Service Manual OPV-1500 NK
Service Manual OPV-1500 NK
Service Manual OPV-1500 NK
SERVICE MANUAL
Bedside Monitor
OPV-1500K
0634-001869C
Bedside Monitor
OPV-1500K
Contents
GENERAL HANDLING PRECAUTIONS .......................................................................i
WARRANTY POLICY ................................................................................................... ii
EMC RELATED CAUTION .......................................................................................... iii
Conventions Used in this Manual and Instrument ...................................................... v
Warnings, Cautions and Notes ......................................................................... v
Explanations of the Symbols in this Manual and Instrument ........................... vi
On panels .......................................................................................................... vi
On screen ......................................................................................................... vii
Others ............................................................................................................... vii
Section 1 General....................................................................................1C.1
Introduction ......................................................................................................................... 1.1
General Information on Serving ......................................................................................... 1.2
Service Policy, Service Parts and Patient Safety Checks ................................................ 1.4
Service Policy .......................................................................................................... 1.4
Service Parts ........................................................................................................... 1.4
Patient Safety Checks .............................................................................................. 1.5
Maintenance Equipments and Tools ......................................................................... 1.5
General Safety Information ................................................................................................. 1.6
General ..................................................................................................................... 1.6
Installation ................................................................................................................ 1.7
Using KC-012P Cart ................................................................................................. 1.8
Using ZB-900PK Transmitter .................................................................................... 1.8
Using YL-001P Alarm Pole ....................................................................................... 1.8
Battery ...................................................................................................................... 1.9
ECG Monitoring .......................................................................................................1.10
Respiration Monitoring ............................................................................................1.11
SpO2 Monitoring ......................................................................................................1.12
NIBP Monitoring ......................................................................................................1.14
Maintenance ............................................................................................................ 1.15
Specifications .................................................................................................................... 1.16
Panel Description .............................................................................................................. 1.20
Front Panel .............................................................................................................. 1.20
Power Panel .............................................................................................................1.20
Socket Panel ........................................................................................................... 1.21
Right Side Panel ...................................................................................................... 1.21
Rear Panel ...............................................................................................................1.22
Board/Unit Location View ..................................................................................................1.23
Composition .......................................................................................................................1.24
Standard Components .............................................................................................1.24
Options .................................................................................................................... 1.24
Cable Connections ............................................................................................................1.25
Please read these precautions thoroughly before attempting to operate the instrument.
1. To safely and effectively use the instrument, its operation must be fully understood.
3. Before Operation
(1) Check that the instrument is in perfect operating order.
(2) Check that the instrument is grounded properly.
(3) Check that all cords are connected properly.
(4) Pay extra attention when the instrument is combined with other instruments to avoid misdiagnosis or other
problems.
(5) All circuitry used for direct patient connection must be doubly checked.
(6) Check that battery level is acceptable and battery condition is good when using battery-operated models.
4. During Operation
(1) Both the instrument and the patient must receive continual, careful attention.
(2) Turn power off or remove electrodes and/or transducers when necessary to assure the patients safety.
(3) Avoid direct contact between the instrument housing and the patient.
6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrument is not
functioning properly, it should be clearly marked to avoid operation while it is out of order.
9. When the instrument is used with an electrosurgical instrument, pay careful attention to the application and/or
location of electrodes and/or transducers to avoid possible burn to the patient.
10. When the instrument is used with a defibrillator, make sure that the instrument is protected against defibrillator
discharge. If not, remove patient cables and/or transducers from the instrument to avoid possible damage.
WARRANTY POLICY
Nihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and workmanship for one year
from the date of delivery. However, consumable materials such as recording paper, ink, stylus and battery are excluded from
the warranty.
NKC or its authorized agents will repair or replace any products which prove to be defective during the warranty period,
provided these products are used as prescribed by the operating instructions given in the operators and service manuals.
No other party is authorized to make any warranty or assume liability for NKCs products. NKC will not recognize any other
warranty, either implied or in writing. In addition, service, technical modification or any other product change performed by
someone other than NKC or its authorized agents without prior consent of NKC may be cause for voiding this warranty.
Defective products or parts must be returned to NKC or its authorized agents, along with an explanation of the failure.
Shipping costs must be pre-paid.
This warranty does not apply to products that have been modified, disassembled, reinstalled or repaired without Nihon
Kohden approval or which have been subjected to neglect or accident, damage due to accident, fire, lightning, vandalism,
water or other casualty, improper installation or application, or on which the original identification marks have been
removed.
The following describes some common interference sources and remedial actions:
1. Strong electromagnetic interference from a nearby emitter source such as an authorized radio station or
cellular phone:
Install the equipment and/or system at another location if it is interfered with by an emitter source such
as an authorized radio station. Keep the emitter source such as cellular phone away from the equipment
and/or system.
2. Radio-frequency interference from other equipment through the AC power supply of the equipment and/
or system:
Identify the cause of this interference and if possible remove this interference source. If this is not
possible, use a different power supply.
4. Electromagnetic interference with any radio wave receiver such as radio or television:
If the equipment and/or system interferes with any radio wave receiver, locate the equipment and/or
system as far as possible from the radio wave receiver.
If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden Corporation
subsidiary or distributor for additional suggestions.
When measuring SpO2, various interference may produce false waveforms which look like pulse
waveforms. SpO2 value and pulse rate may be measured from these false waveforms, causing the alarm to
function improperly.
When installing the monitor, avoid locations where the monitor may receive strong electromagnetic
interference such as radio or TV stations, cellular phone or mobile two-way radios.
WARNING
Interaction Between Minute Ventilation Rate-Adaptive Pacemakers and Cardiac Monitoring and Diagnostic
Equipment*
The bioelectric impedance measurement sensor of a minute ventilation rate-adaptive implantable pacemaker
may be affected by cardiac monitoring and diagnostic equipment which is connected to the same patient. If
this occurs, the pacemaker may pace at its maximum rate and give incorrect data to the monitor or
diagnostic equipment. If this occurs, disconnect the monitor or diagnostic equipment from the patient or
change the setting on the pacemaker by referring to the pacemakers manual. For more details, contact your
pacemaker distributor or Nihon Kohden distributor.
* Minute ventilation is sensed in rate-adaptive pacemakers by a technology known as bioelectric impedance measurement
(BIM). Many medical devices in addition to pacemakers use this technology. When one of these devices is used on a
patient with an active, minute ventilation rate-adaptive pacemaker, the pacemaker may erroneously interpret the mixture
of BIM signals created in the patient, resulting in an elevated pacing rate.
Warnings, cautions and notes are used in this manual to alert or signal the reader to specific information.
WARNING
A warning alerts the user to possible injury or death associated with the use or misuse of the instrument.
CAUTION
A caution alerts the user to possible injury or problems with the instrument associated with its use or
misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other
property.
NOTE
A note provides specific information, in the form of recommendations, prerequirements, alternative
methods or supplemental information.
On panels
Symbol Description Symbol Description
ZB-900PK/ZS-900PK transmitter
NIBP
socket
Others
Splash-proof equipment
Ni-MH
Recycle (On battery pack) IPX4 (On transmitter)
Introduction
All replaceable parts or units of this monitor and its optional units are clearly listed
with exploded illustrations to help you locate the parts quickly.
The Maintenance section in this service manual only describes the maintenance
that should be performed by qualified service personnel. The Maintenance section
in the operators manual describes the maintenance that can be performed by the
user.
The information in the operators manual is primarily for the user. However, it is
important for service personnel to thoroughly read the operators manual and
service manual before starting to troubleshoot, service, maintain or repair this
monitor. This is because service personnel needs to understand the operation of
the monitor in order to effectively use the information in the service manual.
WARNING
To avoid the possibility of injury to yourself or damage to the
monitor, do not install or remove any component while the power is
on. When disassembling, make sure that the monitor is turned off
and the power cord is disconnected from the monitor and AC outlet.
There is a high voltage circuit on the inverter for the LCD backlight
and power unit.
CAUTIONS
Safety
There is the possibility that the outside surface of the monitor, such
as the operation keys, could be contaminated by contagious germs
so disinfect and clean the monitor before servicing it. When
servicing the monitor, wear rubber gloves to protect yourself from
infection.
There is the possibility that when the lithium battery, NiMH battery or
LCD unit is broken, a solvent could flow out or a toxic substance
inside it could come out. If the solvent or toxic substance contacts
the eyes or skin, wash immediately and thoroughly with water and
see your physician. Never rub your eyes, otherwise you may lose
your eyesight.
Use a pair of clean cotton gloves when replacing the LCD unit. If it is
damaged, your may get injured.
