R SERIES DEFIB
R SERIES DEFIB
R SERIES DEFIB
Service Manual
Software License
Read this License agreement carefully before operating any of the R Series
® products.
Software incorporated into the system is protected by copyright laws and international copyright treaties as well as other intellectual property laws and treaties. This software is licensed, not sold. By taking
delivery of and using this system, the Purchaser signifies agreement to and acceptance of the following terms and conditions:
Grant of License: In consideration of payment of the software license fee which is part of the price paid for this product ZOLL Medical Corporation grants the Purchaser a non-exclusive license, without right
to sublicense, to use the system software in object-code form only.
Ownership of Software/Firmware: Title to, ownership of and all rights and interests in the system software and all copies thereof remain at all times vested in the manufacturer, and Licensors to ZOLL
Medical Corporation and they do not pass to Purchaser.
Assignment: Purchaser agrees not to assign, sub-license or otherwise transfer or share its rights under the license without the express written permission of ZOLL Medical Corporation.
Use Restrictions: As the Purchaser, you may physically transfer the products from one location to another provided that the software/firmware is not copied. You may not disclose, publish, translate, release
or distribute copies of the software/firmware to others. You may not modify, adapt, translate, reverse engineer, decompile, crosscompile, disassemble or create derivative works based on the software/
firmware.
No Implied License
Possession or purchase of this device does not convey any express or implied license to use the device with replacement parts which would, alone, or in combination with this device, fall within the scope of
one or more of the patents relating to this device.
0123
TABLE OF CONTENTS
Preface
Safety Considerations ...................................................................................................................................................i
Additional Reference Material .....................................................................................................................................ii
Conventions ..................................................................................................................................................................ii
Service Policy Warranty ..............................................................................................................................................iii
Technical Service.........................................................................................................................................................iii
Technical Service Outside of the United States........................................................................................................iv
Chapter 2 Troubleshooting
Overview .................................................................................................................................................................... 2-1
ZOLL R Series Error Messages ............................................................................................................................... 2-1
iv 9650-0903-01 Rev. L
TABLE OF CONTENTS
Chapter 4 Replacement Parts
List of Replacement Parts........................................................................................................................................ 4-2
Diagrams...................................................................................................................................................................4-11
Disassembling the System Brick Assembly ........................................................................................................ 4-41
Appendix
Interconnect Diagram for the R Series Biphasic Unit ........................................................................................... A-2
Delivered Energy at Every Defibrillator
Setting into a Range of Loads ................................................................................................................................. A-3
Sync Connector Diagrams ....................................................................................................................................... A-4
Maintenance Test Checklist ..................................................................................................................................... A-5
9650-0903-01 Rev. L v
vi 9650-0903-01 Rev. L
R Series Service Manual
Preface
ZOLL® Medical Corporation’s R Series® Service Manual is intended for the service technician whose responsibility is to maintain and inspect the R Series
defibrillators. The ZOLL R Series Service Manual has five main sections and one appendix.
Preface—Contains safety warnings and an overview of the manual’s contents. Be sure to review this section thoroughly before attempting to use or service
the R Series unit.
Chapter 1—Maintenance Tests explains how to check the defibrillator’s performance using a series of recommended checkout procedures to be
conducted every 12 months.
Chapter 2—Troubleshooting provides a listing of the procedures and error messages to help the service technician detect faults and repair them.
Chapter 3—Disassembly Procedures describes step-by-step procedures for removing assemblies and subassemblies from the R Series unit
Chapter 4—Replacement Parts List displays a complete list of ZOLL part numbers for field replaceable parts available for the R Series unit, allowing
the service person to identify and order replacement parts from ZOLL.
Chapter 5—Functional Description provides technical descriptions for the R Series major subassembly modules.
Appendix—R Series interconnect diagram; table for delivered energy loads; maintenance checklists.
Safety Considerations
The following section describes general warnings and safety considerations for operators and patients. Service technicians should review the safety
considerations prior to servicing any equipment and read the manual carefully before attempting to disassemble the unit. Only qualified personnel should
service the R Series unit.
Federal (U.S.A.) law restricts this unit for use by or on the order of a physician.
Safety and effectiveness data submitted by ZOLL Medical Corporation to the Food and Drug Administration (FDA) under section 510(K) of the Medical
Device Act to obtain approval to market is based upon the use of ZOLL accessories such as disposable electrodes, patient cables and batteries. The use of
external pacing/defibrillation electrodes and adapter units from sources other than ZOLL is not recommended. ZOLL makes no representations or
warranties regarding the performance or effectiveness of its products when used in conjunction with pacing/defibrillation electrodes and adapter units from
other sources. If unit failure is attributable to pacing/defibrillation electrodes or adapter units not manufactured by ZOLL, this may void ZOLL's warranty.
Only qualified personnel should disassemble the R Series unit.
9650-0903-01 Rev. L i
R Series Service Manual
WARNING! This unit can generate up to 2,850 volts with sufficient current to cause lethal shocks.
All persons near the equipment must be warned to STAND CLEAR prior to discharging the defibrillator.
Do not discharge the unit’s internal energy more than three times in one minute or damage to the unit may result.
Do not discharge a battery pack except in a ZOLL SurePowerTM Battery Charger Station.
Do not use the R Series in the presence of flammable agents (such as gasoline), oxygen-rich atmospheres, or flammable anesthetics. Using the unit near
the site of a gasoline spill may cause an explosion.
Do not use the unit near or within puddles of water.
Conventions
WARNING! Warning statements describe conditions or actions that can result in personal injury or death.
Caution Caution statements describe conditions or actions that can result in damage to the unit.
ii 9650-0903-01 Rev. L
R Series Service Manual
Technical Service
If the ZOLL R Series unit requires service, contact the ZOLL Technical Service Department:
Telephone: 1-978-421-9655; 1-800-348-9011
Fax 1-978-421-0010
Email: [email protected]
Have the following information available for the Technical Service representative:
• Unit serial number
• Description of the problem
• Department where equipment is used
• Purchase Order to allow tracking of loan equipment
• Purchase Order for a unit with an expired warranty
• Sample chart recorder strips documenting the problem, if applicable
• Full disclosure file from the unit, if applicable (.FUL extension)
• Ready code file from the unit, if applicable (.DCK extension)
• Activity log file from the unit, if applicable (.RAL extension)
If the unit needs to be sent to ZOLL Medical Corporation, obtain a Service Request number from the Technical Service representative. Return the unit in
its original container to:
ZOLL Medical Corporation
269 Mill Road
Chelmsford, Massachusetts 01824-4105
iv 9650-0903-01 Rev. L
R Series Service Manual
Chapter 1
Maintenance Tests
Overview
The R Series has two checkout procedures: the R Series Operator’s Guide defibrillator testing checklist and the extensive 12-month maintenance test
checkout procedures.
Because the R Series units must be maintained ready for immediate use, regular readiness testing is required. It can either be performed manually or
automatically. Refer to the R Series Operator’s Guide for details.
A qualified biomedical technician must perform a more thorough maintenance test checkout every 12 months to ensure that the functions of the R Series
unit work properly. This chapter describes the step by step procedures for performing the 12 month maintenance test checkout. Use the checklist at the
back of this document (ZOLL R Series Maintenance Test Checklist) to record your results of the maintenance tests.
This chapter describes the following maintenance tests:
• 1.0 Physical Inspection of the Unit
• 2.0 Front Panel Button Test
• 3.0 3 and 5 Leads Test
• 4.0 Power Supply Test (Optional)
• 5.0 Leakage Current Test
• 6.0 Paddles Test
• 7.0 Heart Rate Display Test
• 8.0 Calibrating Pulses on Strip Chart Test
• 9.0 Notch Filter Test
• 10.0 Heart Rate Alarm Test
• 11.0 Defibrillator Self Test
• 12.0 Synchronized Cardioversion Test
• 13.0 Synchronized Cardioversion for Remote ECG Monitoring Test (Optional)
• 14.0 Shock Test
• 15.0 Summary Report Test
1.1 Housing o o o
Is the unit clean and undamaged?
1.11 Do the adult shoes slide on and off easily to expose the covered pedi plates? o o o
1.12 Are the paddles clean (e.g., free of gel) and undamaged? (if applicable) o o o
1.13 Cables o o o
Are all cables free of cracks, cuts, exposed or broken wires?
1.14 Are all bend/strain reliefs undamaged and free of excessive cable wear? o o o
1.15 Battery
Place battery in battery well.
2.1 Turn the selector switch to MONITOR. (for AED Listen for 4 beep tones. PADS and MONITOR display on the monitor. o o o
units, turn the selector switch to ON and select NOTE: PADS is a factory default setting.
Manual mode.)
2.2 Press the LEAD button; three times for the 3 Each time you press the LEAD button, a different lead number appears under o o o
lead cable and seven times for the 5 lead cable. the LEAD heading on the display.
PADS, I, II, III will display if a 3 lead ECG cable is connected or no ECG cable
is connected.
PADS, I, II, III, AVR, AVL, AVF, V1 will display if a 5 lead ECG cable is
connected.
