Nihon Kohden Cns 6201 Service Manual
Nihon Kohden Cns 6201 Service Manual
Nihon Kohden Cns 6201 Service Manual
0634-900781C
Printed: 2013/03/29
Service Manual
Central Monitor
CNS-6201
Keep this manual near the instrument or in the reach of the operator and refer to it whenever the operation is unclear.
This product stores personal patient information. Manage and operate the information appropriately.
Patient names on the screen shots and recording examples in this manual are fictional and any resemblance to any
person living or dead is purely coincidental.
Copyright Notice
The entire contents of this manual are copyrighted by Nihon Kohden. All rights are reserved. No part of this document
may be reproduced, stored, or transmitted in any form or by any means (electronic, mechanical, photocopied, recorded,
or otherwise) without the prior written permission of Nihon Kohden.
Contents 1
2
GENERAL HANDLING PRECAUTIONS.............................................................................. i
3
WARRANTY POLICY.......................................................................................................... ii
EMC RELATED CAUTION...................................................................................................iii
4
Conventions Used in this Manual and Instrument.............................................................. vi
Warnings, Cautions and Notes................................................................................. vi 5
Text Conventions in this Manual............................................................................... vi
Explanations of the Symbols in this Manual and Instrument....................................vii 6
Related Documentation....................................................................................................... x
3
Section 3 Disassembly and Assembly.................................................. 3.1
Before You Begin............................................................................................................... 3.2 4
Cautions and Notes................................................................................................ 3.2
5
Screws in Use......................................................................................................... 3.2
Required Tools........................................................................................................ 3.3
6
Removing the Front Panel, Top Cover and Support Bar................................................... 3.4
Replacing the CPU Fan.................................................................................................... 3.6
Removing and Installing the HDD..................................................................................... 3.9
Replacing One HDD during Monitoring.......................................................................... 3.10
Preparation........................................................................................................... 3.10
Procedure............................................................................................................. 3.10
Replacing Two HDDs...................................................................................................... 3.14
Preparation........................................................................................................... 3.14
Procedure............................................................................................................. 3.14
Replacing the Rear Fan.................................................................................................. 3.18
Replacing the 1 GB SO-DIMM Boards........................................................................... 3.20
Replacing the Graphic Card........................................................................................... 3.24
Replacing the ATX Power Unit........................................................................................ 3.26
Replacing the Capacitor Pack......................................................................................... 3.29
Replacing the Motherboard Set...................................................................................... 3.31
Removing the Operation Panel Block............................................................................. 3.34
Replacing the Operation Board...................................................................................... 3.36
Replacing the Power Switch (Switch and Cable)............................................................ 3.37
Replacing the USB Cable............................................................................................... 3.39
Replacing the HDD Interface Board................................................................................ 3.40
Replacing the Rubber Feet............................................................................................. 3.43
Overview of Cable Arrangement..................................................................................... 3.44
Arrangement of ATX-HDD Interface Cable..................................................................... 3.45
Arrangement of SATA Cables......................................................................................... 3.46
Top View of SATA Cable Arrangement.................................................................. 3.46
Arrangement of Operation-motherboard Cable, USB Cables and Cable from Power
Switch............................................................................................................................. 3.49
Arrangement of ATX-motherboard Cable (8-pin Connectors), Motherboard-ATX
Cable (24-pin Connectors) and Cable from Capacitor Pack........................................... 3.50
Arrangement of COM Port-motherboard Serial Cable.................................................... 3.51
Layout of Sockets on Motherboard................................................................................. 3.52
Layout of Sockets on Operation Board........................................................................... 3.53
Layout of Sockets on HDD Interface Board.................................................................... 3.53
Disassembling the WS-960P Recorder Unit................................................................... 3.54
Disassembling the RG-501X/502X Paper Drive Unit...................................................... 3.58
Replacing the Thermal Head.......................................................................................... 3.61
3
Section 6 Replaceable Parts List........................................................... 6.1
Locations of Replaceable Parts........................................................................................ 6.2 4
List of Replaceable Parts.................................................................................................. 6.3
5
Please read these precautions thoroughly before attempting to operate the instrument.
1. To safely and effectively use the instrument, its operation must be fully understood.
3. Before Operation
(1) Check that the instrument is in perfect operating order.
(2) Check that the instrument is grounded properly.
(3) Check that all cords are connected properly.
(4) Pay extra attention when the instrument is combined with other instruments to avoid misdiagnosis or other
problems.
(5) All circuitry used for direct patient connection must be doubly checked.
(6) Check that battery level is acceptable and battery condition is good when using battery-operated models.
4. During Operation
(1) Both the instrument and the patient must receive continual, careful attention.
(2) Turn power off or remove electrodes and/or transducers when necessary to assure the patient’s safety.
(3) Avoid direct contact between the instrument housing and the patient.
6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrument is
not functioning properly, it should be clearly marked to avoid operation while it is out of order.
9. When the instrument is used with an electrosurgical instrument, pay careful attention to the application and/or
location of electrodes and/or transducers to avoid possible burn to the patient.
10. When the instrument is used with a defibrillator, make sure that the instrument is protected against defibrillator
discharge. If not, remove patient cables and/or transducers from the instrument to avoid possible damage.
WARRANTY POLICY
Nihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and workmanship for one year
from the date of delivery. However, consumable materials such as recording paper, ink, stylus and battery are excluded
from the warranty.
NKC or its authorized agents will repair or replace any products which prove to be defective during the warranty period,
provided these products are used as prescribed by the operating instructions given in the operator’s and service manuals.
No other party is authorized to make any warranty or assume liability for NKC’s products. NKC will not recognize any
other warranty, either implied or in writing. In addition, service, technical modification or any other product change
performed by someone other than NKC or its authorized agents without prior consent of NKC may be cause for voiding
this warranty.
Defective products or parts must be returned to NKC or its authorized agents, along with an explanation of the failure.
Shipping costs must be pre-paid.
This warranty does not apply to products that have been modified, disassembled, reinstalled or repaired without Nihon
Kohden approval or which have been subjected to neglect or accident, damage due to accident, fire, lightning, vandalism,
water or other casualty, improper installation or application, or on which the original identification marks have been
removed.
CAUTION
United States law restricts this product to sale by or on the order of a physician.
The following describes some common interference sources and remedial actions:
1. Strong electromagnetic interference from a nearby emitter source such as an authorized radio station
or cellular phone:
Install the equipment and/or system at another location. Keep the emitter source such as cellular phone
away from the equipment and/or system, or turn off the cellular phone.
2. Radio-frequency interference from other equipment through the AC power supply of the equipment
and/or system:
Identify the cause of this interference and if possible remove this interference source. If this is not
possible, use a different power supply.
4. Electromagnetic interference with any radio wave receiver such as radio or television:
If the equipment and/or system interferes with any radio wave receiver, locate the equipment and/or
system as far as possible from the radio wave receiver.
5. Interference of lightning:
When lightning occurs near the location where the equipment and/or system is installed, it may induce
an excessive voltage in the equipment and/or system. In such a case, disconnect the AC power cord
from the equipment and/or system and operate the equipment and/or system by battery power, or use
an uninterruptible power supply.
If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden
representative for additional suggestions.
The CE mark is a protected conformity mark of the European Community. Products with the CE mark
comply with the requirements of the Medical Device Directive 93/42/EEC.
This equipment complies with EUROPEAN STANDARD EN-60601-1-2: 1993 which requires EN-55011,
class A. Class A EQUIPMENT is allowed in domestic establishments when used under the jurisdiction of
a health care professional.
NOTE about Waste Electrical and Electronic Equipment (WEEE) Directive 2002/96/EC
For the member states of the European Union only:
The purpose of WEEE directive 2002/96/EC is, as a first priority, the prevention of waste electrical and
electronic equipment (WEEE), and in addition, the reuse, recycling and other forms of recovery of such
wastes so as to reduce the disposal of waste.
Contact your Nihon Kohden representative for disposal.
• Austria
• Belgium
• Cyprus
• Czech Republic
• Denmark
• Estonia
• Finland
• France
• Germany
• Greece
• Hungary
• Iceland
• Ireland
• Italy
• Latvia
• Liechtenstein
• Lithuania
• Luxembourg
• Malta
• The Netherlands
• Norway
• Poland
• Portugal
• Slovakia
• Slovenia
• Spain
• Sweden
• Switzerland
• The U.K.
Notice:
• The available transmitter is different depending on the states. For details, contact your Nihon Kohden
representative.
• Refer to “Restriction of Radio Equipment (European Union countries only)” in the “Specifications”
section for more details.
• This device is also authorized for use in Norway in accordance with regulation No.1399 of 20
December 2000.
As this equipment complies with Class 1.7 (Receive-only radio equipment), “Alert Sign” is not displayed.
This equipment complies with International Standard IEC 60601-1-2: 2001 and Amendment 1: 2004 which
require CISPR11, Group 1, Class B. Class B EQUIPMENT is equipment suitable for use in domestic
establishments and in establishments directly connected to a low voltage power supply network which
supplies buildings used for domestic purposes.
WARNING
A warning alerts the user to possible injury or death associated with the use or misuse of the instrument.
CAUTION
A caution alerts the user to possible injury or problems with the instrument associated with its use or
misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other
property.
NOTE
A note provides specific information, in the form of recommendations, prerequirements, alternative methods or
supplemental information.
