Trusat Pulse Oximeter: Technical Reference Manual
Trusat Pulse Oximeter: Technical Reference Manual
Trusat Pulse Oximeter: Technical Reference Manual
6050-0006-813
March 2005
• The device is used in accordance with the TruSat User’s Guide and is serviced and
maintained in accordance with this manual.
Trademarks
Datex®, Ohmeda®, TruSat™ and other trademarks (ComWheel™, OxyTip®, PIr®,
TruSignal™, TruTrak®) are the property of GE Healthcare Finland Oy. All other product
and company names are the property of their respective owners.
0537
GE Healthcare Finland Oy
Helsinki, Finland
+358 10 394 11
www.gehealthcare.com
© 2005 General Electric Company. All rights reserved.
3. Troubleshooting.........................................................................................3–1
3.1 Troubleshooting guide.................................................................................................... 3–1
Error numbers......................................................................................................................................3–3
3.2 System board components .......................................................................................... 3–4
System board test points...............................................................................................................3–5
System board connectors.............................................................................................................3–5
ID connector (X1).......................................................................................................................3–5
ComWheel connector (X2)....................................................................................................3–5
Speaker connector (X4)..........................................................................................................3–5
Pulse oximetry connector (X5) ...........................................................................................3–6
Battery connector (X6) ...........................................................................................................3–6
DC line power connector (X7) .............................................................................................3–6
Trend Download board connector (X8)..........................................................................3–7
4. Service Procedures...................................................................................4–1
4.1 Functional check ..................................................................................................................4–1
Changing the line power filter..................................................................................................... 4–2
Setting the clock................................................................................................................................. 4–3
Electrical safety check.................................................................................................................... 4–3
Ground resistance test.......................................................................................................... 4–3
4.2 Planned Maintenance........................................................................................................4–4
Battery .................................................................................................................................................... 4–4
Cleaning ................................................................................................................................................. 4–4
4.3 Software upgrade ................................................................................................................4–5
Checking the current software versions................................................................................ 4–5
Installing the software upgrade................................................................................................. 4–5
4.4 Trend Download upgrade................................................................................................4–6
Installing the Trend Download board...................................................................................... 4–7
4.5 Alarm annunciation............................................................................................................4–8
Customizing a cable......................................................................................................................... 4–8
Enabling alarm annunciation...................................................................................................... 4–9
Before installing the Trend Download board ............................................................. 4–9
After installing the Trend Download board...............................................................4–10
Relay switch fuse replacement................................................................................................4–11
4.6 Repair procedures ............................................................................................................4–12
Monitor disassembly .....................................................................................................................4–12
Right (ComWheel) side disassembly.............................................................................4–12
Left side disassembly...........................................................................................................4–12
Housing disassembly...........................................................................................................4–13
Monitor assembly............................................................................................................................4–13
Housing assembly.................................................................................................................4–13
Left side assembly.................................................................................................................4–14
Right side assembly..............................................................................................................4–14
5. Service Parts................................................................................................5–1
5.1 Miscellaneous parts............................................................................................................5–1
5.2 TruSat assembly...................................................................................................................5–2
TruSat parts and service kits ....................................................................................................... 5–2
TruSat assembly drawing ............................................................................................................. 5–3
ii
Important: When using the monitor for the first time or after removing it from
extended storage, charge the battery for three hours BEFORE you power ON.
The monitor contains an easy-to-read liquid crystal display (LCD) with a backlight
for low-light conditions. The monitor also contains on-screen controls for changing
monitor settings, a lock function, and an alarm system that generates audible and
visual alarm signals.
The optional Trend Download board allows users to set the monitor clock, print, and
download trends to a computer. Monitors can be factory-configured with this option.
An upgrade kit is also available.
Related information
For a detailed description of the functions and general operating guidelines of the
monitor, refer to the TruSat User’s Guide.
For information related to sensors (sensor application and cleaning, for example),
refer to the instructions for the sensor.
Technical competence
CAUTION: Only qualified service personnel should perform the procedures
described in this manual.
1–1
1–2
Connectors
WARNING: When you connect equipment to the monitor, you are
configuring a medical system and are responsible for ensuring that the
system complies with IEC 60601–1–1 and with local requirements. Connect
only external devices specified for use with the monitor.
WARNING: Use only sensors and cables authorized for use with this monitor.
Failure to do so may cause interference with the measurement or result in
increased emissions, decreased immunity, or damage to the equipment or
system.
Sensor connector
Connect an OxyTip+ sensor
or cable only.
Power connector
Plug the power supply cable into this connector. Then, plug the
power cord into the power supply and into the AC power outlet.
Other symbols on the monitor or the screen are described in the TruSat User’s Guide.
1–3
Warnings
WARNINGS indicate potentially harmful situations that may cause injury to
a patient or operator.
