COMeN C Eons Patient Monitor C50 Service Manual Shenzhen Comen Medical Instrument Co., Ltd.Content Chapter 1 Safety 1.1 Safety Information 4.4.4 Danger 4.1.2 Warming 4.1.3 Cautions 1.1.4 Notes. 41.2 Equipment Symbols. Chapter 2 Warranty and Service 2.4 Wasranty Ter... 2.2 What is excluded? none 2.3 Service Procedure. 2.31 Fillin the Service Claim For (SCF)... 2.3.2 Send COMEN the SCF and Select a Solution 2.3.3 Obtain the RMA Form. 2.3.4 Send the Parts to COMEN. 2.3.5 Contact Information (Chapter 3 Principle Introduction. 3.4 C50 sjstem principle block dagram 3.2 Module Introduction. 3.2.1 Main board (9645). 2 T-parameterBoard, 3.2.3 Power Supply Board: 3.24 Button Board 3.25 LCD Connect board, 3.2.6 SPO2 Module, 3.2.7 COMEN SPO? Motte. 3.28 MASIMO SPO2 Module: 3.2.9 NELLCOR SPO? Module: 3.2.107 Parameter 12-Lead ECG Boatd 3.2.11 IBP Boatd: Chapter 4 Troubleshooting. 4.4 Introduction... 4.2 Part Replacement . 4.3 Patient Monitor Status Check... 4.4 Software Version Check 4.5 Technical Alarm Check, 4.6 Troubleshooting Guide 4.6.1 Power On/Off Failures 4.6.2 Display Failures. 4.6.3 Battery problem, 4.6.4 Touch screen Failures4.6.5 ECG failures 4.6.6 SPO? failures. 4.6.7 NIBP failures 4.6.8 RESP failures < 4.6.9 IBP moduledefective 4.6.10 TEMP moduledefective. 46.11 ETCO? failures 4.6.12 Button and Knob Failures 4.6.13 Recorder Failures 4.6.14 CF Card Problems 4.6.15 Network Related Problems 4.6.16 Software Upgrade Problems 4.6.17 Technical Alarm Messages... Chapter 5 Software Uparade. 5.1 Tools. 5.2 Preparation before Upgrade System Software 5.3 System SoftwareUpgrade (Chapter 6 Performance Verification... 6.1 IBP test, < 6.1.1 IBP performance test... 6.1.2 IBP Pressure Calibration. 6.2 NIBP Tests 6.2.4 NIBP Leakage Test. 6.2.2 NIBP Calibration 6.3 Sidestream and Microstream CO2 Modile Tests 6.3.1 Accuracy Test 64 AG Tests 6.4.1 Leakage Test 6.4.2 Accuracy Test 6.4.3 Calibration. 6.5 ECG Tests 6.5.1 ECG Performance Test... 6.5.2 65.2 ECG Calibration. 6.6 RESP Performance Test 6.7 TEMP Tess... : ‘Chapter 7 Disassembling Procedure 7.4 Who Should Perform Repairs 7.2 Removing the Battery, 7.3 Separating the Front and Rear Housing, 7.4 Removing the Printef nnn 7.5 Removing the Main Board. 7.6 Remove the LCD connector board 7.7 Removing the Kuob Encoder and keyboard 7.8 Removing the LCD panel&¢ Touchscreen. 7.9 Removing the Alarm LED Board:7.10 Removing 7 parameter module rack & side panel assembly... 7.11 Separating parameter module rack & side panel assembly. 7.42 Removing 7-Parameter Board, 12-Lead ECG Board, NIBP Pump & Valves assembly. 7.12.1 Removing 12-Lead ECG Board; 7.12.2 Removing 7-Parameter Board. 7.12.3 Removing NIBP Pump & Valves assembly 7.43 Removing IBP Board, Masimo'Nellcor COMEN Digital SPO2 Boat 7.13.1Removing IBP Board, 7.13.2 Removing Masimo/Nelleor'COMEN Digital SPO2 Board. 7.14 Removing the Monitor Handle. 7.15 Removing the Power Supply Module Assembly 7.16 Remove the interface board 7.17 Removing the Loudspeaker & Fa...Chapter 1 Safety 1.1 Safety Information 4.4.4 Danger ‘There ara no dangers that refer to the product in general, Specific “Danger” statements may be given in the respective sections of this manual 4.1.2. Warning AXwarning 1) This monitor is used for monitoring the clinical patients, so only the doctors and nurses who are qualified through training can use this monitor. 2) _ Before use, the user shall check whether this instrument and its accessories can work normally and safely 3) The alarm volume and upper and lower limits for alarm shall be set for different patients. When 2 patient is monitored, the audible alarm system cannot be merely depended on. If the alarm vvolume is set too low or is completely turned off, the alarm will fil and the patient safety will be endangered. The most reliable patient monitoring method shall be to closely monitor the actual clinical situation of the patient. 4) This instrument can only be connected to a power socket with protective grounding. If the power socket is not connected to grounding conductor, do not use this socket, but use the rechargeable batteries for power supply. 5) Do not open the shell of this instrument to avoid the possible trie shock hazard, The maintenance and upgrading of this monitor must be conducted by the service personnel trained and authorized by COMEN Company. 6) The disposal of packaging materials shall comply with the local laws and regulations or the waste clisposal rules and regulations of the hospital. The packaging materials must be placed away from the children, 7) Do not use this instrument at the place where there are flammable articles such as anesthetic to prevent explosion or fire from happening.8) Please carefully install the power lines and the cables for various accessories to avoid the patient from being constricted or suffocated or the cables from getting entangled and keep the patient free from electrical interference. 8) Do not use mobile phone near the monitor, because the mobile phone will generate a very strong radiation field and disturb the functions of the monitor. 10) For the patient with pacemaker, cardio tachometer might measure the heart rate by the pulse of pacemaker when cardiac arrest or arrhythmia, Do not completely rely on the alarm of cardio tachometer. The patient with pacemaker shall be closely monitored. For the inhibiting capacity of relevant equipment on the pacemaker, refer to the Instruction Manual 411) The operators shall not touch the patients, tables and instruments during the defibrillation period. 