COROMETRICS
COROMETRICS
COROMETRICS
5
SERVICE MANUAL MANUAL P/N 2015590-001 REV. B
Corometrics® 120 Series V3.5
SERVICE MANUAL MANUAL P/N 2015590-001 REV. B
GUARANTEE
Our obligation under this guarantee is limited to repairing, or, at our option, replacing any
defective parts of our equipment, except fuses or batteries, without charge, if such defects occur in
normal service.
Claims for damage in shipment should be filed promptly with the transportation company. All
correspondence covering the instrument should specify the model and serial numbers.
GE Medical Systems Information Technologies will make available on request such circuit
diagrams, component diagrams, component parts lists, descriptions, calibration instructions, or
other information which will assist the users or appropriately qualified technical personnel to
repair those parts of the equipment which are classified by GE as repairable.
! CAUTION: In the United States of America, Federal Law restricts this device to sale by or
on the order of a physician.
Corometrics and Marquette are registered trademarks of GE Medical Systems Information Technologies. GE is a registered
trademark of General Electric Company. All other product and brand names are trademarks or registered trademarks of their
respective companies. ©2003-2004 GE Medical Systems Information Technologies. All rights reserved. No part of this manual
may be reproduced without the permission of GE Medical Systems Information Technologies.
CE MARKING INFORMATION
0459
Compliance This monitor bears the CE Mark indicating its conformity with the
provisions of the Council Directive 93/42/EEC concerning medical
devices.
Exceptions None
Monitor System EMC: Be aware that adding accessories or components, or modifying the
Immunity medical device or system may degrade the EMI performance.
Consult with qualified personnel regarding changes to the system
Performance
configuration.
i •
CE MARKING INFORMATION
0459
ii •
Contents
1 Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
General Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Responsibility of the Manufacturer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Responsibility of the User . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
2 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Fetal Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Maternal Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Pulse Oximetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Heart/Pulse Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
7 Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Handling Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
8 Self-Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Power-On Diagnostic Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
DINAMAP Models 1846, 1846SX, and 1846SX/Oxytrack, 8100, and 8100T . . . . . 11-7
15 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-1
General Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-2
C Drawings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C-1
! Safety 1
The information presented in this section is important for the safety of both the
patient and operator. This chapter describes how the terms Danger, Warning,
Caution, Important, and Note are used throughout the manual. In addition, standard
equipment symbols are defined.
General Information
General Use
If the monitor is cold to the touch or below ambient temperature, allow it to reach
ambient, room temperature before use.
Disposable devices are intended for single use only. They should not be reused.
Periodically, and whenever the integrity of the monitor is in doubt, test all functions.
Refer to “Chapter 6, Functional Checkout Procedure”.
The 120 Series Monitor is designed to assist the perinatal staff by providing
information regarding the clinical status of the mother and fetus during labor. The
monitor does not replace observation and evaluation of the mother and fetus at
regular intervals, by a qualified care provider, who will make diagnoses and decide
on treatments or interventions. Visual assessment of the monitor display and strip
chart must be combined with knowledge of patient history and risk factors to
properly care for the mother and fetus.
Definitions of Terminology
Six types of special notices are used throughout this manual. They are: Danger,
Warning, Caution, Contraindication, Important, and Note. The warnings and
cautions in this Safety section relate to the equipment in general and apply to all
aspects of the monitor. Be sure to read the other chapters because there are
additional warnings and cautions which relate to specific features of the monitor.
When grouped, warnings and cautions are listed alphabetically and do not imply any
order of importance.
WARNINGS
ACCIDENTAL SPILLS—In the event that fluids are accidentally
spilled on the monitor, take the monitor out of operation, clean,
and inspect for damage.
WARNINGS
ELECTROSURGERY—The monitor is not designed for use with
high-frequency surgical devices. In addition, measurements may
be affected in the presence of strong electromagnetic sources such
as electrosurgery equipment.
WARNINGS
LINE ISOLATION MONITOR TRANSIENTS—Line isolation
monitor transients may resemble actual cardiac waveforms, and
thus cause incorrect heart rate determinations and alarm activation
(or inhibition).
Cautions
CAUTIONS
ANNUAL SERVICING—For continued safety and performance
of the monitor, verify the calibration, accuracy, and electrical
safety of the monitor annually. Contact your GE Service
Representative for further information.
Electromagnetic Interference
This device has been tested and found to comply with the limits for medical devices
to the IEC 601-1-2:1993, EN60601-1-2:1994, Medical Device Directive 93/42/EEC.
These limits are designed to provide reasonable protection against harmful
interference in a typical medical installation.
This equipment generates, uses, and can radiate radio frequency energy and, if not
installed and used in accordance with these instructions, may cause harmful
interference with other devices in the vicinity. Disruption or interference may be
evidences by erratic readings, cessation of operation, or incorrect functioning. If this
occurs, the site of use should be surveyed to determine the source of this disruption,
and actions taken to eliminate the source.
The user is encouraged to try to correct the interference by one or more of the
following measures:
Turn equipment in the vicinity off and on to isolate the offending equipment.
Reorient or relocate the other receiving device.
Increase the separation between the interfering equipment and this equipment.
If assistance is required, contact your GE Service Representative.
Equipment Symbols
The following is a list of symbols used on products manufactured by GE. Some
symbols may not appear on your unit.
EQUIPOTENTIALITY.
Introduction 2
This section lists the indications for use for maternal/fetal monitors in the
Corometrics 120 Series. The Corometrics 120 Series is extremely flexible, allowing
you to mix and match features.
This section provides information about your monitor in relation to this manual, as
well as the intended uses of the device:
Maternal Monitoring
A Corometrics Model 128 or 129 Maternal/Fetal Monitor is intended for monitoring
maternal vital signs to help assess maternal well-being. The vital signs which can be
measured with either of these monitors are summarized below.
Blood Pressure
This parameter is intended for use in the non-invasive monitoring of maternal blood
pressure (NBP). This monitor is not intended for use in neonatal or pediatric blood
pressure monitoring.
Pulse Oximetry
This parameter is intended for use in the non-invasive monitoring of the functional
oxygen saturation of maternal arterial blood (MSpO2).
Heart/Pulse Rate
NOTE: A Model 128 provides This parameter is intended for use in the non-invasive monitoring of the maternal
maternal pulse rate data derived from heart/pulse rate (MHR/P).
the NBP and MSpO2 sections of the
monitor. Only a Model 129 provides
both maternal heart rate and maternal
pulse rate data; the heart rate data is
derived from the MECG section of the
monitor while the pulse rate data is
derived from the NBP and MSpO2
sections of the monitor.
Series Overview
The Model 126 Monitor
The Model 126 Monitor provides standard fetal monitoring parameters—dual
ultrasound, fetal ECG, and uterine activity. The Model 126 has the following
features:
Dual ultrasonic heart rate monitoring allows for non-invasive monitoring of
twins.
A +20 BPM heart rate offset option is provided for the secondary heart rate
(HR2) trend, when using dual ultrasound, or ultrasound and direct FECG, to
separate overlapping FHR trends for easy interpretation.
A heartbeat coincidence detection feature can be enabled to inform you when
there is the possibility that you may be monitoring a duplicate signal.
The electroluminescent (EL) display, with circularly polarized filter, removes
glare; its wide viewing angle provides easy viewing at a distance.
The strip chart recorder is a quiet, easy-to-load, high-resolution thermal array
printer. The recorder prints continuous trends and alphanumeric data on one
strip chart.
User-selectable font size for strip chart annotations customizes readability.
Automatic mode selection is provided simply by inserting the appropriate
transducer plug into the front panel receptacle.
The ChartLight allows the room lights to be dimmed without sacrificing
visibility of the strip chart recorder.
Transducer connectors are easy-to-use, color-coded, and durable.
Frequently used functions are controlled by your choice of front panel monitor
buttons—audio volume, UA reference, alarm silence, event mark, record, and
paper advance.
System setup options are easily accessed via a front panel Trim Knob control.
Fetal parameters are continuously displayed even during configuration of
system setup options.
Annotations from an optional Model 2116B Keyboard are printed on the strip
chart recorder paper.
The ultrasound mode provides clean accurate traces with few “dropouts”
because of Corometrics’ patented autocorrelation processing.
Fetal heart rate alarm limits are user-defined, with pre-set defaults. Signal
quality has no user-defined parameters.
Alarm limits are easily configured via setup screens.
Alarm silencing is controlled by a front panel monitor button which is brightly
colored for easy recognition.
Alarm conditions have audible and visual indications. Audible alarms can be
disabled. Fetal heart rate threshold and signal quality alarms can be cancelled.
The monitor can be interfaced to the most widely used non-invasive blood
pressure monitors and pulse oximeters.
The FECG waveform can be optionally displayed and can be “frozen” on the
screen for review. In addition, a six-second “snapshot” can be printed on the
strip chart paper.
*
Blood pressure is not automatically activated. Manual blood pressure readings must be started via a
front panel monitor button or display button. Automatic readings must be initiated via a setup
window.
US 9 9 9
US2 9 9 9
FECG 9 9 9
TOCO 9 9 9
IUP 9 9 9
NBP 9 9
MSpO2 9 9
MECG 9
a
The F-Series adds FSpO2.
Intended Audience
This manual is intended for trained service professionals.
Illustrations
All illustrations are provided as examples only. Your monitor may not be equipped
with all of the features shown. In addition, unless explicitly stated, the screen
examples do not represent your equipment setup or displayed data.
Design Changes
Due to design changes associated with continuing product improvements,
information in this manual is subject to change. GE Medical Systems Information
Technologies reserves the right to change software/hardware design at any time and
any such changes could affect the contents of the manual. GE assumes no
responsibility for any errors or inconsistencies appearing in this manual that result
from product design changes and upgrades.
C E G I K M
B D F H J L N
165 172 30
Record
Silence Start/Stop [Offset]
Volume Volume
O
A NBP 02:15 MECG MSP02
Test UA
Reference
Paper
Advance Power
FSpO2
130/ 85
MAP (107)
89 97% Trim
Knob
03:15
25 mm/s
II 2X
Y
P
03:22:45
UA
PRINT FREEZE ALARMS SETUP VSHX
bpm
MATERNAL
180
150
120
210
240
90
60
30
US US2 UA FECG/MECG SpO2 BP
FHR
kPa
12
10
2
0
4305CAO
W U S Q
X V T R
# Name Description
The monitor’s display is divided into several sections. The content and layout of the
A Display display can change, depending on which functions are installed in the monitor and the
modes of operation in use.
B FHR1 Volume Decrease Button The four Volume buttons raise ( ) and lower ( ) the volume of sound emitted by
the rear panel speaker. The left pair controls the volume for FHR1. The right pair
C FHR1 Volume Increase Button controls the volume for FHR2.
D FHR2 Volume Decrease Button Volume settings have no effect on the processing used to determine heart rate. The
volume buttons work in conjunction with the volume control settings on the US/US2
E FHR2 Volume Increase Button Setup screen (page 5-9) and on the FECG Setup screen (page 5-8).
F Alarm Silence Button Pressing this button removes the audible indication of an individual alarm.
Pressing and holding this button for one second starts or stops a monitor self-test
G Test Button
routine.
This button starts and stops both manual and automatic blood pressure
H BP Start/Stop Button
determinations. It also provides a “shortcut” for changing the auto interval time.
I UA Reference Button The UA Reference button sets a baseline for uterine activity pressure monitoring.
Pressing this button advances chart paper at a rate of 40 cm/min for as long as the
K Paper Advance Button
button is held down.
L Record Button The Record button selects one of three recorder states: on, maternal-only mode, or off.
M Power Indicator The indicator lights green when the monitor is turned on.
P Recorder Door Latch Opens the strip chart recorder door to add, remove, or adjust the paper.
Moving the switch to the on position (I) turns on the monitor; moving the switch to the
Q Power Switch
off position (O) turns off the monitor.
Annotations and trends are printed on the strip chart paper. Two paper styles are
R Strip Chart Recorder available. Refer to “Chapter 5, Setup Procedures” , for instructions on loading strip
chart paper into the recorder.
# Name Description
Connect a pneumatic hose and blood pressure cuff assembly to this black twin lumen
S Maternal NBP Connector
receptacle.
Connect a 120 Series MSpO2 intermediate cable to this royal blue receptacle. Use only
T Maternal SpO2 Connector Nellcor cables if you have Nellcor technology installed and only Masimo cables if you
have Masimo technology installed in your monitor.
Connect an FECG or MECG cable plug to this green receptacle. For Models 126 or
128, the connector is labeled FECG. For a Model 129, the connector is labeled FECG/
MECG.
U FECG or FECG/MECG Connector Cables with rectangular plugs connect directly to the FECG/MECG receptacle. Cables
with round plugs require an FECG/MECG adapter, cat. no. (REF) 1442AAO. Use this
adapter for dual ECG monitoring as well. The adapter branches into two cables, each
with a round receptacle at the end: one branch is labeled MECG; the other branch is
labeled FECG.
W US2 Connector Connect the secondary ultrasound transducer plug to this light gray receptacle.
X US Connector Connect the primary ultrasound transducer plug to this light gray receptacle.
Connect a 120 Series Fetal Patient Module cable to this light blue receptacle. Use only
Y Fetal SpO2 Connector
Nellcor OxiFirst Fetal Oxygen Sensors (Series FS14).
Primary Labor Parameters Fetal Heart Rate 2 (FHR2) US, US2, or INOP
Display Example
Figure 3-2, “Model 129 Display Example,” on page 3-6, provides an example of a
Model 129 display. In this example:
165 172 30
NBP MECG MSpO2
87 98%
25mm/s
II 2X
MECG 15:52:58
PRINT FREEZE ALARMS SETUP VSHX
The Model 126 has a unique feature which automatically centers the primary fetal
parameters in the display when no waveform is active. See figure below.
FECG US TOCO
165 172 30
OFF 15:50:27
ALARMS SETUP VSHX
FHR Display
The FHR1 and FHR 2 areas are summarized by Figure 3-4 and
Table 3-3.
C D
FECG
A
165
Figure 3-4. FHR Display
Name Description
FECG/US FECG US
US US INOP
US/US2 US US2
— INOP INOP
UA Display
The UA area is summarized by Figure 3-5 and Table 3-5.
TOCO
A
30
Figure 3-5. UA Display
Name Description
Additional Parameters
The additional parameters area displays NBP, MHR/P, and MSpO2 data.
Maternal NBP
The maternal NBP section is summarized by Figure 3-6 and Table 3-6.
D E
C
NBP 11:41
B
130/ 85MAP (107)
A 03:15
Figure 3-6. NBP Display
Name Description
MHR/P Area
The MHR/P area is summarized by Figure 3-7 and Table 3-7.
C D
B
MECG
A
89
Figure 3-7. MHR/P Display
Name Description
FSpO2 Area
The FSpO2 area is summarized by Figure 3-8 and Table 3-8.
IMPORTANT
If FSpO2 is monitored while MSpO2 is inactive, FSpO2 displays in
the Additional Parameters Area. When dual SpO2 monitoring
occurs, FSpO2 information is displayed in the Waveform Area
beneath the MSpO2 area.
Name Description
MSpO2 Area
The MSpO2 area is summarized by Figure 3-9 and Table 3-9.
C D
Name Description
Waveform Area
The waveform area displays approximately four seconds of waveform data for:
FECG, MECG, FSpO2 or MSpO2.
The icon shown above will appear in the upper right-hand section of the monitor
under the following circumstances.
Icon appears and then Data corruption. Your monitor has reverted to Access setup screens and configure last-used
disappears after power factory settings. settings.
cycle.
Softkeys
A softkey is an area on the screen that can be selected with the Trim Knob control.
When the softkey is activated by pressing the Trim Knob control, it may cycle
through available settings or it may display a setup screen.
Waveform Softkeys
The waveform title is a softkey used to select the waveform for display or to disable
the area, The ECG scale and MECG lead labels are softkeys used to configure the
waveform currently displayed.
165 172 30
A
H F D
G E
Name Description
B ECG Scale Softkey Selects 0.25X, 0.5X, 1X, 2X, 4X, or AUTO.
A B C D
Name Description
Figure 3-13. 120 Series Rear Panel Connectors (Standard and Optional)
Table 3-13. 120 Series Rear Panel (Standard and Optional Features)
Name Description
Table 3-13. 120 Series Rear Panel (Standard and Optional Features)
Name Description
Communication Option
The communication option is an additional circuit board that can be installed in the
120 Series Monitor. Refer to “Chapter 12, Upgrading a 120 Series Monitor” , for
upgrade information. The following four connectors are part of the optional
communications package: J101, J102, J103, and J104.
J101 Connector
This high-density 15-pin connector is intended for interfacing to the receiver of a
Corometrics 340 Series Telemetry System.
J102 Connector
This Centronics-type connector is used for interfacing to a central station system
such as a Corometrics Spectra 400 Surveillance and Alert System. (This connector is
often referred to as the Analog Interface Connector.)
J103 Connector
This 15-pin connector is used for attaching to an optional data entry system.
J104 Connector
This connector attaches to a standard Nurse Call System. The connector’s maximum
output is 50 Vdc at 100 mA; the maximum on resistance is 0.5 Ω. When connected
to a Nurse Call System, the monitor will activate the system each time a Spectra
Alert is issued. This interface simulates pressing the button on a bedside Nurse Call
System allowing nurses to respond to patient needs quickly and efficiently.
NOTE: Although the J104 Nurse Call connector is physically present on the
optional communications package, this connector is only supported as part
of the Spectra Alerts option.
Corolan Option
J108 is installed as part of a Corolan Option. Refer to “Chapter 12, Upgrading a 120
Series Monitor” for upgrade information.
Theory of Operation 4
This section of the manual contains the electronic theory of operation for the 120
Series Monitor. For parts information, refer to “Chapter 14, Replacement Parts”.
Main Motherboard
NOTE: Main Motherboard 2000608-003 (with software version 2.0) replaces
earlier version 11619 Boards. If you update an older monitor (11619 Main
Board and 3-inch x 3.75-inch display) with a new Main board, which is
factory-set for the new larger display (3.5-inch x 4.5-inch display), the
Main screen will have space below the bottom row of softkeys. Use the
Flasher Software Utility Kit, to re-configure the monitor software to
operate with the installed smaller display. Refer to “Display Upgrade” on
page 12-40 and “Upgrading to a 3.5” x 4.5” Display” on page 7-11 for
more information.
Functional Overview
The Main Motherboard makes up the central processing unit of the 120 Monitor.
The Main Motherboard accepts simultaneously processed parameters directly from
four separate modules. A Model 126 Monitor has the DSP Board as its only input
module. Heart rate data, uterine activity data, mode information, and FMD data flow
from the DSP Board to the Main Motherboard via shared memory. Maternal and
fetal pulse oximetry make up the second and third modules. Information from these
devices is passed to the Main Motherboard via internal RS-232C ports. Maternal
blood pressure makes up the fourth module which also passes data via an internal
RS-232C port. Figure 4-1 shows the data flow.
from the host processor is summed into the main audio and is not controlled by the
main processor. Figure 4-4 provides a summary of the audio control flow.
RS-232C
MSpO2 Module
RS-232C
NBP Module Dual Ultrasound
Main Motherboard
Shared
Memory
DSP Board UA/FECG
RS-232C
FSpO2 Module MECG
Switches
Main Motherboard Rear Panel Module
Switches
Recorder Board
NBP
Corolan Data
External QS Internal RS-232C
Central System NBP Module
MSpO2
Data MSpO2
External RS-232C
MSpO2 Monitor Data
Internal RS-232C
Main Motherboard MSpO2 Module
NBP
External RS-232C Data
NBP Monitor
Parameter
Data
Parameter Internal RS-232C
Data Future Module
External RS-232C
(reserved for future use)
Timer 1
Timer 2
Audio Mixer
and Audio
ECG Timer Filters Amplifier
Volume Controls
US1
US2
6 No connection —
1 No connection —
2 GND Ground
10 No connection —
11 No connection —
12 No connection —
14 No connection —
15 No connection —
16 No connection —
17 No connection —
18 No connection —
21 No connection —
22 No connection —
23 No connection —
24 No connection —
25 No connection —
Signal Type
Pin Number Signal Name (Relative To Main Signal Description
Motherboard)
3 No Connection — —
Signal Type
Pin Number Signal Name (Relative To Main Signal Description
Motherboard)
Signal Type
Pin Number Signal Name (Relative To Main Signal Description
Motherboard)
Signal Type
Pin Number Signal Name (Relative To Main Signal Description
Motherboard)
91 No Connection — —
71 No Connection — —
24 No Connection — —
39 No Connection — —
67 No Connection — —
68 No Connection — —
71 No Connection — —
72 No Connection — —
73 No Connection — —
74 No Connection — —
1 No Connection — —
2 STB4/ Output Strobe Line for 4th Set of 256 Dots (1024 element)
4 STB3/ Output Strobe Line for 3rd Set of 256 Dots (1024 element)
6 STB2/ Output Strobe Line for 2nd Set of 256 Dots (1024 element)
8 STB1/ Output Strobe Line for 1st Set of 256 Dots (1024 element)
1 LA
3 ECG Common
Control Block
The control block contains the basic processing engine (68302), system RAM,
system ROM, address decoder, power-on reset module, oscillator, and control/setup
section. The 68302 device (U33) contains a 68000 core processor, chip select logic
(CS0/–CS3/), two timers, DTACK generation/wait state logic, a general purpose
DMA controller, watchdog timer, interrupt controller, three USARTs with six
dedicated DMA channels for transmit/receive, three-wire serial link, and 1152 bytes
of dual port RAM. The clock for the 68302 is derived from a 20 MHz crystal (X3)
connected to the processor. The processor system clock is output from the processor
via the CLKO pin. This clock is then buffered and sent to the Options Interface,
DSP Interface, and local 16V8H control PAL (U34). The power-on reset function is
accomplished through MAX691A supervisory chip (U24). This chip performs four
functions. First, at power-up, a 200 ms reset pulse is generated. The second function
is a watchdog timer which must be written every 100 ms or faster, and up to 1.6
seconds after reset. The third function provides power supply monitoring, which
resets the system if the supply falls below 4.65 V. The fourth function provides an
early power fail detection status line (routed to PB11, pin 121) of U33). The
comparator senses a power fail when the regulated +20 V falls below 18 V. This
gives the processor 40 ms to shut down the monitor. The processor can also be reset
by the Host Board through the HRES* line and AND gate U37. The serial output
channel is used to write to the recorder printhead shift register. Each time a byte is
sent from this port, eight clocks are generated on the RECLK line (pin 77 of U33),
2.5 MHz serial rate, along with the serial data RECDATA (pin 78 of U33). One of
the two internal timers is used externally for the ECG audio (pin 113 of U33). For
communications, one USART is used for the Corolan interface, and the other two
are used for external RS-232C communication. The address decoder consists of a
7032 PLD (U20), which basically divides up the four programmable chip selects
(CS0/–CS3/) from the processor into all of the board selects. The processor (U33) is
programmed such that CS0/ is a 4 MB space with internally generated DTACK and
zero wait states. This space is then divided further by the 7032 (U20) to form the
system flash ROM, RAM, and SP2* (spare chip select which goes to the options
interface) chip selects. CS1* is a 2 MB space with external DTACK expected. The
7032 forms the 68C94 QUART chip select and SP1* (spare select to options
interface). CS2* is a 2 MB select with a six wait state internal DTACK. The 7032
generates the decodes for audio DACs, battery RAM, DSP shared memory, and
SP4* (spare select to options interface) from CS2*. CS3* is a 2 MB select with a
two wait state internal DTACK. The 7032 generates the control/dip switch, front
panel, recorder, and SP3* (spare select to options interface) chip selects from CS3*.
The 16V8 PAL (U34) converts the processor control lines to form upper and lower
read/write lines. Corolan transmit control is also accomplished with this 16V8. The
control/setup section consists of two 8-bit latches (U21, U22) for I/O control and a
buffer (U3) for reading dip switches (SW1). The control latch allows control of the
watchdog timer, battery RAM enable, audio enables, reset lines for peripherals, and
Corolan control lines. The system memory consists of two 512k x 8 flash ROMS
(U31, U32), two 128k x 8 static RAMs (U18, U19) upgradable to 512k x 8 RAMs,
and one 8k x 8 battery RAM (U30).
Corolan Module
The Corolan section consists of the network transceiver section and the address
detection circuitry. Network data flows through the common mode transformer (T2)
to the isolation pulse transformer PE5156 (T1) to the transceiver/manchester
encoder-decoder (U16). Serial data and clocks are then fed to the USART in U33.
The 7960 encoder/decoder operates in mode 0, thus inserting its own preamble and
removing it at the receiver end. On the receiving end, the CS/ line becomes active
along with the receive clock after the preamble is stripped off, thus enabling the
USART. For transmission, a carrier avoidance scheme is accomplished through
16V8 PAL (U34) and 7960 ACD/ and RTS/ lines. The 7960 will transmit whenever
the RTS/ line is pulled low. The advanced carrier detect line (ACD/), is gated along
with an RTS enable from control latch U22 and processor USART RTS/ line to only
turn on the 7960 RTS/ line when ACD/ is inactive (QUIET LINE). Both the transmit
and the receive clocks are provided by the 7960. The address detection circuitry
consists of a buffer (U17), series resistors (R30–R35) and capacitors (C120–C125)
for static protection, and address checking logic in U29. The address checking is
done by reversing the GND and pull-up voltages (through the TEST line), and
reading back all 1s if lines are not broken. If any line is broken (pull-up single in-line
package, RN1, pulled low for TEST and GND line pulled high), then a 0 will be
detected. Normal reading of the address selects the pull-up single in-line package
high and GND line low. Refer to Figure 4-5.
ADR1
ADR0
TEST* GND
Options Interface
The options interface consists of a buffered processor address/control and data bus,
three 80-pin connectors, and one 100-pin connector. All options connectors contain
16-bit address and data buses, along with four spare chip select lines. The
Communications Board connector (J5) contains ultrasound audio lines and
telemetry signals from the rear panel. The NBP 80-pin connector (J4) differs in that
it has pins for the +20 V supply (+20I) and the NBP power supply (+15BP) and does
not have the telemetry signals. The 100-pin connector (J7) for the DSP Board also
has the telemetry signals, +20 V for the isolated power supply, as well as an
additional +12 V supply for the EL display. The Communications Board holds the
J102 analog output circuitry and connector, keyboard circuitry and connector, and
telemetry input connector. The spare option slot is not used currently,
The DSP front panel interface section (goes through the options interface), consists
of a 1k x 8 shared memory upgradable to 2k x 8 and a DSP Board connector. The
shared memory arbitration logic (BUSY line) is not used. The interrupt logic in the
shared memory is tied to the 68302 processor and is also read through the rear panel
interface port (IRQ7/). The rest of the lines on the DSP connector route the
ultrasound audio, FECG80dB, MECG60dB, and the telemetry lines to the options
interface communications connector and rear panel jacks. RS-232C lines for the
MSpO2 and FSpO2 modules are also present (connects to channel C and B of 68C94
QUART) on the DSP connector. The front panel interface section is just part of the
general processor interface (data, address, and control).
Audio Section
This section consists of a four channel volume control and bridge type power
amplifier. Two of the volume controls (dual DAC U14), are preceded by an analog
multiplexor (U28) which allows US or US2 audio on one channel and US2 or ECG
timer audio on the other channel. The second set of volume controls are dedicated to
two timers from the QUART chip (U2). All of the timers are pre-filtered (U15,
U12) to eliminate the high frequency components from the audio. The outputs of
the four volume controls are then summed together (U13) and fed to the TDA1519
stereo amplifier (U1). The TDA1519 is stereo amplifier connected in a bridge
configuration in order to eliminate the large series coupling cap and non-standard
power supply requirements.
DSP Board
NOTE: Refer to “Chapter 14, Replacement Parts”, to determine the correct DSP
Board for your monitor.
Functional Overview
This board consists of two independently functioning modules: DSP and front panel
interface.
The DSP section processes analog and digital data from the front ends and interfaces
to the main processor. The ECG and ultrasound analog information is processed and
heart rates are outputted to the Main Motherboard via a shared memory. Digital
pressure information is received, processed, and also sent to the shared memory.
The front panel interface section provides the interface between the front panel
switch board and the main processor as well as the EL display panel and the
processor. The switch interface section consists mainly of buffers. The display
section consists mainly of a shared memory and timing generator PAL.
DSP Section
Control Module
This section consists of the TMS30C52 DSP processor (U27), 32k x 16 system
RAM (U10, U11), 128K x 16 flash ROM (U8, U9), and two address decoder PALs
(U18 and U19). Decoder PAL U19 selects the RAM, flash ROM, and the front end
control status locations BCS0*–BCS3*. RAM is decoded using DS* (data strobe);
flash ROM is decoded using PS* (program strobe); and the remaining lines are
decoded using IS* (I/O strobe). Pal U18 selects the I/O for the status/control
section, A/D read and start convert signals, and pressure channel select and start
convert signals. The program address space is 64k minus the bottom 8k which is
used for program RAM. The flash ROM runs with one wait state. The second half
of the flash ROM can be addressed by toggling D10 of the control port (tied to A16
of the flash ROM). All 32k x16 system RAM is accessed as zero wait state data
memory. In addition, the lower 8k of the system memory is double mapped to the
last 8k of the 64k program memory.