• Do not use the monitor if the startup tones do not sound, the validity of data is
questionable, or if the monitor fails to function as described. Refer to the
appropriate sections of this manual to identify and correct the malfunction.
• Do not use the monitor in the presence of any flammable anesthetic mixture.
• Use only hospital-grade, grounded power outlets.
• Use only sensors and cables specified for use with this monitor. Failure to do so
may cause interference with the measurement or result in increased emissions,
decreased immunity, or damage to the equipment or system.
• This monitor is not intended for use in a magnetic resonance imaging (MRI)
environment.
• When you connect equipment to the monitor, you are configuring a medical
system and are responsible for ensuring that the system complies with
IEC 60601–1–1 and with local requirements. Connect only external devices
specified for use with this monitor.
• Power OFF and disconnect the monitor from external power before performing
any procedure that involves disassembly of the monitor.
Cautions
CAUTIONS indicate conditions that may lead to equipment damage or
malfunction.
Disposal
Recycle or dispose of this medical device, its components, and its packing materials
in accordance with local environmental and waste disposal regulations.
1–4
1.4 Specifications
Specifications are nominal and are subject to change without notice.
Factory settings
Setting Range Factory setting
High SpO2 alarm limit 51 to 100% or OFF (— —) OFF
Low SpO2 alarm limit 50 to 99% or OFF (— —) 85
High pulse rate alarm limit 30 to 235 bpm or OFF (— — —) 130
Low pulse rate alarm limit 30 to 235 bpm or OFF (— — —) 40
Backlight ON or OFF ON
Pulse beep volume 0 (OFF), 1, 2, 3, or 4 * 2
Alarm volume 1 (low), 2, 3, or 4 * 2
Line power filter 50 Hz or 60 Hz 60 Hz
* For more information, see Audio later in this section.
Measurement
General
Pulse oximetry sensors: OxyTip+ sensors only
Method: red and infrared light absorption
Red LED wavelength range: 650 to 670 nm
Infrared (IR) LED wavelength range: 930 to 950 nm
Average power: ≤ 1 mW
SpO 2
Calibrated for functional oxygen saturation
Calibration range: 70 to 100%
Measurement and display range: 1 to 100%
Display resolution: 1%
First reading, full accuracy: ≤ 10 seconds
Accuracy, Arms
(root mean square of paired values; previously represented by ± 1 SD):
70 to 100% ± 2 digits (without motion)
70 to 100% ± 3 digits (during clinical motion)1
70 to 100% ± 2 digits (during clinical low perfusion)
Below 70% unspecified
SpO2 measurement accuracy is based on deep hypoxia studies using OxyTip+
sensors on volunteer subjects. Arterial blood samples were analyzed simultaneously
on multiple CO-oximeters.
NOTE: Accuracy may vary for some sensors; always check the instructions for the
sensor.
1
Applicability: OxyTip+ Adult/Pediatric and AllFit sensors.
1–5
Pulse rate
Measurement and display range: 30 to 250 beats per minute (bpm)
Display resolution: 1 bpm
First reading, full accuracy: ≤ 15 seconds
Accuracy
30 to 250 bpm: ± 2 digits or ± 2%, whichever is greater (without motion)
30 to 250 bpm: ± 5 digits (during motion)
30 to 250 bpm: ± 3 digits (during low perfusion)
Monitor
General
Lock function: locks/unlocks alarm limits and other settings
Factory calibrated; power-on self-test with calibration check
Recovery time after exposure to defibrillation voltage: ≤ 30 seconds
Display
Liquid crystal display (LCD)
Backlight LED: ON or OFF
Plethysmographic pulse bar (pleth bar): ten-segment column; pulsates to indicate
pulse rate and signal strength
Display update time
SpO2 , pulse rate, and PIr values: 1 second ± 0.25 second
Plethysmographic pulse bar: 20 Hz minimum (.05 second)
Alarms
Visual and audible indicators for physiological alarms (SpO 2 and pulse rate limit
alarms) and technical alarms (sensor condition, battery condition, internal
malfunction)
Visual alarm indicator, red/yellow LED
High priority alarm: red ON or red flashing ON/OFF
Medium priority alarm: yellow flashing ON/OFF
Visibility (operator positioned in front of monitor: 4 m (13 ft.) at 30° angle in any
direction
NOTE: When an SpO 2 or pulse rate alarm limit is violated, the related
measurement flashes ON/OFF.
Audible alarm indicator: pattern varies according to alarm type and priority
Alarm Silence button: silences alarms for 2 minutes (press once; screen symbol is
displayed) or indefinitely (press 3 times; screen symbol flashes ON/OFF)
NOTE: If an alarm condition is not present, the alarm LED is lit yellow to indicate
future alarms will be silenced.
