Professional Documents
Culture Documents
Technical Manual
Page
WARNING..................................................................................................................... 6
1. INTRODUCTION .................................................................................................... 9
2. OPERATION .......................................................................................................... 28
2
2.6. The central unit .............................................................................................. 34
2.8.9. Monitoring circuit for the contact of the patient relay ......................... 61
3
2.9. Defibrillator control ......................................................................................... 63
2.10. Options........................................................................................................... 83
4
5. LIST OF COMPONENTS ....................................................................................... 103
5
WARNING
_______
It is vital for correct operation of the unit and for the safety of
the patient and operator that the contents of this manual be
read and understood.
The unit has not been designed for uses other than those
specifically described in this manual, which may be hazardous.
6
NOTE CONCERNING CIRCUIT DIAGRAMS
_________________
J1
12345
1.SCH 2.SCH
SCHEMA PRINCIPAL
ART NO :
DRAWN APPROV MODIFICATION PRT NO :
DWG NO :
DSK NO :
SHT NO :
* Several leads (or buses) can be linked to each other on the same
diagram by a specific term (called a "label"), i.e. by the same name
assigned to each lead (or bus).
example:
-R E S E T
* The specific "module port" symbols are used to link signals which are
on different sub-diagrams.
example:
VR EF
7
* The "labels", "module ports" and signals framed by sub-diagrams
shown on the principal diagram are always associated with a reference
in brackets.
examples:
SOUS SCHEMA 1
S IG N A L E (A 6 )
-R E S E T (B 3 ) VREF (D 5 )
S IG N A L F (C 7 )
1 .S C H
8
1. INTRODUCTION
1.1. PRESENTATION
The in-built recorder allows printout of curves with their corresponding data and a
list of events followed by trend curves.
9
Defibrillation is achieved in a simple and safe manner (centralization of
commands on the patient extension module and electrodes, display of all
defibrillation steps on the screen). The energy stored in the condenser and
delivered is continuously displayed on the screen for the detection of any
technical or operational anomalies. Furthermore, a safety mechanism ensures
automatic internal discharge of the condenser if the stored energy is not used.
The triggering of the defibrillation impulse can be either non-synchronized
(ventricular tachycardia or ventricular fibrillation) or synchronized (flutter and
auricular fibrillation, supraventricular tachycardia, etc.).
The SpO2 option allows the display of the pulse curve and arterial oxygen
saturation level.
10
1.2. TECHNICAL SPECIFICATIONS
SUPPLY
Mains supply
Unit classification : 1
Maximum current
protection : · 0.8 AT / 250 V fuses (230 V mains network)
· 1.6 AT / 250 V fuses (115 V mains network)
Battery supply
External 12 V supply
Input signal : 11 to 30 V / 10 A
11
MONITOR
ECG signal
LCD screens
12
Passive matrix screen : · type : LCD screen of FSTN type
(black and white screen) · dimensions : 121 x 92 mm
· black and white
· 2 track
Alarms
Memory
Trend : 2 or 6 hours
13
RECORDER
Paper width : 50 mm
Triggering : · manual
· automatic on high or low limit overshoot alarms,
asystolie alarm, charge request or shock
delivery
PACEMAKER
14
Stimulus : · square signal of 40 ms
· frequency : 40 - 50 - 60 - 70 - 80 - 90 - 100 -
110 - 120 - 130 - 140 - 150 - 160 - 175 - 190 -
210 p/min
· amplitude : 0 - 35 - 45 - 50 - 55 - 60 - 65 - 70 -
75 - 80 - 85 - 90 - 100 - 115 - 130 - 150 mA
DEFIBRILLATOR
Electrodes
Paddles : CF type
Adhesive electrodes
(option) : CF type
Functions
15
Performance
20 A / square
25 Ohms
50 Ohms
100 Ohms
2 ms / square
16
PHYSICAL ENVIRONMENTAL SPECIFICATIONS
Operating temperature
extremes : 0 to + 40 °C
Storage temperature
extremes : -10 to + 50 °C
Degree of protection
given by the envelopes : IP 23 with bag
17
1.3. CLEANING
The external surfaces of the unit and the cables can be cleaned using alcohol
soaked cotton.
During cleaning, the unit should be switched off. No liquids should be allowed to
enter the unit ; if however this does occur, the unit should be cleaned and a full
verification is necessary.
The paddles should be carefully cleaned after each use. The conducting cream
should be removed using hot soapy water.
The defibrillation and stimulation electrodes are for single use only.
The internal paddles and their extension cables can be treated by autoclave
(max : 144 °C).
A sponge soaked in hot soapy water can be used to clean the probes.
18
1.4. LIST OF COMPONENT ABBREVIATIONS
Abbreviation Description
C Capacitor
CTR Cathode ray tube
E Arrester
F Fuse
FB Ferrit bead
FH Fuse holder
L Inductance
LA Lamp - neon - indicator light
LD Electroluminescent diode (LED)
LS Loud speaker
M Motor
P Potentiometer
PB Push button
Q Cristal
R Resistor - varistor
RA Adjustable resistor
RB Rectifying bridge
RG Regulator
RL Relay
RN Resistor network
S Socket
SP Solder point
SW Switch - commutator - disconnector
T Transistor
TN Transistor network
TP Test point
TR Transformer
19
1.5. LIST OF ABBREVIATIONS USED ON SCHEMATICS
20
-CSADC A/D converter U44 selection signal for communication with
the µC
-CSAR42 Write and read selection signal for the graph registers
-CSDAC D/A converter selection signal
-CSDEF Selection signals for the input and output switching circuits
U81 and U85
-CSDIV Selection signal for the input switching circuit U94
-CSDUAL Selection signal for the RAM DUAL PORT
A/D converter U20 selection signal from VFVT detection
-CSGRAPH Selection signals for the input and output switching circuits
U78 and U83
-CSHORO Selection signal for the timer U39
CSINTR Selection signals for the input and output switching circuits
U80 and U86
-CSI/O Input/output register U21/U22 signal selection from VF/vT
detection
-CSKEYS Selection signal for the input switching circuit U65
-CSLCD Selection signal for the bidimensional buffer U53
-CSLCDBF Selection signal for the LCD controller
-CSMUX Selection signal for the switching circuit U84
-CSRAM1 Selection signal for the work RAM U70
-CSRAM2 Selection signal for the work RAM U71
-CSSTIM Selection signals for the input and output switching circuits
U79 and U87
-CSVOICE D/A converter selection signal
-CSUART UART U18 selection signal
-CSWDOG Selection signal for the for the input switching circuit U88 and
reset signal for the counter U46 and the switching circuit
U45B
21
D[0..7] Bus for data originating from the CPU
DBF[0..7] Bus for buffered data to the DUAL PORT RAM
DEFCHARGE Charge phase indication signal (active at +5 V)
DEFDISCH Defibrillator discharge indicator signal (active at +5 V)
DEFELEC Electrode fault indication signal
DEFMOD[0...3] Coding signal of the defibrillation module connected to the
unit
DEFREADY Hold phase indication signal (active at +5 V)
-DEFSEC Defibrillator technical fault indication signal (active at 0 V)
-DEFTEST Defibrillator test detection signal (active at 0 V)
-DEPAS Inhibition signal for ventricular fibrillation QRS in the event of
an overshoot of the ECG signal or a change of derivation
DERI0/1 Derivation selection signals
DETROMP Signal originating from the identification pin of the 3- or 5-pin
patient cable
DGR[0..7] Buffered data bus from recorder
-DISCH DISCHARGE trigger signal
-DISCHENRL Relay activation signal DISCHARGE VALIDATION (active at
0 V)
-DISPOFF LCD screen on/off control signal
DLCD[0..7] Buffered data bus to the character EPROM and the LCD
controller
-DT Datas transfer signal
DUMPLED Not used
ECGFV ECG signal during fibrillation
ECGGRAPH ECG signal for printout on graph
ECGMAX/2 Maximum amplitude of the ECG signal divided by 2
ECG-PACE ECG signal without PACE component
ECGVISU ECG signal for screen display
ECGX1000 Amplified ECG signal with gain = 1000
ECGX6 ECG signal at the preamplifier output (gain = 6)
ELECF Signal measured on the patient's body at Point F with a
patient cable
ELECL Signal measured on the patient's body at Point L with a
patient cable
ELECR Signal measured on the patient's body at Point R with a
patient cable
-EOC Signal indicating the end of conversion by A/D converter U44
EVENTS Control signal originating from the keyboard for printout of