12). Before reusing these cables, check whether the function is normal 13) The equipment connected with the monitor shall form an equipotential body (the protective ‘grounding wire is effectively connected), 414) When the monitor is shared with the electro surgery unit, the user (doctor or nurse) shall ensure ‘the patients safety. 15) The physiological waveforms, shysiological parameters and alarm information, etc, displayed by ‘his monitor shall be for the doctors’ reference only and cannot be directly used as the clinical treatment basis. 16) The electromagnetic field will affect the performance of this instrument, so the use of the other equipment near this instrument must meet corresponding EMC requirements. For example: Mobile phone, X-ray or MRI equipment may be an interference source, because they wil transmit high-strength electromagnetic radiation. 417) This is not a treatment devi 4.4.3 Cautions A\caution y 2 3) 4a) ‘To avoid damage to this instrument and guarantee patient safety, please use the accessories designated in this instruction manual Please properly install or move this instrument and prevent the instrument from being damaged due to fall, collision, strong vibration or other external mechanical forces. Before the Instrument is switched on, please confirm whether the power supply used meets the requirements for power supply voltage and frequency designated in the nameplate label or in the instruction manual of this instrument. When this instrument and its accessories are about to exceed the service life, they must be5) disposed of according to local relevant laws and regulations or the rules and regulations of ‘the hospital. 1.1.4 Notes A\wotes 1) Piaate install the equipment in place that is convenient for observation, aperation and maintenance. 2) This instruction manual introduces the product according to the most complete configurations. The product you have purchased may not possess some configurations or functions, 3) Please place ths instruction manual near the instrument for assy and timely reference 4) This instrument cannot be used at home. 5) This instrument can be used for one patient only at the same time 4.2Equipment Symbols (Q) Instrument Symbols Attention! please see the A ‘accompanying documents @ PA Type approval mark and number of measuring instrument The application part of Type CF has the anti-defierilation funetion A e Production license mark and numer of | measuring instrument The application part of Type CF ‘AC indicator lamp The application part of Type BF Ee Production Date MarkStart/Stop Key [SN] Serial number mark Battery working state indicator lamp Equipotential symbol o a © Battery charging indicator lamp ¥ de Network connection symbol vca —_| vesinterface a SO eardinterface Nurse e+ | Use interface Nurse calling socket Call * Note: Please see the content of “1.4 Key Function and Basic Operation” for the key symbols and thelr funetlons of the monitor from User Manual (2) Packaging sym bole up. Limit of stacking layers Fragile Rainproofapter 2 Warranty and Serv a 2.1 Warranty Terms Se eee CCOMEEN provides an 18 months warranty for the warranted products (main unit) and 3 months for the accessories, The warranty period begins on the date products are shipped to customer. If a customer promptly notiies COMEN of customer's warranty claim hereunder, COMEN will either repair, adust ‘ocreplace (with new or exchange replacement parts) CONIEN's products. COMEN warrants that any service it provides to customer wil be performed by trained individuals ina workmantite manner. 2.2What is excluded? — ‘The warranty does not cover for the situstione caused by the fellawing condition: ‘+ Malfunction or damage caused by improper use or man-mede failure. ‘¢ Malfunction or damage caused by unstable or out-of-range power input + Malfiwetion or damage caused by foree majeure such as fire and earthquake + Malfmetion or damage caused by improper operation or repair by unqualified or unauthorized service people. “Malfunction or damage caused by use of parts or accessories not approved by COMEN, ‘Malfunction ofthe instrument or part whose serial number isnot legible enough Others not caused by instrument or par itself 2.3Service Procedure ss2.3.1 Fill in the Service Claim Form (SCF) Fill in the SCF with detailed information Including: Model Name, Serial Number (SNJand Problem Phenomena COMEN should not have any obligation to take over the case without this information. The form can be gotten from COMEN's Service Department. 2.3.2. Send COMEN the SCF and Select a Solution ‘Once the service department receives the fully filled SCF, COMEN's engineer will offer a solution in three ‘working days. COMEN will follow out the case based on the two conditions below: © Within Warranty: ‘There are two ontions: 1 After receiving the Return Material Authorization (RMA)form from COMEN servicedepartiment, customer sends COMEN the defective parts and informs about the shipmenttracking number. Then we will dispatch new part(s) to your confirmed address withconfirmed shipping invoice. 