1–6
Audio
Pulse rate beep: tone rises as oxygen saturation increases and falls as it decreases
Adjustable alarm volume and pulse beep volume: 4-segment on-screen controls
Volume intensity at distance of 1 m (3.28 ft.): 45 dB minimum to 85 dB maximum
External power
Power supply (AC to DC converter)
AC power input: 100–240 V, 0.5 A, 50–60 Hz
Power supply (DC to DC)
DC power input from vehicle cigarette lighter: 12 V
Power supply output to monitor: 12 VDC, 1.25 A, 15 watt
Power indicator (green LED): ON while monitor is connected to external power
Line power filter (monitor setting): 50 Hz or 60 Hz
Environmental conditions
NOTE: To maximize battery life, store the monitor at room temperature.
Operating Transport and Storage
Temperature 10 to 40 ºC –40 to 70 ºC
(50 to 104 ºF) (–40 to 158 ºF)
Relative humidity, 20 to 95% 5 to 95%
noncondensing
Atmospheric pressure 1060 to 697 hPa 1060 to 188 hPa
Approximate elevation –378 to 3048 m –378 m to 12.2 km
(–1240 to 10,000 ft.) (–1240 to 40,000 ft.)
1–7
1.5 Compliance
European Union Medical Device Directive 93/42/EEC: Class IIb
EN 60601-1 Medical electrical equipment – Part 1: General requirements for safety
(including Amendments 1 and 2)
• Type of protection against electric shock: Class I equipment/Internal electrical
power source
• Degree of protection against electric shock: Defibrillation-proof type BF applied
part
• Degree of protection against ingress of water (EN 60529): IPX2
• Not suitable for use in the presence of flammable anesthetic mixtures
• Mode of operation: Continuous
EN 60601-1-2 (2nd Edition) Electromagnetic compatibility – Requirements and tests For
details, see Electromagnetic compatibility (EMC) later in this section.
CISPR 11/EN 55011 (Protection against emissions): Group I, Class B
IEC 60601-1-8 Alarm systems – General requirements, tests and guidance for alarm
systems in medical electrical equipment and systems
Medical electrical equipment classified in the US and Canada with respect
to electric shock, fire, and mechanical hazards only, in accordance with
the Canadian Standards Association CAN/CSA C22.2 No. 601.1 and
Underwriters Laboratories Inc. UL 2601–1.
1–8
1–9
1–10
Interference may occur in the vicinity of equipment marked with this symbol.
Field strengths from fixed RF transmitters, as deter mined by an electromagnetic site survey,a should be less than the
compliance level in each fre quency range. b
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land
mobile radios, amateur radio, AM and FM radio broadcast, and TV broadcast cannot be predicted theoreti cally
with accuracy. To assess the electromagnetic environment due to fixed RF trans mitters, an electromagnetic site
survey should be considered. If the measured field strength in the location in which the TruSat is used exceeds the
applicable RF compliance level above, the TruSat should be observed to verify normal operation. If abnormal
performance is observed, additional measures may be necessary, such as re-orienting or relocating the TruSat.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 5 V/m.
1–11
1–12
Isolated
power supply V-CORE Code & data
regulator memory
VDD
Voltage Clock
regulators
Microprocessor
Line power supply Battery charger
Trend Download
Backlight Alarm board
Display board connector Keys
Display control
AC & alarm LEDs
4.2 V regulator
ON/OFF & Display
alarm switches drivers
LCD
2–1
The PIr pulsatile value indicates the strength of the pulse signal at the sensor
site—the higher the PI r value, the stronger the pulse signal. A strong pulse signal
increases the validity of SpO2 and pulse rate data. Clinicians can use the PI r value to
compare the strength of the pulse signal at different sites on a patient in order to
locate the best site for the sensor—the site with the strongest pulse signal.
Signal processing
This pulse oximeter uses a two-wavelength pulsatile system—red and infrared
light—to distinguish between oxyhemoglobin (O 2Hb) and reduced hemoglobin (HHb).
The light is emitted from the oximeter sensor, which contains a light source and a
photodetector.
• The light source consists of red and infrared light-emitting diodes (LEDs).
The two light wavelengths generated by the LEDs are transmitted through the tissue
at the sensor site and are modulated by arterial blood pulsation. The photodetector
in the sensor converts the light intensity information into an electronic signal that is
processed by the monitor.
2–2
Display board
• Power button
• Alarm Silence button
• Alarm LEDs
• AC power LED
• I2 C bus
• Backlight LCD
The System board conditions power from the power supply and the battery. When a
DC voltage is supplied from the power supply, the board charges the battery at a
constant current while simultaneously supplying power to the rest of the circuit.
The board transmits data for the display and monitors the Alarm Silence and power
switches. It controls the backlight and drives the speaker.
