VITRO Service Manual

Service Manual

VITRO
Tabletop Vital Signs Monitor
with Pulse Oximeter and NIBP

NIBP

SpO2

08100302TL

medlab
Version: 2.2

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VITRO Service Manual

If you have any questions about this product, please ask your
supplier or contact us directly:

Medlab GmbH
support@medlab.eu
www.medlab.eu

Service Manual VITRO, Version 2.2

27.09.2021 Copyright Medlab 2008-2021
„PEARL“, „NIBScan“ and „Oxiflex“ are registered trademarks of Medlab GmbH
91700

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 VITRO Service Manual

Content
Introduction
About this Manual 4
Proprietary Notice 4
Limited Warranty 4
Service Support 5
Warnings, Cautions and Notes 5
Operator’s Maintenance
Batteries 12
Reusable Probes 12
Cleaning the Oximeter 13
Long Term Storage 13

Operator’s Troubleshooting Chart

Troubleshooting 14
Service Maintenance and Repair
General Description 15
Bottom PCB 16
- Power Supplies 16
- On/Off Control 16
- Battery charging and protection circuitry 16
- Audio Amplifier 17
- Miscellaneous / Connectors 17
CPU/Display module 18
- Front PCB 18
SpO2-module 19
NIBP-module 19
Leakage Test and Manometer Mode 20
Opening/Disassembling the device
Opening the housing 21
Disassembling 22
Batteries 23
Appendix A
Spare Parts 25
Bottom PCB, Part Placement 27
Bottom PCB, Connectors 28
CPU PCB, Part Placement 29
CPU PCB, Connectors 30
NIBP PCB, Part Placement and Connectors 31
SpO2 PCB, Part Placement and Connectors 32

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Introduction

About this Manual

This manual contains warnings and cautions, voltage and waveform
test points, parts lists and PCB graphics. It is intended for persons
trained in service maintenance and repair of modern medical equip-
ment. Thorough knowledge of this equipment’s operation is required
before attempting to repair this instrument. For operating details,
please refer to the operating manual delivered with each instrument.

Proprietary Notice
Information contained in this manual is copyrighted by Medlab
GmbH and may not be duplicated in full or part by any person
without prior written approval by Medlab. Its purpose is to provide
the user with adequate detailed documentation to efficiently install,
operate, maintain and order spare parts for the device supplied.
Every effort has been made to keep the information contained in this
document current and accurate as of the date of publication or revi-
sion. However, no guarantee is given or implied that the document is
free of error or that it is accurate regarding any specification.

Limited Warranty
Medlab warrants each new device and reusable sensor to be free
from defects in workmanship and materials under normal use and
service for a period of two years from the date of shipment. Medlab’s
sole obligation under this warranty will be to repair or replace, at its
option, products that prove to be defective during the warranty peri-
od. The foregoing shall be the sole warranty remedy. Except as set
forth herein, the seller makes no warranties, either expressed or im-
plied, including the implied warranties of merchantability and fitness
for a particular purpose. No warranty is provided if the products are
modified without the express written consent of Medlab, and sellers
shall not be liable in any event for incidental or consequential dama-
ge. This warranty is not assignable.

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Important Information

Service Support
Repairs of Medlab’s devices under warranty must be made at
authorized repair centers. If the device needs repair, contact
Medlab’s service department to request a customer service report
number. When calling, have the device‘s model and serial number
ready and give a description of the problem you are facing with
the unit. If you need to ship the device, pack the instrument and
accessories carefully to prevent shipping damage. All accessories
should accompany the device.

Warnings, Cautions and Notes

Explanation

WARNING: potential danger of injuring the patient or the operator.

