M Series Invasive Blood Pressure Service Manual Rev A.pdf
Page 1
ZOLL M S ERIES S ERVICE M ANUAL
Invasive Blood
Pressure
5HY$
Page 2
The issue date or revision level for this operation guide is shown on the front cover.
ZOLL and M Series are trademarks of ZOLL Medical Corporation.
2002 by ZOLL Medical Corporation. All rights reserved.
Page 3
Table of Contents
35()$&( ,,,
&RQYHQWLRQV LLL
6DIHW\&RQVLGHUDWLRQV LY
7HFKQLFDO6HUYLFH Y
35,1&,3/(62)23(5$7,21
%ORRGSUHVVXUHPHDVXUHPHQWV
,%3FRQILJXUDWLRQ
0$,17(1$1&(7(676
5HFRUGLQJ\RXUUHVXOWV
7HVWVHWXS
,%30RQLWRU7HVW
,%31RLVH7HVW
,%36WDWLF3UHVVXUH7HVW
',6$66(0%/<352&('85(6
'LVDVVHPEOLQJWKH,%3PRGXOH
5(3/$&(0(173$576
2UGHULQJUHSODFHPHQWSDUWV
3DUWVDQGSDUWQXPEHUV
7528%/(6+227,1*
5HY$
=2//0 6HULHV6HUYLFH0DQXDO
L
Page 4
,19$6,9(%/22'35(6685(
LL
ZZZ]ROOFRP
5HY$
Page 5
3UHIDFH
3UHIDFH
ZOLL Medical Corporation’s M Series Service Manual is intended for the service technician
who identifies malfunctions and makes repairs at the subassembly level. Place this insert
into the three-ring binder containing the M Series Service Manual and all other M Series
option inserts.
This document provides information required for maintenance of the Invasive Blood
Pressure (IBP) option on the M Series CCT unit, and contains the following sections:
Principles of Operation on page 1 — provides a general overview of IBP functionality.
Maintenance Tests on page 3 — describes procedures for verifying IBP operation and
integrity.
Disassembly Procedures on page 12 — describes the procedure for removing the IBP
assembly from the M Series CCT unit.
Replacement Parts on page 16 — lists the field-replaceable parts for the IBP option and
provides information on ordering replacement parts from ZOLL.
Troubleshooting on page 17 — describes error messages related to IBP functionality and
their corresponding corrective action.
&RQYHQWLRQV
This M Series Service Manual insert uses the following 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.
Note: Notes contain additional information on using and maintaining the M Series unit.
$GGLWLRQDO0 6HULHVGRFXPHQWDWLRQ
For more information on M Series operation and configuration, see the following
documents:
• Invasive Blood Pressure insert (part number 9650-0219-01) of the M Series Operator’s Guide —
describes user tasks for operating the IBP option.
• M Series Operator’s Guide (part number 9650-0200-01) — describes user tasks for general
operation of the M Series unit.
• M Series Configuration Guide (part number 9650-0201-01) — describes M Series features and
functions whose operation can be customized by authorized users.
5HY$
=2//0 6HULHV6HUYLFH0DQXDO
LLL
Page 6
,19$6,9(%/22'35(6685(
6DIHW\&RQVLGHUDWLRQV
Service technicians should review these safety considerations prior to servicing any
equipment and read the manual carefully before attempting to disassemble the unit. Only
qualified personnel should service the M Series unit.
Federal (U.S.A.) law restricts this unit for use by or on the order of a physician.
1RQ=2//PDQXIDFWXUHGDFFHVVRULHV
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 on 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.
:DUQLQJV
All persons near the equipment must be warned to “STAND CLEAR” prior to discharging
the defibrillator.
:DUQLQJ
SHOCK HAZARD!
The M Series CCT unit can generate up to 2400 volts with
sufficient current to cause lethal shocks.
Do not discharge the M Series unit’s energy internally more than three times in one minute
or damage to the unit may result.
Do not discharge a battery pack except in a Base PowerCharger4x4, a compatible ZOLL
Battery Charging/Testing unit, or an M Series unit.
Do not use the M Series unit 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 M Series unit near or within puddles of water.
5DGLR)UHTXHQF\,QWHUIHUHQFH 5),
The M Series unit is protected against interference from radio frequency emissions typical
of two-way radios and cellular phones (digital and analog) used in emergency service/public
safety activities.
Users of the M Series should assess the unit’s performance in their typical environment of
use for the possibility of radio frequency interference from high-power sources. Radio
Frequency Interference (RFI) may be observed as shifts in monitor baseline, trace
compression, or transient spikes on the display.
LY
ZZZ]ROOFRP
5HY$
Page 7
3UHIDFH
7HFKQLFDO6HUYLFH
For terms and conditions associated with your warranty, consult your purchasing agreement
(for customers in North America) or a ZOLL authorized representative (for customers
outside North America).
To maintain this warranty, the instructions and procedures contained in this manual must
be strictly followed. For more information, please contact ZOLL Medical Corporation’s
Technical Service Department at 1-800-348-9011 (North America). If calling from outside
North America, contact ZOLL Medical Corporation headquarters at 1-781-229-0020.