The System board drives the sensor LEDs and receives photodetector signals from the
sensor. The output from the signals is used to determine patient oxygen saturation,
perfusion, and pulse rate. The electrically-isolated side of the board contains the
oximetry analog hardware, CPLD, and A/D converters. A +3 VDC rail input to a step-up
isolation transformer provides +5.3 VDC isolated voltage to the oximeter side of the
board. Digital Signal Processing (DSP), which processes the oximetry data, requires a
core voltage of +1.5 V and an I/O voltage of +3.3 V.
An EEPROM contains the DSP boot code; a FLASH device contains the application
code. The DSP is the master of the memory devices during the boot sequence; the
microcontroller is master of the FLASH during normal operation.
The System board contains a connector for reprogramming the FLASH and for
installing software upgrades, including boot, DSP, and system software.
2–3
Microcontroller
The System board microcontroller is responsible for system monitoring, user
interface processing, speaker control, display control, alarm LED control, RS-232
communications, SPI bus control, enabling oximetry hardware, and real-time clock
control.
LCD_EN BATT +
I2 C bus
The Display board contains the liquid crystal display (LCD) on which information
sent by the System board appears: oxygen saturation, pulse rate, PIr ,
plethysmographic pulse bar (pleth bar), alarm limit settings, and screen symbols for
changing monitor settings. It also displays indicators for the battery, alarm silence,
lock status,. and alarm messages. The backlight, power switch, alarm silence switch,
line power LED, and red/yellow alarm LED are located on the Display board.
The Display board connects directly to the System board through a 30-pin board-to-
board connector. A BATT+ supplies power to the 4.2 V display regulator, which
optimizes the LCD contrast. Two LCD drivers can drive up to 160 segments on the 4.2 V
LCD, which contains 80 segment pins and 2 backplane pins.
The backlight can be switched ON or OFF by the user. It consists of 54 sets of 2 amber
LEDs.
The green AC power LED monitors the DC line voltage from the external power supply.
A microcontroller monitors the ON/OFF and ALARM switches on the board and drives
the red/yellow alarm LED.
2–4
Board ID
High speed
Opto-isolation
RS-232 driver
X1 X2
Low speed
Opto-isolation Alarm event
relay
Trend flash
The Trend Download board provides an interface for connecting a personal computer
or printer to the monitor. It contains a board ID circuit, a flash memory IC for trend
storage, an isolation transformer for isolated power, a 2500 VAC isolation barrier to
SIP/SOP, an RS-232 level translator, and a Normally-Open Reed Relay contact used
for alarm event annunciation.
The board ID circuit identifies the configuration of the Trend Download board. When
no jumpers are installed (default configuration), a 1.5 VDC output is read by the
microcontroller on the System board. On future Trend Download boards, the output
will depend on the location of jumpers.
All RS-232 signals are translated to a ± 7 V level by a chip with a built-in power
supply that generates ± 7 V from a single 5 VDC power input. Two high-speed opto-
isolators are connected to the RS-232 RXD and TXD signals. Two low-speed opto--
isolators are connected to the RS-232 CTS and RTS signals.
2–5
The alarm event relay and the RS-232 output, are isolated from the monitor and from
the patient to eliminate the possibility of ground loops. For over-current safety, the
relay switch is protected by a 1 A fuse (in fuse block F2). If overload from the “nurse
call” system blows the fuse, it can be replaced with a fuse of the same type and
rating.
2–6
3–1
Line power is disconnected. Check the external connections between the power
source, the power supply, and the monitor.
Check the internal connection of the line power
cable to the System board.
Line power cable is not connected Check the internal connection of the line power
or is improperly connected. cable to the System board.
Power supply failure. Check the power supply voltages of the power
supply connector (12 V).
Replace the power supply.
Display board LED malfunction. Replace the Display board.
System board failure. Replace the System board.
Monitor is connected Monitor is trying to recharge a Charge the battery for up to 30 minutes before
to external power but depleted or low battery. attempting to power ON.
will not power ON.
Monitor is trying to recharge a Replace the battery.
battery that is faulty.
System board failure. Replace the System board.
3–2
Error numbers
If either message listed below is displayed, first power OFF, then ON again. If the
message reappears, note the error number displayed in the high SpO2 alarm limit area
and refer to the chart below for guidance.
NOTE: If any other number is displayed and/or if you are unable to correct the situation
by cycling power to the monitor, note the error number and contact an authorized
service representative for assistance.