events
EXTIN RS232 serial link (via the 9-pin connector)
EXTOUT RS232 serial link (via the 9-pin connector)
-EXTPWR Signal indicating operation from external power supply
(active at 0 V)
FLM LCD screen image synchronization signal
FREQ0/1/2/3 Stimulation frequency coding signals
FV Factory test signal
22
GAIN0/1 Selection signal for final gain of ECG signal
GAINECG Signal originating from the keyboard for selection of ECG
gain
GAINSON Signal originating from the keyboard for selection of QRS
beep volume
GEL Signal originating from the keyboard for freeze/unfreeze of
screen waveforms
GEST HV generator control signal (active at +5 V)
GNDF1 Ground for hand-held electrodes
GNDP Floating ground for the preamplification part of the
defibrillator's ECG
GRAPHE Signal originating from the keyboard for waveform printout
HPOUT Sound signal sent to loudspeaker
-HVPRES Signal indicating the presence of high voltages (active at low
level)
IO/1/2/3 Stimulation current coding signals
IDELVR Analog coding signal of stimulation current amplitude
IMPSTIM Validation signal for the generation of a stimulation impulse
-INT0/1 Interruption lines
-INTCHGTDER Interrupt signal due to a change of derivation
-INTCHOC Coding signal for the origin of the defibrillator shock
interruption
-INTCOM Synchronization signal in the communication between the
micro-master and the micro-communication
-INTECG Coding signal for the origin of the QRS synchronization
signal interruption (QRS synchro)
-INTEOC Coding signal for the origin of end of conversion interruption
-INTPACE Coding signal for the origin of stimulus detection interruption
(originating from preamplifier)
-INTSTIM Coding signal for stimulation synchronization interruption
(originating from stimulator)
-INTUART Interrupt signal from the serial connection
IO0/1/2/3 Coding signal for the selected stimulation current
IPAT Analog coding signal of amplitude of patient current (0 - 5 V)
IPK1 Patient current measurement signal
-LIMIT Lower detection limit signal for ventricular fibrillation QRS
detection
LINEPWLED AC supply presence indicator LED
LINEPWR Signal indicating the presence of ac supply voltage
-LINEPWR Signal indicating the presence of ac supply voltage (active at
0 V)
MODEDEFI Signal indicating that ECG signal acquisition is via the hand-
held electrodes
MODEDEM Signal indicating stimulation mode (DEMAND mode)
MODEFIX Signal indicating stimulation mode (FIXE mode)
MODEOD Signal indicating stimulation mode (OVERDRIVE mode)
MODESYNC Signal originating from the keyboard key for SYNCHRO
mode validation
23
NEWWINDOW Analyses window reinitialization signal from VF/VT CPU
NIVALRM Signal originating from the keyboard key for alarm limit
selection
NOANALYSE Factory test signal
NU1/2/3/4/5 Signals not used
ODSW Stimulation-impulse validation signal in OVERDRIVE mode
ONOFF1/2 Signals originating from on/off push button
OVERV1 Safety signal HT1 (active at high level)
-PACE Signal for pace detection duration
PACER Inhibition signal from QRS detection when he get a
stimulation impulsion
PATRL Activation signal for PATIENT relay (active at high level)
-PATRL Activation signal for PATIENT relay (active at 0 V)
PATRLSEC Signal indicating that one of the contacts of the patient relay
is closed (0 - 8 V)
PE Protection ground
PSEN EPROM (program code) U76 validation signal
24
-RAS Row address strobe signal
RAZCHGTDER Reset signal for the derivation change switching circuit
-RAZCHOC Reset signal for the memorization switching circuit for -
INTCHOC interruption
RAZCOM Micro-communication reset signal
-RAZECG Reset signal for the memorization switching circuit for -
INTECG interruption
-RAZEOC Reset signal for the memorization switching circuit for -
INTEOC interruption
RAZFV Micro-VF reset signal
-RAZPACE Reset signal for the memorization switching circuit for -
INTPACE interruption
-RAZSTIM Reset signal for the memorization switching circuit for -
INTSTIM interruption
-RAZUART Reset signal for the serial connection memorization switching
circuit
-RD Read validation signal
-RDBF Buffered validation signal for read
-RDBK0/1 Access line to the various graph status registers
-RDGRPH Signal to read the graph CPU registers
-RDRDYBF Signal indicating to the microcontroller that graph CPU status
registers can be read
RDY Signal indicating that the LCD controller is ready to receive
new data
READY "Defibrillator ready" indicator signal (active at high level)
-READY "Defibrillator ready" indication signal (active at low level)
REC Signal originating from graph trigger key
RECSTART Graph trigger signal
RESET Reset signal originating from the watchdog circuit
RETROECL LCD screen backlighting control signal
RJCTALRM Signal originating from the keyboard key for alarm rejection
-RLDSA Activation signal for the manual/semiautomatic locking relay
(active at 0)
RPTALRM Alarm repeat signal
-RSTCTRL Signal provoking control logic reset in the event of a
technical problem (active at low level)
RSTFV VF/VT detection CPU reset signal
-RSTGRPH Graph CPU reset signal
-RSTUART UART U18 reset signal
-RSTVOICE Voice synthesis reset signal
25
SACHARGE Charge trigger signal in semiautomatic mode
SAVEMEMO Inhibition signal for work RAM access in the event of +5 V
failure
SAWSEL0/1 Energy selection signal in semiautomatic mode
SECDISCH Signal indicating a safety discharge (active at +5 V)
SLCTDERV Signal originating from the keyboard key for derivation
selection
SON0/1/2 Selection signal for QRS beep volume
SPO2 Signal originating from the keyboard key for On/Off control of
the SpO2 option
SPO2IN Coding serial signal for the SpO2 module
SPO2ON Control signal for power supply to the SPO2 board
STARTDEF CHARGE/DISCHARGE cycle trigger signal (active at +5 V)
STERNUM Signal measured on the patient's body using STERNUM
hand-held electrode
STRTCONV Battery test control signal (active at +5 V)
SURVT3 Signal used for short-circuit monitoring of T3
-SYNCBF Data transmission synchronization signal coming from graph
SYNCDEF Synchronized defibrillation control signal (active at +5 V)
SYNCSTIM QRS signal for stimulation Demand Mode
SYNTHENB Signal indicating that a vocal message should be emitted
Analog signal of the vocal message originating from the
SYNTHVOC voice synthesis circuit (optional)
TBAT Battery test activation signal
TESTBATT Signal originating from the keyboard key for battery test
control
-TESTDEF Defibrillator test indication signal (active at 0 V)
TOPQRS Logic part of -TOPQRS signal
-TOPQRS QRS complex detection signal
+UBATT 14.4-V nominal NiCad battery voltage
+UCHARGE Voltage present throughout a CHARGE/DISCHARGE cycle
+UDEF Power supply voltage to the defibrillator section
+UDISCHEN Power supply voltage to the patient relay coils
+UEXT External power supply voltage (11 - 30 V, 8 A)
+UHVGEN Power supply voltage to the high voltage generator
+ULNPWR Rectified ac supply voltage for defibrillator
+UMONIT Power supply voltage to the monitor section
26
+V +7.7 V ±0.2 V voltage
+V0 Variable negative voltage for LCD screen contrast
adjustment
+V1 +8.3 V ±0.2 V voltage
-V1 -7.7 V ±0.2 V voltage
VALVLCD LCD screen commuted supply voltage (approximately -23 V)
+VF Floating ECG preamplifier supply voltage for the ECG
signals originating from the patient cable
-VF Floating ECG preamplifier supply voltage for the ECG
signals originating from the patient cable
+VF1 Floating ECG preamplifier supply voltage for the ECG
signals originating from the defibrillation electrodes
-VF1 Floating ECG preamplifier supply voltage for the ECG
signals originating from the defibrillation electrodes
VIN Input voltage from the power supply source (ac supply,
battery, or external direct current)
-VLCD LCD screen supply voltage (approximately -23 V)
VOICE Analog signal for sound to transmit
VRAM Supply voltage for RAM and timer operation
VREF Energy selection signal
VSPO2 Supply voltage of around 9 V for the SpO2 option
WDLCD Inhibition signals for the negative supplies for the LCD
screen in the event of LCD controller failure
-WR Write validation signal
-WRBF Buffered validation signal for write
-WRGRPH Graph CPU register write signal
WRKRAM Selection signal for the interior or extended (exterior)
memory
-WRRDYBF Signal indicating to the microcontroller that the graph CPU is
ready to receive new data/controls
WSEL Selected energy indication analog signal
+13.5V Supply voltage to RL1 of defibrillator, of the screen, of the
recorder, of the sound unit, etc.