Watchdog Module
The watchdog module consists of processor supervisor chip max694 (U26). This
chip provides a power-on reset function and a watchdog timer function.
The RESET line is pulled low for 50 ms for both a power-on and watchdog reset.
The watchdog timer times out after a 1-second minimum.
Status/Control Module
This module consists of control latches (U5, U7) and a status buffer (U6). The
control latch has bits which select the input multiplexor (MUX0–MUX3), control
the high/low bytes coming from the A/D (BYTE), reset the front end (RESFR*),
enable the front-end control interface (U1 CNTRLEN*), control flash ROM paging,
and control the pressure channel interface (IUPCLR*). The status buffer reads in
the interrupt line (INTL*) from the shared memory (on Main Motherboard), BUSY*
line from the A/D and the pacemaker pulse (PACER*).
IUP Interface
The IUP interface section consists of two 8-bit serial-in parallel-out shift registers
(U16, U17) and a start conversion line (CVRT*). The process is started by the
320C52 processor (U27) pulsing the CVRT* line which connects to a serial A/D in
the pressure channel front end. Twelve data clocks are then issued from the A/D,
clocking in the 12-bit result. The shift register clock for U16 and U17 is delayed
through R12/C10 and U15 to provide the latch clock for U16 and U17. Data is then
read by the processor through the IUP chip select line. As a second function, the
clock signal is also used to clock serial mode and status information across the
isolation barrier from the UA/FECG and MECG Boards. Information to and from
the ECG Boards is transferred via the status/control module.
The shared memory consists of a 8k x16 dual port RAM (U29) which has contention
logic. The processor is given priority to read or write data into the RAM without
waiting. In a contention situation, the graphics side of the memory could possibly
receive wrong or changing data; however since data is changing anyway, this is not
noticed. Also, contention occurs only when both address are the same, about once
or twice a second in this case. Since the dual port RAM cannot give priority to
either side if one side accesses before the other, the PAL accomplishes this by gating
the processor side BUSY signal (normally holds off the processor) with the graphics
side chip select such that the graphics chip select is turned off immediately.
The graphics section consists of the graphics generator PAL (U13), oscillator
(OSC1), and output synchronization latch (U1). The graphics generator contains a
divide-by-four pre-scaler, a horizontal counter chain, a vertical counter chain,
decoding logic to control each counter operation, a 16-bit shift register, and control
logic for pattern, inverse, and scan stop functions. The El panel size is 320 bits
across by 256 lines down. The horizontal counter was set up to count to 335 (16 bits
or one word of off time for horizontal) then reset to zero. The horizontal waveform
is generated off the counter by decoding 320. The horizontal high time is then 20
words and off time one word. The output of the horizontal counter clocks the
vertical counter chain. A decode of 262 is created to form the vertical pulse as well
as clear the vertical counter. A count of 262 was used instead of 256 to meet the EL
panel specification for frame rate (72 Hz maximum). After line 256, the EL panel
does not display information until a vertical occurs. The load pulse for the shift
register is created by decoding the least significant 4 bits of the horizontal counter
and the video clock. The shared RAM graphics side chip select is created in the
same fashion. Data for the shift register (from shared RAM) first is gated through
the pattern logic before entering the shift register. The pattern logic simply forces
each alternating bit to a 1/0 pattern. This creates an on/off pattern of lines down the
screen. To further enhance the pattern, the output of the shift register data is
inverted every other horizontal line. This creates an alternating pixel pattern in both
horizontal and vertical directions. The output of the shift register also contains logic
to invert data. The stop scan function allows the processor to update the screen (i.e.
moving bar) without having the graphics scan the changing data. This function is
accomplished by stopping the timing generator including the video clock. Stopping
the scan for less than 10% of the frame rate (14 ms frame rate) can be accomplished
without causing the video to degrade.
An additional latch (U4) is used to control the recorder LED line as well as the video
pattern, stop scan, and invert lines.
Signal Type
Pin Number Signal Name (Relative to Main Signal Description
Motherboard
21 No Connection — —
22 No Connection — —
Signal Type
Pin Number Signal Name (Relative to Main Signal Description
Motherboard
30 No Connection — —
Signal Type
Pin Number Signal Name (Relative to Main Signal Description
Motherboard
81 No Connection — —
Signal Type
Pin Number Signal Name (Relative to Main Signal Description
Motherboard
86 No Connection — —
87 No Connection — —
88 No Connection — —
89 No Connection — —
100 +20I Output +20 Volts Input for Isolated Power Supply
Signal Type
Pin Number Signal Name (Relative to Main Signal Description
Motherboard)
2 No Connection —
2 GNDEL Ground
3 GND Ground
4 No Connection —
6 GNDEL Ground
8 GNDEL Ground
10 GNDEL Ground
12 GNDEL Ground
14 GNDEL Ground
16 GNDEL Ground
18 GNDEL Ground
20 GNDEL Ground
A single DSP Board signal (RECLED*) is routed through the switch panel to the
Recorder LED Board (No. 2002570) to control LED current. This signal drives the
base of a transistor acting as a high-side switch. When enabled, +5 V flows through
each of seven parallel high-intensity amber LEDs and accompanying series current-
limiting resistors to provide a light above the strip chart recorder.
NBP Board
Depending on when your monitor was manufactured, your unit may have one of
three blood pressure boards installed:
Refer to “Chapter 14, Replacement Parts” for NBP board part numbers.
connected to the A/D converter through three FET switches used to select an input
for conversion.
Pump/Valve Control
Primary control of the pump and valves is done through the NBP ASIC (U9). This
ASIC provides a timeout control for the pump and valves, overpressure pump/valve
disable utilizing an external overpressure switch, and provides the processor access
to sequence the valves on and off and control the pump’s speed and activation.
Three regulators (one for the pump and one for each of the two valves) that provide
the supplies to the pump and valves are enabled by a control line from a processor
port. Once the supplies are activated, sequencing of these devices is provided by
output ports on the ASIC which control transistors switches. These transistors
provide a ground return path for the activated device. In the case of a timeout or an
overpressure fault, the ASIC will automatically shut off the pump and open the
valves without processor intervention. Pump speed is controlled with the ASIC
using output ports to control two transistor switches which change the feedback
voltage to the pump regulator. The change in feedback voltage causes an increase or
decrease in the regulator’s output voltage which in turn controls the pump’s output
air volume.
Processor Circuitry
Eight-bit processor U1 controls all communication with the 120 Series Monitor
through its integral serial port; it also controls the pump and valves, calculates the
measurement results, and performs the board’s self-test. The microprocessor has an
internal clock divider that divides down the 9.216 MHz crystal-controlled clock to
4.608 MHz. One section of U6 also divides down the clock to provide 2.304 MHz
to analog-to-digital (A/D) converter U4. Memory consists of 64k x 8 EPROM U2
and 8k x 8 bit RAM U3. Decoding of the processor’s address lines is performed by
U8, U9, U10, and U11 which select the EPROM, RAM, A/D, pump and valve
drivers, and provide amplification control.
A/D Conversion
A/D converter U4 performs a 10-bit conversion that digitizes the signals
representing static pressure in the cuff and cuff pressure caused by arterial volume
changes. A 2.5 V reference is supplied by U5; a 5 V supply is provided by linear
regulator U13 which converts the module’s 12 V input to 5 V. The output of U4 is
sent to the microprocessor for calculations.
Watchdog Circuitry
Watchdog functions are provided by U7 which performs three functions: if the
software fails to execute properly, the watchdog resets the processor, disables the
pump, and opens the valves; or if the module’s 5 V power supply falls below 4.5 V,
the watchdog will also reset the module; or if overpressure switch S1 detects a cuff
pressure above 300 mmHg (40 kPa), it works in conjunction with U7 to reset the
module.
Instrumentation Amplifier
Compensated pressure transducer U16, produces an output voltage that is
proportional to the cuff pressure; the output is input to the instrumentation amplifier
section. Amplifiers U14 and U15 amplify the pressure transducer’s output and
separate it into two channels. One channel has relatively low gain and represents the
static pressure in the cuff. The other channel has higher gain and represents the cuff
pressure changes caused by arterial volume changes. The outputs of the
instrumentation amplifier are sent to the processor. The processor can disable the
high gain channel during cuff deflation to prevent signal distortion.
Valves
Valves V1 and V2 vent the cuff’s pressure to atmosphere. Two valves are required
to permit safe depressurization in the event of a defective valve; valve V1 has a
restricted orifice. The processor selects the appropriate valve to quickly and
accurately deflate the cuff based on the cuff’s volume and pressure.
Communications Board
NOTE: The 15297 surface-mount board, found in newer builds, replaces earlier
13388 versions. Functionally, the boards are the same.
The +5 V power for the keyboard is created from VR1 using the +12 V source. This
is done for static protection and for reliability reasons.
Signal type
Pin Number Signal Name (Relative to Signal Description
Communications Board)
4 No Connection — —
6 No Connection — —
10 No Connection — —
11 No Connection — —
13 No Connection — —
16 No Connection — —
19 No Connection — —
21 No Connection — —
23 No Connection — —
Signal type
Pin Number Signal Name (Relative to Signal Description
Communications Board)
3 +5V Output +5 V
Signal type
Pin Number Signal Name (Relative to Signal Description
Communications Board)
15 No Connection — —
The power supply module in the 120 Series Monitor is manufactured by Power
Controls, Inc. The following technical information is a summary of the power
supply circuitry. This information is provided to give the hospital biomedical
engineer an overall summary of the power supply’s functions in relation to the 120
Series Monitor—to assist in isolating troubleshooting problems to the board level.
This information is not intended to provide a complete circuit theory and should not
be used to repair any problems on the board. When a problem does exist on the
board, contact your GE Service Representative for information about repair/
exchange of the power supply assembly.
The power supply incorporates direct rectification and filtering of the mains voltage
after fusing, in-rush limiting, and noise filtering are accomplished. An external
selector switch is provided to choose between 120 V or 240 V operation. The input
AC voltage need not be sinusoidal since no line frequency magnetic devices or
sensing circuits are employed. Input connection is made via an IEC-style discrete
line cord to allow adaptability to location of use.
An exhaust fan is provided to move air through the entire system and out of the
enclosure at the power supply.
Display Board
The display in the 120 Series Monitor is an electroluminescent (EL) glass panel with
two circuit boards mounted on the back, referred to as the Controller Power Unit and
the Driver Board. (The display assembly is manufactured by Planar Systems, Inc.)
The Controller Power Unit provides the required operating voltages. The Driver
Board provides the 120 Series Monitor with front panel visual indicators for
displaying all monitoring modes and numeric values. The electroluminescent
display is a 320 column by 256 row flat panel with a resolution of 80 pixels per inch.
The pixel aspect ratio is 1:1. A pixel is defined as the intersecting area between the
column and row electrode.
The Controller Power Unit contains an integrated dc-to-dc converter which accepts
the Vcc1 and Vcc2 supply voltages from the DSP Board. Voltage Vcc1 (+5 V) is
used for the logic on the two display boards. Voltage Vcc2 (+12 V) generates the
high voltage section—not to exceed 195 VAC.
The four basic operational signals (VID, VCLCK, HS, VS), needed to control the
EL panel, are handled by the Driver Board after being processed on the DSP Board.
These signals originate on the DSP Board from graphics generator U13. The
vertical sync signal (VS) controls the vertical position of the picture. The horizontal
sync signal (HS) is used to bracket the active pixel data for a horizontal scan line—
the 320 bits of data from the VID line. The video clock signal (VCLK) is used to
serially shift VID into the display; data latching occurs on the rising edge of the
VCLK signal. Video data (VID) contains the serial pixel information to be
displayed. A pixel is lit as voltage is applied to the specific row and column
electrodes. Data is supplied from left to right and from top to bottom. Bit number
one is displayed as the pixel located in the top left corner of the display; bit number
320 is displayed as the pixel located in the top right corner of the display; and bit
number 321 is displayed as the pixel located directly beneath bit number 1, etc.
The center frequency of the transmitted carrier is 1.151 MHz with a pulse repetition
frequency of 4 kHz (single channel use) or 2 kHz per channel (dual channel use).
The total transmit and receive process is 250 µs which is broken down as follows:
When both ultrasound channels are being used, Channel A will complete a 250 µs
cycle while Channel B is muted; then Channel B will complete a 250 µs cycle while
Channel A is muted.
Ultrasound Oscillator
The main clock used to derive the ultrasound carrier frequency, as well as the
transmit and receive timing is the ultrasound oscillator. The ultrasound oscillator is
formed by the 4.604 MHz crystal X1, three inverters in U18, the timing components
C124, C125, and C149, biasing resistors R153, R155 and R156, coupling capacitor
C126, and two low-pass filters consisting of R154/C123, and R178/C150. The
frequency of the oscillator is precisely set by the adjustment of capacitor C125. The
output of the oscillator (U18, pin 6) provides the clock for counters U19, U21, and
U22, which generate the timing signals used by the remainder of the digital control
section of the board.
Signals A* and B* are additional inputs to PAL U20 and U23 and provide
information on the number of transducers connected to the monitor. If only one
ultrasound channel is selected, U23 outputs the appropriate signals for that channel
only, at a pulse repetition frequency of 4 kHz. If both ultrasound channels are
selected, the rate for each channel is 2 kHz. This repetition rate is determined by the
states of A* and B* as well as the state of the signal USMODE.
The signal USMODE is generated by counter U24 and used by PAL U23 when both
Channel A and Channel B are selected. The USMODE signal is ignored if only one
channel (A* or B*) is selected. When A* and B* are both active, the state change of
USMODE every 1024 clock cycles will alternately activate signals PIN1* and
PIN2*.
Signals PIN1* and PIN2* are used to control the pin diode switches which in turn
selects which of the two channels is active for transmitting and receiving.
The signal TRANS is a gated square wave with a frequency of 1.151 MHz which
controls the ultrasound transmitter circuitry. It is initiated four clock cycles after
reset and continues up to 428 clock cycles.
The signals DETQ and DETQ* are gated square waves of 1.151 MHz which are 180
degrees out of phase with each other, and provide both phases of the detector carrier
required by the balanced ring demodulator. The signals begin 640 clock cycles after
the counter chain is reset and continue up to 1020 clock cycles.
CH1* and CH2* control the switching of the output of the demodulator to the track
and hold filter of Channel A and Channel B, respectively. They are controlled by
A*, B*, and USMODE (similar to PIN1* and PIN2*), however they are switched
active low from 640 to 1020 clock cycles following the same active timing as DETQ
and DETQ*.
U23, pin 12, goes to a low state every 1151 clock cycles which resets the binary
counters U19, U21, and U22 restarting the timing decoders at state 0.
Mode control signals (A*, B*, TEST*, and TELMCON) for the digital section of the
ultrasound board are generated on the DSP Board and latched from the processor
data bus by U15. U16, pin 6, provides the latch clock by decoding a processor chip
select (CS0*) and the processor write pulse (BWR*). Mode information
(US1EN*,US2EN*, and USMODE) is read by the processor through buffer U17.
The output enable for U17 is generated by U16, pin 8, which decodes CS0* and the
processor read pulse (BRD*).
U6 drives analog switch U4 through R28. Signals CH1* and CH2* steer the
demodulated output to the appropriate filter channel (Channel A or Channel B)
when U11 is active. Switch U4 is kept inactive when U11 is inactive. Capacitor
C23 holds the demodulated signal amplitude for Channel A between samples; C54
holds the demodulated signal amplitude for Channel B between samples.
When a telemetry system is connected to the monitor, the output from U4 to the
Channel A filters is disconnected by a FET switch in U5. The ultrasound audio from
the telemetry system is instead connected directly into the Channel A filters by a
second switch in U5.
Channel A Filtering
NOTE: The remaining circuitry used on the ultrasound board is non-multiplexed,
but is duplicated for each channel. Therefore; the theory discussed in the
remainder of this document, although referencing only Channel A, shall
apply to Channel B as well.
Main Filters
The main filters for Channel A are band-pass filters consisting of four stages (two,
2-pole low-pass; two, 2-pole high-pass) of U3 and associated components. The 3
dB points are at 100 Hz and 300 Hz with rolloffs of 24 dB/octave for both high and
low frequencies. A variable resistor (R37) is used to set the overall gain between the
detector output and TP1 to 32 dB. The output of the main filter (U3, pin 7) is then
split between the ultrasound audio circuitry and the ultrasound envelope circuitry.
Audio Circuitry
To obtain the Channel A ultrasound audio, the output of the main filter connects to a
full-wave precision rectifier consisting of two sections of U1 and associated
components. The output resulting from the full-wave rectification is a frequency
doubling of the original waveform. The frequency doubled output is then band-pass
filtered by a passive low pass (R57/C44), a passive high-pass filter consisting of
C45, C46, and R59, and an active low-pass using one section of U7, which also
provides a gain of 35. The output is then buffered by a second section of U7 which
provides the US1 AUDIO output to the Main Motherboard.
Ultrasound Envelope
To generate the Channel A ultrasound envelope, the output of the main filter is
amplitude scaled by resistive divider R180/R48 and then connected to compandor
(U2) which provides at least 40 dB of signal compression. The output from the
compandor is limited by diodes D18–D19 and then precision rectified by a stage of
U1 and its associated components. The gain of the rectifier is adjustable over a range
of 7 to 17 using R183 to accommodate the possible output variations of U2. The
rectified output is then low-pass filtered by a 20 Hz active filter with a gain of 10,
consisting of a stage of U1 and its associated components. The output of the filter is
a unipolar signal which follows the low frequency amplitude variations (or
envelope) of the output from the AGC chip. The filter is biased for an output of –10
V with a no input signal condition. This provides the –10 V to +10 V input required
by the A/D converter on the DSP Board. The US1 ENV output from this filter
connects to the DSP Board for heart rate processing.
UA/FECG Board
Isolated FECG Circuitry
The isolated FECG section of this board consists of instrumentation amplifier U16,
amplifier U3, and right leg drive amplifiers U11. The right arm and left arm signals
from the patient are differentially amplified by U16 which provides a gain of 10 and
a single-ended output for the following stage. The output of U16 is high-pass
filtered at 1 Hz by the combination of C39, a 0.33 µF capacitor, and R58, a 499 kΩ
resistor. Diodes D9 and D10 provide a rapid discharge path for C39 when the output
of U16 exceeds 0.6 V. This improves base line recovery time of the FECG output
during extreme base line shifts or fault conditions. After being high-pass filtered,
the ECG signal is further amplified by U3 which provides an additional gain of 100.
The total gain of the FECG front end is 1000 or 60 dB.
The summing points of the instrumentation amplifier U16 at pins 1 and 8 represent
the voltage present at the input leads. This voltage is combined by resistors R115
and R116, which provides the sum of the voltages at these two pins. For normal
differential signals, the voltage at these pins are of equal amplitude but opposite
polarity, which causes the output of the resistors to be 0 V. Common mode signals
however are of the same polarity and add together at the output. This common mode
voltage from the resistor network is buffered by the first stage of U11. This voltage
is inverted and integrated by the second stage of U11, which is fed back to the
patient as the right leg drive signal. The 332 kΩ output resistor used on this stage is
used to limit the output current the stage is able to deliver to the patient under fault
conditions.
The two 22 MΩ resistors, R51 and R52, connected to the input leads and to the –15
V supply, provide “leads off” detection for the FECG amplifier. When the ECG
electrodes are not connected to the patient, these resistors pull the inputs of the
instrumentation amplifier to –15 volts, saturating the input stages of this amplifier.
The resulting output from U16 is forced to 0 V, which prevents the system from
counting any noise or other signals when the leads are not connected. Connection of
the leads to the patient enables the right leg drive to pull down the inputs to a normal
operating range.
Resistors R112 and R114, and capacitors C34, C35, and C36 form a differential
low-pass filter for the input of the FECG amplifier. This prevents high-frequency
energy from affecting the operation of the amplifier, and limits the input current to
U16. Diodes D5, D6, D7, and D8 limit the differential input voltage of U16 to ±1.2
V.
The output from the FECG amplifier is coupled from the isolated circuitry to
unisolated circuitry by isolation amplifier U2. This device is a capacitive coupled
VCO/PLL type design that provides unity gain output with a frequency response of
DC to about 500 Hz and has a breakdown voltage of 8000 V-pk. The output from
U2 is low-pass filtered at 90 Hz by a two-pole filter consisting of U1, C52, C54,
R75, and R76. The filtered output is further amplified by another stage of U1 that
provides a non-inverting gain of 10 for the 80 dB FECG output that connects to the
rear panel jack of the monitor.
The filtered output also drives two other circuit blocks that provide the different
filtering and gain adjustments necessary to do either FECG or MECG processing
from the same front end amplifier. The last two stages of U1 perform the filtering
and gain correction for the FECG processing. The first stage consists of U1, C58,
C59, C60, R82, R83, and R84 which form a 3-pole 20 Hz high-pass filter. The last
stage of U1 amplifies the output from the high-pass filter by providing a gain of 15.
This output connects to the DSP Board for signal processing and rate detection.
Isolated UA Circuitry
The isolated UA section of this board consists of an instrumentation amplifier U12,
amplifier and low-pass filter from two sections of U22, a 12-bit serial A/D converter
U9, and a precision 4 V bridge power supply from another section of U22. The
differential output from the IUP or TOCO bridge is amplified by the instrumentation
amplifier U12 which has a gain of 100. The output of U12 is additionally amplified
by a stage of U22 with a gain of 15, making the total gain of the UA front end 1500.
After amplification, the UA signal is filtered by a unity gain two-pole 10 Hz low-
pass filter consisting of U22, R16, R17, C9, C10, and C11. The output from the
low-pass filter connects to the input of a 12-bit serial A/D converter, U9. The
converter is configured for an input range of ±10 V. At the falling edge of the A/D
convert pulse, the input level to the A/D is held and a conversion is started. Some
time after the start of conversion (approximately 450 ns), the A/D will begin
generating the 12 clock pulses and synchronized data to serially shift out the results
from the previous conversion. The supply for the IUP or TOCO bridge is derived
from the 2.5 V reference in the A/D converter. This is amplified by a stage of U22
to 4.00 V with transistor Q1 providing current gain to enable the supply to provide
the drive necessary for the bridge. With a 4 V drive, the scaling of the bridge is 20
µV/mmHg.
Resistor R3, R4, R5, R6, and capacitors C1, C2, and C3 comprise a differential low-
pass input filter for the bridge amplifier U12. This keeps high frequency energy
from effecting the operation of this stage. D1, D2, D3, and D4 limit the differential
input voltage to U1 from exceeding ±1.2V.
The serial data from the A/D is transferred from the isolated circuitry to the
unisolated circuitry by the use of opto-isolators. The A/D clock and data are
buffered by gates in U15 which in turn drive the LED side of dual opto-isolator U14.
The restored clock and data on the output side of this isolator is sent to the DSP
Board where the data is converted to a parallel format that the processor can access.
The convert pulse used to start the A/D conversion is generated at the DSP Board.
This signal is transferred to the isolated circuitry by another dual opto-isolator U6.
The output from U6 is buffered by two stages of U15 before connecting to the R/C*
input of the A/D.
By using the serial clock generated in the A/D, additional data is clocked between
the isolated and unisolated circuitry using serial in/parallel out and parallel in/serial
out shift registers. On the isolated side, U7 is parallel loaded with mode enables
(FECG ENABLE*, TOCO EN*, etc) and other control signals when the R/C* line
of the A/D is driven low to start a conversion. The serial clock from the A/D
converter provides the clock signal for this part. As data is clocked from the A/D,
data is also shifted out of U7. The QH output from U7 drives the LED side of opto-
isolator U5, which transfers the serial data to the unisolated circuitry. While data is
being shifted from the A/D and from U7, serial data transferred from the unisolated
circuitry by opto-isolator U7 is clocked into U8, which also shares the common
serial clock. After the data has been shifted into the shift register section of U8, the
next convert pulse to the A/D will transfer the shift register outputs to the output
latch section of this part. The latched outputs of U8 provide control signals for the
option MECG board. On the unisolated side, shift register U19 is parallel loaded by
the DSP processor. The load pulse for U19 is decoded from a processor chip select
and write pulse by gate U23. The A/D serial clock, available through U14 on the
unisolated side is used to shift the data from U19 via opto-isolator U6 to U8 on the
isolated side. Only the lower four bits of the 8-bit byte are used by the isolated
circuitry. The upper four bits are retained on the unisolated side by latch U18,
which is loaded from the same decoded load pulse as U19. Two of these bits are
used on the unisolated side to control the selection of FET switch U17, and to
provide a control signal for the option MECG board to configure it for 50 or 60 Hz
operation. Data coming from U7 on the isolated side is clocked into shift registers
U20 and U21 using the common serial clock available to the unisolated circuitry.
As with U8, data is transferred from the shift register section of these parts to the
output latch section when a convert pulse is generated. The output latches are tri-
state and connect to the processor data bus. The output enable for these parts is
generated by decoding a chip select and read signal from the processor by a gate in
U23.
1 No Connection —
2 No Connection —
6 BRGEXCIT +4 V Reference
11 No Connection —
12 RESFR* Unused
13 No Connection —
16 No Connection —
29 — —
30 — —
33 No Connection —
36 No Connection —
37 No Connection —
39 No Connection —
41 No Connection —
42 No Connection —
43 No Connection —
44 No Connection —
45 No Connection —
46 No Connection —
47 No Connection —
51 +5V +5 V Supply
58 +5V +5 V Supply
61 No Connection —
62 No Connection —
63 No Connection —
64 No Connection —
65 +5V +5 V Supply
66 +5V +5 V Supply
67 +5V +5 V Supply
68 +5V +5 V Supply
70 No Connection —
71 No Connection —
72 No Connection —
79 No Connection —
83 No Connection —
91 No Connection —
92 No Connection —
93 No Connection —
94 No Connection —
95 No Connection —
96 No Connection —
97 No Connection —
12 No Connection —
16 No Connection —
MECG Board
Defibrillator Protection
The defibrillator protection is primarily a function of neon bulbs DS1–DS3 and 1
kΩ resistors located in each lead of the ECG cable assembly. When the voltage on
any patient lead exceeds 70 to 90 V with respect to isolated ground, the associated
neon bulb will light, discharging the energy on the lead to isolated ground. The 1
kΩ resistors in the cable serve to limit the current through the bulbs to a safe level,
and to prevent the circuit from absorbing too much of the total defibrillator current
applied to the patient. The ECG amplifier is further protected by the 20 k¾ series
resistors R4–R6 and limiting diodes D1–D6. These protection diodes are connected
in pairs to each patient lead and to ±10 V references through resistors R7 and R8.
These diode pairs will conduct when the input to any lead exceed the ±10 V
reference levels. In conjunction with the series 1 kΩ resistors, these diodes will
limit the input to the remaining circuitry to ±10 V. Capacitors C5–C10 are used to
dampen the voltage variation to the ±10 V diode references caused by the high
amplitude short duration waveforms normally associated with defibrillators.
[SEL 1=0 SEL 2=0], –amp in to RA, +amp in to LA, right leg
out to RL
[SEL1=1 SEL 2=0], -amp in to RA, +amp in to RL, right leg out to LA
[SEL1=0 SEL 2=1], -amp in to LA, +amp in RL, right leg out to RA.
A fourth selection [SEL1=1 SEL 2=1] bypasses the input connector and connects
the two inputs and one output to an on board test generator.
increasing its input voltage when the ECG output exceeds ±5.7 volts. This allows
the baseline to be rapidly restored when the output offset becomes too large. The
right leg drive is used to feed back to the patient, out-of-phase common-mode
signals, in order to cancel out the effects of these signals.
Pacemaker Detection
Pacemaker signals are distinguished from normal ECG by the rate of change of the
waveform. Pacemaker pulses have slew rates faster than 100 µs, while the slew rate
of normal ECG signals are typically more than 100 times slower. The pacemaker
detector uses this signal characteristic by differentiating the output of the amplifier/
limiter stage U6 using a high-pass filter consisting of capacitor C28, resistor R50,
and op-amp U5 to separate the pacemaker pulses from the ECG waveform. The
high-pass function from C28 and R50 attenuates the ECG while allowing the
pacemaker pulses to pass through with only minimal reduction in amplitude. The
output of the differentiator is buffered by a section of U5 which is configured as a
unity gain non-inverting amplifier. The buffered output connects to two
comparators formed from two op-amps of U5, one with a positive threshold, the
other with a negative threshold. The positive threshold (+1.0 V) is derived from the
voltage division of the +10 V reference through resistors R49 and R52. The negative
threshold (–1.0 V) is developed by inverting the positive threshold through the last
stage of U5 configured as a unity gain inverting amplifier. When the differentiated
output exceeds one of these thresholds, the associated comparator will toggle
positive. The output of both comparators are ORed through diodes D19 and D20.