3–3
7
X11
1
29 1
30
X12 2
2 1
6 5
D2 T1 D3
X2
1 X5
2 1 2
E60 3 4
X4 X1
1 4 1 2
D8 2 20
1 19 X6 X7
X8
3–4
3–5
5 9
3–6
3–7
3–8
D3
X2
S1 H1
82 42
TP13
TP12
TP17
TP16 TP14
TP4
TP2
TP3 TP5
TP1 TP15
TP6 TP8
TP18
TP9 TP11
TP10 1 29
2 X1 30
3–9
3–10
F2
Enable
X2 X2 S1 Disable
19 1 2 4
X1 X3
20 2 1 3
Side View
3–11
5 3
1
2
6 4
ID connector (X3)
Pin # Signal Name I/O Description
1,2 Alternate board A A jumper across these two pins will identify a
configuration B different board configuration
3,4 Alternate board A A jumper across these two pins will identify a
configuration C different board configuration
3–12
WARNING: Do not use the monitor if the startup tones do not sound, the
validity of data is questionable, or if the monitor fails to function as
described. Refer to the appropriate sections of this manual to identify and
correct the malfunction.
1. Plug the power supply cable into the power connector on the monitor. Then, connect
the power supply to the power outlet.
Important: If you are preparing the monitor for first-time use or have just removed it
from extended storage, charge the battery for three hours BEFORE you power ON.
• The backlight is ON until dashes are displayed for the SpO2 and pulse rate. The
backlight remains ON if it is set to ON.
• A patient number (P01, P02, etc.) is displayed if the Trend Download board is
installed.
NOTE: During power-on, monitor self-tests check electronics, battery status, and
calibration. Upon successful completion of all self-tests, the monitor is considered to
be in calibration and ready for normal operation.
3. Power OFF and check the line power filter setting shown in the high pulse rate alarm
area: 50 (Hz) or 60 (Hz). If the setting matches your local AC line power frequency, go
to the next step. If it is different, go to Changing the line power filter before you
continue with the next step.
4–1
4. Choose a sensor designed for use on a finger, place it on your finger, and connect it
to the monitor. Power ON.
NOTE: All pleth bar segments pulsate until the measured values are displayed.
5. When the SpO2 and pulse rate values are displayed, verify that the lowest pleth bar
segment remains visible while one or more of the other segments pulsate.
6. Remove the sensor from your finger. Verify that the alarm LED flashes red, an alarm
tone sounds, and dashes replace the SpO2 and pulse rate values.
7. Place the sensor on your finger again. After the SpO2 and pulse rate values are
displayed, unplug the sensor from the monitor. Verify that the alarm LED flashes red,
an alarm tone sounds, and dashes replace the values.
8. Press, then turn the ComWheel until the pointer is above PIr. Press the ComWheel
and verify that the PIr value is displayed.
NOTE: Press the ComWheel to exit the PIr display.
9. Check the battery indicator. If the battery is low, recharge the battery before using it
to power the monitor.
10. If the monitor is configured with the Trend Download option, check the clock
settings. Go to Setting the clock.
Important: DO NOT use the monitor if it fails to function as described. To identify and
correct the problem, refer to the Troubleshooting chapter.
2. To check the setting, power OFF and verify that the new setting is displayed in the
high pulse rate alarm area.
4–2
Important: Clock settings are lost when the battery is disconnected or fails. Set the
clock to ensure that the Trend Download board is functioning properly and that all
patient records contain the correct time and date.
NOTE: The Trend Download PC software can also be used to set the clock.
1. Power OFF, unplug the sensor from the monitor, and power ON.
2. Press the ComWheel three times, holding it in for five seconds on the third press.
Each clock option (year, month, etc.) is displayed sequentially in the pulse rate field.
The setting (3, 12, etc.) is displayed in the SpO2 field. The time is based on a 24-hour
clock.
When you see … You can choose … When you see … You can choose …
3. Turn, then press the ComWheel to select a clock option. The selected option flashes
ON/OFF. Turn, then press the ComWheel to select the setting for that option. Repeat
to set each clock option.
4. When you are finished, use the ComWheel to select exit.
1. Following applicable standards, use the instructions supplied with the leakage current
tester to measure the leakage current(s).
2. Record the results for comparison with future leakage current tests.
4–3
Battery
To extend the life of the battery:
• Fully charge the battery once a month.
NOTE: After all four battery segments are shaded, wait at least 20 minutes before
you disconnect the monitor from the external power source. This allows time for the
monitor to refresh the battery.
• Fully discharge the battery once every six months.
To discharge the battery, use battery power for monitoring until only one segment of the
battery indicator is shaded. Then, connect the monitor to external power and fully
recharge the battery.
NOTE: The battery can be recharged only when the internal temperature of the monitor
is between 0 °C and 40 °C (32 to 104 °F).
Cleaning
Clean the monitor before starting a procedure that involves disassembly of the monitor
and before sending the monitor for repair.
2. Disconnect all cables from the monitor: power supply, sensor, and any cable
connected to the RS-232 port.