&RQWDFWLQJ7HFKQLFDO6HUYLFH
If the M Series unit requires service, contact the ZOLL Technical Service Department:
Telephone: 1-800-348-9011
1-781-229-0020
FAX:
781-229-0758
When requesting service for the M Series unit, please provide the following information to
the Technical Service representative:
• unit serial number
• description of the problem
• department using the equipment
• sample chart recorder strips documenting the problem, if applicable
• purchase order to allow tracking of loan equipment
• purchase order for a unit with an expired warranty
5HWXUQLQJDXQLWIRUVHUYLFH
If you need to send the unit to ZOLL Medical Corporation for repair, you must obtain a
service request (SR) number from the Technical Service representative. Units are available
on loan while your unit is being repaired.
For customers ...
Return the unit in its original container to ...
LQWKH86$
=2//0HGLFDO&RUSRUDWLRQ
6HFRQG$YHQXH
%XUOLQJWRQ0$
$WWHQWLRQ7HFKQLFDO6HUYLFH'HSDUWPHQW 65QXPEHU
LQ&DQDGD
=2//0HGLFDO&DQDGD
8QLW
*HQHUDO5RDG
0LVVLVVDXJD2QWDULR
/:=
$WWHQWLRQ7HFKQLFDO6HUYLFH'HSDUWPHQW 65QXPEHU
RXWVLGH1RUWK$PHULFD
WKHQHDUHVWDXWKRUL]HG=2//0HGLFDO&RUSRUDWLRQ6HUYLFH
&HQWHU
7RORFDWHDQDXWKRUL]HGVHUYLFHFHQWHUFRQWDFWWKH
,QWHUQDWLRQDO6DOHV'HSDUWPHQWDW=2//0HGLFDODWWKH
DERYHQRWHGDGGUHVV
5HY$
=2//0 6HULHV6HUYLFH0DQXDO
Y
Page 8
,19$6,9(%/22'35(6685(
YL
ZZZ]ROOFRP
5HY$
Page 9
3ULQFLSOHVRI2SHUDWLRQ
3ULQFLSOHVRI2SHUDWLRQ
The Invasive Blood Pressure (IBP) option on the M Series CCT unit allows for invasive
monitoring of arterial (ART), pulmonary arterial (PA), central venous (CV), and
intracranial (ICP) pressures on two channels. The M Series CCT unit displays systolic,
diastolic, and mean pressure measurements, and displays up to two IBP waveforms along
with one ECG trace.
The IBP/Temperature module resides in the lower housing assembly of the M Series CCT
unit. A transducer connects to the M Series CCT unit through one of two pressure channel
connectors on the front of the unit.
Figure 1-1: M Series with IBP option
NI BP
12 8 CO
mm Hg
P1 display area
P1
11 0
P2
P2 display area
10 7
98
mm Hg
RR
10 0 Sp
O2 %
24
EC G
98
x2
II
12 0
2
CHARGE
ENERGY
SELEC
T
ALARM
SUSPEN
D
18 0
P1
RECOR
°F 0
99 .1
LEAD
SIZE
mm Hg
12
T1
2
mm Hg
13 0
10 0 ECG
ANALYZE
3 SHOCK
DER
12 0
P2
IBP waveform display
00 :0 1
Pa ra m
0
MONITOR
Tr ac es
1 DEFIB
ID #
OFF
Al ar m
CHARG
ER ON
s
12 Le
ad
PACER
PACER
OUTPUT
mA
SUMMA
RY
4:1
CODE
MARKE
R
PACER
RATE
ppm
NIBP
NIBP
T1/T2
P1
P2
IBP connectors
You can assign labels to each pressure channel to indicate the type of pressure being
measured. You can also assign each IBP waveform to a trace position on the
M Series CCT display, and set the amplitude scale for displaying the waveform.
See the Invasive Blood Pressure insert of the M Series Operator’s Guide for details on operating
the IBP option.
%ORRGSUHVVXUHPHDVXUHPHQWV
The M Series IBP function measures systolic, diastolic, and mean pressure by processing
electrical signals from a resistive bridge transducer with 5 µV/V/mmHg sensitivity
connected to the patient through a catheter.
Note: Transducers with 40 µV/V/mmHg sensitivity are NOT compatible with the
M Series CCT unit.
Pulsatile pressures (ART, PA, P1) display systolic, diastolic, and mean values. Non-pulsatile
pressures (CVP, ICP, P2) display mean values only.
5HY$
=2//0 6HULHV6HUYLFH0DQXDO
Page 10
,19$6,9(%/22'35(6685(
When the M Series CCT unit detects a connection to a transducer through one or both of
the pressure channel connectors, the unit prompts the user to zero the pressure channel(s).
Pressure measurement does not begin until the pressure channels have been zeroed.