Liquid ingress
The monitor is not waterproof, so do not install the monitor where
water or liquid can get into or fall on the monitor. If liquid
accidentally gets into the monitor or the monitor accidentally drops
into liquid, disassemble the monitor, clean it with clean water and dry
it completely. After reassembling, do the patient safety checks and
function/performance checks to verify that there is nothing wrong. If
there is something wrong with the monitor, contact your Nihon
Kohden representative for repair.
Transport
Use the specified shipment container and packing material to
transport the monitor. If necessary, double pack the monitor. Also,
put the monitor into the shipment container after packing so that the
buffer material does not get inside the monitor.
When transporting a board or unit of the monitor, be sure to put it in
a conductive bag. Never use an aluminum bag to transport a board
or unit. Also, never use a styrene foam or plastic bag which
generates static electricity to wrap the board or unit of the monitor.
Battery Pack
Before disposing of the battery, check with your local solid waste
officials for details in your area for recycling options or proper
disposal. The battery is recyclable. At the end of its useful life, under
various state and local laws, it may be illegal to dispose of this
battery into the municipal waste stream.
Service Policy Our technical service policy for this monitor is to replace the faulty unit, board or
part or damaged mechanical part with a new one. Do not perform electrical device
or component level repair of the multilayer board or unit. We do not support
component level repair outside the factory for the following reasons:
Most of the boards are multilayer boards with surface mount electrical
devices, so the mounting density of the board is too high.
A special tool or high degree of repair skill is required to repair the multilayer
boards with surface mount electrical devices.
Service Parts
Refer to Replaceable Parts List of this manual for the service parts for technical
service that we provide.
NOTE
When ordering parts or accessories from your Nihon Kohden
representative, please quote the NK code number and part name
which is listed in this service manual, and the name or model of the
unit in which the required part is located. This will help us to
promptly attend to your needs. Always use parts and accessories
recommended or supplied by Nihon Kohden Corporation to assure
maximum performance from your monitor.
For patient safety checks, perform the following checks as described in the
IEC60601-1 Medical electrical equipment - Part 1: General requirements for
safety.
Protective earth resistance check
Earth leakage current check
Enclosure leakage current check
Patient leakage current check
Withstanding voltage check
Test equipment
Maintenance Equipments
When repairing or calibrating the monitor, the following test equipment is required.
and Tools
Oscilloscope: 2 channels or more for input signal, 50 mV to 5 V input range, 1/
10 attenuating probe and 100 MHz or more frequency response characteristic
must be provided.
Digital voltmeter: standard type (An oscilloscope can be used instead of the
digital voltmeter.)
General
WARNING
Never use this monitor in the presence of any flammable anesthetic
gas, concentrated oxygen or hyperbaric oxygen. Failure to follow
this warning may result in explosion.
Never use the monitor in a high-pressure oxygen medical care tank.
Failure to follow this warning may cause explosion or fire.
When using this monitor with an electrosurgery unit, its return plate
and the electrodes for monitoring must be firmly attached to the
patient. If the return plate is not attached correctly, it may burn the
patients skin where the electrodes are attached. Refer to the
instruction manual for the ESU.
When performing MRI tests, remove the electrodes and transducers
connected to the monitor from the patient. The heat generated from
the induced electromotive force may burn the patients skin. For
details, refer to the instruction manual for the MRI.
When performing defibrillation, discharge as far as possible from
electrodes and medicine on the chest of the patient. If there is a
possibility that the defibrillator paddle could touch electrodes and
medicine, remove electrodes and medicine from the patient. If the
defibrillator directly contacts these materials, the discharged energy
may cause serious electrical burn to the patient.
Before performing defibrillation, check that the cords and cables of
the electrodes and transducers attached to the patient are properly
connected to the monitor. Touching the metal parts of disconnected
cords and cables may cause serious electrical shock or injury by
discharged energy.
To avoid the risk of serious electrical burn, shock or other injury
during defibrillation, all persons must keep clear of the bed and must
not touch the patient or any equipment connected to the patient.
During alarm suspension, all current alarms are temporarily turned
off.
When EXIT SLEEP MODE ON ALARM on the SYSTEM SETUP screen
is set to NO, the bedside monitor alarm cannot be seen or heard on
the bedside monitor during sleep mode. Attach the transmitter
(option) to the monitor and monitor the bedside monitor alarm on the
central monitor or telemetry system. Otherwise, bedside monitor
alarms may be overlooked.
CAUTION
Use only Nihon Kohden specified electrodes, probes and cuffs.
Otherwise, the maximum performance from the monitor cannot be
guaranteed.
Do not reuse disposable parts.
1.6 Service Manual OPV-1500K
1. GENERAL
Turn off the power of cell telephones, small wireless devices and
other devices which produce strong electromagnetic interference.
Otherwise, the waveforms and measurements are affected by such
interference and the displayed data may be incorrect.
Before monitoring a new patient, first delete all data of the previous
patient. Otherwise, the data of the previous patient and new patient
will be mixed together.
Alarm recording is not performed when alarm is suspended or alarm
recording is set to off.
When the alarm limit is turned off, there will be no alarm for that
parameter limit.
When the ECG CONNECTOR OFF, SpO2 CONNECTOR OFF or
AIR HOSE OFF message appears on the screen, check that the
connection cords are connected to the sockets properly. Patient
cannot be monitored and the alarm does not function properly while
this message is displayed.
If fluids are accidentally spilled on the monitor, take the bedside
monitor out of service and check for damage.
Installation
WARNING
For patient safety, equipotential grounding of all instruments must be
performed. Consult with a qualified biomedical engineer.
Only use the provided power cord. Using other power cords may
result in electrical shock or other injury to the patient and operator.
When the provided power cord cannot be used or when equipotential
grounding is doubtful (such as in poor grounding facility), operate
the monitor on battery power.
Connect only the specified instrument to the socket marked with
by following the specified procedure. Otherwise, electrical leakage
current may harm the patient and operator.
CAUTION
When connecting the monitor to other instruments, the connection
must comply with IEC60601-1-1. Refer to General Requirements for
Connecting Medical Electrical System in Section 13.
Disconnect the power cord of all instruments from the AC SOURCE
socket before connecting the instruments. Otherwise there may be
an electrical shock.
Avoid locations where the monitor and system may be sprinkled with
water or chemical solutions. Otherwise the monitor and system may
be damaged.
When not using the KC-012P cart, make sure that the monitor is
Also read the warning and caution in Selecting a Suitable Location in Section 2.
Using ZB-900PK/ZS-900PK
Transmitter CAUTION
Heart rate may differ between the monitor and the telemetry system or
central monitor due to the difference on the displaying ECG
waveform.
CAUTION
Do not expose the battery pack to direct sunlight or leave in a high
temperature place. The lifetime of the battery pack may be shortened
or the substance inside the battery pack may leak.
The battery pack must be replaced by qualified service personnel.
Keep the battery pack away from children.
Before disposing of the battery, check with your local solid waste
officials for details in your area for recycling options or proper
disposal. The battery is recyclable. At the end of its useful life, under
various state and local laws, it may be illegal to dispose of this
battery into the municipal waste stream.
WARNING
When using a defibrillator together with the monitor, use Ag/AgCl
electrodes. Other types of electrodes, stainless steel in particular,
adversely affect the ECG waveform by slowing the baseline recovery
on the monitor and result in no monitoring immediately following
defibrillation.
False heart rate indicators may occur with certain pacemakers
because of electrical overshoots.
Pacemaker patients can only be monitored when the pace program is
activated.
Keep pacemaker patients under close observation. The pacemaker
rate may be counted during cardiac arrest and certain arrhythmias.
Do not rely only on the monitor.
CAUTION
Use only Nihon Kohden products and specified parts and
accessories. When other type of electrodes are used, the CHECK
ELECTRODE message may be displayed and monitoring may stop.
Do not reuse disposable electrodes.
When using the electrodes with DIN type lead, use only the Vitrode V
or N electrodes. If other electrodes are used, the electrode lead may
not be properly connected and ECG monitoring may be unstable.
If the contact is bad even before the expiration date printed on the
package, replace the electrode with a new one.
When the CHECK ELECTRODE message is displayed, ECG is not
monitored properly. Check the electrode, electrode leads and
connection cord, and if necessary, replace it with a new one.
Turn the pacing spike detection to On when monitoring a pacemaker
patient. Otherwise QRS and pacemaker spike may not be
distinguished and pacemaker failure may not be recognized.
Respiration Monitoring
WARNING
Interaction Between Minute Ventilation Rate-Adaptive Pacemakers and
Cardiac Monitoring and Diagnostic Equipment*
The bioelectric impedance measurement sensor of a minute ventilation
rate-adaptive implantable pacemaker may be affected by cardiac
monitoring and diagnostic equipment which is connected to the
same patient. If this occurs, the pacemaker may pace at its maximum
rate and give incorrect data to the monitor or diagnostic equipment.