2.3 Set the Impulse 4000 to NSR of 120 BPM. As you press the SIZE button five times (0.5, 1.0, 1.5, 2.0, 3.0), note that the o o o
Press the LEAD button until Lead II displays. To size of the ECG waveform appropriately changes on the display.
check the size of the ECG waveform, press the
SIZE button.
2.4 Press the ALARM SUSPEND button. Bell changes from disabled to enabled. If the alarm sounds, press the ALARM o o o
SUSPEND button to turn it off. The alarm will only be suspended for 90
seconds at this point. Press and hold the ALARM SUSPEND button for 3
seconds to disable alarms.
2.5 Press the RECORDER button. The strip chart paper moves out of the unit from the printer compartment. o o o
Check that the correct time, date, ECG lead annotation and waveform are
recorded on the paper. (Set Time and Date, if necessary.)
2.6 Open the printer door. CHECK RECORDER message appears on the monitor. o o o
Press RECORDER button.
2.7 Close the printer door. Strip chart paper flows out of printer compartment. Verify that the CHECK o o o
Press RECORDER button. RECORDER message no longer displays.
2.8 Press RECORDER button. Strip chart paper stops flowing out of printer compartment. o o o
2.9 Connect A/C current and install a fully charged The AC Power LED should be illuminated. o o o
battery. Turn the unit off. The battery LED will be green or amber.
NOTE: If the battery LED alternates between green and amber, no battery is
installed or there is a battery charging fault.
2.10 Remove the battery. Observe that the battery LED alternates between green and amber. o o o
2.11 Replace the battery and turn the selector switch Note that the battery indicator is green or amber. o o o
to MONITOR (for AED units, turn to ON.)
2.12 Press the ANALYZE button (if available). The SELECT DEFIB MODE message appears on the monitor. (For manual o o o
devices.)
2.13 Move the selector switch to DEFIB (for AED The display shows that the unit is charging. The SHOCK button lights when the o o o
units leave in the ON position.) Select 2J. Press unit is charged. Ready tone for DEFIB sounds.
the CHARGE button.
2.14 Press and hold the ENERGY SELECT down Unit discharges internally and selected energy decrements to 1J. o o o
arrow.
2.15 Press and release the ENERGY SELECT up Verify the following settings: 2, 3, 4, 5, 6, 7, 8, 9, 10, 15, 20, 30, 50, 75, 100, o o o
arrow 18 times. 120, 150, 200J.
2.16 Press the CHARGE button. Note the display shows the unit charged up to 200J and the SHOCK button o o o
lights.
2.17 Press the SHOCK button. The unit discharges and the SHOCK button is no longer lit. A 15 second strip o o o
chart automatically prints, displaying the number of joules delivered (if
configured to print post shock).
2.18 (AED UNITS ONLY) Turn selector switch to the Verify on the front panel that the green AED LED is illuminated. o o o
OFF position.Wait a minimum of 10 seconds
and turn selector switch back to the ON
position.
2.19 Press the MANUAL MODE softkey, then select Verify the green AED LED turns off. o o o
the CONFIRM softkey.
2.20 Turn selector switch to the OFF position. Verify the unit turns off. o o o
Record your results on the Maintenance Test Checklist.
3.1 Turn the selector switch to MONITOR (for AED ECG LEAD OFF message is not displayed. o o o
units turn to ON.) Select leads.
3.2 Disconnect one lead from the Impulse 4000. The ECG LEAD OFF message displays within 3 seconds (if configured). o o o
3.3 Reconnect the lead. Repeat step 3.2 with the Wait for ECG LEAD OFF message to clear from the display (if configured). o o o
remaining leads.
3.4 If applicable, repeat 3.2 and 3.3 for the NOTE: If heart rate alarm sounds, press and hold the ALARM SUSPEND o o o
remaining cable(s). button for 3 seconds to disable the alarms.
Caution Be sure to connect the power supply properly to the R Series battery well terminals or damage to the unit may result. Do NOT raise the
power supply voltage above 15V.
Red
15 Amp
Battery Well Supply
?
?
Black
4.1 Turn the selector switch to MONITOR (for AED The unit should not turn on. o o
units turn to ON.)
4.3 Adjust the power supply voltage to 10.8V and The unit should turn on. o o
turn the selector switch to MONITOR. No LOW BATTERY message displays.
4.4 Low Battery Test LOW BATTERY message displays within 30 seconds. o o
Set voltage to 10.5V.
4.5 Set voltage to 10.2V. REPLACE BATTERY message displays within 30 seconds. o o
4.6 Turn the unit off.
Test Setup:
1. Remove red lead from power supply and connect to 0.1resistor.
2. Connect other end of resistor to “+” terminal of power supply using a second red lead.
3. Connect multimeter across the resistor.
4. Set voltage scale (if DVM is not autoranging) to 220 mV.
?
Red
DMM
Battery Well
?
15 Amp
Black Supply
?
4.8 Turn the selector switch to MONITOR. Voltage across resistor should be 145 mV or less (<1.2A of ON current). o o o
NOTE: Without optional parameters.
4.10 Off Current Test Voltage should be less than 270 mV (<270 A of current). o o
Measure across resistor with unit turned off.
Charger Test
Tools Needed: 2-Post Battery Fixture (9100-0575-TF), DVM, 2 Test Leads, Impulse 4000, Stopwatch.
Test Setup:
Set DVM to read DC Volts.
Connect Postive lead to positive post of the R Series charger load fixture.
Connect negative lead to negative post of the R Series charger load fixture.
Verify the unit is plugged into AC Power.
4.14 On the Test Fixture set the switch to 20 Ohms. Verify the charger voltage is 9.50V-11.87V. o o
4.15 On the Test Fixture set the switch to 27 Ohms. Verify the charger voltage is 11.97V-12.43V. o o
4.19 Press the CHARGE button and start timing with Verify charge time is between 3-10 seconds. o o
a stopwatch. Stop timing when the SHOCK
button illuminates.
4.20 Press the ENERGY DOWN ARROW button. Verify the unit internally discharged. o o
6.1 Turn the selector switch to DEFIB (for AED The energy selection decreases to 1J. o o o
units, turn the selector switch to ON, and
select Manual Mode.) Press and hold the
ENERGY DOWN button on the sternum paddle.
6.2 Press and release the ENERGY UP button on Verify the energy levels increment through the following: 1-10, 15, 20, 30, 50, o o o
the sternum paddle for each setting. 75, 100, 120, 150, 200J.
6.3 Press and release the RECORDER button on The recorder turns on. o o o
the sternum paddle.
6.4 Press and release the RECORDER button Verify the recorder turns off. o o o
again.
6.5 Select 30J using the paddle ENERGY button. The unit charges to 30J, then the red LED charge indicator illuminates and the o o o
Press the CHARGE button on the Apex paddle. charge tone sounds. (Note that the front panel shock button does not
illuminate).
6.8 Press and hold both paddles SHOCK buttons. The unit discharges. The 30J TEST OK message displays and the red LED o o o
turns off. The recorder runs.
7.1 Set the Impulse 4000 to 120BPM. The Heart Rate displays as 120 +/- 2 bpm. o o o
Record your results on the Maintenance Test Checklist.
8.2 Press and hold SIZE button to activate the The strip chart displays a signal of 300 ppm with an amplitude of 10 mm o o o
calibration signal. +/- 1 mm. The signal also appears on the video display. (You can verify that the
rate is 300ppm by measuring 5mm from the left edge of one pulse to the left
edge of the following pulse.)
9.3 Press RECORDER button. Verify that the waveform amplitude on the strip chart is less than 1.5 mm. o o o
9.4 Turn the unit off.
10.1 Turn the selector switch to MONITOR mode( for Lead II waveform displayed on monitor. o o o
AED units turn to ON.) NSR ECG at 120 BPM +/- 2 displayed.
Connect the ECG leads to the Impulse 4000.
Set the simulator to 120 BPM and the
defibrillator to lead II.
10.2 Press ALARMS softkey. The alarm menu displays. o o o
10.3 Press NEXT PARAM softkey until ECG HR Cursor scrolls through parameters. o o o
displays.
10.4 Press CHANGE VALUE softkey. o o o
10.5 Press INC> softkey for state. Cursor scrolls through ENABLE, AUTO and DISABLE. o o o
10.6 Press DEC< softkey for state. Cursor scrolls through ENABLE, DISABLE, AND AUTO. o o o
10.7 Press INC> softkey until ENABLE displays. ENABLE displays. o o o
10.8 Press ENTER softkey. o o o
10.9 Press NEXT FIELD softkey to select the heart Cursor scrolls to Low field. o o o
rate limit.
10.10 Press CHANGE VALUE softkey and press o o o
INC> or DEC< to set low heart rate limit to 30.
10.11 Press ENTER softkey. o o o
10.12 Press NEXT FIELD softkey to select the high Cursor scrolls to High field. o o o
heart rate limit.
10.13 Press CHANGE VALUE and press INC< or o o o
DEC> softkey and set high heart rate limit to
150.
10.14 Press ENTER softkey, then press RETURN o o o
softkey.
