the calibration mode the module and Main board handshake to optimize the
calibration process. When a calibration check is done, the internal calibration table is not updated, but the
monitor tells the user whether CO2 measured is within specifications or not and whether calibration is
recommended.
7.7.1. CO2 calibration check

Connect a FilterLine™ to the device as shown in Figure 78. FilterLine™ connection, below.
Use the Breath Simulator and ensure that the unit displays the waveform, EtCO2 and RR.
Note: Keep the Breath Simulator OFF during the entire test.
Breath
5% gas bottle
simulator
FilterLine
™
connected
Figure 78. FilterLine™ connection

Select SYSTEM>CAL CHECK>START and you will get the screen shown below. Follow the onscreen
instructions.
92
Figure 79. CO2 Calibration Procedure
When a calibration check is done, the internal calibration table is not updated, but the monitor tells the user
whether measured CO2 is within specifications or not (that is, between 4.7%-5.3%), and whether calibration
is recommended.
If a calibration is recommended, follow the CO2 Calibration procedure.
7.8. Calibration Procedure for CO2 Module

Connect the CAPNOSTREAM™ monitor CO2 inlet and CO2 calibration gas cylinder as shown in Figure 80.
Calibration Procedure Photo, below.
Figure 80. Calibration Procedure Photo
93
Follow the CO2 calibration procedure described below:
• Select SYSYTEM>SERVICE>Enter Password and enter the password “SERV” by rotating the
knob to the relevant letter and pressing on the knob.
• Select CO2 CAL>CAL and Follow the onscreen instructions.
Note: The CO2 calibration is not ready if the CO2 module is still warming up.
The calibration is done when the message “Calibration Successful, Next Calibration Date is XX/XX/XX”
will appear.
7.9. Calibration Interval

The initial calibration needs to be done after 1200 hours of use of the module. Subsequent calibration
should be performed annually or at 4000 operating hours, whichever comes first. Calibration is done when
the Patient Monitor is shipped from the factory.
7.10. Calibration Kit

Calibration should be performed by qualified personnel.
The calibration must be performed with a manufacturer-approved calibration kit.
A manufacturer approved Calibration Kit can be purchased from Air Liquide (Scott Medical). Its part
number is T4653ORF-2BD and it consists of:
• Calibration Gas containing 5% CO2, 21% O2, Bal N2
• Tubing Adapter ("T" Piece)
• Calibration Line (Short Calibration FilterLine™)
If your facility stocks the appropriate gas mix (5% CO2, 21% O2, Balance N2) or you would like to purchase
the gas canister from a local distributor, a calibration tubing kit can be ordered from Oridion. This kit (no.
RS09251) contains all you need for proper calibration of the Microstream™ etCO2 module but does not
include the gas canister.
7.11. Calibration Failures

When any of the following failures occurs, the module will abort calibration.
The error messages that may be displayed on the main screen are:
• Calibration Failed: FilterLine™ not Connected
• Calibration Failed: No gas, wrong gas concentration, or unstable gas
• Calibration Failed: Measurement Error; Check all connections and try again
• Calibration Failed: Calibration aborted by user
• Calibration Failed: CO2 Module Internal Self-Test Failed
The STOP button will be replaced by START after the calibration ends, whether or not it ended
successfully. The BACK button will take the user back to the CO 2 calibration section.
7.12. Printer Check (If Applicable)

• Keep the printer feed button pressed while turning on the CAPNOSTREAM™ monitor until the
printing starts.
94
• Verify all the letters and symbols are clean and clear.
7.13. Nurse Call Check

• Connect the Nurse Call cable (part number 011157) to the Nurse Call input.
• Connect the two Nurse Call cable probes to the Multimeter.
• Turn on the Multimeter in the diode mode.
• Turn on the CAPNOSTREAM™ monitor and choose the soft button SYSTEM to reach System
Setup.
• Enable the Nurse Call option.
• Return to the home screen.
• Use a CO2 gas canister or breathe into the FilterLine™ so a waveform is shown. Once a waveform
is shown, stop supplying CO2 so a “no breath alarm” will occur.
• Wait 30 seconds until the alarm starts. Once the alarm starts the Multimeter should start beeping.
7.14. D/A Check