If this occurs, disconnect the monitor or diagnostic equipment from
the patient or change the setting on the pacemaker by referring to
the pacemakers manual. For more details, contact your pacemaker
distributor or Nihon Kohden distributor.
CAUTION
Turn off the power of cell telephones, small wireless devices and
other devices which produce strong electromagnetic interference.
Otherwise, the waveforms and measurements are affected by such
interference and the displayed data may be incorrect.
Only use the specified probes. Otherwise SpO2 cannot be monitored
properly.
Do not use a disassembled or damaged probe because measured
data may be incorrect.
Do not use the probe over its stated lifetime. Otherwise the SpO2
measurement accuracy cannot be guaranteed.
If the skin gets irritated by the tape, change the attachment site.
Do not attach the probe to the same limb that is used for NIBP
measurement or an IBP catheter.
Normally external light does not affect monitoring, however, strong
light such as an operating lamp or sunlight may affect monitoring. If
affected, cover the measuring site with a blanket.
When attached, make sure that the photo emitter and the detector of
the probe face each other. Otherwise, SpO2 cannot be measured
properly.
Do not reuse the disposable probes for another patient.
Disposable probes are not sterilized. To sterilize the probe, refer to
the Sterilizing the Disposable Probe in Section 12.
When the probe is attached on an appropriate site with sufficient
circulation and the error message confirming the probe attachment
repeatedly appears, the probe may be deteriorated. Replace it with a
new one.
When the probe or SpO2 connection cord failure message appears on
the screen, replace it with a new one. Otherwise SpO2 data may not
be accurate.
When the attachment site is wet with blood or when the patient has
nail polish on, remove dirt and nail polish before attaching the probe.
The transmitted light may decrease due to blood or nail polish and
the measurement data may be incorrect.
To minimize body movement for stable SpO2 monitoring, fasten the
cable with the provided adhesive tape.
Do not pull or bend the probe cable, and do not put caster feet on the
probe cable. Do not immerse the probe cable in detergents or water.
Failure to follow these cautions may cause cable discontinuity, short
circuit, skin burn on the patient and incorrect measurement data.
Replace any broken probe with a new one.
When using a disposable probe, be careful when removing the foam
tape from neonatal skin.
When removing a disposable probe that is taped to the skin, do not
pull the cable part of the probe because this can damage the probes
cable connection.
Refer to the probe instruction manual for details.
CAUTION
Only use the specified cuff. Otherwise NIBP monitoring cannot be
performed properly or the monitor may be damaged.
Select the cuff which fits each patient. If the cuff size is not correct,
measurement may not be completed or the result may be erroneous
due to the different deflation speed of the cuff.
The YP-950T/951T/952T/953T/954T/955T reusable cuffs contain
natural rubber latex which may cause allergic reactions.
Do not reuse the disposable cuff.
Disposable cuffs are not sterilized. If necessary, sterilize the cuff
using glutaraldehyde solution.
The non-sterilized disposable cuffs for neonates cannot be sterilized.
If necessary, use the sterilized disposable cuffs for neonates.
Never sterilize the disposable cuff for neonates.
Do not wrap the cuff on an arm or thigh which is used for injection.
NIBP measurement on an arm or thigh which is used for injection
may cause reflux of blood and stop injection.
Confirm that the air hoses are firmly connected between the sockets
and hoses of the cuff. If not connected properly (the air hose
connector clicks and the red color of the NIBP socket is completely
hidden behind the air hose connector when properly inserted into the
socket), the cuff cannot be correctly identified and air leakage will
cause incorrect NIBP data or no data.
When too much pressure is applied to the cuff, or the hose is folded
or kinked, the NIBP SAFETY VALVE OPEN message appears on the
screen and NIBP monitoring may be stopped. Remove the cause,
wait for 40 seconds, check that the message disappears, then
measure again.
If the hose is folded or squeezed, it will cause incorrect NIBP data
due to the air pressure noise.
Do not rely only on the PWTT to monitor blood pressure changes.
When it is necessary to monitor critical blood pressure change, set
the appropriate interval for NIBP measurement.
Maintenance
CAUTION
Do not disassemble the monitor. Disassembly must be performed by
a qualified service personnel.
Fuses must be replaced by a qualified service personnel.
Do not use volatile liquids such as thinner or benzine, because these
will cause the materials to melt or crack.
Before cleaning the monitor, turn the monitor power off and
disconnect the power cord from the AC SOURCE power cord socket
on the right side panel.
After cleaning, make sure that the monitor is completely dried.
Wipe the monitor thoroughly after disinfecting it with spray.
The bedside monitor is not waterproof. Be careful not to let any water
get inside the monitor.
Never sterilize the monitor because the materials may deform, crack
or discolor.
Specifications
Display
Display size: 5.6 inch, TFT type color LCD
Waveform display mode: Non-fade moving
Viewing area: 114.2 mm 83.5 mm
Maximum number of waveform trace: 2 traces
Sweep speed: 25 mm/s, respiration waveform 6.25 mm/s
Sweep time: about 79 mm (at 25 mm/s sweep speed)
Display waveforms: ECG, respiration, SpO2 pulse wave
Numerical data display: Heart rate/pulse rate, respiration rate, NIBP (systolic, diastolic, mean), SpO2, NIBP
measurement time, NIBP measurement mode and current time
Alarm
Alarm items: Upper/lower limits alarm, apnea alarm, connector disconnection alarm, NOISE
alarm, electrode off alarm, pulse waveform detecting alarm, probe off alarm, cuff/hose check alarm, battery weak alarm,
operating environment alarm
Alarm suspend: Provided for 2 min
ECG
Heart rate counting range: 0, 12 to 300 beats/min
Pacemaker pulse rejection capability: 0.1 to 2.0 ms, 2 to 700 mV
Defibrillation-proof: ECG input protected against 400 J
Electrode offset potential tolerance: 500 mV
Input dynamic range: 5 mV
Input impedance: 5 M (at 10 Hz)
Frequency response: 0.5 to 20 Hz
50 or 60 Hz
Lead: I, II, III
Waveform display:
Display sensitivity: 10 mm/mV 5% (at 1 sensitivity)
Sensitivity control: 1/4, 1/2, 1, 2, 4, or AUTO
Pacing spike display: Available
Alarm items:
Upper limit range: 20 to 300 beats/min in 5 beats/min steps, OFF
Lower limit range: OFF, 15 to 295 beats/min in 5 beats/min steps
Trendgraph
Trend parameters: NIBP (systolic, diastolic and mean), heart rate/pulse rate, SpO2, respiration rate
Trend display width: 30 min, 1, 2, 4, 8, or 24 h
Power Requirement
Line voltage: AC 100 to 240 V 10%
Line frequency: 50 or 60 Hz
Battery pack (NKB-302): DC 9.6 V
Power consumption: AC: 85 VA maximum
DC: 40 W maximum
Electromagnetic Compatibility
IEC60601-1-2 (1993) Collateral Standard: Electromagnetic compatibility Requirement and tests
Emissions: CISPR11 Group 1, Class B
Safety Standard
Safety standard: IEC 60601-1 (1988) Amendment 1 (1991), Amendment 2 (1995)
IEC 60601-1-1 Amendment 1 (1995)
IEC 60601-2-27 (1994) - Particular requirements for the safety of
electrocardiographic monitoring
IEC 60601-2-30 (1995) - Particular requirements for the safety of automatic
cycling in in-direct blood pressure monitoring equipment
According to the type of protection against electrical shock:
CLASS I EQUIPMENT (AC Powered)
Internally Powered EQUIPMENT (BATTERY Powered)
According to the degree of protection against electrical shock
ECG, Respiration (impedance): Defibrillator-proof type CF applied part
SpO2, NIBP: Defibrillator-proof type BF applied part
According to the degree of protection against harmful ingress of water:
IPX0 (ordinary EQUIPMENT)
According to the degree of safety of application in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR,
OR WITH OXYGEN OR NITROUS OXIDE:
Equipment not suitable for use in the presence of FLAMMABLE ANAESTHETIC
MIXTURE WITH AIR, OR WITH OXYGEN OR NITROUS OXIDE
According to the mode of operation: CONTINUOUS OPERATION
Panel Description
Front Panel
Alarm indicator
Red or orange lamp blinks or lights according to the alarm settings.
START
STOP
Center key
Displays the setup windows
and registers the setting.
Screen select key Record key
Changes the screen in the following order: Press to start or stop recording.
