XVU Service SM FBC960003 Jan 2011 Rev A
XVU Service SM FBC960003 Jan 2011 Rev A
XVU Service SM FBC960003 Jan 2011 Rev A
HORIZON XVU
CathLab System
SERVICE MANUAL
FBC-960-003
January 2011
Conformity according to the Council Directive 93/42/EEC concerning Medical Devices
as amended by 2007/47/EC
Manufacturer’s Name :
Mennen Medical Ltd.
4 Hayarden Street, Yavne, 81228
P.O. Box 102, Rehovot, 76100, Israel
Tel.: +972-8-9323333
Fax: +972-8-9328510
European Representative :
Charter-Kontron Limited
Unit 18 Avant Business Centre
21 Denbigh Road
Milton Keynes
MK1 1DT England
Tel.: 01908 646070
Fax: 01908 646030
US Representative:
US Representative:
Mennen Medical Corp
950 Industrial Boulevard
Southampton, PA 18966
Phone: 215-259-1020X1026 Toll Free: 800-223-2201
Fax: 215-675-6212
Important Notice
This document is delivered subject to the following conditions and restrictions:
The HORIZON-XVu Service Manual contains proprietary information of Mennen
Medical Ltd.
This information is supplied solely for the purpose of assisting authorized
technicians of Mennen Medical Ltd. products. The instructions presented in this
manual should in no way supersede established medical protocol concerning
patient care.
No part of the contents hereof may be used for any other purposes, disclosed to any
person or firm, or reproduced by any means, without the express prior written
permission of Mennen Medical Ltd.
The text and drawings herein are for the purposes of illustration and reference only.
The specifications on which they are based are subject to change without notice.
Trademarks
HORIZON- XVu is a registered trademark of Mennen Medical Ltd. Other
company and brand, product and service names are for identification purposes only
and may be trademarks or registered trademarks of their respective holders. Data is
subject to change without notice.
Responsibility of Manufacturer
Mennen Medical, Ltd. considers itself responsible for the effects on safety,
reliability, and performance of the equipment only if:
Repairs are carried out by authorized Mennen Medical personnel only.
Electrical installation of the room in which the system is installed complies with all
aspects of the relevant internationally recognized electrical safety standards, as
well as specific hospital requirements.
The equipment is used in accordance with instructions for use.
ii Mennen Medical
Horizon XVu Service Manual
Scope
This Service Manual provides information and procedures for the installing,
maintaining, troubleshooting, and returning to service of the Horizon XVu
Catheterization Lab System—Horizon XVu.
iv Mennen Medical
Horizon XVu Service Manual Table of Contents
TABLE OF CONTENTS
Mennen Medical v
Table of Contents Horizon XVu Service Manual
vi Mennen Medical
XVu Service Manual
List of Figures
Figure 1-1: Horizon XVu General View 1-1
Figure 1-2: System Architecture 1-2
Figure 2-1: HORIZON-XVu Console 2-1
Figure 2-2: PC Workstation Interconnections Diagram 2-2
Figure 2-3: PC Workstation Front Panel 2-3
Figure 2-4: PC Back Panel 2-4
Figure 2-5: VLD front panel 2-5
Figure 2-6: VLD back panel 2-6
Figure 2-7: CFE Basic Block Diagram 2-7
Figure 2-8: Main Board 2-10
Figure 2-9: Power Supply Holder - Side View 2-11
Figure 2-10: Power Supply Holder - Front View 2-11
Figure 3-1: Interconnections between the Horizon-XVu Console/Lite/Cart system to devices, 3-2
Figure 3-2: Clamp LAN cable 3-8
Figure 3-3: Grounding Test Setup 3-11
Figure 4-1: Horizon-XVuPhysician's (Waveform) screen and Main Screen (Technical Monitor) 4-
2
Figure 4-2: Set Date & Time 4-3
Figure 5-1: EtCO2 Calibration Panel 5-2
Figure 5-2: CFE - front and side view 5-3
Figure 5-3: Removing the Fastening Covers 5-4
Figure 5-4: Detaching the Side Panel from the Top and Bottom Panels 5-4
Figure 5-5: Disconnecting the Speaker Wires 5-5
Figure 5-6: Removing the seven Retaining Screws 5-5
Figure 5-7: Right side panel after the CFE main board has been removed. 5-6
Figure 5-8: Connections between the Front Panel and the Main Board - upper side 5-7
Figure 5-9: Front Panel Assembly - rear view 5-9
Figure 5-10: Inside view of the Right Side Panel 5-10
Figure 5-11: Relocating and securing the main board onto the right side panel 5-11
Figure 5-12: Retaining strip 5-11
Figure 5-13: Front Hardware Panel (close-up view) 5-14
Figure 5-14: Front Hardware Panel Cover 5-15
Figure 5-15: The Isolator 5-17
Figure 5-16: Isolator screw 5-18
Figure 5-17: Inrush Current Limiter 5-18
Figure 5-18: Inrush connected 5-19
Figure 5-19: Isolator holder pins 5-19
Figure 5-20: Wiring diagram of the Horizon Xvu Transformer 5-20
Figure 6-1: HemoCIS - Administrative tasks 6-2
Figure 6-2: Horizon XVu and HemoCIS System's block diagram 6-3
Mennen Medical ix
XVu Operating Manual
x Mennen Medical
Horizon XVu Service Manual System Description
Description
The Horizon XVu is a computerized laboratory that monitors and analyzes patient
data obtained from cardiac catheterization and other associated diagnostic
procedures via the Physiological Cathlab Front End (CFE) unit. The hemodynamic
data, waveform and numerical data, can be stored, analyzed, presented, and printed
in a variety of report formats.