2cThe customer signs the Declaration Formand sends it back by email or fax. This form islegally certificated to make sue the customer or end-user will return the defective parts to COMEN on time, We will, at this option, dispatch the seplacement ones) with confirmedshipping invoice. NOTE: 1, Both Return Material Authorization Form and Declaration Form are offered by COMEN service department once the SCF is confirmed by service engineer: a) The customer Is responsible for freights: insurance charges when the equipment is shipped to ‘COMEN for service, including custom charges. COMEN is responsible for the freight, insurance & custom charges from COMEN to the customer. © Out of Warranty:‘After receiving the RMA form from the service department, the customer sends defective parts to COMEN in advance, We will analyze the problems and discuss with the customer about either repairing or replacing the part(s), Once the maintenance fee is invoiced and paid, we will make sure to dispatch good pars) to the confirmed address. NOTE: 1b) The customer is responsible for anyfireight & insurance charge for the returned product. 2.3.3 Obtain the RMA Form Before the shipment of the materials, the customer must obtain an RMA form from our service department, in which the RMA number, description of returning arts and shipping instructions are included. The RMA number should be indicated on the outside of the shipping container, Note: ©) COMEN should not have any obligation to the end-user or customer who returns the goods without the notification by COMEN’s service department. The sender takes full responsibility for the accounted fee. 2.3.4 Send the Parts to COMEN Follow these recommended instructions: © Please disassemble the parts with anti-static facility, do not touch the parts with naked hand. @ Please pack the parts safely before retum. @ Please put the RMA number on the parcel, @ Please describe the retumed parts as ‘sample of *****" and put the total value onthe invoice. and note on the invoice as ‘sample, no commercial valne Please confirm theinformation (such as price in invoice, address and other necessary issues) with COMEN before shipment. © Please send back the parts after COMEN’s continnation. 2.3.5 Contact Information If you have any question about maintenance, technical speci do not hesitate to contact us. © Comeninternational After-Sale Dept. ‘Monday to Friday 09:00-18:00 (UTC +08:00) E-mail: support@szeomen.com ‘Tol: +86 -755- 26431236-333 Fax: + 86 -755-26431232 ations or malfunctions of devices, 20Add: Floor8,Block3, 4th Nanyou Industrial, ‘Nanshan District, 518052 Shenzhen, China uChapter 3 Principle Introduction ee 3.150 system principle block diagram STEN cn) [FR]! sterice cg |_|Paei] | et = ' Ce}H4 7 : motile [] |! esa Lin 7 ae = : : Toa a : = Main board j a = matic : i ‘board ‘MENNEL | i : Teoma : : so i — i = TED Pa 3.2 Module Introduction 3.2.1 Main board (9G45) ‘The main board is the heart of the patient monitor. it implements a serias of tasks includinginput & output control, data storage and processing, display processing, system control, communication management, printing management and alarming, et. ‘The main board comprises the core board and bottom board. The core board s an essential CPU system 2‘containing the CPU, FLASH, memory, realtimeclock, EEPROM, etc. It interfaces to the bottom board only. ‘The bottom board isin charge of connections and communications with other internal modules PINID Deseriation ‘Working Voltage B To power board speaker Interface a ‘To keyboard 10 To power board FC interface 6 ‘To SD card interface board PS ‘To LCD Display TTL (reserved) PL To LCD Display as ‘To touch screen (reserved) 8 To inverter 16 ‘To touch sereen a Toalarm board 3.2.2 T-parameterBoard ‘The parameter board is a parameter measurement components, the 7-parameter board provides the following functions: 21. NIBP measurement; 2. 2-channel TEMP measurement; 3. IBP socket available for adapting IBP module: 4, SPO? socket available for adapting COMEN Nellcor/Masimo SPO2 module: 5. ECG socket available for adapting 12-Lead ECG module: 3. Data exchange withthe main board through the serial ports. Pini [iei7 [iva [ves [i [it 2 [ssun0 [a2 COMEN | Masimo |18P [To | ToNIBP|To | Toside | Eco Description |eleer | P02 | socket_| Power | Pump | NIBP | panel | socke P02 | socket board Valves | iguia |e socket 2 Working | 3av5v[33aV [sv |sv,i2v |i | svazv | aav.sv voltage 3.2.3 Power Supply Board: Pinto [310 4 16 a5 8 8 ‘AgiCO2 | Speaker | FPC Printer Te To USB_S0 | socketto | socket,to | socket, to | socket, to | mainboard | board PSEECN | de panel | mainboard | mainboar | printer °6 socket Wsockat | 13socket | di6 interface Working uvoltage PINID | 17 B nz 5 a SKL To To To To Fan To To AC interface | loudspeak | 7-param grounding | socket Description | panel Pi| er eter socket board na Working voltage 3.24 Button Board ‘The button board, located at the lower part of the monitor's front panel, button board including knob thet canbe pressed, knob can be also rotated both clockwise and counter-clockwise, signals are sent to main board CPU by the singlachip processor on button board. It also controle display of power indicator, AC Indicator and charge indicator. PINID 4 7 Re ‘To main board Jt | To power Descriation socket board loud speaker Working voltage 3.2.5 LCD Connect board PIN ID cna cna cna CNS Jo screen| To main board 18| Tosereen | To mainboard PS Description | brightness | socket socket Working voltage 63.2.6 SPO2 Module ‘There are 3 types of SPO2 modules: COMEN SPO2, Masime $p02 and Nelleor S02 module. ‘The $PO2 board implements $?02 signals collecting, amplified simulating, relative digital/analogconverting ‘and signal processing, ‘The pulse extent of optical signal changes during monitoring. Sp02 parameter, pulse rate signaland pleth ‘waveform will be acquired after calculation. These data will be transmitted to the main board with special communication protocel 3.2.7 COMEN SPO2 Module