-23VCM Commuted supply voltage to the LCD screen (VALVLCD)
+2.5V +2.5-V reference voltage
-2.5V -2.5-V reference voltage
+2.5VF Floating ECG preamplifier +2.5-V reference voltage
-2.5VF Floating ECG preamplifier -2.5-V reference voltage
3BRINS Signal indicating that a 3-lead patient cable is being used
50-60HZ 50-Hz or 60-Hz filter selection signal
5BRINS Signal indicating that a 5-lead patient cable is being used
+5V Supply voltage to the defibrillator control section and the
monitor logic section (+5 V)
+8V Supply voltage to the defibrillator control section (+8 V)
27
2. OPERATION
− An ECG preamplifier for processing the input signal measured on the patient.
− A central unit which controls the communication between the various
functional sections.
− An LCD controller.
− An LCD screen for curve and data display.
− An LCD power supply.
− A recorder for the printout of curves and data.
− a control keyboard.
− A communication circuit linking the central unit to the circuits of the optional
function modules (SpO2, VF detection, serial linking).
− An SpO2 circuit.
− A VF detection circuit.
− A stimulator.
− The HV generator.
− HV measurement.
− Charge/discharge control signals.
− Defibrillator monitoring.
− Patient current measurement.
− Defibrillator test.
− Semiautomatic function, etc.
The defibrillation section also comprises the unit power supply. The various
voltages required by the defibrillator and monitor are generated from the ac
supply, a 14.4-V battery, or an external supply.
28
2.2. POWER SUPPLIES
(see schematics on Pages 103, 104, 106 or 111, 112, 114 or 119, 120, 122)
Voltage VIN (C6) from the power source can vary between 11 and 30 V. This
source is connected at J1 (C8) on the Central Unit and Preamplifier printed
circuit and originates from the defibrillator.
A first chopper regulator RG4 (D8) in association with the transformer TR1,
the diode D13, and the capacitors C63 and C64 generates a 13.5 V voltage
(D5) and a sufficiently high current to power the screen backlighting, the
recorder, the sound circuits, etc.
A second chopper regulator RG5 (C8) in association with the 3-12 winding of
TR2, D7, C69, and C71 produces the +5 V voltage (D5) to power the logic
section, display control, and extension logic systems.
The 4-11 and 5-10 windings of TR2 produce the energy required by the Non-
Floating ECG Treatment section by generating in association with D9, C74,
and RG7 a voltage +V1 of +8.3 V ±0.2 V (C5) and in association with D10,
C77, and RG8 a voltage -V1 of -7.7 V ±0.2 V (C5).
The voltage -VLCD of -23 V ± 1 V (C5), required for LCD screen functionning,
is produced by the 6-9 winding of TR2 in association with D8, C72, RG6, and
DZ10.
The 7-8 winding of TR2 in association with D11 and C80 supplies the VSPO2
(C5) voltage of approximately 12 V for a current of 100 mA for the supply of
the SpO2 option.
The transformer TR2 (described below) has a final winding (insulated) which
gathers the energy necessary to the floating ECG preamplifier whose
connection is located on the floating part of the printed circuit at SP1 and SP2
(A6).
Along with RG2 and DZ14, the +VF voltage of +7.7 V ±0.2 V (A4) is obtained
and with RG1, C48, C49, RG3, and DZ15, the -VF voltage of -7.7 V ±0.2 V
(A4) is obtained.
29
2.3. ECG ACQUISITION
(see Pages 103, 104 or 111, 112 or 119, 120)
The exploders E1, E2, and E3 (D6, C6) protect the floating section
against overvoltages (defibrillation shocks, electrostatic discharges).
The resistors R71, R72, and R73, and the diodes DN1, DN2, and DN3,
protect the inputs of the Multiplexers U1 and U2 (C4, B4).
Amplifier U32B (B3), its surrounding components, and the upper stage of
U2 allow control and therefore reduction of the common mode voltages.
A 1.1 V signal (junction point of R69 and R68) (C4) is supplied to the
ECG acquisition electrodes via the high resistance resistors R225, R3,
R226, and R4.
30
2.3.2. Acquisition via defibrillation electrodes
(Schematic 2/7)
31
2.4. ECG SIGNAL PROCESSING
(see Pages 103, 105 or 111, 113 or 119, 121)
32
2.4.3. QRS complex detection
(Schematic 3/7)
With all continuous components removed at TP6 (C1), the ECG signal at
its final gain (A5) is averaged by R22 and C27, and compared at ±2 V
with U22 which detects if the ECG signal goes out of the visualization
frame (graph or screen).
This loudspeaker (HPOUT signal, (A1)) is attacked, via C93, by the audio
amplifier U37 (A2) with a gain of one, and whose input signal comes from the
multiplexer U38 (A4) via U36D.
Eight different analog signals are multiplexed by the control-logic signals from the
CPU: SON0, SON1, and SON2 (B8). With its surrounding components, U36B
(B6) generates three sinusoidal signals of different amplitudes but with the same
frequency; U36A (A6) produces similar signals at a different frequency.
U36C (A6) serves as an amplifier for the audio input originating from the voice
synthesis option.
U96A (A7) produces a continuous voltage, necessary for the operation of
Oscillators U36A/B/C.
33
2.6. THE CENTRAL UNIT
(see Pages 103, 106, 107, 108, 109 or 111, 114, 115, 116, 117 or 119, 122, 123,
124, 125)
The central unit (micro-master) controls, processes, and checks the control
signals sent to the various functional sections of the unit.
− Preamplifier checks.
− Alarm management.
− Screen control.
− Keyboard management.
− Control of graph signals.
− Management of the defibrillator-monitor interface.
− Micro-communication checks.
− Stimulator checks.
The central unit is built around the microcontroller U72 (D5, Schematic 5/7)
driven by the 16-MHz quartz Q1.
The data bus has an 8-bit architecture; it is multiplexed with the eight lightweight
address bits to obtain a 16-bit address bus.
The register U74 (D5, Schematic 2/7), mounted as a demultiplexer, allows the 8-
bit lightweight addresses to be locked using the signal ALE from Pin 33 of the
microcontroller. When the ALE signal is in state 1, the outputs of U74 follow the
input states. When the ALE signal goes to the 0 state, the inputs are insulated
from the outputs and output states of U74 are held until the ALE signal next goes
to the 1 state. These states code for the addresses A[0..7].
34
Access to the Program EPROM
ALE
-PSEN
The following table shows the organization of the internal memory space:
35
FD00 Address signal -CSHORO
FE80 X
FF00 X
FF80 X
0 1 0000 - FFFF X
1 0 0000 - FFFF X
1 1 0000 - FFFF X
36
2.6.2. The characters EPROM
(Schematic 5/7)
When the unit is switched on, the supply voltage VRAM is generated
from the +5 V voltage via D15 (B5). In the absence of the +5 V voltage,
the power supply is ensured by the battery via D14.
A SAVEMEMO impulse originating from the watchdog function is
generated whenever the +5 V signal falls below 4.5 V. The shape (and
amplitude) of the SAVEMEMO impulse follows the shape of the falling
+5 V signal. Via T6, this impulse forces and holds Outputs 8 of U67B
and U68B into a high state, thus inhibiting all access to the RAMs. In
safeguard mode, the output levels of U67B and U68B corresponds to the
battery voltage.
4,5 V
+5 V
SAVEMEMO
outputs 8 of
U67B and 68B
37
At power-up, a SAVEMEMO impulse originating from the watchdog
function is generated, thus ensuring the passage from the Safeguard
mode to the Active mode of the work RAMs.
+5 V 4,5 V
SAVEMEMO
outputs 8 of
U67B and 68B
The signals -CSRAM1, -CSRAM2, -WR and -RD give access to the work
RAMs:
− -CSRAM1 = 0 and -WR = 0: write access to the RAM U70.
− -CSRAM1 = 0 and -RD = 0: read access to the RAM U70.
The signals -CSHORO, -WR, and -RD give access to the timer:
− -CSHORO = 0 and -WR = 0: write access to timer.
− -CSHORO = 0 and -RD = 0: read access to timer.
The role of the decoder U73 (B7) is to generate decoding impulses for
the validation of the various input and output switching circuits and
functions. The output state of the various signals depends on the status
of the lines A[7..10] (see table of internal memory space). Validation of
U73 is controlled by a decoding logic circuit built around U89 and
dependent of A[11..15] and WRKRAM (WRKRAM must be at 1).
38
2.6.5. Input and output switching circuits
(Schematic 6/7 and 7/7)
The input and output switching circuits (74HC573) form the interface
between the CPU and the various functional sections and modules, via
the data bus D[0..7] and the control lines -CS..., -WR, and -RD.