When either comparator goes positive, the diode OR gate will turn on transistor Q1
which is used as a level translator from the +15 V output of the comparators to a +5
V logic level. The output from Q1 triggers monostable U3 which generates a 5 ms
pulse that is used by the pacemaker rejection circuitry to gate out the pacemaker
signal. When pacemaker rejection is enabled through a gate in U1, the signal path
from the output of the limiter/amplifier at U6 is altered. The pacemaker enable
comes from control circuitry on the FEGC/UA Board. Instead of connecting to the
original R/C low-pass filter at FET switch U2, the signal from U6 instead is routed
through U2 to an alternate single-pole low-pass filter composed of resistor R40 and
capacitor C38. This filter has a –3 dB point of 100 Hz, however its primary function
is to insert a small delay to the ECG signal to allow for the detection time required
by the pacemaker detection circuitry. This low-pass filter directly drives a slew rate
limiter consisting of diodes D21–D24, resistors R68, R69, capacitor C39, and a
buffer amplifier from an op-amp of U6. To understand how the slew rate limiter
works, the circuit needs to be analyzed from a static condition. With 0 V at the input
of the filter there will be +0.6 V at the junction of D21 and D22, –0.6 V at the
junction of D23 and D24, and 0 V at the output across C39. Under these conditions,
a conduction path exists between the input and the output of the limiter. When a
step change occurs at the input, for example a +1 V step, diode D21 will become
reverse biased turning off the current path from the input to the junction of D21 and
D22, and to the output. Diode D23 conducts, raising by +1 V the potential at the
junction of D23 and D24. This turns off diode D24, breaking the current path from
the input and from R69 to the output. The only current path left is from R68 through
D22 to the output capacitor C39. R68 begins to charge C39 at the rate determined
by the time constants of the two parts until C39 reaches +1 V and the normal
conduction paths are restored from input to output. This in effect will limit the
output of signals that have faster slew rates then the time constants of R68 or R69
and capacitor C39. The output of the limiter is buffered by a unity gain non-
inverting amplifier from an op-amp of U6. The output of this buffer connects
through FET switch U2 to a single-pole 97 Hz low-pass filter composed of resistor
R65 and capacitor C37. This filter is buffered by the common output stage from the
op-amp of U6 that provides the output of the ECG amplifier. When the pacemaker
detector gating pulse occurs, a switch in U2 opens the path between R40 and C38,
which stops the charging of C38. C38 at this point will hold its last potential for the
5 ms gate period, maintaining a constant input to the slew rate limiter during this
period. In a like manner, the output from the slew rate limiter buffer is disconnected
by another switch in U2 from the low-pass filter of R65 and C37. Due to the very
high input impedance of the final buffer stage of U6, C37 will hold its last potential,
keeping the output constant during the gating period. In effect, the pacemaker
rejection circuitry holds the ECG output at the voltage that was present at the output
before the occurrence of a pacemaker pulse, until sufficient time has elapsed for the
pacemaker pulse to terminate.
Test Generator
The test generator is composed of monostable U3 and an attenuation network
consisting of resistors R104–R110. U3, by the values of resistor R111 and capacitor
C54, is set to provide a 100 ms pulse every time it’s triggered from a control line
from the FECG/UA Board. When the input MUX is configured for the test
generator, the attenuated output of U3 connects to the input leads of the ECG
amplifier allowing for a board self test. The attenuation network scales the Q and
Q* outputs of U3 providing a 1 mV differential signal source. R106 offsets the Q*
output so that it is referenced to 0 V. R104 and R105 combine the right leg drive
output with the output of the generator. The logic supply for the test generator, as
well as all the other isolated logic is generated by an adjustable three-terminal
regulator VR1 from the isolated +15 V supply.
restore the signal to the original output level before the voltage division at the
isolator’s input. Resistors R116, R118 and potentiometer R117 provide an offset
adjustment from the un-isolated ±10 V references for the output amplifier. The
voltage at the wiper of the potentiometer is buffered by a unity gain non-inverting
amplifier from the last op-amp of U8. The buffered offset adjustment connects to
the output stage through resistor R119.
12 No Connection —
15 No Connection —
16 No Connection —
MSpO2 Board
Nellcor Module
Functional Overview
This internal module is manufactured by Nellcor Puritan Bennett, Inc. The module
handles all circuitry involving MSpO2 with the exception of the display circuitry.
The module measures the maternal oxygen saturation and pulse rate using the
principles of spectrophotometry and plethysmography. The MSpO2 sensor is
comprised of two light-emitting diodes (LEDs), which are the emitters, and one
photodiode which is the detector. One LED emits red light and the other infrared
into the patient’s skin. The detector receives the amount of light that is not absorbed
at the sensor site and the module uses the relative absorption of red and infrared to
compute the percentage of functional hemoglobin that is saturated with oxygen.
When a problem does exist with the module, contact your Corometrics Service
Representative for information about repair/exchange of the module.
Transistors Q1, Q2, Q3, Q4, Q5, and Q6 control the drive current switching. The
four-phase LED drive signal is routed to LED driver U3A. The resulting drive
potential is coupled equally to both sides of the bridge circuit via R31 to Q4 and R36
to Q3. Signals IRLED/ and REDLED/ are pulsed low to cause their respective
LEDs to illuminate. When both lines are a logic high, all bridge transistors are
turned off. The infrared LED is illuminated when signal IRLED/ is pulsed low. The
red LED is illuminated when the signal REDLED/ is pulsed low.
RCAL resistor in the sensor which connects between pin 6 of JP1 and ground to
become part of a voltage divider with R16. Power for this divider is a 2.5 V
reference on the Nellcor module. This calibration voltage (VCAL2) is
communicated to the DAC via buffer U21B.
The SAT signal is then coupled through C55 to remove the DC offset or steady-state
ambient energy artifact. The signal is then coupled to band-pass filter U13B to
remove noise. The output of U13B is then introduced to a programmable gain
circuit consisting of DAC U9 and operational amplifier U13A.
The signal is then coupled to full-gain amplifier U14B. The output of U14B is used
by the modules’s microprocessor as the sense point to determine input channel gain
requirements. Positive peak detector U7B is employed to monitor the amplified
SAT signal at the output of U14B. It produces a DC output (COMPARE2)
proportional to the positive excursion of the amplified SAT signal pulses. If
(COMPARE2) exceeds +10 V, the modules’s microprocessor reduces U13A gain.
The microprocessor may also reduce LED drive for one LED if necessary.
The SAT signal is finally coupled to the synchronous detector comprised of U10B,
U14A, and associated resistors. When the positive input of U14A is grounded by
U10B, the device is an inverting amplifier with a gain of one. When this input is not
grounded, the device becomes a voltage follower with a gain of one. The output of
the synchronous detector is applied to the filter/amplifier circuitry.
Filters/Amplifiers
The module includes two separate active filter channels: infrared and red. These
low-pass filter/amplifier circuits and associated gating circuits recover the patient’s
pulse waveform from the multiplexed SAT signal. FET switches U15A and U15B
are employed to separate the infrared information in the SAT signal from the red
information. The gate control input signals (IRGATE/ and REDGATE/) are
processor-controlled and operate in time sequence with the four-phase LED drive
control. This switching action is used to control the inputs to the red and infrared
filter / amplifier circuits.
The infrared filter/amplifier circuit is an active low-pass filter (total gain = 4) which
responds to the patient’s pulse modulation — reproducing the patient’s pulse
waveform at the filter/amplifier output. The infrared pulses (IR) are coupled to the
first of two identical filter/amplifier stages (U22D and U22B), each having a gain of
approximately two. The signal is then coupled to the last stage (U23B) which has a
gain of one. The pulse waveform (IR) at the output of the filter/amplifier stages,
must always be at a positive voltage level in order to be digitized by the analog-to-
digital conversion circuitry. The final amplifier stage has an input offset of +25 mV
to ensure that the waveform does not move to a negative level. The output (IR
ADC) is then coupled to the analog-to-digital conversion section.
The red filter/amplifier circuit is an active low-pass filter (total gain = 8) which
responds to the patient’s pulse modulation — reproducing the patient’s pulse
waveform at the filter/amplifier output. The red pulses (RED) are coupled to the
first of two identical filter/amplifier stages (U22A and U22C), each having a gain of
approximately two. The signal is then coupled to the last stage (U23A) which also
has a gain of two. The pulse waveform (RED) at the output of the filter/amplifier
stages, must always be at a positive voltage level in order to be digitized by the
analog-to-digital conversion circuitry. The final amplifier stage has an input of +25
mV to ensure that the waveform does not move to a negative level. The output
(RED ADC) is then coupled to the analog-to-digital conversion section.
Communications
Four data signals are used to communicate between the Nellcor module and the
SpO2 Interface Board in the Oximeter Carrier Board in the 120 Series Monitor: CTS,
RESET, RXD, and TXD.
Processor Circuitry
The module support circuitry consists of microprocessor U5, ROM U6, and RAM
U12, all served by latch U2. Serial-to-parallel shift register U16 converts serial data
to parallel data for the DACBUS. The system operates using an 11 MHz crystal-
controlled oscillator. Sections U11 and U17 perform reset and buffer functions for
the communications link.
Masimo Module
Principle of Operation
The Masimo SET® MS-5 pulse oximeter is based on three principles:
The Masimo SET MS-5 pulse oximeter as well as traditional pulse oximetry
determines SpO2 by passing red and infrared light into a capillary bed and
measuring changes in light absorption during the pulsatile cycle. Red and infrared
light-emitting diodes (LEDs) in oximetry sensors serve as the light sources, a
photodiode serves as the photodetector.
Traditional pulse oximetry assumes that all pulsations in the light absorbance signal
are caused by oscillations in the arterial blood volume. This assumes that the blood
flow in the region of the sensor passes entirely through the capillary bed rather than
through any arterio-venous shunts. The traditional pulse oximeter calculates the
ratio of pulsatile absorbance (AC) to the mean absorbance (DC) at each of two
wavelengths, 660 nm and 940 nm:
S(660) = AC(660)/DC(660)
S(940) = AC(940)/DC(940)
The oximeter then calculates the ratio of these two arterial pulse-added absorbance
signals:
R = S(660)/S(940)
This value of R is used to find the saturation SpO2 in a look-up table built into the
oximeter's software. The values in the look-up table are based upon human blood
studies against a laboratory co-oximeter on healthy adult volunteers in induced
hypoxia studies.
The Masimo SET MS-5 pulse oximeter assumes that arterio-venous shunting is
highly variable and that fluctuating absorbance by venous blood is the major
component of noise during the pulse. MS-5 decomposes S(660) and S(940) into an
arterial signal plus a noise component and calculates the ratio of the arterial signals
without the noise:
S(660) = S1 + N1
S(940) = S2 + N2
R = S1/S2
Again, R is the ratio of two arterial pulse-added absorbance signals and its value is
used to find the saturation SpO2 in an empirically derived equation into the
oximeter's software. The values in the empirically derived equation are based upon
human blood studies against a laboratory co-oximeter on healthy adult volunteers in
induced hypoxia studies.
The above equations are combined and a noise reference (N') is determined:
If there is no noise N' = 0: then S(660) = S(940) x R which is the same relationship
for the traditional pulse oximeter.
The equation for the noise reference is based on the value of R, the value being
sought to determine the SpO2. The MS-5 software sweeps through possible values
of R that correspond to SpO2 values between 1% and 100% and generates an N'
value for each of these R values. The S(660) and S(940) signals are processed with
each possible N' noise reference through an adaptive correlation canceler (ACC)
which yields an output power for each possible value of R (i.e., each possible SpO2
from 1% to 100%). The result is a Discrete Saturation Transform (DST™) plot of
relative output power versus possible SpO2 value as shown in the following figure
where R corresponds to SpO2 = 97%:
The DST plot has two peaks: the peak corresponding to the higher saturation is
selected as the SpO2 value. This entire sequence is repeated once every two seconds
on the most recent four seconds of raw data. The MS-5 SpO2 therefore corresponds
to a running average of arterial hemoglobin saturation that is updated every two
seconds.
Controller
The isolated fly-back converter is based around the LT1270 (U4) high-efficiency
switching regulator. This regulator has a high-current, high-efficiency switch
included on its die along with all oscillator, control, and protection circuitry. The
LT1270 is a current mode switcher. This means that the switch duty cycle is directly
controlled by switch current rather than output voltage. The switcher was designed
to operate in the discontinuous mode with a duty cycle less than 50 %.
C5 is the input capacitor for the switcher. The input capacitor is essential for the
proper operation of the circuit. It absorbs the ripple current inherent in a fly-back
converter’s input.
The Vc pin of U4 is used for frequency compensation, soft start and external
synchronization. It is the output of an error amplifier and the input of a current
comparator. The maximum source and sink current is approximately 220 µA. The
voltage on the Vc pin determines the current level at which the output switch will
turn off. For Vc voltages below 0.9 volts, the output switch will be totally off (duty
cycle = 0). Above 0.9 volts, the switch will turn on at each oscillator cycle, then tun
off when the switch current reaches a trip level set by the Vc voltage. The control
loop frequency compensation is performed by R2 and C6.
The VFB (feedback) pin of U4 is the inverting input to a single stage error amplifier.
The non-inverting input to this amplifier is internally tied to a 1.244 volt reference.
The amplifier is a gm type, meaning that it has high output impedance with
controlled voltage-to-current gain. DC voltage gain with no load is approximately
800. The signal sent to this pin is derived from the isolated +15VISO using a linear
optocoupler (see section 3.4 Isolated Feedback).
The Vsw pin of the LT1270 is the collector of the internal NPN power switch. This
NPN has a typical ON resistance of 0.12 W and a breakdown voltage (BVCBO) of
60 volts.
The transformer T1 is not an is not an ideal component, so not all the energy stored
in the core is transferred to the secondary winding. The energy left in the primary
winding leakage inductance causes a spike on the leading edge of the switch node
voltage. Components D4, D5, R3, and C7 are used to clamp the switch node
voltage, providing a current path for the leakage inductance spike. R3 and C7 also
are used to reduce the radiated EMI created by the fast switching of large current
signals. When the internal switch of the LT1270 opens, the voltage at the Vsw pin
jumps up to approximately 30 V. R3 and C7 smooth the rising edge of this pulse
thereby reducing any high frequency ringing.
External Synchronization
The external synchronization of the LT1270 (U4) occurs when its Vc pin is pulled to
ground with an external transistor. To avoid disturbing the DC characteristics of the
internal error amplifier, the width of the synchronizing pulse must be under 1 µs.
The circuitry for synchronizing is comprised of Q1, D1-3, C2, C3, R1, R24-26, and
U5.
The external synchronizing clock (72 kHz) is connected to an input of a two input
AND gate (U5). The other input is connected to a reset signal (RESET*). The
reason for the reset signal is because upon start up the controller (U4) must be
allowed to first free-run before it can be externally synchronizing. Holding the reset
line low will inhibit synchronizing. Resistors R28 and R29 are to prevent U5 pins
12 and 13 from floating during board testing. The remaining three AND gates from
U5 are paralleled, each with a 47 W output resistor, to provide as much drive current
as possible into the synchronizing circuitry. U5 is powered from VR1, a linear +5
Vdc regulator.
C3 and R1 differentiate the 72 kHz clock. On positive going edges of the clock a
narrow positive pulse is applied to the base of transistor Q1. The values of C3 and
R1 determine the width of this pulse. D1 and D2 block the negative portion of the
differentiated signal. D3 speeds up the turn off time of Q1.
The output rectifiers are D7–9. They are silicon ultra-fast switching rectifiers with a
maximum peak reverse voltage of 100 V. The main ±15 V outputs (+15VISO, –
15VISO) and the secondary ±15 V outputs (+15VISO2, –15VISO2) each use one
220 µF aluminum electrolytic capacitors for their main filtering (C22, 23,11,12).
One 220 µF capacitor connected has an equivalent ESR of 0.12 W at 72 kHz. Each
output utilizes a linear regulators (VR2, 3,5,6,7) to obtain their outputs.
C15,16,30,32,34 provide the necessary output filtering for the linear regulators. The
regulators (LM2940CT-15, LM2990T-15) have internal short circuit and thermal
protection. Short circuit protection for the total supply is provided by the in-rush
current limiter. See “Short Circuit Protection” on page 4-79.
Because the linear regulators for the +15VISO, –15VISO outputs are not located
close to the filter capacitors, C29 and C30 were used to prevent any instability in
these regulators.
The +15VISO2 and –15VISO2 outputs have load resistors on the supply (R18,19).
These resistors keep the unregulated outputs of this lightly loaded supply from
getting too high. The filter capacitors are rated for 25 Vdc. Without the load
resistors, the unregulated voltage could exceed this rating.
For further EMI reduction, RC series networks (R16, C27, R17, C26) are placed
across each secondary output. Resistors R18–21 are used to guarantee a minimum
load for each output. Both isolated grounds (ISOGND and ISOGND2) are meant to
be isolated from each other. To keep them isolated, yet at approximately the same
potential, the parallel combination of C24 and R27 was connected across the two
grounds.
Isolated Feedback
The feedback for the supply crosses the isolation barrier via a linear optocoupler
(U2). The complete feedback circuit is comprised of U1–3, VR4, R7–13,
C10,19,20,21,25.
VR4 and C19 provide a steady +5 Vdc supply that is used by the isolated PIN
photodiode of the linear optocoupler and powers operational amplifier U1.
On the non-isolated side, R7, R13, and the current being sourced from the second
PIN photodiode, re-create the feedback voltage seen on the isolated side at U1–3.
The IL300s are bin sorted by the manufacturer to group the parts with common
transfer gains. The transfer gain of the IL300 can vary from 0.56 to 1.61. Instead of
paying a premium for buying only one bin, a potentiometer (R7) was used so that the
variations in the transfer gains of U2 could be corrected for. If the IL300’s gain was
1.0, the combined resistance of R7 and R13 would equal that of R12. C25 provides
some filtering for the feedback signal. U3 and R8 provide buffering between the
feedback signal and the VFB pin of U4.
This circuit also helps reduce the peak in-rush current this type of supply sees during
its power-up sequence. As with the short circuit protection mentioned above, this
circuit limits the amount of current the supply can “dump” into the output filter
capacitors during power-up thus reducing the overall in-rush current.
A spark gap (SG1) bridges the isolation barrier and is connected with two 10 kΩ
resistors (R22, R23) that connect to each ground. This circuit provides a high-
voltage path from the isolation ground to the earth ground. This guarantees that if
the isolated ground sees a high voltage (i.e. defibrillator pulse) the current will go
through the spark gap instead of breaking down the linear optocoupler or the fly-
back transformer. The optocoupler and the transformer have breakdown voltage
ratings higher than that of the spark gap.
7 No Connection —
8 No Connection —
15 No Connection —
17 No Connection —
19 No Connection —
21 No Connection —
22 No Connection —
Recorder Board
NOTE: A newer, surface-mount board replaces earlier versions. Functionally, the
boards are equivalent. Refer to “Chapter 14, Replacement Parts” for further
information.
The recorder board provides the interface between the Main Motherboard and the
strip chart recorder. The board performs three functions. First it powers the recorder
head through an adjustable regulator. Second it drives the 4-phase stepper motor,
and third it provides the paper-out, paper-low, and paper-misloaded interface
circuitry.
The monitor’s power supply module provides a regulated 20 Vdc which enters the
Recorder Board at J1 (pins 9, 10) and powers the input to a voltage regulator (VR1).
Voltage regulator VR1 is adjustable and provides a regulated DC output from 13 V
to 18 V depending on the position of the wiper on potentiometer R2. This output
powers the heating elements in the thermal printhead. Since printheads very in
average resistance, this voltage is calibrated to the value required by the particular
printhead installed.
A variety of safeguards shut down the printhead heating element supply (VHD)
under various conditions to protect the printhead. When the 5 V supply to the logic
circuitry is low, diode D1 will not be forward biased and transistor Q3 will be off.
Transistor Q1 will then saturate and bring pin 3 of VR1 to ground. The output of
VR1 will then be approximately 1.3 V. also, when transistor Q2 is turned on, the
current through resistor R4 to the base of Q1 will turn on Q1 and shut the output of
VR1 sown to 1.3 V. The first condition that can turn on transistor Q2 is when the
RE/ logic signal is low. This occurs during power-up reset of the microprocessor or
when the microprocessor brings HDSHUT/ low by writing to the appropriate output
port. The microprocessor brings HDSHUT/ low immediately after it comes out of
reset and brings it high before printing. Another condition than can turn on Q2 is
when POUT/ is low.
9 No Connection —
10 No Connection —
13 CK Ground
2 PC Motor Phase 3
3 PD Motor Phase 4
4 VM +5 V
5 No Connection —
6 PB Motor Phase 2
7 PA Motor Phase 1
8 VM +5 V
1 OPTOA LED+
2 GNDVR LED–
3 GNDVR Emitter
4 OUTPUT Collector
1 OPTOA LED+
2 GNDVR LED–
3 GNDVR Emitter
4 OUTPUT Collector
1 No Connection Key
4 GND Ground
Setup Procedures 5
This section describes the routine setup procedures for the 120 Series Monitor, as
well as information about tailoring the monitor to meet the individual needs of the
hospital.
CAUTIONS
LOADING PAPER—The instructions for loading paper into the
120 Series Monitor are different than the instructions for loading
paper into other Corometrics monitors. Improper loading can
cause paper jams. Follow the instructions carefully.
To protect against paper jams, the 120 Series recorder contains a paper-loading
sensor which detects if the paper has been incorrectly loaded. When the recorder
detects a paper-load–error condition:
The 120 Series Monitor also alerts you when paper is running low and when the
recorder is completely out of paper.
To install Corometrics strip chart paper in the 120 Series Monitor, follow these
steps:
CAUTION
LOADING PAPER—Paper loading instructions for the 120 Series
Monitor are different than other Corometrics Monitors. Improper
loading can cause paper jams. Follow the instructions carefully.
1. Press down on the latch on the right side of the strip chart recorder door.
Pressing this latch causes the recorder door to open.
2. Fan the pack of Z-fold paper on all sides to loosen any folds and to ensure
proper feed of the paper through the recorder.
NOTE: The black squares indicate the end of the recorder paper. When the black
squares appear, the strip chart recorder has approximately 20 minutes of
paper remaining, when running at a speed of 3 cm/min.
4. Unfold two sheets from the top of the package so that they extend toward you.
5. Place the pack in the drawer so that the pack is laying flat in the recorder.
6. Slowly close the strip chart recorder door, being careful not to skew the paper.
FECG
US
US2
Maternal NBP
MSpO2
FSpO2
MHR/P
Master Alarm
General
1. To display a parameter setup screen, rotate the Trim Knob control until the bar
cursor highlights the title of the parameter (FECG, US, US2, NBP, MSpO2,
FSpO , MECG, or PULSE). To access the Master Alarm Setup screen or the
2
General Setup screen, rotate the Trim Knob control until the bar cursor
highlights the ALARMS softkey or the SETUP softkey, respectively, on the
bottom of the screen.
2. Press the Trim Knob control once to display the selected setup screen.
3. While the screen is displayed, rotate the Trim Knob control until the desired
field is highlighted.
4. Press the Trim Knob control once to activate the selected field. The cursor now
flashes.
5. Rotate the Trim Knob control in either direction to cycle through the available
choices for the field. Continuous rotation will wrap around through the choices.
6. When the desired selection is made for the field, press the Trim Knob control
once to enact the selection.
7. Repeat steps three (3) through six (6) until all desired settings have been made.
8. Rotate the Trim Knob control until the bar cursor highlights the EXIT softkey on
the bottom of the screen. Press the Trim Knob control and the monitor returns
to normal operation.
IMPORTANT
EFFECTIVITY—All changes take effect immediately after a
selection is enacted in step six (6).
NOTE: While any setup screen is displayed, the primary labor parameters remain
displayed. While using a setup screen, if an alarm condition exists for a
maternal parameter that is not displayed, only an audio alarm (if enabled) is
issued. Upon exiting the setup screen, the visual alarm indication is shown.
Volume
This field controls the volume for the FHR derived from FECG. This works in
conjunction with the four front panel Volume pushbuttons.
NOTE: The FHR1 and FHR2 alarm limits are set independently of each other.
On: Visual and audible indications are provided during an FHR alarm
condition.
Off: Only a visual indication is provided during an FHR alarm condition.
Alarm Volume
This field controls the alarm volume for FECG alarms.
The FHR Offset field is only present on the setup screen when:
the heart rate offset option is enabled via the Install Options service screen;
and
the screen is activated by selecting the mode listed in the FHR2 area of the
display.
*
This field selects between either on/off or 10 Min/Off, depending on how this feature is enabled on the
Install Options service screen.
Volume
This field adjusts the volume for the FHR derived from the selected mode, US or
US2. This field works in conjunction with the front panel Volume buttons.
On: Visual and audible indications are provided during an FHR alarm
condition.
Off: Only a visual indication is provided during an FHR alarm condition.
Alarm Volume
This field controls the alarm volume for Ultrasound alarms.
Display Timer
This field determines the time period, in minutes, that a blood pressure reading
remains displayed before being automatically erased, starting from the time the
reading is displayed.
NOTE: Values are removed from the NBP area of the display only; values are still
retained in memory for display and printing of the maternal Vital Signs
History screen.
This feature reduces the chance of error. For example: if the monitor is configured
for manual mode and one hour has elapsed since the last reading, the continuous
display of the “old” NBP reading may cause confusion.
Mode
This field alternates between the manual and automatic monitoring modes for
maternal blood pressure. For auto mode, this field also sets the interval time, in
minutes, between automatic blood pressure determinations. This interval time is
measured from beginning to beginning of determinations. (Refer to the 120 Series
Operator’s Manual for exceptions to this rule.)
The monitor is factory-set with the optional 1-minute interval time disabled. Refer to
“NBP One-Minute Interval” on page 5-28 for information on enabling the 1-minute
interval.
NOTE: As soon as the auto mode is selected on the setup screen, the countdown
timer begins to decrement. The first automatic determination begins after
expiration of one complete interval time period.
Alarm Limits
These fields adjust the high and low alarm limits for maternal systolic, diastolic, and
mean arterial pressures, as well as for MHR/P—in increments of 5 mmHg or 5
BPM.
Audio Alarm
This field enables/disables the audio alarm function for blood pressure.
On: Visual and audible indications are provided during an alarm condition.
Off: Only a visual indication is provided during an alarm condition.
Select the MSPO2 softkey to display the MSpO2 Setup screen (Figure 5-4). For
settings information, refer to Appendix A, “Factory Defaults” .
FECG US TOCO
EXIT
NOTE: If you are using Masimo (instead of Nellcor) technology, the Response
Time setting will be missing on your Setup Screen. In its place, a setting
for Averaging Time and Sensitivity will display.
For the 2 and 4 second averaging settings: The actual averaging times may range
from 2 to 4.
10, 12, 14, or 16 seconds: These averaging settings are least affected by patient
movement.
8 seconds: This averaging selection is recommended in cases where the patient
is relatively inactive.
2, 4 seconds: These averaging selections are most affected by patient
movement.
Print Interval
This setting determines the time interval for printing the MSpO2 values on the strip
chart paper.
%O2 Trace
This setting enables or disables the printing of the %MSpO2 trend on the bottom grid
of the strip chart paper.
On: The %MSpO2 trend prints in grey and is annotated with %MSpO2 .
Off: The %MSpO2 trend is not printed.
Alarm Limits
These fields adjust the high and low alarm limits for %MSpO2, as well as for MHR/
P—in increments of 1% or 5 BPM.
Audio Alarm
This field enables/disables the audio alarm function for MSpO2.
On: Visual and audible indications are provided during an MSpO2 alarm
condition.
Off: Only a visual indication is provided during an MSpO2 alarm condition.
Alarm Volume
This field controls the alarm volume.
NOTE: Figure 5-5 provides an example where MECG is selected as the MHR/P
source, as indicated by the MECG mode title. If either MSpO2 or NBP is
selected as the MHR/P source, the mode title would change to PULSE.
Source
This field selects the MHR/P source. When AUTO is selected, the monitor
checks for parameter availability and use in the following order: MECG,
MSpO2, then NBP. If a source is not available, the next available source is
automatically selected.
IMPORTANT
WAVEFORM—The MHR/P Source field is independent of the
waveform selected on the normal operating screen. For example,
you can select MECG as the MHR/P source yet display the
MSpO2 plethysmograph waveform. Or, you can select MSpO2 as
the source and display MECG as the waveform.
MHR/P Trace
This field enables or disables the printing of the MHR/P trace on the strip chart
paper.
On: The MHR/P trend is printed in grey annotated with MECG or
MSpO2 P —whichever parameter is selected in the MHR/P source field.
MHR/P data from NBP is not trended since blood pressure determinations are
static measurements.
Off: The MHR/P trend is not printed.
Volume
This field sets the volume of the “beep” sounded with each detected valid
heartbeat—for MECG and MSpO2 only.
Alarm Limits
These fields adjust the high and low alarm limits for MHR/P— in increments of 5
BPM. The selectable values are shown in Figure 5-5. The factory defaults are listed
in Appendix A, “Factory Defaults” .
Audio Alarms
This field enables/disables the audio alarm function for MHR/P.
On: Visual and audible indications are provided during an
MHR/P alarm condition.
Off: Only a visual indication is provided during an
MHR/P alarm condition.