10.15 Press ALARM SUSPEND button. No alarm sounds. o o o
10.16 Remove a lead wire from the Impulse 4000. The bell symbol flashes and the heart symbol stops flashing. The ECG LEAD o o o
OFF alarm tone sounds and the Heart Rate Value is highlighted. Recorder
prints a stripchart showing a low heart rate, if enabled.
10.17 Reattach ECG Lead wire to Impulse 4000 and The bell symbol has an “X” through it. o o o
hold the ALARM SUSPEND button on unit for 4 The heart symbol flashes with each QRS wave.
seconds.
10.18 Press the ALARM SUSPEND button. Alarm is enabled. Bell symbol (without “X”) displays. o o o
10.19 Set simulator to 160 BPM or higher. Heart Rate Value is highlighted, alarm tone sounds, the bell and the heart o o o
symbol both flash.
10.20 Press the ALARM SUSPEND button in the unit. Alarm is suspended for 90 seconds. The bell symbol has an “X” through it. The o o o
heart symbol flashes with each QRS wave and the Heart Rate Value is
highlighted.
10.21 Press and hold ALARM SUSPEND for Verify the Heart Rate value is not highlighted, and the bell symbol displays with o o o
3 seconds to disable alarms. an “X” through it and is not flashing.
Record your results on the Maintenance Test Checklist.
SHOCK HAZARD!
TAKE THE NECESSARY PRECAUTIONS TO GUARD AGAINST SHOCK OR INJURY BEFORE YOU START
CONDUCTING THE DEFIBRILLATOR TESTS.
Keep hands and all other objects clear of the multi-function cable connections and defibrillator analyzer when discharging
the defibrillator.
Before you discharge the defibrillator, warn everyone near the equipment to STAND CLEAR.
Caution Do NOT internally discharge the unit more than 3 times in 1 minute. Note that multiple rapidly repeating internal discharges at more than
30 Joules may damage the unit.
Tools Needed:
• ZOLL Medical Electrode Connector (Fluke Biomedical Part Number 3010-0378 or equivalent).
• Impulse 4000 or equivalent defibrillator analyzer.
• ECG Cable.
• Stop watch.
Test Setup:
1. Ensure the unit is turned off.
2. Ensure the ECG cable is connected to the R Series unit and the defibrillator analyzer.
Note: The OneStep cable should not be connected to any equipment at the beginning of this test.
11.1 Turn the selector switch to DEFIB mode (For CHECK PADS/POOR PAD CONTACT message displays. o o
AED units, turn to ON, and select MANUAL
MODE.)
Set leads to PADS.
11.2 Connect the OneStep cable to the test port on DEFIB PAD SHORT message displays. o o
the right side of the R Series.
11.3 Select energy level of 100J and press the The charge time is >2 second and <10 seconds and SELECT 30J FOR TEST o o
CHARGE button. is displayed.
11.4 Press the SHOCK button. Unit does not discharge. DEFIB PAD SHORT message displays. o o
11.5 Set energy level to 30J. Unit internally discharges. o o
11.6 Press the CHARGE button. Unit charges to 30J and displays DEFIB 30J READY. The charge ready tone o o
sounds.
11.7 Press and hold SHOCK button. Unit discharges. 30J TEST OK message displays. The message at the top of o o
the printed strip chart reads as follows:
30 JOULES TEST OK. TEST_CUR=10-14A DEFIB_IMPED=0.
The impedance value may range from 0 to 5.
12.2 Press the SYNC softkey on the defibrillator. Sync appears on display. o o
Enter synchronized cardioversion timing test Sync markers display on the monitor. The sync marker appears as a down
mode on the defibrillator analyzer. arrow over the ECG R-wave peaks on strip chart and display.
NOTE: Press the SYNC softkey again if the unit
is configured for Remote Sync.
13.2 Select Defib Mode. Press the SYNC ON/OFF The words REMOTE SYNC are displayed in place of the ECG trace, and a o o
softkey. Press the REMOTE SYNC softkey. REMOTE SYNC XXXJ SEL. message appears on the display. The ECG
heartbeat indicator will flash with each synchronization pulse received from the
remote monitoring device. On the remote device’s display, verify that sync
markers coincide with each R-wave as described in the remote device’s user
manual.
13.4 Press the CHARGE button. When the SHOCK The defibrillator discharges. Observe that the R-wave to shock delay (sync o o
button lights, press and hold the SHOCK delay) is less than 60 milliseconds on the analyzer display.
button.
Test Setup:
1. Connect the OneStep cable via the adapter (D.N.I #3010-0378) to the defibrillator analyzer.
2. Ensure that a fully charged battery is installed in the unit.
3. Select Defib/Energy mode on analyzer.
14.2 Press the ENERGY SELECT down arrow until DEFIB 5J SEL displays. o o o
5J displays.
14.3 Press the CHARGE button. Wait for the DEFIB 5J RDY displays. o o o
SHOCK button to illuminate.
14.4 Press the SHOCK button. Unit discharges 3J-7J into the simulator. o o o
14.5 Press the ENERGY SELECT up arrow until 50J Verify that DEFIB 50J SEL is displayed o o o
displays.
14.6 Press the CHARGE button. Wait for the Verify that DEFIB 50J RDY is displayed. o o o
SHOCK button to illuminate.
14.7 Press the SHOCK button. Verify that the unit discharges 46J-62J into the simulator. o o o
14.8 Press the ENERGY SELECT up arrow until Verify that DEFIB 100J SEL is displayed. o o o
100J displays.
14.9 Press the CHARGE button. Wait for the Verify that DEFIB 100J RDY is displayed. o o o
SHOCK button to illuminate.
14.10 Press the SHOCK button. Verify the unit discharges 93J-125J into the simulator. o o o
14.11 Press the ENERGY SELECT up arrow until Verify that DEFIB 200J SEL is displayed. o o o
200J displays.
14.12 Press the CHARGE button. Wait for the Verify that DEFIB 200J READY is displayed. o o o
SHOCK button to illuminate.
14.13 Press the SHOCK button. Verify the unit discharges 196J-264J into the simulator. o o o
14.14 Press the CHARGE button and start timing with Observe and record the value of the charge time on the stop watch. o o o
a stopwatch. Stop timing when the SHOCK Charge time 1.0-7.0 sec.
button illuminates.
14.15 Press the SHOCK button. Verify that the Patient Current is between 23.9-25.9A and Defib Impedance is o o o
between 46-54 Ohms on the strip chart.
14.16 Press the CHARGE button, when the SHOCK Verify that no fault messages are displayed, and no discharge energy is o o o
button Illuminates, press the ENERGY SELECT displayed on the Impulse 4000.
DOWN ARROW.
14.17 Set Energy level to 200 Joules. Press the Verify the unit holds the energy for 60 seconds (15 seconds for AED units), and o o o
CHARGE button. When the SHOCK button that when the unit discharges internally, that there are no fault messages
illuminates, start timer. displayed.
14.18 Disconnect the cable from the analyzer. CHECK PADS audio prompt. o o o
Record your results on the Maintenance Test Checklist.
15.1 Press the Report Data * softkey, press Erase, ERASING REPORT displays. Wait for the message to clear. o o
then Erase All.
15.2 Set selector switch to DEFIB (for AED units turn The unit successfully discharges and if configured to do so, prints a strip chart. o o
to ON, and select MANAUL MODE.) Select
200J using the ENERGY SELECT button, and
press the CHARGE button. When charged,
press the SHOCK button to discharge into the
defibrillator analyzer.
15.3 Wait 18 seconds, then press the Code Marker The Code Markers display. (After CPR Code Marker is selected, the unit o o
softkey. Press the CPR softkey. Wait 20 automatically exits the Code Marker options menu.)
seconds and turn unit off. (This will allow code
marker to be saved in the summary.)
15.4 Verify that the unit has been off for a minimum Summary report prints. The report displays the correct date, time, the shock o o
of 10 seconds and then turn the unit on. Press delivered, and Code Marker event.
the Report Data * softkey, then press Print
Chart, then Print All.
* For software versions 3.0 or earlier, the unit displays Report instead of Report Data.
16.2 Select VF (ventricular fibrillation) on the Impulse ANALYZING ECG message displays. o o
4000, then press the ANALYZE button. STAND CLEAR message displays.*
SHOCK ADVISED message displays.
PRESS SHOCK message displays*+
*Advisory audio prompts are user configurable.
+If configured for auto charge. PRESS CHARGE message displays if not
configured to auto charge.
Note: The following tests are to be performed only on R Series units equipped with the optional pacing function.
The pacer output can be measured using an oscilloscope set to DC coupling connected across a load resistor. (See above diagram for OneStep cable
connector polarity.) The load resistor is a 100 ohm, 5 watt or greater. The pacer output is a positive going pulse, 40 +/- 2 ms duration with an amplitude of
0.1 volt per milliamp of selected output (e.g., 40 milliamps of selected output has an amplitude of 4 +/- 0.5 volts of the specified tolerance displayed on the
oscilloscope).
If an external non-invasive pacer analyzer is being used, then follow the manufacturer’s guidelines for measuring the frequency (ppm), output (mA) and
the pulse width measured in milliseconds. Note that the analyzer pace load resistor must be less than 250 ohms.