3. Wipe the display lens with a cotton swab moistened with one of the following
cleaning agents:
Mild detergent solution 0.5% sodium hypochlorite (bleach)
70% isopropyl alcohol Quarternary germicides (Virex®)
1.6% phenol (Sporicidin®) 3.4% glutaraldehyde (Cidex® Plus)
4. Wipe the case with a soft cloth dampened with a cleaning agent. Do not allow
excess liquid to enter through a connector.
NOTE: To clean a reusable sensor, refer to the instructions that are provided with the
sensor. Disposable sensors are intended for single-patient use only and should be
discarded after use.
4–4
NOTE: You will also see “50” or “60” in the high pulse rate alarm area. This is the line
power filter monitor setting that is set to match the AC power source.
2. If either software version is below the version noted on the software upgrade label,
install the software upgrade.
1. Power OFF and disconnect the power cord and other cables from the monitor.
2. On the right (ComWheel) side of the monitor, loosen the 3 screws until you can lift
the bumper assembly away from the housing.
4–5
3. Note the orientation of the ComWheel encoder cable and the speaker cable. Each is
“keyed” for correct connection to the System board. Carefully disconnect both
cables from the System board and remove the bumper assembly.
4. Locate the software upgrade connector on the System board. It is circled in Figure
4-2.
5. Orient the upgrade card with the “chip” facing toward the front of the monitor. Insert
the card into the connector.
6. Power ON the monitor.
Individual segments of each seven-segment LED in the SpO2 display area flash
ON/OFF in a circular pattern until the upgrade is complete.
NOTE: If you do not see this pattern the card was inserted incorrectly. Power OFF
and remove the card. Reinsert the card with the “chip” facing toward the front of the
monitor. Then, power ON to start the upgrade.
7. When the upgrade is complete, first remove the upgrade card. Then, power OFF and
verify that the displayed software version numbers match the version numbers on
the upgrade.
NOTE: If the displayed version numbers do not match the upgrade version numbers,
repeat the upgrade. When the upgrade is complete, be sure to remove the upgrade
card BEFORE you power OFF.
8. Connect the speaker cable and the ComWheel encoder cable to the System board.
Position the cables inside the housing to ensure they will not be pinched.
9. Place the bumper assembly over the housing and tighten the 3 screws.
Important: Test the monitor. See Functional check earlier in this chapter.
• For information about using the printer and/or the Trend Download software, refer to
the TruSat User’s Guide.
• For information about customizing a cable and enabling the alarm annunciation
feature, see Alarm annunciation later in this chapter.
NOTE: You can enable the alarm annunciation feature before or after installing the Trend
Download board. For details, see Alarm annunciation later in this chapter.
4–6
2. On the right (ComWheel) side of the monitor, loosen the 3 screws until you can lift
the bumper assembly away from the housing.
3. Note the orientation of the ComWheel encoder cable and the speaker cable. Each is
“keyed” for correct connection to the System board. Carefully disconnect both
cables from the System board and remove the bumper assembly.
4. On the left side of the monitor, remove the 3 screws and set the bumper assembly
parts aside.
5. Push the Display board and the System board (as a unit) from the right side of the
housing out the left side until you can easily disconnect the line power cable and
battery cable from the System board. Disconnect both cables.
6. Note which slots in the housing are used for the boards. Then, slide the boards all the
way out the left side of the housing.
NOTE: If you dislodge the Alarm Silence button, the power button, and/or the power
button pad, set the part(s) aside until you reinstall the boards.
7. Connect the ribbon cable to the Trend Download board and to the System board.
8. Position all three boards in their slots in the left side of the housing. Slowly slide the
boards (as a unit) into the housing until you can easily connect the battery cable and
the line power cable to the System board. Connect the cables.
9. Slide the boards all the way into the housing. Reposition the Alarm Silence button,
the power button, and the power button pad, as needed.
10. Remove the SpO2 connector code ring from the old left bumper and install it in the
new bumper. Place the inner left end plate over the code ring.
11. Position the left bumper assembly over the left side of the housing, holding the inner
left end plate in place. Place the outer end plate over the left bumper and install the
3 screws that secure the bumper assembly to the housing.
12. At the right side of the housing, connect the speaker cable and the ComWheel
encoder cable to the System board. Position the cables inside the housing to ensure
they will not be pinched.
13. Place the right bumper assembly over the housing and tighten the 3 screws.
Important: Test the monitor and set the monitor clock. See Functional check earlier in
this chapter.
4–7
Customizing a cable
The Trend Download board contains a relay contact connected across two pins of the
RS-232 DIN 6 circular connector. During an alarm event, the relay switch closes the
circuit between these two pins. This closed relay contact is rated to 0.5 A and 200 VAC.