CAUTION: potential danger of damaging the unit or accessories.
NOTE: other important information

WARNING: Replace the accumulator if the device’s runtime with a

fully recharged accumulator is less than 4 hours or if the accumula-
tor is older than 3 years.
WARNING: Do not use this device in the presence of flammable
anesthetics; static discharge may cause a deflagration endangering
patients’ life and health.
WARNING: Do not use the device on more than one patient at a
time.
WARNING: Do not use this device for unsurveilled patient moni-
toring when operating from internal battery. Normally, the low-batt
alarm is started about ten minutes before the monitor stops working.
As the internal batteries become older, the monitor can stop to work
much earlier than the ten minutes mentioned above or even stop
working without generating an alarm.
WARNING: Do not use this device in the presence of magnetic re-
sonance imaging (MR or MRI) or computer tomography (CT) equip-

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ment. MRI equipment may cause induced current to the SpO2 sen-
sor which can endanger the patient. The presence of strong electro-
magnetic fields, as generated by CT scanners, can cause inaccurate
SpO2 and pulse readings.
WARNING: Use of this equipment adjacent to or stacked with other
equipment should be avoided because it could result in improper
operation. If such use is necessary, this equipment and the other
equipment should be observed to verify that they are operating
normally.
WARNING: The measured values shall be properly associated to
clinical symptoms and signs by a physician. The unit serves as a
diagnosis support only.
WARNING: Prolonged use depending on the patient’s condition may
require changing the sensor site periodically. Change sensor site
and check skin integrity, circulation, and correct alignment at least
every 4 hours.
WARNING: Tape applied too tightly or prolonged use may cause
inaccurate readings, discomfort, skin deterioration or blisters.
WARNING: When connecting this device to any instrument, verify
proper operation before clinical use. Improper operation may lead
to errors which can endanger patients’ health. Refer to the other
device’s user manual for instructions. Accessory equipment con-
nected to the data interface must be certified to IEC 60950 for data
processing equipment or IEC 60601-1 for electromedical equipment.
All combinations of equipment must be in compliance with IEC
60601-1 (electromedical systems) requirements. Anyone connecting
additional equipment to signal input or signal output ports configures
a medical system, and therefore is responsible that the system com-
plies with the requirements of the system standard IEC 60601-1.
WARNING: Incorrectly applied probes may give inaccurate rea-
dings. Always refer to the operating instructions supplied with the
sensor and follow application instructions carefully.
WARNING: Using a damaged sensor and/or sensor cable may
cause inaccurate readings. Inspect each sensor and/or sensor cable
carefully before use. If a sensor or sensor cable appears damaged,

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do not use it.

WARNING: In the presence of high ambient light levels SpO2-measu-
rements may be inaccurate.
WARNING: Nail polish or artificial finger nails can cause inaccurate
SpO2 and pulse readings.
WARNING: Significant levels of dysfunctional hemoglobins, such as
carboxy-hemoglobin or methemoglobin, do affect the accuracy of the
SpO2 measurement.
WARNING: Significant levels of bilirubin do affect the accuracy of the
SpO2 measurement.
WARNING: Dyes inserted into the blood for diagnostic purposes may
affect the accuracy of the SpO2 reading adversely.
WARNING: Only use Medlab SpO2 probes supplied with, or specifi-
cally intended for use with, this device. The use of probes not inten-
ded for using with this device may cause inaccurate readings.
WARNING: Obstructions or dirt on the probe’s optical elements (emit-
ters and detector) may cause sensor failure or inaccurate readings.
WARNING: Optical cross-talk may adversely affect the accuracy of
the SpO2 readings. Optical cross-talk can occur when two or more
probes are placed in close proximity.
WARNING: Optical shunting may adversely affect the accuracy of
the SpO2 readings. Optical shunting can occur when the emitter’s
radiance partly or fully arrives directly at the receiver, e.g. without
passing through tissue. This can happen if the selected probe is too
large for the patient’s finger, for example.
WARNING: Use of accessories, transducers and cables other than
those specified or provided by the manufacturer of this equipment
could result in increased electromagnetic emissions or decreased
electromagnetic immunity of this equipment and result in improper
operation.
WARNING: The presence of strong electromagnetic fields can cause
inaccurate SpO2 and pulse readings. These fields are produced by
electrosurgical devices and mobile phones, for example.