PINID a Description ‘To T-parameter SPO2 socket Working voltage 3.2.8 MASIMO SPO? Module: 6PIN ID Interface socket ] Description To T-parameter SPO2 sockst_—_| Worn vlage 3.2.9 NELLCOR SPO2 Module: PINID Description ‘To 7-parameter SPO2 socket _| To 7-parameter SPO2 socket Working voltage 3.2.10 7 Parameter 12-Lead ECG Board: ‘The ECG module includes 12 leads ECG monitoring part and TEMP monitoring part PINID a 8 Description To T-paramater board 12 __| To side panel 5 Working voltage 5v sv v3.2.11 IBP Board: IBP module measures invasive blood pressure PIN ID a 8 ancien [To parameter board 1BP | To 7-parameter board ISP socket 18/19 socket 1/19 Working voltage 5v 5V FrChapter 4 Troubleshooting ae 4.1 Introduction eee In this chapter, patient monitor problems are listed along with possible causes andrecommendedcorrective actions. Refer to the tables to check the patient monitor, identify andeliminate the troubles.The troubles we list here are frequently arisen difficulties and the actions we recommend cancorrect most problems, but not all of tem. For more information on woubleshooting, contactour International A fier-sale Dept. 4.2Part Replacement Ee Oe Printed circuit boards (PCBs), major parts and components inthe patient monitor arereplaceab Onc you isolate a PCB you suspect defective, follow the instructions in 7Repair and Disassembly to replace the PCB with known good one and check thet thetrouble dlesppeare or the patient monitor passes al performance tests. if the trouble rernains,exchange the replacement PCB withthe original suspicious PCB and continuetroubleshooting at drected inthis chapter. Defective PCB can be sent to us for repainTo ‘obtain information on replacement part or order them, refer toPart 6 4.3 Patient Monitor Status Check Some troubleshooting tasks may require you to identify the hardware version and status ofyour patient monitor, 4.4Software Version Check el Some troubleshooting tasks may require you to identify the configuration and sofiwareversion of your patient monitor @ To view information on the system configuration and system software version, Select[Main Menu] —~ [INFO] ~[software version ]4.5Technical Alarm Check Before troubleshooting the patient monitor, check for technical alarm message. If analarmmessage is presented, eliminate the technical alarm first. For detailed information ontechnical alarm message, possible cause and comrective action, refer tothe patient monitor's User Manual. 4.6 Troubleshooting Guide SSS 4.6.1 Power On/Off Failures "AC power cable not connected | Check that AC power is properly connected The battery capacity is too low | Check that the battery capacity is sufficient, Use a Maltimeter to check it ‘out, if you don’t know how to Fuse(s) i (are ) broken use, please refer to our international after-sales Dept. The patientmonitor fails 10 Chae han apie Eom start (AC LEDor battery burteaboard 10 Motrboeed, ‘LEDdoes not ight) Cables defective orpoorly andpower module to connected Motherboard correctly are connected 2 Check that cables and connectors are notdamaged KEY board is broken ‘Replace the KEY board LCD Connector board defective | Replace LCD Connector board Power module is defective | Replace the power module Reconnectihe cable fom The cables Defective or poorly | Motherboard to key board and The patientMonitorfails © | connected reconnect the cable fiom stat, (ACLEDor power module to the Mother barteryLEDIight) board Key board is Defective Replace the key board LCD connector board defective | Replace LCD connectorboard Power module is defective Replace the power module “Motherboard is Defective ‘Replace the Motherboard 2046.2 Display Fail 1. Check that cables from the LCD to the Motherboard and Cables connected Motherboard | from the LCD adapter with LCD screen defective or | board tothe Integrated displayis blank but | connected poorly buttonboard/display are thepatient monitortill works comectly connected 2. Check thatthe cables and connectors are notdamaged, ‘Adapter board or its cables [Replace the adapter or defective reconnected the cables ‘Screen is defective ‘Replace the Screen, LED connector board defective | Replace LCD connectorboard Motherboard is defective Replace the Motherboard Power module is defective _| Replace the power module, 1. Check that the cable between the key board and Cables defective | the Motherboard is correctly ‘orPoorconnected connected, 2. Check that the cables between inverter and key board 3. Check that the cable Integrated displayis blank and between the power board and ‘thepatient monitor does not Motherboard work The LCD connector board is [Replace the LCD connector defective board The power board is defective _ | Replace the power board “Motherboard is defective Replace the Motherboard ‘The screen is defective Replace the LCD screen ‘Check that the cable between Cables defective or are poorly} the display andthe Lcd. Sereen displays snows | connected. ‘Motherboard is orflashing specks correctlyconnected The LED inverter board is| Replace the LED inverter defective board ‘The Motherboard is defective | Replace the Motherboard The screen is defective ‘Replace the screen a4.6.3. Battery problem ‘Symptoms, Possible Cause Corrective Action Recharge the battery about 4 hours check out how long it can Battery is defective use and check out its voltage ‘Battery can’ tbe recharge with a multimeter please refer to cur international aftersales Dept about the exactly values Cable defective or poorly connected Check that cable between battery and power