Alarm Volume
This field controls the alarm volume.
MECG Lead
This field selects the ECG lead configuration. The lead can also be selected from the
MECG Lead Softkey on the normal operating screen Lead I refers to the potential
between the left arm and the right arm. Lead II refers to the potential between the
right arm and left leg.
Lead III refers to the potential between the left arm and the left leg. Figure 5-6
illustrates which electrodes reference the ECG lead obtained.
WHITE (RA)
RED (R)
I BLACK (LA)
YELLOW (L)
BLACK (LA)
YELLOW (L)
+ I +
WHITE (RA)
RED (R)
III III
II
+ II +
+ +
RED (LL) RED (LL)
GREEN (F) GREEN (F)
MECG Pacer
This field enables/disables pacemaker pulse rejection circuitry.
Off: Use this setting for a patient without a pacemaker. All ECG events are
monitored; all complexes, including pacer spikes may be displayed and may be
included in the heart rate calculation.
On: Use this setting for a patient who has a pacemaker. The monitor rejects the
pacer spike from the heart rate calculation and replaces the actual pacer spike
with a pacer event mark; in addition the letter P is displayed prior to the
waveform speed. Figure 5-7 shows an example of an MECG waveform with the
MECG pacer ON.
Response Time
P 25 mm/s
II AUTO
FECG US TOCO
AUDIO ALARMS
NBP: ON MHR/P: ON MSpO2: ON
RE-ALARM: 120 SEC
ALARM HIGH LOW
SYSTOLIC: 160 90 MMHG
DIASTOLIC: 90 50 MMHG
MAP: 140 50 MMHG
MHR/P: 120 50 BPM
MSpO2: 100 95 %
VOLUME: 5
EXIT
Audio Alarms
Individual fields enable/disable the audio alarm functions for NBP, MSpO2, and
MECG. The settings are summarized as follows:
Off: Only a visual indication is provided for an alarm.
On: Both visual and audible (if enabled) indications are provided for an alarm
condition.
Re-Alarm
When an audio alarm is cancelled using the Alarm Silence pushbutton, the audible
indication is removed. However, for MECG and MSpO2 monitoring and during a
paper-load–error condition, an alarm will be re-issued if the alarm state continues
after a specified amount of time. This field adjusts the temporary silence period.
Alarm Limits
These fields adjust the high and low alarm limits for NBP, MHR/P, and MSpO2.
Volume
This field controls the volume of all alarms.
Select the FSPO2 softkey to access the FSpO2 Setup screen (Figure 6-2).
IMPORTANT
SOFTKEY ACTIVATION—The Corometrics fetal patient
module cable must be plugged into the FSpO2 connector in order to
activate the FSpO2 mode softkey.
FECG US TOCO
EXIT
Response Time
This field sets the response time or averaging mode (the time the monitor takes to
respond to changes in fetal oxygen saturation).
Slow: The FSpO2 display responds to step changes in the fetal saturation with
approximately 120 accepted pulses, or in about 50 seconds at 150 BPM.
Fast: The FSpO2 display responds to step changes in the fetal saturation with
approximately 30 accepted pulses, or in about 11 seconds at 150 BPM. (The
factory default setting is SLOW.)
When signal quality is poor, the response time becomes longer regardless of the
mode selected.
Print Interval
This setting determines the time interval for printing the FSpO2 values on the strip
chart paper.
%O2 Trace
This setting enables or disables the printing of the %FSpO2 trend on the bottom grid
of the strip chart paper.
On: The %FSpO2 trend is printed as a beaded trace on the bottom (or right) grid
annotated by %FSpO2 .
Off: The %FSpO2 trend is not printed.
Sensor Lifted ) – This icon appears whenever the sensor is not making
adequate contact at the sensor site on the fetus.
FECG US TOCO
EXIT
165 172 30
NBP 02:15 MECG MSpO2
130/ 85 89 97%
25mm/s
II 2X
53% 03:22:45
MECG
PRINT FREEZE ALARMS SETUP VSHX
GENERAL SETUP
RECORDER SETUP
PAPER SPEED: 3 CM/MIN LIGHT: ON
PAPER CHIME: OUT ONLY
VOLUME: 5
SERVICE EXIT
Time
It is very important to set the monitor’s clock prior to initial operation and during
daylight-saving time changes. A long-lasting battery maintains the set time even
when the monitor is unplugged from AC power.
The time is represented by a 24-hour clock in hours, minutes, and seconds. The hour
field has a range from 00–23; the minutes field has a range from 00–59; the seconds
field is not adjustable.
Date
It is very important to set the date on your monitor prior to initial use. The month
field has a range from 01–12; the range for the day field varies according to the
selection for month and year*; the year field has a range of 00–99. A long-lasting
battery maintains the date even when the monitor is unplugged from AC power.
Song Player
You can activate a song to be played from the monitor’s speaker to celebrate each
birth.
*
For example: February of 1996 has a day range of 01–29; February of 1997 has a day range of 01-
28; August of 1997 has a day range of 01–31.
SpO2 Scale
Two scale options are available for printing the %MSpO2 trend, for compatibility
with %FSpO2 trending. (%FSpO2 is always trended on a scale of 0–100 %.) The
scale is printed on the paper along with the trend.
Auto: If only the %MSpO2 trend is printing, the trend plots on an expanded
scale of 60–100 % or 50–100 %, depending on the paper.* Whenever the
%FSpO2 is being trended, the monitor automatically switches to a scale of 0–
100 % for both %MSpO2 and %FSpO2.)
0–100 %: This option configures the %MSpO2 trend to always plot at a fixed
scale of 0–100 % — even when the maternal trend prints alone.
Paper Speed
This field selects the paper speed of the strip chart recorder.
Paper Chime
This field enables/disables an audible tone to indicate a low-paper or out-of-paper
condition.
Recorder Light
This field turns the recorder light on and off. This light permits the room lights to be
dimmed without sacrificing visibility of the strip chart recorder. A patient can
remain resting, without the disturbance of overhead lights, while a nurse or
physician checks the strip chart.
IMPORTANT
RECORDER LIGHT—The recorder light is only available on
monitors purchased with Software Version 3.0 or greater. Older
monitors can be upgraded to Software Version 3.0 or greater;
however, the recorder light will not be available. If your monitor
has a recorder light: the LIGHT field displays on the General
Setup screen; and a frosted plastic light cover is located above the
strip chart recorder.
*
The %MSpO2 trend is plotted over a range of 60–100 % on paper with a HR scale of 30–240 BPM.
The %MSpO2 trend is plotted over a range of 50–100 % on paper with a HR scale of 50–210 BPM.
FSpO2 Trace
This field enables/disables %FSpO2 trend trace printing of data received
from an external fetal pulse oximetry monitor.
Service Lock
Install Options
Error Log (Refer to “Chapter 8, Self-Tests”.)
Communications Setup (Also, refer to “Chapter 11, Peripheral Devices”.)
Diagnostic Control (Refer to “Chapter 8, Self-Tests”.)
3. Use the Trim Knob control to set the access code to the current month and day.
For example: April 23 is 0 4 2 3. March 28 is 0 3 2 8.
NOTE: The correct date and time must be set on the General Setup screen or you
will not gain access to the service screens.
4. As soon as you enter the correct access code, the Install Options screen
displays.
SERVICE LOCK
0 0 0 0
CPU V3.52
DSP 03.07
EXIT
select the default settings used when the 120 Series Monitor is turned on;
select the line frequency;
enable/disable ECG artifact elimination;
configure the recorder’s vertical scale;
select the language used on the display and printed on the strip chart paper;
enable/disable a one-minute blood pressure interval selection on the maternal
BP Setup screen;
enable/disable the secondary heart rate offset feature;
select the uterine activity baseline value used when a tocotransducer is in use
and you press the UA Reference pushbutton;
set the type of mark printed when a patient presses the button on the Remote
Event Marker accessory;
enable/disable Corolan address checking circuitry;
enable/disable the heartbeat coincidence feature;
enable/disable the Smart BP feature;
select between real-time and chart-style vital signs history intervals;
select the recorder font size;
select between fetal alerts and alarms (if the Spectra Alerts option is installed);
enable/disable the alert suspend feature (if the Spectra Alerts option is
installed);
print all the setup settings on the strip chart recorder;
print the error log (refer to “Chapter 8, Self-Tests”);
access the Communications Setup screen; and
access the Diagnostic Control screen.
INSTALL OPTIONS
DEFAULT SETTINGS: FACTORY
LINE FREQUENCY: 60 HZ
ECG ARTIFACT ELIMINATION: OFF
SCALING: 30-240
LANGUAGE: ENGLISH
NBP 1 MIN INTERVAL: OFF
HR OFFSET: 10 MIN
DEFAULT TOCO REFERENCE: 10
FM REMOTE MARK: ON
COROLAN ADDRESS CHECKING: OFF
HBC: OFF SMART BP: OFF
VS PRINT INTERVAL: REAL TIME
RECORDER FONT SIZE: SMALL
FETAL ALERT/ALARM: OFF
ALERT SUSPEND: OFF
3. Use the Trim Knob control to set the access code to the current month and day.
For example: April 23 is 0 4 2 3. March 28 is 0 3 2 8.
NOTE: The correct date and time must be set on the General Setup screen or you
will not gain access to the service screens.
4. As soon as you enter the correct access code, the Install Options screen
displays.
Default Settings
Factory Defaults
Factory defaults represent settings chosen to meet the requirements of a typical labor
and delivery environment. If the monitor is set to the FACTORY option, the monitor
will power up with the settings that are listed in Appendix A, “Factory Defaults” .
You may adjust the setup screen configurations as needed during monitoring;
however, be advised that if you turn off the monitor, all user setup screens revert to
the factory defaults when the monitor is turned on again.
Hospital Defaults
The NEW HOSPITAL option allows your hospital to configure its own set of
preferences to be used each time the monitor is powered on. Record your hospital
settings in Appendix A, “Factory Defaults” for reference. Once the settings have
been defined, this option changes to read HOSPITAL-WIDE.
You may adjust the setup screen configurations as needed during monitoring;
however, be advised that when you turn off the monitor, all user setup screens revert
to the hospital-defined preferences when the monitor is turned on again.
Volume Exceptions
The monitor is shipped from the factory with the FHR volumes set at 5. However,
the volume on the FECG, US, US2, or MHR/P Setup screen is not stored as part of
any power-on set (Factory, Current, or Hospital-Wide). Regardless of how you set
the volume (using a setup screen or the Volume buttons):
If the volume setting at power-off is in the range 0–7, that volume remains set at
power-on.
If the volume setting at power-off is in the range 8–9, the volume is adjusted to
5 at power-on.
New Hospital
To define hospital-wide menu settings for the first time, or to re-define existing
settings:
1. Select NEW HOSPITAL in the Defaults field on the Install Options screen.
2. Exit the service mode.
Line Frequency
This field is used to define the line power frequency for the country in which the
monitor is being used. Use the Trim Knob control to alternate between 50 Hz and
60 Hz. (The monitor is factory set for the country in which it is being used.)
Scaling
This field is used to set the heart rate scale for the strip chart paper. Use the Trim
Knob control to alternate between 30–240 (BPM/cm) and 50–210 (BPM/cm). (The
monitor is factory set for the country in which it is being used.) The MSpO2 trend
expanded scale is also affected by this setting. When the heart rate scale is 30–240,
the MSpO2 expanded scale is 60–100 % (10%/cm). When the heart rate scale is 50–
210, the MSpO2 expanded scale is 50–100 % (12.5%/cm).
Language
This field is used to set the language shown on the display and printed on the strip
chart recorder paper. Use the Trim Knob control to cycle through the available
options: ENGLISH, SPANISH, FRENCH, GERMAN, and ITALIAN. (The
monitor is factory set for the country in which is it being used.)
HR Offset
This field is used to enable/disable the secondary offset feature. Use the Trim Knob
control to cycle through the available options: 10 MIN, ON, and OFF. (The factory
default setting is 10 MIN.)
What is it?
When monitoring dual heart rates using US/US2 or FECG/US, overlapping traces
may be difficult to interpret. All 120 Series Monitors provide a +20 BPM shift for
the secondary fetal heart rate trend to alleviate this problem. When using US/US2 or
FECG/US2, and the US2 trace is shifted +20 BPM, the US2+20 symbol prints on
the upper portion of the top grid every 4.5 cm. When using US/FECG, and the US
trace is shifted +20 BPM, the US + 20 symbol prints on the upper portion of the top
grid every 4.5 cm. In both cases, an arrow (→) and a vertical dashed line are printed
to draw attention to the start of the shifted trend.
10 Min
The heart rate offset mode is enabled with an auto-revert feature. If the trace is
shifted by the user, the heart rate will revert back to the normal (unshifted) level
after 10 minutes.
On
The heart rate offset mode is enabled. If the user shifts a trace, the trace will remain
shifted until the user manually sets the trace back to normal (unshifted level).
Off
The heart rate offset mode is disabled. The user cannot shift traces.
NOTE: Refer to the operator’s manual for information about activating the heart
rate offset mode.
Pressing the UA Reference button for more than two seconds causes the UA
reference value to override the default setting and cycle through all available
selections: 5, 10, 15, 20, or 25 relative units, starting at the default setting until the
button is released. This value is stored as the new baseline for the currently
measured uterine activity signal; as soon as the UA Reference button is
momentarily pressed, the baseline returns to the default value.
FM Remote Mark
This field configures the marker annotation that is printed on the strip chart paper
whenever a patient presses the button on the Remote Marker accessory. Use the
Trim Knob control to alternate between ON and OFF. The factory default setting is
OFF.
FM
The annotation is commonly used to record an “event”; while the annotation
is commonly used as an indication that the mother has perceived fetal movement.
Heartbeat Coincidence
The heartbeat coincidence feature alerts you when there is the possibility that you
may be monitoring a duplicate signal. Heartbeat coincidence is indicated when any
two heartbeats have a consistent phase relationship for equal to or greater than 60%
of the detected beats for about 60 seconds; the cessation of coincidence is indicated
when the phase relationship is inconsistent for greater than 40% of the detected
beats for about seven seconds.
When heartbeat coincidence detection is enabled, the acronym HBC appears to the
right of the FHR2 mode title.
Smart BP
Models 128 and 129 have a Smart BP feature which prevents an automatic blood
pressure determination from occurring during a uterine contraction. This feature:
VS Print Interval
The monitor provides an option for the printing of blood pressure and MSpO2
values on the strip chart paper:
Real-Time: Values are printed according to the actual clock time (9:33, 9:48,
10:03, etc.).
Chart-Style: Values are printed on standard clock quarter (9:00. 9:15, 9:30:,
9:45, etc), half (9:00, 9:30, 10:00, 10:30, etc), and whole hour marks (9:00,
10:00, 11:00, 12:00, etc).
Fetal Alert/Alarms
If the Spectra Alerts option is installed in your monitor, use this field to select
between the built-in FHR alarm features of the monitor and the Spectra Alerts
option.
Alarms: The monitor generates alarms based on the limit settings provided
on the FHR setup screens.
Alerts: Enables the Spectra Alerts feature to analyze heart rate and uterine
activity data to detect certain abnormal trends and alert the clinician.
Alert Suspend
When a care provider is at the patient’s bedside, it may be desirable to suspend the
audio component of alerts.
Diagnostic Control
Communications Setup
Install Options
General Setup
Master Alarm Setup
Vital Signs History
FSpO2 Setup
MSpO2 Setup
MHR/P Setup
NBP Setup
FECG Setup
US Setup
US2 Setup
NOTE: The FECG, US, and US2 Setup screens are shown together in one group.
In addition, the HR Offset field is separated on this summary screen, since
it may appear on either the US or the US2 Setup screen—depending on the
active connectors.
3. Enter the correct access code; the Install Options screen displays.
Baud Rate
This field selects the baud rate for communication with an external device. Use the
Trim Knob control to cycle through the available settings: 600, 1200, 2400, 4800,
9600, and 19,200 bps. (Each port is factory set to 2400 bps.) Refer to “Chapter 11,
Peripheral Devices”, for more information about configuring this field.
Mode
This field selects the mode for communication with an external device. Use the Trim
Knob control to cycle through the available settings: NELLCOR, FACTORY,
CRITIKON, 1371, 1371/NOTES, LOOPBACK, 115 UPDATE, and 115
TRANSMIT/RECEIVE. (Each port is factory set to the NELLCOR mode.) Refer to
“Chapter 11, Peripheral Devices”, for more information about configuring this field.
NOTE: At the factory default settings of 2400 bps and the NELLCOR mode,
connectors J109 and J111 are ready for connection to a Nellcor Puritan
Bennett (NPB) Model N-200 or Model N-400. Be advised that connector
J110 does not support a connection to a NPB monitor; therefore, this
connector will have to be configured for use with another device, if
appropriate.
Hardware Switches
The 120 Series Monitor Main Motherboard contains one dip switch pack SW1,
which is used to:
1. Turn off the 120 Series Monitor and disconnect the power cord from the
monitor.
2. Remove the nine screws which secure the monitor top cover. Four screws are
located on the bottom of the monitor and five screws are located in the back.
5. Replace the monitor top cover and secure with all nine screws.
3 Unused — —
Functional Checkout
Procedure 6
NOTE: Read each step of this This chapter contains the following:
procedure thoroughly prior to
Before You Begin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
performing the tests.
Self-Test Routine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Front Panel Pushbutton Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Connecting the Simulator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
MECG Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
FECG Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11
Ultrasound Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-16
Fetal Movement Detection Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19
Ultrasound Transducer Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-21
Uterine Activity Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-22
Tocotransducer Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-25
Strain Gauge Transducer Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-26
Pattern Memory Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-27
Dual Heart Rate Test (Non-Pattern). . . . . . . . . . . . . . . . . . . . . . . . . 6-28
Alarm Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-32
MSpO2 Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-35
NBP Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-35
Preventative Maintenance Inspection Report. . . . . . . . . . . . . . . . . . 6-35
Equipment Required
The following items are necessary for performing any of the tests in this procedure:
General
Visually inspect the monitor, patient cables, and other accessories for cracks,
fissures, or other signs of wear or damage. Do not use any monitor or accessory
which appears to be worn or damaged. If unsure, contact your GE Service
Representative to arrange for evaluation, replacement, or repair of the suspect
item(s).
Self-Test Routine
The 120 Series Monitor contains test routines which verify the unit’s calibration
and internal circuitry. These routines are initiated by depressing the front panel Test
pushbutton. The test results are printed on the strip chart recorder paper, verifying
the integrity of the unit.
1. Check the Voltage Selection switch on the rear panel of the 120 Series Monitor
and ensure it matches the line voltage of the receptacle to be used. Connect the
detachable line cord to the rear panel power entry module; plug the other end
into a hospital grade, grounded wall outlet of appropriate voltage.
2. Place the front panel Power switch in the on (I) position. When the power is
first turned on, verify that three tones are emitted from the rear panel speaker
and the green power on indicator is lit.
3. Depress the front panel Test pushbutton and verify the following:
All display pixels illuminate for one second and then all are extinguished
for one second. Afterwards, a vertical line moves across the screen from
left to right, followed by a horizontal line moving from top to bottom. The
display then remains black.
The yellow Record indicator illuminates.
The message TEST: ARE ALL DOTS PRINTED? is printed followed by two
vertical lines which should appear continuous. Discontinuous lines may be
an indication of damaged printhead elements if gaps occur in the same
place on both lines. Simulated trends of 30 and 240 BPM (or 50 and 210
BPM, depending on the paper installed) are printed on the top grid.
Simulated pressure trends at 0 and 100 mmHg are printed on the bottom
grid. The values are also printed in the center margin of the strip chart.
Refer to Figure 6-1.
After the recorder test above, the display returns to the main screen; then
the software generates a 120 BPM rate in the FHR1 area and a 180 BPM
rate in the FHR2 area, with both mode titles displaying TEST.
The monitor adds 50 mmHg to the present pressure level and displays this
value in the UA display area; the mode title displays TEST.
NOTE: The monitor will add 50 mmHg to raw pressure data. In other words, the
value is always referenced to 0 mmHg regardless of any UA referencing
attempt.
4. The recorder returns to its original on, off, or maternal-only mode state from
when the Test pushbutton was depressed.
NOTE: To disable the test, depress the Test pushbutton or open the recorder door.
NOTE: If the simulated fetal heart rate trends do not appear in the correct positions
on the strip chart recorder paper, ensure the monitor’s vertical scale setting
matches the type of paper being used, i.e. 30 BPM/cm or 20 BPM/cm.
(Refer to“Install Options Screen” on page 5-26.)
3. Access the General Setup screen and set the recorder speed to 1 cm/min; then
exit the setup screen.
5. Depress and hold the monitor’s front panel Paper Advance pushbutton and
verify that the recorder paper advances at a rate of 40 cm/min.
6. Release the Paper Advance pushbutton and verify that the recorder prints the
message 1 CM/MIN.
7. Access the General Setup screen and set the recorder speed to 3 cm/min; then
exit the setup screen.
8. Verify that the recorder paper advances at a rate of 3 cm/min. and that after
approximately 40 seconds, the message 3 CM/MIN is printed on the recorder
paper. (The time, date and monitoring modes are also printed again.)
9. Depress the monitor’s front panel Mark pushbutton and verify that an event
mark ( ) is printed on the bottom two lines of the recorder paper.
NOTE: You must use a Model 325 Simulator for the functional checkout
procedure. (Monitors in the 120 Series do not work with Model 305
Simulators.)
3. Ensure the 120 Series Monitor Power switch is in the off position.
4. Connect the simulator interconnect cable’s 50-pin end to the simulator’s Fetal
Monitor connector.
5. Insert the green plug of the FECG/MECG adapter cable, cat. no. (REF)
1442AAO, into the monitor’s FECG/MECG connector.
6. Connect the sub-cables of the other end of the simulator interconnect cable into
the color-coded connectors on the monitor/adapter: ECG, US, and UA.
7. Turn on the Model 325 Simulator. Verify that the green Power indicator
illuminates.
MECG Test
This portion of the functional checkout procedure ensures the integrity of the MECG
circuitry and the heart rate channel of the recorder.
1. Connect the simulator’s ECG sub-cable to the MECG connector on the monitor
adapter cable.
2. Connect the simulator’s UA sub-cable to the UA receptacle on the monitor.
3. Set the switches on the Model 325 Input Simulator according to Table 6-1.
6. Access the Install Options screen and note the default TOCO reference value.
Main RATE
Rate MANUAL
QRS Polarity +
Main CMR
UA
Mode TOCO
10. Repeat step 9 for each of the following rates: 30, 120, 210, and 240 BPM.
11. Change the simulator’s QRS Polarity switch from + to –. Verify that the
monitor does not skip any beats.
12. Set the simulator’s ECG Rate switch to the RAMP setting. Verify that the
monitor’s MHR value counts between approximately 30 and 240 BPM and that
the recorder prints a ramp between the same values. (Refer to Figure 6-2.)
13. Set the simulator’s ECG Rate switch to the ∆15 position. Verify the following
on the monitor:
14. Repeat step 13 for rate values of ∆22 and ∆27. The results should be the same
except that the MHR value oscillates by either 22 or 27 BPM and the recorder
prints an oscillation of 22 or 27 BPM. The top value is always at approximately
130 BPM. (Refer to Figure 6-3.)
15. Set the simulator’s ECG Rate switch to the MANUAL position and the Manual
Adjustment knob to the fully counterclockwise position. Disconnect the ECG
simulator sub-cable from the monitor’s y-adapter cable. Verify the following
on the monitor:
16. Set the simulator’s ECG Mode switch to the OFF position.
FECG Test
This portion of the functional checkout procedure ensures the integrity of the FECG
circuitry and the heart rate channel of the recorder.
1. Connect the simulator’s ECG sub-cable to the FECG connector on the monitor
adapter cable.
2. Connect the simulator’s UA sub-cable to the UA receptacle on the monitor.
3. Set the switches on the Model 325 Input Simulator according to Table 6-1.
6. Depress and hold the monitor’s UA Reference pushbutton and release when the
UA value shows 10 relative units. Verify the following on the monitor:
Main RATE
Rate MANUAL
QRS Amplitude 15 µV
QRS Polarity +
Main CMR
UA
Mode TOCO
8. Repeat step 7 for each of the following rates: 30, 60, 210, and 240 BPM.
9. Change the simulator’s QRS Polarity switch from + to –. Verify that the
monitor does not skip any beats.
10. Set the simulator’s ECG Rate switch to the RAMP setting. Verify that the
monitor’s FHR1 value counts between approximately 30 and 240 BPM and that
the recorder prints a ramp between the same values. (Refer to Figure 6-4.)
11. Access the Install Options service screen and set ECG Artifact Elimination to
OFF; then exit the service mode.
12. Set the simulator’s ECG Rate switch to the ∆15 position. Verify the following
on the monitor:
13. Repeat step 12 for rate values of ∆22 and ∆27. The results should be the same
except that the FHR1 value oscillates by either 22 or 27 BPM and the recorder
prints an oscillation of 22 or 27 BPM. The top value is always at approximately
130 BPM. (Refer to Figure 6-5.)
14. Access the monitor’s Install Options service mode screen and set the ECG
Artifact Elimination to ON.
15. Set the simulator’s ECG Rate switch to the ∆15 position. Verify the following
on the monitor:
16. Repeat step 15 for the rate value of ∆22. The result should be the same as step
15 except that the FHR1 value oscillates by 22 BPM and the recorder prints an
oscillation of 22 BPM between the 108 and 130 BPM on the strip chart recorder
paper.
17. Set the simulator’s ECG Rate switch to the ∆27 position. Verify the following
on the monitor:
18. Access the monitor’s Install Options service mode screen and set the ECG
Artifact Elimination back to OFF.
19. Set the simulator’s ECG Rate switch to the MANUAL position and the Manual
Adjustment knob to the fully counterclockwise position. Disconnect the ECG
simulator sub-cable from the monitor’s y-adapter cable. Verify the following
on the monitor:
20. Set the simulator’s ECG Mode switch to the OFF position.
Ultrasound Test
This portion of the functional checkout procedure ensures the integrity of the
ultrasound circuitry and the heart rate channel of the recorder.
5. Use the simulator’s Manual Adjustment knob to increase the heart rate value
by less than 13 BPM from the 120 BPM baseline. Verify the following on the
monitor:
6. Use the simulator’s Manual Adjustment knob to decrease the heart rate value
by more than 13 BPM from the 120 BPM baseline. Verify the following on the
monitor:
7. Set the simulator’s US Rate switch to the RAMP position. Verify that the FHR1
value counts between approximately 50 and 210 BPM and that the recorder
prints a ramp between the same values. (Refer to Figure 6-6.)
Mode US
Rate MANUAL
Main CMR
UA
Mode TOCO
8. Place the simulator’s US Rate switch in each of the individual rate settings (50,
60, 120, and 210 BPM). Verify the following on the monitor:
9. Repeat step 4 through step 8 using the second ultrasound channel. (The mode
will show US2.)
10. Place the simulator’s US Mode switch in the OFF position. Verify the
following on the monitor:
Mode US/FMD
Rate MANUAL
Main CMR
UA
Mode TOCO
2. Disconnect the simulator’s ultrasound cable from the front panel of the 120
Series Monitor.
4. Gently rub each crystal of the ultrasound transducer rhythmically. (There are
nine crystals. Eight are arranged around the circumference of the transducer;
one is in the center.) Verify the following:
5. Disconnect the ultrasound transducer from the front panel of the monitor.
Verify the following on the monitor:
The FHR1 value, mode, and heartbeat indicator are all blank.
The recorder stops printing the fetal heart rate trace.
The recorder prints the message CARDIO INOP on the center margin of the
strip chart paper after approximately 20 seconds.
1. Set the switches on the Model 325 Simulator according to Table 6-5.
2. Connect the simulator’s UA sub-cable to the UA receptacle on the monitor.
3. Access the Install Options service mode screen and note the default TOCO
reference value. (The monitor is shipped from the factory with this value set at
10 relative units; however, your unit may have been custom configured.) Exit
the service mode screens.
6. Press and hold the UA Reference pushbutton on the monitor to cycle through
the available selections for UA reference: 5, 10, 15, 20, or 25 relative units.
Test each of these reference settings. Verify that the UA value is displayed
accordingly and that the recorder prints a continuous line at the corresponding
value on the uterine activity channel of the strip chart paper.
7. Place the simulator’s UA Level switch at each of the level settings: 0, 10, 50,
and 100 relative units. Verify that the UA value is displayed accordingly and
that the recorder prints a continuous line at the corresponding value on the heart
rate channel of the strip chart paper.
8. Place the simulator’s UA Mode switch in the IUP position and the UA Level
switch to 0 mmHg. Depress the monitor’s UA Reference pushbutton and verify
that the monitor and recorder reference to 0 mmHg. Verify the following on the
monitor:
Main LEVEL
UA Level 0 mmHg
Mode TOCO
9. Place the simulator’s UA Level switch at each of the level settings: 0, 10, 50,
and 100 mmHg. Verify that the UA value is displayed accordingly and that the
recorder prints a continuous line at the corresponding value on the uterine
activity channel of the strip chart paper.