Test Setup:
1. Connect the One Step cable from the R Series to the External Pacer Load (TQA-17) of the Impulse 4000.
2. Turn the Main Selector knob of the R Series to the Pacer mode.
3. Enter the pacer function on the analyzer.
Note: Do not connect ECG cable to Pacer Analyzer or ECG simulator.
17.1 Set the PACER OUTPUT to 14 mA and CHECK PADS and POOR PAD CONTACT messages display. The pace alarm o o
disconnect MFC connector from the Impulse is active.
4000.
17.2 Reconnect the universal cable to the Impulse CHECK PADS and POOR PAD CONTACT messages disappear. The pace o o
4000. Press Clear Pace Alarm softkey. alarm is cleared.
17.3 Set rate to 180 ppm; output to 0mA. No output appears on the Impulse 4000. o o
17.4 Increase the output to 40mA. Output on the Impulse 4000 is 40mA +/- 5mA. o o
17.5 Increase the output to 80mA Output on the Impulse 4000 is 80mA or +/- 5mA. o o
17.6 Increase the output to 120mA. Output on the Impulse 4000 is 120mA or +/- 6mA. o o
17.7 Increase the output to 140mA. Output on the Impulse 4000 is 140mA or +/- 7mA. Pulse width is 40mS +/- o o
2mS. Pacer rate on Impulse 4000 is 177-183 ppm.
17.8 Decrease the output to 60mA. Pacer rate on Impulse 4000 is 29-31 ppm. o o
Decrease the rate to 30 ppm.
17.9 Connect the ECG cable to the R Series and ECG at 60 BPM is seen on the display and no stimulus markers. o o
Impulse 4000. Select the ECG at 60 BPM on
the Impulse 4000. Increase the pacer rate on
the unit to 58ppm.
17.10 Press the Async Pace softkey. ECG at 60 BPM seen on the display with the pace stimulus markers displayed. o o
Async pace message displays.
17.11 Turn off Impulse 4000. Set Pacer Rate to Observe the pace stimulus markers every 15mm +/-1mm. o o
100ppm. Press the RECORDER ON button.
17.12 Press and hold 4:1 button. Observe the pace stimulus markers every 60 mm+/- 1.5 mm. o o
Record your results on the Maintenance Test Checklist.
Test Setup:
1. Connect the OneStep cable to the test port.
2. DO NOT connect the ECG cable to the simulator.
3. Install the Masimo Patient Cable and attach the Masimo sensor to the patient cable.
4. Connect the Masimo sensor to the finger simulation post.
5. Place a fully charged battery into the battery well or connect to AC power.
6. Ensure that the SpO2 Simulator is off.
18.1 Turn the selector switch to MONITOR(for AED The SpO2 saturation percentage appears as a dashed line on the monitor. o o
units turn to ON, and select MANUAL MODE.)
18.2 Wait ten seconds. The SpO2 PULSE SEARCH message displays. o o
Turn on the SpO2 simulator. Press the SIM
softkey on the Index SpO2 Simulator. Press the
MAN softkey.
18.3 Press the 02+ or 02- softkey of the simulator The R Series SpO2 reading of 98 +/- 1% appears on the R Series monitor. o o
until the SpO2 output is at 98%. Note that you may need to wait up to 2 minutes for the information to appear on
the ZOLL display.
18.4 Using the Index SpO2 Simulator, press the The SpO2 rate 230 BPM displays on the simulator screen. o o
BPM+ or BPM- softkey until the heart rate is Note that you may need to wait up to 2 minutes for the information to appear on
230 BPM. the ZOLL display.
The SpO2 saturation of 96-100% appears on the R Series display.
The heart rate of 226-234 BPM displays on the R Series monitor.
18.5 Using the Index SpO2 Simulator, press the The SpO2 saturation of 96-100% displays on the unit. o o
BPM- softkey until the heart rate is 50 BPM. The heart rate of 46-54 BPM displays on the R Series monitor. o o
18.6 Using the Index SpO2 Simulator, press the 02+ The SpO2 saturation of 69-74% displays on the unit. o o
softkey until the SpO2 output is at 72%. The heart rate of 46-54 BPM displays on the R Series monitor. o o
18.7 Press the OPTIONS softkey. Press TRACES. Plethysmographic waveform appears on the ZOLL display. o o
Press TRACE 2. Select SpO2.
18.8 Press RECORDER. The plethysmographic waveform prints on the strip chart paper. o o
18.9 Press RECORDER to stop printing. Verify that the recorder stops. o o
18.10 Using the Index SpO2 Simulator, press the The SpO2 saturation rate of 69-74% displays on the unit. o o
BPM- softkey until the heart rate is at 230 BPM. The heart rate in the heart position of 226-234 BPM displays on the monitor.
18.11 Press RECORDER. Verify that the waveform is printed at the correct rate. o o
Press RECORDER to stop printing.
18.12 Press RECORDER. Remove the Masimo Verify that the recorder stops. o o
patient cable.
19.1 Connect the CAPNOSTAT 5 CO2 Mainstream NOTE: Make sure the airway adapter is installed in the CO2 cable.
cable with airway adapter attached to the yellow
connector at the back of the R Series.
19.2 Set the front panel switch to MONITOR or ON. WARM UP message appears on the display. o o
For AED units, enter Manual Mode. NOTE: Warming up may take up to 3 minutes.
19.4 Press the ZERO softkey, then wait for the The ZERO DONE message appears. o o
ZERO DONE message.
19.6 Press the following softkeys to display the CO2 A flat baseline CO2 waveform appears. o o
waveform, Options, Traces, Trace 2, then
EtCO2,
19.7 Breathe normally into the airway adapter. A capnogram waveform appears. o o
Record your results on the Maintenance Test Checklist.
20.2 While pressing and holding the second softkey The unit displays EtCO2 Calibration screen.
from the left, turn the selector switch to Monitor
(ON for AED units).
20.3 Wait for the sensor to warm up. The message WARM UP is displayed. (Warming up may take up to 3 minutes.)
*The barometric pressure can be obtained from a calibrated barometer, or from the National Weather Service at www.nws.noaa.gov Note that the barometric
pressure is in inches of mercury, multiply it by 25.4 to convert to mmHg.
21.2 While pressing and holding the second softkey The unit displays EtCO2 Calibration screen.
from the left, turn the selector switch to Monitor
(ON for AED units).
21.3 Wait for the sensor to warm up. The message WARM UP is displayed (Warming up may take up to 3 minutes.)
21.6 Use the Prev, Next, Inc and Dec softkeys to set
each digit of the gas temperature parameter in
the CAPNOSTAT 5 CO2 Sensor until Gas
Degrees C is equal to the room temperature.
21.9 Attach a regulated flowing gas mixture of 5% The gas flow rate should already be preset to 2 to 5 liters per minute.
CO2, balance Nitrogen (N2) to the airway
adapter.
21.11 Allow a few seconds for the gas mixture to The expected value is 5% ± 0.2%. o o o
stabilize and observe the CO2 Percent value.
Note: The calibration gas mixture and regulator are available from most medical gas supply companies. You can also try Scott Medical products at
www.scottmedicalproducts.com.
• Press the SELECT button twice to access the volume leak test.
3. Make sure the ECG cable is not connected to the R Series unit.
4. If the SpO2 option is installed, make sure that the SpO2 patient cable is NOT connected to the R Series unit.
22.1 Turn the Selector Switch to OFF. The R Series powers on in the NIBP Service Mode.
After 10 seconds, press and hold the fourth
softkey from the left and turn the Selector
Switch to MONITOR (ON for AED units).
22.2 Press the Leak Test softkey. The R Series displays the NIBP Leak Test Screen.
22.3 On the NIBP simulator, set the pressure The NIBP simulator displays a pressure reading of 200 mmHg.
parameter to 200 mmHg.
22.4 On the R Series unit, press the Close Valves The Valves status changes from OPEN to CLOSED. o o
softkey.
22.5 On the NIBP simulator, press the START TEST After approximately 1 minute, a number appears in the upper middle area of o o
softkey. the NIBP simulator display.
Note: You must press the START TEST If the simulator:
softkey within 30 seconds of closing the
• displays a Volume Leak reading <55, then the R Series unit has passed the
valves on the R Series unit.
test.
• displays a Volume Leak reading >56, then the R Series unit has failed the
test.
• displays no Volume Leak reading, but maintains a stable pressure reading
at or above 200 mmHg, then the R Series unit has passed the test; there is
no volume leak.
In addition, the R Series displays the simulator’s pressure reading in the “Cuff
Pressure” field.
After approximately 3 minutes, the valves on the R Series unit open.
22.6 On the NIBP simulator, press the STOP TEST The NIBP simulator terminates the Volume Leak Test. o o
softkey.
22.7 On the R Series unit, press the EXIT softkey The R Series returns to the main NIBP Service Mode screen, then to normal
twice. Monitor mode operation.
5If you are using the Fluke® Biomedical CuftLink Simulator, the volume leak reading should be <10.
6
If you are using the Fluke® Biomedical CuftLink Simulator, the volume leak reading for a failure should be >10.
• Press the SELECT button once to access the Pressure Simulator screen.