• Turn on the Multimeter on the DC voltage measurement mode.
• Turn on the CAPNOSTREAM™ monitor and choose the soft button SYSTEM to reach System
Setup.
• Choose “D/A mode”, and set all the channels to high.
• Check every pin of the Analog connector according to section 3.9.1. Analog Output. For each pin
check for the following results:
• The CAL HIGH voltage readings should be between 0.95v-1.05v (DC).
• The CAL LOW voltage readings should be between 0.00v- 0.08v (DC).
• In the end of the D/A check choose the “D/A CAL RESET” option.
7.15. USB Check

• Turn on the CAPNOSTREAM™ monitor.
• Insert USB flash drive into the USB connector.
Note: The USB Flash Memory drive must be inserted with care in the USB port, without using
excessive force. If the Flash Memory drive cannot be inserted easily into the port, do not use the drive.
• Observe that the symbol is shown on the upper right side of the CAPNOSTREAM™ monitor
screen.
7.16. RS232 Check

• Connect RS232 tester to the unit’s RS232 port, or connect the unit to a PC using the RS232 port.
• Select SYSYTEM>SERVICE>Enter Password and enter the password “SERV” by rotating the
knob to the relevant letter and pressing on the knob.
• Select SOFTWARE SUPPORT>CO2 DIRECT>START.
Note: Use any RS232 tester to verify that the RS232 port communicates or refer to “DATA TRANSFER
PROTOCOLS FOR CAPNOSTREAM™20 AND CAPNOSTREAM™20P” document on the Operator’s
Manual CD (P/N 015124) to set your own communication protocol.
95
7.17. Safety Test Procedure
Perform a safety test procedure according to the international standard UL60601-1.
Use document number Q007370 for specific information on how to connect and set up the test.
See the acceptance criteria for every safety test:
Test Name High Limit Ramp Time Test Time Fall Time Test Voltage/Power
Ground Bond 100mΩ - 10 Sec - 25A
Earth Leakage Current 300µA - 60 Sec - Voltage
Applied Part Leakage Current 100µA - 60 Sec - Voltage
Enclosure Leakage 100µA - 60 Sec - Voltage
If you cannot duplicate the set up for the tests in Q007370 on your equipment contact the support e-mail
below: CapnographyTechnicalSupport@medtronic.com
96
Operational Test Result Sheet
Fill out the Operation Test Result Sheet below for each monitor.
Save this quality document with the relevant service call according to your service procedure.
RGA / Job
number
Model Serial Software

Number Version
Performance, Operation, and Functional Test Results
Item Results Remarks
System Performance Test Pass / Fail
Visual Inspection for the Carrying Handle

(according to section 5.3.1. Carrying Handle)
Visual Inspection
Leak Test (V1 –V2 ≤ 250 mbar)

___________mbar
Flow Test (42 ml/min - 57 ml/min) _______ml/min
Buttons and trim knob check
SpO2 functional tests
Battery operation
CO2 calibration test.

Measured CO2 (4.7-5.3%) ________________%
Printer check (If Applicable)
Nurse call check
D/A Check
USB Check
RS232 Check
Safety Test Procedure
Comments
TESTS PERFORMED BY: SIGNATURE and DATE:
97
Chapter 8. Troubleshooting And Maintenance
This chapter covers basic diagnostic and troubleshooting procedures which may be required if the system
does not operate properly.
Note: The system should be repaired through subassembly replacements.
8.1. Error Codes
Error Description Corrective Action
CO2 Error Failure has occurred which prohibits the CO2 module is not working, as explained
operation of the CO2 function. in 8.3. CO2 module not working on page
93.
SpO2 Error Failure has occurred which prohibits the SpO2 module is not working, as explained
operation of the SpO2 function. in 8.4. SpO2 module not working on page
95.
FilterLine™ • FilterLine™ is twisted or clogged. • Disconnect and reconnect the

FilterLine™ or replace with a new
Blockage The message appears after 30 seconds of
FilterLine™.
unsuccessful clearing of the FilterLine™.
• Check the airway adapter and, if
• FilterLine™ airway connection is
necessary, replace the FilterLine™.
clogged.
Clearing FilterLine™ kinked or clogged with water. Change FilterLine™

FilterLine™ Appears during clearing time until the
FilterLine™ is either unclogged or the
condition changes to FilterLine™
Blockage.
Invalid Module Failure occurs if either of the Connect the modules and secure the
connections of the cables.
Combination modules is not connected properly
Shutting Down
USB Time out USB communication has timed out.
Calibration Shown if CO2 calibration is overdue. Send for Service