Print Settings
Printer disconnected
Calibrate touch key
Printer error
Alarm volume 1 to 3
Transmitter battery status*2
Alarm volume 4 to 6
Alarm volume 7
*1 On the All Beds Alarms window and Discharged Patients List window only.
*2 Only available for transmitters with a transmitter battery status display function and setting on the transmitter is
required. Refer to the transmitter operator’s manual.
USB0/USB1/USB2/USB3/USB4/
Attention, consult operator’s manual
USB5 connector
The CNS-6201 Central Monitor comes with the following manuals in addition to the Operator’s Manual.
Administrator’s Guide
Describes how to install the central monitor. It also explains about the password protected settings which only an
administrator can change.
Service Manual
Describes information on servicing the central monitor. Only qualified service personnel can service the central monitor.
1
General Information on Servicing
WARNING
To avoid the possibility of injury to yourself or damage to the
instrument, do not install or remove any component while the power
is on. When disassembling, make sure that the instrument is turned
off and the power cord is disconnected from the instrument and AC
outlet. There is a high voltage circuit on the power unit.
CAUTION
Safety
• There is the possibility that the outside surface of the instrument,
could be contaminated by contagious germs so disinfect and clean
the instrument before servicing it. When servicing the instrument,
wear rubber gloves to protect yourself from infection.
• There is the possibility that when the lithium battery is broken, a
solvent could flow out or a toxic substance inside it could come out.
If the solvent or toxic substance contacts the eyes or skin, wash
immediately and thoroughly with water and see your physician.
Never rub your eyes, otherwise you may lose your eyesight.
• To avoid accidental electrostatic discharge which could damage
the components of the instrument, use a grounded wrist strap
when installing or removing any component of the instrument.
Liquid ingress
The instrument is not waterproof, so do not install the instrument
where water or liquid can get into or fall on the instrument. If liquid
accidentally gets into the instrument or the instrument accidentally
drops into liquid, disassemble the instrument, clean it with clean
water and dry it completely. After reassembling, do the patient safety
checks and function/performance checks to verify that there is
nothing wrong. If there is something wrong with the instrument,
contact your Nihon Kohden representative for repair.
Environmental safeguards
Depending on the local laws in your community, it may be illegal to
dispose of the lithium battery in the regular waste collection. Check
with your local officials for proper disposal procedures.
Disinfection
To disinfect the outside surface of the instrument, wipe it with a non-
abrasive cloth moistened with any of the disinfectants listed below.
Do not use any other disinfectants or ultraviolet rays to disinfect the
instrument.
• Chlorhexidine gluconate solution: 0.5%
• Benzethonium chloride solution: 0.2%
• Glutaraldehyde solution: 2.0%
• Benzalkonium chloride: 0.2%
• Alkyldiaminoethylglycine hydrochloride: 0.5%
Transport
• Use the specified shipment container and packing material to
transport the instrument. If necessary, double pack the instrument.
Also, put the instrument into the shipment container after packing
so that the buffer material does not get inside the instrument.
• When transporting a board or unit of the instrument, be sure to put
it in a conductive bag. Never use an aluminum bag to transport
a board or unit. Also, never use a styrene foam or plastic bag
which generates static electricity to wrap the board or unit of the
instrument.
Preventing infection
Follow the local laws or regulations to prevent infection.
1
Service Policy
Our technical service policy for this instrument is to replace the faulty unit, board
or part or damaged mechanical part with a new one. Do not perform electrical
device or component level repair of the multilayer board or unit. We do not
support component level repair outside the factory for the following reasons:
• Most of the boards are multilayer boards with surface mount electrical devices,
so the mounting density of the board is too high.
• A special tool or high degree of repair skill is required to repair the multilayer
boards with surface mount electrical devices.
Specifications
Function
Display
All Beds screen
Number of patients: Up to 32 patients
Number of waveform traces: More than 1 trace/patient (Up to 16 patients)
Sweep speed: 6.25, 25, 50 mm/s (when 24 inch LCD display is used)
Waveform selection: Maximum 16 traces/auto
Waveform display: ECG, IBP, respiration wave, EEG, ETCO2, external input, pulse wave (SpO2),
FLOW/Paw, others depends on the connected bedside monitor or transmitter
Number of numeric data: More than 3 parameters/patient (less than 3 parameters are also available)
Numerical selection: Up to 17 parameters/auto
Numeric data display: Heart rate, VPC rate, respiration rate, pulse rate, IBP (systolic, diastolic, mean),
NIBP (systolic, diastolic, MAP), temperature, ΔT, blood temperature, ETCO2,
tcPO2, tcPCO2, SpO2, ST level, O2, CO, CCO, PiCCO, ventilator, anesthetic gas,
BIS, others depends on the connected bedside monitor or transmitter
Numeric data display size: Numeric data display size depends on the parameters
Waveform and numeric data display color: 32 colors
Alarm indication: Displays for each bed. Frame of alarmed bed lights or blinks*, highlighted
message for arrhythmia (when arrhythmia is detected)*, highlighted numeric
data (when vital signs alarms are generated)*, alarm sound* (Volume can be
adjusted.* Minimum volume is more than 45 dB. Minimum volume can be set
by the administrator.), alarm indicator lights
* Essential performance in EMC standard
Alarm silence: Displays alarm silence mark or silence mark with remaining minutes.
Alarm can be silence for each patient.
Recording: Alarm recording, manual recording, all beds recording
Alarm recording starts when an alarm is generated even which screen is
displayed.
Sync sound: Displays QRS sync mark at the selected patient data display area. Sync sound is
generated from the speaker (volume can be adjusted). Sync sound is generated
even which screen is displayed. Alarm indicator lights.
Alarm silence: Displays alarm silence mark or silence mark with remaining minutes. 1
Alarm can be silence for each bed.
Patient settings: Patient information can be entered when admitting or discharging the patient.
Receiving channel number can be set when using the multiple patient receiver.
Alarm settings can be changed.
Recording: 10 seconds of waveforms (on the network printer), manual recording
ST Recall Window
Display formats: ST file display, comparison display
Number of recall files: Up to 120 hours/bed
ST recall file recording: Recorder, network printer
Trend Window
Display formats: Trendgraph, tabular trend
Display times: Up to 120 hours/bed
Zoom in display: 1, 2, 4, 8, 12, 24, 48, 96 or 120 hours
Display interval: 1, 2, 5, 10, 15, 30, 60 minutes at NIBP measurement
Parameters: Depends on the connected bedside monitor
Trend recording: Network printer
Tabular trend recording: Network printer
NIBP trend recording: Network printer
Report Window
Printing: Network printer
Printing type: Manual, periodic
Printing items: Bed name, patient information, comment, tabular trend, trendgraph, full
disclosure waveform, expanded waveform, event list, arrhythmia
recall, ST recall, hemodynamics list, ECG 12 lead analysis, alarm event
Printing settings: Interval, printing start time, printing end time
Alarm
Alarm indication: Frame of alarmed bed lights or blinks*, highlighted message*, highlighted
numeric data*, alarm sound* and alarm indicator
* Essential performance in EMC standard
Alarm type: Arrhythmia, vital signs, technical
Setting method: Default setting applies unless the setting is changed. Settings can be changed on
the Alarm Master window. A group of alarm items can be set all together to one
group of preset setting.
Alarm silence: Alarm silence key is available on each screen.
Alarm On/Off: Available on each bed
Alarm setting range: Depends on the connected bedside monitor
Alarm history: Displayed by event list
Alarm volume: 45 to 85 dB (A) (Requirement of IEC 60601-2-49: 2001) (at 1 m in front of
central monitor) Crisis ≥ Warning ≥ Advisory
Alarm delay time
Delay between alarm occurrence on the central monitor and output of the alarm signal from a device that generates
alarm in the network: ≤4s
Recording
Record unit: WS-960P Recorder Unit
Record type: Manual recording, automatic alarm recording, periodic recording, remote
recording
Recorded items: Patient information, 3 traces of waveforms, waveform information, measurement
data, date and time, recording type and paper speed
Record color: Monochrome
Printing 1
Print device: Network printer
Print type: Manual recording or periodic recording
Printed items: Patient information, up to 16 traces of waveforms, waveform information,
measurement data, date and time, print type, paper speed
Print color: Monochrome, color
Operation
Touch panel (touch panel/LCD display with speaker), keyboard (option) and
mouse (option)
Data Output
Available through network
Network
This central monitor has a LS-NET interface and connect to other LS-NET
communication devices and display patient data. Through the LS-NET interface,
data can be output. The communication method complies with the Ethernet
standard.
System Settings
Information: Displays the version and password window.
Environment: Settings for the system such as unit settings.
Bed composition: Select the bed to be monitored always or only displays waveform.
ORG: Settings for the ORG-9100 series multiple patient receiver.
Recorder: Settings for recording.
Mouse: Setting the available range of network mouse.
Parameters: Selecting parameters.
Name registration: Editing the group name.
Waveform color: Setting for waveform display color.
Alarm master: Registering or changing the alarm master.
Function keys: Assigning functions to function keys.
Alarm volume: Setting for the alarm volume.
QRS sync sound: Setting for the QRS sync sound.
Touch panel: Calibrating the touch panel.
Date & Time: Setting for the date and time.
Maintenance: Displays the Maintenance window.
Saving Data
When monitoring a bedside monitor with several central monitors, the data is saved in the one central monitor and other
central monitor refer the data from the central monitor.