10. Place the simulator’s UA Level switch to the RAMP position. Verify that the
UA value measures between approximately 0 and 100 mmHg and that the
recorder prints a ramp between the same values. Refer to Figure 6-8.
11. Disconnect the Model 325 simulator’s uterine activity sub-cable from the UA
input receptacle on the front panel of the monitor. Verify the following on the
monitor:
Tocotransducer Test
1. Inspect a Nautilus Tocotransducer as follows:
Check for any cracks or contaminants on the tocotransducer especially on
the diaphragm located on the bottom of the tocotransducer.
Visibly assess the condition of the cable, strain relief, and connector pins.
12. Connect the tocotransducer to the UA input receptacle on the front panel of the
120 Series Monitor.
IMPORTANT
TRIMLINE TOCOTRANSDUCER—If you are using an older
Trimline tocotransducer for this test, be advised of the following.
If the monitor is on when you connect or re-connect a Trimline
Tocotransducer to the UA connector, you must wait at least 10
seconds before pressing the UA Reference pushbutton. If the
monitor is off, you must wait at least 10 seconds from the time the
monitor is powered on.
13. Access the Install Options service mode screen and note the default TOCO
reference setting.
15. Apply gentle pressure to the tocotransducer diaphragm and verify that the UA
value responds to the pressure input. Increasing force should produce an
increasing value and vice versa.
16. Remove the tocotransducer from the monitor’s UA input receptacle. Verify the
following on the monitor:
2. Connect the strain gauge to the UA input receptacle on the front panel of the 120
Series Monitor. Verify the following on the monitor:
4. Apply gentle pressure on the strain gauge diaphragm and verify that the display
and recorder respond to the input. Increasing force should produce an
increasing value and vice versa.
5. Disconnect the strain gauge from the front panel of the monitor. Verify the
following on the monitor:
• FECG/TOCO • US2/IUP
• FECG/IUP • FECG/US/TOCO
• MECG/TOCO • FECG/US/IUP
• MECG/IUP • FECG/US2/TOCO
• US/TOCO • FECG/US2/IUP
• US/IUP • US/TOCO/MECG
• US/FMD/TOCO • US/IUP/MECG
• US/FMD/IUP • US2/TOCO/MECG
• US2/TOCO • US2/IUP/MECG
NOTE: Although dual heart rate can be verified using the pattern memory, an
additional procedure is given in this functional checkout procedure.
Each heart rate area (FHR1, FHR2, and/or MECG) responds accordingly
for value, mode, and heartbeat indicator.
The UA area responds accordingly for value and mode.
The recorder responds appropriately in both trending and message
information.
NOTE: Refer to the Model 325 Simulator Product Manual for illustrations of the
patterns to be expected on the monitor.
4. Set the switches on the Model 325 Simulator according to Table 6-6.
Main RATE
QRS Amplitude 50 µV
QRS Polarity +
Mode US
Rate RAMP
3. Use your finger to rub the face of the ultrasound transducer connected to the
monitor’s US input receptacle; try to maintain a steady rate and verify the
following on the monitor:
4. Use your finger to rub the face of the ultrasound transducer connected to the
monitor’s US2 input receptacle; try to maintain a steady rate and verify the
following on the monitor:
Alarm Test
This portion of the test ensures the integrity of the audio alarms and tests the alarm
limit software.
3. Use the Trim Knob control to access the MHR/P Setup screen.
13. Set the switches on the Model 305 Input Simulator according to Table 6-7.
14. Using the simulator’s Manual Adjustment knob, input an MECG signal of 119
bpm as indicated on the monitor. Verify that there is no alarm tone sounding
from the monitor’s rear panel speaker.
15. Using the simulator’s Manual Adjustment knob, increase the MECG rate to
120 bpm. Again, verify that there is no alarm tone sounding from the rear panel
speaker.
16. Using the simulator’s Manual Adjustment knob, increase the MECG rate to
121 bpm. Verify the following on the monitor:
The following alarm tone is emitted from the rear panel speaker: alternating
high/low tones until the alarm condition is removed (following steps.)
17. Depress the monitor’s front panel Alarm Silence pushbutton and verify the
following:
Main RATE
Rate MANUAL
QRS Polarity +
The alarm tone is once again emitted from the rear panel speaker.
The MECG value flashes again.
19. Depress the monitor’s front panel Alarm Silence pushbutton again.
20. Use the simulator’s Manual Adjustment knob to decrease the MECG rate to
120 bpm. Verify the following on the monitor:
21. Using the simulator’s Manual Adjustment knob, input an MECG signal of 61
bpm. Verify that there is no alarm tone sounding from the rear panel speaker.
22. Using the simulator’s Manual Adjustment knob, decrease the MECG rate to
60 bpm. Again, verify that there is no alarm tone sounding from the rear panel
speaker.
23. Using the simulator’s Manual Adjustment knob, decrease the MECG rate to 59
bpm. Verify the following on the monitor:
The alarm tone is emitted from the monitor’s rear panel speaker.
The MECG value flashes.
24. Depress the monitor’s front panel Alarm Silence pushbutton and verify the
following:
The alarm tone is once again emitted from the rear panel speaker.
The MECG value flashes again.
26. Depress the monitor’s front panel Alarm Silence pushbutton again.
27. Use the simulator’s Manual Adjustment knob to decrease the MECG signal to
60 bpm. Verify the following on the monitor:
MSpO2 Test
1. Access the 120 Monitor’s MSpO2 Setup window and configure as follows:
(Nellcor only) Response Time = Normal
(Masimo only) Sensitivity = Normal
(Masimo only) Averaging = 8
Print Interval = 2 minutes
Trace = On
2. Access the monitor’s MSpO2 Setup window and set the MSpO2 Scale to AUTO.
4. If your monitor has Nellcor technology installed, connect one end of the Nellcor
cable to a Nellcor pulse oximetry simulator; connect the other end to the
monitor’s MSpO2 connector.
5. If your monitor has Masimo technology installed, connect one end of the
Masimo cable to a Masimo pulse oximetry simulator; connect the other end to
the monitor’s MSpO2 connector.
7. Turn on the recorder and allow data to collect for at least five minutes.Verify
the following on the monitor:
NBP Test
Refer to “Accessing the Diagnostic Control Screen” on page 9-6 for information
about a manometer pressure check and pneumatic pressure check.
Equipment Serial Number __________________________ Software Revision CPU _________ DSP: ________
Configuration
Model 126__________ Model 128 __________ Fetal Movement Detection (FMD) __________
Tools Required
• Digital Multimeter • Static-Free Work Surface
• Leakage Current Tester (E278-06 or equivalent) • Baum Manometer (for Models 128/128F/129/129F only)
• Model 325 Simulator with Cables • Baum Test Connector (for Models 128/128F/129/129F only)
Visual Inspection
Inspect the following for excess wear and/or signs of damage
F Tocotransducer F Chassis
NOTE: GE Medical Systems Information Technologies hereby gives its customers permission to reproduce pages 6-36
through 6-39 of this manual for the purpose of servicing the equipment.
Inspection Checklist
Calibration 7
This section of the manual provides a calibration procedure which allows authorized
service personnel to perform an instrument alignment using a minimum of test
equipment. This procedure is not intended to replace a complete instrument
checkout and alignment as performed at the GE factory. It should be considered a
performance check and troubleshooting guide to be used in conjunction with other
information supplied throughout this service manual. It is important to mention, this
section of the manual is not intended as a substitute for proper professional training,
or familiarity with the 120 Series Monitor. Only qualified service personnel should
attempt servicing the 120 Series Monitor.
Handling Precautions
The following guidelines should be followed when handling circuit boards or
assemblies containing circuit boards. Following these procedures helps resist
damage that can be caused by static electricity.
Discharge any static charge you may have built up before handling parts.
Wear a grounded, anti-static wristband at all times.
Use a static-free work surface.
Store items in anti-static bags or boxes.
Do not remove items from anti-static containers until needed.
Pin 8 GND —
Pin 9 No Connection —
Pin 10 Keying —
1. Connect the positive lead of a digital voltmeter to TP7 on the Isolated Power
Supply Board.
2. Connect the negative lead to TP8 (isolated ground).
3. Adjust R7 for a reading of +16.50 Vdc ± 0.15 Vdc on the digital voltmeter.
1. Connect the positive lead of a digital voltmeter to TP1 on the FECG/UA Board.
2. Connect the negative lead to TP2 or TP3 (isolated ground).
4. Using a digital voltmeter, connect the positive lead to J9 (pin 4) on the Recorder
Board; connect the negative lead to J9 (pin 2).
5. Adjust R31 for a reading of +150 mVdc ± 2 mVdc on the digital voltmeter.
NOTE: If you open and then close the recorder door, the reading may vary 5–10
mV, due to the loss of tension in the paper. This is acceptable and you do
not need to re-adjust.
6. Open the door and verify that the reading on the digital voltmeter is greater than
+4.75 Vdc.
7. Re-load the paper so that black squares show on the surface (i.e. the last several
sheets of a pack).
9. The value on the digital voltmeter should go up and down as the paper surface
alternates between black and white. Verify that the maximum value is greater
than or equal to 2.0 Vdc.
4. Using a digital voltmeter, connect the positive lead to J9 (pin 3) on the Recorder
Board; connect the negative lead to J9 (pin 2).
5. Adjust R29 for a reading of +150 mVdc ± 2 mVdc on the digital voltmeter.
NOTE: If you open and then close the recorder door, the reading may vary 5–10
mV, due to the loss of tension in the paper. This is acceptable and you do
not need to re-adjust.
6. Open the door and verify that the reading on the digital voltmeter is greater than
+4.75 Vdc.
3. Adjust R41 for a reading of +190 mVdc ± 5 mVdc on the digital voltmeter.
4. Although a factory-only fixture is required for this step, you may wish to try it
by estimating the required distance. Load paper backwards with the white
surface 0.380 in away from the paper tray. This creates a paper-loading error
condition. Verify that the voltage at J9 (pin 6) on the Recorder Board is at least
2.70 Vdc.
Display Check
The 120 Series Display is manufactured by Planar Systems, Inc. All adjustments are
made at the Planar factory. There is no calibration or replacement procedure for
either the Display Driver Board or the Power Controller Unit. Contact your GE
Service Representative for information about repair/exchange of the entire display
assembly.
WARNING
HIGH VOLTAGE—The 120 Series Monitor display generates
potentially dangerous voltages capable of causing personal injury
(high voltage pulses up to 195 VAC). Do not touch the display
electronics during operation!
CAUTION
ELECTROSTATIC DISCHARGE—The 120 Series Monitor
display uses CMOS and MOS-FET components. These
components are electrostatic sensitive. Unpack, assemble, and
examine this assembly in a static-controlled area only. When
shipping, use packing materials designed for protection of
electrostatic-sensitive components.
6. Using a digital voltmeter, attach the negative lead to J5 (pin 16), ground, on the
DSP Board. Attach the positive lead to J5 (pin 1). Verify a reading of +12 Vdc
± 1.2 Vdc. This checks for the presence of the Vcc2 signal.
7. Attach the positive lead to J4 (pin 3) on the DSP Board. Leave the negative
lead attached to ground. Verify a reading of +5 Vdc ± 0.25 Vdc. This checks
for the presence of the Vcc1 signal.
8. Using an oscilloscope, attach the negative lead to J5 (pin 16), ground, on the
DSP Board. Attach the positive lead to J5 (pin 11). Verify the output of a
periodic waveform. This checks for the presence of the HS signal.
9. Attach the positive lead to J5 (pin 9) on the DSP Board. Leave the negative
lead attached to ground. Verify the output of a periodic waveform. This checks
for the presence of the VS signal.
10. Attach the positive lead to J5 (pin 13). Leave the negative lead attached to
ground. Verify the output of a period waveform. This checks for the presence
of the VCLK signal.
11. If you suspect that the DSP Board is not supplying the correct voltage or one of
the video signals is missing and you have another properly functioning 120
Series Monitor, substitute the DSP Board and check for proper operation.
Contact your Corometrics Service Representative for information about repair/
exchange of the DSP Board.
12. If you suspect that the interconnect cable is not working properly, refer to
“Chapter 14, Replacement Parts” for parts information. Your GE Service
Representative for part ordering information.
13. If you suspect that either the Display Driver Board or the Controller Power Unit
are not functioning correctly and you have another properly functioning 120
Series Monitor, substitute the entire display assembly and check for proper
operation. Refer to “Removing the Display Assembly” and “Replacing the
Display Assembly”. Contact your GE Service Representative for information
about upgrading to the larger display assembly.
4. Disconnect the display interconnect cable from the DSP Board at J5.
5. Disconnect the ribbon cable from the Recorder Board at J2. Leave the other
end connected to the Main Motherboard.
6. Disconnect the Power Supply cable harness from the Recorder Board at J1.
7. Disconnect the ribbon cable from the membrane switch panel. Leave the other
end connected to the DSP Board.
8. Remove the four screws which fasten the front bezel to the monitor—two on
each side.
9. Gently tilt the bezel forward until it lays flat. Be careful not to disconnect the
front end harness cable ferrite beads from their clips. The number of beads
varies depending on which options are installed in your monitor.
10. Remove the four screws which attach the display shield to the front bezel.
Retain the screws.
12. Disconnect the display interconnect cable from J1 on the display Controller
Power Unit. Retain this cable.
13. Remove the four standoffs at the corner of the display. Retain the standoffs.
Leave the washers and spacers in place on the studs.
14. Upon inspection, you may need to replace the spacer display frame applied to
the face of the display. Refer to “Chapter 14, Replacement Parts” for parts
information. Contact GE Service Representative for part ordering information.
3. If the display lens has become dusty, remove it from the front bezel and clean
the lens’ rear surface with isopropyl alcohol.
4. Re-position the display lens in the front bezel with the gasket lying flat against
the bezel. Ensure the shoulder fits into the bezel opening.
5. Apply the spacer frame to the face of the display assembly. Install the display
assembly on the four studs.
6. Apply Loctite #242 to the top of each stud, then secure the display assembly
with four standoffs.
9. Ensure the front end harness cable ferrite beads are inserted in the
corresponding clips.
10. Replace the front bezel and secure with all four screws.
11. Re-connect the ribbon cable from the DSP Board to the membrane switch
panel.
12. Re-connect the Power Supply harness cable to J1 on the Recorder Board.
13. Re-connect the ribbon cable from the Main Motherboard to J2 on the Recorder
Board.
14. Re-connect the display interconnect cable to the DSP Board at J5.
15. Replace the monitor top cover and secure with all nine screws.
Equipment Required
You will need the following equipment:
Disassembly
Refer to Figure 7-1 through Figure 7-3 while performing the display upgrade.
1. Turn off the 120 Series Monitor and disconnect the power cord from the
monitor.
2. Disconnect all front panel transducers and accessories.
3. Remove the nine screws which secure the monitor top cover. Four screws are
located on the bottom of the monitor and five screws are located in the back.
5. Disconnect the display interconnect cable from the DSP Board at J5.
6. Disconnect switch panel ribbon cable from the DSP Board at J4.
7. Disconnect the recorder output ribbon cable from the Recorder Board at J2.
Leave the other end connected to the Main Motherboard.
8. Disconnect the recorder power supply cable harness from the Recorder Board at
J1.
9. Disconnect the main switch power harness from the connector at the top of the
divider to the recorder cavity.
10. Remove the hold-down cover for the front end boards. Three screws secure the
top; one screw is located on the side panel.
11. Disconnect the front panel US1 harness cable from the Ultrasound Board at J5.
Guide the plastic cable bushing out of the front-end enclosure.
12. Disconnect the front panel US2 harness cable from the Ultrasound Board at J6
and remove the cable bushing from the enclosure.
13. Disconnect the front panel UA harness cable from the Front End Motherboard
at J7.
14. Disconnect the front panel FECG harness cable from the Front end
Motherboard at J6. Pull the cable’s ferrite bead out from the retaining clip.
15. If BP is installed in the monitor, disconnect the blood pressure tubing from the
front panel connector board. Label the tubes “top” and “bottom” using masking
tape for future reference.
16. If MSpO2 is installed in the monitor, disconnect the front panel MSpO2 harness
cable from the Oximeter Carrier Board at J6 and remove the cable bushing from
the enclosure. Pull the cable’s ferrite bead out from the retaining clip.
17. If MECG is installed in the monitor, disconnect the front panel MECG harness
cable from the MECG Board at J7 and remove the cable bushing from the
enclosure. Pull the cable’s ferrite bead out from the retaining clip.
18. Squeeze the top and bottom tabs on the main power switch and push the switch
and attached harness through the front bezel.
19. Remove the four screws which fasten the front bezel to the monitor—two on
each side.
20. Gently tilt the front bezel forward and lay the whole assembly face down on the
table.
21. Remove the two screws which fasten the bottom of the strip chart recorder to
the front bezel.
22. Remove the four front recorder mounting screws which secure the frame at the
front bezel.
23. Slide the recorder slightly away from the front bezel and then lift the recorder
out.
24. If BP is installed in the monitor, disconnect the blood pressure tubes from the
nipples located at the divider to the recorder cavity. Use masking tape to label
the tubes “top” and “bottom”. Free the blood pressure tubes from the notch at
the top of the DSP Board and drape them over the rear panel of the monitor.
25. Remove the two screws securing the DSP Board to the chassis.
Reassembly
1. Remove the new DSP Board from its anti-static packaging.
2. Mount the new DSP Board onto the Main Board headers then secure the board
to the chassis using the two screws.
3. If BP is installed in the monitor, route the blood pressure tubes through the
notch at the top of the DSP Board. Attach the tubes to the nipples in the chassis
divider paying attention to the top/bottom labels.
6. Install the four front recorder mounting screws which secure the frame to the
bezel.
7. Install the two screws which secure the strip chart recorder to the bottom of the
front bezel.
8. Push the main power harness assembly through the front bezel power switch
cutout, from the front to the back, until the switch snaps in place.
9. Carefully reposition the new front bezel. Secure all four screws—two on each
side.
10. Connect the front panel US2 harness cable to the Ultrasound Board at J6. Guide
the plastic cable bushing into the front-end enclosure until it snaps into place.
11. Connect the front panel US1 harness cable to the Ultrasound Board at J5. Snap
the bushing in place in the enclosure.
12. Connect the front panel UA harness cable to the Front End Motherboard at J7.
13. Connect the front panel FECG harness cable to the Front End Motherboard at
J6. Mount the cable’s ferrite bead in the retaining clip.
14. If BP is installed in the monitor, re-connect the blood pressure tubing to the
front panel connector board. Pay attention to the top/bottom labeling.
15. If MSpO2 is installed in the monitor, connect the front panel MSpO2 harness
cable to the Oximeter Carrier Board at J6. Snap the bushing in place in the
enclosure. Mount the cable’s ferrite bead in the retaining clip.
16. If MECG is installed in the monitor, connect the front panel MECG harness
cable to the MECG Board at J7. Snap the bushing in place in the enclosure.
Mount the cable’s ferrite bead in the retaining clip.
17. If FSp02 is installed in the monitor, connect the front panel FSp02 harness cable
to the FSp02 board at J1. Snap the bushing in place in the enclosure. Mount the
cable’s ferrite bead in the retaining clip on the enclosure. Ensure that the second
ferrite bead is mounted on the back of the display shield.
18. Replace the hold-down cover for the front end boards and secure with all four
screws.
19. Re-connect the main switch power harness at the recorder divider.
20. Re-connect the recorder power supply cable harness to the Recorder Board at
J1.
21. Re-connect the recorder ribbon cable to the Recorder Board at J2.
22. Remove the new switch panel cable from its packaging. Connect one end to the
switch panel; connect the other end to the DSP Board at J4.
23. Connect the display interconnect cable to the DSP Board at J5.
24. If BP is installed in the monitor, ensure that the blood pressure tubing remains
routed through the notch at the top of the DSP Board.
25. Replace the monitor top cover and secure with all nine screws.
27. Re-configure the monitor using the Flasher Disk for a 3.5” x 4.5“ Display. The
Flasher disk re-configures the monitor software to work with the new larger
display. Follow the instructions included in the Flasher Display Configuration
Kit.
Notch in
DSP Board
J5
J1
J10
J6
J4
Connector for
switch panel
J1 J7 cable
Connector for
J9
display cable
J2
Connector for
main power
switch harness
Connector for
J2 J1 recorder power
cable
Connector for
recorder output
cable
MATER
U US U FECG/M Sp
Clip
Clipforfor
FSpO 2 ferrite bead (if
FSpO 2 cable ferrite
Clip
Clipfor
forMECG ferrite
FECG/MECG
bead,2 installed)
FSpO if installed ferrite
bead (if beads
MECG installed)
Clip for FECG
ferrite bead
J7 J6
BP tube attachment on
rear side of connector
panel
Figure 7-2. Partial Inside Front Panel, Shown with Front Bezel Removed
Testing
CAUTIONS
Following completion of the procedure:
6. Using a digital voltmeter, attach the negative lead to J5 (pin 20), ground, on the
DSP Board. Attach the positive lead to J5 (pin 1). Verify a reading of +12 Vdc
± 1.2 Vdc. This checks for the presence of the Vcc2 signal.
7. Attach the positive lead to J5 (pin 5) on the DSP Board. Leave the negative
lead attached to ground. Verify a reading of +5 Vdc ± 0.25 Vdc. This checks
for the presence of the Vcc1 signal.
8. Using an oscilloscope, attach the negative lead to J5 (pin 20), ground, on the
DSP Board. Attach the positive lead to J5 (pin 9). Verify the output of a
periodic waveform. This checks for the presence of the HSYNCB signal.
9. Attach the positive lead to J5 (pin 7) on the DSP Board. Leave the negative
lead attached to ground. Verify the output of a periodic waveform. This checks
for the presence of the VSYNCB signal.
10. Attach the positive lead to J5 (pin 11). Leave the negative lead attached to
ground. Verify the output of a period waveform. This checks for the presence
of the VCKB signal.
11. If you suspect that the DSP Board is not supplying the correct voltage or one of
the video signals is missing and you have another properly functioning 120
Series Monitor, substitute the DSP Board and check for proper operation.
Contact your GE Service Representative for information about repair/exchange
of the DSP Board.
12. If you suspect that the interconnect cable is not working properly, refer to
“Chapter 14, Replacement Parts”or contact your GE Service Representative for
part ordering information.
13. If you suspect that either the Display Driver Board or the Controller Power Unit
are not functioning correctly and you have another properly functioning 120
Series Monitor, substitute the entire display assembly and check for proper
operation. Refer to “Removing the Display Assembly” and “Replacing the
Display Assembly”. Contact your GE Service Representative for ordering
information.
4. Disconnect the display interconnect cable from the DSP Board at J5.
5. Disconnect the ribbon cable from the Recorder Board at J2. Leave the other
end connected to the Main Motherboard.
6. Disconnect the Power Supply cable harness from the Recorder Board at J1.
7. Disconnect the ribbon cable from the membrane switch panel. Leave the other
end connected to the DSP Board.
8. Remove the four screws which fasten the front bezel to the monitor—two on
each side.
9. Gently tilt the bezel forward until it lays flat. Be careful not to disconnect the
front end harness cable ferrite beads from their clips. The number of beads
varies depending on which options are installed in your monitor.
10. Remove the four screws which attach the display shield to the front bezel.
Retain the screws.
12. Disconnect the display interconnect cable from J1 on the display Controller
Power Unit. Retain this cable.
13. Remove the four standoffs at the corner of the display. Retain the standoffs.
Leave the washers and spacers in place on the studs.
3. If the display lens has become dusty, remove it from the front bezel and clean
the lens’ rear surface with isopropyl alcohol.
4. Apply the 5-1/2 inch foam shield to the bottom of the display assembly. Apply a
3-1/2 inch foam shield to each side of the display assembly.
5. Apply the EMI foam gasket on top of the display assembly transformer. (Use
the old display assembly as your placement guide.)
6. Re-position the display assembly in the front bezel with the gasket lying flat
against the bezel. Ensure the shoulder fits into the bezel opening.
7. Apply Loctite #242 to the top of each stud, then secure the display assembly
with four standoffs.
10. Ensure the front end harness cable ferrite beads are inserted in the
corresponding clips.
11. Replace the front bezel and secure with all four screws.
12. Re-connect the ribbon cable from the DSP Board to the membrane switch
panel.
13. Re-connect the Power Supply harness cable to J1 on the Recorder Board.
14. Re-connect the ribbon cable from the Main Motherboard to J2 on the Recorder
Board.
15. Re-connect the display interconnect cable to the DSP Board at J5.
16. Replace the monitor top cover and secure with all nine screws.
Equipment Required
Refer to “Chapter 14, Trimline Tocotransducer Calibration” for part numbers.
Procedure
During this procedure, refer to Figure 7-5 for the location of potentiometers in the
Trimline tocotransducer.
NOTE: When performing this procedure, keep in mind that due to the nature of the
circuitry in the Trimline Tocotransducer, there is a stabilization time of
approximately two seconds for any output voltage. After adjusting a
potentiometer, verify that the output has stabilized prior to taking a voltage
reading.
1. Remove the nameplate and sealing tape from the top cover of the Trimline
Tocotransducer.
2. Set the GAIN and ZERO CTR potentiometers in the tocotransducer fully
counterclockwise.
4. Locate TP6 and TP2 or TP3 (ground) on the FECG/UA Board in the 120 Series
Monitor.
5. Connect the positive lead of the digital voltmeter to TP6; connect the negative
lead to TP2 or TP3.
6. Apply power to the 120 Series Monitor; then plug the CMR Test Jack into the
monitor’s front panel UA connector.
9. Place the tocotransducer on a flat surface so that the button is face up, then
center the 52.5 gram weight on the button.
10. Adjust the ZERO CTR and/or the ZERO TRIM potentiometer(s) so that the
voltage measured across TP6 and TP2 (or TP3) matches the reading recorded in
step 7, ± 0.04 V. This voltage is referred to as the WEIGHT ON voltage.
11. Remove the weight and observe the voltage reading; this voltage is referred to
as the WEIGHT OFF voltage. A correctly adjusted transducer will show a
voltage change of +0.637 V ± 0.04 V from the WEIGHT ON to WEIGHT OFF
voltage. If the change is less than 0.597 V, adjust the GAIN potentiometer
counterclockwise to increase the gain. If the change is more than 0.677 V, then
adjust the GAIN potentiometer clockwise to decrease the gain.
12. Repeat step 9 through step 11 until the change in voltage between the WEIGHT
ON and WEIGHT OFF conditions falls into specification.
13. Torque seal all potentiometers. Re-seal with waterproof sealing tape and re-
install the nameplate.
CAUTION
REPEAT MEASUREMENTS—Due to offset voltages induced by
the circuitry in the Trimline Tocotransducer, it is necessary to
adjust the change in voltage between the WEIGHT ON condition
and WEIGHT OFF condition—instead of simply adjusting the
output voltage for each condition. Adjusting the GAIN
potentiometer while monitoring the voltage at TP6 may show little
or no voltage change as the potentiometer is being adjusted.
However, when the weight is again placed on the button, the
output voltage for this condition may have changed significantly.
In summary, it is necessary to adjust the GAIN potentiometer and
then recheck the voltages during both the WEIGHT ON condition
and the WEIGHT OFF condition to determine the effectiveness of
the adjustment. As stated in step 12, the procedure is repeated
until the voltages fall into specification for both conditions.
+P
Pin 1*
P
Pin 2*
+4 V
Pin 4*
475 W
REF
Pin 6*
*Front Panel UA Connector
CW CW
C
C
W
W
+
+
CW
GAIN
CW
GAIN
ZERO C
ZERO C
ZERO TR
ZERO TR
TR
TR
IM
IM
Equipment Required
You will need the following:
Torque Seal
Loctite Adhesive #454 (recommended)
Anti-Static Wristband
Static-Free Work Surface
Calibrated 120 Series Monitor
Button-Style Loop-Style
R11 R6 R15 R5
Gain Offset Gain Offset
R6
Offset Trim
Calibration Procedure
Disassembly
CAUTION
HANDLING—Take care not to damage the transducer base
sealing groove.
3. Use the screw cap extraction tool to pry off the five screw caps (Figure 7-6).
Discard all caps.
5. Remove the transducer cover and flat-seal o-ring. Discard both items.
5. Measure the voltage across the test points and record the value.
7. Place the tocotransducer on a flat surface so that the button is face up, then
center the 52.5 gram weight on the pressure sensitive button.
8. Adjust the Offset (R6) potentiometer so that the voltage matches the reading
recorded in 5 ± 0.04 V. This voltage is referred to as the “weight on” voltage.
9. Remove the weight and observe the voltage reading; this voltage is referred to
as the “weight off” voltage. A correctly adjusted transducer will show a voltage
change of +0.637 V ± 0.04 V. If the change is less, adjust the Gain (R11)
potentiometer counterclockwise to increase the gain. If the change is more,
adjust the Gain (R11) potentiometer clockwise to decrease the gain.
10. Repeat 7 through 9 until the change in voltage between the “weight on” and
“weight off” conditions falls into specification.
3. Connect the positive lead of the digital voltmeter to TP6 on the FECG/UA
board; connect the negative lead to TP2 or TP3.