Required
Maintenance Shown if CO2 maintenance is overdue. Send for Service

Required
98
8.2. Unit not working
99
100
8.3. CO2 module not working
101
102
8.4. SPO2 module not working
103
8.5. No Display*
104
8.6. Preventive Maintenance
Periodic maintenance is recommended according to operating hours:
• The CO2 board in the CAPNOSTREAM™20 monitor should be replaced and sent back to the
manufacturer every 20,000 operating hours and in the CAPNOSTREAM™20p monitor every
30,000 operation hours.
• A CO2 calibration should be performed after the initial 1,200 operating hours of use or one calendar
year (whichever comes first), and following that calibration once a year or every 4,000 operating
hours, whichever comes first.
• The monitor’s remaining number of hours for calibration / maintenance is displayed each time the
unit is powered on. This can also be viewed in the Service Screen.
• Must charge the battery pack every 3 months for proper operation. Although, battery back-up time
of the Li-ion battery may degrade over a period of time. To avoid degradation of battery capacity, it
is recommended that the battery pack be replaced every two years.
Note: Before air shipping the CAPNOSTREAM™ monitor with its battery/ battery pack spare part, the
To test the battery, follow section on page 37.
105
Chapter 9. Spare Parts/ Accessories List
Note:
Some CAPNOSTREAM™20, CAPNOSTREAM™20P, RoHS and non-RoHS sub-
assemblies are not interchangeable. See appropriate Part Number and
assembly.
* CAPNOSTREAM™20 CSXXXXX
CAPNOSTREAM™20P CSXXXXX-01
CAPNOSTREAM™20P RoHS CSXXXXX-02
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20
RoHS (CSXXXXX-02)
(CSXXXXX-01)
(CS051COV)
Middle East
Part Picture Part number Contains
1 PCBAs
A Nellcor™ Includes SpO2 board, panel to

SpO2 kit module cable, module to Main
board cable & screws; excludes
CS08868 DOC 10 extension cable & sensor
kit.
Nellcor™ Includes SpO2 board, and two

SpO2 board screws.
016399_RMS1
Masimo™ Includes SpO2 board, panel to

MS-11 module cable, module to Main
board cable & screws; excludes
012364 LNCS-PATIENT CABLE-LNC-10
(extension cable) & sensor kit.
106
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20
RoHS (CSXXXXX-02)
(CSXXXXX-01)
(CS051COV)
Middle East
B DC-DC power 010530 Includes DC-DC board &

supply mounting screws; excludes
mounting bracket.
015761_RMS1
016394_RMS1
C AC-DC power 010527 Includes AC-DC board &

supply mounting screws, excludes
mounting bracket.
015762_RMS1
016393_RMS1
D Main board Nellcor™: Includes Main board & mounting

012354_RMS1 screws. For
CAPNOSTREAM™20p
Masimo™: mainboard,
012355_RMS1 In order to choose between
Nellcor™ or Masimo™, the
selection can be made in the
service menu.
016392_RMS1
E Two brackets Includes two brackets.

for the CS20p
*Note: Used in
main board
CAPNOSTREAM™20p only.
RS09355
F MiniMediCO2 Includes MiniMediCO2 Board.

*Note: For CAPNOSTREAM™20
only
RS08664
107
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20
RoHS (CSXXXXX-02)
(CSXXXXX-01)
(CS051COV)
Middle East
G MicroMediCO Includes MicroMediCO2 Board.

2
*Note: For
CAPNOSTREAM™20P only
RS09200
2 Front Panel Assembly
A TFT Display Includes TFT display with

mounting screws; excludes
bracket.
010536
LED Display Includes LED display with

mounting screws; excludes
bracket.
SP0163938
B TFT Display Includes display cable.

cable
010537
C Inverter Includes inverter PCBA with

PCBA protective sheet & mounting
screws.
010529
108
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20
RoHS (CSXXXXX-02)
(CSXXXXX-01)
(CS051COV)
Middle East
D Front panel Nellcor™: Includes screen-printed front

with keyboard 013245_RMS1 panel including the logo label,
(incl. cable) & acrylic filter, keyboard, keyboard
acrylic filter Masimo™: cable, spacers and the mounting
013246 screws.
015765_RMS1
CS08869
SP13245COV
E Optical Includes encoder, plastic knob

Encoder with with mounting nut.
cable
010521 *Note: This does not include the
plastic encoder knob.
F Knob for Includes plastic knob covering

Optical optical Encoder.
Encoder
010533
G Acrylic Filter Includes protective acrylic sheet

covering display with adhesive
backing on edges.
010534
Service kit for LED display (for Caponstream20P only)
H Service kit for Includes TFT display with