Performance
Display type: 24 inch LCD
Resolution (Maximum): 1920 × 1200 dots
Sweep speed: 6.25, 25, 50 mm/s
Memory: More than 1 GB
Processor: Core2Duo 2.2 GHz or better
Bulit-in display interface (compatible with WUXGA)
Built-in USB interface
Built-in sound interface
Built-in network interface
Large-capacity HDD: More than 160 GB
3-ch Recorder (option)
Recording paper: 50 mm width
Paper speed: 25, 50 mm/s
Number of channels: 3
Network printer
Paper size: A4, letter
USB I/F: Touch panel, mouse, bar code reader, USB-serial conversion cable
COM I/F: Alarm indicator, 3-ch recorder
PS/2 I/F: Keyboard
OS: Windows XP Embedded
Keyboard, mouse and bar code reader: Available as an option
LCD Display
LCD display: Local purchase
Environment
Operating environment
Temperature: 10 to 40°C (50 to 104°F)
Humidity: 30 to 85%
30 to 80% (PU-621R)
(10 to 40°C, noncondensing)
Atmospheric pressure: 700 to 1060 hPa
Transport and storage environment
Temperature: –20 to +65°C (–4 to +149°F)
–20 to +60°C (PU-621R) (–4 to +140°F)
–15 to +55°C (recording paper) (5 to 131°F)
Humidity: 10 to 95%
10 to 90% (noncondensing) (PU-621R)
Atmospheric pressure: 700 to 1060 hPa
Power Requirements
Line voltage: AC 100 to 240 V
Line frequency: 50, 60 Hz
Power consumption: 180 VA
Rated current: 4.8 to 1.9 A
Mechanical Strength
STATIONARY type
Safety Standard
Safety standard:
IEC 60601-1-1: 2000
IEC 60950-1: 2005*1
IEC 60601-1: 1988*2
IEC 60601-1 Amendment 1: 1991*2
IEC 60601-1 Amendment 2: 1995*2
IEC 60601-1-2: 2001
IEC 60601-1-2 Amendment 1: 2004
IEC 60601-1-4: 1996
IEC-60601-1-4 Amendment 1: 1999
IEC 60601-1-6: 2004
IEC 60601-1-8: 2006
CAN/CSA C22.2 No.60950-1-07*3
CAN/CSA C22.2 No.601-1 M90: 1990*4
CAN/CSA C22.2 No.601-1 1S1-94: 1994*4
CAN/CSA C22.2 No.601-1B-98*4
CAN/CSA C22.2 No.60601-1-1-02 (R2006)*5
UL 60601-1 (1st edition)*5
*1 IEC 60950-1: 2005 applies to the following items.
• PU-621R Central Monitor Processing Unit (Op No. 21K)
• YL-611P/YL-612P Alarm Indicator
• YS-098P1/YS-098P2 Additional Alarm Indicator Unit
• YS-097P5/YS-097P6 VL Cable Set (Main)
• YS-097P8/YS-097P9 VL Cable Set (Second)
*2 IEC 60601-1: 1988, IEC 60601-1 Amendment 1: 1991 and IEC 60601-1
Amendment 2: 1995 applies to the following items.
• WS-960P Recorder Unit
• SC-611R WS-960P Power Supply
*3 CAN/CSA C22.2 No.60950-1-07 applies to the following items.
• PU-621R Central Monitor Processing Unit (manufactured by PFU
LIMITED, Op No. 21A)
• YL-611P/YL-612P Alarm Indicator
• YS-098P1/YS-098P2 Additional Alarm Indicator Unit
• YS-097P5/YS-097P6 VL Cable Set (Main)
• YS-097P8/YS-097P9 VL Cable Set (Second)
*4 CAN/CSA C22.2 No.601-1 M90: 1990, CAN/CSA C22.2 No.601-1 1S1-94:
1994 and CAN/CSA C22.2 No.601-1B-98 applies to the following items.
• WS-960P Recorder Unit
Service Manual CNS-6201 1.11
1. GENERAL
Electromagnetic Compatibility
IEC 60601-1-2: 2001
IEC 60601-1-2 Amendment 1: 2004
Electromagnetic Emissions
This Model CNS-6201 is intended for use in the electromagnetic environment specified below.
The customer or the user of the CNS-6201 should assure that it is used in such an environment.
Electromagnetic Immunity 1
This Model CNS-6201 is intended for use in the electromagnetic environment specified below.
The customer or the user of the CNS-6201 should assure that it is used in such an environment.
Immunity test IEC 60601 test level Compliance level Electromagnetic environment - guidance
Electrostatic discharge ±6 kV contact ±6 kV contact Floors should be wood, concrete or ceramic
(ESD) ±8 kV air ±8 kV air tiles. If floors are covered with synthetic
IEC 61000-4-2 material, the relative humidity should be at least
30%.
Electrical fast ±2 kV for power ±2 kV for power Mains power quality should be that of a typical
transient/ burst supply lines supply lines commercial or hospital environment.
IEC 61000-4-4 ±1 kV for input/output ±1 kV for input/output
lines lines
Surge ±1 kV differential ±1 kV differential Mains power quality should be that of a typical
IEC 61000-4-5 mode mode commercial or hospital environment.
±2 kV common mode ±2 kV common mode
Voltage dips, short <5% UT (>95% dip in <5% UT (>95% dip in Mains power quality should be that of a typical
interruptions and UT) for 0.5 cycles UT) for 0.5 cycles commercial or hospital environment.
voltage variations on If the user of the CNS-6201 requires continued
power supply input 40% UT (60% dip in 40% UT (60% dip in operation during power mains interruptions, it
lines UT) for 5 cycles UT) for 5 cycles is recommended that the CNS-6201 be powered
IEC 61000-4-11 from an uninterruptible power supply or a
70% UT (30% dip in 70% UT (30% dip in battery.
UT) for 25 cycles UT) for 25 cycles
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
*1 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 theoretically with accuracy.
To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be
considered. If the measured field strength in the location in which the CNS-6201 is used exceeds the applicable RF
compliance level above, the CNS-6201 should be observed to verify normal operation. If abnormal performance is
observed, additional measures may be necessary, such as re-orienting or relocating the CNS-6201.
*2 Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
1
Panel and Parts Descriptions
Rear Panel 7 8 9 10
17 6 16 15 14 13 12 11
WARNING
Do not turn off the display to which the speaker cable is connected.
The alarm sound cannot be heard.
1 2
1 Alarm indicator
2 Additional Alarm Indicator Unit
The cable length depends on the Additional Alarm
Indicator Unit model.
YS-098P1: 2.5 m
YS-098P2: 5 m
4
2
3
6
11
POWER
1 7
2 MENU/HOME
SILENCE
ALARMS
8
DISPLAY 10
SELECT CHANNEL
3
The recommended model may be changed without notice. Contact your Nihon
Kohden representative when you locally purchase a laser printer.
1
Composition
UR-4124 LED-PIC
UR-4124 LED-PIC
1
Overall Connection Diagram
PU-621R
Graphic card LCD display
RGB
AM120
USB0
USB1
USB2
Mouse
CPU
USB3
USB cable
HDD
interface
USB4
HDD board Bar code reader
HDD USB5
USB cable
LAN0
Monitor network
LAN1
Ethernet Ethernet
LAN LAN
Not used
controller controller
LAN2
Hospital network
tou
PS/2 KB
Keyboard
Super
RS-232C
interface
I/O PS/2 KB YL-611P/YL-612P
ATX Alarm indicator
power unit
COM1
COM2
WS-960P
Recorder unit
Troubleshooting.................................................................................................................................................... 2.2
General....................................................................................................................................................... 2.2
System....................................................................................................................................................... 2.3
Network...................................................................................................................................................... 2.3
Measurement Value.................................................................................................................................... 2.4
Alarm.......................................................................................................................................................... 2.4
Admitting/Discharging................................................................................................................................ 2.5
All Beds Screen/Individual Bed Window..................................................................................................... 2.6
Trend Window............................................................................................................................................. 2.7
Tabular Trend Window................................................................................................................................ 2.7
Full Disclosure and Expanded Waveform Window..................................................................................... 2.8
ST Recall Window...................................................................................................................................... 2.8
Arrhythmia Recall Window......................................................................................................................... 2.9
ECG 12 Lead Analysis Window.................................................................................................................. 2.9
Hemodynamics List Window...................................................................................................................... 2.9
Recording/Printing/Report........................................................................................................................ 2.10
Overview Bed Window............................................................................................................................. 2.11
Parameter Setup...................................................................................................................................... 2.11
Remote Control........................................................................................................................................ 2.11
Error Messages.................................................................................................................................................. 2.12
Messages from Bedside Monitors and Multiple Patient Receivers........................................................... 2.12
Messages about Measurement Conditions of Each Parameter..................................................... 2.12
Other.............................................................................................................................................. 2.16
Messages from Central Monitor............................................................................................................... 2.17
WS-960P Recorder Unit................................................................................................................. 2.17
Printer............................................................................................................................................ 2.17
Other.............................................................................................................................................. 2.17
Messages from Multiple Patient Receiver................................................................................................ 2.18
General.......................................................................................................................................... 2.18
ECG Monitoring............................................................................................................................. 2.19
SpO2 Monitoring............................................................................................................................. 2.20
NIBP Monitoring............................................................................................................................. 2.21
CO2 Monitoring............................................................................................................................... 2.21
Troubleshooting
General
Use the troubleshooting tables to locate, identify, and solve a problem in the
instrument. The problems are divided into general problem areas. Each category
has its own troubleshooting table for fast and easy troubleshooting.