6. Measure the voltage across the test points and record the value.
8. Place the tocotransducer on a flat surface so that the button is face up, then
center the 52.5 gram weight on the pressure sensitive button.
9. Adjust the Offset (R5) and Offset Trim (R6) potentiometers so that the voltage
matches the reading recorded in 6 ± 0.04 V. This voltage is referred to as the
“weight on” voltage.
10. Remove the weight and observe the voltage reading; this voltage is referred to
as the “weight off” voltage. A correctly adjusted transducer will show a voltage
change of +0.637 V ± 0.04 V. If the change is less, adjust the Gain (R15)
potentiometer counterclockwise to increase the gain. If the change is more,
adjust the Gain (R15) potentiometer clockwise to decrease the gain.
11. Repeat step 8 through step 10 until the change in voltage between the “weight
on” and “weight off” conditions falls into specification.
Reassembly
CAUTIONS
VISIBLE INSPECTION—Ensure the base sealing groove, flat-
seal o-ring, sealing surface, and sealing screws are free of visible
surface defects, dust, dirt, and foreign material.
3. Apply one drop of Loctite adhesive* in the hole for the flat screw cap (Figure 7-
6). Insert flat screw cap and press into place.
4. Apply one drop of Loctite adhesive* in the hole for a curved screw cap. Insert
the curved screw cap being careful to align it according to the curvature of the
case top prior to pressing into place. Repeat for the remaining three curved
screw caps.
5. For button-style transducers only: install and torque belt knob to 48 in-oz.
CAUTIONS
Following completion of the calibration procedure:
*
Using Loctite Adhesive #454 is recommended in order to secure the screw caps.
Self-Tests 8
This section of the manual provides information which will help the biomedical
engineer isolate 120 Series Monitor problems to the board or component level. The
120 Series Monitor incorporates a number of software-based self-test diagnostic
features designed to enhance verification of the unit’s internal circuitry. This
section of the manual is not intended as a substitute for proper professional training,
or familiarity with the 120 Series Monitor. Only qualified service personnel should
attempt servicing the 120 Series Monitor.
Monitor Self-Test
The 120 Series Monitor contains test routines which verify the unit’s calibration
and internal circuitry. These routines are initiated by depressing the front panel Test
pushbutton. The test results are printed on the strip chart recorder paper, verifying
the integrity of the unit.
1. Check the Voltage Selection switch on the rear panel of the 120 Series Monitor
and ensure it matches the line voltage of the receptacle to be used. Connect the
detachable line cord to the rear panel power entry module; plug the other end
into a hospital grade, grounded wall outlet of appropriate voltage.
2. Place the front panel Power switch in the on (I) position. When the power is
first turned on, verify that three tones are emitted from the rear panel speaker
and the green power on indicator is lit.
3. Depress the front panel Test pushbutton and verify the following:
All display pixels illuminate for one second and then all are extinguished
for one second. Afterwards, a vertical line moves across the screen from
left to right, followed by a horizontal line moving from top to bottom. The
display then remains black.
The yellow Record indicator illuminates.
The message TEST: ARE ALL DOTS PRINTED? is printed followed by two
vertical lines which should appear continuous. Discontinuous lines may be
an indication of damaged printhead elements if gaps occur in the same
place on both lines. Simulated trends of 30 and 240 BPM (or 50 and 210
BPM, depending on the paper installed) are printed on the top grid.
Simulated pressure trends at 0 and 100 mmHg are printed on the bottom
grid. The values are also printed in the center margin of the strip chart.
Refer to Figure 8-1.
After the recorder test above, the display returns to the main screen; then
the software generates a 120 BPM rate in the FHR1 area and a 180 BPM
rate in the FHR2 area, with both mode titles displaying TEST.
The monitor adds 50 mmHg to the present pressure level and displays this
value in the UA display area; the mode title displays TEST.
NOTE: The monitor will add 50 mmHg to raw pressure data. In other words, the
value is always referenced to 0 mmHg regardless of any UA referencing
attempt.
4. The recorder returns to its original on, off, or maternal-only mode state from
when the Test pushbutton was depressed.
NOTE: To disable the test, depress the Test pushbutton or open the recorder door.
NOTE: If the simulated fetal heart rate trends do not appear in the correct positions
on the strip chart recorder paper, ensure the monitor’s vertical scale setting
matches the type of paper being used, i.e. 30 BPM/cm or 20 BPM/cm.
The Error ID column lists the error code. The codes are defined in Table 8-1.
The Count column lists the number times the error code has occurred.
The Data column lists other information associated with the error code. This
column is for factory use only.
ERROR LOG
ERROR LOG COUNT DATA
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17 PRINT
18 CLEAR
19
PAGE
EXIT
3. Enter the correct access code; the Install Options screen displays.
6. Use the PAGE softkey to display the next screen (page), if applicable. The last
page wraps back to the first page.
7. Use the PRINT softkey to print the displayed screen (page) on the strip chart
recorder.
8. Use the CLEAR softkey to clear all the error log from the battery-backed RAM.
Error # Description
Error # Description
93 Unused
Error # Description
Error # Description
Error # Description
DIAGNOSTIC CONTROL
NBP MODE: PATIENT
RECORDER CALIBRATION: OFF
STATUS RELAY: OFF
CPU V3.00
DSP 03.07
SW1: 11110000
MECG MSPO2 NBP FSPO2 CORO
COROLAN: OK
COROLAN ADDRESS: 18
3. Enter the correct access code; the Install Options screen displays.
1. Use the Trim Knob control to set the recorder calibration field on the Diagnostic
Control service mode screen to ON. The recorder prints three continuous
horizontal lines at: 0 mmHg, 30 bpm, and 240 bpm. The recorder prints a
vertical line spanning across both grids every
3/16 inch. Refer to Figure 8-4.
2. Use this test while performing the adjustments in "Chapter 10, Strip Chart
Recorder Servicing". The test will continue to print the lines until you cycle
power on the monitor or set the calibration field on the Diagnostic Control
screen back to OFF.
CPU Version
This field displays the software version number of the main processor installed on
the Main Board in your monitor.
DSP Version
This field displays the software version number of the processor installed on the
DSP Board in your monitor.
Run Time
This field displays the amount of time the monitor has been turned on—since the
field was cleared. The time is displayed in hours, minutes, and seconds. To clear
this field (reset the timer), activate the CLEAR softkey to the right of the run time
field.
NOTE: The CLEAR softkey also resets the recorder time field.
Recorder Time
This field displays the amount of time the recorder has been turned on (or in
maternal-only mode)—since the field was cleared. The time is displayed in hours,
minutes, and seconds. To clear this field (reset the timer), activate the CLEAR
softkey to the right of the recorder time field.
NOTE: The CLEAR softkey also resets the monitor run time field.
Example 1: If you have MECG, MSpO2, NBP, and FSpO2 installed in your monitor;
the clock speed set to 20 MHz; the J102 output levels set to Corometrics; and the
unit is in the normal operational mode: the screen displays:
1 1 1 1 1 0 0 0
MECG MSPO2 NBP FSPO2 CORO
3 Unused — —
Message Meaning
JUST STARTED
Contact GE Service Representative.
ADDRESS NEVER CHECKED
A wallplate has been changed from one address to another. This could be
INVALID ADDRESS CHANGE
the result of a partially disconnected cable.
Message Meaning
TRANSMITTING
LONG TRANSMISSION
IN TEST MODE
PACKET ERROR
SIM RECEIVED
DISC RECEIVED
Two devices (monitors) have the same wallplate address. Both devices
OFFLINE ADDRESS CONTENTION
have automatically been taken offline.
WAS OFFLINE
RECENT ADDRESS CONTENTION A monitor has just been turned on using the same wallplate address as
another monitor. If the situation continues, this message will change to
SOME ADDRESS CONTENTION OFFLINE ADDRESS CONTENTION. Disconnect both monitors from
wallplate. Check wallplate addresses. Re-connect.
NO NETWORK ACTIVITY Twenty seconds have elapsed since last network activity detected.
15 SEC SINCE ACTIVITY Fifteen seconds have elapsed since last network activity detected.
10 SEC SINCE ACTIVITY Ten seconds have elapsed since last network activity detected.
5 SEC SINCE ACTIVITY Five seconds have elapsed since last network activity detected.
Message Meaning
The Corolan master device (e.g. QS Server) re-started and sent an initial
AWAITING POLL
handshaking message; however no further communication occurred.
Fifteen seconds have elapsed since monitor was first turned on. (Data is
AWAITING FIRST PACKET DATA
usually sent in 15-second packets.)
The monitor has received data and will respond on the next poll from the
TRANSMIT ON NEXT POLL
master device (e.g. QS Server).
IN RE-TRANSMIT DELAY
TRANSMISSION RETRIED
DATA OVERFLOW
Contact GE Service Representative.
POLLS 15 SEC APART
BACKLOG
1. Access the Diagnostic Control screen. (Refer to page 8-10 in the 120 Series
Monitor Service Manual for instructions.)
2. Use the Trim Knob control to activate the J102 softkey at the bottom of the
screen. The J102 Analog Output Connector screen displays (see Figure 8-5.)
3. The Range and Voltage fields can be displayed using a decimal point or a
comma as a separator. Each activation of the DECIMAL softkey at the bottom
of the screen alternates between using a decimal and a comma.
4. Use the Trim Knob control to cycle through the available settings for each field.
The expected voltage for each J102 pin number changes accordingly.
Verification
For each pin, select a value in the Meaning field and measure the expected output.
Analog Ground
This field is not adjustable. Use J102, pin 3 as a ground when making
measurements on other pins.
UA
Use the Trim Knob control to select 0–100 relative units in increments of 1 relative
unit.
HR1 Mode
Use the Trim Knob control to select: – – –, FECG, OFF, US, or INOP.
HR2 Mode
Use the Trim Knob control to select: TEST, FECG, INOP, US, or MECG.
UA Mode
Use the Trim Knob control to select: – – –, INOP, OFF, IUP, or TOCO.
NOTE: Signal names followed by an asterisk (*) or slash (/) are active low.
Calibration
For calibration, you must use the specific values listed in Table 8-4 (Corometrics
output levels) or Table 8-5 (Hewlett-Packard output levels). This tests the high and
low ranges for the HR1, HR2, and UA signals. If a measured value does not fall
within the given range, adjust the corresponding potentiometer accordingly (on
Communications Board, No. 13388 or 15297).
Table 8-4. DAC Output Voltages and Adjustment Points for Corometrics Central Station Outputs
Service Screen
Analog Signal Measurement Site Expected Voltage Adjustment Site
Setting
Table 8-5. DAC Output Voltages and Adjustment Points for Hewlett-Packard Central Station Outputs
Service Screen
Analog Signal Measurement Site Expected Voltage Adjustment Site
Setting
NOTE: If OFF remains displayed, the test has failed; contact your GE Service
Representative. Do not use this port to connect to any peripheral
equipment until the port or Communications Board has been serviced.
1 RTS
2 RXD
3 GND
4 GND
5 TXD
6 CTS
General Maintenance 9
All equipment, no matter how reliable, needs to be maintained on a regular basis.
This section describes general care and cleaning instructions for the 120 Series
Monitor and its accessories.
CAUTION
BEFORE YOU START—Unplug the monitor from the AC power
source and detach all accessories from the monitor. Do not
immerse accessories in any liquid. Do not use abrasive cloth or
cleaners on monitor or accessories.
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Main Board Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
Maternal Blood Pressure Tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
Electrical Safety Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-12
Cleaning
The following cleaning instructions are provided. If an accessory is not listed,
consult the manufacturer’s instructions.
CAUTION
CLEANING AGENTS—Do not use isopropyl alcohol.
CAUTIONS
ABRASION—Do not use abrasive cloth, sharp objects, or
abrasive cleaners.
1. Dampen a cloth or paper towel with one of the following products; then wring
out until only slightly wet:
Sodium Hypochlorite 5.25 % (Bleach) diluted 10:1
Cidex
Sporicidin
Soap and water
2. Rub soiled area until clean, taking care not to excessively wet the
tocotransducer diaphragm seal or the contact surface of the ultrasound
transducer.
3. Carefully clean the diaphragm seal with a cotton swab to remove deposits.
Avoid excessive pressure since this may damage the diaphragm. If there are
excessive stains on the diaphragm or sides of the transducer, remove with a
cotton swab and solvents of increasing strength.
4. After cleaning, rinse the transducer thoroughly in distilled water and replace the
dome loosely.
CAUTIONS
AUTOCLAVE—Do not autoclave pressure transducer.
WARNING
LIQUIDS—If liquids enter the electrical connector, check the
resistance between the electrical element and the transducer case.
A resistance level of greater than 10 M¾ ensures that the leakage
current is within acceptable levels for safe use on patients.
6. Leave transparent dome attached to the transducer during storage, but slacken
the locking ring at least one quarter of a turn.
CAUTION
STERILIZATION—Prior to patient use, ensure the dome is
sterile.
1. Turn off the monitor and disconnect the power cord from the monitor.
2. Remove the nine screws which secure the monitor top cover. Four of the
screws are located on the bottom of the monitor and five are located in the back.
4. Remove the hold-down screws securing the NBP Board (14582) to the chassis.
5. Slide the NBP Board out of the card cage, only enough to lay it on top of the
front end board cover. Use care not to disconnect the NBP tubes at either end.
6. Use a small screwdriver to remove U30 from the socket on the Main Board.
CAUTION
BATTERY DISPOSAL—Follow the battery manufacturer’s
recommendations or your hospital policy for the handling and
disposal of used batteries.
7. Snap the new battery chip into place. (No special tools are required.)
8. Reconnect the NBP Board to and secure with both hold-down screws. Ensure
that the blood pressure tubes remain secured in the notch on top of the DSP
Board.
9. Replace the monitor top cover and secure all nine screws.
1. Select the SETUP softkey from the main operating screen to display the General
Setup screen (Figure 9-1).
2. Select the SERVICE softkey from the General Setup screen to display the Service
Lock screen (Figure 9-2). The access code is displayed as 0 0 0 0.
NOTE: The correct date and time must 3. Use the Trim Knob control to set the access code to the current month and date.
be set on the General Setup screen or You can enter the date followed by the month; or the month followed by the
you will not gain access to the service date. For example: February 21 can be entered as
screens. 0 2 2 1 or 2 1 0 2.
4. As soon as you enter the correct access code, the Install Options screen displays
(Figure 9-3).
GENERAL SETUP
RECORDER SETUP
PAPER SPEED: 3 CM/MIN LIGHT: ON
PAPER CHIME: OUT ONLY
VOLUME: 5
SERVICE EXIT
SERVICE LOCK
0 0 0 0
CPU V3.52
DSP 03.07
EXIT
INSTALL OPTIONS
DEFAULT SETTINGS: FACTORY
LINE FREQUENCY: 60 HZ
ECG ARTIFACT ELIMINATION: OFF
SCALING: 30-240
LANGUAGE: ENGLISH
NBP 1 MIN INTERVAL: OFF
HR OFFSET: 10 MIN
DEFAULT TOCO REFERENCE: 10
FM REMOTE MARK: ON
COROLAN ADDRESS CHECKING: OFF
HBC: OFF SMART BP: OFF
VS PRINT INTERVAL: REAL TIME
RECORDER FONT SIZE: SMALL
FETAL ALERT/ALARM: OFF
ALERT SUSPEND: OFF
DIAGNOSTIC CONTROL
NBP MODE: PATIENT
RECORDER CALIBRATION: OFF
STATUS RELAY: OFF
CPU V3.00
DSP 03.07
SW1: 11110000
MECG MSPO2 NBP FSPO2 CORO
COROLAN: OK
COROLAN ADDRESS: 18
1. Attach the connector end of the pneumatic hose to the Maternal BP connector on
the 120 Series Monitor.
2. Attach a T-connector with a male Luer fitting to the cuff end of the pneumatic
hose.
5. Use the Trim Knob control to set the NBP mode on the Diagnostic Control
service mode screen to MANOMETER.
6. Verify that the cuff pressure in the NBP display area is 0 mmHg.
7. Using the inflation bulb, manually pump up the pressure to 200 mmHg ± 1
mmHg, as indicated by the manometer. Verify that the monitor displays a
pressure reading of 200 mmHg ± 5 mmHg.
8. Hold the pressure at 200 mmHg for 30 seconds and verify that the pressure
indicated by the monitor does not change. If the monitor is unable to hold the
pressure for the test period, deflate the pressure to 0 mmHg, check the assembly
of the calibration equipment, and repeat the test procedure. If the monitor fails
to hold the pressure a second time, contact your Service Representative.
9. Repeat step 7 using the pressure levels indicated in Table 9-1. If the pressure
levels are not within tolerance, contact your Service Representative.
10. Slowly inflate the manometer, using the inflation hand bulb, to 285 mmHg ± 15
mmHg. Verify that the OVERPRESSURE message displays.
WARNING
OVERPRESSURE—If the overpressure message is not indicated,
or if the overpressure reading is not within the specified tolerance,
contact your Service Representative. Do not use this monitor to
perform blood pressure readings until the problem is corrected.
11. Access the Diagnostic Control service mode screen and configure the NBP
mode to PATIENT.
1. Plug the male Luer plug into the cuff connector at the end of the pneumatic
tubing and twist one quarter turn. Ensure that the plug is securely connected.
2. Use the Trim Knob control to set the NBP mode on the Diagnostic Control
service mode screen to PNEUMATIC.
3. You will hear the motor running and see the cuff inflation value in the NBP area
of the display. If the test passes, the cuff deflates and the NBP area is blank. If
the test fails, you will see one of the following messages: REPAIR, CHECK CUFF,
LEAK, OVERPRESSURE, MOTION, OR WEAK SIGNAL.
WARNING
If the monitor fails the pneumatic test, check hoses and fitting and
try the test again. If the monitor fails the test a second time,
contact your Service Representative. Do not use the monitor to
perform blood pressure readings until the problem is corrected.
4. Access the Diagnostic Control service mode screen and configure the NBP
mode to PATIENT.
IMPORTANT
UNITS OF MEASURE—The specified leakage tester (E278-06)
measures in mV. There is a direct correlation of mV to µA. In
other words, on this text fixture, 1 mV = 1 µA.
IMPORTANT
220/230/240 VAC POWER CORD—For 220/230/240 VAC
testing, use only P/N 600034 line cord to power the E278-06 test
fixture.
Initial Conditions
1. Attach the monitor power cord to the leakage test fixture.
2. Verify that the leakage test fixture’s main AC power cord is attached.
AC Line
F Voltage measurement from 100–240 V.
Ground Impedance
F < 300 mΩ, lead to rear panel equipotential ground lug
IMPORTANT
TEST CABLES—If you use transducers in lieu of the assembly
leakage cable, and you are testing a Model 129/129F Monitor, you
must test both FECG and MECG.
Ground Continuity
F Use an ohmmeter to confirm continuity between the monitor’s AC receptacle
inlet ground pin and the unit’s chassis.
CAUTION
POWER OFF—Turn OFF the monitor prior to performing any of
the hi-pot tests.
Figure 9-5. Patient–to–AC-Line Using DC Voltage for One Minute (5.656 kVdc)
FECG: Connect an FECG test body to the monitor’s front panel ECG input. The
FECG test body can be the assembly leakage cable. Measure the voltage
breakdown.
F pass F fail
MECG: Connect an ECG test body to the monitor’s front panel ECG input. The
MECG test body can be a shorted MECG cable or the assembly leakage cable.
Measure the voltage breakdown.
F pass F fail
IUP: Connect an IUP test body to the monitor’s front panel UA input. The IUP
test body can be a SensorTip cable (wrapped in aluminum foil) or the assembly
leakage cable. Measure the voltage breakdown.
F pass F fail
MSpO2: Connect an MSpO2 test body to the monitor’s front panel MSpO2 input.
The MSpO2 test body can be a MSpO2 cable and sensor (wrapped in aluminum
foil) or the assembly leakage cable. Measure the voltage breakdown.
F pass F fail
FSpO2: Connect an FSpO2 test body to the monitor’s front panel FSpO2 input.
The FSpO2 test body should be an FSpO2 cable and sensor wrapped in
aluminum foil. Measure the voltage breakdown.
F pass F fail
US: Connect an US test body to the monitor’s front panel US input. The US
test body should be an ultrasound transducer wrapped in aluminum foil.
Measure the voltage breakdown.
F pass F fail
US2: Connect an US test body to the monitor’s front panel US2 input. The US
test body should be an ultrasound transducer wrapped in aluminum foil.
Measure the voltage breakdown.
F pass F fail
Figure 9-6. Patient–to–Chassis Using AC Voltage for One Minute (2.5 kVAC)
FECG: Connect an FECG test body to the monitor’s front panel ECG input. The
FECG test body can be the assembly leakage cable. Measure the voltage
breakdown.
F pass F fail
MECG: Connect an ECG test body to the monitor’s front panel ECG input. The
MECG test body can be a shorted MECG cable or the assembly leakage cable.
Measure the voltage breakdown.
F pass F fail
IUP: Connect an IUP test body to the monitor’s front panel UA input. The IUP
test body can be a SensorTip cable (wrapped in aluminum foil) or the assembly
leakage cable. Measure the voltage breakdown.
F pass F fail
MSpO2: Connect an MSpO2 test body to the monitor’s front panel MSpO2 input.
The MSpO2 test body can be a MSpO2 cable and sensor (wrapped in aluminum
foil) or the assembly leakage cable. Measure the voltage breakdown.
F pass F fail
FSpO2: Connect an FSpO2 test body to the monitor’s front panel FSpO2 input.
The FSpO2 test body should be an FSpO2 cable and sensor wrapped in
aluminum foil. Measure the voltage breakdown.
F pass F fail
US: Connect an US test body to the monitor’s front panel US input. The US
test body should be an ultrasound transducer wrapped in aluminum foil.
Measure the voltage breakdown.
F pass F fail
US2: Connect an US test body to the monitor’s front panel US2 input. The US
test body should be an ultrasound transducer wrapped in aluminum foil.
Measure the voltage breakdown.
F pass F fail
F pass F fail
Figure 9-7. Mains–to–Chassis Using DC Voltage for One Minute (2.121 kVdc)
1. Turn off the 120 Series Monitor and disconnect the power cord from the
monitor.
2. Remove the nine screws which secure the monitor top cover. Four screws are
located on the bottom of the monitor and five screws are located in the back.
4. Remove the copper grounding strips from the top of the front bezel to prevent
damage when removing the recorder.
5. Remove the two screws on the bottom of the monitor which fasten the strip
chart recorder.
6. Remove the two screws which fasten the right side of the front bezel to the
monitor. Loosen the two at the left just enough to pull the right side of the bezel
away from the chassis.
7. Disconnect the display ribbon cable from the DSP Board at J5.
8. Disconnect the ribbon cable from the membrane switch panel. Leave the other
end connected to the DSP Board.
9. Disconnect the ribbon cable from the Recorder Board at J2. Leave the other
end connected to the Main Motherboard.
10. Disconnect the Power Supply cable harness from the Recorder Board at J1.
11. Remove the four front recorder mounting screws which secure the frame to the
front bezel.
12. Slide the recorder slightly toward the rear of the monitor and then lift the
recorder out.
3. Re-connect the Power Supply cable harness to the Recorder Board at J1.
4. Re-connect the Main Motherboard ribbon cable to the Recorder Board at J2.
8. Install the two screws which secure the recorder to the bottom panel.
9. Replace the copper grounding strips at the top of the front bezel. Be careful not
to damage any of the fingers.
10. Replace the monitor top cover and secure with all nine screws.
CAUTION
AIR DRYING—Allow to air dry completely prior to using the
monitor.
CAUTION
PRINTHEAD FAILURE—If a sudden or complete failure of the
printhead occurs, the exact cause must be diagnosed accurately
and corrected prior to installation of a new printhead.
Servicing of any recorder parts, other than the five subassemblies outlined above,
should be referred to the nearest GE Service Representative.
3. Slide the stepper motor sideways to the right and lift out.
3. Re-connect the stepper motor harness cable to the Recorder Board at J4.
Printhead Adjustments
Refer to Figure 10-1 and Figure 10-2 for identification of the adjustment points
outlined in this section, and to assist in clarifying adjustment procedures. Figure 10-
1 and Figure 10-2 show top and right side views of the 120 Series Monitor strip
chart recorder assembly removed from the unit’s chassis.
The printhead may require performing one or both of the following offset
adjustment procedures.
1. Loosen the four hex-head lock screws—two on each side. The right side screws
are labeled B in Figure 10-2.
2. To move the printhead forward on one side, back-off the corresponding captive
screw (turn counterclockwise) from its alignment block. To move the printhead
backward on one side, tighten the corresponding captive screw (turn
clockwise).
3. After making the necessary adjustments, tighten the four hex-head lock screws
labeled B.
Adjustment Description
Thermal Printhead
The thermal printhead is a part of the printhead assembly. Refer to the parts list in
“Chapter 16, Assembly Drawings and Parts Lists”, of this manual for ordering
information and illustrations showing the printhead assembly.
1. Turn off the 120 Series Monitor and disconnect the power cord from the
monitor.
2. Remove the nine screws which secure the monitor top cover. Four screws are
located on the bottom of the monitor and five screws are located in the back.
6. Support the printhead by reaching in through the recorder door, then remove the
two screws on top of the printhead.
7. Pull the printhead down and out through the recorder door with the harness still
attached.
NOTE: If you are familiar with other Corometrics monitors, be assured that the
four pressure springs are held captive and will not fall out.
8. Remove the harness cable from the printhead and retain for use with
replacement printhead.
1. Turn off the 120 Series Monitor and disconnect the power cord from the
monitor.
2. Carefully remove the new printhead from the packaging; do not touch any of
the contact pins. Record the voltage rating marked on the decal affixed to the
bottom of the printhead. This value is the VHEAD voltage. The voltage rating
should be marked over the old voltage rating on the printhead bracket.
4. Slide the new printhead into position through the recorder door and under its
bracket. Push on the center of the printhead to ensure it is pushed all the way
back.
5. Align the printhead with the front holes in the bracket and replace the two
screws.
7. Connect the positive lead of a voltmeter to TP1 on the Recorder Board; connect
the negative lead to TP2.
8. Re-connect the monitor power cord and then turn on the monitor.
10. Adjust R2 on the Recorder Board until the reading on the digital voltmeter is
within ±100 mV of the VHEAD voltage stamped on the printhead.
11. Access the Diagnostic Control service mode screen and run the recorder test to
check the printing of vertical lines. (Refer to “Chapter 8, Self-Tests”.) If light
printing occurs, refer to the instructions under “Horizontal Offset Adjustment”
on page 10-6.
12. Replace the top cover and secure all nine screws.
J8
J4
J2 J1
J3
J5
J6
Paper-Low/Paper-Out Photosensor
Although these two reflective-sensors may be replaced in the field, tight tolerance
repositioning is required to ensure that the sensors function properly. Therefore, it is
recommended that the photosensors be replaced by a GE Service Representative. If
the replacement is done locally, it must be done according to the following
procedure.
NOTE: When facing the front of the monitor: the paper-low sensor is on the right
side; the paper-out sensor is on the left side.
1. Turn off the 120 Series Monitor and disconnect the power cord from the
monitor.
2. Remove the nine screws which secure the monitor top cover. Four screws are
located on the bottom of the monitor and five are located in the back.
4. Disconnect the respective sensor cable from the black sensor housing. Record
the orientation of the connector for replacement later.
5. Using an allen wrench, remove the two socket-head screws which attach the
black sensor housing to the angle bracket.
1. Attach the sensor and housing to the printhead support bracket using the two
socket-head screws. Ensure that the black sensor housing is parallel with the
top of the printhead bracket before tightening the screws.
2. Re-connect the sensor cable using the correct orientation.
4. Replace the monitor top cover and secure with all nine screws.
3. Press the Record button to turn on the recorder. Allow the paper to advance for
a few seconds in order to tension the paper.
5. Using a digital voltmeter, connect the positive lead to J9 (pin 4) on the Recorder
Board; connect the negative lead to J9 (pin 2).
6. Adjust R31 for a reading of +150 mVdc ± 2 mVdc on the digital voltmeter.
NOTE: If you open and then close the recorder door, the reading may vary 5–10
mV, due to the loss of tension in the paper. This is acceptable and you do
not need to re-adjust.
7. Open the door and verify that the reading on the digital voltmeter is greater than
+4.75 Vdc.
8. Re-load the paper so that black squares show on the surface (i.e. the last several
sheets of a pack).
10. The value on the digital voltmeter should go up and down as the paper surface
alternates between black and white. Verify that the maximum value is greater
than or equal to +2.0 Vdc.
3. Press the Record button to turn on the recorder. Allow the paper to advance for
a few seconds in order to tension the paper.
5. Using a digital voltmeter, connect the positive lead to J9 (pin 3) on the Recorder
Board; connect the negative lead to J9 (pin 2).
6. Adjust R29 for a reading of +150 mVdc ± 2 mVdc on the digital voltmeter.
NOTE: If you open and then close the recorder door, the reading may vary 5–10
mV, due to the loss of tension in the paper. This is acceptable and you do
not need to re-adjust.