You can access the two sides of the relay contact through the DIN 6 connector or the
DB9 connector on the TruSat/PC RS-232 cable (supplied with the Trend Download
upgrade) or on the TruSat/serial printer cable (supplied with the optional printer).
• DIN 6 connector—Connect to pins 1 and 3 using either cable.
• DB9 connector—Connect to pins 5 and 9 using either cable.
DIN 6 (both cables) DB9 on TruSat/PC RS-232 cable DB9 on TruSat/serial printer cable
6050-0006-924 6050-0006-925
Male DIN 6 – Front view Female DB9 – Front view Male DB9 – Front view
Pin 1: Alarm event output Pin 1: Unused Pin 1: Unused
Pin 2: Transmit Pin 2: Receive Pin 2: Transmit
Pin 3: Ground Pin 3: Transmit Pin 3: Receive
Pin 4: Ready to send (RTS) Pin 4: Data terminal ready (DTR) * Pin 4: Data terminal ready (DTR) *
Pin 5: Clear to send (CTS) Pin 5: Ground Pin 5: Ground
Pin 6: Receive Pin 6: Data set ready (DSR) * Pin 6: Data set ready (DSR) *
Pin 7: Ready to send (RTS) Pin 7: Clear to send (CTS)
Pin 8: Clear to send (CTS) Pin 8: Ready to send (RTS)
Pin 9: Alarm event output Pin 9: Alarm event output
4–8
To enable the alarm annunciation feature on a new Trend Download board, gently move
the white lever to the ENABLED position. Figure 4-3 shows the DISABLED (factory default)
position.
4–9
Figure 4-4. Alarm event relay switch (S1) in the DISABLED position
1. Power OFF and disconnect the power cord and other cables from the monitor.
2. On the right (ComWheel) side of the monitor, loosen the 3 screws until you can lift
the bumper assembly away from the housing.
3. Note the orientation of the ComWheel encoder cable and the speaker cable. Each is
“keyed” for correct connection to the System board. Carefully disconnect both
cables from the System board and remove the bumper assembly.
4. Locate the alarm event relay switch on the Trend Download board. It is circled in
Figure 4-4. Gently move the white lever to the ENABLED position.
5. Connect the speaker cable and the ComWheel encoder cable to the System board.
Position the cables inside the housing to ensure they will not be pinched.
6. Place the bumper assembly over the housing and tighten the 3 screws.
Important: Test the monitor. See Functional check earlier in this chapter.
4–10
WARNING: Power OFF and disconnect the monitor from external power
before performing any procedure that involves disassembly of the monitor.
WARNING: Internal electronic components are susceptible to damage by
electrostatic discharge. To avoid damage when disassembling the monitor,
observe the standard precautions and procedures for handling static-
sensitive components.
Tools:
• Phillips screwdriver, #1
• Needle-nose pliers
1. Power OFF and disconnect the power cord and other cables from the monitor.
2. On the right (ComWheel) side of the monitor, loosen the 3 screws until you can lift
the bumper assembly away from the housing.
3. Note the orientation of the ComWheel encoder cable and the speaker cable. Each is
“keyed” for correct connection to the System board. Carefully disconnect both
cables from the System board and remove the bumper assembly.
4. On the left side of the monitor, remove the 3 screws and the left bumper assembly.
5. Push all the boards (as a unit) from the right side of the housing out the left side until
you can easily disconnect the line power cable and the battery cable from the
System board. Disconnect the cables.
6. Note which slots in the housing are used for the boards. Then, slide the boards all the
way out the left side of the housing.
NOTE: If you dislodge the Alarm Silence button, the power button, and/or the power
button pad, set the part(s) aside until you reinstall the boards.
7. Disconnect the ribbon cable from the Trend Download board.
8. Using a needle-nose pliers, replace the fuse at F2 on the Trend Download board.
9. Connect the ribbon cable to the Trend Download board.
10. Position all three boards in their slots in the left side of the housing. Slowly slide the
boards (as a unit) into the housing until you can easily connect the battery cable and
the line power cable to the System board. Connect the cables.
11. Slide the boards all the way into the housing. Reposition the Alarm Silence button,
the power button, and the power button pad, as needed.
12. Position the left bumper assembly over the left side of the housing, holding the inner
left end plate in place. Place the outer end plate over the left bumper and install the
3 screws that secure the bumper assembly to the housing.
13. At the right side of the housing, connect the speaker cable and the ComWheel
encoder cable to the System board. Position the cables inside the housing to ensure
they will not be pinched.
14. Place the right bumper assembly over the housing and tighten the 3 screws.
Important: Test the monitor. See Functional check earlier in this chapter.