Monitoring screen, list window, trend window, sleep mode screen.
Displays monitoring screen when pressed on the setup window.
ECG/RESP socket
NIBP socket Connects to the ECG connection cord.
Connects to the air hose.
SpO2 socket
Connects to the SpO2 connection cord.
100 to 240V
50,60Hz
Fuse holder
ZB socket
Connects the ZB-900P
transmitter (optional).
Battery box
Installs the battery
pack (optional).
AC SOURCE power cord socket Equipotential grounding terminal
Connects the AC power cord. For an equipotential grounding lead.
POWER board
Power supply unit
CONTROL board
PRINTER CN board
NIBP pump
Recorder unit
LCD unit
INPUT board
USER IF board
Composition
ZB-900PK Transmitter
ZS-900PK Transmitter
KC-012P Cart
Cable Connections
To AC outlet
POWER board
CN101 CN101
CN103 E* Power supply unit
ECG/Respiration CN1001
L*
CN3 CN101
CN6
CN902 Not used C*
NIBP CN7
USER IF board
Not used
CN401 CN8
To Electromagnetic valve Not used
CN2
B* LCD unit
CN402 CONTROL board
To Electromagnetic valve
CN5
To Transmitter
PRINTER CN
Not used CN403 board
CN1 CN4 CN101 CN102
INPUT board To Alarm pole
Recorder
unit
CN9
Speaker
CN103 (option)
General
Use the troubleshooting tables to locate, identify, and solve a problem in the
instrument. The problems are divided into general problem areas. Each
category has its own troubleshooting table for fast and easy troubleshooting.
Instrument Problems
If these sections do not solve the problem, contact your Nihon Kohden
representative.
NOTE
Before contacting your Nihon Kohden representative for technical
support, please provide additional detailed information on the
problem. This will allow your Nihon Kohden representative to
provide your with the best support.
2. In the Problem or Screen Message column, find the trouble item that
matches the problem.
4. If the problem is not solved, do the action for the next possible cause of
criteria.
5. If none of the actions solve the problem, contact your Nihon Kohden
representative.
Instrument Problems
The CONTROL board has a failure. Replace the board with a new one.
No key The USER IF board - CONTROL board wire harness has a failure. Replace the wire harness with a
operation new one.
The USER IF board has a failure.
The CONTROL board has a failure. Replace the board with a new one.
No display The LCD unit has a failure. Replace the unit with a new one.
The LCD unit - CONTROL board wire harness has a failure. Replace the wire harness with a
new one.
The display is The LCD unit - CONTRO board wire harness has a failure. Replace the wire harness with a new
dim or one.
waveform(s)
and/or characters
are distorted. The CONTROL board has a failure. Replace the board with a new one.
Some pixels on 9 pixels or less on the The LCD unit is normal. The LCD unit replacement is not
the screen do not screen do not light or required.
light or have have abnormal color.
abnormal color.
More than 9 pixels on The LCD unit is faulty. Replace the LCD unit with a new one.
the screen do not light
or have abnormal
color.
The screen The POWER board - INPUT board wire harness has a failure. Replace the wire harness with a new
changes to Error one.
screen. The INPUT board has a failure. Replace the board with a new one.
The optional The waveform and The recorder unit has a failure. Replace the recorder unit with a new
recorder unit numeric data are one.
built in the displayed on the The CONTROL board has a failure.
instrument does screen. The POWER board has a failure. Replace the board with a new one.
not record the The PRINTER CN board has a failure.
waveform and
numeric data on The waveform and The CONTROL board - USER IF board Replace the wire harness with a new
the paper. numeric data are not wire harness has a failure. one.
displayed on the The USER IF board has a failure.
screen. The CONTROL board has a failure. Replace the board with a new one.
The recorded Check that the specified recording paper is used. Use the specified paper if not used.
data such as Clean the thermal array head of the recorder unit. Replace the thermal array head with a
waveform and new one.
grid has a faint
part on the paper The recorder unit has a failure. Replace the unit with a new one.
or there are The CONTROL board has a failure.
missing dots on The PRINTER CN board has a failure.
The POWER board has a failure. Replace the board with a new one.
the recorded
data.
Straight line is The recorder unit has a failure. Replace the unit with a new one.
recorded at the The CONTROL board has a failure.
same position on The PRINTER CN board has a failure. Replace the board with a new one.
the paper.
There is The recorder unit has a failure. Replace the unit with a new one.
unevenness on The CONTROL board has a failure.
the paper. The PRINTER CN board has a failure. Replace the board with a new one.
The paper speed The recorder unit has a failure. Replace the unit with a new one.
is unstable and The CONTROL board has a failure. Replace the board with a new one.
waveform is The PRINTER CN board has a failure.
compressed or
extended on time
scale.
ECG
The patient has no implanted cardiac pacemaker but Set the PACING DETECT to OFF on
narrow QRS width such as neonatal ECG. the ECG ETC window.
One of the following has something wrong or a failure. Check them. If one of them has a failure,
- Electrode replace it with a new one.
- Electrode lead
- ECG connection cord
- INPUT board
AC interference on An electric blanket is used. Use another warming method or cover
the ECG waveform the electric blanket with a shield sheet.
The AC outlet connected to the noise source is used for the Use a different AC outlet which is not
instrument. connected to the noise source.
The ground facility is poor. Check the ground facility.
AC LINE NOISE FILTER on the SYSTEM SETUP Set AC LINE NOISE FILTER to ON.
screen is set to OFF.
One of the following has something wrong or a failure. Check them. If one of them has a failure,
- Electrode replace it with a new one.
- Electrode lead
- ECG connection cord
- INPUT board
Large baseline One of the following has something wrong or a failure. Check them. If one of them has a failure,
wandering - Electrode replace it with a new one.
- Electrode lead
- ECG connection cord
- INPUT board
Respiration
If the respiration waveform is flat at the maximum Check them. If one of them has a
sensitivity, one of the following has something wrong or a failure, replace it with a new one.
failure.
- Electrode
- Electrode lead
- ECG connection cord
- INPUT board
The respiration The electrode positions are not appropriate to monitor the Check the electrode positions for
waveform and respiration. respiration measurement.
respiration rate are not One of the following has something wrong or a failure. Check them. If one of them has a
stable. - Electrode failure, replace it with a new one.
- Electrode lead
- ECG connection cord
- INPUT board
The respiration rate is The respiration waveform is stable. Increase the sensitivity by setting the
inaccurate. RESP SENS on the ECG ETC window.
If the respiration waveform is unstable, one of the Check them. If one of them has a
following has something wrong or a failure. failure, replace it with a new one.
- Electrode
- Electrode lead
- ECG connection cord
- INPUT board
SpO2
Screen Message Possible Cause/Criteria Action
Body movement mark The probe is not properly attached to the patient. Attach the probe to the patient properly.
M One of the following has something wrong or a failure. Check them. If one of them has a failure,
- Probe replace it with a new one.
- SpO2 connection cord
- INPUT board
SpO2 LIGHT A surgical light, bilirubin lamp, or sunlight is close to the Cover the probe attachment site with a
INTERFERECE probe. blanket.
The probe is not properly attached to the patient. Attach the probe to the patient properly.
One of the following has something wrong or a failure. Check them. If one of them has a failure,
- Probe replace it with a new one.
- SpO2 connection cord
- INPUT board
SpO2 CONNECTOR The SpO2 connection cord is not firmly connected to the Firmly connect the SpO2 connection cord
OFF instrument. to the instrument.
One of the following has something wrong or a failure. Check them. If one of them has a failure,
- SpO2 connection cord replace it with a new one.
- INPUT board
SpO2 CHECK PROBE The probe is not attached to the appropriate site of the Attach the probe to a site 6 to 14 mm
SITE patient. thick.
One of the following has something wrong or a failure. Check them. If one of them has a failure,
- Probe replace it with a new one.
- SpO2 connection cord
- INPUT board
SpO2 CHECK PROBE The probe is not properly attached to the patient. Attach the probe to the patient properly.
The probe is not firmly connected to the SpO2 connection Firmly connect the probe to the SpO2
cord connection cord.
One of the following has something wrong or a failure. Check them. If one of them has a failure,
- Probe replace it with a new one.
- SpO2 connection cord
- INPUT board
SpO2 PROBE FAULT One of the following has something wrong or a failure. Check them. If one of them has a failure,
- Probe replace it with a new one.
- SpO2 connection cord
- INPUT board
SpO2 WEAK PULSE The probe is attached too tightly and is obstructing the Reattach the probe to the patient.
blood circulation.
One of the following has something wrong or a failure. Check them. If one of them has a failure,
- Probe replace it with a new one.