Cathlab
Front
End
The Horizon XVu system consists of a Cathlab Front End (CFE) unit, a central
console, and a remote display, as shown in Figure 1-1.
The CFE is a data acquisition unit that acquires and converts vital signs from the
patient into digital signals. The digital signals are then sent, via a network
connection, to the central console for process and display.
The CFE can be ordered in the following configurations:
• CFE with SpO2 Nellcor without video
• CFE with SpO2 Nellcor with video
• CFE with SpO2 Masimo without video
• CFE with SpO2 Masimo with video
Main Components
The central console comprises of the following main devices:
• A PC Workstation
• Two local LCD displays
• AC Power Unit
• Modem
• Video Line Driver.
And the following Peripheral Devices:
• Laser printer
• CFE
• Remote Video Display
System Specifications
See the following pages for system specifications.
Laser Printer
Clinical Specifications
ECG (5, 12 Leads)
• Network printer
• PCL + Post Script ● Leads: ECG cables for 5/10-lead surface ECG with defibrillation
• Paper speed: 25,50,100 mm/sec protection in the cable.
● Input Dynamic Range: ±5 mV peak to peak
Displays ● Input DC Offset: ±530 mV
● Baseline Correction: Automatic recovery of waveform within 100 msec
• 2 local displays ● Notch Filtering: Custom: 50Hz or 60Hz
• 1 remote display ● Frequency Response:
Power Requirement
0RGH +LJK3DVV)LOWHU /RZ3DVV)LOWHU
• 100-120 VAC, 14A, 50/60 Hz 'LDJQRVWLF +] +]
• 230-240 VAC, 7A, 50 Hz
0RQLWRULQJ +] +]
System Configuration
67 +]
• With Console or without Console (Lite)
• Console Dimensions: H 120 cm (47.5 inches) with display; ([HUFLVH +] +]
W 85 cm (33.5 inches); D 85 cm (33.5 inches)
● QRS Detection Range
Environmental Operating Conditions Height: 0.25 to 5.0 mV or 0.15mV, Width: 70 to 120 msec
● Heart Rate Counting
• Temperature:15°C to 32.5°C (59°F to 90.5°F) Range: 20 to 340 BPM; Accuracy: ±2 BPM
• Relative humidity: 30% to 80%, non-condensing Note: Values below 20 forced to zero
● Leads analyzed for HR & Arrhythmia Configuration:Top two displayed
Environmental Storage Conditions ● ECG Leads:
• Temperature:0°C to 40°C (32°F to 104°F) - I, II, III, aVR, aVL, aVF, V (5 Lead cable)
- I, II, III, aVR, aVL, aVF, V1-V6 (10 Lead cable)
• Humidity: 20% to 80%, non-condensing
● Sensitivity: 0.25, 0.5, 1.0, 2.0, 4.0, 8.0 mV/cm
Software ● Common Mode Rejection: 120 dB minimum
• Operation Systems: Solaris 10X86 ● Noise: 30 μV
• GUI:QT ● Input Impedance: 2.5 megaΩ
● Defibrillator Pulse Protection: Yes
• Software application: XVu
● Baseline Recovery: < 8 sec
Features ● Lead Fault Sense: Based on impedance with driven lead
• Clinical Parameters ● Digital Sample Rate: 480Hz
• Continuous printout of Waveforms and numeric Vital Signs (A4/Letter) ● Sample Resolution: 24 bit
• Complete Hemodynamic Analysis & Calculations ● Pacemaker Detection and Rejection of Pacer Artifact.
Pacer Detection Flag inserted into ECG waveform.