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WARNING: This device may give inaccurate readings in close pro-

ximity to strong electromagnetic sources, such as electrosurgery or
computed tomography (CT) equipment. Keep the unit away of such
sources.
WARNING: For a safe, reliable, and accurate blood pressure
measurement, a cuff of suitable size has to be used. The marking
line of the cuffs must be positioned within the two limiting lines after
fixation on the patient.
WARNING: Do not compress the cuff or hose or reduce the cross-
section of the hose during measurement. This may cause patient
safety risks, incorrect measurements or termination of the measure-
ment to occur.
WARNING: Prolonged, continuous use of a blood pressure cuff may
impair blood flow to the extremity. Check circulation regularly and
loosen or reposition the cuff if changes in circulation occur.
WARNING: Applying the blood pressure cuff over a wound can cau-
se further injury.
WARNING: Ensure that the blood pressure cuff is not placed on
an extremity in which the arteries or veins are undergoing medical
treatment, e.g. intravascular access or therapy, or an arteriovenous
(AV) shunt.
WARNING: For patients that have had a mastectomy, the blood
pressure cuff should be applied to opposite arm.
WARNING: Do not perform blood pressure measurement on an
extremity used for oxygen saturation monitoring. Oxygen saturation
measurement is affected by blood pressure measurement due to the
occlusion of blood flow.
WARNING: Never use an adult monitor setting or cuff for an blood
pressure measurement on a neonatal patient. Adult inflation limits
can be excessive for neonatal patients, even if a neonatal cuff is
used.
WARNING: When used on patients that are showing moderate to
heavy arrhythmias, the measuring results can be wrong.
WARNING: After continued measurements on the same patient,

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the cuff has to be removed between measurements to check the

patient’s skin under the cuff for ischaemia and/or for neuropathy.
WARNING: On each power-up, the operator in front of the device
check the speaker of the alarm system, either by activating the pulse
tone or by generating a test alarm using adapted alarm limits during
a measurement on yourself.
WARNING: Auditory alarm signal sound pressure levels, which are
less than ambient levels, can impede operator recognition of alarm
conditions.
WARNING: A potential hazard can exist if different alarm pre-sets
are used for the same or similar equipment in any single area.

WARNING: The operator should check the current alarm pre-set to

ensure the pre-set is appropriate prior to use on each patient.
WARNING: If the device is splashed with liquid and you think that it
might have entered the inside, the device has to be checked.

CAUTION: The device and the probes should be cleaned with a

soft, clean cloth. To remove stronger contaminations, use isopropa-
nol (70 Vol.%). Other substances, especially these containing aceto-
ne, destroy the housing and the display screen.
The SpO2 probe cable is made from PVC, and a lot of disinfecting li-
quids remove the softeners from this material, leading to early cable
failures.
CAUTION: Before plugging the mains cable into the monitor, make
sure that the voltage of the electrical outlet matches the voltage
the monitor is set to. This voltage is visible in a window next to the
mains cable connector.
CAUTION: Autoclaving, ethylene oxide sterilizing, or immersing
the probes in liquid may cause sensor damage which may result in
inaccurate readings.
CAUTION: Unplug the sensor from the monitor before cleaning or
disinfecting it to prevent damaging sensor or monitor, and to prevent
user safety hazards.

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CAUTION: This equipment must only be used with genuine Medlab

accessories.
CAUTION: Do not set the alarm limits to extreme values that can
render the alarm system useless.

NOTE: In case this equipment needs repair, please directly contact

Medlab or the dealer from whom the equipment was purchased.
NOTE: Devices which were supplied by us will be taken back free of
charge and disposed of in an environmentally friendly way. Please
send the equipment back postage paid to our company´s address.

NOTE: A functional pulse oximeter simulator cannot measure the

absolute accuracy of a pulse oximeter. It can measure how accura-
tely a particular pulse oximeter monitor is reproducing the internal
calibration curve.
NOTE: The device tries to distinguish between real heartbeats and
false beats that are generated by cardiac arrhythmias. Only real
heartbeats which are detected are used to calculate the displayed
pulse rate.
NOTE: If the blood pressure cuff is not placed at the same level as
the patient‘s heart, a hydrostatic error of approximately 0.75 mmHg
per centimeter distance is introduced into the measuring result. If
the cuff is lower than the heart level, this value has to be subtracted
from the result, if it is higher, the value has to be added.
NOTE: The blood pressure cuff should be cleaned from dirt and
sweat after use. Wipe its surface gently with a cloth moistened with
a mild soap solution.
NOTE for clinicians: Information regarding the range of the top wa-
velengths and maximum optical capacity of the light emitted by the
pulse oximeter can be useful to clinicians who are applying photody-
namic therapy.
NOTE: The effectiveness of this sphygmomanometer has not been
investigated in pregnant (including pre-eclamptic) patients.