module is correctiyconnected. Power board failures Replace power board The Mother board is Replace the mother board defective 4.6.4 Touch screen Failures CCheckif there isa symbol shown above the[Main Menu] QuickKey. If yes, press the Touchscreen disabled [Main Menu] QuickKey for ‘pre than 5s to enable the ‘Touchscreen ‘Button board to theMotherboard Cables defective orpoorly | is correctly connected ‘Touchscreen doesnotresponse | connected Button board defective Replace the button board Touchscreen defective Replace the touchscreen Motierboard defective Replace the Motherboard Touch position is invalid Touchscreen notcalibrated | Calibrate the touchscreen, You can refer to our user manual Touchscreen defective. Replace the touchscreen 224.6.5 ECG failures Symptoms | Possible Cause Corrective Action ECG setup way is wrong Check the ECG channel or Lead Type setting ECG cable is defected or isnot | Replace the ECG detector or reconnect the electrodes Tie ROW: connected well Parameter or | The skin of patent is dry Clean the skin and paint certain electrode cream waveform | Cable from Mother board and signals cannot | ECG module does not connect | Check the cable from Motherboard to ECG modile be detective or | Well with the Motherboard incorrect The cable fiom the ECG module | Check the cable from ECG module to side plate socket to side plate socket is not and reconnect them connected well ECG module is defective Replace the ECG module Motherboard is defective Replace the Motherboard Internal wire is loose or damage _ | Check from Motherboard to ECG board and replace ECGNo one and try baseline ECG module defective Replace the ECG module ‘Motherboard defective Replace the Motherboard ECG setting is something wrong _ | Set the ECG setting in the filter options The monitor does not connect to | Connect the grounding cable to the right place grounding ECG ECG cable is not connected well | Check the cable from Motherboard to ECG module waveform has | with the Motierboard disturbance [The cable from the ECG module | Check the cable from ECG module to side plate socket to side plate socket is not connect and reconnect them well Disturbed by some electronic | Remove some electronic machine from the monitor machine ECG module defective Replace the ECG module External ECG cable is damage or | Replace the ECG accessories HR valueis | the HR channel is wrong incorrect The electrode connected poorly | Reconnect the electrode ECG cable does not connect well] Check the cable from Motherboard to ECG module with the Motherboard ECG module defective Replace the ECG module Motherboard defective Replace the Mother board 24.6.6 SPO? failures The SPO2 probe is dete Replace the SPO2 probe ‘The cable from the SPO2 module to | Check the cable from SPO2 module to side plate ‘The SPO? no | side plate socket is not connect well | socket and reconnect them waveform and value Cables fiom Motherboard to SPO2 | 1. Check that the eable between the Motherboard tothe module are defective orpoorly ‘SPO2 module is correctly connected, connected. 2. Check that the cables and connectors are not damaged ‘SPO2 module is defective Replace the SPO2 module “Motherboard is defective Replace the Motherboard The probe type of the patient is Change aright probe type of patient spo2value | wrong is incorrect | Long time of NIBP measurement or some other condition such as shock | Start the SPO2 measurement in a normal state or Jow temp ‘SPO? module is defective Replace the SPO2 module ‘Motherboard is defective Replace the Motherboard 4.6.7 NIBP failures Cables from mother board to NIBP | 1. Check that the cable between the mother board to module are defective orpoorly the NIBP module is correctly connected. connected, 2. Check that the cables and connectors are not damage Canvtstartair |The key board defective Replace the Keyboard aaa ‘The cable from the NIBP module to | Check the cable from NIBP module to side plate side plate socket is not connect well | socket and reconnect them. [NIBP module is defective Replace the NIBP module ‘Mather board is defective Replace the mother board The type of the patient is wrong | Check out the type of the patient in the patient Inflate air ‘management repeat(NO NIBP | The accessories has air leakage | Check out the cuff.the cuff pipe or the interface values ) socket The NIBP pump has aairleakage | Inflatable with numerical display, but the value is not stable, itcan be seen that the numerical 2‘eclinephenomenon 2in | functions board Replace the 2 in | Functions board “The type of the patient is wrong ‘Check out the type of the patient in the patient ‘management ‘A continue NIBP measurement for The measurement should start every 5 minutes a Long time atleast ‘The NIBP values {The cuff is ted up 80 tight oF too Loose is incorrect 2.The cuff has leakage or is defective The NIBP accessories have leakage | 3. The NIBP pipe has leakage ‘The NIBP module is defective Replace the NIBP module ‘The Mother board is defective Replace the Mather board 4.6.8 RESP failures ECG module is closed Open the ECG module in the module set up [ECG cable or electrode is defective _ | Replace the ECG cable ‘Cables fiom Motherboard toECG | 1. Check thatthe eable berween the Motherboard tothe NORESP | module defective orpoorly connected | ECG module is correctly connected data 2. Check thatthe cables and connectors are not damage The cable fiom the ECG module to | Check the cable fioan ECG module o side plate socket side plate socket isnot connect well _| and reconnect them ECG module