The switching circuits U88, U80, U79, U78, and U81 (D7, C7, C7, A7,
and A7 respectively, Schematic 6/7), U65, U66, and U94 (D3, C3, and
B3 respectively, Schematic 7/7) are input configured. They are validated
by a low level on Input EN which results from an OR logic combination
(U77A, U75D, C, A, U77B, U64C, B, and U75B) of the signal -RD and
the signals originating from the decoder U73 (B7, Schematic 5/7). When
an EN input passes to a low state, the data present at the input of the
corresponding switching circuit are transferred to the data-bus side and
are read by the microcontroller. When Input EN passes to a high state,
the data-bus side passes to a high impedance state.
The input switching circuit U88 allows the transfer of signals present on
the unit's configuration jumper J14 (D8, Schematic 6/7); these signals
indicate the presence of the modules SpO2, VF (ventricular fibrillation
detection), graph, stimulator, external RS232 interface, and emulator (for
software adjustment). The presence of the jumpers forces the switching
circuit input to 0.
The input switching circuit U80 allows the transfer of the microcontroller's
interruption signals and of this coding for the functionning mode of the
stimulator.
The input switching circuit U79 also allows the transfer of signals
originating from the stimulator. These signals operate the coding of the
stimulation frequency and the stimulation current.
39
0 0 0 0 0
0 0 0 1 35
0 0 1 0 45
0 0 1 1 50
0 1 0 0 55
0 1 0 1 60
0 1 1 0 65
0 1 1 1 70
1 0 0 0 75
1 0 0 1 80
1 0 1 0 85
1 0 1 1 90
1 1 0 0 100
1 1 0 1 115
1 1 1 0 130
1 1 1 1 150
The input switching circuit U78 allows the transfer of various input
signals.
The input switching circuit U81 allows the transfer of signals originating
from the defibrillator. The signals DEFMOD0, 1, 2, and 3 operate coding
to indicate the type of defibrillation cassette connected to the unit.
0 0 0 1 Hand-held
electrodes
0 0 1 0 Internal electrodes
0 1 0 0 External
electrodes
1 0 0 0 Semiautomatic
mode
1 1 1 1 No cassette
The input switching circuits U65 and U66 allow the transfer of signals
present on the keyboard.
The input switching circuit U94 allows the transfer of signals present on
keyboard (not used) and of various input signals.
40
The input switching circuits U84, U86, U87, U83, and U85 (D6, C6, C6,
A6, and A6 respectively, Schematic 6/7) are output configured. They are
validated by a high state on Input C1 which results in a NOR logic
combination (U82C, D, A, U57D, and U82B) of the signal -WR and the
signals originating from the decoder U73 (B7, Schematic 5/7). When a
C1 input passes to a high state, the data-bus line states are transferred
to the output of the switching circuit. When the C1 input passes to a low
state, the outputs are insulated from the inputs and the data remain
memorized in the outputs.
Signal for
ADMUX5 ADMUX4 ADMUX3 ADMUX2 ADMUX1 ADMUX0
conversion
0 0 0 0 0 0 ECGVISU
0 0 0 0 0 1 ECGGRAPH
0 0 0 0 1 0 ECG-PACE
0 0 0 1 0 0 GNDTEST
0 0 0 1 0 1 +2.5VTEST
0 0 0 1 1 0 +5VTEST
0 0 1 1 X X BATTV1
0 0 1 1 X X IDELVR
0 1 0 0 X X WSEL
0 1 0 1 X X CAPV2
0 1 1 0 X X IPAT
0 1 1 1 X X BATTV2
The output switching circuit U86 allows the transfer of RAZ signals of
interruption switching circuit for the backlighting signal.
The output switching U87 circuit allows the transfer of defibrillator control
signals.
The output switching circuit U83 allows the transfer of various signals
including the selection signals for the ECG derivations and the selection
signals for the ECG signal gain.
41
The output switching circuit U85 allows the transfer of various signals
including the selection signals for the QRS beep volume.
C104 and R133 (C1) form the RC network of the clock of the A/D
converter (520 kHz). When the signals -CSADC and -WR go to 0, U44
starts a conversion. The passage of EOC to 0 indicates the end of the
conversion, which results in an interrupt request. The data are recovered
by the microcontroller using the data bus D[0..7] and the control signals
-CSADC and -RD (-CSADC = 0 and -RD = 0).
42
-CSADC
-WR
-RD
-EOC
43
TOPQRS
-INTECG
-RAZECG
− In the third case, a reset impulse can be triggered by the circuit which
monitors proper program functioning (watchdog). The principle of this
monitoring is based on the repetition of the impulse of the -CSWDOG
signal in a given time period.
-CSWDOG
D20
output 6
of U48B
44
Depending on the origin of the RESET impulse, the microcontroller
runs a different initialization sequence.
If the origin of the RESET impulse is the monitoring of the +5 V signal,
the CLDSTRT output of the memorization switching circuit passes to a
high state (case of power-up). A low state on Input 10 of U45B forces
the CLDSTRT output to 1. The first impulse of the -CSWDOG resets
the CLDSTRT output to 0.
If the RESET impulse originates from the counter U46, the CLDSTRT
output of the memorization switching circuit remains in a low state.
The interface which ensures the link with the LCD controller comprises
the following:
− Control logic allowing the inhibition of LCD screen negative supply
voltages during power-up and in the event of a problem on the LCD
controller printed circuit.
− Switching transistors T1, T2, T3, and T4 allowing the verification of the
negative supply voltages.
− A D/A converter allowing the adjustment of the contrast voltage.
+5V
WDLCD
RESET
output 8
of U95C
VALVLCD
COL-VO
45
The contrast voltage COL-VO is adjusted by the D/A converter U62 (C3)
and the operational amplifier U40 (C2). Via the data bus D[0..7] and the
control lines -CSDAC and -WR, the converter receives the coding data
for the contrast voltage from the microcontroller (-CSDAC = 0 and -WR =
0). The operational amplifier U40B is mounted as an inverter with a gain
of 5.6.
Communication with the graph is achieved using the data bus DGR[0..7]
(B1) via the bidirectional buffer U52 (B2). When the signal -CSAR42 is in
a low state, it validates the bidirectional buffer; the signal -RD imposes
the data transmission direction (when it is in a low state, transmission
direction is from DGR[0..7] to D[0..7]).
The signals -RDGRPH and -WRGRPH (C6) are read and write impulses
from the registers of the graph CPU. These impulses are generated from
the impulse -CSAR42 associated with -RD (for -RDGRPH) and -WR (for
-WRGRPH) via the two OR gates (U48A and U48D) (C8).
The signals RDBK0 and RDBK1 are coding signals from the graph CPU
status registers (B8, Schematic 6/7).
46
2.6.11 Micro-communication interface
(Schematic 5/7)
The impulse -CSDUAL (B6) allows the validation of access to the DUAL
PORT RAM. The decoding signal -CSDUAL is generated from A[11..15]
via U89B, U47F, U95B, and U77C (B7). Communication with the DUAL
PORT RAM is achieved using the data bus DBF[0..10] via the
bidirectional buffer U51 (C2) and the address bus ABF[0..10] via the
buffers U54 and U55 (A7).
When the signal -CSDUAL is in the low state, it validates the buffer U51.
The signal -RD selects the direction of data transmission; when -RD is in
the low state, the transmission direction is from DBF[0..7] to D[0..7].
The LCD controller circuit ensures the interface between the central unit
(micro-master) and the LCD screen. It comprises:
The data sent by the micro-master using the data bus DLCD[0..7], the
address bus ABF[0..2], and the control lines -WRBF and -CSLCDBF are
received by the controller U3.
-CSLCDBF
-WRBF
DLCD[0..7]
ABF[0..2]
The data stored in the video memory (U5 and U6) are re-read by the
controller U3 and transmitted to the LCD screen using the data bus
D[0..7] via the buffers U1 and U2.
47
50,40 µs
3 X Tosc
0,150 µs
324 325 326 327 328 329 330 331 332 333 334 335 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 ... 318 319 320 321 322 323 324 325 326 327 328 329 330
CL2U
CL2L
CL1
450 ns
CL1
FLM
50 µs
12,10 ms
48
The signal -DISPOFF generated by the controller U3 (EMP7128) allows
the LCD display to be switched off; when this signal is at 1, the display is
on, and off when the signal is at 0.
The signal RETROECL controls the on/off of the backlighting; when this
signal is at 1, the backlighting is on.