If these sections do not solve the problem, contact your Nihon Kohden
representative.
NOTE
Before contacting your Nihon Kohden representative for technical
support, please provide additional detailed information on the problem.
This will allow your Nihon Kohden representative to provide you with the
best support.
2. In the “Trouble” column, find the trouble item that matches the problem.
4. If the problem is not solved, do the action for the next possible cause or
criteria.
5. If none of the actions solve the problem, contact your Nihon Kohden
representative.
System
Trouble Possible Cause/Criteria Action Refer to
2
Calibrate the touchkeys with the following
procedure.
1. Check that the USB cable between
display unit and PU-621R central
monitor processing unit is not damaged.
The touched position and
The touch screen keys do not 2. Touch [Menu] → [Touchkeys Setting]
activated position do not Operator’s
function. and calibrate the touch keys. Refer to
match. Manual
“Calibrating the Touchkeys” in Section
Section 15
15 of the Operator’s Manual.
If the trouble remains after actions 1 and 2,
exit the central monitor program and restart
your computer.
Display position is not The screen is out of Select the correct screen frequency referring
correct. synchronization. to the LCD display manual.
Data is deleted when the
central monitor power is
turned off.
The system crashes when Replace both the hard disk drives with new
Faulty storage device. ––
trying to review the past data. ones.
The system crashes
periodically such as once a
day.
Set the date and time on [Date & Time] of Administrator’s
Clock error.
the System Setup screen. Guide
If the date and time is
properly set but there is still
Incorrect date and time. a clock error after the central
Replace the motherboard set with a new
monitor processing unit is ––
one.
turned off and on, the battery
for the real-time clock backup
may be low.
• Slow operation. Shut down the central monitor system
Operator’s
• It takes time to read out the The central monitor is program and restart it. For stable operation,
Manual
saved data. unstable. restart the central monitor once every three
Section 15
• Malfunction. months.
Network
Trouble Possible Cause/Criteria Action Refer to
The bedside monitor or
Turn on the bedside monitor or multiple
multiple patient receiver for ––
patient receiver.
that bed is turned off.
A desired bed is not displayed
On the [Monitor Setting] window, check
in the selected group.
The desired bed belongs to other groups to find the desired bed. Check
another group. group names of each bedside monitor and
multiple patient receiver. Administrator’s
Monitor Network setting was If you change the Monitor Network setting, Guide
Extended Network setting is changed. the Extended Network setting will be set to
set to Off. Off. Check the Extended Network setting
after restarting the system.
Measurement Value
Trouble Possible Cause/Criteria Action Refer to
QRS detection type is not set
Change the QRS detection type.
correctly.
QRS detection threshold is
not set correctly.
Heart rate is not counted Waveform is too large or too
Adjust the QRS detection sensitivity.*
correctly. small.
QRS detection threshold is
changed.
QRS and pacemaker spikes
Turn pacing detection [ON].
are not distinguished.
Arrhythmia is not measured
ECG learning is not correct. Relearn the patient’s ECG. Operator’s
correctly.
Manual
Heart rate and arrhythmia are ECG lead that is inappropriate
Change the ECG lead used for analysis. Section 12
not measured correctly. for analysis is selected.
Hum interference on the ECG
Noise on the ECG waveform. Set the hum filter to [ON].
waveform.
The ST analysis point is not Confirm that the ST analysis point setting is
The ST value is inaccurate.
set properly. properly set for ST analysis.
Waveform is too large or too
small.
Set the proper sensitivity.
Respiration is not measured Respiration sensitivity is
correctly. changed.
Respiration measurement is
Turn the respiration measurement [ON].
set to [OFF].
* The QRS detection sensitivity can be set when the QRS detection type is Child.
Alarm
Trouble Possible Cause/Criteria Action Refer to
Operator’s
Each alarm setting is set to Turn on the necessary alarm settings (vital
Manual
[OFF]. sign, arrhythmia, ST) [ON].
Section 5
Operator’s
No alarm. Arrhythmia analysis is turned
Turn arrhythmia analysis [ON]. Manual
[OFF].
Section 12
All alarms are set to [OFF] at
This operation cannot be done at the central Operator’s
the bedside monitor.
monitor. Turn all alarms [ON] at the bedside Manual
All alarms for a bed cannot be
–– monitor. Section 5
turned [ON/OFF] together.
Admitting/Discharging
Trouble Possible Cause/Criteria Action Refer to
2
Cannot transfer a patient’s
data, pause monitoring and
The patient’s data is not saved Perform this operation on the central
exchange monitoring beds.
in the central monitor. monitor where the patient’s data is saved.
Cannot change the receiving ––
channel.
Cannot admit/discharge a The bedside monitor is turned
Turn on the bedside monitor.
patient. off.
When the patient was transferred too
The patient was transferred
The patient’s data before many times between the different central
too many times between the
patient transfer is lost. monitors, old review data might not be
different central monitors.
displayed.
The patient’s data before The central monitor where Turn on the central monitor where the
patient transfer cannot be the patient’s data is saved is patient’s data before the patient transfer is Operator’s
reviewed. turned off. saved. Manual
The “Transferring” message Section 4
During patient transfer, the
is displayed on the screen
central monitor was turned
but it does not change to Admit the patient at the destination bedside
off. Or, there was trouble on
“Completed”. monitor. The lost data cannot be restored.
the network and the transfer
All patient’s data is lost after
failed.
patient transfer.
The bed is paused on a
Transmitter
transmitter which has a pause Turn the transmitter on and off and resume
Cannot resume monitoring. Operator’s
function and the transmitter monitoring.
Manual
power is on.
Trend Window
Trouble Possible Cause/Criteria Action Refer to
2
The central monitor where the
Turn on the central monitor where the bed’s
Trend data is not displayed. bed’s data is saved is turned ––
data is saved.
off.
The central monitor where the Trend data is not created when the central
Trend data is not saved. bed’s data is saved was turned monitor where the bed’s data is saved is ––
off during measurement. turned off.
ST Recall Window
Trouble Possible Cause/Criteria Action Refer to
The central monitor where the
Turn on the central monitor where the bed’s
bed’s data is saved is turned
data is saved.
off.
ST recall files are not saved. ––
The bedside monitor cannot The central monitor cannot save or display
output ST recall files to a ST recall files of the BSM-4100 series
network. bedside monitor older than version 02-09.
Recording/Printing/Report
Trouble Possible Cause/Criteria Action Refer to
In the following recordings,
waveforms that you do not
want to record are recorded. Select the desired waveform at the [First
• Periodic recording Wave], [Second Wave] and [Third Wave] on
–– ––
• Clock time periodic the [Recording] → [Record Wave Selection]
recording of the Setup.
• Alarm recording
• Call recording
In the following recordings,
Select the desired waveform at the [First
waveforms that you do not Operator’s
The waveforms to record are Wave], [Second Wave] and [Third Wave] on
want to record are recorded. Manual
not selected. the [Recording] → [Record Wave Selection]
• Manual recording Section 10
of the Setup.
• All beds recording
Alarm recording is not Select the arrhythmia to create a recall file Operator’s
Recall file creation for the
performed for a particular on [ ] → [Create Recall Waveform] of Manual
arrhythmia is set to [OFF].
arrhythmia. the Arrhythmia Recall window. Section 5
Vital sign alarm recording is Vital sign alarm recording is
not performed. set to [OFF].
Arrhythmia alarm recording is Arrhythmia alarm recording is Set each recording to [ON] on the
not performed. set to [OFF]. [Recording] → [Alarm Recording] of the
Call recording is set to [OFF] Setup.
Call recording is not
on the Recording window of
performed. Operator’s
the Setup.
Manual
Periodic or clock time [Recording] → [Periodic Set [Recording] → [Periodic Recording] of Section 10
periodic recording is not Recording] of the Setup is set the Setup to [Periodic Recording] or [Clock
performed. to [OFF]. Time Periodic Recording].
Select the desired waveform at the [First
Only one waveform is
Only one waveform is set to Wave], [Second Wave] and [Third Wave] on
recorded on the manual
record. the [Recording] → [Record Wave Selection]
recording.
of the Setup.
If you have replaced the printer or central
Printing is not possible from Administrator’s
The setup is wrong. monitor, you need to install the network
the network printer. Guide
printer again.
Set [Report] → [Report Items] of the Setup
In the report printing,
The report setting is not correctly.
waveforms that you do not Operator’s
appropriate. Set the display contents to print on the
want to print are printed. Manual
report on [Report] of the Setup.
Section 9
Report printing starts The report printing mode is Set [Report] → [Report Mode] of the Setup
automatically. set to [Periodic]. to [Manual].
In the remote delayed
Recorded waveform is Operator’s
waveform recording,
selected at the bedside –– Manual
waveforms that you do not
monitor. Section 10
want to record are recorded.
Parameter Setup
Trouble Possible Cause/Criteria Action Refer to
Operator’s
Available settings differ Available settings depend on the bedside
–– Manual
among bedside monitors. monitor model and connection method.
Section 12
Remote Control
Trouble Possible Cause/Criteria Action Refer to
The batteries in the remote Replace the batteries with new ones. Operator’s
control are old. Manual
The remote control does not
Section 3
function.