3. Make sure the ECG cable is not connected to the R Series unit.
4. If the SpO2 option is installed, make sure that the SpO2 patient cable is NOT connected to the R Series unit.
7
These instructions apply to the BP Pump 2; for equivalent devices, follow the manufacturer's instructions.
23.1 Turn the Selector Switch to OFF. The R Series powers on in the NIBP Service Mode.
After 10 seconds, press and hold the fourth
softkey from the left and turn the Selector
Switch to MONITOR.(AED units to ON)
23.2 Press the NIBP Calib softkey. The R Series displays the NIBP Transducer Calibration Screen.
23.3 On the NIBP simulator, set the pressure The NIBP simulator displays a pressure reading of 0 mmHg.
parameter to 0 mmHg.
23.4 On the R Series unit, press the Set Low softkey The NIBP pressure transducer registers its voltage output at a known pressure o o
to calibrate the transducer to a 0 mmHg of 0 mmHg. The field adjacent to the 0 mmHg value changes to PASS.
pressure reading. Note: If the R Series displays a FAIL reading, verify the NIBP simulator’s
pressure setting and connection to the R Series and repeat the step.
23.5 On the NIBP simulator, set the pressure The NIBP simulator displays a pressure reading of 250 mmHg.
parameter to 250 mmHg.
23.6 On the R Series unit, press the Set High The NIBP pressure transducer registers its voltage output at a known pressure o o
softkey to calibrate the transducer to a of 250 mmHg. The field adjacent to the 250 mmHg value changes to PASS.
250 mmHg pressure reading. Note: If the R Series displays a FAIL reading, verify the NIBP simulator’s
pressure setting and connection to the R Series and repeat the step.
23.7 On the NIBP simulator, set the pressure The NIBP simulator displays the specified pressure reading.
parameter to stimulate a different cuff pressure
(for example, 205 mmHg).
23.8 On the R Series unit, press the Read Cuff The NIBP module measures the pressure from the NIBP simulator and o o
softkey. displays the value in the Cuff Pressure field.
Verify that the value displayed is accurate within
±3 mmHg of the pressure parameter set on the
NIBP simulator.
23.9 On the R Series unit, press the EXIT softkey The R Series returns to the main NIBP Service Mode screen, then to normal o o
twice. Monitor mode operation.
Warning! NIBP transducer calibration can affect clinical readings of the NIBP parameter. Ensure that the NIBP Transducer Calibration
procedure is performed correctly, followed by an NIBP Monitor Test to verify proper operation.
Note The primary propose of an NIBP simulator is to reproduce a pressure profile similar to a live patient to be used for testing repeatability and
functionality of the system. There are many different NIBP simulators on the market, each manufacturer uses a different method to develop their
algorithm, and as such this can cause readings from different simulators to vary. In order to test for repeatability, you should first establish the
offset1 of your simulator. The offset value should then be used to determine the expected values. NIBP simulators cannot be used as a source for
testing the accuracy of the non-invasive blood pressure measurements of monitors such as the ZOLL R Series.
Test Setup:
1. Connect the simulator hose to the NIBP connector on the R Series unit.
2. Set the following parameters on the NIBP simulator2:
Parameter Value
Systolic pressure 120 mmHg
Diastolic pressure 80 mmHg
Mean pressure 93 mmHg3
Heart rate 80 bpm
3. Make sure the ECG cable is not connected to the R Series unit.
4. If the SpO2 option is installed, make sure that the SpO2 patient cable is NOT connected to the R Series unit.
1
NIBP Simulators may produce a reading on the NIBP monitor that is shifted from the simulator's setting. The offset value must be established based on a
statistical sample of monitors and readings. Please contact ZOLL Technical Support if you require assistance establishing the offset of the simulator and test
set-up that you are utilizing.
2
If you are using the Fluke® Biomedical CuftLink, you must change the shift value of the Blood Pressure Envelope to +3 on the Pressure Curve Adjust Menu.
3Not all simulators have a setting of 93mmHg, check the simulators user's manual for recommendations.
24.1 Turn the selector switch to MONITOR mode. The R Series powers on in MONITOR mode.
(For AED units, turn the selector switch to ON
and select Manual mode.)
24.2 Ensure that the LEADS parameters is set to The R Series displays PADS in the Lead selection field on the monitor. o o
PADS (default).
If necessary, press the LEADS button to cycle
through the values to select PADS.
24.3 Press the NIBP button on the R Series front The R Series initiates the blood pressure measurement cycle and displays the o o
panel. following measurements4:
• systolic pressure (126 ± 5 mmHg)
• diastolic pressure (84 ± 5 mmHg)
• mean pressure (98 ± 5 mmHg)
24.5 Select the Trend softkey, then select the NIBP The R Series displays a summary of the NIBP measurements, including the o o
Trend softkey. pulse rate reading (in the range of 77 - 85 bpm).
4These values only apply for test set-ups utilizing the BP Pump 2 Simulator. Variations of the test set-up or different simulators may produce readings outside
the provided values and will require end-user facility to establish the appropriate offset and tolerances. Please contact ZOLL Technical Support if you require
assistance establishing the offset of the simulator and test set-up that you are utilizing.
Chapter 2
Troubleshooting
Overview
This chapter contains a list of error messages that users may see if the unit is not operating properly.
If the problems you encounter are not listed below, call ZOLL Medical Corporation’s Technical Service Department for further assistance. (See page iii for
contact information.)
ASYNC PACE ONLY Posted along with other faults. Indicates that the PD
module cannot detect sync pulses.
ATTACH PADS AED: No pads on Auto Defib power-up. Verify proper OneStep cable/hands-free therapy
electrode connection by disconnecting and
reconnecting the OneStep cable and hands-free
therapy-electrodes.
AUDIO QUEUE FULL Indicates that the audio output queue is full. Additional None.
voice prompts can't be queued at this time.
BATT HIGH CURRENT Battery is not charged and battery current is greater than Replace battery or AC charger.
1.6 A.
BATT HIGH VOLTAGE Indicates that the charger voltage is too high. Replace battery or AC charger.
BATT LOW VOLTAGE Indicates that the charger voltage is too low. Replace battery or AC charger.
BATTERY COMMS ERROR Battery is not communicating with the host. Replace battery interconnect board.
CAL. BARO. PRESSURE Barometric pressure reading is out of range. Calibrate the barometric pressure.
CALIBRATE NIBP NIBP calibration is incomplete or failed. Cycle power and retry; if problem persist calibrate
NIBP system.
CANNOT CHARGE Cannot charge when charge button pressed. Replace high voltage module or capacitor.
CF TRANSFER FAILED Summary/DVCK/ALOG data file transfer error – either no Reseat CF Communication cable or replace
CF card or CF card transfer failed Communication Module.
CHANGE LEADS Unit is in Defib Sync mode and heart rate is less than 20
BPM.
CHARGE FAILED Unit failed to perform the requested charge. Replace PD Engineer or Analog Board.
CHECK CO2 ADAPTER Airway adapter is removed, occluded or adapter zeroing Replace/Clean airway adapter. Zeroing performed
needs to be performed or was performed incorrectly. automatically.
CHECK CO2 SENSOR EtCO2 Sensor is unplugged or defective. Check that sensor cable is plugged in and seated
properly. Check that sensor is not exposed to
excessive heat. If problem persists, replace the
sensor.
CHECK CUFF/HOSE • Blood pressure cuff or hose is not installed correctly. • Verify the hose and cuff is properly connected
• Cuff or hose is faulty. and not leaking.
• Hose is kinked or disconnected. • Replace cuff and hose.
• Inflation rate too fast or too slow. • Replace NIBP module or parameter power
supply.
CHECK ECG CABLE Invalid ECG cable Id is detected. • Verify that the ECG Cable is property
connected.
• Replace ECG Cable.
• Replace Analog Board.
CHECK ELECTRODE Either Can read ID Chip or the checksum failed. Replace Electrodes or replace Analog board.
CHECK PADS Message displayed in conjunction with either POOR PAD Ensure pads are coupled to patient. Check/
CONTACT or DEFIB PAD SHORT. replace pads and universal cable. Replace system
board.
CLOCK FAULT 11 Real time clock oscillator failure Replace lithium coin battery or digital board.
CLOCK FAULT 12 Real time clock back-up power supply failure. Found Replace lithium coin battery or digital board.
oscillator stopped at power-up, but oscillator now running
when the system is running (oscillator only runs when
main power is applied).
CLOCK FAULT 13 One of the set time units (seconds, minutes, year, etc.) is Replace lithium coin battery or digital board.
out of range.
CO2 COMM ERROR No or invalid communication from the EtCO2 module. Replace EtCO2 module and or system board.
CO2 DEVICE NOT READY There is CO2 in the airway adapter when attempting to • Remove airway adapter from CO2 source
zero. Zeroing was attempted within 20 seconds of including the patient’s, and your own exhaled
previous zero operation. breaths, and ventilator exhaust valves.
• Wait up to 20 seconds before retrying a
mainstream airway adapter zero, as described
in “Zeroing the Mainstream CAPNOSTAT 5
CO2 Sensor/Airway Adapter”
CO2 IN LINE: WAIT Adapter zero attempted with CO2 in the adapter.