The signal READY generated by the controller U3 indicates to the micro-
master that it is ready to receive new data (in the case of a fast micro-
controller). This control line is currently not used.
P1 allows adjustment of the backlighting brightness. Maximum
brightness is obtained when the P1 value is at a minimum. This can also
be achieved by short-circuiting Pins 4 and 5 of J2 (P1 isn't mounted).
+5 V
pin 10
of U7
pin 11
of U7
pin 1
of U8A
12 ms 12 ms 22 ms 12 ms
WDLCD
49
2.7.2. LCD controller : new version screen
The "LCD controller" printed circuit ensures the function of controller for
the TFT LCD colour screen and for the LCD black and white screen.
It comprises :
n a 24MHz clock (U8),
n video RAMs U2 and U3,
n a buffer circuit U5,
n a watchdog function built around U6, U4 and U7,
n a controller U1 (whose programmation depends on screen type used).
The communication between the controller and the TFT screen made
through J1 and J2 (H.S, D.E., RED, GREEN and BLUE signals from U1.
U5 is abuffer circuit for the signals enumerate above.
V.S.
63 µs
15,5 ms
H.S.
32 µs
D.E.
190 µs 5 µs
50
Watchdog
The communication between the controller and the black and white
screen made through J3 and J4 (FLM, CL1, CL2, D[0..3]. The signal -
DISPOFF controls the ON/OFF system of the LCD screen ; when this
signal is at "0", the LCD screen is OFF.
The signal RETROECL controls the ON/OFF of the backlighting ; when
this signal is at "1", the backlighting is on.
FLM
42 µs
10,1 ms
CL1
42 µs
CL2
23 µs
42 µs
250 ns
500 ns
51
2.8. THE HIGH-VOLTAGE CIRCUIT
(see Page 135 or 137, Schematic 1/1)
52
2.8.2. HV generator control relay
-CHARGERL
0 t
GEST
0 t
0 t
activation of the HV generator
53
Signals from HV Generator
VDS
90 V
35 V
0 t
VGS
0 t
ID
21 A
0 50 µs 35 µs t
0 t
phase de phase de phase de
conduction démagnétisation conduction
?
The above graph gives the signals from the HV generator at a given time
during the battery test sequence. The supply voltage to the HV generator
is 14.4 V (nominal voltage of a NiCad battery containing twelve 1.2-V
cells).
54
2.8.4. High-voltage measuring circuit at HV converter primary winding
The curve on the following page shows the main signal variations as a
function of time for the HV condenser.
All the control signals are supplied by the defibrillator-control printed
circuit (W4P41536).
55
CHARGE
key
0 t
-CHARGERL
0 t
0 t
VDS
T4,T5
90 V
75 V
+U ALIM
GENE. HT
0 t
CAPV1
sel. energy
level 360 J
0 t
activation of of the discharge
validation relay RL2
-DISCHENRL
0 t
35 ms
(the indicated amplitudes and durations have a +/- 10 % tolerance)
56
2.8.6. Battery test timing diagram
The following curves show the variation of the main signals as a function
of time during a battery test.
The control signals are also supplied by the defibrillator-control printed
circuit (W4P41536).
TEST BATT
key
0 t
-CHARGERL
0 t
activation
of the charge relay RL1
GEST
0 2s t
VDS
T4,T5
90 V
35 V
+ U ALIM
GENE. HT
0 t
57
2.8.7. High-voltage module
The inductance coils L1 (D3), L2 (C3), L3 (D2), and L4 (B2), for high-
frequency filtering.
58
* Patient-Current Measurement during Defibrillation
The figure below represents the signal IPK1 for a 360-J discharge
across 50 Ω.
IPK1(V)
500 mV
0 t (ms)
t
10 = 3,7 ms
HT
CAPV = ---------
1100
59
The signal CAPV is used to carry out three functions:
− Inhibition of charging during the safety discharge phase.
− Display of energy during the charging, holding, and safety discharge
phase.
− Fills the role of an additional safety circuit (safety HT2).
The figure below shows the evolution of the CAPV signal over a
CHARGE/DISCHARGE cycle at 360 J.
STARTDEF
0 t
charging holding discharge
phase phase phase
Tmax = 20 s
H.T.
safety
5,2 kV discharge
0 t
CAPV
4,7 V
0 t
60
2.8.9. Monitoring circuit for the contacts of the patient relay
The two high-voltage resistors R29 and R30 are located on the soldered
side of the printed circuit W4P41535. However, the test of this function
does not require access to the underside of the printed circuit.
The figure below shows the evolution of the signal PATRLSEC during
the test of this function.
activation of patient
H.T. relay on open circuit
600 V
0 t
charging hold safety
discharge
PATRLSEC
6V
0 t
61
2.8.10 The defibrillator-test detection circuit
The 50-Ω discharge resistor and the detection torus are located in the
electrode support chassis. The shaping circuit is integrated into the high-
voltage printed circuit W4P1535.
The figure below shows the signals relating to a defibrillator test for a
selected energy of 100 J.
I(A)
34 A
100 J defibrillation impulse
0 t
detection t 10 = 4,4 ms
torus
30 V
signal from detection torus on charge
R = 10 kO
0 t
50 µs
RB2(+)
3V
0 t
-DEFTEST
0 t
130 ms
62
2.9. DEFIBRILLATOR CONTROL
(see Pages 139, 140, 141, 142 or 144, 145, 146, 147 or 149, 150, 151, 152)
63
The output voltage (+24V) is regulated through the resistor bridge (R64
and R65). The diodes D30 and D31 constitute reverse lock diodes
between the +ULNPWR output and the switching regulator output (RG4
and TR2).
The transistor T6 supplies the LED (battery charge indicator) using the
signal BATCHLED.
The power supply for the DEFIGARD 3002 IH is provided by two distinct
supply voltages:
Power supply for the DEFIGARD 3002 IH using the incorporated battery
is provided using the two diodes with common anodes DN4 (B7).
The On/Off system is built around U26, U22, T8, RL2, and the
associated components. The circuit made up of U26A (C5) constitutes
an anti-rebound switching circuit. U26B is mounted as a Flip-Flop circuit.
Pressing the On/Off button (signal ONOFF1) results in a supply voltage
of approximately +5 V being established on the cathode of DZ6 (C5) via
R90 and D13. The switching circuit U26B is reset by C71 and R127.
After a rebound inhibition period (approximately 10 ms), Output Q (Pin 1,
U26A) goes to the high state, also provoking the passage to the high
state of Output Q (Pin 15, U26B). The conduction of the transistor T8
provokes the activation of the On/Off relay RL2 (C2). At the same time,
the output of the open-collector comparator (Pin 7, U22) is held at zero
for a duration determined by C66 and R60 (B6). The closing of the
contacts of the On/Off relay RL2 provokes the appearance of the supply
voltages +UMONIT and +UDEF. The auto-supply of the circuits U26 and
U22 is now carried out by R63 and D16 (C3). Pressing the On/Off
button a second time results in a change of state on the switching circuit
U26B (after a rebound inhibition time) and the DEFIGARD 3002 IH is
switched off (see signal evolution as a function of time during an On/Off
cycle on the following page).
64
On/Off Cycle
On/Off
push button
0 t
cathode DZ6
pin 16 of U26B
0 t
RESET
pin 12 of U26B
0 t
RESET
pin 4 of U26A
0 t
Q
pin 1 of U26A
0 t
-Q
pin 2 of U26A
0 t
SET
pin 7 of U26A
0 t
Q
pin 15 of U26B
0 t
10 ms 10 ms
RL2
0 t
exitation of On/Off relay RL2
65
The On/Off system also comprises an automatic power-down circuit built
around U22 (B3). The non-inverting input (Pin 2) is connected to a
potential of approximately +2.5 V (reference of DZ6). Voltage monitoring
is carried out on +UMONIT using the resistors R102, R103, R113, and
T9 (C3). When the DEFIGARD 3002 IH functions on the ac supply, the
automatic power-down system has no effect. Depending on the power
source used (internal battery or external supply), the system has two
distinct power-down trigger levels. This function is accomplished using
the transistor T9 and R113. For battery operation, the dividing bridge is
made up of R102 and R103 in parallel with R113. When the unit is
powered via the external direct-voltage input, the dividing bridge is made
up of R102 and R103.
When the signal on the inverting input (Pin 3, U22) falls below the
reference voltage (+2.5 V), the open-collector comparator goes to the
high impedance state. This results in T8 being blocked, deactivating
RL2 and switching the unit off.