− Gradient/Valve/Resistance calculations (Simultaneous Multi Pressure Analysis
Three Detection Modes:
or Pullback)
− Oximetry Package
1. Fixed Threshold 2mV
2. Adaptive 1 Threshold ½mV High Sensitivity
− Fick formula for Cardiac Output
− PCI Table
3. Adaptive 2 Threshold >2mV High Immunity
● Multi-purpose Intuitive User Interface (procedure oriented) • LED Indicator: three colors (red, green and orange)
• Complete Full Disclosure Playback (parallel to on-line WF display) Constant red: cable out
Constant orange: Lead fault
• Coronary/peripheral Tree Graphical Documentation *
Constant green: learning
• Versatile Customized Reporting Blinking green: synchronized with heart rate
• Remote Service via MODEM / VPN • Auto Cable Detection
• Network Storage and Archive Capability for All Procedural Data • Audio Indicator: QRS Beep
• Multiple languages available
• Pre-configured and Customer Configurable Note "kits" Respiration
• Automatic LV-AO Pullback • Leads: RA-LA or Leads: RA-LL
• Retrospect Pullback Analysis • Excitation: 65 kHz, < 1 mA
• Remote desktop connectivity • Frequency Response: 0.13 to 2.5Hz
• Keyboard Quick Keys: • Impedance Range: 100 to 3000 Ω
− EDP: Change both scale and sweep speed toggle operation • Input Sensitivity Range: 0.2 to 5 Ω
− Trigger continuous recording on laser printer • Digital Sample Rate: 480 Hz
− Trigger screen dump of waveforms screen
• Sample Resolution: 24 bit
− Trigger vital sign charting
− Trigger mouse cursor from one screen to another
• Respiration Rate Counting Range: 8 to 150 breaths/min
− Backward pullback up to last 100 seconds • LED Indicator: Refer to ECG
− Insert marker for fast access of events in the full • Audio Indicator: None
disclosure playback • Analog Waveform: 0.1 Ω/V
Optional Features Invasive Blood Pressure
• Integrated Pediatric Package * • Patient Isolation: Leakage specifications meet or exceed ANSI/AAMI standards
• Peripheral Vessel Management Package * • Channels: 4
• Import/ Export Connectivity - HL7/ DICOM / XML Interfaces • Input Sensitivity: 5 μV/V/mmHg transducers
• Customizable Billing, Inventory and Lab Interfaces (via HemoCIS) • Pressure Range: -50 to +300 mmHg
• Bar Code scanning capability • Zero Range: ±150 mmHg
• Remote Interactive Terminal • Total Dynamic Range: -200 to +450 mmHg
• Integrated FFR Calculation • Upper Scale: 10, 25, 50, 75, 100, 150, 200, 300 mmHg
• Integrated ST Analysis • Lower Scale: -10, 0, 25, 50 mmHg
Mennen Medical Ltd. All rights reserved. Specification subject to be changed without notice.
Accuracy: ±0.1°C over the entire range
• Digital Sample Rate: 120 Hz
• Sample Resolution: 24 bit
• Cardiac Output Determination Range: 0 to 20 liters per minute
• Injectate Volumes: 3, 5, 10cc
• Computation Constants: Table can be extended
• LED Indicator: three colors (red, green and orange)
− Constant red: cable out
− Constant orange: No sensor or out of range
− Constant green: Connected sensor and in temperature range
Introduction
This chapter describes the following topics:
• Locations of the central console devices.
• Interconnections of the Horizon-XVu system
• Description of the Central Console
• CFE principle of operation
PC Workstation - Description
The PC workstation contains one 250 GB hard drive. System components are
housed in a tower-style enclosure. System electronics are contained on a single
plug-in printed circuit board (motherboard). The motherboard contains the CPU,
memory modules, system control application-specific integrated circuits (ASIC),
and I/O ASICs.
Figure 2-3 and Figure 2-4 show the computers front and back panels.
2 4 3 1
1 Power switch
2 DVD-RW
3 USB Connections
Audio In
4
4 8 9 5 3
6 1 2 7
7 Power connector
There are two local displays and one remote display: 17"/19" TFT LCD color
computer displays that support a resolution of 1280 x 1024 pixels.
AC Power Unit
The AC power unit consists of an isolation transformer, inrush current limiter, and
AC female connectors. Two options are available according to the voltage
regulations in your country: A 230V model and a 115V model. The 230V model is
larger and heavier than the 115V model. Two options are for a regular system and
two options for a lite system which includes a main switch.
Modem
The modem is a standard external 56K modem manufactured by US Robotics. The
front panel includes the following indicators:
PWRPower - The modem is turned on.
override is ON (&C0).
RDReceived Data - Flashes when modem sends result codes or passes received
data bits from remote
SD Send Data - Flashes when computer sends a data bit to modem
Laser Printer
The laser printer model is an HP 3015N that allows fast printing in a resolution of
1200DPI. For more information, refer to the HP documentation accompanying the
printer. The printer model and specifications may change according to current
availability and printer performance requirements.
The CFE's hardware electronics consists of the single motherboard (CFE main
board), divided into the isolated part and the non-isolated part, and separated by the
isolation barrier.
The CFE is designed as a compact device with patient input cables on the one side;
and interface and external device connectors on the other side.
CFE Interfaces:
The CFE unit at the left side provides the following Interfaces:
Patient connection interface: provides for connection to the patient via Mennen's
standards patient cables being used in the Envoy system. Following is the list of
physiological parameters that the CFE supports:
The CFE's hardware electronics consists of the single motherboard (CFE
main board), divided into the isolated part and the non-isolated part, and separated
by the isolation barrier.
The CFE is designed as a compact device with patient input cables on the one side;
and interface and external device connectors on the other side.
CFE Interfaces:
The CFE unit at the left side provides the following Interfaces:
User Interface
The user interface includes the following LEDs and switches:
• Parameter-specific LED indicators (green / red / orange).
• Parameter-specific control pushbutton:
• Four Switches - for zeroing of the Invasive Blood Pressure channels.
• One switch - start/stop for measuring the NIBP.