- SpO2 connection cord
- INPUT board
SpO2 SEARCHING The probe is not attached to the appropriate site of the Attach the probe to a site 6 to 14 mm
PULSE patient. thick.
One of the following has something wrong or a failure. Check them. If one of them has a failure,
- Probe replace it with a new one.
- SpO2 connection cord
- INPUT board
SpO2 CANNOT The probe is not properly attached to the patient. Attach the probe to the patient properly.
DETECT PULSE One of the following has something wrong or a failure. Check them. If one of them has a failure,
- Probe replace it with a new one.
- SpO2 connection cord
- INPUT board
SpO2 MODULE The INPUT board has something wrong or a failure. If the board has a failure, replace it with a
FAILURE new one.
There is a poor The probe is not properly attached to the patient. Attach the probe properly. (The emitter
correlation between the and detector of the probe must face each
SpO2 value on the other.)
instrument and SaO2 The probe size is inappropriate. Use the correct size probe.
value on a blood gas The probe attachment site is dirty. Clean the site. Remove nail polish if
analyzer. necessary.
One of the following has something wrong or a failure. Check them. If one of them has a failure,
- Probe replace it with a new one.
- SpO2 connection cord
- INPUT board
Sine wave noise on the Light interference. Cover the probe attachment site with a
pulse wave blanket.
The line frequency setting on the instrument is not Set the correct line frequency on the
correct. SYSTEM SETUP screen.
NIBP
Screen Message Possible Cause/Criteria Action
NIBP SAFETY The cuff or air hose is bent or squeezed. Remove the cause.
VALVE OPEN If this message frequently appears on the screen, one Check them. If one of them has a failure,
(When this message is of the following has something wrong or a failure. replace it with a new one.
displayed, measurement - Cuff
cannot be performed for - Air hose
40 seconds.) - Air tubes in the instrument
- NIBP pump
- Valves
- INPUT board
NIBP Since the patient has arrhythmia, body movement or Wait for 40 seconds before remeasurement.
RE-MEASURING shivering, the measurement is stopped by the safety
(Remeasurement is circuit.
automatically The cuff or air hose is bent or squeezed. Remove the cause.
performed. If the If this message frequently appears on the screen, one Check them. If one of them has a failure,
message still appears, of the following has something wrong or a failure. replace it with a new one.
after remeasurement, do - Cuff
the counter actions.) - Air hose
- Air tubes in the instrument
- NIBP pump
- Valves
- INPUT board
NIBP ZEROING If this message does not disappear from the screen, Check them. If one of them has a failure,
one of the following has something wrong or a failure. replace it with a new one.
- Cuff
- Air hose
- Air tubes in the instrument
- INPUT board
NIBP CHECK The 1-minute interval NIBP measurement is done for Normal operation. Check the patient
INTERVAL 30 minutes or more. whether the measurement conditon should
be changed or not.
The INPUT board has something wrong or a failure if If the board has a failure, replace it with a
this message frequently appears on the screen. new one.
NIBP NOISE The patient has arrhythmia. Use the stethoscope method or palpation
method if possible.
The patient has body movement or shivering. Check the patient and remove the cause or
use the stethoscope method or palpation
method if possible.
The cuff or air hose is bent or squeezed. Remove the cause.
If this message frequently appears on the screen, one Check them. If one of them has a failure,
of the following has something wrong or a failure. replace it with a new one.
- Cuff
- Air hose
- Air tube in the instrument
- NIBP pump
- Valves
- INPUT board
NIBP HARDWARE The INPUT board has a failure. Replace the board with a new one.
ERROR
NIBP WEAK PULSE The cuff is loosely wrapped around the upper arm or Tightly wrap the cuff around the upper arm.
cuff size is not appropriate. If the cuff size is not appropriate, use an
appropriate one.
If this message frequently appears on the screen, one Check them. If one of them has a failure,
of the following has something wrong or a failure. replace it with a new one.
- Cuff
- Air hose
- Air tube in the instrument
- INPUT board
AIR HOSE OFF The connection between the air hose and instrument is Disconnect the air hose from the instrument
incomplete. and connect the air hose to the instrument
again.
The connection between the air hose and cuff is Disconnect the air hose from the cuff and
incomplete. connect the air hose to the cuff again.
If this message frequently appears on the screen, one Check them. If one of them has a failure,
of the following has something wrong or a failure. replace it with a new one.
- Cuff
- Air hose
- Air tubes in the instrument
- NIBP pump
- Valves
- INPUT board
INFLATION PRESS The connection between the air hose and instrument is Disconnect the air hose from the instrument
LOW incomplete. and connect the air hose to the instrument
again.
The connection between the air hose and cuff is Disconnect the air hose from the cuff and
incomplete. connect the air hose to the cuff again.
If this message frequently appears on the screen, one Check them. If one of them has a failure,
of the following has something wrong or a failure. replace it with a new one.
- Cuff
- Air hose
- Air tubes in the instrument
- NIBP pump
- Valves
- INPUT board
HIGH CUFF PRESS The cuff or air hose is bent or squeezed. Remove the cause.
If this message frequently appears on the screen, one Check them. If one of them has a failure,
of the following has something wrong or a failure. replace it with a new one.
- Cuff
- Air hose
- Air tubes in the instrument
- NIBP pump
- Valves
- INPUT board
CUFF OCCLUSION The cuff or air hose is bent or squeezed. Remove the cause.
CUFF OCCLUSION If this message frequently appears on the screen, one Check them. If one of them has a failure,
of the following has something wrong or a failure. replace it with a new one.
- Cuff
- Air hose
- Air tubes in the instrument
- NIBP pump
- Valves
- INPUT board
AIR LEAK The connection between the air hose and instrument is Disconnect the air hose from the instrument
incomplete. and connect the air hose to the instrument
again.
The connection between the air hose and cuff is Disconnect the air hose from the cuff and
incomplete. connect the air hose to the cuff again.
If this message frequently appears on the screen, one Check them. If one of them has a failure,
of the following has something wrong or a failure. replace it with a new one.
- Cuff
- Air hose
- Air tubes in the instrument
- NIBP pump
- Valves
- INPUT board
SYSTOLIC OVER The patient has arrhythmia. Use the stethoscope method or palpation
method if possible.
The patient has body movement or shivering. Check the patient and remove the cause or
use the stethoscope method or palpation
method if possible.
The cuff or air hose is bent or squeezed. Remove the cause.
If this message frequently appears on the screen, one Check them. If one of them has a failure,
of the following has something wrong or a failure. replace it with a new one.
- Cuff
- Air hose
- Air tube in the instrument
- NIBP pump
- Valves
- INPUT board
NIBP MEAS The patient has arrhythmia. Use the stethoscope method or palpation
TIME-OUT method if possible.
The patient has body movement or shivering. Check the patient and remove the cause or
use the stethoscope method or palpation
method if possible.
The cuff or air hose is bent or squeezed. Remove the cause.
If this message frequently appears on the screen, one Check them. If one of them has a failure,
of the following has something wrong or a failure. replace it with a new one.
- Cuff
- Air hose
- Air tube in the instrument
- NIBP pump
- Valves
- INPUT board
Introduction
The instrument has a check program which manually diagnoses the instrument.
This check program can be executed at any time.
All errors detected at any time in monitor mode are stored in an error history
table that you can view.
The manual check, system setup, system initialization and error history are
accessed from the MAINTENANCE MODE screen.
1. Press the power key on the front panel while pressing the SILENCE
ALARM key on the front panel. The MAINTENANCE MODE screen
appears as shown below. 1. MANUAL CHECK is selected.
...MAINTENANCE MODE...
------CONTENTS------------------------------------------------------------------------------------------
1. MANUAL CHECK
2. SYSTEM SETUP
3. SYSTEM INITIALIZE
4. HISTORY
* END
------VERSION-------------------------------------------------------------------------------------------
2. Press the rotary dial center key on the front panel. The MANUAL CHECK
screen appears.
-------CONTENTS---------------------------------------------------------------------------------------
MANUAL CHECK
1. DISPLAY
2. SOUND
3. MEMORY
4. KEY
5. ZB-INTERFACE
6. RECORDER
7. NIBP
8. ECG / ImpRESP
9. SpO2
* RETURN
- Display check
- Sound check
- Memory check
- Key check
- Optional transmitter check
- Optional recorder check
- NIBP check
- ECG and impedance method respiration checks
- SpO2 check
Display Check
1. Turn the rotary dial to select DISPLAY on the MANUAL CHECK screen
and press the rotary dial center key. The following screen appears.