66
2.9.3. Manual/semiautomatic locking
(Schematic 3/4)
The activation of the relay RL1 during use of the semiautomatic module
validates CPU energy selection and charge triggering.
The circuit which produces the selected energy reference comprises the
elements DZ1, U2A (B8), U19 (A7), and the associated components.
DZ1 is a +5.0-V voltage reference which supplies the reference potential
by division. In Manual Mode, the dividing bridge is formed by R6 and a
resistor selected by the energy selector. In Semiautomatic Mode, the
dividing bridge is formed by R6 and a resistor selected by the analog
multiplexer U19. The operational amplifier U2A is mounted as a follower
to supply the signal WSEL. The signal WSEL has two functions:
− Constitutes the reference for the charge-stop circuit.
− Supplies an indication of selected energy to the CPU (W4P41537).
Manual Mode
Selected WSEL
Energy
0 5.00 V The above table gives the voltage
5J 0.51 V of the signal WSEL as a function
10 J 0.74 V of the selected energy, for the
20 J 1.03 V hand-held and adhesive electrode
30 J 1.27 V modules.
50 J 1.64 V
100 J 2.31 V
200 J 3.28 V (the signal WSEL has tolerances of
300 J 4.01 V ±5 %).
360 J 4.40 V
67
Selected WSEL
Energy
0 5.00 V
5J 0.51 V The above table gives the voltage
10 J 0.74 V of the signal WSEL as a function
15 J 0.90 V of the selected energy, for the
20 1.03 V internal electrode module.
25 J 1.16 V
30 J 1.27 V (the signal WSEL has tolerances
35 J 1.38 V of ±5 %).
40 J 1.47 V
50 J 1.64 V
Semiautomatic Mode
Selected
SAWSEL1 SAWSEL0 WSEL
Energy
0 0 200 J 3.28 V
0 1 300 J 4.03 V
1 0 360 J 4.40 V
1 1 5.00 V
The above table gives the voltage of the signal WSEL as a function of
the control signals (SAWSEL0, SAWSEL1) supplied by the CPU in the
Semiautomatic Mode.
68
2.9.6. Control logic
(Schematic 3/4)
The control-logic circuit generates all the control signals for the HV
generator and the various relays.
* Reset at Power-Up
+5V
0 t
SAFETY
switching circuit
pin 2 of U15A
0 t
TL7705 3 ms
pin 6 of U18
0 t
switching circuit
STARTDEF
pin 4 of U8A
0 t
switching circuit
STARTDEF
pin 1 of U8A
0 t
pin 10 of U8B
pin 4 of U9A
pin 10 of U9B
0 t
pin 13 of U8B
pin 1 of U9A
pin 13 of U9A
0 t
69
* Charge Inhibition
The appearance of a low logic level on TP7 (A6) provokes the start of
charging. The signal is inverted by U11A (C5) then differentiated by
C34 and R52. At the output of U17A, an impulse appears which
triggers charging if the following two conditions are filled:
The signal which allows the opening of the charge relay (RL1,
W4P41535) contact to be checked is supplied by the operational
amplifier U2B (D6). The non-inverting input is at a potential of 2.5 V;
the inverting input detects the signal +UCHARGE via R74 and R75.
When the contact of RL1 is open, the output of U2B is also at a high
level thus validating charging.
The impulsion at the output of U17A (D4) provokes the reset of the
SAFETY switching circuit U15A (D2, Schematic 4/4) using U25C, and
also provokes a low logic level at the output of U18 (Pin 6) (B1).
Because the STARTDEF switching circuit U8A (D4) is no longer
reset, its output increases to a high level and supplies the
STARTDEF signal.
70
The active signal STARTDEF (C1) provokes the opening of the
contacts of the safety discharge relay (RL3, W4P41535), and the
activation of the charge relay (RL1, W4P41535). The opening of the
contacts of the safety discharge relay is directly provoked by the
conduction of T6 on W4P41535.
The activation of the charge relay is controlled using U25B, U23A,
D22, R61, DZ5, and the open-collector driver U14B (D1 and D2).
TP7
0 t
pin 1 of U17A
0 t
10 ms - 20 ms
SAFETY
switching circuit
pin 2 of U15A
0 t
TP15
STARTDEF
pin 1 of U8A
0 t
5 ms - 10 ms
0 t
60 - 100 ms
71
The diagram of signal evolution as a function of time on the previous
page shows the evolution of signals for the first charge after unit
power-up this sequence includes the resetting of the SAFETY
switching circuit U15A) (D2, Schematic 4/4).
When the STARTDEF switching circuit U8A (D4) is active, its output
-Q goes to the low logic level via U12A (B5) and activates the counter
U16 (B4). In the event of a technical fault, the charge sequence last
more than 20 s, Output Q12 of U16 goes to a high level and using
U11E, U21A, and U12B provokes the reset of the control logic (reset
of U8A).
During normal HV condenser charging, the signal CAPV1 (B8) is
used to stop charging. When the amplitude of the signal CAPV1 is
equal to the voltage level corresponding to the selected energy, the
comparator U3C (B7) generates an impulse at TP6 whose low level
provokes the reset of the LOADC switching circuit U8B (C2) via the
inverter U11C and the gates U21C and U21B. This stops the HV
generator. This end of charge impulse also resets the counter U16
via the gate U12A.
GEST
TP13
0 t
Tmax = 20 s (U16)
TP6
0 t
RESET
pin 2
of U16
0 t
2 - 5 ms
CFULL
TP16
0 t
30 - 50 ms Tmax = 20 s
(U16)
72
* The Holding Phase
STARTDEF
TP15
0 t
GEST
TP13
0 t
CFULL
TP16
0 t
Tmax = 20 s
DEFI READY safety
activation RL2 discharge
(discharge validation relay)
For the patient relays RL4 and RL5 (W4P41535) to be activated, the
two transistors T2 (D7) and T3 (A2) must be conducting. The
transistor T2 is directly controlled by the push-buttons for discharge
triggering via the components D10, R42, C32, R110, and R44 (A8).
The transistor T3 is controlled by the DISCH switching circuit U9A
(A2). For the DISCH switching circuit U9A to be triggered by U17B,
the following four conditions must be filled:
− Activation of BP1 (TP7 at a low level).
− Activation of BP1 and BP2 (TP8 at a low level).
− CFULL signal active (defi - ready) (TP16 at a high level).
− SYNCDEF signal active.
73
Direct Mode
SYNCDEF
0 t
SYNCDEF
0 t
activation discharge
synchro button in presence of ECG signal in synchronized mode
74
Signal Evolution during Discharge across 50 Ω
CFULL
TP16
0 t
pin 13 direct mode
of U17B BP1 and BP2
pressed
0 t
DISCH
TP17
0 t
RESET activation of patient relay
pin 12
of U16
0 t
Q5
U16
0 t
T = 160 ms
STARTDEF
TP15
0 t
patient
current
0 t
The defibrillator's safety functions are built around the elements U6,
U23B, U3A, U3B, U7A, U15A, T1, and the associated components. The
safety switching circuit is formed by U15A which is controlled by U23B.
Five technical safety mechanisms can trigger the switching circuit U15A
(D2):
1) Monitoring of T2.
2) Monitoring of T3.
3) Monitoring of the patient relay.
4) High-voltage safety signal OVER1 (W4P41535).
5) High-voltage safety signal OVER2.
75
In order to check the proper function of the SAFETY switching circuit
U15A, this circuit is triggered at power-up. Charging provokes the
resetting of the switching circuit U15A via U25C. Because of this, a
possible technical fault on the defibrillator will not block the defibrillator
but will result in the display of a DEFI ERROR message and a safety
discharge due to T1 (D1) becoming conducting. The operational
amplifier U23B (D3) triggers the switching circuit U15A when one of the
open-collector comparators U6B, U6D, U6C, U3A, or U3B (D6, C6, B6)
goes to zero.
+5V
SET 0 t
SAFETY M/A detection of a technical
switching circuit fault by U6B, U6C,
pin 6 of U15A U6D, U3A or U3B
Q 0 t
60 - 80 ms
SAFETY.
switching circuit
pin 1 of U15A
0 t
-DEFSEC
TP14
0 t
reset of
pin 1 of U17A défibrillator
and safety
discharge
0 trigger of t
of charging
RL1 charge relay
activation
RL1 W4P41535
0 t
charging of
H.V.
condenser
0 t
76
When a technical fault is detected, the signal -DEFSEC passes to 0 V
due to the conduction of T1 (D1). Consequently the driver U14B (D1,
Schematic 3/4) deactivates the charge relay RL1 (W4P41535) and thus
provokes a safety discharge. Output -Q of U15A (D2) resets the circuits
of the control logic via U18 (B4), U12B (B3), and U8A (D4).