The IBP measurement cycle proceeds as follows:
Stage Description
$FDWKHWHULVLQVHUWHGLQWRWKHSDWLHQW¶VYDVFXODWXUHSHUWKHLQVWLWXWLRQ¶VSURWRFROVDQGLV
FRXSOHGWRDWUDQVGXFHUWKURXJKDIOXLGILOOHGOHQJWKRIWXELQJ7KHWUDQVGXFHUFRQQHFWVWR
RQHRIWZRSUHVVXUHFKDQQHOFRQQHFWRUVRQWKH0 6HULHV&&7XQLWWKURXJKDQLQWHUIDFH
FDEOH
1RWH $QDGDSWHUFDEOHPD\EHXVHGWRFRQQHFWWKHLQWHUIDFHFDEOHIURPDGLIIHUHQW
PRQLWRUWRWKH0 6HULHV&&7XQLW
3UHVVXUHIOXFWXDWLRQVWUDYHOWKURXJKWKHIOXLGLQWKHFDWKHWHUWXELQJWRWKHWUDQVGXFHU
FDXVLQJWKHWUDQVGXFHU¶VGLDSKUDJPWRPRYHVOLJKWO\LQUHVSRQVH
7KHGLDSKUDJPPRYHPHQWVFUHDWHDFKDQJHLQUHVLVWDQFHZKLFKWKHWUDQVGXFHUFRQYHUWV
WRDQHOHFWULFDOVLJQDODQGVHQGVWRWKH0 6HULHV&&7XQLWWKURXJKWKHLQWHUIDFHFDEOH
7KH0 6HULHV&&7XQLWXVHVWKHHOHFWULFDOVLJQDOIURPWKHWUDQVGXFHUWRFDOFXODWHWKH
FRUUHVSRQGLQJSUHVVXUHYDOXHVDQGGLVSOD\DZDYHIRUP
7KH0 6HULHV&&7XQLWGLVSOD\VWKHQXPHULFSUHVVXUHYDOXHVRQWKHPRQLWRUDQGWKH
DVVRFLDWHGZDYHIRUP LIFRQILJXUHG
,%3FRQILJXUDWLRQ
You can change default settings for IBP parameters such as pressure channel labels and
waveform display scale at power-up, and alarm thresholds. See the M Series Configuration
Guide for more information.
ZZZ]ROOFRP
5HY$
Page 11
0DLQWHQDQFH7HVWV
0DLQWHQDQFH7HVWV
It is important that users conduct the Operator’s Shift Checklist procedure at the beginning
of every shift to maintain the M Series unit ready for immediate use. This checkout
procedure can be completed in a few minutes and requires no additional test equipment.
See the M Series Operator’s Guide for the Operator’s Shift Checklist.
For the IBP option, a qualified biomedical technician should perform the following
maintenance procedures every six months to ensure that the M Series IBP function is
operating properly:
• “IBP Monitor Test” on page 5
• “IBP Noise Test” on page 7
• “IBP Static Pressure Test” on page 10
5HFRUGLQJ\RXUUHVXOWV
Photocopy the checklist at the back of the M Series Service Manual and use the copy to record
the results of the maintenance tests. As you complete each step in a procedure, mark the
appropriate Pass/Fail/NA box, and keep the checklist for your maintenance file. Complete
all the steps of the procedure before evaluating the test results.
7HVWVHWXS
Follow these steps to prepare the M Series CCT unit for the IBP maintenance tests.
Step Action
Expected Result
6HWWKHVHOHFWRUVZLWFKRQWKH0 6HULHV&&7 7KH06HULHV&&7XQLWSRZHUVRQLQ
XQLWWR021,725
021,725PRGH
3UHVVWKH3DUDPVRIWNH\RQWKHIURQWSDQHO 7KH06HULHV&&7XQLWGLVSOD\VWKH
WRGLVSOD\WKH3DUDPHWHUVPHQX
3DUDPHWHUVPHQX
IBP
NIBP
EtCO2
SpO2
Select
6HOHFWWKH,%3RSWLRQDQGSUHVVWKH(QWHU
VRIWNH\
3UHVVWKH/DEHOVRIWNH\WRGLVSOD\WKH,%3
/DEHOPHQX
Return
7KH06HULHV&&7XQLWGLVSOD\VWKH,%3
PHQX
Zero
Enter
Range
Label
Return
7KH06HULHV&&7XQLWGLVSOD\VWKH,%3/DEHO
PHQX
Label P1
Label P2
Select
5HY$
=2//0 6HULHV6HUYLFH0DQXDO
Enter
Return
Page 12
,19$6,9(%/22'35(6685(
Step Action
Expected Result
7KH06HULHV&&7XQLWGLVSOD\VWKH/DEHO
2SWLRQVPHQX
6HOHFWWKH/DEHO3RSWLRQDQGSUHVVWKH
(QWHUVRIWNH\
ART
PA
CVP
ICP
P1
Select
6HOHFWWKH3RSWLRQDQGSUHVVWKH(QWHU
VRIWNH\
Enter
Return
7KH06HULHV&&7XQLWDVVLJQVWKH3ODEHOWR
WKHILUVWSUHVVXUHFKDQQHO 3 DQGUHWXUQVWR
WKH,%3PHQX
P1
-----
5HSHDWVWHSVWKURXJKWRDVVLJQWKH$57 7KH06HULHV&&7XQLWDVVLJQVWKH$57ODEHO
WRWKHVHFRQGSUHVVXUHFKDQQHO 3 DQG
DUWHULDOSUHVVXUH ODEHOWRWKHVHFRQG
SUHVVXUHFKDQQHO 3
UHWXUQVWRWKH,%3PHQX
ART
-----
mmHg
---------
ZZZ]ROOFRP
mmHg
---------
5HY$
Page 13
0DLQWHQDQFH7HVWV
,%30RQLWRU7HVW
The IBP monitor test verifies proper pressure channel zeroing and the accuracy of blood
pressure measurements.
5HTXLUHGHTXLSPHQW
You need the following equipment to complete the IBP monitor test:
• M Series CCT unit with IBP option (with fully-charged battery installed)
• DNI Nevada 214B Patient Simulator (or equivalent) with M Series (or Protocol Propaq)
interface cables
%HIRUH\RXEHJLQ
Before you begin the IBP monitor test:
• Set the IBP channel labels to P1 and ART respectively (see “Test set-up” on page 3
• Set the BP output sensitivity scale to 5 µV/V/mmHg on the Patient Simulator.