LED display mounting screws; excludes
bracket.
CS08869
109
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20
RoHS (CSXXXXX-02)
(CSXXXXX-01)
(CS051COV)
Middle East
3 Back Panel Assembly
A Back Panel Includes back housing including

with labels, SP017567 rubber feet, patent label and
handle, manufacturer label.
handle
holder, grip,
battery door, SP10519COV
stand offs.
B Back Panel Includes back housing including

with labels, rubber feet, patent label and
handle, manufacturer label.
handle SP015768
Note: The back Panel does not
holder, grip,
include the Printer’s cover.
battery door,
stand offs.
C Printer Cover Includes the Printer Cover for the

Back Panel.
SP0143669
D Carrying Includes handle, grip and holder

handle with along with mounting screws and
rubber grip & an RTV glue tube.
holder 010518
The RTV glue can be purchased separately in order to glue the inspected Carrying Handle
RTV Glue For Reference Only Includes an RTV glue tube.
SP010500
110
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20
RoHS (CSXXXXX-02)
(CSXXXXX-01)
(CS051COV)
Middle East
E Battery Door Includes battery door with plastic

hinge, having adhesive on one
side.
010512
F Stand Off Set Includes set of 4 rubber feet.

(x4)
010511
4 Printer Assembly
A For Includes thermal printer.

CAPNOSTRE
*Note: This does not come with
AM™20
the Printer cable. The cable is
monitor only 010515
sold separately.
For
CAPNOSTRE
AM™20P
monitor only 014366
B Printer Cable Includes thermal printer cable.
010514_RMS1
111
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20
RoHS (CSXXXXX-02)
(CSXXXXX-01)
(CS051COV)
Middle East
C Paper Rolls Includes set of 6 rolls.

(x6) 010516_RMS1
101516COV
5 Miscellaneous Items
A Nellcor™ Includes SpO2 flex cable and

SpO2 flex screws.
cable
016398_RMS1 Note: compatible for Nellcor™
units only.
B USB Cable Includes Main board to panel USB

cable/ connector including
mounting screws.
010525
C Mains Inlet Filter
Old version Includes mains input filter and

mounting Screws and two fuses.
010542 appears on earlier
010542_RMS1 versions of the device. When
replacing, use 015234.
New version Includes mains input filter and

mounting Screws and two fuses.
015234
112
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20
RoHS (CSXXXXX-02)
(CSXXXXX-01)
(CS051COV)
Middle East
D Mains Power Includes power cord.

Cord – USA
014256_RMS1
E Mains Power Includes power cord.

Cord –
European
014255_RMS1
F Fuse (3.15A. Includes two fuses.

250V) – Type
F (Fast Blow)
010543
G Capnostream Includes one battery.

™20P Monitor BP01000
Battery Pack
SP16400COV
H Battery Knob Includes knob that hold battery in

place & mounting screw.
010539
I PE point for Includes one PE point.

equalization
point
012365
113
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20
RoHS (CSXXXXX-02)
(CSXXXXX-01)
(CS051COV)
Middle East
J Set of Screws Includes set of 20 screws required

to attach sub-assemblies to the
monitor’s chassis
010513
K Service Includes Service Manual.

Manual
010532
L Operator’s Manual
Nellcor™ Includes Operator’s Manual.
010461_RMS1
Masimo™ Includes Operator’s Manual.
010736
M Operator’s Manual CD for CS20 and CS20P
Nellcor™ Includes CD of Operator’s

Manual.
010602
114
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20
RoHS (CSXXXXX-02)
(CSXXXXX-01)
(CS051COV)
Middle East
Masimo™ Includes CD of Operator’s

Manual.
010827
N Operator’s Includes Operator’s Manual.

Manual for
CS20p -
Nellcor™ 012194
O Operator’s Includes CD of Operator’s

Manual CD Manual.
for CS20p
Nellcor™ 015124_RMS1
P Operator’s Includes Operator’s Manual.