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NOTE: Do not position the device so that it is difficult to operate the

main switch.

Please read the user manual before using the device!

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Operators Maintenance
Batteries
The device contains a rechargeable battery that is automatically recharged if the
instrument is operated from the mains. A yellow LED on the lower front panel shows
this recharging is currently taking place. An empty battery is recharged fully in about
20 hours. Operating time with a fully charged battery is about 5 to 6 hours. The
battery technical data is: 6 NiMH cells, 1.7 Ah capacity, molded in a battery pack. To
prevent battery drain during travel or transport, the instrument has an auto power off
feature: if no user operation and no patient signal is detected in the first two minutes
after the unit had been turned on, it automatically shuts off. The batteries will never
be discharged to deeply, since there is an electronic switch that turns off the instru-
ment if the cell voltage of one NiMH cell falls below 1 Volt. If the battery operating
time is shorter than 3 hours even after at least 20 hours of charging, the battery
pack should be replaced.

Reusable Probes
Do not autoclave, ethylene oxide sterilize, or immerse the Spo2 probes in liquid.
Cleaning or Disinfecting the Sensor
• Before cleaning or disinfecting the sensor, disconnect it from the monitor.
• Clean or disinfect the sensor before attaching it to a new patient.
• Clean the sensor and patient contact surfaces with a soft cloth moistened in
water or a mild soap solution. We recommend using Klenzyme (1) as a
detergent.
• To disinfect the sensor, wipe the sensor and patient contact surfaces with 70 %
isopropyl alcohol. For high level disinfection, we recommend using
CIDEX OPA (2). Follow the manufacturer’s instructions for use.

NIBScan blood pressure cuffs

WARNING: Consult the cleaning and germicidal cleaner agents’ manufacturer’s
instructions for their proper use and germicidal efficacy.
CAUTION: Liquids must not get into the bladder, connectors or hoses. This could
lead to inaccurate readings and damage the blood pressure monitor. The cuff was
cleaned / disinfected 50 times without negative effects using the following procedu-
re:
Materials
• Neutral pH cleaning detergent
• Water-based alcoholic disinfectant (based on propan-1-ol and / or propan-2-ol
and / or ethanol) that dries residue-free and is suitable for rapid disinfection of
medical devices (e.g. Bacillol® AF).
• Clean cloths, spray bottle, soft brush and clean water

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Preparation
• Prepare cleaning agent per manufacturer‘s instructions. Prepare disinfectant in
the form of a soaked cloth and / or spray bottle.
1. Cleaning
• Thoroughly apply pH-neutral cleaning solution to the surfaces of the cuff, bladder,
connectors and hoses using a cloth / brush.
• Use a cloth / brush to remove visible soil. In case of dried residues keep a
exposure time of approximately one minute.
• Rinse / wipe with water.
• Damp dry with a clean cloth and inspect.
2. Disinfection
• Thoroughly apply disinfectant solution onto the surfaces of the cuff, bladder,
connectors and hoses using a cloth / spray bottle
• Adhere to the exposure time according to the manufacturer‘s instructions.
3. After cleaning or cleaning / disinfection
• Allow to air dry.
• Reinstall bladder into cuff sleeve.
• Inspect cuff for deterioration, adequate closure integrity, and inflate to assess for
leaks. Do not use if any abnormalities are found.

Cleaning the instrument’s surface

Do not autoclave, ethylene oxide sterilize, or immerse the device in liquid. Clean the
device surface with a soft cloth moistened in a mild soap solution. If disinfection is
required, wipe the instrument’s surfaces with a soft cloth moistened with isopropyl
alcohol (70 Vol.%). Do not allow any liquid to enter any of the oximeter’s openings.
Do not use acetone to clean any of the instrument’s surfaces or accessories.