• Connect the Patient Simulator cables to the IBP connectors on the M Series CCT unit.
3URFHGXUH
Follow these steps to perform the IBP monitor test.
Note: These instructions apply to the DNI Nevada 214B Patient Simulator; for equivalent
devices, follow the manufacturer’s instructions.
Step Action
Expected Result
23.1 9HULI\WKDWWKH0 6HULHV&&7XQLWGLVSOD\V
DGYLVRU\PHVVDJHVWR]HURWKHSUHVVXUH
FKDQQHOV
7KH06HULHV&&7XQLWGLVSOD\VWKH=(523
DQG=(523PHVVDJHV
NIBP
mmHg
P1
-----
ART
-----
T1
----- CO2
----- SpO2% ECG
x2
-----
-----
II
mmHg
----
----
mmHg
--------- ECG
-----
0
ZERO P1
mmHg
--------°F
-----
7KH3DWLHQW6LPXODWRUWUDQVPLWVDSUHVVXUH
23.2 2QWKH3DWLHQW6LPXODWRU
ZDYHIRUPRI PP+JRQERWK%3FKDQQHOV
• 6HW%3FKDQQHOWRDQDWPRVSKHULF
SUHVVXUHRI PP+J ZDYHIRUP DQG
SUHVV(;(&87(
• 6HW%3FKDQQHOWRGXSOLFDWH%3
FKDQQHO ZDYHIRUP DQGSUHVV
(;(&87(
23.3 2QWKH0 6HULHV&&7XQLWJRWRWKH,%3
PHQX SUHVVWKH3DUDPVRIWNH\DQGVHOHFW
WKH,%3RSWLRQ
7KH06HULHV&&7XQLWGLVSOD\VWKH,%3
PHQX
Zero
5HY$
=2//0 6HULHV6HUYLFH0DQXDO
Range
Label
Return
Page 14
,19$6,9(%/22'35(6685(
Step Action
Expected Result
23.4 3UHVVWKH=HURVRIWNH\WRGLVSOD\WKH=HUR
PHQX
7KH0 6HULHV&&7XQLWGLVSOD\VWKH=HUR
PHQX
Zero P1
Zero P2
Zero Both
Select
23.5 6HOHFWWKH=HUR%RWKRSWLRQDQGSUHVVWKH
(QWHUVRIWNH\
Enter
7KH0 6HULHV&&7XQLW]HURHVERWKSUHVVXUH
FKDQQHOVDQGGLVSOD\VWKH3=(52('DQG
3=(52('PHVVDJHVZLWKLQ VHFRQGV
NIBP
mmHg
----- CO2
----- SpO2% ECG
x2
-----
-----
II
mmHg
----
P1
0
ART
0
T1
23.6 9HULI\WKDWWKHYDOXHVGLVSOD\HGIRUWKH3
DQG$57SUHVVXUHFKDQQHOVDUHDFFXUDWH
ZLWKLQ PP+JRIDWPRVSKHULFSUHVVXUH
WKDWLV PP+J
• V\VWROLFSUHVVXUH WR PP+J
• GLDVWROLFSUHVVXUH WR PP+J
• PHDQSUHVVXUH WR PP+J
Return
-----
0
P1 ZEROED
mmHg
0
0
----
ECG
mmHg
0
0
°F
-----
7KH0 6HULHV&&7XQLWGLVSOD\VSUHVVXUH
YDOXHVIRUHDFKSUHVVXUHFKDQQHOZLWKLQ
VHFRQGV
P1
0
ART
0
mmHg
0
0
mmHg
0
0
23.7 2QWKH3DWLHQW6LPXODWRUVHW%3FKDQQHO 7KH3DWLHQW6LPXODWRUWUDQVPLWVDQDUWHULDO
WRDQDUWHULDOSUHVVXUHRI PP+J
SUHVVXUHZDYHIRUPRI PP+JRQERWK
ZDYHIRUP DQGSUHVV(;(&87(
%3FKDQQHOV
23.8 2QWKH0 6HULHV&&7XQLWYHULI\WKHYDOXHV 7KH06HULHV&&7XQLWGLVSOD\VV\VWROLF
GLDVWROLFDQGPHDQSUHVVXUHYDOXHVIRUHDFK
GLVSOD\HGIRUWKH3DQG$57SUHVVXUH
SUHVVXUHFKDQQHOZLWKLQ VHFRQGV
FKDQQHOV
• V\VWROLFSUHVVXUH PP+J
P1
• GLDVWROLFSUHVVXUH PP+J
119
• PHDQSUHVVXUH PP+J
92
78
mmHg
ART
93
mmHg
120
81
5HFRUG\RXUUHVXOWVRQWKH0DLQWHQDQFH7HVWV&KHFNOLVW
ZZZ]ROOFRP
5HY$
Page 15
0DLQWHQDQFH7HVWV
,%31RLVH7HVW
The IBP noise test verifies that there is no excessive noise in the blood pressure circuitry on
the M Series CCT unit.