----------------CONTENTS------------------------------------------------------------------------
1. RED DISPLAY
2. GREEN DISPLAY
3. BLUE DISPLAY
4. LED TEST
* RETURN
2. Turn the rotary dial to select a test on the screen and press the rotary dial
center key to perform the test.
3. Check that the above four test results are normal. Note that the LCD is
normal even if up to 9 pixels on the screen do not light or have abnormal
color.
4. To return to the previous screen, turn the rotary dial to select RETURN
and press the rotary dial center key.
Sound Check
1. Turn the rotary dial to select SOUND on the MANUAL CHECK screen
and press the rotary dial center key. The following screen appears.
---------CONTENTS----------------------------------------------------------------------------
/ MANUAL CHECK / SOUND
1. ALARM SOUND 1
2. ALARM SOUND 2
3. ALARM SOUND 3
4. QRS HIGH
5. QRS LOW
6. QRS VARIABLE
7. KEY
* RETURN
-----------STATUS-------------------------------------------------------------------------------------
* VOLUME LEVEL: 0.5
2. Turn the rotary dial to select a test on the screen and press the rotary dial
center key. The selected sound is generated. To change the sound volume
(level 0 to 15), turn the rotary dial.
3. Check that some of the above seven test results are normal while changing
the sound volume level.
4. To return to the previous screen, turn the rotary dial to select RETURN
and press the rotary dial center key.
Memory Check
1. Turn the rotary dial to select MEMORY on the MANUAL CHECK screen
and press the rotary dial center key. The following screen appears.
---------CONTENTS----------------------------------------------------------------------------
/ MANUAL CHECK / SOUND
-----------STATUS-------------------------------------------------------------------------------------
* CONTROL B/D ROM TEST: -----------
* CONTROL B/D RAM TEST: -----------
* INPUT B/D ROM TEST: -----------
* INPUT B/D RAM TEST: -----------
* EEPROM TEST
2. Turn the rotary dial to select a test and press the rotary dial center key. The
selected test is indicated in yellow.
3. Check that each test result is shown as OK in the STATUS column on the
screen. If there is a discrepancy in a test, the test result is shown as NG in
the STATUS column on the screen.
4. To return to the previous screen, turn the rotary dial to select RETURN
and press the rotary dial center key.
Key Check
1. Turn the rotary dial to select KEY on the MANUAL CHECK screen and
press the rotary dial center key. The following screen appears.
---------CONTENTS----------------------------------------------------------------------------
/ MANUAL CHECK / KEY
-----------STATUS-------------------------------------------------------------------------------------
ALARM SILENCE
NIBP INTERVAL
NIBP START/STOP
DISPLAY SELECT
RECORD START/STOP
DECISION
* ENCORDER: ----000
2. Press each key on the front panel and check that the square box near the
key name in the STATUS column on the screen is highlighted while the key
is pressed. When you turn the rotary dial, the three digit display near
ENCODER on the screen changes from -999 to +999.
3. To return to the previous screen, press the rotary dial center key for one
second.
---------CONTENTS----------------------------------------------------------------------------
1. INTERFACETEST
* RETURN
-----------STATUS-------------------------------------------------------------------------------------
* ZB CONNECTION : OK
* INTERFACE TEST : -----
3. Press the rotary dial center key and check that ZB CONNECTION and
INTERFACE TEST in the STATUS column on the screen are shown as OK.
If there is an error, the test result is shown as NG.
4. To return to the previous screen, turn the rotary dial to select RETURN
and press the rotary dial center key.
If an optional RG-101W recorder unit is not used with the instrument, skip this
check.
---------CONTENTS----------------------------------------------------------------------------
2. Turn the rotary dial to select a test and press the rotary dial center key to
start the test. The selected test is indicated in yellow.
3. Check that the peak to peak length shows within 5% tolerance on the
paper at each test result, and also check that the status of MAGAZINE
and PAPER in the STATUS column on the screen show CLOSE and
SET, respectively. If the paper magazine is open, the MAGAZINE
status shows OPEN. If there is no recording paper in the magazine, the
PAPER status shows EMPTY.
4. To return to the previous screen, turn the rotary dial to select RETURN
and press the rotary dial center key.
NIBP Check
Turn the rotary dial to select NIBP on the MANUAL CHECK screen and
press the rotary dial center key. The following NIBP screen appears.
---------CONTENTS----------------------------------------------------------------------------
1. EXAMINATION
2. SAFETY DEVICE TEST
3. INFLATION TEST
4. DEFLATION TEST
5. STEP DEFLATION TEST
6. AIR LEAK TEST
* RETURN
----------STATUS-------------------------------------------------------------------------------------
Examination
1. Connect a mercury manometer and hand bulb pump to the 700 cc dummy
cuff using a Y-branch joint. Connect the dummy cuff to the instrument with
an adult air hose.
2. Turn the rotary dial to select EXAMINATION on the NIBP screen and
press the rotary dial center key to start the check. During one second
zeroing, the EXAMINATION display color changes to white. Whenever
EXAMINATION is executed, the zeroing is done.
---------CONTENTS----------------------------------------------------------------------------
1. EXAMINATION
2. SAFETY DEVICE TEST
3. INFLATION TEST
4. DEFLATION TEST
5. STEP DEFLATION TEST
6. AIR LEAK TEST
* RETURN
----------STATUS-------------------------------------------------------------------------------------
CUFF TYPE (NORM): Indicates the type of the air hose connected to the
instrument, ADULT/CHIL or NEONATAL. The air
hose type is recognized by the measurement
circuit.
CUFF TYPE (SAFE): Indicates the type of the air hose connected to the
instrument, ADULT/CHIL or NEONATAL. The air
hose type is recognized by the safety circuit.
CUFF PRESS (NORM): Indicates the cuff pressure detected at the
measurement circuit.
CUFF PRESS (SAFE): Indicates the cuff pressure detected at the safety
circuit.
3.8 Service Manual OPV-1500K
3. DIAGNOSTIC CHECK
3. Apply 100 mmHg, 200 mmHg and 300 mmHg to the dummy cuff with the
hand bulb pump and compare the cuff pressures on the screen with the
pressure reading from the mercury manometer.
The tolerance as follows:
100 mmHg at the mercury manometer: 3 mmHg on the screen
200 mmHg at the mercury manometer: 4 mmHg on the screen
300 mmHg at the mercury manometer: 4 mmHg on the screen
4. To return to the previous screen, turn the rotary dial to select RETURN
and press the rotary dial center key.
1. Connect a mercury manometer and hand bulb pump to the 700 cc dummy
Safety Device Test
cuff using a Y-branch joint. Connect the dummy cuff to the instrument with
an adult air hose.
2. Turn the rotary dial to select SAFETY DEVICE TEST on the NIBP screen
and press the rotary dial center key. The following screen appears.
---------CONTENTS----------------------------------------------------------------------------
1. OVERP PRESS
* RETURN
----------STATUS-------------------------------------------------------------------------------------
* CUFF TYPE (NORM): ADULT/CHILD
* CUFF TYPE (SAFE): ADULT/CHILD
* CUFF PRESS (NORM): 0.0 mmHg
* SAFETY DEVICE ACTION: 0.0 mmHg
* SAFETY DEVICE ACTION: 0.0s
* SAFETY DEVICE STATUS: ACTIVE
NOTE
When this test starts, the SAFETY DEVICE STATUS in the STATUS
column on the screen changes to ACTIVE. If 300 to 315 mmHg
pressure is not applied to the dummy cuff within 15 seconds from
the start time, the SAFETY DEVICE STATUS returns to INACTIVE.
4. Apply 300 to 315 mmHg pressure to the dummy cuff with the hand bulb
pump.
5. Check that CUFF PRESS (NORM) in the STATUS column on the screen
and the mercury manometer shows 0 mmHg.
6. Check that the time of SAFETY DEVICE ACTION in the STATUS column
on the screen shows 15 seconds or less.
7. To return to the previous screen, turn the rotary dial to select RETURN
and press the rotary dial center key.
Inflation Test 1. Connect the 700cc dummy cuff to the instrument with an adult air hose.
Since the other tube of the dummy cuff must be completely closed, pinch
the tube with a pinch clamp.
2. Turn the rotary dial to select INFLATION TEST on the NIBP screen and
press the rotary dial center key. The following screen appears.
------------CONTENTS---------------------------------------------------------------------------
-------------
/MANUAL CHECK / NIBP / INFLATION TEST
-----------STATUS-------------------------------------------------------------------------------
CUFF TYPE (NORM): Indicates the type of the air hose connected to
the instrument, ADULT/CHIL or NEONATAL. The air
hose type is recognized by the measurement circuit.
CUFF TYPE (SAFE): Indicates the type of the air hose connected to
the instrument, ADULT/CHIL or NEONATAL. The air
hose type is recognized by the safety circuit.