* Monitoring of Transistor T2
STARTDEF
TP15
source of T2 0 t
+UCHARGE
+4V
0 t
drain of T2 technical fault on T2
TP12 (drain-source short-circuit)
+UCHARGE
+4V
0 t
-DEFSEC
TP14
0 t
0,8 - 1 s
77
* Monitoring of Transistor T3
The first high-voltage safety circuit is formed by U3A (C6) and its
associated components.
78
* Monitoring of the Patient Relay
The patient current is measured via the current transformer TR3 on the
printed circuit W4P41535. The signal IPK1 (B4) (evolution of patient
current) is filtered by the components R85 and C45 before attacking the
peak detection stage built around U5A and D4. Peak amplitude is
memorized over the duration of patient relay activation by the capacitor
C43 via U13A. The capacitor is discharged by U13B and the resistor
R21. The operational amplifier U5B (B1) has a gain of between 2 and
6.7, depending on the adjustment of P1. The output signal IPAT is
adjusted by P1 in order to obtain a conversion factor of 1 V for 30 A.
79
2.9.10 Graph triggering via the buttons of the hand-held electrodes
(Schematic 4/4)
The triggering of the recorder by the button located one of the hand-held
electrodes is accomplished via U1, U10, and the associated
components. The graph control signal which goes to the CPU
(W4P41537) is called RECSTART.
* Signal CFULL = 0
* Signal CFULL = 1
80
2.9.11 Defibrillation module coding
(Schematic 4/4)
Internal electrodes 0 1 0 0
Adhesive electrodes 0 0 1 0
Semiauto. module 0 0 0 1
No module inserted 1 1 1 1
− -ANALYSE
− SAWSEL0
− SAWSEL1
− SACHARGE
81
2.9.13 Other functions
(Schematic 3/4)
The battery test is triggered by the CPU (W4P41537) using the signal
STARTCONV (C5). After the TEST BATT key has been pressed, the
STARTCONV signal is active for 2 s. The gate U24C (C3) prevents a
battery test during a defibrillator cycle. The output of U24C provokes
if necessary a reset of the safety switching circuit via the
differentiating circuit formed by C68, R37 (C4, Schematic 4/4), and
the gate U25C. The signal TBAT also provokes the activation of the
CHARGE relay via U25B, U23A (D2), and U14B (D1), the passage to
the high state of the signal GEST via U25A (C1), and the activation of
the TEST BATT relays RL5 and RL6 via the driver U14E (A8, A7, and
A6, Schematic 2/4).
The logic signals from the defibrillator section are buffered by the
circuit U20 (4050) before being sent to the CPU printed circuit
(W4P41537).
82
2.10. OPTIONS
- UART circuits:
### U7(C3) for communication with the SpO2 option.
### U8 (D3) for external communication (serial port).
- A D/A converter U15 (A3) which carries out the conversion of the
digital SpO2 signal into an analog signal.
83
The central unit is built around the micro-communication circuit U1 (D8)
driven by a 16-MHz clock originating from the central unit of the micro-
master via U5B. The data bus has an 8-bit architecture, multiplexed with
the 8 low order address bits to obtain an address bus over 16 bits. U2
(D6) is mounted as a demultiplexer; ALE and PSEN allow differentiation
between the data addresses.
When ALE is set to "1", the outputs of U2 (ACM[0..7]) follow the state of
the inputs of U2 (DCM[0..7]). When ALE goes to "0", the inputs are
insulated and the states present on the outputs are maintained until ALE
switches back to "1". These states code for ACM[0..7].
ALE
-PSEN
Coding of the working RAM U6 (C4) is carried out with the help of
ACM15. When ACM15 = "0", the working RAM is decoded.
Access to the contents of the working RAM is achieved with ACM15 =
"0" and -WRCM = "0" for a write, and ACM15 = "0" and -RDCM = "0" for
a read.
84
### Micro-Communication Reset
The DUAL PORT RAM, which ensures the interface between the
micro-master CPU and the micro-communication CPU, can be
accessed by the micro-master and the micro-communication.
10 ms approx. 7 ms approx.
-INTCOM
access to DUAL PORT RAM access to DUAL PORT RAM
by the micro-master by the micro-communication
85
* Memorization of Interruption Requests
SPO2FULL
-INTSPO2
-RAZSPO2
* The UARTs
The SpO2 UART (U7) ensures the interface between the micro-
communication and the SpO2 option. Access to the contents of the
UART registers is achieved when ACM15 is in the "1" state, -CSSPO2
is in the "0" state, and -WRCM is in the "0" state for a write or when
ACM15 is in the "1" state, -CSSPO2 is in the "0" state, and -RDCM is
in the "0" state for a read.
The MRSPO2 signal from U7 (Pin 39) allows the micro-
communication to send a reset impulse to the SpO2 UART.
When the SPO2FULL signal passes to the "1" state (Pin 33 of U7), an
interruption request is triggered.
SpO2IN (C1) is the transmission line from the SpO2 option to the
SpO2 UART (U7).
SpO2OUT (C2) is the transmission line for commands from the SpO2
UART (U7) to the SpO2 option.
86
The SpO2ON signal (C1) originating from the micro-master CPU via
an output switch (situated on the micro-master CPU) controls the
transistors T1 and T2 which supply the SpO2 option. When SpO2ON
is in the "1" state, power is supplied to the SpO2 option.
VSpO2 is the supply voltage for the SpO2 option.
The external interface UART (U8) ensures the interface between the
micro-communication and an external serial port.
The interface on the micro-communication side is identical to that of
the SpO2.
The interface on the external serial port side is carried out via U14
(MAX220) (D1) which puts the lines EXTOUT and EXTIN in the V24
standard ("0" state = -12 V; "1" state = +12 V). Data transmission is
achieved via a connector situated at the rear of the unit.
The role of the D/A converter U15 (A3), associated with U16B and
U16A, is to convert the digital SpO2 signal into an analog signal. This
signal is available at the connector at the rear of the unit.
The digital data of the SpO2 curve are received by the micro-
communication via the SpO2 UART. These data are then transmitted
to the D/A converter via the data bus DCM[0..7], -CSDAC (in the "0"
state) and -WRCM (in the "0" state).
-CSDAC
-WRCM
The voltage Vref of the D/A converter (Pin 15 of U15) is between 4.4
and 4.9 V.
Output 1 of the D/A converter U15 attacks an operational amplifier
(mounted as a unit-gain summing inverter), then a second operational
amplifier mounted as an inverter which restores the analog SpO2
signal.
87
2.10.2. External Stimulator
(see Page 148 or 150)
* a power section,
* a 40-ms square-wave generator,
* a constant-current generator.
By positioning the mode switch SW1 (A8) on either position FIX, DEM,
or OVD, T6 becomes passing and supplies a voltage-reducing
converter which comprises principally RG1, T8, D1, L2, and C18.
The voltage obtained at the terminals of C18 is close to +8 V (A5);
and is used to supply the midpoint of the primary winding of
transformer TR1 (D3) and give the voltage +5 V via RG2 (A6).
The +5 V voltage supplies all the control circuits of the non-floating
section and is used to produce the voltage -5 V via RG4 (A5). This
voltage is used for the analog circuits U7 (B3) and U12 (A3, A4) which
transmit a positive or zero voltage to the CPU with no delay which
represents the current actually delivered to the patient.
88
The primary winding of TR1 is attacked in push-pull mode using T1
and T2 (D4) which are both controlled by U14 whose control signals
are the result of a combination of the fixed 31.25 kHz frequency
generated by U1 (D7) and a validation signal originating from the
floating section via U15 (C3). This validation signal depends on the
voltage attained at the terminals of C8 (measurement using the
sequence R19, P1, U16C) (D2) and the instantaneous charge current
of C9 (measurement at the terminals of R20 using the sequence T3
and U16B) (D2).
TR1 transfers the energy or the power to the floating section and
principally to the buffer capacitor C9 whose charge is close to 1 Joule.
U16A, T4, and R24 (D2) form a safety sequence; in the event of a
failure of +VF (stimulation function stopped or malfunction), U16A no
longer blocks T4, and C9 discharges through R24.
The circuits U11 and U3A (B6) multiply this time-base by 1250 to
supply impulses every 40 ms when U11 is validated. This validation is
given by the switching circuit U8A (C5) and depends mainly on the
frequency (in P/min.) preselected by the operator.
After 40 ms, U11 resets U8A to the "0" state via Pin 4. However, a
40-ms square wave was present at the output Q of U8A and the
information has transited through the floating section via U10 (C2).