4–11
Tools:
• Phillips screwdriver, #1
• Small, flat-blade screwdriver
• Nut drivers, 3/8 inch (for line power jack) and 7/16 inch (for ComWheel encoder)
Monitor disassembly
Disassemble the parts on the right side, the left side, and within the housing only as
needed to access the part or parts to be replaced. Then go to the assembly instructions
to complete the procedure.
Refer to the assembly drawing as you disassemble the monitor. See TruSat assembly
drawing later in this manual.
1. Power OFF and disconnect the power cord and other cables from the monitor.
2. Remove the 3 screws that secure the right bumper assembly to the housing.
3. Note the orientation of the ComWheel encoder cable and the speaker cable. Each is
“keyed” for correct connection to the System board. Carefully disconnect both cables
from the System board.
4. Using a small, flat-blade screwdriver, gently pry the edges of the ComWheel knob
away from the bumper. Grasp the ComWheel and pull it off the encoder post.
5. Lift the right inner end plate out of the bumper. Using a 7/16 inch nut driver, remove
the nut and washer that secure the ComWheel encoder to the end plate. Slide the
encoder and spacer out the other side of the end plate.
6. Lift the speaker out of the bumper.
1. Remove the 3 screws that secure the left bumper assembly to the housing.
2. Lift the left inner end plate out of the bumper and remove the SpO2 code ring from
the bumper.
4–12
Housing disassembly
Parts: Power button pad Display board Battery
Power button System board Line power hardware
Alarm Silence button Trend Download board Handle and housing
1. Push all the boards (as a unit) from the right side of the housing out the left side until
you can easily disconnect the line power cable and the battery cable from the
System board. Disconnect the cables.
2. Note which slots in the housing are used for the boards. Then, slide the boards all the
way out the left side of the housing.
3. Remove the Alarm Silence button, the power button pad, and the power button.
4. Disconnect the ribbon cable from the Trend Download board and the System board.
5. Gently separate the System board and Display board at the board-to-board
connector.
6. Push (do NOT pull) the battery straight out the left side of the housing. Be sure not to
damage the battery cover.
7. Using a 3/8 inch nut driver, remove the nut and washer that secure the power
assembly jack. Remove the power shield and all line power hardware.
8. Press down on the handle so that it extends out the left side of the housing. Gently
lift the tabs away from the housing to release the handle.
Monitor assembly
Refer to the assembly drawing as you assemble the monitor. See TruSat assembly
drawing later in this manual.
Housing assembly
1. Position the right end of the handle in the slots in the right side of the housing. Press
down on the handle until the left end extends beyond the left side of the housing.
Gently bend the tabs as needed to position them in their slots on the left side of the
housing. Slide the left end of the handle into the housing.
2. Inside the housing, position the line power jack in the housing. Outside the housing,
place the power shield over the hole, then install the washer and nut over the power
jack post. Install the power jack nut, using a 3/8 inch nut driver.
3. At the left side of the housing, position the battery in its slot with the side containing
the cable facing toward the center of the housing. Slide the battery into the housing,
taking care not to tear or slit the battery wrap.
4. Connect the System board to the Display board at the board-to-board connector.
5. Position the Trend Download board beside the System board and connect the ribbon
cable to both boards.
6. Inside the housing, position the small power button in the power button hole.
7. Position the boards in their slots in the left side of the housing. Slowly slide the
boards (as a unit) into the housing until you can easily connect the battery cable and
the line power cable to the System board. Connect the cables.
8. Install the Alarm Silence button inside the housing. Position it so that the alarm LED
is not covered.
4–13
9. Install the power button pad at S1 on the Display board by inserting the two guide
“posts” through the matching holes on the Display board.
10. Slide the boards all the way into the housing, taking care not to dislodge the Alarm
Silence button, the power button, and the power button pad.
2. Position the bumper and end plate over the left side of the housing, fitting it over the
SpO2 connector and RS-232 connector, as applicable.
3. Place the outer end plate over the bumper and install the 3 screws that secure the
left bumper assembly to the housing.
3. Orient the encoder with its cable toward the center of the end plate and install the
washer and nut that secure the encoder to the end plate. Install the ComWheel
encoder nut, using a 7/16 inch nut driver.
4. Position the right inner end plate in the right bumper, routing the speaker cable
through the large hole in the inner end plate. On the outside of the bumper, align the
ComWheel over the flat side of the encoder post, then press gently until the
ComWheel slides into place.
5. Connect the speaker cable and the ComWheel encoder cable to the System board.
Position the cables inside the housing to ensure they will not be pinched.
6. Place the right bumper over the housing. Place the outer end plate over the bumper
and install the 3 screws that secure the bumper assembly to the housing.
Important: Test the monitor. See Functional check earlier in this chapter.
4–14
5–1
5–2
11 10
12
13
6 places
19 20
17 18
16
15
14
21
22
23
5–3