Manual for
CS20p for the
Middle East PT00016030
(monitor P/N
CS051COV)
Q MAXPACI Includes adult SpO2 sensor,

pediatric SpO2 sensor, infant
SpO2 sensor and neonatal-adult
008896 SpO2 sensor
R Cable Set Includes entire set of cables used

CS08675 in unit excluding keyboard cable.
CS08864
115
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20P
CAPNOSTREAM™20
RoHS (CSXXXXX-02)
(CSXXXXX-01)
(CS051COV)
Middle East
S Nurse Call Includes a Nurse Call Cable,

cable for 016402 plastic cover for the nurse call
CAPNOSTRE cable socket and screws.
AM™20P
For CS20 the nurse call &
monitor
Speaker are part of single cable
016446_RMS1 form. For spares you need to pick
it from Cable form kit,
Spare part no.:CS08675
T Speaker Includes a Speaker Call Cable,

Cable for 016403 plastic cover for the speaker
CAPNOSTRE socket and screws.
AM™20P
For CS20 the nurse call &
monitor
Speaker are part of single cable
016447_RMS1 form. For spares you need to pick
it from Cable form kit,
Spare part no.:CS08675
U Side Panel Includes connector panel with

label, CO2 lever & spring, CO2
Assembly
exhaust, and mounting screws.
CS08677
V SpO2 Extension cable
Nellcor™ Includes SpO2 extension cable.

(DOC10
Extension
Cable) 010541
Masimo™ Includes SpO2 extension cable.
010720_RMS1
116
Includes cable for Nurse Call
Contains
check.
CAPNOSTREAM™20P
Middle East
(CS051COV)
CAPNOSTREAM™20P
RoHS (CSXXXXX-02)
CAPNOSTREAM™20P
(CSXXXXX-01)
CAPNOSTREAM™20
Part number
011149
Picture
W Nurse Call
Part
117
cable

Service Manual - 010611 - RMS1P00

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Service Manual - 010611 - RMS1P00

Uploaded by

Copyright:

Available Formats

CAPNOSTREAM™20 and 20P SERVICE

PN: 010611_RMS1, Rev. P

MEDICAL DEVICE USER MANUAL DISCLAIMER

© Copyright Oridion Medical 1987 Ltd. 2018

The following conventions are used in this manual:

Contact for any document related information:

Contact for any service related information: CapnographyTechnicalSupport@medtronic.com

1.2. About the System

1.3. System Software

2.1. Electrical Safety

2.1.2. Caution Notes

2.3. Cleaning and Disinfection

2.3.1. Caution Notes

2.4. Electro-static Discharge (ESD) Protection

2.4.1. ESD Protection Materials

3.1.1. Main Board

3.1.2. CO2 Module

3.1.3. SpO2 Module

3.1.4. Power Supply

3.1.5. Display Unit

OxiMax MAX-A Sensor OxiMax MAX-N Sensor

Nellcor™ Extension Cable, P/N: 010541

LNCS Adtx LNCS Pdtx

Masimo™ Extension Cable, P/N: 011150

Figure 1. CAPNOSTREAM™ Monitor, front view

Label Name Description Label Name Description

1 Monitor power Button switch 7 Temporary Temporarily disables

2 AC power Orange light 8 Red alarm Indicator that flashes

3 Monitor power Green light 9 Yellow alarm Indicator that lights or

4 Event button Starts the process of 10 Control Rotary knob used to

Right View (when looking at the back side of the unit)

Figure 2. CAPNOSTREAM™ Monitor, right view

NO. DESCRIPTION FUNCTION

1. FilterLine™ Input To connect FilterLine™ to the monitor.

2. CO2 Outlet (can be connected to a

3. SPO2 To connect SPO2 sensor to the monitor

4. Battery Housing To replace the battery pack

Figure 3. CAPNOSTREAM™ Monitor, left view

NO. DESCRIPTION FUNCTION

1. Printer (If applicable) Thermal Printer for real-time recording

2. Feed button Feeds paper to the printer.

3. Error LED This LED indicates a malfunction.

4. Power LED This LED indicates that the printer is

Figure 4. CAPNOSTREAM™ Monitor, rear view 7

The table below describes the functions of the rear-monitor connections.

Label Function Description Label Function Description

2 Mains plug Connection for AC 7 Equipotential For external

3 USB port For flash memory 8 Manufacturer

4 RS-232 9 pin female D type 9 Carrying handle

5 Nurse Call Port used for 10 Power Cord

Alarms Adjustable Alarm Limits

High Priority Patient Warning Flashing Red LED

Patient Caution Alarms Flashing Yellow LED

Medium Priority Alarm Lit Yellow LED

Advisories Beep once

Silent Advisories Advisory Indication on Screen

Alarm Volume Control 5 steps

Temporary Alarm Silence All audible alarms silenced for 2 minutes

SpO2 Measurement Range 0-100%

Adult and Pediatric Modes

SpO2 range 70% - 100%  2 digits

SpO2 range 0 - 69% Unspecified

SpO2 range 70% - 100%  3 digits