5HTXLUHGHTXLSPHQW
You need the following equipment to complete the IBP noise test:
• M Series CCT unit with IBP option (with fully-charged battery installed)
• DNI Nevada 214B Patient Simulator (or equivalent) with M Series (or Protocol Propaq)
interface cables
%HIRUH\RXEHJLQ
Before you begin the IBP noise test:
• Set the IBP channel labels to P1 and ART respectively (see “Test set-up” on page 3
• Set the BP output sensitivity scale to 5 µV/V/mmHg on the Patient Simulator.
• Connect the Patient Simulator cables to the IBP connectors on the M Series unit.
3URFHGXUH
Follow these steps to perform the IBP noise test.
Note: These instructions apply to the DNI Nevada 214B Patient Simulator; for equivalent
devices, follow the manufacturer’s instruction.
Step Action
Expected Result
24.1 =HURWKH,%3FKDQQHOV UHIHUWRVWHSV
WKURXJKRIWKH³,%30RQLWRU7HVW´RQ
SDJH IRUGHWDLOV
7KH06HULHV&&7XQLWFDOLEUDWHVERWK,%3
FKDQQHOVDJDLQVWDWPRVSKHULFSUHVVXUH
24.2 3UHVVWKH7UDFHVVRIWNH\RQWKHIURQWSDQHO 7KH06HULHV&&7XQLWGLVSOD\VWKH7UDFHV
WRGLVSOD\WKH7UDFHVPHQX
PHQX
3 Lead ECG
Set Trace 2
Set Trace 3
Select
Enter
Return
24.3 6HOHFWWKH6HW7UDFHRSWLRQDQGSUHVVWKH 7KH06HULHV&&7XQLWGLVSOD\VWKH7UDFH
(QWHUVRIWNH\WRGLVSOD\WKH7UDFH2SWLRQV 2SWLRQVPHQX
PHQX
OFF
P1
P2
EtCO2
SpO2
Select
Enter
Return
24.4 6HOHFWWKH3RSWLRQDQGSUHVVWKH(QWHU
VRIWNH\
7KH06HULHV&&7XQLWDVVLJQVWKH3
ZDYHIRUPWRWKHVHFRQGWUDFHGLVSOD\DUHD
DQGUHWXUQVWRWKHPDLQPHQX
24.5 5HSHDWVWHSVWKURXJKVHOHFWLQJ
WKH$57RSWLRQIRU7UDFH
7KH06HULHV&&7XQLWDVVLJQVWKH$57
ZDYHIRUPWRWKHWKLUGWUDFHGLVSOD\DUHDDQG
UHWXUQVWRWKHPDLQPHQX
5HY$
=2//0 6HULHV6HUYLFH0DQXDO
Page 16
,19$6,9(%/22'35(6685(
Step Action
Expected Result
24.6 *RWRWKH,%3PHQX SUHVVWKH3DUDP
VRIWNH\DQGVHOHFWWKH,%3RSWLRQ
7KH0 6HULHV&&7XQLWGLVSOD\VWKH,%3
PHQX
Zero
Range
Label
Return
24.7 3UHVVWKH5DQJHVRIWNH\WRGLVSOD\WKH,%3 7KH0 6HULHV&&7XQLWGLVSOD\VWKH,%3
5DQJHPHQX
5DQJHPHQX
P1 Range
P2 Range
Select
Enter
Return
24.8 6HOHFWWKH35DQJHRSWLRQDQGSUHVVWKH 7KH0 6HULHV&&7XQLWGLVSOD\VWKH5DQJH
(QWHUVRIWNH\WRGLVSOD\WKH5DQJH2SWLRQV 2SWLRQVPHQX
PHQX
0-300 mmHg
0-180 mmHg
0-120 mmHg
0-60 mmHg
0-30 mmHg
Select
Enter
Return
24.9 6HOHFWWKH PP+JRSWLRQDQGSUHVVWKH 7KH06HULHV&&7XQLWGLVSOD\VWKH3
(QWHUVRIWNH\
ZDYHIRUPRQD PP+JVFDOHDQGUHWXUQV
WRWKH,%3PHQX
24.10 5HSHDWVWHSVDQGIRUWKH$57
FKDQQHOVHOHFWLQJDUDQJHRI PP+J
7KH06HULHV&&7XQLWGLVSOD\VWKH$57
SUHVVXUHFKDQQHOZDYHIRUPRQD PP+J
VFDOHDQGUHWXUQVWRWKH,%3PHQX
NIBP
mmHg
128 CO2
mmHg
98
107
P1
20
ART
0
T1
RR
100 SpO2% ECG
24
98
x2
0
II
mmHg
0
0
ECG
mmHg
0
0
----
----
30
P1
0
30
ART
0
24.11 2QWKH3DWLHQW6LPXODWRUVHW%3FKDQQHO 7KH3DWLHQW6LPXODWRUWUDQVPLWVDVWDWLF
WRDVWDWLFSUHVVXUHRI PP+J ZDYHIRUP SUHVVXUHRI PP+JRQERWK%3FKDQQHOV
DQGSUHVV(;(&87(
ZZZ]ROOFRP
5HY$
Page 17
0DLQWHQDQFH7HVWV
Step Action
Expected Result
24.12 2QWKH0 6HULHV&&7XQLWSUHVVWKH
5(&25'(5EXWWRQ
7KH0 6HULHV&&7XQLWGLVSOD\VWKH
ZDYHIRUPVIRU PP+JRQWKHPRQLWRU
VFUHHQDQGSULQWVDVWULSFKDUWRIWKHWUDFHV
9HULI\WKDWWKHUHLVQRGHYLDWLRQIURPWKH
EDVHOLQHJUHDWHUWKDQ PPIRUWKH
ZDYHIRUPVSULQWHGRQVWULSFKDUW
5HFRUG\RXUUHVXOWVRQWKH0DLQWHQDQFH7HVWV&KHFNOLVW
5HY$
=2//0 6HULHV6HUYLFH0DQXDO
Page 18
,19$6,9(%/22'35(6685(
,%36WDWLF3UHVVXUH7HVW
The IBP static pressure test verifies the accuracy of both positive and negative static
pressure measurements.