is defective Replace the ECG module “Motherboard is defective Replace the Motherboard "RESP data | The signal of patient is so weak Cheek out the patient condition and The electrode is defective Replace the ECG probe parameter is | ECG module is defective Replace the ECG module incorrect Motherboard is defective Replace the Motherboard 4.6.9 BP moduledefective The monitor is not equipment with | Check out whether there is a IBP module in the IBP module monitor TBP module is closed Please open the IBP module, the more details, you can The IBP refer to the use manual. no value | Cables from Motherboard to IBP___| 1. Check that the cable between the Motherboard to the 5‘and no ‘module are defective orpoorly TBP module is comecily connected. waveforms | connected 2. Cheek that the cables and connectors are not damage The cable from the IBP module to | Check the cable from IBP module to side plate socket side plate socket is not connect well | and reconnect them TBP module is defective Replace the IBP module “Motherboard is defective Replace the Motherboard TBP date | The IBP tunnel eable is damage Replace the IBP cable inthe monitor and parameter is | The IBP module is defective Replace the IBP module incorrect 4.6.10 TEMP moduledefective The TEMP blow the ‘Check out the TEMP isin the nommal range monitor can measure The TEMP probe is ‘Change another TEMP probe defective Cables from Motherboard to | 1. Check thatthe cable between the Motherboard to the ECG module are defective | ECG module is correctly connected. coxpoorty connected 2. Check that te cables and probe are not damage NO TEMP values The cable fom the ECG | Check the cable from ECG module wo side plate socket module to side plate socket | and reconneet them isnot coanect well TEMP module is defective _| Replace the TEMP module ‘Motherboard is defective | Replace the Motherboard The temp cable size and the | Make sure that you choose the right TEMP style suck temp style isnot compatible | Such as YSI or CF is compatible to the cable you choose. TEMP value is, TEMP probe isinconest | Replace the TEMP probe inconect Motherboard is defective | Replace the Motherboard The TEMP socket defecive | Check out whether it has e bad contact ‘thetemperarure |The TEMP probe defecive | Change a TEMP probe Jssometimes not but sometimes is yes | The ECG module is Replace the ECG module ° defective The Mother board is Replace the Mother board defective4.6.11 ETCO2 failures ‘Accessories (sampling line or adapter) is defective ‘Cables from Motherboard to 1. Check thatthe cable benween the Motherboard to the ETCO2module are defective oxpoorly | ETCO2 module is comrectiy connected. connected 2. Check that the cables and connectors are not damage NO ETCO2 Gataand | 18 “ble om the ETCO2 module ro | Check the cable fiom ETCO2 module to side plate ae side plate socket is not connect well _| socket and reconnect them ETCO2 module is defective Replace the ETCO? module ‘Motherboard is defective Replace the Motherboard “Motherboard is defective Replace the Motherboard ETCO2 date | ETCO2 prove is defective Replace the CO2 probe and ETCO2 module is defective Replace the ETCO? module parameter is | Motherboard is defective Replace the Motherboard inacewrate 4.6.12 Button and Knob Failures ‘Check that cable between Cable defective oxpoorly button board and Motherboard Buttons donot work connected is properly connected ‘Button board failure Replace burton boatd. 1. Check that cables from knob to button board, and button board 10 Motherboard are Cable defective or properly connected pooriy connected 2. Check that connecting Knob doesnot work cables and connectors areundamaged. Knob failures Replace the knob The Motherboard is disabled | Replace the Motherboard Button board failue or knob | Button board failure Replace board is defective the button board a4.6.13 Recorder Fail No printout ‘Paper reversed Re-install the paper rol. The record door does nat close well ‘Check out door and indicator light ‘The type of paper is wrong. install the paper right Recorder moduledisabled 1. Check ifthe recorder status LED lights 2. Ifyes, enable the module in [Defaults]menu. Otherwise check for other possible cases. Cable defective orpoorly ‘connected 1. Check that cable between recorder and Motherboard isproperly connected 2. Check that connecting cables and connectors are noidamaged. ‘Recorder power supply failure ‘Check ifthe power module ‘outputs $V DC and 12V DC correctly. (please contact with cour international sales departs Recorder failure Replace the reconder. Poor printquality orpaper not Feodingproperly ‘Paper roll notproperly installed ‘Stop the recorder and re-install the paper rol Print head dirty 1. Check the thermal print head 2. Clean the thermal print head with an appropriate CO2setupselect [Zero] 4, Connect te rest system as follows:Relief valve Monitor Gas eylinder 5. Open the relief valve to vent standard CO2 and make sure that there is an excess gasflow through the ‘T-shape connector to ar 6. Check the realtime CO2 value is within 6-+0.052% in the [zero O2] menu, 6.4AG Tests 6.4.1 Leakage Test Follow this procedure to perform the test 1. Plug the AG module into the module rack. 2. Wait until the AG module warmup is finished and then use your hand or other objects to completely block the gas inlet of the AG module. An alarm message [AC AlrwayOccluded] will appear on the screen. 