• One switch - start injection for the Cardiac Output.
• Audible indicators: Speaker and tone generator.
Rear Panel
The rear panel includes the following:
• COM1, 2: two RS-232 serial communication channels for Universal Input, for
interconnecting to external stand alone vendor equipment.
• Video: optional video capabilities for back-up mode.
• Auxiliary DC and Discrete - Up to 4 simultaneous inputs for interconnecting
to external stand alone vendor devices and equipment.
• Reset: optional reset switch for service and debugging.
• Optional Dip Switch for service and debugging.
• Power connector: the CFE is fed by an external isolated power supply.
• Ethernet.: The CFE communicates with the CathLab workstation (WS)
through a 10/100 Base-T Ethernet connection.
Physical Description
PCBs
The CFE unit consists of four PCBs fastened together as shown in Figure 4-10,
page 4-11.
• PCB Main Board - functions as the mother board for the CFE design. It
integrates all the boards together and provides both the isolated and non-
isolated front-end electronics. The main board also integrates the CFE's rear
panel and front panel Interface connectors.
• Front Panel Board - provided the user interface electronics (i.e. LEDs and
switches) as well as the mechanical mounting for the patient connectors.
• SpO2 OEM Board - third party OEM technology for Blood Oxygen
saturation measurement module Masimo or Nellcor technology.
• NIBP OEM Board - third party OEM technology for non-invasive blood
pressure measurement module. CAS technology ND board.
The main board is physically connected with a 9-pin connector to the Front Panel
PCB board (see Figure 4-10, at the top-right corner).
Mounting
The CFE enables the following types of mounting via the universal Rail Adaptor
(Figure 4-11):
• On IV pole (with adapter for the pole to the standard rail holder).
• On rail installed on the edge of the catheterization platform (all types).
It also can be placed on a horizontal flat surface.
See Figure 2-9 and Figure 2-10 for an optional POWER SUPPLY HOLDER.
Figure 2-9 Power Supply Holder - Side View Figure 2-10 Power Supply Holder - Front
View
Overview
Install the central console in a control room and the CFE in the physician's room.
This type of installation requires you to route cables from the control room to the
physician's room, between the CFE and the central console. In addition, a remote
display is required including its cable connections to the central console.
The system installation consists of the following main stages:
• Site Preparation :This includes verifying that the site complies with the
environmental requirements, power requirements, and grounding requirements.
• Unpacking: This includes verifying the content of the packages according to
the packaging list.
• Placing and preparing cables: This includes placement and preparation of
cables that their length depends on the distance of the CFE and the remote
display from the central console.
• Installing the CFE: This includes mounting the CFE and connecting its
cables. The CFE is designed for connection to a side rail of the CATHLAB
TABLE, to an IV pole; or for attachment to the central column of the Cathlab
examination table.
• Installing the central console: This includes mounting the Workstation,
keyboard, mouse, local LCD display, laser printer, and their cable connections.
• Installing the remote display: This includes mounting the display and
connecting its cables in the physician's room. A remote display is required if
the central console is located outside the physician's room.
• Getting started: This includes checking cable connections and grounding test.
Site Preparation
To prepare the site, consult with the Hospital Biomedical Engineer and Facilities
Engineer and verify that the physician's room and the control room comply with
the following requirements:
• Environmental Requirements.
• Power Requirements.
• Grounding Requirements.
Environmental Requirements
The environmental requirements are:
• Clean air atmosphere.
• No direct sunlight.
• Antistatic floor.
• Operating Temperature Range: 15°C to 32.5°C (59°F to 90.5°F).
• Temp Rate of Change: 3.6º F/hr (2ºC/hr).
• Humidity: 30% to 80%, non-condensing.
• Humidity Rate of Change 2% hr.
• The system Heat Ventilation Air Conditioning (HVAC) thermal load is up to
6000 BTU/Hr. Consider this additional heat and confirm with the Hospital
Plant Engineering Department (or the Biochemical Engineering Department)
that the HVAC System can manage the additional heat without exceeding the
operating temperature range.
• Space required for the console: 120x85x85 cm (approx 47.25"x33.5"x33.5")
(H, W, D).
Verify passage width of at least 60cm or 100cm (approx 24"x40") accordingly.
• Space for cable ducts running from the central console to the CFE and optional
remote display.
Power Requirements
The power line must meet the following requirements:
• One of the following voltage requirements, according to the Horizon-XVu
model:
•100-120 VAC±10%, 60 Hz ±1% single phase, 14A, 3-prong (2 wire plus
ground), NEMA #5-20R Hospital Grade.
- or -
•230-240 VAC ±10%, 50 Hz ±1% single phase, 7A, 3-prong (2 wire plus
ground), NEMA #5-20R Hospital Grade.
• A maximum deviation of ±10% of nominal voltage for 0.1 seconds occurring
no more than once every 10 seconds.
• A maximum of 300 V spike with a rise time of 0.1 ms or slower, lasting no
more that 10 ms for the total duration.
WARNING!!! The power supply to the system must have a slow circuit breaker
installed. If the circuit breaker trips while system is on, you
should install the optional Inrush Current.