5HTXLUHGHTXLSPHQW
You need the following equipment to complete the IBP static pressure test:
• M Series CCT unit with IBP option (with fully-charged battery installed)
• Fogg BP-28 Pressure Transducer Simulator (or equivalent)
%HIRUH\RXEHJLQ
Before you begin the IBP static pressure test:
• Set the IBP channel labels to P1 and ART respectively (see “Test set-up” on page 3
• Set the input and output resistance to 350 Ω on the Transducer Simulator, and set the
gain to x10.
• Connect the Transducer Simulator cable to the P1 connector on the M Series CCT unit.
3URFHGXUH
Follow these steps to perform the IBP static pressure test.
Note: These instructions apply to the Fogg BP-28 Pressure Transducer Simulator; for
equivalent devices, follow the manufacturer’s instructions.
Step Action
Expected Result
25.1 2QWKH3UHVVXUH7UDQVGXFHU6LPXODWRUVHW 7KH3UHVVXUH7UDQVGXFHU6LPXODWRUWUDQVPLWV
WKHSUHVVXUHSRODULW\WRSRVLWLYHDQGVHOHFW DVWDWLFSRVLWLYHSUHVVXUHRI PP+J
DSUHVVXUHRI PP+J
25.2 =HURSUHVVXUHFKDQQHO UHIHUWRVWHSV 7KH06HULHV&&7XQLWFDOLEUDWHVSUHVVXUH
WKURXJKRIWKH³,%30RQLWRU7HVW´RQ
FKDQQHO DJDLQVWDSRVLWLYHSUHVVXUHRI
SDJH DQGVHOHFWWKH=HUR3RSWLRQ
PP+JDQGGLVSOD\VWKH3 =(52('
PHVVDJH
25.3 2QWKH3UHVVXUH7UDQVGXFHU6LPXODWRU
VHOHFWDSRVLWLYHSUHVVXUHRI PP+J
7KH3UHVVXUH7UDQVGXFHU6LPXODWRUWUDQVPLWV
DVWDWLFSRVLWLYHSUHVVXUHRI PP+J
25.4 2QWKH0 6HULHV&&7XQLWYHULI\WKDWWKH
7KH06HULHV&&7XQLWGLVSOD\VWKHSRVLWLYH
YDOXHGLVSOD\HGIRUWKH3SUHVVXUHFKDQQHO VWDWLFSUHVVXUHYDOXHIRUWKHILUVWSUHVVXUH
LVLQWKHUDQJHRI PP+J
FKDQQHO 3 ZLWKLQ VHFRQGV
P1
295
25.5 &RQQHFWWKH3UHVVXUH7UDQVGXFHU6LPXODWRU
WRWKHVHFRQG,%3FKDQQHOFRQQHFWRU 3
DQGUHSHDWVWHSVDQGIRUWKH$57
FKDQQHO
:LWKLQ VHFRQGVWKH06HULHV&&7XQLW
GLVSOD\VWKHSRVLWLYHVWDWLFSUHVVXUHYDOXHIRU
WKHVHFRQGSUHVVXUHFKDQQHO $57 ZLWKLQ
VHFRQGV
ART
298
ZZZ]ROOFRP
mmHg
295
295
mmHg
298
298
5HY$
Page 19
0DLQWHQDQFH7HVWV
Step Action
Expected Result
25.6 &RQQHFWWKH3UHVVXUH7UDQVGXFHU6LPXODWRU
WRWKHILUVW,%3FKDQQHOFRQQHFWRU 3
25.7 2QWKH3UHVVXUH7UDQVGXFHU6LPXODWRUVHW 7KH3UHVVXUH7UDQVGXFHU6LPXODWRUWUDQVPLWV
WKHSUHVVXUHSRODULW\WRQHJDWLYHDQGVHOHFW DVWDWLFQHJDWLYHSUHVVXUHRI PP+J
DSUHVVXUHRI PP+J
25.8 =HURWKHSUHVVXUHFKDQQHO UHIHUWRVWHSV
WKURXJKRIWKH³,%30RQLWRU7HVW´
RQSDJH DQGVHOHFWWKH=HUR3RSWLRQ
7KH06HULHV&&7XQLWFDOLEUDWHVWKH
SUHVVXUHFKDQQHODJDLQVWDQHJDWLYHSUHVVXUH
RI PP+JDQGGLVSOD\VWKH3 =(52('
PHVVDJH
25.9 2QWKH3UHVVXUH7UDQVGXFHU6LPXODWRU
VHOHFWDQHJDWLYHSUHVVXUHRI PP+J
7KH3UHVVXUH7UDQVGXFHU6LPXODWRUWUDQVPLWV
DVWDWLFQHJDWLYHSUHVVXUHRI PP+J
25.10 2QWKH0 6HULHV&&7XQLWYHULI\WKDWWKH
7KH06HULHV&&7XQLWGLVSOD\VWKHVWDWLF
YDOXHGLVSOD\HGIRUWKH3SUHVVXUHFKDQQHO QHJDWLYHSUHVVXUHYDOXHIRUWKHILUVWSUHVVXUH
LVLQWKHUDQJHRI WR PP+J
FKDQQHO 3 ZLWKLQ VHFRQGV
P1
-50
mmHg
-50
-50
25.11 &RQQHFWWKH3UHVVXUH7UDQVGXFHU6LPXODWRU 7KH06HULHV&&7XQLWGLVSOD\VWKHQHJDWLYH
WRWKHVHFRQG,%3FKDQQHOFRQQHFWRU 3 VWDWLFSUHVVXUHYDOXHIRUWKHVHFRQGSUHVVXUH
DQGUHSHDWVWHSVDQGIRUWKH
FKDQQHO $57 ZLWKLQ VHFRQGV
VHFRQGSUHVVXUHFKDQQHO
ART
-49
mmHg
-49
-49
5HFRUG\RXUUHVXOWVRQWKH0DLQWHQDQFH7HVWV&KHFNOLVW
5HY$
=2//0 6HULHV6HUYLFH0DQXDO