Wrong bed is selected. Select the correct remote control channel of Administrator’s
the bed. Guide
Nothing appears on the The batteries in the remote Replace the batteries with new ones.
display window of the remote control are weak. Operator’s
control. Manual
LED on the remote control The batteries in the remote Replace the batteries with new ones. Section 3
does not blink or light. control are weak.
Error Messages
Error messages are categorized into two types, messages sent from bedside
monitors/multiple patient receiver and messages generated at the central monitor.
Some messages displayed at the bedside monitor or multiple patient receiver are
not displayed or are different on the central monitor.
Parameter Message
* CHECK ELECTRODES
* CHANGE ELECTRODE
* NOISE
* CANNOT ANALYZE
PACING
ECG Arrhythmia Analysis Off
SMALL QRS
RHYTHM CHANGE
LEARNING
LOW mV
HIGH mV
Parameter Message
* Module Failure
* Too Many Params
* Connector Off
* Probe Off
* Probe Broken
SpO2 No Pulse
* Light Interfer.
Pulse Search
* Check Probe Site
M (Unstable Pulse)
Small Pulse
Parameter Message
* Module Failure
* Too Many Params 2
RESP
* Connector Off
* Check Sensor
Parameter Message
* Module Failure
* Too Many Params
* Connector Off
* Safety Valve Open
* No Pulse
* Meas Time Out
NIBP * Check Cuff/Hose
* Systolic Over
Re-measuring
Please Wait
Small Pulse
Zeroing
Noise
Parameter Message
* Module Failure
* Too Many Params
* Check Label
* Connector Off
* Check Sensor
PRESS
Out of Range
Zero Imbalance
Zero Unstable
Zero Out of Range
Zeroing Complete
Parameter Message
* Module Failure
* Too Many Params
TEMP * Check Label
* Connector Off
* Check Sensor
Parameter Message
* Module Failure
* Too Many Params
CO2
* Connector Off
(Mainstream)
* Check Sensor
* Adapter Error
Parameter Message
* Module Failure
* Module Overheat
CO2
* Line Block
(Sidestream)
* Filter Line Off
* Replace Scrubber
Parameter Message
* Module Failure
* Too Many Params
* Connector Off
O2
* Check Sensor
Cal?
Calibrating
Parameter Message
* Module Failure
* Connector Off
FLOW/Paw * Check Sensor
* Change Sensor
Calibrating
Parameter Message
* Unit Failure
* Connector Off
* Check Catheter
CCO * Catheter Location
CO<1.0L/min
Signal Adapting
Unstable Tb
Parameter Message
* Module Failure
* Connector Off
PiCCO (EXT)
* Check Sensor
* Alarm
Parameter Message
* Unit Failure
GAS * Too Many Params
* Com Error
Parameter Message
* Module Failure
tcPO2/tcPCO2 2
* Connector Off
(EXT)
* Com Error
Parameter Message
* Module Failure
* Too Many Params
BIS
* Connector Off
* Com Error
Parameter Message
* Unit Failure
* Connector Off
* Check Sensor
CNIBP
Pulse Search
Sensor Expired
Out of Range
Parameter Message
* Module Failure
* Too Many Params
EEG
* Connector Off
* Check Sensor
Parameter Message
* Connector Off
VENT (EXT)
* Alarm
Other
Duplicated” message. Multiple patient receiver might not detect channel duplication properly within 3 minutes
after turning on the multiple patient receiver.
* “Input Unit Disconnected” and “Receiving Data” are only displayed when the bedside monitor on which transport
4
Printer
Other
ECG Monitoring
SpO2 Monitoring
* This applies only when data is being sent from a combination of a vital sensor (a monitor from A&D Co., Ltd.) and
a ZB-900P or ZS-900P transmitter.
NIBP Monitoring
CO2 Monitoring
CAUTION
Before maintenance, cleaning or disinfection, turn the central monitor
power off and disconnect the power cord from the AC socket. Failure
to follow this instruction may result in electrical shock and central
monitor malfunction.
NOTE
• Wear a ground strap to prevent static electricity and central monitor
malfunction.
• Use an antistatic sheet to place removed parts.
• Put the central monitor processing unit horizontally when disassembling
or assembling the unit.
• Securely connect the connectors and do not pinch the cables under the
cover.
• Check the location of the parts before disassembling or assembling.
• Read the procedures thoroughly before disassembling or assembling.
Screws in Use
Name Overview Screw tightening torque
M3 0.49N•m (5kgf•cm)
Pan head screw
with spring and
flat washers
M3 × 6 mm
M2.5 0.34N•m (3.5kgf•cm)
Pan head screw
with spring and
flat washers
M2.5 × 5 mm
Hexagonal head 0.34N•m (3.5kgf•cm)
screw
M3 × 8 mm
Required Tools
Anti-static bench mat
Anti-static wrist strap
Flat-blade screwdriver (insulated type)
Phillips screwdriver (insulated type) 3
Allen wrench or hexagon keys
Hex socket driver
Tweezers
Nippers
Cable tie
Hex socket driver
Tweezers
Nippers
Cable tie
1. Remove the two binding head screws which secure the front panel to the
instrument.
Front panel
2. Pull the upper part of the front panel toward you and lift it upward so that the
hooks of the front panel are released from the slots of the chassis.
Slot
Hook
Front panel
3. Remove the five screws (two screws on the front and three screws on the
rear) which secure the top cover to the instrument.
Screws Screws
Top cover
5. Remove the three screws which secure the support bar to the chassis frame.
6. Lift the leftmost part of the support bar and slide it leftward so that the hook
is released from the slot of the chassis.
Support bar
Slot
1. Follow the procedure of “Removing the Front Panel, Top Cover and Support
Bar”.
2. Release the cable of the CPU fan from the cable clamp.
Cable connector
Cable clamp
4. Push the four positions (marked with arrows) of the CPU fan inward until
the four hooks of the CPU fan are released from the fan receptacle. Lift the
CPU fan upward.
5. Put a new CPU fan to the fan receptacle and press the CPU fan to the fan
receptacle until the four hooks are latched.
Check that the four hooks are firmly latched in the four holes of the fan
receptacle.
6. Connect the CPU fan cable to the socket on the motherboard. Arrange the
cable between the buzzer and SOM board. Make a loop with the cable and
hold the loop with the cable clamp as shown below.
Cable clamp
7. Attach the support bar, top cover and front panel to the instrument. Refer to
“Removing the Front Panel, Top Cover and Support Bar” section.
1. Remove the front panel. Refer to “Removing the Front Panel, Top Cover and 3
Support Bar”.
2. Loosen the two knob screws for the HDD which requires replacement. Pull
the HDD toward you and remove it from the instrument.
HD in slot 1 (port 1) HD in slot 0 (port 0)
Knob screws for slot 1 HDD Knob screws for slot 0 HDD
3. Insert a new HDD into the slot and fasten the new HDD with the two knob
screws.
Preparation
• Remove the faulty HDD. Refer to “Removing and Installing the HDD”.
The “HDD [Port X] Error” message appears on the screen if there is an error
on the HDD (X is 0 or 1).
• Prepare the new HDD.
NOTE
While replacing the HDD, the “COMMUNICATION LOSS” message
may appear on the central monitor for 20 seconds and the indication
on bedside monitor is normal. After that, the waveforms and numeric
data are displayed. If alarms occurred during that 20 second period, the
alarms are indicated on the screen after the 20 second period.
Procedure
1. Touch [Menu] on the left lower corner of the screen → [System Setup] to
display the Information window of the System Setup screen.
When [System Setup] is assigned to one of the all beds function keys,
the Information window of the System Setup screen can be displayed by
touching the function key. Refer to “Function Keys Setting” in Section 6-1
of the Administrator’s Guide to assign a function to the function key.
2. Enter the maintenance password and touch [ENTER]. For the maintenance
password, contact your Nihon Kohden representative.
5. If the pop-up window appears, click [OK]. The Intel(R) Matrix Storage
Manager Console starts.
7. Insert the new HDD into Port 0 (upper) or Port 1 (lower). The inserted HDD
image of the port appears after a few seconds.
NOTE
“COMMUNICATION LOSS” message appears for each bed on the
screen. After 10 seconds, waveforms and numeric data are displayed.
9. Click [Yes].
10. Rebuilding starts and the “All hard drive are OK and RAID volume is
rebuilding” message appears. It takes about one hour for rebuilding.
11. Repeat steps 1 to 4 and display the Intel (R) Matrix Storage Manager
Console window.
12. Check that the “All hard drives and volumes are OK.” message appears on
the window.
Preparation
• Turn off the CNS-6201 central monitor.
• Remove the two faulty HDDs. Refer to “Removing and Installing the HDD”.
• Insert two new HDDs. Refer to “Removing and Installing the HDD”.
Procedure
1. Turn the power on.
3. Select [1. Create RAID Volume] and press the Enter key on the keyboard.
The CREATE VOLUME MENU is displayed.
4. With the cursor on the [Name: Volume0], press the Enter key on the
keyboard. The cursor moves to [RAID Level].
5. Move the cursor to [RAID (Mirror)] with the ↓ key and press the Enter
key on the keyboard.
6. Move the cursor to [Create Volume] with the Enter key on the keyboard
and press the Enter key.
7. Press the Y key. The screen returns to the RAID BIOS setup screen.
9. Press the Y key on the keyboard. The screen returns to the RAID BIOS
setup screen.