CO2 MODULE NOT VALID Sidestream sensor connected (not supported by the Use mainstream sensor.
R Series unit’s operating software)
CO2 OUT OF RANGE The calculated CO2 value is greater than 150 mmHg. If error persists, perform a mainstream airway
adapter zero, as described in “Zeroing the
Mainstream CAPNOSTAT 5 CO2 Sensor/Airway
Adapter.”
CO2 UNIT ERROR The EtCO2 sensor or module has detected a hardware Check that the sensor is properly plugged in.
error. Re-insert the sensor. Turn R Series unit off, then
on again to reset. perform a mainstream airway
adapter or module zero, as described in “Zeroing
the Mainstream CAPNOSTAT 5 CO2 Sensor/
Airway Adapter”.
If the problem persists, contact ZOLL Technical
Support.
CO2 WARM UP The mainstream sensor is warming up. This may take up Wait for sensor or module to warm up.
to 5 minutes. If the message persists more than 5 minutes,
replace the sensor.
CPR FAULT 8 ECG processor not receiving CPR data Replace analog board.
DEFIB FAULT 78 PD Defib functional safety error while running. Replace PD engine.
DEFIB FAULT 80 Undefined error received from the PD module. Replace PD engine.
DEFIB FAULT 94 PD module reset 3 times without being requested to. Replace PD engine.
DEFIB MAINT. REQ. More than 5000 discharges of 200J have occurred. Replace PD engine.
Maintenance is required.
DEFIB NOT CHARGED Discharge button is pressed in a Defib mode but the unit is
not charged.
DEFIB OVERUSE More than 50 shocks were delivered in less than 20 Unit needs to cool down, wait approximately
minutes. 5 minutes.
DEFIB PAD SHORT Measured impedance between high voltage leads of MFC. Ensure pads are coupled to patient. Check/
replace pads or universal cable. Replace system
board.
DISK FORMAT REQ. Report error if any problem with DOC file access occurred. Replace digital board.
ECG DISABLED Persistent Critical Hardware Failure on ECG module. Replace analog board.
ECG FAULT 200 No ECG applicable available. Reload MCU Software and ECG App. Software.
ECG FAULT 4 Excessive number of missed samples from ECG Replace analog board.
processor.
ECG LEAD OFF 1 or more ECG leads are not connected when non-MFE
leads are selected as input.
INSERT CARD No card detected during manual or semi-automatic modes. Re-insert CF Card or replace communication
module.
INT. DUMP OVERLOAD More than 15 internal discharges in 5 minutes. Unit needs to cool down, wait approximately
5 minutes.
INVALID GAS TEMP: The operator has attempted to set a gas temperature Recalibrate EtCO2, verify range.
RETRY outside the Capnostat’s operating range.
LOW BATTERY Low battery. • Replace battery pack with a fully charged
battery pack.
• Plug unit into AC mains.
NIBP ARTIFACT The unit is unable to detect systolic, diastolic or mean • Take a single blood pressure measurement.
blood pressure due to excessive motion or vibration. • Keep patient as still as possible.
• Insulate patient, cuff and hose from vibrations
as much as possible.
NIBP COMM ERR 259 Framing, parity, or fifo error. Replace parameter power supply or NIBP module.
NIBP COMM ERR 260 Received invalid packets. Replace parameter power supply or NIBP module.
NIBP COMM ERR 261 Device not taking action request. Replace parameter power supply or NIBP module.
NIBP COMM ERR 262 No reply from device. Replace parameter power supply or NIBP module.
NIBP FAULT 263 Fault 90 received from NIBP module. Replace NIBP module.
NIBP FAULT 264 Fault 91 received from NIBP module. Replace NIBP module.
NIBP FAULT 265 Fault 97 received from NIBP module. Replace NIBP module.
NIBP FAULT 266 Fault 98 received from NIBP module. Replace NIBP module.
NIBP FAULT 267 Fault 99 received from NIBP module. Replace NIBP module.
NIBP FAULT 268 Device no response after power up. Replace NIBP module.
NIBP MEAS ABORTED • Cuff inflation pressure is set too high for attached cuff. • Verify that you are using proper size cuff.
• Inflation is too fast. • Check for cuff and hose blockage.\
• R Series is unable to find systolic value for 180 • Confirm that the unit was not charging.
seconds. • If the problem persists, contact ZOLL
• Defibrillator is charged or charging. Technical Support.
• User initiated abort.
NIBP NOT READY • The defibrillator is charged or charging in progress. • Wait until the unit discharges before taking the
• NIBP module is performing power-up self-test. next measurement.
• Wait for more than 10 seconds after power-up
before taking blood pressure measurements.
NIBP OUT OF RANGE The data from the NIBP module is out of range. • Check cuff fit and positioning. Switch cuff to
other arm.
• Measure patient’s blood pressure with other
equipment.
• If the problem persists, contact ZOLL
Technical Support.
NIBP SIGNAL WEAK There is a weak or no oscillometric signal. • Check cuff fit and positioning.
• Check for kinked hose.
• Increase cuff inflation pressure if clinically
appropriate.
NO QRS DETECT Unit is in sync mode and heart rate is < 20 BPM or QRS Increase ECG size and/or change lead.
amplitude is too low for proper synchronization.
NOISY ECG Number of noisy analysis intervals exceeds threshold. Stop all patient movement. Check connections.
Press Analyze button again.
OPEN AIR DISCHARGE Measured Defib Impedance was greater than 1000 ohms
and no energy was delivered.
PACER DISABLED User prompt issued simultaneously with other pace faults if Replace high voltage module or system board.
pacing is disabled.
PACER FAULT 117 PD Pace functional safety failure while running. Replace PD engine.
PACER FAULT 122 PD module Defib/Pace failure during POST. Replace PD engine.
PADDLE FAULT Cannot detect type of accessory attached to the universal Replace paddles, internal paddles, system board,
cable. high voltage module and/or universal cable.
POOR LEAD CONTACT One or more ECG leads are poorly connected or not Check electrode attachment to patient, cable
connected to patient. (User configurable.) connector to electrode, and cable to unit
connector.
POOR PAD CONTACT Electrode impedance exceeds threshold. • Ensure pads are coupled to patient.
• Check/replace pads or universal cable.
• Check impedance circuit calibration.
• Replace system board.
PRESS SHOCK Prompt issued in AED auto defib mode when defib is
charged (ready).
RECORDER FAULT 142 Strip chart system error. Replace printer assembly, digital board, and/or
printer interconnect board.
RECORDER FAULT 143 Strip chart failed power-up echo test. Replace printer assembly, digital board, and/or
printer interconnect board.
RECORDER FAULT 147 Strip chart printhead over safe operating temperature. Replace printer assembly, digital board, and/or
printer interconnect board.
RELEASE BUTTONS Simultaneous external paddle button presses detected Release buttons.
before unit reached full defib charge (ready state).
RELEASE SHOCK • Discharge switch(es) closed when pressing charge • Release shock button.
button. • Check paddles.
• Discharge button pressed before defib reached ready • Replace controls board.
state.
REPEAT NIBP MEAS • The unit exceeded the maximum number of inflation • Check cuff and hose.
attempts. • Repeat NIBP measurement.
• The unit exceeded the 180-second measurement time
limit.
REPLACE BATTERY Battery voltage is less than absolute minimum. Shutdown Replace with charged battery.
imminent.
SELECT 30J FOR TEST Attempt to run a self test at an energy other than 30J.
SELECT ASYNC PACE User is prompted to select Async pacing, since the PD
module cannot detect sync pulses.
SELECT DEFIB MODE Analyze button pressed in pace or monitor mode. Turn main selector knob to Defib/ON.
SELECT LIMB LEADS Paddles or augmented ECG leads selected when Select limb leads I, II, III or MFE.
continuous analysis active or started.
SET CLOCK Real time clock failure: invalid date or time. • Set time and date information.
• Verify that the internal lithium battery has been
replaced within the last 5 years. Contact ZOLL
Technical Service Department for assistance.
SET PACE MA Multiple copy errors are the product of intended software Set pace current. If broken, replace system board.
or memory errors. If error reoccurs other than on entering
pace the first time or after more than 10 minutes in other
mode, the unit could be broken.
SPO2 AMBIENT LIGHT Ambient light is too bright. • Shield sensor from ambient light.
• Replace sensor.
• Replace SpO2 module
SPO2 COMM ERROR No transmissions from SpO2 unit received. Replace SpO2 module and/or system board.
Communication error or no communication from SpO2
module.
SYNC DEFIB DISABLED Sync mode active when analyze pressed in defib.
SYSTEM FAULT 210 System task have not been activated for 500 ms – ECG Replace digital board.
control.
SYSTEM FAULT 211 System task have not been activated for 500 ms – Defib. Replace digital board.
SYSTEM FAULT 212 System task have not been activated for 500 ms – Pace. Replace digital board.
SYSTEM FAULT 212 System task have not been activated for 500 ms – User Replace digital board.
Interface.
SYSTEM FAULT 214 System task have not been activated for 500 ms – Display. Replace digital board.