Long Term Storage

Store the device in its original shipping carton and packing materials to help pro-
tect the oximeter from damage during storage. After a longer storage period, the
battery might be fully discharged. Please connect the device to the mains to charge
batteries for at least four hours before using it on a patient, even if the instrument is
connected to the mains during the measurement.

(1) Klenzyme is a registered trademark of Steris Corporation.

(2) CIDEX OPA is a registered trademark of Johnson and Johnson Corporation.

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Operator´s Troubleshooting Chart
Problem
The instrument does not
turn on
Yellow charge indica-
tor is not lit although
on/off switch is in the „on“
position
The instrument turns off
unexpectedly
No SpO2 value displayed
SpO2 value and pulse
rate erratic, intermittent or
incorrect
Display hardly readable
The instrument cannot be
turned off
14
Possible Cause Solution
Battery discharged Connect the instrument to the mains and
while operating make sure the on/off switch at the back
without mains of the device is in the „on“ position and
supply the charging indicator on the left side of
the front panel is lit
Fuse blown Replace fuse with the type indicated on
the backplate
Mains plug de- Use other mains cable or other wall plug
fective
Battery discharged Connect the instrument to the mains and
while operating make sure the on/off switch at the back
without mains of the device is in „on“ position and the
supply charging indicator on the left side of the
front panel is lit
No patient moni- To conserve power, the instrument shuts
tored and no user down after two minutes if no patient is
action taken connected and no user actions are taken
Patient cable or Check probe connections
probe discon-
nected
Poor patient perfu- Reposition the probe
sion or probe incor-
rectly positioned
Probe incorrectly Reposition the probe. Consult probe
positioned user manual
Poor patient per- Reposition the probe. Consult probe
fusion user manual
Too much ambient Shield the probe against ambient light
light Patient should remain still to obtain
Patient motion accurate result
Brightness level in Increase brightness in setup menu to
setup menu set to 100 %
10 %
Switch blocked in Set the lock symbol in the setup menu
setup menu to show an open lock. Then press O/1
button on front panel again
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Service Maintenance and Repair

General Description
The service maintenance and repair section contains circuit descriptions, voltage
and waveform testpoints, detailed part lists, and circuit diagrams.
It is intended for persons trained in service, maintenance, and repair of modern
medical equipment. Thorough knowledge of this equipment’s operation is re-
quired before attempting to repair this instrument.
The unit contains four circuit boards: the SpO2 module, the NIBP module, the
CPU/ Display module and the bottom PCB.
The bottom PCB contains:
- the power supply
- the batteries and the charging circuit
- the amplifier for alarms and pulse tones
- the shielding cage for the modules
- the connectors for the patient cables
- the power and signal isolation of the oximeter module
The CPU/Display module contains:
- the graphical display
- the main microcontroller (Flash program memory) of the instrument
- the EEprom nonvolatile data (trend) memory
- the power supply for 3.3 V generation
- the operating knob for the menu system
- the on / off switch
- the realtime clock
The NIBP Module contains:
- complete pneumatics, main circuit and safety circuit
- two calibrated pressure transducers in independent circuits
- all signal processing
- the digital interface to the main CPU on the front PCB
The Spo2 module contains:
- the complete analog preprocessing of the signal
- the ad conversion
- the digital processing of the signals
- the digital interface to the main CPU on the front PCB