11. When the “Are you sure you want to exit? (Y/N)” message appears,
press the Y key on the keyboard.
13. Install the operating system and CNS software. Refer to “Installing the
Operating System and CNS Software” in Section 4.
1. Remove the front cover and top cover. Refer to “Removing the Front Panel,
Top Cover and Support Bar”.
3. Remove the screw which secures the rear fan to the chassis.
4. Slightly pull the rear fan upward until the two hooks of the rear fan are
released from the holes of the chassis. Move the rear fan as shown below and
remove it.
1. Remove the front cover and top cover. Refer to “Removing the Front Panel,
Top Cover and Support Bar”.
2. Release the CPU fan cable from the cable clamp and pull the connector at
the end of the cable out of the socket on the motherboard.
3. Remove the four small screws which secure the CPU fan to the motherboard.
Remove the CPU fan from the motherboard.
Small screws M2.5
Connector at end of
cable from CPU fan
Cable clamp
CPU fan
Small screws M2.5
Upper socket
Step 4
Step 4
Release Lever
Step 5
6. Release the latch levers at both ends of the 1 GB SO-DIMM board at the
lower socket on the motherboard by carefully pulling the levers outward.
The board rises.
Lower socket
Step 6
Step 6
Step 7
8. Set a new 1 GB SO-DIMM board so that the slot of the new 1 GB SO-
DIMM board matches with a boss of the lower socket on the motherboard.
Insert the SO-DIMM board into the lower socket.
Bosses
Slot
9. Push both ends of the SO-DIMM board toward the socket until the latch
levers properly hook the edges of the SO-DIMM board.
10. Repeat the procedure of steps 8 and 9 for another new SO-DIMM board at
the upper socket on the motherboard.
11. Put the CPU fan back to the original position and insert the connector of
the cable into the socket on the motherboard. Hold the cable with the cable
clamp.
1. Remove the front cover, top cover and support bar. Refer to “Removing the
Front Panel, Top Cover and Support Bar”.
2. Remove the two hexagonal head bolts which secure the VGA connector of
the graphic card to the rear of the main unit.
3. Pull the VGA connector and change the connector position to see the screw
under the connector which secures the graphic card to the chassis. Remove
the screw.
Check that the VGA cable is firmly connected
to the new graphic card when you put it back to
the original position.
VGA connector
Screw
4. Remove the graphic card from the motherboard while turning the release
lever clockwise until the graphic card is free.
Release lever
1. Remove the front cover, top cover and support bar. Refer to “Removing
the Front Panel, Top Cover and Support Bar”. Check that the lamp on the
capacitor pack is turned off.
WARNING
Never disconnect the cable between the capacitor pack and ATX
power unit when the lamp on the capacitor pack is lit.
2. Disconnect the four cables (cable with a 24-pin connector, cable with an
8-pin connector, cable with a 10-pin connector for HDD and cable between
capacitor pack and ATX power unit) from the ATX power unit.
3. Release the cable with a 24-pin connector and cable with an 8-pin connector
from the cable clamp on the chassis. Remove the two cables from the
instrument. When connecting the two cables to the ATX power unit, refer to
“Overview of Cable Arrangement”.
Cable between capacitor pack 3
and ATX power unit
5. Remove the two pan head screws which secure the ATX power unit to the
chassis.
Screws
Turn 90 degrees.
6. Remove the screw which secures the clamp support fitting to the rear panel.
Remove the clamp support fitting.
Screw
Clamp support
fitting
Rear
When attaching the clamp support fitting
to the original position, check that the two
bosses meet the two holes of the clamp
support fitting.
7. Remove the four pan head screws which secure the ATX power unit to the
chassis.
Screws When attaching the ATX power unit to the
original position, fasten the ATX power
unit with the screws while pressing it
rightward.
Screws
1. Remove the front cover, top cover and support bar. Refer to “Removing 3
the Front Panel, Top Cover and Support Bar”. Check that the lamp on the
capacitor pack is turned off.
2. Remove the two hard disk drives. Refer to “Removing and Installing the
HDD”.
3. Remove the HDD case frame. Refer to “Replacing the HDD Interface
Board”.
4. Before disconnecting the cable between the ATX power unit and capacitor
pack, once again check that the LED lamp on the capacitor pack is turned
off.
WARNING
Never disconnect the cable between the capacitor pack and ATX
power unit when the lamp on the capacitor pack is lit.
Connector
6. Remove the four screws which secure the capacitor pack to the chassis.
Remove the capacitor pack.
Capacitor pack (two fittings included)
Screws Screws
7. Remove the two fittings from the capacitor pack. Attach the two fittings to a
new capacitor pack.
Fittings
1. Remove the front cover, top cover and support bar. Refer to “Removing the 3
Front Panel, Top Cover and Support Bar”.
2. Remove the two hard disk drives. Refer to “Removing and Installing the
HDD”.
3. Remove the HDD case frame. Refer to “Replacing the HDD Interface
Board”.
6. Disconnect any cables other than the cable of the CPU fan.
Check that the cable
of the CPU fan is
connected.
Rear fan
Graphic card
7. Remove the seven screws which secure the motherboard to the chassis.
8. Slightly slide the motherboard frontward and set the I/O ports of the
motherboard free from the rear panel.
CAUTION
Be careful when sliding the motherboard. Sliding the motherboard
too much will damage the back side of the board with the spacers on
the chassis.
11. Diagonally put the new motherboard so that the I/O ports of the motherboard
are inserted into the holes for the I/O ports of the rear panel. Then put down
the opposite side of the motherboard on the spacers.
12. Align the hole A of the motherboard with the spacer hole under the hole A.
Put a screw in the hole and tighten the screw.
13. Fasten the motherboard with six screws inserted into the other holes of the
motherboard. 3
1. Remove the front cover and top cover. Refer to “Removing the Front Panel,
Top Cover and Support Bar”.
Operation-motherboard cable
Cable clamp
3. Remove the two screws which secure the operation panel block to the
chassis.
Screws
4. When assembling the instrument, push the operation panel block to the
front chassis and slide the operation panel block to the two bosses while
continuing to press the operation panel block to the front chassis so that the
two screwed holes of the chassis align with two holes of the operation panel
block. Fasten the operation panel block to the chassis with the two screws. 3
Two
bosses
After removing the operation panel block from the instrument, do the following.
Refer to “Replacing the Operation Panel Block”.
2. Remove the screw which secures the operation board to the operation panel
chassis.
Screw
3. Release one end of the operation board from the two slots and remove the
operation board from the operation panel block.
Slots
Operation board
After removing the operation panel block from the instrument, do the following. 3
Refer to “Replacing the Operation Panel Block”.
Operation board
2. Remove the power switch from the operation panel while pressing the two
hooks each at the both sides inward to release the four hooks.
When assembling the operation panel block, check that the power switch is
attached to the operation panel as shown below.
After removing the operation panel block from the instrument, do the following. 3
Refer to “Replacing the Operation Panel Block”.
1. Remove the screw which secures the USB cable fitting. Release the two
hooks of the USB cable fitting from the operation panel. Remove the two
USB cables from the operation panel.
Screw
2. When assembling the operation panel block, check that the two USB cables
are attached to the operation panel as shown below.
1. Remove the front cover, top cover and support bar. Refer to “Removing the
Front Panel, Top Cover and Support Bar”.
2. Remove the two hard disk drives. Refer to “Removing and Installing the
HDD”.
3. Remove the four screws which secure the HDD case frame to the chassis.
4. Disconnect the ATX-HDD interface cable from the ATX power unit.
ATX-HDD interface cable with a
10-pin connector
SATA 1
SATA 0
6. Remove the two screws marked with circles as shown below. Remove the
HDD case frame.
HDD case frame
7. Disconnect the two SATA cables and ATX-HDD interface cable from the
HDD interface board.
CAUTION
Do not apply any damage to the polyswitches which are mounted at
both ends of the HDD interface board and do not bend a lead of the
polyswitches.
8. Remove the three screws which secure the HDD interface board to the HDD
case frame. Remove the HDD interface board.
Slot
Remove the four binding head screws which secure the rubber feet to the bottom 3
of the main unit. Remove the four rubber feet.
Front
Motherboard-
ATX cable
Rear
Rear fan COM port-motherboard ATX-motherboard cable ATX-HDD
serial cable interface cable
Each right-angle connector of the two SATA cables must be connected to the
HDD interface board. Each straight type connector of the two SATA cables must
be connected to the motherboard. The two SATA cables must be fastened with
cable clamps.
Connect the right-angle connector Connect the other end (straight type)
of SATA cable to the SATA0 on the of the SATA cable to the SATA0
HDD interface board. socket on the motherboard.
NOTE
Do not fasten a bend of the SATA cable with a cable clamp. If the cable
is folded, the cable easily can break. Carefully bend the cable so that it
makes a half circle with radius 5 mm or more.
Bend (half circle with radius 5 mm or more) 3
Connect the right-angle connector of SATA cable to the SATA1 socket on the
HDD interface board. Connect the other end (straight type) of the SATA cable to
the SATA1 socket on the motherboard.
NOTE
Do not fasten a bend of the SATA cable with a cable clamp. If the cable
is folded, the cable easily can break. Carefully bend the cable so that it
makes a half circle with radius 5 mm or more.