Page 20
,19$6,9(%/22'35(6685(
'LVDVVHPEO\3URFHGXUHV
The IBP/Temperature module resides in the lower housing assembly of the M Series CCT
unit. This section describes the following procedure:
• “Disassembling the IBP module” on page 12
For instructions on removing the lower housing assembly from the M Series CCT unit or
on replacing the multi-parameter interface cable, see the Non-Invasive Blood Pressure insert
(part number 9653-0455-01) of the M Series Service Manual.
Only properly trained technicians should service the M Series CCT unit. Ensure that you
take the appropriate safety precautions before disassembling any part of the M Series CCT
unit.
:DUQLQJ
SHOCK HAZARD!
Take necessary precautions to guard against shock or injury before
conducting defibrillator tests or repairs. The M Series CCT unit
can contain lethal voltages even when turned off.
In addition:
• Wear a conductive wrist strap that touches your skin and is connected to a grounding
mat and to an earth ground when working with static-sensitive units. Remove the wrist
strap when you discharge high voltage or when you are working on energized
equipment.
'LVDVVHPEOLQJWKH,%3PRGXOH
The IBP/Temperature module resides in the lower housing assembly of the M Series CCT
unit, and connects to the M Series main system board through the multi-parameter
interface cable.
5HTXLUHGWRROV
You need the following tools to disassemble the IBP/Temperature module:
• #2 Phillips screwdriver
• small pliers
• small wood stick
• Exacto knife
• anti-static wrist strap
ZZZ]ROOFRP
5HY$
Page 21
'LVDVVHPEO\3URFHGXUHV
3URFHGXUH
Follow these steps to disassemble the IBP/Temperature module.
Step Action
5HPRYHWKHORZHUKRXVLQJDVVHPEO\IURPWKH
0 6HULHV&&7XQLW
5HIHUWRWKH1RQ,QYDVLYH%ORRG3UHVVXUHLQVHUW
RIWKH0 6HULHV6HUYLFH0DQXDO 'LVDVVHPEO\
3URFHGXUHV³5HPRYLQJWKH1,%3PRGXOH´ IRU
GHWDLOHGLQVWUXFWLRQV
5HPRYHWKHVL[ VFUHZVIURPWKHWRSRIWKH
&&7ORZHUKRXVLQJDVVHPEO\FRYHU
*HQWO\OLIWWKHFRYHUDZD\WRH[SRVHWKHLQWHUQDO
DVVHPEO\
'LVFRQQHFWWKH7HPSHUDWXUHDQG,%3FDEOHV
IURPWKHLVRODWHGSRZHUVXSSO\ERDUG
'LVFRQQHFWWKH1,%3SXPSIURPWKH1,%3
V\VWHPERDUG
5HY$
=2//0 6HULHV6HUYLFH0DQXDO
Page 22
,19$6,9(%/22'35(6685(
Step Action
/LIWWKHIUDPHVXSSRUWDQGGLVFRQQHFWWKHWXELQJ
DVVHPEO\ QHDUWKH1,%3FRQQHFWRU
'LVFRQQHFWWKHLVRODWHGSRZHUVXSSO\ERDUG
IURPWKH1,%3V\VWHPERDUGOLIWLQJWKHZLUHV
RXWRIWKHJXLGHVRQWKHIUDPHVXSSRUW
3UHVVWKHWDEVRQHLWKHUVLGHRIWKHLVRODWHG
SRZHUVXSSO\ERDUGWRUHOHDVHLWJHQWO\OLIWLQJ
WKHSRZHUVXSSO\ERDUGIURPXQGHUQHDWKZLWK
WKHZRRGVWLFN
7XUQWKHLVRODWHGSRZHUVXSSO\ERDUGRYHUDQG
GLVFRQQHFWWKH1,%3V\VWHPERDUGFDEOH
,QVHUWWKH([DFWRNQLIHEODGHXQGHUWKH
FRQQHFWRUSDQHOODEHODQGJHQWO\OLIWWKHODEHO
DZD\IURPWKH&&7FRQQHFWRUSDQHO
ZZZ]ROOFRP
Lift label here
5HY$
Page 23
'LVDVVHPEO\3URFHGXUHV
Step Action
5HPRYHWKHWKUHH VFUHZVIURPWKH&&7
FRQQHFWRUSDQHO
*HQWO\SXVKWKHFRQQHFWRUSDQHORXWZDUGVWR
GHWDFKLWIURPWKH&&7ORZHUKRXVLQJDVVHPEO\
5HLQVWDOOLQJWKH,%3PRGXOH
To reassemble the IBP components in the CCT lower housing assembly, reverse Steps 1
through 12 of the above disassembly procedure.