WARNING!!! The power source for the CFE is isolated and supplied from the
AC power unit of the central console. It is not recommended to
connect the CFE to a power source other than the central con-
sole. However, if you do so, make sure that the power source for
the central console and the CFE is from the same AC power line,
and that this line is separated from any high current load equip-
ment, such as X-ray equipment and motors. High power equip-
ment is potential power line noise source that can cause erratic
operation of the CFE. If the power line is subject to these distur-
bances, you can use a power line analyzer (for example, Draniz
Model 1616A) to isolate the cause.
WARNING!!! If the CFE is not connected to the same circuit as the Console, it
does not have to be connected to the isolation transformer.
Grounding Requirements
Proper grounding is essential for any patient monitoring system to establish a safe
electrical environment for patients and hospital personnel. Before installing the
Horizon-XVu, make sure that the room, where the central console is located,
contains the Hospital ground connection.
WARNING!!! This ground must NOT service locations other than the monitor-
ing area, such as other floors or equipment with high power
loads.
Unpacking
Before unpacking the Horizon-XVu packages, verify that the received packages
comply with the manufacturer's delivery documents and all packages are
undamaged.
Unpack the packages and make sure that all the parts, listed in the packaging list,
exist and are undamaged. Notify Mennen Medical, or your dealer, regarding any
damage or missing parts.
The following table lists the package contents of a basic Horizon-XVu system. The
actual list may vary according to the Hospital order. The data above is subject to
change without prior notice.
Table 3-1 Package content
When connecting connectors to their cables, use appropriate standard tools that fit
to the type of work. Also, use standard good practice for placing the cables in site.
It is also recommended to use the 1" flexible liquid tube to protect the cables from
accidental mechanical damage.
2. At the remote display side, connect the side pin 15 VGA to the 19” display.
3. At the remote display side, connect the IEC female power plug to the power
cable.
4. At the central console side, carry out the following two steps:
a. For the power cable, connect the male connector 3PM to the power cable.
b. Connect a 5BNC connectors to each of the five colored coax cables. To
RGB +Horizon Syc +Vertical Sync
VERY IMPORTANT!!!
Tie the LAN cable to the others cables as shown in Figure 3-2.
• Video cable from the video line driver to the second output cable of Y cable
9. Verify that the all power connectors are connected to the POWER UNIT.
10. Connect the female connector of a power cable to the printer power socket,
and the male connector to one of the AC POWER UNIT sockets.
11. Route the cables from the CFE through the opening. If you install a remote
display, route also its power and video cables.
12. Connect the 10 AWG ground cable to the Ground stud of the Console.
13. Connect the ground wire (#10 AWG) to the Hospital mains grounding
connection.
14. Route the input power cable from the AC POWER UNIT.
15. To install a remote display, connect its power cable to one of the AC Power
Unit sockets, and the video cable as follows:
• Connect a the VGA cable from the monitor to first video output of the Y
video cable
• Connect the video connectors RGB and Horizontal Sync and the vertical
sync to the VIDEO LINE DRIVER.
Pre-Operation Procedures
Perform the following procedures at the completion of system installation, before
operating the Horizon-XVu for the first time:
• Checking the system.
• Performing grounding test.
• Connecting the central console to hospital power outlet and ground.
System Check
➤ To check the system before first time operation:
1. Visually check that all devices are properly installed in the system.
2. Visually check that the ground wires are properly connected and secured.
3. Visually check that all cables are properly connected and secured.
4. Turn ON the power switch of each device of the system except for the main
AC switch on the console. These switches must always remain in ON position.
• Verify that the leakage current does not exceed 100mA for 115Vsystem or
500 mA for 230V system.
Introduction
This chapter provides instructions for returning to operation after servicing the
Horizon-XVu system. For complete operating instructions, please refer to the
Horizon-XVuUser's Guide. The operation instructions include the following:
• “Initializing the Horizon-XVu System ” on page 4-1.
• “Performing Setup and Acceptance Tests ” on page 4-2.
• “Setting the Modem ” on page 4-7
• “Setting the Modem ” on page 4-7.
In addition to the operating instructions in this chapter, a shutdown procedure is
provided, which must be followed carefully before performing any service or
maintenance procedures.
4. Use the configure screen in order to enter all the requested parameters.
Figure 4-1 Horizon-XVuPhysician's (Waveform) screen and Main Screen (Technical Monitor)
Note: The software version and serial number details are required when
contacting Mennen Medical customer support for assistance.
Note: Before carrying out the following steps, dismiss the patient.
1. From the Shutdown menu select Application Shutdown and click OK.
Printing Test
This test verifies a proper printing of reports.
➤ To print a report:
1. From the Reports menu, select one report (for example, Chronological).
NIBP Test
➤ To test NIPB measurement:
1. Connect the NIBP cuff to the NIBP input of the CFE.
2. Attach the cuff to the NIBP simulator and set its NIBP value.
3. Click Setup.
Make sure that the Setup window appears.
4. Check NIBP on the list.
The NIBP MEASUREMENT option appears on the WFM window.