3. Block the gas inlet for another 30 s, Ifthe alarm message does not disappear, i indicatesthat the module does not leak 64.2 Accuracy Test Tools required: [2Gas cylinder with 100% 02 and a certain standard gas (such as 6 10.05% CO2,Bal N2), or standard gas mixture, Gas concentration should meet the followingrequirements : AA> 1.596, CO22 1.5%, N20>40% 02240%, of which AA represents an anesthetic agent. a/e<0.01 (a is the gas absolute concentration accuracy: cis the gasconcentration) 1BT-shape connector Tubing Follow this procedure to perform the test 1. Plug the AG module into the module rack, 2, Waitat least 10 min and then perform a leakage test to make sure the airway has no leakage, 3. Check ifthe fan inside the AG module works correctly. 4, Connect the test system as follows: 36Open to the air Relief valve ‘Monitor Gas cylinder 5. Open the relief valve and vent a standard gas and make sure that there is an excessgas flow through the ‘T-shape connector to air. 66 Check that the concentration of each composition meets the specification stated in the Operator's Manual. 6.4.3 Calibration ‘Tools required: 12Gas cylinder, with a certain standard gas or mixture gas. Gas concentration should meet the following requirements: AA> 1.5%, CO21 5%, N2O240%, 022 40%, of which AA represents an anesthetic agent, a/c<0.01 (ais the gas absolute concentration accuracy; cis the gas concentration) For 100% O2 calibration, a gas cylinder with 100% O2 is used and the (02 concentration is not less than 99%, LBT-shape connector Tubing Follow this procedure to perform a calibration: 1. Check the airway and make sure that there are no occlusions or leaks Ifthe deviation is area, it indicates thatihere isan occlusion inthe tubing. Check the tubing for an occlusion. _BPerform a leakage test to make sure thatthe airway has no leakage. Connect the test system as follows: Open to the air tI Tubing Relief valve Monitor Gas cylinder 2. Open the selef valve and vent a certain standard gas or ges mixture and make sure thathere isan excess «gs flow through the T-shape connector toa. aif the difference between the measured gas concentration and the actual one istolerabl, a calibration is not needed. a7calf te difference is grea, a calibration should be performed, 6.5ECG Tests 6.5.1 ECG Performance Test Tool required Fluke Medsim 300B, MPS450 or other patient sinmlator recommended Follow this procedure to perform the test; 1. Connect the patient sinmlator with the ECG module using an ECG cable, 2. Set the patient simulator as follows: ECG sinus shythm, HR~80 bpm with the amplitudes ImV. 3. Check the ECG waves are displayed correctly without noise and the displayed HR values within $0 =1 bpm. 4, Disconnect each of the leads in tum and observe the corresponding lead off messagedisplayed on the sereen, 5. Set that the simulator outputs paced signals and set [PACE] to [ON] on the monitor's patient manage interface.Check the pace pulse marks on the monitor screen. 6.5.2 6.5.2 ECG Calibration Tool required Vernier caliper Follow this procedure to perform a calibration: 1. Select the 1" channel ECG waveform area— [FILTER] [DIA] 2, Select [MAIN MENU] ~ [SURVEY SETUP] —[ECG SETUP] 3. Select [ECG CAL]. A square wave appears on the screen and the message [CAL, can’t monitor] i displayed. 4. Compare the amplitude ofthe square wave with the wave scale. The difference shouldbe within 5%. 5. After completing the calibration, select [STOP ECG CAL}. fnecessary, you can printout the square wave and wave scale through the recorder and thenmeasure the difference, 6.6RESP Performance Test ne Tool required: Fluke Medsim 300B, MPS450 or other patient simulator recommended Follow this procedure to perform the test:41. Connect the patient simulator fo the module using a non ESU-proof cable and set lead Tas the respiration lead, 2. Configure the simulator as follows: lead II as the respiration lead, base impedance lineas 1500 9: delta impedance as 0.5 0, respiration rate as 40 spin 43 Check the RESP wave is displayed without any distortion and the displayed RESP value iswithin 40 ¢ 1 rpm.6.2 Spo2 Test Too! Raquired:None, Follow this procedure to perform the test 1. Connect Sp02 sensor to the SpO:connector of the monitor. Set [Patient type.] to (Adulon the monitor ‘and [PR Source] to $p02 on the monitor, 2. Measure $p02 on your finger. (Assume that you stay healthy) 43. Check the PLETH wave and PR reading on the screen and make sure that the displayedSp02 is within 955%-100%, 4, Remove the SpO2 zantor from your finger and make sure that an alarm of SpO2 SencorOffis triggered. 6.7 TEMP Tests SSS Too! required: Resistance box (with accuracy above 0.10) Follow this procedure to perform the test 1. Connect the tw pins of any Temp connector of a module to the two ends of theresistance box using 2 2. Set the resistance box to 1354.90 (corresponding temperature is 3720). 