7. Open the door and verify that the reading on the digital voltmeter is greater than
+4.75 Vdc.
Paper-Loading Sensor
Follow the instructions for “Removing the Strip Chart Recorder” on page 10-2
before following this procedure:
3. Cut and remove the cable tie which holds the sensor cable.
4. Remove the two screws which hold the sensor and housing to the paper tray.
1. Secure the sensor and printed circuit board to the paper tray and tighten both
screws.
2. Connect the sensor cable to J8 on the Recorder Board.
NOTE: Ensure that there is enough slack in the cable so that when the recorder
door is opened the cable does not become taut.
4. Re-install the strip chart recorder. Refer to “Installing the Strip Chart Recorder”
on page 10-2. Do not replace the monitor top cover yet.
3. Using a digital voltmeter, connect the positive lead to J9 (pin 6) on the Recorder
Board; connect the negative lead to J9 (pin 2).
4. Adjust R41 for a reading of +190 mVdc ± 5 mVdc on the digital voltmeter.
5. Although a factory-only fixture is required for this step, you may wish to try it
by estimating the required distance. Load paper backwards (paper feeding from
bottom of pack) with the white surface 0.380 in away from the paper tray. This
creates a paper-loading error condition. Verify that the voltage at J9 (pin 6) on
the Recorder Board is at least +2.70 Vdc.
6. Replace the monitor top cover and secure with all nine screws.
Peripheral Devices 11
The 120 Series Monitor allows connection to optional peripheral equipment.
Some of the connectors are standard on each monitor while others are part of an optional
communications package. All connectors are described in this section.
NOTE: Refer to “Chapter 12, Upgrading a 120 Series Monitor”, for more information.
CAUTION
JACK SIZES—Service personnel who are familiar with other
Corometrics monitors should be aware that the stereo phone jack
used on the 120 Series Monitor is a different size than that used on
previous monitors.
For detailed information about connecting to a Monarch 8000 System, refer to the
“Systems Pre-Installation Manual” (P/N 1279AA). For detailed information on
connecting to a Quantitative Sentinel/Perinatal System, refer to the “Quantitative
Sentinel Networking Pre-Installation Manual” (P/N 13417AA).
When shipped from the GE factory, all three ports are configured as follows:
At the above settings, connectors J109 and J111 are ready for connection to an NPB
Model N-200. Connector J110 does not support a connection to NPB monitors;
therefore, this connector will have to be configured for the device to which it is
attached.
3. Enter the correct access code; the Install Options screen displays.
Baud Rate
This field selects the baud rate and must be compatible with the external device.
Use the Trim Knob control to cycle through the available settings: 600, 1200, 2400,
4800, 9600, and 19,200 bps. (Each port is factory set to 2400 bps.)
Mode
This field selects the mode for communication and must be compatible with the
external device. Use the Trim Knob control to cycle through the available settings:
NELLCOR, FACTORY, CRITIKON, 1371, and 1371/NOTES. (Each port is
factory set to the NELLCOR mode.)
*
The NPB Model N-400 Fetal Pulse Oximetry Monitor is not available in all countries.
COMMUNICATIONS SETUP
EXIT
When the recorder is on, each reading is printed in the annotation area between the
top and bottom grids. A filled diamond marker, above the data, marks the time of
the reading and identifies the data source as an external device. The following is an
example annotation:
MSpO2 97% P 78
When the recorder is in maternal-only mode, a time stamp and filled diamond mark
precede each reading. A sample annotation looks like this:
1. Using interface cable, connect one end to an available RS-232C port (J109 or
J111 only) on the 120 Series Monitor; connect the other end to the Serial
Communications port on the pulse oximeter.
2. Access the Communications Setup service mode screen and set the baud rate
and mode for the appropriate port to 2400 and NELLCOR, respectively; then
exit the service mode screens.
3. Access the General Setup screen and choose the time interval for printing the
MSpO2 values on the strip chart paper. Refer to “Chapter 5, Setup Procedures”
in this manual for more detailed information.
When the recorder is on, each reading is printed in the annotation area between the
top and bottom grids. A filled diamond marker, above the measured values, marks
the time of the reading and identifies the data source as an external device. The
following is an example annotation:
FSpO2 45%
In addition, the FSpO2 trend can be optionally printed on the bottom grid of the strip
chart paper; the trend is printed as a beaded trace ( ).
1. Using interface cable, connect one end to an available RS-232C port (J109,
J110, or J111) on the 120 Series Monitor; connect the other end to the Serial
Communications port on the pulse oximeter.
2. Access the Communications Setup service mode screen and set the baud rate
and mode for the appropriate port to 2400 and NELLCOR, respectively; then
exit the service mode screens.
3. Access the General Setup screen, then: choose the time interval for printing the
FSpO2 values on the strip chart paper; and enable/disable trending of %FSpO2
on the bottom grid of the strip chart paper. Refer to “Chapter 5, Setup
Procedures”, in this manual for more detailed information.
*
The NPB Model N-400 Fetal Pulse Oximetry Monitor is not available in all countries.
1. Refer to Table 11-1 for the appropriate interface cable. Connect one end to an
available RS-232C port (J109, J110, or J111) on the 120 Series Monitor;
connect the other end to the serial communications port on the pulse oximeter.
Refer to the Critikon documentation for information on the name of the
connector.
2. Access the Communications Setup service mode screen and set the baud rate
and mode for the appropriate port to 600 and CRITIKON, respectively; then
exit the service mode screens.
3. Access the General Setup screen and choose the time interval for printing the
MSpO2 values on the strip chart paper. Refer to “Chapter 5, Setup Procedures”,
in this manual for more detailed information.
The 120 Series Monitor can be configured with the remote annotation capability
enabled (1371/NOTES mode) or disabled (1371 mode). The following is an
example of a remote message sent to a 120 Series Monitor from a central
information system using this serial communications protocol.
2. Access the Communications Setup service mode screen and set the baud rate
and mode for the appropriate port to 2400 bps and either the 1371 or 1371/
NOTES mode, respectively; then exit the service mode screens.
Interconnect Cable
120 Series Cat. No. Communications
External Device Parameter(S)
Baud Rate Protocol
1 ft 6 ft
Annotations
Quantitative Sentinel System 1200 1558AAO 1558BAO 1371 or 1371/NOTES
(optional)
115 Update Mode: The 115 Update mode outputs all available information and
ignores requests from a host computer system.
115 Transmit/Receive: The 115 Transmit/Receive mode only outputs data
requested from a host computer system.
When the Model 115 Fetal Monitor was released, many customers developed their
own interfaces for communicating with the monitor. Setting the 120 Series Monitor
to one of these communication modes allows these users to use their existing
interfaces with the 120 Series Monitor as well.
The 120 Series Monitor emulates the Corometrics Model 830 Converter’s
implementation of the 115 Communication Protocols. This protocol is named after
the Corometrics Model 115 Fetal Monitor in which it originated.
NOTE: The baud rate must match the external computer; however, the
recommended baud rate is 9600. Lower baud rates may result in some data
loss.
IMPORTANT
FETAL VS. MATERNAL—This is a “fetal” protocol, not a
“maternal/fetal” protocol. This protocol will output HR1, HR2,
UA, modes, and message annotations (including maternal vital
signs). This protocol will not send three heart rates, waveforms,
or HRC.
IMPORTANT
DATA REQUESTS—When set to the 115 Update Mode, the 120
Series Monitor will not respond to any requests for information
sent from an external (host) computer.
NOTE: Refer to “Requested Data Format” later in this document for information
about the response data format. The format is the same for both the 115
Update mode and the 115 Transmit/Receive mode.
NOTE: Refer to “Requested Data Format” later in this document for information
about the response data format. The format is the same for both the 115
Update mode and the 115 Transmit/Receive mode.
Monitor Type
This field contains a 1-byte ASCII value indicating the type of monitor from which
information is being requested. The 120 Series Monitor is set to a fixed value of 9
(39H).
Data Field
This field of 1 to 8 bytes indicates which parameters the external computer wishes to
receive. The values for the bytes are given in Table 11-2.
End of Text
This 1-byte field contains the value 03H. If this byte is sent immediately following
the Monitor ID, then the 120 Series Monitor will cancel transmission of all data.
NOTE: This applies to both 115 Update mode and 115 Transmit/Receive mode.
Monitor Type
This field contains a 1-byte ASCII value indicating the type of monitor sending the
information. The 120 Series Monitor is set to a fixed value of 9 (39H).
Response Type
This 1-byte value indicates the type of information being sent from the 120 Series
Monitor as shown in Table 11-1.
Monitor ID
This 1-byte ASCII value indicates the ID number of the monitor information. The
120 Series Monitor sets this byte to a fixed value of 0 (30H).
Data Field
This field of n-bytes contains the actual data sent from the monitor to the external
computer. The contents of this field for each response is given below:
Event Mark
This data field is empty whenever the monitor’s Mark pushbutton is pressed.
Heart Rate
This data field contains two or three ASCII characters representing the value of the
heart rate. A value of 00 (30H, 30H) indicates a penlift condition. Heart rate data
(including penlift data) is transmitted four times per second.
Uterine Activity
This data field contains two or three ASCII characters representing the value of
uterine activity. A value of 128 (31H, 32H, 38H) indicates a penlift condition.
Uterine activity data (including penlift data) is transmitted eight times per second.
Modes
This data field contains two ASCII characters indicating the mode. The first
character is the combined mode of both heart rates according to Table 11-2. The
second character is the mode for uterine activity as listed in Table 11-3. Mode data is
transmitted at startup, with each mode change, with each request, and once every
minute.
Annotations
This field of n-bytes contains actual ASCII data making up messages sent to the 120
Series Monitor. This information can be: messages sent from a Model 2115/2116B
Data Entry System; or patient parameter information (SpO2 and/or NBP) from the
monitor’s internal modules or external devices connected to the monitor.
Fetal Movement
This field contains one ASCII character representing the current status of the FM
signal: low or high. If the data byte is a 0 (30H), then the signal is low indicating no
movement is detected; if the data byte is 1 (31H), then the signal is high indicating
fetal movement is detected. If the fetal movement feature is not in the monitor, the
data byte is 2 (32H). If the fetal movement feature is present but not enabled, the
data byte is 4 (34H). This data is transmitted four times per second. (Fetal
movement detection circuitry is an option which can be purchased for the 120 Series
Monitor. Refer to the 120 Series Monitor Service Manual for more information.)
Recorder Status
This field contains one ASCII character representing the current status of the PAPER
OUT* signal: low or high. If the data byte is a 0 (30H), then the signal is low
indicating paper is loaded and the recorder door is closed; if the data byte is 1 (31H),
then the signal is high indicating a paper out condition. This data is transmitted once
per second, when active.
End of Text
This 1-byte field contains the value 03H. If this byte is sent immediately following
the Monitor ID, then the 120 Series Monitor will cancel transmission of all data.
Limitations
The only restriction on the information transmitted during either 115
communication mode occurs when the baud rate is set below 4800 baud. Under this
condition, data loss may occur.
Error Conditions
Transmission Errors
Transmission errors may be detected by the external computer as parity errors,
framing errors (no valid stop bit), or invalid characters. There is no facility in the
120 Series Monitor to re-transmit any information found to contain an error. It is
therefore up to the user to decide what action to take as a result of an error.
Request Errors
These errors apply to the 115 Transmit/Receive Mode only.
Request errors are detected by the monitor as parity errors, framing errors, and
invalid Monitor ID. If the monitor fails to respond properly to a request, it is
suggested that the external computer re-transmit a request sequence.
Heart Rate 1 60
`
Uterine Activity a 61
Modes b 62
Event Mark d 64
Heart Rate 2 e 65
Fetal Movement f 66
Paper Out g 67
INOP INOPa 0 30
FECG INOPa 1 31
US INOPa 2 32
US MECG 5 35
US FECG 9 39
US US2 ; 3B
FECG US < 3C
INOP MECG = 3D
INOP 0 30
TOCO 1 31
IUP 2 32
Cabling Information
Monitor RS-232 Connector
The 120 Series Monitor’s RS-232C Ports each use a 6-pin RJ-11C connector, shown
in Figure 11-4.
NOTE: This signal is supported by connectors J109 and J111 only. This signal is
not supported by connector J110.
NOTE: This signal is supported by connectors J109 and J111 only. This signal is
not supported by connector J110.
When a direct connection is made between a 120 Series Monitor and another
Data Terminal Equipment (DTE), a standard null-modem cable must be used.
When an indirect connection is made, using a modem, a 120 Series Monitor
requires a normal-modem cable.
Cable Distance
The RS-232C Interface supplied with the 120 Series Monitor is capable of operating
over varying distances depending upon the data rate used and whether the cabling is
shielded or unshielded. Refer to the manufacturer’s specifications.
Table 11-2. J109, J110, and J111 RS-232 Port Connector Pinout
1 RTSa
2 RXD
3 GND
4 GND
5 TXD
6 CTSa
a
This signal is supported by connectors J109 and J111 only. This
signal is not supported by connector J110.
2 RXD RXD 3 2 5
1 RTS RTS 4 7 1
6 CTS CTS 5 8 6
3 GND
GND 7 5 3
4 GND
5 TXD TXD 2 3 5
2 RXD RXD 3 2 2
1 RTS* RTS 4 7 1
6 CTS* CTS 5 8 6
3 GND
GND 7 5 3
4 GND
* This signal is supported by connectors J109 and J111 only. This signal is not supported by connector J110.
A telemetry indicator is displayed (see Figure 5) in the top left corner of the
screen if:
NOTE: The monitor, receiver, and transmitter must all be turned on.
NOTE: When any telemetry mode is detected (US, FECG, MECG, TOCO, or IUP),
all equivalent front panel modes (US, US2, FECG, MECG, TOCO, or IUP)
are ignored. You cannot “mix and match” telemetry and monitor modes.
The telemetry connected annotation is printed on the bottom line of the top grid
of the strip chart paper:
The telemetry disconnected annotation is printed on the strip chart paper if:
you unplug the telemetry receiver from the 120 Series Monitor;
you turn off the receiver;
you turn off the transmitter; or
the receiver does not detect any active mode information from the transmitter.
General Information
Handling Precautions
The following guidelines should be followed when handling circuit boards or
assemblies containing circuit boards. Following these procedures helps resist
damage that can be caused by static electricity.
Discharge any static charge you may have built up before handling parts.
Wear a grounded, anti-static wristband at all times.
Use a static-free work surface.
Store items in anti-static bags or boxes.
Do not remove items from anti-static containers until needed.
Equipment Required
You will need the following equipment:
Phillips Screwdriver
Universal Plastic Leaded Chip Carrier (PLCC) Extractor Hand Tool (for
software version 3.01 upgrade only)
Anti-Static Wristband
Static-Free Work Surface
Testing
CAUTIONS
Following completion of any upgrade procedure:
For a listing of available upgrade kits, refer to “Chapter 14, Replacement Parts”.
Installation instructions are included in the kit; they are repeated here for
informational purposes.
Unpacking
Unpack the upgrade kit and ensure it contains all items on the packing list. If
something is missing, contact your Service Representative immediately.
Installation
1. Turn off the 120 Series Monitor and disconnect the power cord from the
monitor.
2. Remove the nine screws which secure the monitor top cover. Four screws are
located on the bottom of the monitor and five screws are located in the back.
4. Remove the four screws which attach the blank cover plate to the rear panel.
6. Remove the Communications Board (No. 15297) from its anti-static container.
7. Insert the Communications Board into the last slot (J5) on the Main
Motherboard; the connector assembly must face the rear of the monitor. (Refer
to Figure 12-1 and Figure 12-2.)
8. Attach the Communications Board to the rear panel using the four screws
provided in the kit.
9. Locate switch pack SW1 on the Main Motherboard and set switch 2 to the ON
position for use with a Corometrics Central System or OFF for use with a
Hewlett-Packard Central System. (See Figure 12-2.)
10. Replace the top cover and secure all nine screws.
11. Apply the rear panel overlay label to the connector assembly on the
Communications Board. Use the version with the appropriate language for the
monitor. (Refer to Figure 12-3.)
14. Re-connect the monitor power cord and turn on the monitor.
16. Fill out the Update Installation Verification Form included in the kit. Be sure to
include the monitor’s serial number and catalog number on the form. Follow
the instructions on the form to fax or mail the form to GE Medical Systems, Inc.
Main Motherboard
J5
J1
J10
J6
J4
J1 J7
J9
J2
J2 J1
MATER
U US U FECG/M Sp
Communications BP Board
Switch Pack SW1 Board Connector Connector
Unpacking
Unpack the kit and ensure it contains all items on the packing list. If something is
missing, contact your GE Medical Systems Service Representative immediately.
Installation
NOTE: Unless otherwise instructed, retain all hardware for re-assembly.
1. Turn off the 120 Series Monitor and disconnect the power cord from the
monitor.
2. Use a flathead screwdriver to pry off the blank plugs inserted in the Maternal
SpO2 and BP connectors on the front panel of the monitor. Discard these plugs.
3. Remove the nine screws which secure the monitor top cover. Four screws are
located on the bottom of the monitor and five screws are located in the back.
5. Disconnect the display interconnect cable from the DSP Board at J5. (Refer to
Figure 12-4.)
6. Disconnect the ribbon cable from the Recorder Board at J2. Leave the other
end connected to the Main Motherboard. (Refer to Figure 12-5.)
7. Disconnect the Power Supply cable harness from the Recorder Board at J1.
(Refer to Figure 12-5.)
8. Disconnect the ribbon cable from the membrane switch panel. Leave the other
end connected to the DSP Board.
9. Remove the four screws which fasten the front bezel to the monitor—two on
each side.
10. Gently tilt the bezel forward until it lays flat. Be careful not to disconnect the
front end harness cable ferrite beads from their clips. The number of beads
varies depending on which options are installed in your monitor. (Refer to
Figure 12-6.)
11. Disconnect the Trim Knob cable assembly from the membrane switch panel.
12. Remove the five screws which secure the membrane switch panel bracket to the
front bezel. Discard the screws.
13. Remove the bracket with attached membrane switch panel and discard.
14. Peel off the adhesive backing from the new membrane switch panel supplied
with the kit.
15. Insert the new membrane switch panel into place in the front bezel—adhesive
side up. Ensure the switch panel is oriented correctly.
16. Carefully line up the new bracket (provided in the kit) with the screw holes and
press into place over the membrane switch panel.
17. Secure the bracket to the front bezel using the five #4-40 x 3/16 screws
provided in the kit.
18. Re-connect the Trim Knob cable assembly to the six pin connector on the
membrane switch panel.
19. Ensure the front end harness cable ferrite beads are inserted in the
corresponding clips. (Refer to Figure 12-6.)
20. Replace the front bezel and secure with all four screws.
21. Re-connect the ribbon cable from the DSP Board to the membrane switch
panel.
22. Re-connect the Power Supply harness cable to J1 on the Recorder Board.
23. Re-connect the ribbon cable from the Main Motherboard to J2 on the Recorder
Board.
24. Re-connect the display interconnect cable to the DSP Board at J5.
25. Remove the adhesive backing from the overlay label and carefully align over
the front panel membrane switches. (Refer to Figure 12-7.)
26. Remove the Blood Pressure Board from its anti-static container.
27. Insert the Blood Pressure Board into the slot labeled J4 on the Main
Motherboard. (Refer to Figure 12-8.)
28. Secure the board to the chassis using the two #6-32 x 3/8 screws provided in the
kit.
29. Route the blood pressure tubing through the notch at the top of the DSP Board.
(See Figure 12-8.)
30. Attach the tubes to the nipples located at the divider to the recorder cavity. (See
Figure 12-8.)
31. Remove the hold-down cover for the front end boards. Three screws secure the
top; one screw is located on the side panel.
32. If FSpO2 is already installed in your monitor, disconnect the FSpO2 harness
cable from the FSpO2 Board at J1. Remove the Oximeter Carrier Board from
the Front End Motherboard; this board occupies the second slot from the left
while facing the front of the monitor.
If FSpO2 is not installed in your monitor, remove the Oximeter Carrier Board
from its anti-static container.
NOTE: The Oximeter Carrier Board is designed so that the MSpO2 Board mounts
on one side, while the FSpO2 Board (if installed) mounts on the other side.
The MSpO2 Board mounts on the component side—with the two ribbon
cables.
33. Place the Oximeter Carrier Board on a static-free work surface so that J1 is on
the bottom left and J4 is at the bottom right.
35. Align the MSpO2 Board over the Oximeter Carrier Board screw holes.
36. Use the washers and #4-40 x 1/4 screws provided in the kit to secure the
MSpO2 Board to the Oximeter Carrier Board. Use the flat washer for the top
left screw; use the shoulder washers for the remaining three screws. (Refer to
Figure 12-9.)
37. Connect the ribbon cable from J2 on the Oximeter Carrier Board to JP5 on the
MSpO2 Board.
38. Connect the ribbon cable from J5 on the Oximeter Carrier Board to JP1 on the
MSpO2 Board.
39. Insert the Oximeter Carrier Board into the slots labeled J9 and J13 on the Front
End Motherboard. (See Figure 12-10.)
40. Connect the front panel MSpO2 harness cable to J6 on the Oximeter Carrier
Board.
NOTE: The MSpO2 harness cable is already connected to the front panel in all
120 Series Monitors.
41. If FSpO2 is installed in your monitor, re-connect the front panel FSpO2 harness
cable to J1 on the FSpO2 Board.
42. Replace the hold-down cover for the front end boards and secure with all four
screws.
43. Locate switch pack SW1 on the Main Motherboard and set switches 6 and 7 to
the OFF position. (See Figure 12-8.) This enables the MSpO2 and Blood
Pressure Boards to communicate with Main Motherboard.
44. Ensure that the blood pressure tubing remains routed through the notch at the
top of the DSP Board.
45. Replace the top cover and secure all nine screws.
46. Disconnect all cables from the monitor’s front panel connectors.
48. If FSpO2 is not installed in the monitor, turn on the monitor and verify that the
NBP and MSpO2 parameter titles display on the screen. An “empty” pulse
amplitude indicator should also appear in the MSpO2 area. (Refer to Figure 12-
11.)
If FSpO2 is installed in the monitor, connect both the MSpO2 and FSpO2
sensors. Turn on the monitor and verify that the NBP, MSpO2, and FSpO2
parameter titles display on the screen. An “empty” pulse amplitude indicator
should appear in both SpO2 areas. (Refer to Figure 12-11.)
49. Fill out the Update Installation Verification Form included in the kit. Be sure to
include the monitor’s serial number and catalog number on the form. Follow
the instructions to fax the form to GE.
Display Connector
J5
J5
J1
J10
J6
Attach BP
J4
tubing
here
J1 J7
Oximeter
Carrier J9
Board
J2
Recorder
Cavity
Divider
Clip for
MSpO2
ferrite J2 J1 Recorder
bead Board
MATER
U US U FECG/M Sp
Front Panel
Overlay Label
J7 J6
MATERNAL
US US2 UA FECG/MECG SpO2 BP
Volum Volum
Test UA Paper Power
Reference Advance
Communications BP Board
Switch
Switch Pack SW1
Pack SW1 Board Connector Connector
Oximeter Carrier
Board Connectors
UA/FECG
Board Connectors
03:22:45
(WaveformiArea)
03:22:45
Unpacking
Unpack the kit and ensure it contains all items on the packing list. If something is
missing, contact your GE Medical Systems Information Technologies Service
Representative immediately.
Installation
NOTE: Unless otherwise instructed, retain all hardware for re-assembly.
1. Turn off the 120 Series Monitor and disconnect the power cord from the
monitor.
2. Use a flathead screwdriver to pry off the blank plugs inserted in the Maternal
SpO2 and BP connectors on the front panel of the monitor. Discard these plugs.
3. Remove the nine screws which secure the monitor top cover. Four screws are
located on the bottom of the monitor and five screws are located in the back.
5. Disconnect the display interconnect cable from the DSP Board at J5. (Refer to
Figure 12-4.)
6. Disconnect the ribbon cable from the Recorder Board at J2. Leave the other
end connected to the Main Motherboard. (Refer to Figure 12-5.)
7. Disconnect the Power Supply cable harness from the Recorder Board at J1.
(Refer to Figure 12-5.)
8. Disconnect the ribbon cable from the membrane switch panel. Leave the other
end connected to the DSP Board.
9. Remove the four screws which fasten the front bezel to the monitor—two on
each side.
10. Gently tilt the bezel forward until it lays flat. Be careful not to disconnect the
front end harness cable ferrite beads from their clips. The number of beads
varies depending on which options are installed in your monitor. (Refer to
Figure 12-6.)
11. Disconnect the Trim Knob cable assembly from the membrane switch panel.
12. Remove the two nuts holding the membrane panel assembly to the back side of
the bezel assembly.
13. Remove the two screws and accompanying washers fastening the membrane
switch panel metal tabs to the Recorder LED Board.
14. Push the membrane switch panel through the front panel. The switch panel will
automatically disconnect from the Recorder LED Board.
15. Peel off the adhesive backing from the new membrane switch panel supplied
with the kit.
16. Guide the metal tabs of the new membrane switch panel through the front panel.
Secure the switch panel to the bezel with the nuts retained in step 12. Tighten to
8 in-lb.
17. Ensure that the Recorder LED Board is connected to the membrane switch
panel. Using the screws and washers retained in 13, fasten the switch panel
metal grounding tabs to the Recorder LED Board. Tighten to 4 in-lb.
18. Re-connect the Trim Knob cable assembly to the six pin connector on the
membrane switch panel.
19. Ensure the front end harness cable ferrite beads are inserted in the
corresponding clips. (Refer to Figure 12-6.)
20. Replace the front bezel and secure with all four screws.
21. Re-connect the ribbon cable from the DSP Board to the membrane switch
panel.
22. Re-connect the Power Supply harness cable to J1 on the Recorder Board.
23. Re-connect the ribbon cable from the Main Motherboard to J2 on the Recorder
Board.
24. Re-connect the display interconnect cable to the DSP Board at J5.
25. Remove the adhesive backing from the overlay label and carefully align over
the front panel membrane switches. (Refer to Figure 12-7.)
26. Remove the Blood Pressure Board from its anti-static container.
27. Insert the Blood Pressure Board into the slot labeled J4 on the Main
Motherboard. (Refer to Figure 12-8.)
28. Secure the board to the chassis using the two #6-32 x 3/8 screws provided in the
kit.
29. Route the blood pressure tubing through the notch at the top of the DSP Board.
(See Figure 12-8.)
30. Attach the tubes to the nipples located at the divider to the recorder cavity. (See
Figure 12-8.)
31. Remove the hold-down cover for the front end boards. Three screws secure the
top; one screw is located on the side panel.
32. If FSpO2 is already installed in your monitor, disconnect the FSpO2 harness
cable from the FSpO2 Board at J1. Remove the Oximeter Carrier Board (No.
13551) from the Front End Motherboard; this board occupies the second slot
from the left while facing the front of the monitor.
If FSpO2 is not installed in your monitor, remove the MSpO2 Board and the
Oximeter Carrier Board from their anti-static containers. If FSpO2 is installed in
your monitor, you already have an Oximeter Carrier Board.
NOTE: The Oximeter Carrier Board is designed so that the MSpO2 Board mounts
on one side, while the FSpO2 Board (if installed) mounts on the other side.
The MSpO2 Board mounts on the component side—with the two ribbon
cables.
33. Place the Oximeter Carrier Board on a static-free work surface so that J1 is on
the bottom left and J4 is at the bottom right.
34. Align the MSpO2 Board over the Oximeter Carrier Board screw holes.
35. Use the washers and #4-40 x 1/4 screws provided in the kit to secure the
MSpO2 Board to the Oximeter Carrier Board. Use the flat washer for the top
left screw; use the shoulder washers for the remaining three screws. (Refer to
Figure 12-9.)
36. Connect the ribbon cable from J2 on the Oximeter Carrier Board to JP5 on the
MSpO2 Board.
37. Connect the ribbon cable from J5 on the Oximeter Carrier Board to JP1 on the
MSpO2 Board.
38. Insert the Oximeter Carrier Board into the slots labeled J9 and J13 on the Front
End Motherboard. (See Figure 12-10.)
39. Connect the front panel MSpO2 harness cable to J6 on the Oximeter Carrier
Board.
40. The MSpO2 harness cable is already connected to the front panel in all 120
Series Monitors.
41. If FSpO2 is installed in your monitor, re-connect the front panel FSpO2 harness
cable to J1 on the FSpO2 Board.
42. Replace the hold-down cover for the front end boards and secure with all four
screws.
43. Locate switch pack SW1 on the Main Motherboard and set switches 6 and 7 to
the OFF position. (See Figure 12-8.) This enables the MSpO2 and Blood
Pressure Boards to communicate with Main Motherboard.
44. Ensure that the blood pressure tubing remains routed through the notch at the
top of the DSP Board.
45. Replace the top cover and secure all nine screws.
46. Disconnect all cables from the monitor’s front panel connectors.
48. If FSpO2 is not installed in the monitor, turn on the monitor and verify that the
NBP and MSpO2 parameter titles display on the screen. An “empty” pulse
amplitude indicator should also appear in the MSpO2 area. (Refer to Figure 12-
11.)