SYSTEM FAULT 215 System task have not been activated for 500 ms – Not Replace digital board.
used.
SYSTEM FAULT 36 Filtered sum of all the supply voltages is out of range. Replace analog board or digital board.
SYSTEM FAULT 37 1/2 scale reference voltage is out of range. Replace analog board or PD engine.
SYSTEM FAULT 38 Failure to shutdown after "shutdown order" is written to the Replace digital board.
RTC.
TEST FAILED 30J defib self-test failed. Replace universal cable, paddles or high voltage
module, capacitor, and/or system board.
USE PADS TO PACE MFE accessory other than Pads detected in Pace mode.
USER SETUP REQ. Both copies of configuration data are bad, or software with Reconfigure unit.
a configuration rev older than the current one was loaded.
ZERO CO2 ADAPTER Negative CO2 detected. May be caused by a sensor that Check the airway adapter and clean if necessary.
was zeroed with CO2 in the airway, or by an optical Perform a mainstream airway adapter zero as
blockage of the airway adapter. described in “Zeroing the Mainstream
CAPNOSTAT 5 CO2 Sensor/Airway Adapter.”
ZEROING CO2 ADAPTER Adapter zeroing is in progress. Wait for the adapter zeroing to finish.
ZERO FAILED The zero operation did not complete successfully. Clear the occlusion, remove any source of CO2,
and try zeroing again.
If problem persists, contact ZOLL Technical
Support.
Chapter 3
Disassembly Procedures
This chapter provides instructions on how to disassemble and reassemble the R Series unit, and includes the following sections:
“Removing the Cable Caddy” on page 3-3
“Removing the Handle” on page 3-6
“Removing the Recorder, AC Charger and Battery Well” on page 3-7
“Removing the Front Panel Assembly” on page 3-12
“Removing the Side Panels” on page 3-16
“Removing the Connector Panel and Bezel” on page 3-18
“Removing the ECG Input Connector” on page 3-20
“Removing the NIBP Assembly” on page 3-21
“Removing the System Brick Assembly” on page 3-23
“Disassembling the System Brick Assembly” on page 3-28
“Discharging Capacitor” on page 3-34
“Removing the Communication Module” on page 3-35
Required Equipment
• #1 Philips head screwdriver
• #2 Philips head screwdriver
• Hex head screwdriver
• Wooden stick
• Needlenose pliers
• Exacto knife
• Compressed air
• 1/2” Nut Driver
• 3M Scotch-Weld Hot Melt Adhesive 3779 TC Amber
Safety Precautions
Caution TAKE THE NECESSARY PRECAUTIONS TO GUARD AGAINST SHOCK OR INJURY BEFORE YOU CONDUCT
DEFIBRILLATOR TESTS OR REPAIRS.
3. Remove the 3 bottom screws completely. 4. Loosen the 3 screws at the back. It is not necessary to
remove the screws completely or to remove the mesh.
3. If removing the battery well, disconnect the high and 4. Remove the label from the battery well as shown (peel
low current cables from the PD Engine as shown. from back to front).
Note: It may be necessary to use a new label upon
reassembly (Part # 9305-0901-01).
5. Remove the 3 screws securing the battery well. 6. Lift the battery well from the front of the R Series, tilting
towards the rear. DO NOT disconnect the low and high
current harnesses. Feed them up through the chassis to
remove the battery well.
Note: During reassembly, torque to 6 in-lbs.
7. Open the recorder door. Using a wooden stick (or 8. Remove the two screws that secure the recorder tray.
similar tool) press in on the hinge to release the
door as shown.
Note: During reassembly, torque to 6 in-lbs.
9. Lift up on the recorder tray from the rear of the 10.Rotate device so the display is facing you. Lift up on the
R Series to release it. paper tray to expose cables. Disconnect the recorder
interconnect cable from the print head and the motor/
sensor board.
Note: During reassembly, observe the labeling on the cable to ensure you
are connecting the cable correctly.
Recorder Recorder
interconnect interconnect
cables cables
3. Tilt the front panel carefully as shown. 4. Using needlenose pliers, carefully remove the hot melt
glue from the Recorder and Controls cables. Carefully
disconnect the 4 cables shown.
Note: During reassembly, reapply hot melt glue (3M Scotch-
Weld Hot Melt Adhesive 3779 TC Amber.)
Recorder
cable
Backlight
LCD display Control cable
cable
2. Remove the main selector and pacer knobs by 3. Remove 9 screws securing the control board to the front
pulling them straight out, then remove nuts securing panel.
them to the front panel.
Note: During reassembly, torque to 6 in-lbs.
3. Remove the right panel by pulling towards you. The 4. Remove the left panel by pulling towards you. Remove the
speaker may or may not come off with the panel. shorting wire from the panel by taking off the nut.
Disconnect the speaker from the Digital System
Board by pulling straight out. Remove the shorting
wire from the panel by taking off the nut.
Note: During reassembly, torque nut to 6 in-lbs. Note: During reassembly, torque nut to 6 in-lbs.
7. Remove the connector panel by lifting straight up. Note: Below is the connector panel with the EtCO2 and NIBP options. See
the diagram on page 4-17 for further disassembly.
Note: Depending on the options, the RS232 connector may be Note: One or both side panels and/or the front panel may need to be
attached to the panel. In that case the panel can be draped removed in order to disconnect cabling from some of the connectors
over the rear of the unit. located on the rear panel.
1. Remove the printer housing barrier from the chassis. 2. Remove the ECG retainer pad.
Note: During reassembly, the barrier may be reused if the adhesive Note: When reinserting the pad during reassembly, push it down until
side is not contaminated. it touches the ECG cable connector.
3. Carefully disconnect the speaker harness (1), the 4. Carefully disconnect the sync cable by pulling straight
sync cable (2), and the patient impedance cable (3). up from top.
Note: Disconnect the speaker on the opposite side of the brick
assembly if you have not done this already.
3
2
1
5. From the top of the device, disconnect the USB and 6. Carefully pull back the USB and compact flash
compact flash cables by lifting connector straight up cables and disconnect the MFC cable.
from the board.
7 7
7. In applicable, disconnect the EtCO2 cable from the 8. Carefully pull the brick assembly out slightly through
parameter power supply by pushing down on the front; disconnect the SpO2 connector cable.
connector latch.
1. Remove 5 screws holding the isolated power supply. 2. Peel back glue from connector, and disconnect cable
by pulling straight up. Remove tape holding cable to
isolated power supply, then disconnect cable.
Note: During reassembly torque screws to 4 in-lbs. Note: During reassembly re-apply glue to each side of connector.
1. Remove 9 screws holding digital board to assembly. 2. Tilt assembly up, and carefully pull board
toward you to disconnect from connectors.
Note: During reassembly, inspect standoffs and corner post to verify they Note: Since ferrite beads on connector are loose, make sure they
are not stripped. Replace them if necessary. Torque 4 corner screws are in place during reassembly.
(longer) to 6 in-lbs and the 5 inter screws to 4 in-lbs.
1. PD Engine: Remove 9 screws holding PD Engine to 2. Carefully remove cable from PD Board.
assembly.
Note: During reassembly, inspect standoffs and corner post to verify they Note: Use a rocking motion to unseat connector from board.
are not stripped, replace them if necessary. Torque 4 corner screws
(longer) to 6 in-lbs, and the 5 inter screws to 4 in-lbs.
Discharging Capacitor
WARNING! This unit may contain lethal voltages. You MUST completely discharge the high voltage capacitor before removing from unit. DO NOT SHORT
THE TERMINAL ENDS OF THE CAPACITOR.
3. Remove foam pads from cables and ferrite beads. 4. Remove 3 screws and slide board back to remove.
Lift module up and route cables through slot in
housing.
Note: During reassembly, reapply foam pieces and secure it to the Note: During reassembly, torque to 2 in-lbs.
housing.
Chapter 4
Replacement Parts
This section contains a listing of the replacement parts available for the ZOLL R Series devices.
Replacement parts may be ordered through an authorized ZOLL distributor or directly from ZOLL Medical Corporation. The prices for parts are available
from ZOLL Medical Corporation’s Technical Service Department.
When ordering parts, please provide the following information:
• ZOLL R Series device model and serial number
• Field Replaceable unit part number
• Description of the replacement part
• Description of problem
To order by mail from ZOLL Medical Corporation, address your request to:
ZOLL Medical Corporation
269 Mill Road
Chelmsford, MA. 01824-4105
Attention: Technical Service Department
1-978-421-9655; 1-800-348-9011; Fax: 1-978-421-0010
Note: ZOLL reserves the right to substitute different parts to reflect modifications and improvements in ZOLL R Series circuitry and design.
Main Housing
9310-2787-99 Rework, Main Housing 1
Back Panel
0140-0202 Ferrite Core Flat Cable Type 100
Sub-assembly
Labels (English)
9305-0789-01 Label, Battery Well, Rear 79
Diagrams
8 N/A N/A
11 9330-0768 Spacer
Diagrams
Bracket shown (Item 16) and Pad (Item 17) used in SpO2 only
Parameter Power Supply shown used for SpO2 Parameter Power Supply shown used for SpO2 only.
with EtCO2/NIBP.