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Bottom PCB
PowerSupplies
The device can be powered by mains or by the built-in rechargeable battery.
The supply voltages are generated by Low-Drop Voltage regulators from a linear
transformer circuit or the battery via diodes D9 / D10.
There are three supply voltages: VCC (5V) is the general supply voltage, VCC2
(5V) is the supply voltage for the LCD backlight and VCC NIBP (6-15V) is an
additional voltage. VCC, VCC2 and VCC NIBP may be controlled easily at the
testpoints TP1..TP5. Additionally, an auxiliary voltage V12 (12V max.) is genera-
ted through the zener diode D4. This voltage is generated from voltage V+ which
may vary from 5.5V (battery operation, battery nearly discharged) to 15V (mains
operation, device switched off).
Also there is an isolated 5V supply generated for the SpO2 module using IC1,
TR1 and a full-wave rectifier plus the LDO VR1. This isolated voltage can be
measured at the testpoints TP6 / TP7.
D7, R29, C32, R30, T5 and R26 form a circuit that provides a logic ‘0’ to the main
CPU whenever mains power is present.
To maintain realtime clock settings even when the device is turned off, a voltage
VMEM is generated by D12 / R21 / D5. A backup-capacitor (C29 / 0,1F) enables
the technician to replace the battery without losing any data.
On/Off Control
The device turns on or off when the user presses the touchkey which is connec-
ted to the Quantum QT110 integrated circuit. IC5 on the bottom PCB acts as a
monoflop to generate a debounced toggle pulse for the Flip-Flop IC4. The output
of IC4 turns on/off the MOSFET T1A and thus switches on/off the supply volta-
ges. Via D6 and the circuitry around T4, the main CPU can switch off the device
independently, which takes place if there is no signal and no user action has been
detected within the first two minutes after power-up of the device.
Battery charging and protection circuitry
The battery is charged with a constant current of approx. 125mA. This assures
that overcharging the battery is not possible. The current is regulated by VR5 and
R32. To avoid deep discharge, the battery is disconnected if the voltage of the
battery falls below 6,1V. The voltage monitoring is done by comparator IC3 which
controls the MOSFET T1B.

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Audio Amplifier
The amplification of the alarm / pulse tone signals is very straightforward: the signal
from the main CPU arrives at SV14, Pin 4 with TTL level and is attenuated by R1
and R3, the volume is regulated by R2 / P1 / R7 which deliver a DC-Volume to the
Amplifier-IC IC2. The signal ALTONE which is generated by the main CPU during
alarm-Level 3 overrides the volume adjust to ensure maximum volume.

Miscellaneous / Connectors
The IR-Interface for data output consists of the transistor T6 and the IR-diode LED2.
The signal TXD-0 is generated by the main CPU. SV19 is the connector to the back
IR-LED connector (where the IR adaptor cable is connected to). The back IR-LED
connector includes the second IR-LED which is connected between Pin 1 and 2, so
this second IR-LED is in series to LED2. The data signal TXD-0 is also connected to
connector SV15, which the extension devices (analogue interface, relay-extension)
are connected to.
The NIBP-module is connected to the Bottom PCB via SV17 (VCC, GND and serial
communication), the SpO2-module via SV12 (isolated 5V supply and isolated serial
communication) and SV13 (probe).
The connection between Bottom PCB and CPU/Display module is done by the
connectors SV16 and SV14.

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CPU/Display module
This module consists of the Front PCB and the LCD module (fixed to the front
panel), which is a module including the LCD with LED backlight and the display
driver board. The Front PCB and the display module are connected with two
connectors, JP4 and JP5 and can be separated easily. The functions of the
Front PCB are discussed below:
Front PCB
Please see page 28 for a graphic of the front PCB.
The dominating part on the front PCB is the controller, LPC2478. It contains:
- The flash memory
- The RAM for operation
- The serial interfaces
- The realtime clock
- The LCD controller
The external RAM close to the controller is used as a display memory only.
On the other side, four 64 KByte EEproms store the patient trend data. They are
controlled by the main microcontroller.
The two integrated circuits on the left and right edge of the PCB are responsible
for the touch softkeys and the power on-off key.
On the backside of the PCB, there are three LEDs that form the red alarm light.

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SpO2-module
The SpO2-module contains no serviceable parts. To check the function of the mo-
dule, replace it with another one (if available) or use the OEM-kit to check the func-
tion. The OEM-kit has to be powered by a regulated 5V DC supply and the module
can then be connected to a PC running the OEM test software. If the module does
not work correctly or if the current consumption exceeds 25mA at 5V, it is defective
and has to be replaced.