5. From NIBP menu, select START MANUAL NIBP.
6. Verify that the measured value is within the range ±10% of the simulator
value.
If a simulator is not available, you can perform a functional test only (without
checking the NIBP calibration) by attaching the NIBP cuff to a person and
checking for a normal reading.
SpO2 Test
➤ To test SpO2 measurement:
1. Connect the SpO2 cable to the SpO2 input of the CFE.
2. 2. Attach the SpO2 sensor to a SpO2 simulator BIO-TEK, model INDEX or
similar.
3. Click Setup.
Make sure that the Setup window appears.
4. Check SpO2 on the list
5. Drag SpO2 to one of the regions
6. Verify a correct SpO2 value and waveform on the Physician's screen.
If the simulator is not available, you can perform a functional test only (without
checking the SpO2 calibration) by attaching the SpO2 sensor to a person and
checking for normal reading and waveform.
Recordings of up to four hours of 7-lead ECG (or 3 hours of 12-lead ECG) can be
stored on the hard drive.
7. Click OK to close the ASCII Setup window then click OK to close the New
Connections Properties window.
8. In the New Connection Hyper Terminal window type: Type ats=3 and
press <Enter>.
9. Then type: at&w0 and press <Enter>.
This saves the settings to the first register.
10. Then type: at&w1 and press <Enter>.
11. To finish the configuration, from the File menu choose Exit and click OK in
the HyperTerminal window click OK to confirm.
Overview
This chapter provides the following information:
• Preventive Maintenance
Preventive maintenance procedures include periodic visual inspection, cleaning
directives, and tests, that assure extended operational periods with full
performance of the HORIZON-XVu Cathlab System.
• Parts Replacement
Removal and replacement procedures to be performed in case a faulty part is
detected. A faulty part must be replaced with a serviceable part that is approved by
Mennen Medical or by the original manufacturer.
Preventive Maintenance
Perform the following preventive maintenance procedures once a year:
• Visual Inspection.
• Cleaning Directives.
• Functional Tests.
• Grounding Test.
• CO2 Calibration.
During performing any maintenance activities, observe all safety warnings
and cautions as described in the Horizon-XVu User's Guide.
Visual Inspection
1. Visually inspect the system's main components, back panel connectors, and
cables. Check for loose connectors, cables, screws, and fasteners.
2. Check the Fan in the PC and ensure it rotates and works without noise.
3. Enter the BIOS of the PC and ensure the CPU temperature.
Cleaning Directives
Clean dust and loose dirt from the exterior surfaces, front panels, and back panels
of the system.
Functional Tests
Perform functional tests as described in chapter 4. In case a calibration problem
in the CFE is detected, send the CFE to Mennen Medical for calibration and
testing.
Grounding Test
Once a year, or according to the hospital requirements, perform a grounding
test.
CO2 Calibration
Calibration is required 1200 hours after initial activation of the EtCO2, and then
once a year or after 4000 hours of use.
A "Need Calibration" message will appear on the screen when calibration is
required.
To perform the calibration use gas mixture 5% CO2, 21% O2, Bal. N2 (Scott
Medical Products 6141 Easton Road Box 310, Plumsteadville, PA 18949,
Tel: (215) 766-8861
Fax: (215) 766-0320).
Replacing the main Board and Connectors, comprises of the following stages:
1. Removing the casing.
2. Replacing the Main Board.
3. Replacing Connectors.
4. Reassembling the casing.
Before opening the CFE, you must ensure that the power cable is disconnected
from the supply and that all other cables and tubes have been removed.
Figure 5-4 Detaching the Side Panel from the Top and Bottom Panels
5. Lay the Left Side Panel on the surface and disconnect the speaker wires from
the Main Board.
Figure 5-7 Right side panel after the CFE main board has been removed.
Parallel Port
Figure 5-8 Connections between the Front Panel and the Main Board - upper side
2. Release the parallel port connector from the Rear Panel by removing the two
screws from the rear panel.
3. Separate the main board from the front panel by carefully disconnecting the
connector marked FRONT PANEL on the main board from the nine pins (J25)
on the Front Panel (J1) (Figure 5-8).
4. Connect the new main board to the rear panel by tightening the screws on
either side of the parallel port (Figure 5-6).
5. Carefully connect the nine pins on the front panel (J1) to the connector marked
FRONT PANEL on the main board (J25) as illustrated in Figure 7-6.
6. Connect the sets of IBP wires from the front panel to their respective
connectors on the upper side of the main board (IBP1, IBP2, IBP3, IBP4).
CAUTION! All four connectors are directional and care should be taken when
connecting them.
7. Connect the sets of wires from the Front Panel to their respective connectors
on the upper side of the Main Board.
CAUTION! The following three connectors are directional and care should be
taken when connecting them:
CO/2TEMP
SP02
ECG/RESP
Note: You might have to apply a little force when connecting the wires to the
2TEMP connector on the Main Board. This connector is not directional and
you should ensure that the gray wire is connected to the #1 pin on the Main
Board.
3. Detach the front panel from its housing by removing the four retaining screws
together with their washers.
4. Detach the connector you wish to replace by removing its four retaining
screws.