4. Verify each Temp channel of the monitor and make sure that the displayed value iswithin 37 + 0. can also use a patiant simulator to perform the Temp tast. “You 20Chapter 7Disassembling Procedure ‘The following section describes the disassembly and reassembly procedures for the monitor and its components 7.1Who Should Perform Repairs Only qualified service personnel (biomedical engineers or technicians) should open the monitor housing, remove and replace components or make adjustments. If your medical facility doss not have qualified service personnel, contact COMEN or your local COMEN representative, AN caution High-Voltage - Voltages dangerous to life are preset inthe instrument when tis connected to the mains power supply. Do not perform any disassembly procedures (other than server removal) with power applied to the instrument. Failure to adhere to this warning could cause serious injury r death, Tools required Tors serewrivers ‘Small fat head screwdriver Needle Nose Pliers ESD mat and wrist steap Cleaning Agent Tweezer 7.2Removing the Battery 1. Open the battery compartment cover by push out by horizontal force 2. Push down on the battery to pop up the battery: 03. Draw out the battery i me 2 el 7.3Separating the Front and Rear Housing es 4, Removing the Battery es described in Chapter 7.2; 2. Pick out the rubber cap in the screw slot; 3. Unseraw the 6 PASx12mm serews;4, Unscrew the 2 PWM »8inm atthe bottom of monitor 5. Unplug the cables that connect to the front panel to separate the front panel & rear housing. a7.4Removing the Printer 41. Removing the Battery as described in Chapter 7.2 2 Separating the front and rear housing as described in Chapter 7.3; 3.Open the print cap then remove the two PWM 3.04mm serews; 7.5Removing the Main Board 1 Separating the front and rear housing as described in Chapter 7.3; 2. Disconnect the cables that connect to the main board; a3. Then unscrew the 4 screws on main Boards; 7.6Remove the LCD connector board ——————————— 1. Separating the front and rear housing as deseribed in Chapter 7.3 2, Disconnect the cable from the LCD connector board; a3. Then unscrew the 4 screws on main Boards; 7.7Removing the Knob Encoder and keyboard 4. Separating the front and rear housing as described in Chapter 7.3; 2, Unplug the cap of knob (tip: you may use tweezers or other tool to pick out the cap) w Plug out the knob cap 3, Unserew the screw nut on the Knob Encoder: “6rew the screw 4, Remove the cable from keypad 7.8Removing the LCD panel&Touchscreen Area Do not touch the LCD & touchscreen panel Disassemble the LCD in an environment ae dust free as possible ‘Touchscreen panel i fragile, 1. Removing the mainboard &1.CD connector Board as described in chapter 7.4 &&chapter 7.5; 2, Remove the black tape from the screen bracket, 3. Unserew the PM3x4mm scraw to remove the grounding cable of LCD; e careful in installation or disassemble “67.9Removing the Alarm LED Board: 1. Separating the front and rear housing as described in Chapter 7.3; 2, Disconnect the cable that connects to the Alarm LED Board. 3, Remove the alarm LED board. 7.10 Removing 7 parameter module rack & side panel assembly 1 Separating the front and rear housing as described in Chapter 7.3; 2. Plug out cables on 7-Parameter COM socket and CO2 & AG socket, refer to picture below: 3. Unscrew the 4 2.8% Smum screws on the side panel and 2 PWM 3% 10mm screws on the top of module en push and pull out the module rack & side panel assembly, see the picture below: “a rack and th7.11 Separating parameter module rack & side panel assembly ———eE—EeEE—E—————E | 4. Removing parameter module rack & side panel assembly from the rear housing of the monitor as dlserlbed inChapter 7.10; 2. Plug out the Masimo/Nellcor socket cable if Maimo/Nellcor SPO? is insalld in the monitor, lug out the NIBP tube from side panel to the module rack; “7.12 Removing 7-Parameter Board, 12-Lead ECG Board, NIBP Pump & Valves assembly eee 4. Separating parameter module rack & side panel assembly as described inChapter 7.12; 7.12.1 Removing 12-Lead ECG Board 2, Turn the parameter module rack to back side, the 12-Lead ECG Board is in the back side of module rack;13. Unseraw the 4 seraws on the 12-Lead ECG Board, pull up to take out the board 7.12.2 Removing 7-Parameter Board 4, Removing 12-Lead ECG board before removing 7-parameter board. Removing the pump & valves cable from the socket, see the picture below, unscrew the 4 screws on the T-Parameter Board to take to the board st7.12.3 Removing NIBP Pump & Valves assembly 5. Plug out the pump & valves cables from the socket as described above. 6. Cutoff the two cables ties that ted on the pump to remove the NIBP pump; 7. Unscrew the 1 3X 6mm screws on the valves fixed bracket, then remove the 2 NIBP valves: 7.13 Removing IBP Board, Masimo/Nellcor/COMEN Digital SPO2 Board: 4. Removing 7-Parameter Board as described in Chapter 7.12.25; 7.13.1 Removing IBP Board. 2. The IBP board is attached on the 7-parameter board, unscrew the 3 serews on the IBP board to remove it, 527.13.2 Removing Masimo/Nelicor/COMEN Digital SPO2 Board: 3. Putoff weld to remove the shield case; 4, Unscrew the 2 screws on the SPO2 board to remove the board. st7.14 Removing the Monitor Handle 1 Separating the front and rear housing as described in Chapter 7.3; 2. Unscrew the 2 PWM3x10mm screws on the Module Rack; 3. Pull out the Monitor Handle with 3N horizontal force se7.15 Removing the Power Supply Module Assembly 1, Removing parameter module rack & side panel assembly from the rear housing of the monitor as described in Chapter 7.13; 2. Removing the printer as described Chapter 7.4 3. Unplug the cables that connect to the Power Supply Module Assembly, 4, Unscrew the one screw(PA3.0%Emmland 3 screws(PA3.0%8mm)at the bottom of the monitor to remove the Power Supply Module Assembly. Power Supply Module'5.Unserew the five PM3.0% 6mmthen remove the power supply board 7.16 Remove the interface board |LRemoving the power supply assembly as described inChanter 7.15, 2.Remove the five PA3.0% 8mm screws; 567.17 Removing the Loudspeaker & Fan 1. Removing the power supply assembly as described in Chapter 7.15 2. Unseraw the PB3*Smm & PA3«12mm screws on the Loudspeaker to remove the Loudspeaker; 3. Unserew the 2 PA3*8mm screws on the Fan to remove the Fan;