CUFF PRESS (NORM): Indicates the cuff pressure detected at the
measurement circuit.
INFLATION TIME: Indicates the inflation time which it takes for the
cuff pressure to reach 200 mmHg from 0 mmHg.
5. To return to the previous screen, turn the rotary dial to select RETURN
and press the rotary dial center key.
Deflation Test (Quick 1. Connect a mercury manometer and hand bulb pump to the 700 cc dummy
deflation test) cuff using a Y-branch joint. Connect the dummy cuff to the instrument with
an adult air hose.
2. Turn the rotary dial to select DEFLATION TEST on the NIBP screen and
press the rotary dial center key. The following screen appears.
------------CONTENTS---------------------------------------------------------------------------
-------------
/MANUAL CHECK / NIBP / DEFLATION TEST
-----------STATUS-------------------------------------------------------------------------------
5. Turn the rotary dial to select RETURN and press the rotary dial center
key. The previous NIBP screen appears. Enter the Deflation Test screen
again by selecting DEFLATION TEST with the rotary dial and pressing
the rotary dial center key.
NOTE
When either deflation test is completed, exit the Deflation Test
screen by selecting RETURN with the rotary dial and pressing the
rotary dial center key. Then, enter the Deflation Test screen again.
Otherwise, the applied 300 mmHg pressure is not held before the
second test starts.
6. Apply 300 mmHg pressure to the dummy cuff with the hand bulb pump,
turn the rotary dial to select 2. DEFLATION TIME MEASURE (V2) and
press the rotary dial center key to start the test.
8. To return to the previous screen, turn the rotary dial to select RETURN
and press the rotary dial center key.
Step Deflation Test 1. Connect a mercury manometer and hand bulb pump to the 250 cc dummy
cuff using a Y-branch joint. Connect the dummy cuff to the instrument with
an adult air hose.
2. Turn the rotary dial to select STEP DEFLATION TEST on the NIBP screen
and press the rotary dial center key. The following screen appears.
------------CONTENTS---------------------------------------------------------------------------
-------------
/MANUAL CHECK / NIBP / STEP DEFLATION TEST
1. VALVE 1 OPEN (50 ms)
2. VALVE 2 OPEN (50 ms)
3. VALVE 1 OPEN (120 ms)
4. VALVE 2 OPEN (100 ms)
* RETURN
-----------STATUS-------------------------------------------------------------------------------
* CUFF TYPE (NORM): ADULT / CHILD
* CUFF TYPE (SAFE): ADULT / CHILD
* CUFF PRESS. (NORM): + 0.0 mmHg
* DEFLATION PRESS: 0.0 mmHg
CUFF TYPE (NORM): Indicates the type of the air hose connected to
the instrument, ADULT/CHIL or NEONATAL. The air
hose type is recognized by the measurement circuit.
CUFF TYPE (SAFE): Indicates the type of the air hose connected to
the instrument, ADULT/CHIL or NEONATAL. The air
hose type is recognized by the safety circuit.
CUFF PRESS (NORM): Indicates the cuff pressure detected at the
measurement circuit.
DEFLATION PRESS: Indicates the pressure variation when the valve
1 or valve 2 opens for the specified time.
3. Apply 250 mmHg pressure to the dummy cuff with the hand bulb pump,
turn the rotary dial to select 1. VALVE 1 OPEN (50 ms) and press the
rotary dial center key to start the test.
5. Apply 20 mmHg pressure to the dummy cuff with the hand bulb pump, turn
the rotary dial to select 3. VALVE 1 OPEN (120 ms) and press the rotary
dial center key to start the test.
7. Replace the 250 cc dummy cuff with a 70 cc dummy cuff and replace the
adult air hose with a neonatal air hose.
8. Apply 250 mmHg pressure to the dummy cuff with the hand bulb pump,
turn the rotary dial to select 2. VALVE 2 OPEN (50 ms) and press the
rotary dial center key to start the test.
11. Check that DEFLATION PRESS in the STATUS column on the screen
shows 5 to 15 mmHg.
12. To return to the previous screen, turn the rotary dial to select RETURN
and press the rotary dial center key.
1. Connect the dummy cuff to the instrument with an adult air hose. Since the
Air Leak Test
other tube of the dummy cuff must be completely closed, pinch the tube
with a pinch clamp.
2. Turn the rotary dial to select AIR LEAK TEST on the NIBP screen and
press the rotary dial center key. The following screen appears.
------------CONTENTS---------------------------------------------------------------------------
-------------
/MANUAL CHECK / NIBP / AIR LEAK TEST
1. PRESSURE HOLD TEST
2. AIR LEAK TEST (MANUAL)
3. AIR LEAK TEST (AUTOMATIC)
* RETURN
-----------STATUS-------------------------------------------------------------------------------
* CUFF TYPE (NORM): ADULT / CHILD
* CUFF TYPE (SAFE): ADULT / CHILD
* CUFF PRESS. (NORM): + 0.0 mmHg
* ELAPSED TIME : 0s
* AIR LEAK : 0.0 mmHg
3. Turn the rotary dial to select 3. AIR LEAK TEST (AUTOMATIC) on the
screen and press the rotary dial center key to start the test.
4. Check that AIR LEAK in the STATUS column on the screen shows 8
mmHg or less.
5. To return to the previous screen, turn the rotary dial to select RETURN
and press the rotary dial center key.
------------CONTENTS---------------------------------------------------------------------------
-------------
/MANUAL CHECK / ECG ImpRESP
1. ECG LEAD SELECT
2. INPUT MEASUREMENT
3. INPUT MEASUREMENT (ECG INST)
4. INPUT MEASUREMENT (RESP INST)
5. CARRIER WAVE ON / OFF
* RETURN
-----------STATUS-------------------------------------------------------------------------------
MAX MIN P-P AVE
* ECG 0.000 0.000 0.000 0.000
* RESP 0.000 0.000 0.000 0.000
* ECG CONNECTION : ON
* ECG LEADS SEL : II
* ECG LEADS : ON
* ImpRESP LEADS : ON (CARRIER OFF)
SpO2 Check
This check is factory use only.
------------CONTENTS---------------------------------------------------------------------------
-------------
/MANUAL CHECK / SpO2
1. EXAMINATION
* RETURN
-----------STATUS-------------------------------------------------------------------------------
* SpO2 CONNECTION :ON
* SHIELD LINE : OK
* AMP SATURATION : OVER
* SIGNAL SATURATION: OVER
* PHTO-DIODE SHORT: ABNORMAL
* AC LINE FREQUENCY: 50.0 Hz
* PHTO-DIODE OUT-SUM: 0.000 V
* PROBE ID VOLTAGE: 0.000 V
* R-CATHODE VOLTAGE: 0.000 V
* IR-CATHODE VOLTAGE: 0.000 V
+8 VA
Screen select key Record key
I/O Flash
-8 VA
Demodulation ROM Center key
circuit -5 VA Rotary encoder
TPU
I to V converter BPF +5 VA D to A
D to A
+5 VD SCI A to D converter
LPF +3.3 VD
SpO2 probe LCD unit
BPF
Probe ID LPF Motor drive
BPF circuit
Red LED LED drive circuit
Infrared LED PRINTER CN board Recorder unit
Timing control circuit TPU
Thermal head
D to A converter temperature
of CPU
Speaker
Pressure sensor LPF A to D
converter Alarm pole
Cuff HPF LPF
RESP signal
Transmitter
ZB-900P
Pressure sensor SRAM +6 V
Power supply
for D to A TPU POWER board
valves and pump CPU
Digital Power supply unit
Digital AC inlet socket
photo SCI +5 V DC to DC +15 V output
Valve CPU photo
coupler
coupler
Valve I/O +6 V DC to DC Battery
charger
Battery pack
9.6 V 2100 mAh
4.1
4. Board/Unit Description
4. Board/Unit Description
INPUT Board
This board consists of the following blocks. The vital sign data processed on
this board is sent to the CONTROL board by serial data communication.
NIBP block Pressure control circuit: Controls the cuff inflation and deflation.
Pressure measurement circuit: Measures the cuff pressure.
Pulse complex amplifier: Amplifies the pulse complex signal (variation
component from the cuff pressure) and filters it.
SpO2 block LED emission control circuit: Controls the emission timing of the two LEDs in
the SpO2 probe.
Photo sensor amplifier: Processes the current which is converted from the
amount of the received light at the photo sensor, and amplifiers the time-
sharing signal through the band pass filter.
SpO2 probe failure detection circuit: Detects a failure of the SpO2 probe.
ECG block Lead selector: Selects an ECG lead from the leads I, II, and III.