5. Make sure that the alignment indicator is pointing toward the top side of the
front panel.
6. Attach the new connector to the front panel and secure it with the four screws.
7. Align each retaining strip as previously located and secure each of them with
three screws.
8. Attach the front panel to the main board, and the main board to the right side
panel as described above.
9. Reassemble all four of the CFE's panels, as described in “Reassembling the
CFE Panels ” on page 5-10.
3. Slide the edge of the rear panel into the rear groove of the right side panel.
4. Align the upper and lower edges of the front panel assembly with those of the
right side panel.
5. Secure the main board to the right side panel using the seven retaining screws
and washers.
Figure 5-11 Relocating and securing the main board onto the right side panel
7. Reconnect the speaker wires from the left side panel to the connector marked
'SPKR' on the main board.
3. Pull the blue aluminum clamp (2). The Internal DVD is released so you can
slide the DVD backward. Pull out the DVD.
Internal DVD
4. Pull the blue aluminum clamp (2) again. This releases the SD-Reader so you
can slide it out. Pull out the SD-Reader.
SD Reader
5. Squeeze two blue plastic clamps (3) simultaneously to unlock the hard disk.
Push the hard disk backwards and pull out.
Hard Disk
6. Unscrew the four screws that connect the frame to the hard disk.
7. Screw the frame to the new hard disk.
8. Replace the hard disk in the PC case by pushing in the new hard disk. Then
return the SD-Reader and finally replace the Internal DVD.
9. Turn the Power to ON.
Switches OFF
Switch OFF
Make sure that the three swtiches are set to OFF (not pressed).
2. Disconnect the four wires and release it from the retaining rail.
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The system operates in real time; as a direct link via a network between the
database and the Horizon XVu WS (Cathlab workstation/s) and facilitates the
storage and rapid retrieval of dynamically-updated clinical information. Within the
database, the Administrator application is equipped with unique tools intended for
the exclusive use of a system administrator. These utilities enable complete control
of all HemoCIS functions.
System Overview
The database is designed for teamwork, and the role of the Super User (System
Administrator) in determining the controls required for reliable and effective
clinical data management is augmented by the flexibility of the system.
The system operates as a central database, and is connected to the Horizon XVu
(Cathlab workstations) via a network, as illustrated in Figure 6-2 .
Server XVu
Workstation Laser
Printer
Client Client
Configuring HemoCIS
The configuration procedure of the Horizon XVu system comprises of the
following stages:
Note: For the configuration of the HemoCIS Server, see the HemoCIS
Administrator Manual.
Note: If the Horizon XVu is active, you first need to shut it down.
2. In the Password Entry Dialog that appears type the appropriate password.
If the password is accepted the System Options Setup window apears.
3. Click to expand External DB Options Setup.
Setting IP Addresses
IP Addresses - Workstations
The Cathlab network has a convention of fixed IP addresses for each
• 172.16.0.1 Room 1
• 172.16.0.2 Room 2
• 172.16.0.3 Room 3
IP Addresses - HemoCIS
If you intend to install clients on the HemoCIS system, there is a convention for the
IP address for the clients, for example:
• 172.16.0.221 Workstation 1
• 172.16.0.222 Workstation 2
• 172.16.0.223 Workstation 3
Notes: 1. For details about specific networking properties, consult your network
administrator.
Bill of Materials
Table 6-1: Bill of Materials
146020080 PC SERVER
CHAPTER 7 - TROUBLESHOOTING
Power Problems
Table 7-1: Troubleshooting Power Problems
The Boot process • DVD disconnection Perform the following in the suggested
halts. or malfunction. order:
• Hard drive 1. Reconnect or replace the DVD as
malfunction. necessary.
• Motherboard 2. Open the workstation's cover and replace
malfunction. the hard drive.
3. Replace the workstation.
For details, see paragraph "Replacing the
Hard Disks
No Waveform traces ppear • CFE power supply If the CFE front panel LED are not lit
is not connected. replace the power supply.
• CFE Ethernet cable
Replace the Ethernet cable.
is not connected or
fails
Waveform Freeze: bar • CFE power supply is • If the CFE front panel LED are not lit
does not move. not connected. replace the power supply.
OR • The CFE Ethernet • Replace the Ethernet cable.
cable is not
There is no connected or is
communication between faulty.
the CFE and the computer.
CFE panel switches and • The internal • Open the CFE box and fix the
indicators are not connection connector connection.
functioning. between the CFE • Replace the CFE panel board.
main board and the
panel is broken.
• Faulty CFE panel.
The NIBP switch does not • The cable did not Perform Edit Patient at the WS.
work. recognize the Edit
Patient command
from the WS.
Can't upgrade software to • The files' font is too • Rename the file names to the same one
CFE. large. with small fonts.
• The TFTP server • Open the TFTP server in the WS
has not opened at configuration and restart the system.
the WS.
ECG always in cable out Faulty ECG cable or Check with a different ECG cable and if
state (Red LED or 'cable faulty CFE internal the problem still exists, replace the
out' message.) connector. internal ECG connector.