Bend (half circle with radius 5 mm or more)
Operation-motherboard cable
There are two cables connected to the ATX power unit. One is the ATX-
motherboard cable which has a tag of “PA70002-5549” and 8-pin connector
at both ends. The other is the motherboard-ATX cable which has a tag of
“PA70002-5551”24-pin connector at both ends.
After placing the motherboard-ATX cable (24-pin connectors) at the cable clamp,
place the ATX-motherboard cable (8-pin connectors) and close the cable clamp.
24-pin connector of
motherboard-ATX 24-pin connector of
cable motherboard-ATX
8-pin connector of cable
ATX-motherboard 8-pin connector of
cable ATX-motherboard
cable
Connect the cable of the capacitor pack to the cable of the ATX power unit.
3
CAUTION
Use the new hexagonal head screws provided with a new COM port-
motherboard cable because the new screws have fixation liquid. If
you use the old screws to attach the new COM port sockets, the old
screws can become loose.
NOTE
Use a torque wrench to tighten the screws with 0.49 Nm (5 kgf•cm)
torque.
PCI SATA1
USB5
PCIE
USB4
SATA0 OPCN
PWRSW
CN1
1. Remove the connection cable from the recorder unit by unhooking the cable
connector with a small flat-blade screwdriver as shown below.
2. Remove the rubber cap from the recorder unit by inserting a small flat-blade
screwdriver around the cap.
3. Remove the two screws at the rear and bottom as shown below. Remove the
rear enclosure from the recorder unit.
4. Disconnect the connection cable between the WS OPE and POWER boards.
7. Remove the three screws which secure the board shield cover to the WS
MAIN board. Remove the board shield cover from the WS MAIN board.
8. Disconnect the two cables between the WS MAIN board and paper drive
unit. Disconnect the cable between the WS MAIN board and WS POWER
board. Remove the WS MAIN board from the recorder unit.
9. Remove the screw which secures the WS POWER board to the board
attachment holder. Remove the WS POWER board from the recorder unit.
10. Remove the five small screws and two larger screws which secure the board
attachment holder to the paper drive unit. Remove the board attachment
holder from the paper drive unit.
Board attachment
holder
1. Insert a small flat-blade screwdriver into the space between magazine door
assy and door holder as shown below. Remove the magazine door assy from
the paper drive unit.
When assembling the paper drive unit, put the magazine door assy back to
the original position as shown below.
2. Push the center of the head pressure plate and slide it rightward and leftward.
Remove the head pressure plate from the paper drive unit.
Head pressure plate
Both side edges of the plate are
hooked in the holes of the chassis.
3
Chassis cover R
5. Remove the two screws which secure the chassis to the paper magazine.
Remove the chassis from the magazine.
Paper magazine
1. After the thermal head and holder are removed from the paper drive unit, 3
remove the screw which secures the holder to the head. Replace the head
with a new one.
Head holder
Thermal head
2. Apply silicone oil to the groove for the shaft. Wipe the other parts if the oil
goes around the groove.
When attaching the ground terminal to the holder, check that the ground
terminal is placed at the middle of the head and the ground terminal does not
touch the holder directly.
Ground terminal
head shaft ∅3
3. After attaching the head to the holder, push the head to one side and the
other side alternatively and check that the head is movable.
Check if it is seesaw.
Backing Up Settings
NOTE
• This operation must be done by qualified personnel in your hospital.
• When exchanging the central monitor, check the following conditions.
Otherwise the central monitor might not operate correctly.
- The central monitors are the same model.
- The software version of the new central monitor is the same as the
current central monitor.
When you exchange the central monitor for another one, first back up the settings
of the current central monitor to a USB thumb drive. Use the USB thumb drive
to transfer the settings to the new central monitor.
For setting items you can back up by this operation, refer to “Factory Default
Settings” in Section 7 of the Administrator’s Guide.
NOTE
Patient information and review data cannot be backed up.
1. Back up the settings of the current central monitor on a USB thumb drive.
Refer to “Backing Up to a Removable Media”.
NOTE
Do not set the IP address after registering monitored beds.
4. Restore the settings you saved at step 1 on the new central monitor. For the
procedure, refer to “Restoring Settings on a Central Monitor” in this section.
5. Confirm that the new central monitor can perform the same monitoring as
the previous central monitor.
1. Touch [Menu] on the left lower corner of the screen → [System Setup] to
display the Information window of the System Setup screen.
When [System Setup] is assigned to one of the all beds function keys, 4
the Information window of the System Setup screen can be displayed by
touching the function key. Refer to “Function Keys Setting” in Section 6-1
of the Administrator’s Guide to assign a function to the function key.
NOTE
• Insert only one USB thumb drive into the central monitor at a time.
• Use a USB thumb drive with enough free space.
• A USB hard disk cannot be used.
• Do not insert any removable media into the central monitor during
monitoring. This may cause communication loss.
NOTE
If settings of the same central monitor are already saved in the
removable media, they are overwritten.
8. Touch [YES]. Backup starts and the “Saving data” message appears.
The “The data is saved to the USB thumb drive.” message appears when
backup is finished.
9. Touch [OK].
10. Remove the USB thumb drive from the central monitor.
i) The “The USB device can now be safely removed from the system.”
message appears. Touch [OK] to complete the backup.
ii) Remove the USB thumb drive from the central monitor.
NOTE
• Follow the procedure above to remove the USB thumb drive from
the central monitor. Otherwise it may cause instrument trouble and
data may be damaged.
• When the “The USB device cannot be stopped right now.” message
appears, touch [Other Settings] to switch the window and then
touch [Unplug Device]. For details, refer to “Removing the USB
Thumb Drive” in this section.
NOTE
Check that the new central monitor is initialized.
4
1. Touch [Menu] on the left lower corner of the screen → [System Setup] to
display the Information window of the System Setup screen.
When [System Setup] is assigned to one of the all beds function keys,
the Information window of the System Setup screen can be displayed by
touching the function key. Refer to “Function Keys Setting” in Section 6-1
of the Administrator’s Guide to assign a function to the function key.
NOTE
• Insert only one USB thumb drive into the central monitor at a time.
• Use a USB thumb drive with enough free space.
• A USB hard disk cannot be used.
• Do not insert any removable media into the central monitor during
monitoring. This may cause communication loss.
9. Touch [YES]. Restoring the settings starts and the “Restoring data” message
appears. The “The restore is complete.” message appears when restoring the
settings is finished.
11. Remove the USB thumb drive from the central monitor.
i) The “The USB device can now be safely removed from the system.”
message appears. Touch [OK] to complete restoring the settings.
ii) Remove the USB thumb drive from the central monitor.
NOTE
• Follow the procedure above to remove the USB thumb drive from
the central monitor. Otherwise it may cause instrument trouble and
data may be damaged.
• When the “The USB device cannot be stopped right now.” message
appears, touch [Other Settings] to switch the window and then
touch [Unplug Device]. For details, refer to “Removing the USB
Thumb Drive” in this section.
iii) The “The system will shut down and return to Windows.” message
appears. Touch [OK]. The Windows restarts and then central monitor
program starts automatically.
If you could not remove the USB thumb drive when copying bed settings or
backing up the central monitor settings, do the procedure below to safely remove
the USB thumb drive. 4
NOTE
Follow the procedure below to remove the USB thumb drive from the
central monitor. Otherwise it may cause instrument trouble and data may
be damaged.
2. Touch [Unplug Device] in [USB Device]. The “The USB device can now be
safely removed from the system.” message appears.
NOTE
The “Please confirm connection of the USB memory” message
appears when the USB thumb drive was already in a condition where
it can be safely removed.
Preparation
To install the operating system, two displays are required.
Connect the following components to the PU-621R central monitor processing
unit.
• Two LCD displays
• Mouse
• Keyboard
• CD drive
Central monitor Central monitor
processing unit processing unit
Fan
Front Rear
Mouse
Keyboard USB3
2. Insert the recovery CD which is supplied with the central monitor into the
CD drive.
3. Turn on the main power switch on the rear panel and the Power button on
the front panel of the central monitor processing unit. Installation starts.
When the installation is complete, an “OK” message appears on the screen.
NOTE
It takes about two hours to install the operating system.
7. Set the screen resolution of the main display and second display to 1920 ×
1200.
If “Please select the product name number [0 - 3].” appears, select “1” for
PU-621RA, select “2” for PU-621RK or select “3” for PU-621RC then
press Enter. “Your selected product name was CNS-6201X. Please select
the OK or CANCEL [0-1]” appears. X is the suffix for your central monitor
processing unit.
4. Check that the suffix of your central monitor processing unit is displayed and
press “0” then Enter.
If the “Press any key to continue…” message appears, press Enter to finish
installing the program.
7. Enter the computer name “CNSXXXX” in the computer name box. XXXX
is the last four digits of the instrument serial number.
NOTE
Contact your Nihon Kohden representative for the password.
12. Check that “Microsoft Windows XP Embedded Version 2002 Service Pack
2” is displayed on the (General) System window.
14. Remove the USB thumb drive from the USB3 connector.
15. Restart the central monitor. Check that the system automatically logs in to
Windows and the CNS-6201 application starts automatically.
When [System Setup] is assigned to one of the all beds function keys,
the Information window of the System Setup screen can be displayed by
touching the function key. Refer to “Function Keys Setting” in Section 6-1
of the Administrator’s Guide to assign a function to the function key.
2. Enter the maintenance password and touch [ENTER]. For the maintenance
password, contact your Nihon Kohden representative.