If FSpO2 is installed in the monitor, connect both the MSpO2 and FSpO2
sensors. Turn on the monitor and verify that the NBP, MSpO2, and FSpO2
parameter titles display on the screen. An “empty” pulse amplitude indicator
should appear in both SpO2 areas. (Refer to Figure 12-11.)
49. Fill out the Update Installation Verification Form included in the kit. Be sure to
include the monitor’s serial number and catalog number on the form. Follow
the instructions to fax the form to GE.
Display Connector
J5
RED
Attach BP
tubing
here
Oximeter
Carrier
Board
Recorder
Cavity
Divider
Clip for
MSpO2
ferrite Recorder
bead Board
Front Panel
Overlay Label
J7 J6
FSpO2
Ferrite bead is mounted to
clip attached to back side of
display shield on front bezel,
if FSpO2 installed
MATERNAL
US US2 UA FECG/MECG SpO2 BP
Volume Volume
Test UA Paper
Reference Advance Power
Trim
Knob
Comm Board
Communications BP Board
Switch
Switch Pack
Pack SW1
SW1 Board Connector
BP Board Connector
Connector Connector
Oximeter Carrier
Board Connectors
UA/FECG
Board Connectors
03:22:45
(WaveformiArea)
03:22:45
Unpacking
Unpack the upgrade kit and ensure it contains all items on the packing list. If
something is missing, contact your GE Service Representative immediately.
Installation
1. Turn off the 120 Series Monitor and disconnect the power cord from the
monitor.
2. Remove the nine screws which secure the monitor top cover. Four screws are
located on the bottom of the monitor and five screws are located in the back.
4. Remove the hold-down cover for the front end boards. Three screws secure the
top; one screw is located on the side panel.
5. Remove the UA/FECG Board from the Front End Motherboard. The UA/FECG
Board is the second board from the right in the front end section. (Refer to
Figure 12-22.)
7. Mount the MECG Board onto the UA/FECG Board at the headers labeled J5
and J6. (Refer to Figure 12-1.)
8. Secure the MECG Board with the two screws provided in the kit. One screw is
placed at the top left; the other at the bottom right. (See Figure 12-1.)
9. Re-insert the UA/FECG Board (with piggybacked MECG Board) into slots J5
and J8 on the Front End Motherboard. (Refer to Figure 12-24.)
10. Connect the front panel MECG harness cable to J7 on the MECG Board. (Refer
to Figure 12-3.)
11. The MECG harness cable is already connected to the front panel in all 120
Series Monitors.
12. Replace the hold-down cover for the front end boards and secure with all four
screws.
13. Locate switch pack SW1 on the Main Motherboard and ensure switch 8 is set to
the OFF position. (See Figure 12-26.) This switch activates communication
between the Main Motherboard and the MECG Board.
14. Replace the top cover and secure all nine screws.
15. Disconnect all cables from the monitor’s front panel connectors.
16. Re-connect the monitor power cord and turn on the monitor.
18. Exit the setup screen, then verify that the MECG parameter title displays.
(Refer to Figure 12-28.)
19. Fill out the Update Installation Verification Form included in the kit. Be sure to
include the monitor’s serial number and catalog number on the form. Follow the
instructions on the form to fax or mail the form to GE
.
UA/FECG Board
J5
J1
J10
J6
J4
J1 J7
J9
J2
J2 J1
MATER
U US U FECG/M Sp
Top View
Headers to mount
Screw hole MECG Board
Screw hole
Oximeter Carrier
Board Connectors
UA/FECG
Board Connectors
Communications BP Board
Switch Pack SW1 Board Connector Connector
MECG
15:52:58
ALARMS SETUP VSHX
3. Disconnect the display interconnect cable from the DSP Board at J5. (Refer to
Figure 12-30 and Figure 12-1.)
4. Disconnect the membrane switch panel ribbon cable from the DSP Board at J4.
(Refer to Figure 12-30 and Figure 12-1.)
5. Disconnect the blood pressure tubing from the nipples located at the divider to
the recorder cavity. Unthread the tubing from the notch at the top of the DSP
Board. Leave the other end of the tubing attached to the Blood Pressure Board.
(Refer to Figure 12-30.)
6. Remove the two screws which fasten the Blood Pressure Board to the monitor
chassis.
7. Remove the Blood Pressure Board and set aside on an anti-static surface.
8. Remove the two screws which fasten the DSP Board to the monitor chassis.
10. Locate and note the orientation of flash ROMs U31 and U32 on the Main
Board. (Refer to Figure 12-31.) Using the PLCC extractor, carefully remove
U31 and U32.
11. Locate and note the orientation of flash ROMs U8 and U9 on the DSP Board.
(Refer to Figure 12-1.) Using the PLCC extractor, carefully remove U8 and U9.
NOTE: Each flash ROM in the kit is labeled with an assembly number, software
release date, and lot code. Use the assembly number for identification
purposes during this procedure.
12. Remove the four flash ROMs from their anti-static containers and mount them
according to Table 12-1.
CAUTION
MOUNTING—When mounting a flash ROM, make sure the label
side is up, then apply even downward pressure to firmly seat the
IC in the socket. You will feel when the IC snaps into place and
you may hear a “click.”
14135C DSP U8
14135D DSP U9
13. Replace the DSP Board and secure with both screws.
14. Replace the Blood Pressure Board and secure with both screws.
15. Route the blood pressure tubing through the notch at the top of the DSP Board.
16. Attach the tubes to the nipples located at the divider to the recorder cavity.
17. Re-connect the membrane switch panel ribbon cable to the DSP Board at J4.
18. Re-connect the display interconnect cable to the DSP Board at J5.
19. Replace the top cover and secure all nine screws.
20. Re-connect the monitor power cord and turn on the monitor.
21. Use the Trim Knob control to access the first Service screen. (Refer to Figure
12-32.)
22. Verify that the CPU version is V3.5 and the DSP version is 03.07. (Refer to
Figure 12-32.)
23. Fill out the Update Installation Verification Form provided in the kit. Be sure to
include the monitor’s serial number and catalog number on the form. Follow
the instructions on the form to fax or mail the form to GE.
24. Re-use the antistatic packaging to mail the old flash ROMs to the factory
service group at the following address:
J5
J1
J10
J6
J4 Nipples for
BP Tubing
J1 J7
J9
J2
Recorder
Cavity Divider
J2 J1
MATER
U US U FECG/M Sp
Membrane Switch
Panel Connector
Display Connector
J5 J4
U8 U9
Flash ROMs
Flash ROMs
Communications BP Board
Switch Pack SW1 Board Connector Connector
J4
U U
31 32
J7
DSP Board
Connector
SERVICE LOCK
0 0 0 0
CPU V3.52
DSP 03.07
EXIT
Display Upgrade
To upgrade to a 3.5” x 4.5” display, refer to “Chapter 14, Replacement Parts” for kit
information.
Technical Specifications 13
This section contains a detailed list of the technical specifications for the 120 Series
Monitor.
General Monitor
Table 13-1. General Monitor Technical Specifications
Power Requirements
Nominal Line Voltage: 100VAC 120 VAC 220 VAC 230 VAC 240 VAC
Line Frequency: 50/60 Hz 50/60 Hz 50/60 Hz 50/60 Hz 50/60 Hz
Power Consumption (maximum): 100 W 100 W 0.4 A 0.4 A 0.4 A
Chassis Leakage: <300 µA
Physical Characteristics
Height: 6.7 in (17.0 cm)
Width: 16.5 in (41.9 cm)
Depth: 17.3 in (43.9 cm)
Weight: 24.0 lbs (10.9 kg) approx.
Certification
ANSI/AAMI EC13-1992: Complies with all areas except those listed below:
3.1.2.1e: Heart Rate Meter Accuracy and Response to Irregular Rhythm (not tested)
3.2.6.1: Range of QRS wave amplitude and duration
3.2.7: Range and accuracy of heart rate meter (4.2.7f :input rate of 300 BPM.)
3.2.8.1: Lower Alarm Limit (The lowest alarm limit on the 120 Series is 35 BPM.)
UL-2601.1: 3.2.9.8c: Impulse Response
4.2.9.7 Output Display a) Channel Width
Classified to UL-2601.1
CUL: Medical electrical equipment classified by Underwriter’s Laboratories, Inc., with respect to
fire, shock, and mechanical hazards in accordance with UL-2601.1.
Classified with respect to electric shock, fire, mechanical, and other specified hazards
only, in accordance with CAN/CSA C22.2 No. 601.1
a
Paper operating environmental conditions are for a period of less than one month. Paper storage environmental conditions are for extended storage.
Operating Modes
Table 13-2. Operating Mode Specifications
FECG Mode
Technique: Peak detecting, beat-to-beat cardiotachometer
Heart Rate Counting Range: 30–240 BPM
Heart Rate Resolution: ±1 BPM
Artifact Elimination: Selectable, ±25 BPM artifact rejection
Countable Input Signal Range: 15 µV to 2 mV peak-to-peak
Offset Voltage Tolerance (Differential): ±300 mVdc maximum
Maximum Common Mode Voltage: 20 V peak-to-peak
Preamplifier Bandwidth: 1–100 Hz
Common Mode Rejection:
Balanced: > 120 dB at mains frequency, with patient cable
Unbalanced 5kΩ RA or LA: > 110 dB at mains frequency
Input Equivalent Noise: < 10 µV peak-to-peak
Input Impedance:
Differential: > 10 MΩ
Common Mode: > 20 MΩ
Mains Frequency Rejection: > 40 dB
Leakage Current: < 60 µA at 254 VAC, electrically isolated
Isolation, Mains-to-Patient: > 4 kVAC
Ultrasound Mode
Technique: Pulsed Doppler with autocorrelation processing
Transducer Type: 9-crystal
Pulse Repetition Frequency:
Single Ultrasound Mode: 4 kHz
Dual Ultrasound Mode: 2 kHz
Pulse Duration: 92 µs
Transmitter Frequency: 1.151 MHz
Spatial-Peak Temporal Average Intensity: Ispta < 10 mW/cm2
Spatial-Average Temporal Average Intensity:
Focal 20 dB Beam Area: Isata< 5 mW/cm2
Peak Instantaneous Intensity: 16.6 cm2, at a range = 7 cm
Peak-Negative Acoustic Pressure: 1.8 mW/cm2
Heart Rate Counting Range: p < 10.0 kPa
Leakage Current: 50–210 BPM
< 10 µA at 120–240 VAC, isolated by transducer
MECG Mode
Technique: Peak detecting, beat-to-beat cardiotachometer
Maternal ECG Electrode Type: Medtronic 1700-003 or equivalent
Leads Available: I, II, and III
Heart Rate Counting Range: 30–240 BPM
Heart Rate Resolution: ±1 BPM
Heart Rate Averaging: 1 second average
Heart Rate Update Rate: > 1 update per second
Countable Input Signal Range: < 0.5 mV to 5 mV peak-to-peak
Baseline Drift: < 0.5 mV RTI
Tall T-wave Rejection: < 0.8 x QRS amplitude
Heart Rate Meter Response Time:
80–120 BPM Step Increase: < 2 seconds
80–40 BPM Step Decrease: < 3 seconds
Alarm Time for Tachycardia 80–200 BPM: < 10 seconds (high alarm limit at 100 BPM)
Offset Voltage Tolerance (Differential): ±300 mVdc maximum
Maximum Common Mode Voltage: 20 V peak-to-peak
Preamplifier Bandwidth: 0.6 to 40 Hz
Common Mode Rejection:
Balanced: > 80 dB at mains frequency, with patient cable
Unbalanced 5K RA or LA: > 50 dB at mains frequency
Input Equivalent Noise: < 30 µV peak-to-peak
Input Impedance:
Differential: > 2.5 MΩ
Common Mode: > 10 MΩ
Mains Frequency Rejection: > 40 dB
Leakage Current: < 60 µA at 254 VAC, with cable, electrically isolated
Isolation, Mains-to-Patient: > 4 kVAC
Leads Off Detection: dc current < 0.1 µA
Alarms:
Audio: Alternating 1.5 second chimes (773 Hz and 523 Hz)
Visual: Flashing heart rate numeric or message
Limits: User-selectable high and low maternal heart rate
Technical: Leads off
Tachycardia Response Time: < 8 seconds
Pacemaker Detection/Rejection:
Input Voltage Range: ±2.5 mV to ±700mV
Input Pulse Width: 0.1 to 2 ms
Pulse Rise/Fall Time: < 10% of pulse width; not greater than 100 µs
Overshoot/Undershoot: 2 mV (see caution below)
CAUTION
Excessive overshoot time of pacemaker pulse may cause false
QRS detection.
Wavelengths: ±3 BPM
Red: 660 nm, nominal
Infrared: 920 nm, nominal
Response Time: User-selectable: slow, normal, and fast averaging modes.
Resolution
Saturation(%Sp02) 1%
Pulse Rate (bpm) 1
Low Perfusion Performance4
>0.02% Pulse Amplitude Saturation (%Sp02) ±2 digits
and % Transmission > 5% Pulse Rate ±3 digits
Interfering Substances
Carboxyhemoglobin may erroneously increase readings. The level of increase is approximately equal to the amount of carboxyhemoglobin
present. Dyes, or any substance containing dyes, that change usual arterial pigmentation may cause erroneous readings.
1)The Masimo SET® SpO2 parameter with LNOP-Adt sensors has been validated for no motion accuracy in human blood studies
on healthy adult volunteers in induced hypoxia studies in the range of 70-100% SpO2 against a laboratory co-oximeter and
ECG monitor. This variation equals plus or minus one standard deviation. Plus or minus one standard deviation encompasses
68% of the population.
2)The Masimo SET® SpO2 parameter with LNOP-Adt sensors has been validated for motion accuracy in human blood studies on
healthy adult volunteers in induced hypoxia studies while performing rubbing and tapping motions at 2 to 4 Hz at an amplitude
of 1 to 2 cm and a non repetitive motion before 1 to 5 Hz at an amplitude of 2 to 3 cm in induced hypoxia studies in the range
of 70-100% SpO2 against a laboratory co-oximeter and ECG monitor. This variation equals plus or minus one standard
deviation. Plus or minus one standard deviation encompasses 68% of the population.
3)
The Masimo SET® SpO2 parameter with LNOP-Neo Pt sensors has been validated for neonatal motion accuracy in human blood
studies on neonates while moving the neonate’s foot at 2 to 4 cm against a laboratory co-oximeter and ECG monitor. This
validation equals plus or minus, one standard deviation. Plus or minus one standard deviation encompasses 68% of the
population.
4)
The Masimo SET® SpO2 parameter has been validated for low perfusion accuracy in bench top testing against a Biotek Index
2 simulator and Masimo’s simulator with signal strengths of greater than 0.02% and a % transmission of greater than 5% for
saturations ranging from 70 to 100%. This variation equals plus or minus, one standard deviation. Plus or minus one standard
deviation encompasses 68% of the population.
Recorder Drive
Speeds: 1, 2, and 3 cm/min
Speed Accuracy: ±1 %
Replacement Parts 14
This section of the manual provides parts lists for the 120 Monitor. Parts lists should
be used in conjunction with the other chapters of this manual.
IMPORTANT
FRUs—Major sub-assemblies are usually configured as FRUs
(field replacement units) and are offered for customer purchase.
Most transducers are considered “consumable”; however, some
may be available as repair exchange items through the factory
service department.
14582G
NBP Final Assembly with DINAMAP Technology
(replaces CAS and Marquette Technology Boards)
2003035-001
Isolated Power Supply Board
(replaces earlier 13544 Boards)
2003039-001
Recorder Board
(replaces earlier 14085 Boards)
2005845-001
Power Supply
(replaces earlier 13836 Boards)
1559AAO
Communications
(replaces earlier 13388 Boards)
15096A
15096B
15097A
Switch Panel Replacement Kit 15097B
(Note: Parts with the “A” suffix are required for older
units.) 15098A
15098B
15099A
15099B
2017259-001
Upgrade Kit (Masimo) Contact GE Service. Monitor must be shipped to depot
repair to upgrade.
NOTE: Part Numbers are subject to change. When ordering parts, ask for the latest revision
for your monitor.
Calibration Parts
Trimline Tocotransducer Calibration
Nautilus Tocotransducer
Nautilus Transducer Kit
Type and Cat. No. (REF) Cat. No. (REF)
Troubleshooting 15
This section of the manual provides a troubleshooting guide for the most basic 120
Series Monitor operational problems. If the response to a specific question is not
found, contact the Service Department at one of the following numbers:
General Troubleshooting
Table 15-1. General Troubleshooting
Recorder does not function and the Recorder is off, out of paper, or paper is Press Record pushbutton; or install/re-
Record indicator is off. incorrectly loaded. install paper (see “Loading Strip Chart
Recorder Paper” on page 5-2), then
press Record button.
Recorder does not function and the Recorder is in maternal-only mode.
Record indicator flickers three short Press Record pushbutton to turn on.
flashes every five seconds.
Recorder functions however, Record Paper supply is low.
indicator flashes on and off every Install paper.
second.
Recorder does not function; the Record Paper loaded backwards.
indicator is off; the message PAPER Re-install paper.
INCORRECTLY LOADED, RELOAD WITH
BLACK SQUARES DOWN is shown in
maternal waveform area.
Recorder does not function and the Service required.
Record indicator is on. Call Biomedical Engineering
Department.
Ultrasound Troubleshooting
Table 15-2. Ultrasound Troubleshooting
FECG Troubleshooting
Table 15-3. FECG Troubleshooting
Internal FECG erratic or not recording Paste is dried or incorrect paste is being Check ECG paste; re-apply, if
properly. used. necessary.
Electrode not properly attached. Replace electrode.
No FECG signal. Auscultate FHR.
Defective electrode. Replace electrode.
Defective attachment pad. Replace attachment pad.
Service required. Call Biomedical Engineering
Department.
The sensor may be facing the uterine Confirm that the sensor is positioned
wall and may be reading maternal properly against the fetus.
FSpO2 readings greater than 85%. saturation.
The sensor may be affected by maternal Ensure that the displayed FSpO2 is fetal
pulsations. and not maternal.
Sensor not making adequate contact at Assess sensor position relative to fetal
the sensor site on the fetus. head. Assess sensor depth relative to
the fetal presenting part; advance or
withdraw the sensor as indicated in
Sensor Lifted icon ) displayed in
“FSpO2 Status Icons” on page 5-20.
FSpO2 area of display. Damaged sensor. If the icon does not respond to
advancing or withdrawing the sensor,
remove the sensor and place a new
sensor, as directed in “FSpO2 Status
Icons” on page 5-20.
Sensor disconnected from fetal patient Ensure fetal patient module cable is
module cable; or fetal patient module firmly attached to sensor assembly and
cable disconnected from monitor. monitor. If connections are OK, use a
new sensor.
Sensor Disconnected icon
displayed in FSpO2 area of display. Damaged fetal patient module. Replace with another Corometrics Fetal
Patient Module.
Invalid FSpO2 sensor connected to fetal Replace with valid Nellcor OxiFirst Fetal
patient module cable. Oxygen Sensor (Series FS14).
Changes in intracranial pressure due to Stop the exam. Do not proceed with
FHR slows during, or immediately after,
examination could cause a reflex sensor placement. Wait for the FHR to
sensor placement.
bradycardia stimulus. return to the previous range.
REPAIR message shown in FSpO2 display System error or self-test failure. Contact Biomedical Engineering
area. Department.
Internal UA Troubleshooting
Table 15-6. Internal UA Troubleshooting
MECG Troubleshooting
Table 15-7. MECG Troubleshooting
Cuff pressure has exceeded the Restrict patient limb movement. If this is
overpressure limit of 285 ± 15 mmHg. not the case, contact Biomedical
OVERPRESSURE message displayed in Engineering Department.
NBP area of display.
Kinked hose. Check the external cuff for kinks.
Blocked hose. Perform pneumatic test.
LEAK message displayed in NBP area of Check cuff for snug fit. Check cuff and
Pneumatic leak; air leak; or loose cuff.
display. hose connections for leaks.
MOTION message displayed in NBP area of Excessive maternal movement. Restrict patient limb movement. Restrain
display. limb if necessary.
Reposition cuff.
Dashes (– – –) displayed in NBP area of
Maximum reading determination time
display (and possibly in MHR/P area if NBP
exceeded. Check patient for arrhythmia. Move cuff
selected as MHR/P source).
to another limb.
MHR/P Pulse source is blank when MSp02 Select NORMAL or FAST mode on MSp02
SLOW mode selected
is selected setup screen.
Factory Defaults A
Factory Defaults are found in the table that follows.
Table of Defaults
Table A-1. Summary of Factory Defaults
Setup
Field Description Factory Default Default Options Hospital Preference
Screen
HR Offset
(Applies to US or US2— Off On, Off, 10 minutes
whichever is FHR2)
Volume 5 1-9
Volume 5 1-9
Setup
Field Description Factory Default Default Options Hospital Preference
Screen
Volume 5 1-9
Volume 5 0-9
Setup
Field Description Factory Default Default Options Hospital Preference
Screen
Audio Alarms
NBP On On, Off
MHR/P On On, Off
MSpO2 On On, Off
Re-Alarm 30-120
120 sec
(MECG and MSpO2 only) (in 5 second increments)
Master
AlarmSetup Alarm Limits High Low High Low
Systolic 160 90mmHg 70-240, Off 50-150, Off
Diastolic 90 50 mmHg 70-130, Off 30-120, Off
MAP 140 50 mmHg 70-150, Off 30-120, Off
MHR/P 120 50 BPM 100-250, Off 35-120, Off
MSpO2 100 95% 85-100, Off 80-99, Off
Volume 5 1-9
Time/Date Set to current local date Set to current local date and
and time. time.
Volume 5 0-9
Volume 5 1-9
FSpO2 Trace
Off On, Off
(External Monitor)
Setup
Field Description Factory Default Default Options Hospital Preference
Screen
FM (Fetal Movement)
On On, Off
Remote Mark
COROLAN Address
Off On, Off
Checking
HBC (Heartbeat
On On, Off
Coincidence Enable)
Alarms Summary B
A summary of the 120 series alarms is found in the table that follows.
Table of Alarms
Table B-1. Summary of 120 Series Alarms
FHR limit (high or low) actively being FHR numeric flashes. Alternating high/low tones (if
violated. audio enabled).
or
Unsilenced, resolved FHR limit
violation (the limit was violated but
the FHR has since returned to the
normal range before clinical
FHR
acknowledgement).
Inadequate FHR signal quality. Flashing dashes “– – –” in place Alternating high/low tones (if
of FHR numeric. audio enabled).
Systolic, diastolic, or MAP pressure NBP numeric (systolic, diastolic, Alternating high/low tones (if
value (high or low) actively being or MAP) flashes. audio enabled).
violated.
Malfunction with NBP circuitry, cuff, CHECK CUFF, LEAK, COMM, Alternating high/low tones (if
or air hoses. MOTION, WEAK SIGNAL, or audio enabled).
REPAIR message displays in NBP
area.
MHR/P limit (high or low) actively MHR/P numeric flashes. Alternating high/low tones (if
MHR/Pa being violated. audio enabled).
MECG leads off. Flashing dashes “– – –” in place Alternating high/low tones (if
of MHR/P numeric and MECG audio enabled).
LEADS OFF message displays
underneath.
%MSpO2 limit (high or low) actively %MSpO2 numeric flashes. Alternating high/low tones (if
MSpO2b being violated. Issued after about 8 %MSpO2 value and pulse rate audio enabled).
seconds. print on the strip chart.
Malfunction with MSpO2 circuitry. COMM or REPAIR message Alternating high/low tones (if
displays in MSpO2 area. audio enabled).
Drawings C
NBP Board
Main CPU
FECG/UA Board
FSpO2 Board
MECG Board
MSpO2 Board
Recorder Assembly
Recorder Board
EL Display Boards
Connectors
Main Board PC Mount
2-Pin 2 2-Wire
WIRE
24-Pin
J102 3-Terminal
3-Pin 2-Wire
80-Pin Test Jack
Header Communications Board
(No. 13388) 15-Pin D Keyboard
14-Pin Telemetry
Internal
Fan 4-Pin 3-Wire Paper Low
Header Sensor
10-Pin
Power
10-Wire Supply
Power Supply Header 4-Pin 3-Wire Paper Out
Module Header Sensor
(No. 13836)
4-Pin 3-Wire Paper Load
Header Sensor
AC Input Module
4-Wire
Recorder Module
4-Pin OVERALL LAYOUT (2/2)
BLOCK DIAGRAM
4-Wire
Front Panel
Power Switch
US1 US2
Audio Module
Main Board
Audio Mux
Rear Panel Interface and
D/A Volume Audio Amplifier
1. F.A.S.T, Remote Mark Controls and Mixer
2. FECG 80 dB, MECG 60 dB
3. Legplate Test Connector
Control Block
Recorder Interface Communication Module
To 1. 68302 Processor
Recorder 1. Data Interface 2. ROM/RAM 1. RS-232 UART for ext. MSp02
Module 2. Motor Interface 3. Adress Decoding, Clock 2. RS-232 UART for ext. NBP
3. Switch Interface Module, RTC 3. RS-232 UART for ext. FSp02
4. Control/Status Module 4. Corolan Interface
5. Power-On Reset Module 5. Internal MSp02 UART
6. Internal BP UART
7. Internal FSp02 UART
OPTIONS INTERFACE
Comm Board NBP Board DSP/Front Panel Interface Spare Slot (unused)
1. J102 Interface 1. NBP Module Interface 1. 1K Shared Memory
2. Keyboard 2. Int. Input
3. Reset Output
4. Front Panel Interface
+10,5 V Ref
Buffers
ANALOG CONVERSION MODULE
IUP Interface
2
clock, data 16-Bit Shift Register
Start Conversion
8
data bus
Control/Status Mode
4 8-bit data
chip selects Interface Buffers/Transceivers
1k X8
Shared address/control
Memory
DSP Processor
Module Main Board Interface
Connector
1. 30c52 Processor
2. 32k x 16 RAM
3. 128k x 16 FLASH ROM
4. Address Decoder
Address/ Address
Control Graphics Sync Lines Sync Lines
8k x 16 BUSY* Generator
Output
and Data/Clock Latch Data/Clock
To 16-Bit Data Dual Port RAM 16-Bit Data Address Decoder
Main Board PAL
Chip Select
EL Panel Interface
To Front
Panel Board
PUMP
CRYSTAL
CLOCK VALVE
DIVIDER DRIVERS
OVERPRESSURE VOLTAGE
SWITCH REFERENCE
PRESSURE VOLTAGE
TRANSDUCER REGULATOR NBP MODULE
(Manufactured by CAS Medical Systems, Incorporated)
BLOCK DIAGRAM
High-Pass AC
Filter Amplifier
Pump
Cuff Control
ASIC
Valves
NBP MODULE
(Manufactured by Corometrics)
BLOCK DIAGRAM
Mode DACs,
Heart Rate FMD1, FMD2, Markout To J102
DACs,
and
±10 V Refs
KB Data
Keyboard
Receive To
Data Latch Keyboard
Address/Control
Address Decoder
and KBDIN,MARK/,STB/
To Keyboard Receive
Main Board Interface PAL Buffer
Buffer IBF
Buffer
COMMUNICATIONS BOARD
BLOCK DIAGRAM
+5 V 5 V / 2.8 A
Switching
Regulator 5 V / 600 mA
+15 V 15 V / 750 mA
Fan Switching
Regulator 15 V / 800 mA
+12 V 12 V / 580 mA
Switching
Regulator 12 V / 1.5 A
1 320 1 256
COLUMN
COMPOSITE OPTO-
VMOD ISOLATORS
DRIVER
VID
DATA SPLITTER ROW
VCLK CONTROLLER COMPOSITE
STATE MACHINE GENERATORS
VS
HS
VL VPOSWRT VNEGWRT
+Vcc1 VH
POWER
+Vcc2 SUPPLY VMOD
GND VPOSWRT
VNEGWRT
ELECTROLUMINESCENT DISPLAY
(Manufactured by Planar Systems, Inc.)
BLOCK DIAGRAM
Zin=15 ý
5 4
Ultrasound 72
Transmitter 40 270
55 20
SYNC
G=7.5
F-MOVE
TEL-AUDIO Fetal Movement
Band-Pass Filter
US/TEL-AUDIO 15 39
5 4
ULTRASOUND BOARD
BLOCK DIAGRAM
LA AV=100
AV=10 AV=1
RL
HP Filter 90 Amplifier
Hz AV=10
Control
Switch
FECG BOARD
BLOCK DIAGRAM
Offset Pacemaker
RL
Rejector/
Slew Rate
Common Limiter
Mode
Signal Control
Pacemaker
Detector
Control Control
Baseline
Integrator Restorer
MECG BOARD
Control BLOCK DIAGRAM
HDSHUT
Recorder Head
GND GND
LOAD
LOAD
CK
CK
DATA IN
DATA IN
Buffers STB1
STB1
STB2
STB2
STB3
STB3
STB4
STB4
BEO
BEO
From
Main +5 V
Board
GND
P1P4 Phases
4-Phase Motor
Motor Driver
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