ECG always in' Lead fault' Faulty ECG cable or Check with a different ECG cable and if the
state. (Orange LED or Lead faultyCFE internal problem still exists, replace the internal
fault message) connector. ECG connector.
Noisy ECG Waveform. Faulty ECG cable or faulty Check with a different ECG cable and if the
CFE internal connector. problem still exists, replace the internal
ECG connector.
IBP always in 'cable out • Faulty IBP extension Check with a different IBP extension cable
state'.(Red Led or 'cable out' cable and if the problem still exists, replace the
message) • Faulty CFE internal internal IBP connector.
connector.
IBP always in 'xdicer out • Faulty IBP extension Check with a different IBP extension cable
state'. (Orange LED) cableFaulty CFE and a different transducer. If the problem
internal connector.
still exists, replace the internal IBP
• Faulty transducer connector.
IBP no waveform • Faulty CFE internal Check with a different IBP extension cable
connector. and a differenct transducer. If the problem
• Faulty transducer. still exists, replace the internal IBP
connector.
SPO2 always in 'cable out' • Faulty SPO2 Check with a different SPO2 extension
state (Red LED or 'cable out' extension cable cable. If the problem still exists, replace
message) • Faulty CFE internal the internal SPO2 connector.
connector.
Spo2 no waveform • Faulty CFE internal Check with a different SPO2 extension
connector. cable and a different sensor. If the
• Faulty extension problem still exists, replace the internal
cable. SPO2 connector.
CO always in 'cable out' Faulty CO cable or faulty Check with a different CO cable. If the
state. (Red LED or 'cable out' CFE internal connector. problem still exists, replace the internal
massage) CO connector.
CO always in 'probe out' Faulty CO cable or faulty Check with a different CO cable and
state. (Orange LED or CFE internal connector. different sensors. If the problem still
'dashes' message) exists, replace the internal CO connector.
Temperature always in Faulty CFE internal Replace the YSI400 sensors. If the problem
'dashes' state (Orange LED) Temperature connector still exists, replace the internal
or faulty sensors. temperature connector.
Note: If you need a Service Call or Technical Assistance Please complete the
Service Call Technical Assistance Request Form (see Appendix B) and fax
it to Mennen Medical ‘s Service department
No transfer of data from the workstation to Open Xterm in Workstation and type: ping
Clinidb clinidb.
You should see that HemoCIS is alive.
• Check the IP address.
• Check the LAN cable.
• Check the Hub
960-210-310 DVD 1 NO NO *
SPO2 CONNECTOR
641-554-044 0 NO NO *
ASSY. FOR CFE Nellcor
SPO2 CONNECTOR
960-554-043 0 NO NO *
ASSY. FOR CFE Masimo
CO / TEMP. CONNECTOR
960-554-047 0 NO NO *
ASSY. FOR CFE
TEMP. CONNECTOR
960-554-049 0 NO NO *
ASSY. FOR CFE
Basic Accessories
Note: ** See Mennen Medical Sales Department Price List
Table 3: Accessories
SPO2(MASIMO)
-PATIENT
551-306-021 1 NO NO **
EXTENSION
CABLE
Spo2 Adapter
551-339-005 1 NO NO **
Sensor Masimo
Spo2 Adapter
551-339-015 1 NO NO **
Sensor Masimo
Spo2 Adapter
551-306-415 1 NO NO **
Cable Nellcor
Oximax Nellcor
800-060-731 1 NO NO **
Sensor
NIBP Accessory
551-306-072 1 NO NO **
Kit, Adult
Table 3: Accessories
CO CO-SET
800-060-450 1 NO NO **
CABLE NI
CO Cable Award
551-306-013 co-set/Temp 1 NO NO **
Probe
C.O. Adapter
551-306-014 1 NO NO **
Cable(YSI-400)
5 LEAD ECG
551-306-393 KIT, GRABBER 1 NO NO **
CLIP I.P (US)
5 LEAD ECG
551-306-593 KIT, GRABBER 1 NO NO **
CLIP I.P (EU)
10 LEAD ECG
551-306-610 KIT, GRABBER 1 NO NO **
CLIP I.P (US)
WS Recorder
800-040-200 1 NO NO **
Paper
Temp Probe,
800-060-010 1 NO NO **
Rectal
Temp Probe,
800-060-030 1 NO NO **
Skin
Temp Probe,
800-060-050 1 NO NO **
Tubular
Transducer Kit
800-060-580 1 NO NO **
MX860
Transducer
800-060-582 MX860 without 1 NO NO **
cable
10 LEAD ECG
551-306-810 KIT, GRABBER 1 NO NO **
CLIP I.P (EU)
A-Customer Details
From : E-mail :
Firm Name : Fax # :
B2-1
B2-2
B3
Fault Description:
C-Our Request :
C1 ႒ Exchange RMA : Price : Delivery :
C2 ႒ Send For Repair RMA : For Mennen Internal use only :
C3 ႒ Your Reply Our Order Number if Exchange or Repair :
C4 Replacement Part # if exch. Description Serial # S.W.
Needed
D-Shipment Instructions :
D1 ႒ Fedex Courier
D2 ႒ Airfreight
D3 ႒ Other