NOTE
• For the IP address contact your Nihon Kohden representative.
• After entering the IP address, touch [ENTER] to register the setting.
Then, touch [OK] to close the window.
5. Enter the subnet mask of the monitor network. Touch [ ] of the Subnet
Mask. Enter the Subnet mask as “255.0.0.0”.
NOTE
After entering the subnet mask, touch [ENTER] to register the setting
then, touch [OK] to close the window.
NOTE
After entering the IP address, touch [ENTER] to register the setting.
Then, touch [OK] to close the window.
7. Enter the subnet mask of the hospital network. Touch [ ] of the Subnet
Mask. Enter the Subnet mask as “255.0.0.0”.
NOTE
After entering the subnet mask, touch [ENTER] to register the setting.
Then, touch [OK] to close the window.
4
8. After the setting, touch [Set]. The confirmation window appears. Touch
[YES] and restart the central monitor.
2. Set the Master Volume, Wave, SW Synth, CD Player, Line Volume, Mic
Volume to the maximum volume.
3. Check that mute is unchecked and touch [ ] to close the Master volume
window.
2. Click Date and time to set the current date and time. Check that the current
time setting is 12-hour clock and click OK.
4. Double-click the clock display area of the lower right corner of the screen
and check that the date and time are correct.
2. Connect the network cable to the LAN1 connector on the rear panel of the
central monitor processing unit and hub.
3. Touch [Menu] on the left lower corner of the screen → [System Setup] to
display the Information window of the System Setup screen.
When [System Setup] is assigned to an all beds function key, the Information
window of the System Setup screen can also be displayed with the function
key.
4. Select your language from the “Input Language” pull down menu and click
OK.
5. Select your input language from the “Default input language” pull down
menu and click OK.
6. Select your language from the “Language used in menus and dialogs” pull
down menu. Click Apply → OK.
7. Select your region from the “Standards and formats” pull down menu on the
Regional Options tab and select your location from the Location pull down
menu.
8. Select your language from the “Language for Non-unicode programs” pull
down menu and select the Default user account settings check box on the
Advanced tab and click OK. Restart the instrument.
10. Keep touching [POWER OFF] for five seconds until the countdown ends to
turn the central monitor power off.
DVI
Touch
panel
AC adapter USB0
Keyboard
1. Press the F2 key on the keyboard right after turning the power on. The BIOS
setting window appears.
2. Select Exit with the “←” and “→” keys and select Load Setup Defaults with
the “↑” and “↓” keys.
3. Press Enter, select Yes on the popup window and press Enter.
4. Select Exit Saving Changes with the “↑” and “↓” keys.
5. Press Enter and select Yes on the popup window and press Enter. The BIOS
setting window closes and operating system starts.
CAUTION
Restart the central monitor once every three months. Otherwise
operation becomes unstable and monitoring may stop. While
restarting, patients monitored by the central monitor must be
monitored by alternate instruments such as bedside monitors.
To Be Replaced Periodically
Appearance
• A Nihon Kohden specified power cord is used.
• The metal prongs of the power cord are not deformed.
• The wire of the power cord is not exposed or damaged.
Grounding lead
Check the ground lead is not broken using a tester.
For connecting the central monitor processing unit and LCD display, refer to the
Administrator’s Guide.
1. Check that the power fan and processing unit fan of the PU-621R central
monitor processing unit are stopped.
Processing unit fan Power fan
2. Press the Power button on the front panel of the central monitor processing
unit to turn the power on. The alarm indicator and power LED on the central
monitor processing unit light.
Lamp lit
Power button
Lamp lit
3. Check that the power fan and processing unit fan of the PU-621R central
monitor processing unit are rotating without abnormal noise.
For checking the keyboard operation, refer to the “Checking the Keyboard
Operation” in Section 6-2 of the Administrator’s Guide.
For turning the central monitor power on or off, refer to the “Turing Power On/
Off” in Section 3 of the Operator’s Manual.
For checking the sound, refer to the “Sound Control” in Section 13 of the
Operator’s Manual.
1. Touch [Menu] on the left lower corner of the screen → [Touchkeys Setting]
and display the setting window.
When [Touchkeys Setting] is assigned to one of the all beds function keys,
the [Touchkeys Setting] screen can be displayed by touching the function
key. Refer to “Function Keys Setting” in Section 6-1 of the Administrator’s
Guide to assign a function to the function key.
3. Touch the exact center of the mark. When the mark is correctly touched, the
mark appears in another place. The mark appears in three places.
When all three places are touched correctly, the screen changes.
1. Turn the bedside monitor power on and set the currently operating IP 5
address.
2. Connect the bedside monitor to the hub using a network straight cable.
3. Connect the CNS-6201 central monitor to the hub using a network straight
LAN0 connector cable.
(network connector)
4. Connect the AX-400G vital sign simulator and transmitter or bedside
monitor and turn the power on. Wait for two minutes.
6. Check the ECG waveform or sawtooth waveform appears on the All Beds
screen of the central monitor.
Necessary Items:
• PC for RS-232C communication check with RS-232C 9-pin male connector
• Terminal program in compatible with RS-232C
• USB-serial conversion cable
Connection
USB3 connector Connect the USB3 connector on the PU-621R central monitor processing unit
and RS-232C connector on the PC with a USB-serial conversion cable.
On the PC
1. Click [Start] and select [Run].
4. On the File menu, click [Properties] and open the New Connection
Properties dialog box.
5. In the [Connect using] box, select a RS-232C port and Click [Configure...].
7. On the New Connection Properties sheet, click the [Settings] tab, and then
click [ASCII Setup...].
8. Click the [Send line ends with line feeds] and [Echo typed characters
locally] check boxes, and then click [OK].
10. In the New Connection - Hyper Terminal window, enter “?S;DEV” and press
Enter on the keyboard.
11. Check the “#S;DEV, 0000000000000000,” appear after the line you entered
in step 9.
1. Touch [Menu] on the left lower corner of the screen → [System Setup] to
display the Information window of the System Setup screen.
When [System Setup] is assigned to one of the all beds function keys,
the Information window of the System Setup screen can be displayed by
touching the function key. Refer to “Function Keys Setting” in Section 6-1
of the Administrator’s Guide to assign a function to the function key.
2. Enter the maintenance password and touch [ENTER]. For the maintenance
password, contact your Nihon Kohden representative.
4. Check that the “Status” in the Sensor Information and RAID Information are
“OK”. If “NG” is displayed, contact your Nihon Kohden representative.
Check that all the status are “OK” for each item.
For connecting the central monitor processing unit, LCD display and recorder
unit and preparation before the turning the power on, refer to the Administrator’s
Guide.
2. Check that the error lamp on the recorder unit lights when the recorder unit
is opened.
2. Touch [ ] of the bed after the waveform appears on the All Beds screen.
3. Touch [ ] of the bed again after recording the bed for more than five
seconds.
4. Check that the bed name, grid and waveform recording are not faint and that
no dots are missing.
The recommended model may be changed without notice. Contact your Nihon
Kohden representative when you locally purchase a laser printer.
When [System Setup] is assigned to one of the all beds function keys,
the Information window of the System Setup screen can be displayed by
touching the function key. Refer to “Function Keys Setting” in Section 6-1
of the Administrator’s Guide to assign a function to the function key.
2. Enter the maintenance password and touch [ENTER]. For the maintenance
password, contact your Nihon Kohden representative.
4. Touch the each color key and check if the alarm indicator lights in touched
color.
Safety Check
Safety Standard
PU-621R Central Monitor Processing Unit
Safety standard: IEC 60950-1: 2005
Type of protection against electrical shock:
CLASS I EQUIPMENT
Components
Safety standard: IEC 60601-1: 1988
IEC 60601-1 Amendment 1: 1991
IEC 60601-1 Amendment 2: 1995
Degree of protection against electrical shock:
No APPLIED PART
NOTE
Performing safety inspection requires a special instrument for measuring
leak currents.
Make sure that the measured value is within the range below.
LCD Display
Normal condition 500 μA or less
Single-fault condition 1 mA or less
Make sure that the measured value is within the range below.
LCD Display
Normal condition 100 μA or less
Single-fault condition 500 μA or less
Model Unit number Version number Sign by engineer who did the maintenance check
Serial number Used by: Nurse, Doctor, Technician Duration of usage Status of usage: Continually, Intermittently
Check Items * For details on maintenance, refer to this section. The column number of this table corresponds to the number of the
title in this section.
Safety Check For details on the safety check, refer to this Measuring Instrument/Overall Judgement
section.
PU-621R Central Monitor Processing Unit Measuring Instrument
Item Measurement Result Result Action Product Name Maintenance No.
Current flowing
into the ground Normal condition [ ]A
lead
Contact current Normal condition [ ]A
LCD Display
Item Measurement Result Result Action
Capacitor pack
USB cable Switch and cable Operation board 2 HDDs (PDS-MA07S0567)
(PDS-MA17S0567) (PDS-MA18S0567) (PDS-MA09S0567) (PDS-MA04S0567) Located under the HDDs.
Front
Rear
Motherboard set Rear fan 1GB SO-DIMM board ATX power unit
(PDS-MA08S0567) (PDS-MA02S0567) (PDS-MA03S0567) (PDS-MA06S0567)
Graphic card CPU fan HDD interface board
(PDS-MA05S0567) PDS-MA01S0567 (PDS-MA10S0567)
Back side