ECG amplifier: Filters the ECG input signal selected by the lead selector and
amplifiers the signal.
Pacing pulse detection circuit: Detects pacing pulse.
Electrode off detection circuit: Detects that an electrode is detached from the
patient skin.
Carrier wave generator: Generates the carrier wave for the modulation of
RESP block
respiration signal. The carrier wave can be set to on or off.
Demodulation circuit: Demodulates the respiration signal from the carrier
wave.
Electrode status detection: Detects each electrode status.
Control block Processes the vital sign data and sends it to the CONTROL board by serial data
communication.
Isolated power supply Generates the various supply voltages for the isolation circuit.
block
POWER Board
This board consists of the following blocks which includes the DC to DC
converter from the power supply unit or rechargeable battery, AC or battery
operation selector and battery charger.
DC to DC conversion block: Converts the 15 V DC (from the power supply
unit) or the battery voltage to 5 V, 6 V and 12 V DC.
AC or battery operation selector block: Switches to the battery operation when
the line voltage is not supplied to the instrument. When the line voltage is
supplied to the instrument in the battery operation, this selector switches to the
AC operation.
Battery charger block: Charges the battery (nickel metal-hydride battery pack)
in quick charge mode and trickle charge mode.
USER IF Board
This board has the keys, rotary encoder and LEDs. Refer to Front Panel and
Power Panel in Section 1 Panel Description.
PRINTER CN Board
CONTROL Board
3. Remove the 4 screws which secure the chassis block to the front enclosure
as shown below. Separate the front enclosure and chassis block.
6. Remove the 4 screws which secure the holder to the LCD unit. Remove the
holder from the LCD unit.
CAUTION
in Assembling the Instrument
Use a present torque Phillips
screwdriver when attaching the
LCD unit holder to the LCD unit.
Use 40.4 Kgf/cm force.
CAUTION
in Assembling the Instrument
Do not pinch any wire of the wire
harness when attaching the ferrite
core clamp to the wire harness.
8. Remove the 5 screws which secure the USER IF board to the front
enclosure. Remove the USER IF board from the front enclosure.
Removing the INPUT Perform the following procedure after the Separating the Front Enclosure and
Board Chassis Block procedure.
1. Remove the 4 screws which secure the shield cover to the INPUT board.
Remove the shield cover from the INPUT board.
2. Remove the 6 screws which secure the insulation sheet and NIBP socket
holder to the INPUT board.
4. Disconnect the wire harness from the other side of the INPUT board.
Remove the INPUT board from the chassis block.
7. Remove the following 3 screws. From the chassis block, remove the
POWER board, CONTROL board and PRINTER CN board (including the
optional recorder unit if it is built in the instrument). If there is no
recorder unit, go to step 10.
9. Remove the 3 screws which secure the recorder unit to the chassis block.
CAUTION
in Assembling the Instrument
The two screws circled in the left
picture are 6 mm long. The screw
indicated by the arrow is 8 mm
long.
14. Disconnect the 2 wire harnesses from the power supply unit and remove
the 4 screws which secure the power supply unit to the chassis block.
Remove the power supply unit from the chassis block.
Perform the following procedure after the Removing the CONTROL Board
procedure.
CAUTION
Use a glove to handle the new lithium battery. If you touch it with
your bare hand, it may cause an increase of resistance at the
battery terminals and shorten the lifetime.
Never charge, short-circuit, disassemble, deform, heat, or throw
the battery into fire. This may cause overheating, explosion, or
fire.
Before disposing of the battery, cover it with insulation tape to
prevent short circuit between the positive and negative terminals.
Otherwise, the battery may heat, explode or burn if the battery is
disposed of with other batteries or electrically conductive
materials.
Discard used batteries according to your local laws.
1. Replace the lithium battery on the CONTROL board with a new one.
2. After the battery replacement, check the continuity between the battery
terminal and receptacle terminal with a multimeter or digital voltmeter.
2. Remove the screw which secures the recorder blank panel to the
instrument and remove the blank panel.
4. Remove the 4 screws and remove the chassis block from the front
enclosure.
To Be Replaced Periodically
Required Tools
To repair, check, or adjust the instrument, the following measuring and test
equipment or equipment with similar function and performance is required.
Digital Voltmeter
A digital tester with at least 3-1/2 digits LCD display that can measure voltage,
current, and resistance.
Cathode-ray Oscilloscope
An oscilloscope with a bandwidth of more than 1 MHz and a sensitivity of more
than 10 mV/cm.
*Purchase locally.
** Included in the accessory kit.
A maintenance check sheet is provided at the end of this section. Make a copy of
this check sheet before using it. The check items are grouped as follows:
External
Input conditions
Power
Operation
Display
Sound
ECG
RESP
NIBP
SpO2
Alarm
Clock
Optional Recorder Built in the Instrument
Optional Transmitter Attached to the Instrument
Safety
Installation Condition
NOTE
If you change the instrument setting for a check item, write down the
setting before changing it. After finishing the check item, return the
External setting to the previous setting.
Input Conditions
Power
Item Check Procedure Action
Line voltage Check that the line voltages is within the range Use only the line voltage within the correct
of nominal voltage 10% range.
Power cord Check that the power cord does not have any
damage, poor continuity, heat, sound or smell
while bending each part of the power cord. If the power cord has a failure, replace it
Check that the ground wire of the power cord with a new one.
has a resistance of 0.1 or less between the
end.
Check that the ground lead has no damage and
If the ground lead has a malfunction,
Ground lead no poor continuity while bending each part of
replace it with a new one.
the ground lead.
Check that the specified fuses are used and not If the fuse is blown, replace it with a new
Fuse
blown. one after removing the cause.
Check that the power indicators such as the
Power indicator and power lamp, AC power lamp and battery power Remove the cause if there is anything
supply voltage check lamp works properly and the correct voltages wrong.
are output from the power supply unit.
Operation
Item Check Procedure Action
Key function Select KEY on the MANUAL CHECK
screen, and perform the key check items,
Remove the cause if an error occurs.
and check that there is no error. Refer to
Key Check in Section 3 of this manual.
Display
Sound
Item Check Procedure Action
Sound function Select "SOUND" on the MANUAL CHECK Remove the cause if an error occurs.
screen, and perform the sound check items, and
check that there is no error. Refer to "Sound
Check" in Section 3 of this manual.
ECG
Item Check Procedure Action
Electrode lead wire and Check that there is no break of the lead wire and If the electrode lead wire or
connection cord wire connection cord with a multimeter or digital connection cord wire has a break,
voltmeter. replace it with a new one.
Visually check that there is no dirt at the If the connector pins or electrode
connector pins and electrode contact parts contact part is dirty, clean them.
Contact the AX-400G to the instrument through
Replace the INPUT board with a new
ECG waveform the electrode lead and connection cord and check
one if an error occurs.
that the waveform is displayed properly.
Connect the AX-400G to the instrument through
Replace the INPUT board with a
Heart rate the electrode lead and connection cord and check
new one if an error occurs.
that the heart rate is displayed properly.
6.4 Service Manual OPV-1500K
6. MAINTENANCE
RESP
NIBP
SpO2
Connect the probe to the AX-300T and put the Replace the probe with a new one if
provided check board between the light the AX-300T shows an error.
emitter and photo detector, and hold this
condition, and check that the AX-300T
displays "OK".
The other probes Connect the probe to the AX-300T and put the Replace the probe with a new one if
provided check board between the light the AX-300T shows an error.
emitter and photo detector, and hold this
condition, and check that the AX-300T shows
"OK".
SpO2 data Connect the AX-300T to the instrument and Replace the INPUT board with a new
check that the data is displayed within the one if an error occurs.
following tolerance to the AX-300T setting.
97%2, 80%2, 70%3
Pulse rate Connect the AX-300T to the instrument and Replace the INPUT board with a new one
check that the pulse rate is displayed within if an error occurs.
the following tolerance to the AX-300T
setting.
605, 1208
Alarm
NOTE
If changing the alarm setting for this check, return the setting to the
original setting after finishing the check.
Clock
Optional Transmitter
Attached to the Instrument
Safety
Perform the following patient safety check after repairing the instrument.
Installation Condition
Item Check Procedure Action
Installation Check that the instrument is installed in a suitable If the conditions are not suitable,
condition check location according to the operators manual. improve them.
INPUT Board
CN401
(for quick deflation valve, Pin No. Signal Name
1 +6VM
valve1) 2 E6
CN402
(for slow deflation valve,
Pin No. Signal Name
valve2) 1 NC
2 +6VM
3 E6
Power Board
USER IF Board
PRINTER CN Board
CONTROL Board