Note: When re-inserting the NIBP pump and
tubing assembly into the CCT lower
housing assembly, place the tubing gently
into the plastic guides to avoid pinching.
5HY$
=2//0 6HULHV6HUYLFH0DQXDO
Page 24
,19$6,9(%/22'35(6685(
5HSODFHPHQW3DUWV
You can order replacement parts through an authorized ZOLL distributor or directly from
ZOLL Medical Corporation. Pricing information is available from ZOLL Medical
Corporation’s Technical Service Department.
Note: ZOLL reserves the right to substitute different parts to reflect modifications and
improvements in ZOLL M Series circuitry and design.
2UGHULQJUHSODFHPHQWSDUWV
When ordering parts, please provide the following information:
• ZOLL M Series device model and serial number
• field-replaceable unit part number
• description of the replacement part
%\PDLO
To order by mail from ZOLL Medical Corporation, address your request to:
ZOLL Medical Corporation
32 Second Avenue
Burlington, MA 01803-4420
Attention: Technical Service Department
%\SKRQH
For more information, contact ZOLL Medical Corporation at 1-781-229-0020 or
1-800-348-9011 (Fax: 1-781-229-0758).
3DUWVDQGSDUWQXPEHUV
The following table lists the replacement parts available with the IBP option on the
M Series CCT unit.
7DEOH,%3UHSODFHPHQWSDUWV
Description
Part Number
1,%3,%37HPSHUDWXUHPRGXOH
1,%3PRGXOHIUDPHVXSSRUW
1,%3,%37HPSHUDWXUHSRZHUVXSSO\ERDUG
,%37HPSHUDWXUHFRQQHFWRUFDEOH
,%3FRQQHFWRU
1,%3,%37HPSHUDWXUHFRQQHFWRUSDQHO
/DEHO1,%3,%37HPSHUDWXUHFRQQHFWRUSDQHO(QJOLVK
ZZZ]ROOFRP
5HY$
Page 25
7URXEOHVKRRWLQJ
7URXEOHVKRRWLQJ
The M Series CCT unit displays certain error messages to alert the user to problems
detected in IBP operation. The following table lists IBP error messages and their associated
corrective action.
For further assistance, contact ZOLL Technical Service at 1-800-348-9011. International
customers should call the nearest authorized ZOLL Medical Corporation distributor.
7DEOH,%3(UURU0HVVDJHV
Message/Symptom
Possible Causes
Corrective Action
&+(&.3
75$16'8&(5
&+(&.3
75$16'8&(5
7KHWUDQVGXFHUFRQQHFWLRQLV
EURNHQ
7KHXQLWGHWHFWVDVKRUWRURSHQ
FLUFXLWLQWKHWUDQVGXFHU
&KHFNWUDQVGXFHUDQGFDEOLQJ
5HSODFHWKHWUDQVGXFHURUFDEOLQJ
,&8(5525;;;
1RFRPPXQLFDWLRQIURPWKH,%3
SURFHVVRU
%3SURFHVVRUIDLOHGVHOIWHVW
7XUQXQLWRIIZDLWVHFRQGVDQG
UHWU\
,ISUREOHPSHUVLVWVUHWXUQIRUVHUYLFH
5(3/$&(3
75$16'8&(5
5(3/$&(3
75$16'8&(5
7KHWUDQVGXFHUVLJQDOLV
LQFRPSDWLEOHZLWK06HULHVXQLW
8VHDWUDQVGXFHUWKDWLVFRPSDWLEOH
ZLWK06HULHVXQLW
5(=(523
5(=(523
7KH06HULHVXQLWFDQQRW
HVWDEOLVKD]HURUHIHUHQFHYDOXH
5H]HURWKHWUDQVGXFHU
3=(525(-(&7('
3=(525(-(&7('
7KHUHIHUHQFHXVHGWR]HURWKH
WUDQVGXFHUZDVUHMHFWHG
5H]HURWKHWUDQVGXFHU
6<67(0)$8/7
&RPPXQLFDWLRQSUREOHPZLWKWKH 7XUQXQLWRIIZDLWVHFRQGVDQG
,%3SURFHVVRU
UHWU\
&KHFNWKH,%3FRQQHFWRUFDEOLQJWR
WKH1,%3,%37HPSHUDWXUHSRZHU
VXSSO\ERDUG
&KHFNWKHPXOWLSDUDPHWHULQWHUIDFH
FDEOHFRQQHFWLRQWRWKH0 6HULHVPDLQ
V\VWHPERDUG
5HSODFHWKH1,%3,%37HPSHUDWXUH
SRZHUVXSSO\ERDUG
,ISUREOHPSHUVLVWVUHWXUQXQLWIRU
VHUYLFH
=(523
=(523
1R]HURUHIHUHQFHKDVEHHQ
HVWDEOLVKHG
5HY$
=2//0 6HULHV6HUYLFH0DQXDO
=HURWKHWUDQVGXFHU