NIBP-module
The NIBP-module contains no serviceable parts. To check the function of the modu-
le, replace it with another (if available) or use the OEM-kit to check the function. The
OEM-kit has to be powered by a regulated 6V-15V DC supply and the module can
then be connected to a PC running the OEM test software. If the module does not
work correctly or if the current consumption exceeds 35mA at 6V, it is defective and
has to be replaced.
The function of the module can be tested by performing a leakage test, and then the
accuracy can be tested in the manometer mode. Before entering the manometer
mode, a leakage test has to be performed.
Required accessories for leakage and Manometer Mode Test:
- Glass or metal bottle of 500ml content, with a 5mm barb connection
- A calibrated sphygmomanometer
- A t-piece
- A hose for connecting the bottle to the device

Leakage Test Only

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Turn on the device and press the menu knob during boot time to enter the setup
menu. For details, please refer to the user manual.
Select Leakage Test / Manometer mode from the menu and follow the hints and di-
rections on the screen. After approximately three minutes, the result of the leakage
test is shown on the LCD screen. There are two test cycles, one takes place at 280
mmHg and one at 50mmHg. Use the power button to turn the device off after the
test.

Leakage Test / Manometer Mode

Connect the device as shown in the above picture. Turn on the device and press the
menu knob during boot time to enter the setup menu. For details, please refer to the
user manual.
Select Leakage Test / Manometer mode from the menu and follow the hints and di-
rections on the screen. After approximately three minutes, the result of the leakage
test is shown on the LCD screen. There are two test cycles, one takes place at 280
mmHg and one at 50 mmHg.
Now, the calibrated sphygmomanometer can be used to externally apply pressure
to the system. Compare the display of the VITRO to the sphygmomanometer and
verify that the values do not differ for more than the allowed +/- 3 mmHg. Repeat
the procedure for five or six different pressure values, covering the complete
measureing range of the device, from 5 to 280 mmHg. Use the power button to turn
the device off.

Failure
If either leakage test or manometer mode fail, the module has to be recalibrated at
the factory.

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Opening/Disassembling the device

Opening the housing

Place the device upside-down on a soft

smooth
pad.
Remove the rubber foot from the marked
screw. Remove the screw.

Slide the collapsible foot to the side and

unscrew the housing screws as marked.
Appropriate tools: Torx T7 / TX8 / Phillips
screw driver.
Carefully turn the device back over and
remove the top housing cover, being careful
not to remove the side or rear plate.

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Disassembling
To remove the front unit, first disconnect the two flat cable connectors and
then pull the unit carefully out of its slides. The front plate with the LCD can be
separated from the CPU board.
To change the Bottom PCB, please proceed as follows:

Remove the side plate with the connectors.

If an extension device is mounted

(optional)
- Disconnect the flat cable.
- First pull the lever on the connector, then pull
out the cable.

Remove Back plate

- Disconnect the AC connector and the
connector of the IR-interface.
- Slide out the back plate.

Disconnect the speaker and remove it.

Disconnect the battery.

You may now remove the Bottom PCB, but take

care not to damage the IR diode on the side of
the PCB.

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Batteries
The device contains a rechargable battery that is automatically recharged if the
instrument is operated from the mains. A yellow LED on the upper front panel
shows that recharging is currently taking place. An empty battery is recharged
fully in 20 hours. With a fully charged battery the operating time is up to 5-6 h.
The battery technical data is: 6 NiMH cells
1.7 Ah capacity
molded in a battery pack.
To prevent battery drain during travel or transport, the instrument has an auto
power-off feature: if no user operation and no patient signal is detected in the
first two minutes after the unit has been turned on, it automatically shuts off. The
batteries will never be discharged to deeply, since there is an electric switch that
turns off the instrument if the cell voltage of one NiMH cell falls below 1 Volt. If the
operating time is shorter than 3 hours even after the battery has been charged for
more than 20 hours, the battery pack should be replaced.

To replace the battery disconnect mains

power supply and open the device.
Disconnect the battery connection plug.
Cut off cable ties and remove battery,
remove old cable ties.
Feed new cable ties in the holes of bottom
PCB, mount the new battery and tighten the
ties to fix the battery.
Then connect new battery to the bottom pcb
connector and close the device.