89
In FIX mode, data pin 5 of U8A is always in the "1" state. In OVD
mode (overdrive), this pin is in the "1" state only if the push-button
PB1 is pressed.
90
2.10.3 VF/VT detection
∗ QRS detection
The ECG signal used to extract the QRS tops is a signal from the
automatic gain control to obtain an optimal detection whatever the
input signal amplitude. To do this, the signal digitized by U20 is
immediately reconvert into analogic by U28. This signal is injectabled
into the QRS detection function.
92
The following table shows the memory space organisation:
$F000 Unused
$E000 Unused
$D000 Unused
$C000 D/A converter U28
$B000 UART serial connection U18
$A000 Unused
$9000 Input interface U21 and output interface U22
$8000 A/D converter U14
$7FFF
32 kilo-octets RAM
U13
$0000
The Q outputs of the flip-flop circuits are sent to the logic OR gates to
generate a interrupt signal : -INT0 (pin 14 of U10)
93
(D0 to D2). As soon as the interrupt is detected, a reset signal for the
corresponding flip-flop circuit (bits 0, 1or 2 of U22) is generated.
The transmission of analysis results is done via the internal serial links
of the microcontroller RXD (pin 11 of U18) and TXD (pin 13 of U10).
Via the connector J1, the two wires are directly connected to the
master microcontroller of the DEFIGARD 3002 IH.
The serial link format is : 1 start bit, 8 data bits, 1 special bit, 1 stop bit.
94
3. TEST AND REPLACEMENT OF PRINTED CIRCUITS
Before carrying out any operations, disconnect the power cord, the battery, and
the electrode module.
Turn the unit around, unscrew the six screws holding the rectangular cover
and remove cover. Disconnect the connector and remove battery.
* Unit Disassembly
Turn the unit around and unscrew the five screws located at the bottom of the
wells. Turn the unit with the front facing you while holding the two chassis
sections together, and place the unit handle in front of you (careful with the
screws!). Lift the upper chassis and turn around with the rear facing you. You
should now have in front of you:
− In front: the lower chassis containing the defibrillator.
− At the back: the upper chassis containing the monitor.
To detach the two sections, disconnect the connectors J1 (four pins), J3 (flat
cable), and J5 (three pins).
The visible printed circuit is the circuit W4P41537 (ECG and CPU
preamplifier). To remove this circuit, disconnect the two keyboard flat cables
J9 and J10, the connectors J2, J13, J6, and J11, and the shielding ground
cables J15 and J16, then unscrew the seven screws holding the printed
circuit.
To remove the printed circuits W4P41538 (LCD controller) and CFP57 (LCD
screen power supply), it is not necessary to remove the upper printed circuit
W4P41537; simply extract the holding chassis which is beneath this printed
circuit. To do this, disconnect the two keyboard flat cables J9 and J10, the
connectors J2, J13, J6, and J11, the shielding ground cables J15 and J16,
then unscrew the six screws directly screwed to the partly visible gray
sections. Lift the assembly and turn it around.
The printed circuit W4P41538 can thus be removed by disconnecting the
connectors J2 and J3, unscrewing the screw which holds the brace for the
upper part of the circuit, and sliding this circuit out of its guide rails.
The circuit CFP57 is then accessible. To remove this circuit, unscrew the four
screws which secure the screen to the chassis and the two screws on the
circuit.
95
* Removal of Printed Circuits from the Defibrillator Section
Unscrew the seven screws holding the upper printed circuit. Disconnect J4,
J10, J11, J3, J5, J1, J2, J6, and J7. The printed circuit W4P41536
(defibrillator control) can then be removed.
The next circuit, W4P41542 (shielding board), is held by one screw which
must be unscrewed to gain access to the next circuit. Lift the circuit
W4P41542 and remove the cables retained by clips.
In the event of a printed circuit being damaged, the whole of the printed circuit in
question should be replaced. No adjustments or tests are necessary after
replacement (settings determined at the factory) :
− LCD controler,
− LCD screen power supply (CFP57),
− external connector filter,
− SpO2 filter.
− CPU/preamplifier,
− high voltage,
− defibrillator control.
96
3.2. ADJUSTMENT OF THE "ECG PREAMPLIFIER AND CPU" CIRCUIT
Point
Poten- Target
Measuring of
Adjustment instrument measu- tiome- value and Remarks
ter tolerances
rement
Connect a 3-lead
cable at the input
ECG signal Oscilloscope TP4 P1 0 mV with inputs short-
offset ± 20 mV circuited
Point
Poten- Target
Measuring of
Adjustment tiome- value and Remarks
instrument measu-
ter tolerances
rement
value Printout
Patient Monitor on Ipat = 60 A Selected energy
current section graph P1 +0 A 300 J
paper -1 A
Holding
phase energy Monitor LCD P2 Display Selected energy
display section screen 300 J ±5 J 300 J
97
3.4. ADJUSTMENT OF THE "HIGH-VOLTAGE" CIRCUIT
Point
Poten- Target
Measuring of
Adjustment instrument measu- tiome- value and Remarks
ter tolerances
rement
Defibril- Joulometer
Joulometer lation P1 display Selected energy
Stopping 300 J
paddles 300 J ±5 J
charging of
the HV HV measu- Charge vol-
converter rement on +HV tage shown
Selected energy
HV conden- and P1 in the table
300 J
ser terminals -HV below
using divider ±40 V
C = 32 µF ±5 %
Cm = Cminimum
CM = Cmaximum
Cav = Caverage
98
3.5. ADJUSTMENT OF THE "EXTERNAL STIMULATOR" CIRCUIT
Point
Poten- Target
Measuring of
Adjustment instrument measu- tiome- value and Remarks
ter tolerances
rement
Maximum
output voltage termi- The measurement
for the power Voltmeter nals of P1 96 V is carried out
generator C9 ±2V without charge
Baseline for
the Mode: fix
measurement Voltmeter SP5 P2 15 mV Selected current:
of the patient ± 5 mV 0 mA
current
bet-
Amplitude of ween Connect a 500-Ω
delivered Voltmeter SP5 P3 2.99 V load at the input
current and ± 0.01 V and select a
SP6 150-mA current
99
4. LIST OF SCHEMATICS AND DIAGRAMS
Old version :
W4S41538A LCD controller schematic 127
W4L41538A W4P41538A LCD controller implantation 128
New version :
W4S141597 TFT LCD controller schematic 131
W4L141597 W4P141597 TFT LCD controller implantation 132
New version :
W4S141651 B/W LCD controller schematic 133
W4L141651 W4P141651 B/W LCD controller implantation 134
100
W4S141674 Backlight converter support schematic 135
W4L141674 W4P141674 Backlight converter support
implantation 136
101
W4S141570 Sp02 filter schematic 164
W4L141570 W4P141570 Sp02 filter implantation 165
102
5. LIST OF COMPONENTS
Old version :
W4P41538A W1411305 LCD controller printed circuit 231
New version :
W4P141597 W1411567 TFT LCD controller printed circuit 235
New version :
W4P141597 W1411571 N/B LCD controller printed circuit 237
184
W4P41569 W1411530 External connector filter printed 272
circuit
185
6. MODIFICATION OF DEVICE
W4P41537A
Article
Index of Number
number of
printed of ECL Modifications
printed
circuit version
circuit
Deletion of R145 (0 Ω)
292
W1411304 C 9 Change of U72 référence (80C32 →
80C251)
W4P41538A
Article
Index of Number
number of
printed of ECL Modifications
printed
circuit version
circuit
293
6.3. HIGH VOLTAGE PRINTED CIRCUIT
W4P41535A
Article
Index of Number
number of
printed of ECL Modifications
printed
circuit version
circuit
294
6.4. DEFIBRILLATOR CONTROL PRINTED CIRCUIT
W4P41536A
Article
Index of Number
number of
printed of ECL Modifications
printed
circuit version
circuit
295
W1411303 C 6 Deletion of R126 (0Ω)
296
6.5. EXTERNAL PACEMAKER PRINTED CIRCUIT
W4P41539B
Article
Index of Number
number of
printed of ECL Modifications
printed
circuit version
circuit
297
6.6. CPU COMMUNICATION PRINTED CIRCUIT
W4P41540A
Article
Index of Number
number of
printed of ECL Modifications
printed
circuit version
circuit
W4P41541A
Article
Index of Number
number of
printed of ECL Modifications
printed
circuit version
circuit
298
6.8. DEVICE WIRING
Article
Index of Number
number of
printed of ECL Modifications
printed
circuit version
circuit
299