Chapter 5
Functional Description
Overview
The R Series system is partitioned as shown in the R Series Interconnect Diagram (see Appendix A). Defibrillation, pacing, ECG monitoring, SpO2
monitoring, EtCO2 monitoring, NIBP monitoring and printing and communication are all combined in the device. Power is provided by AC mains or by a
replaceable battery pack that is rechargeable in the device.
Detailed Description
AC Charger
The AC charger converts AC power to DC for battery charging and R Series operation. The input voltage range is universal, accommodating either 100 to
120 VAC nominal or 200 to 240 VAC nominal. The charger can provide up to 100 watts output for 18 seconds and 45 watts steady state indefinitely.
SurePower Battery
The SurePower Battery is designed to accommodate 3 (nominal output 12.3V) or 4 (nominal output 16.4V) series Lithium-Ion cells. It contains electronics
that provide battery cell protection, SMBus communication, fuel gauging, and self-test functions. It also maintains a usage history for trending and
diagnostic purposes. There are two modes of operation — active and sleep mode. Sleep mode minimizes drain on the battery cells during storage or
prolonged periods of inactivity.
The MFE/Paddles section provides an ECG signal derived from the defibrillator pads/paddles for quick evaluation before and after defibrillation. This
section also provides the means for the measurement of the patient's transthoracic impedance.
• Diagnostic/Monitoring ECG.
The Diagnostic/Monitoring ECG section provides 3 Lead monitoring, 3 Lead monitoring while pacing (MwP), 5 Lead Diagnostic ECG, and 12/15/18
Lead diagnostic ECG (if this circuitry is populated). The front end detects the type of cable plugged in and configures itself accordingly.
The Core ECG digital circuitry is comprised of the following functionality:
• An isolated system interface for system clock synchronization, system communication, and programming ECG FLASH. System communication
includes transmission of ECG data, transmission/reception of commands, status, and ECG cable identification. The ECG algorithm, including internal
Sync Detect, is executed in the digital signal processor (DSP). Patient impedance is also processed by the DSP.
Peripherals
R Series peripherals include the following:
• Color TFT LCD with 640 X 480 resolution.
• Printer (M Series legacy).
• Speaker (M Series legacy).
• Beeper (M Series legacy).
• USB for data communication.
• Compact Flash for software loading and WiFi option.
Accessories
R Series accessories include the following:
• All legacy M Series accessories (paddles, padz, internal handles, SpO2, 3/5Lead ECG, NIBP cuffs, etc.)
• EtCO2 Capnostat 5 sensor.
• R Series unicables and R Series electrodes. The fully featured models support defib, pace, CPR, date code, condition sensor, defib self-test while pre-
connected, and monitoring while pacing.
• Sync in/Sync out cable (Not sold by ZOLL - third party makes this cable).
• USB cable (Not sold by ZOLL - compatible with standard USB cables).
• Printer paper.
Shut-down Functions
The software initiates the shutdown sequence (“replace battery”) when the Kelvin Battery A/D Voltage is 9.3V or at 600mA-hrs of remaining capacity,
whichever occurs first. (Remaining capacity is read from the battery as a 16-bit unsigned quantity directly in mA-hrs).
The hardware will not shutdown if the input Voltage (at the switched-power node) is above 8.7V.
The software initiates “low battery” at an RTTE (run-time-to-empty) of 65 minutes. This is designed to allow 25 minutes of run-time until "replace
battery" under nominal R Series operating conditions in monitor mode with no printer.
If the system shuts down due a slowly depleting battery, the R Series system requires user-intervention to turn back on. This could be due to battery drop-
in or the front panel switch.
P/D Settings
The software attempts to establish a P/D setting that reflects an estimate of the battery ESR. This is to avoid shutdown due to loading of the DC bus. Tables
have been prepared on the basis of nominal R Series operating conditions without the printer operating. We will rely on the defib module throttling to
handle additional load conditions (such as printer).
WiFi
The R Series offers the option for WiFi data transmission of the full disclosure file (ECG waveforms, SpO2 values, etc.), device check file (self test
results), and activity log file. This is accomplished with an IEEE 802.11abgn Wi-Fi compact flash card that is inserted into the existing compact flash I/O
port. Full disclosure transmissions can be sent (when properly configured) to a database management system called CodeNet Central that resides on a
desktop or laptop computer. Device check and activity log transmissions will be sent to a ZOLL Data Systems application called Defib Dash Board.
CodeNet Central is developed by ZOLL Data Systems.
Appendix
Overview
This appendix includes:
• The Interconnect Diagram for the R Series Biphasic Unit.
• The table listing Delivered Energy at Every Defibrillator Setting into a Range of Loads
• Sync Connector Diagrams
• The ZOLL R Series Maintenance Tests Checklist. Photocopy the checklist and use the copy to record the results of the maintenance tests performed on
the R Series equipment.
9301-0516
J106 J106 (8)
(8)
& condition
J103
9150-0503 (11)
J100
(52)
LCD
P100
(52) Display
J102
(11) Inverter 0350-0063
J117
(6) 9355-0700
J806
(21)
P103 J103
(52) (52)
J107 J108
(1) (41)
Analog
System Board
ECG Conn
Flex Cable J101 9301-0506 J114
9301-0512 9301-0526 (31) (2) Speaker
1001-0115
P104 J104
(52) (52)
Sync J801
In/Sync (6)
J520
(10)
Out/ECG
out/RS232
J116
(3)
SpO2
Conn SpO2 Parameter
MS11 Power and
3005- Comm Beeper
J560 J100
0001 (2) (2) 9301-0525
9301-0537 J111
(51)
EtCO2
Conn
NIBP Print Head
A+ 0350-0350
J119
NIBP module (41) Printer Interconnect
Conn Flex Cable
9301-0524
J103
(31) Printer Int
Controls Digital Motor/Sensor
9301-0532 System 9301-0520
J123 J122
On/off switch (5) Board Printer (6)
9301-0509 Motor
3001-
0100
J119
Pace Rate (3)
Knob
Interconnect Diagram for the R Series Biphasic Unit
J113 J113
(51) (51)
J120
Pace Amp (3)
Knob
J104 (8)
USB/ USB device
J101 J101
(31) (31) Compact
Front Panel LED Flash/WiFi
backlighting J103 (52)
J100 J100 J109 J102 9301-0515 For WiFi option , use
9301-0535 (20) (20) (51) (51) 9214-0203
9650-0903-01 Rev. L
R Series Service Manual
* For all energy levels, accuracy is equal to either ±15% or 3 joules, whichever is greater.
9650-0903-01 Rev. L
ZOLL R Series Serial No. Location
Tester Signature Date
Maintenance Test Checklist
11.0 Defibrillator 14.0 Shock Test 16.0 Advisory Message 18.0 SpO2 Monitor Test 21.0 CO2 Accuracy Test
Self Test Pass Fail N/A Test Pass Fail N/A Pass Fail N/A
Pass Fail N/A 14.2 Pass Fail N/A
o o o 18.1 o o o 21.7 o o o
11.1 o o o 16.2 o o o
14.3 o o o 18.2 21.8
o o o o o o
11.2 o o o 16.3 o o o
14.4 o o o 18.3 21.11
o o o o o o
11.3 o o o 16.4 o o o
14.5 o o o 18.4 o o o 22.0 NIBP Volume Leak
11.4 o o o 14.6 o o o 18.5
17.0 Pacer Test o o o Test
11.5 o o o 14.7 o o o Pass Fail N/A Pass Fail N/A
o o o
11.6 o o o 17.1 o o o 22.4
14.8 o o o 18.6 o o o o o o
11.7 o o o 17.2 o o o 22.5
14.9 o o o o o o o o o
17.3 o o o 22.6
12.0 Synchronized 14.10 o o o 18.7 o o o o o o
Cardioversion Test 17.4 o o o
14.11 o o o 18.8
Pass Fail N/A
o o o 23.0 NIBP Transducer
17.5 o o o
14.12 o o o 18.9 Calibration Test
12.2 o o o o o o
17.6 o o o Pass Fail N/A
14.13 o o o 18.10
12.3 o o o o o o 23.4
14.14
17.7 o o o o o o
12.4 o o o o o o 18.11 o o o 23.6
14.15
17.8 o o o o o o
o o o 18.12 o o o 23.8
13.0 Synchronized 14.16
17.9 o o o o o o
o o o 23.9
Cardioversion Test
14.17
17.10 o o o 19.0 EtCO2 Monitor Test o o o
(Remote ECG o o o Pass Fail N/A
Monitoring) 17.11 o o o
14.18 o o o 19.2 24.0 NIBP Monitor Test
Pass Fail N/A 17.12
o o o
o o o 19.4
Pass Fail N/A
13.2 o o o 15.0 Summary Report o o o 24.2 o o o
13.3 Test 19.6 o o o
o o o 24.3 o o o
Pass Fail N/A
13.4 19.7 o o o
o o o 15.1 o o o 24.5 o o o
15.2 o o o 20.0 Barometric
Pressure
15.3 o o o Calibration
15.4 o o o Pass Fail N/A
20.7 o o o
9650-0903-01 Rev. L