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Appendix A

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Spare Parts
For pricing and delivery time, please contact Medlab GmbH

Description Ref
Case (top + bottom + screws) 45001
Front plate (including TFT LCD) for VITRO 45029
CPU board (including firmware) for VITRO 45030
Backplate incl. AC filter-unit 45008
Connector plate for VITRO 45010
Bottom PCB (without battery) 45005
Battery pack NiMH, 7,2V / 1700mAh 45006
SpO2-module VITRO 45007
NIBPmodule 02050
Blood pressure hose 02106
Patient cable SpO2 00309

OEM Testkit SpO2 03005

OEM Testkit NIBP 02025

Reusable SpO2 Probes:

Description Type Ref

SpO2 fingerclip probe P-200 00535
SpO2 fingerclip probe(280 cm) PX-200 00536
Oxiflex probe, large R-200 00550
Oxiflex probe, small RS-200 00570
Y-probe Y-200 00526
Fingerclip for children PS-200 00537
Wrap probe for infants WR-200 00532
Reusable NIBP cuffs:

Type Patient Arm Circumference Ref

Infant 9-15cm 90110
Child 14-21,5cm 90210
Adult small 20,5-28,5cm 90310
Adult 27-35cm 90410
Adult large 34-44cm 90510
Thigh 42-52cm 90610

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Base PCB
Block Diagramm

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Base PCB

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Connector Description
SV1 Speakerconnection
SV3 Mains Connection from backplate
SV4 Rechargeable battery connection
SV11 SpO2 probe connector
SV12 SpO2 data connector
SV14 Front PCB data connector
SV15 Data connector (for data output options, see page 15)
SV16 Front PCB power connector
SV17 NIBP connector (VITRO only)
SV19 IR Transmitter connector from backplate

TP1 V+ V+, unregulated DC input, 6-15VDC

TP2 VCC Main VCC, 5V DC +/- 5%
TP3 VCC2 Unused
TP4 VCC NIBP 6-15V DC, used for VITRO only
TP5 GND Main ground of the device
TP6 VCCiso Isolated power supply of pulse oximeter (5V +/- 5%)
TP7 GNDiso Isolated power supply ground

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CPU PCB

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Connector Description

SV2 Front PCB data connector

SV3 Front PCB power connector
SV7 Firmware update connector*

Testpoint Description
GND Ground reference for the signals described below
TP1 3.3V DC
TP2 5V DC
TP3 Backlightanode
TP4 VMEM Backup voltage input for RTC (3.4-4.2V DC)
TP5 MEM3 Backup voltage for RTC output 3.3V DC

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NIBP PCB

SV2: System Connector

1 VCC, 6-15V DC
2 VCC, 6-15V DC
3 VCC, 6-15V DC
4 GND
5 GND
6 GND
7 Not connected
8 Reset
9 RxD, TTL level
10 TxD, TTL level

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NIBP PCB

JP1: System Connector JP2: SpO2 Probe connector

1 Ground 1 Input Photodiode 1 (DSUB 5)
2 Ground 2 Input Photodiode 2 (DSUB 9)
3 TxD (CMOS level) 3 Sensor Coding (DSUB 1)
4 RS232TxD (RS232 level)* 4 Agnd (DSUB 6 and 7)(1)
5 RxD (CMOS level) 5 Led Output 1 (DSUB 3)
6 RS232RxD (RS232 level)* 6 Led Output 2 (DSUB 2)
7 n.c. 7 Sdata (DSUB 4)
8 n.c.
9 n.c.
10 n.c.
11 /Powerdown
12 Aux Port
13 3.3 VDC input
14 3.3 VDC input
15 VCC input, 2.8 - 5.5 VDC**
16 VCC input, 2.8 - 5.5 VDC**

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Manufacturer:
Medlab medizinische Diagnosegeraete GmbH
Helmholtzstrasse 1a
76297 Stutensee
Printed in Germany

Germany
Tel. +49(0)7244 741100
support@medlab.eu
www.medlab.eu
91700

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