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Nihon Kohden Cns 6201 Service Manual

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SERVICE MANUAL

Central Monitor CNS-6201 Service Manual


Central Monitor
CNS-6201

First Edition: 11 Nov 2010


Fourth Edition: 15 Mar 2013

0634-900781C
Printed: 2013/03/29
Service Manual

Central Monitor
CNS-6201

If you have any comments or suggestions


on this manual, please contact us at:
www.nihonkohden.com 0634-900781C
In order to use this product safely and fully understand all its functions, make sure to read this manual before using the
product.

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.

The contents of this manual are subject to change without notice.

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

Section 1 General.................................................................................... 1.1


General Information on Servicing..................................................................................... 1.3
Service Policy................................................................................................................... 1.5
Specifications.................................................................................................................... 1.6
Function.................................................................................................................. 1.6
Display.......................................................................................................... 1.6
Full Disclosure Window................................................................................ 1.7
Arrhythmia Recall Window............................................................................ 1.7
ST Recall Window........................................................................................ 1.7
Trend Window............................................................................................... 1.7
Hemodynamics List Window........................................................................ 1.7
ECG 12 Lead Analysis Window.................................................................... 1.8
Report Window............................................................................................. 1.8
Overview Bed Window................................................................................. 1.8
Alarm............................................................................................................ 1.8
Recording..................................................................................................... 1.8
Printing......................................................................................................... 1.9
Operation...................................................................................................... 1.9
Sound and Light Output............................................................................... 1.9
Data Output.................................................................................................. 1.9
Network........................................................................................................ 1.9
System Settings........................................................................................... 1.9
Saving Data.................................................................................................. 1.9
Performance............................................................................................... 1.10
LCD Display................................................................................................ 1.10
Environment............................................................................................... 1.10
Power Requirements.................................................................................. 1.10
Acoustic Energy (noise)............................................................................. 1.11
Mechanical Strength................................................................................... 1.11
Dimensions and Weight (approximate, without protrusion)........................ 1.11
Safety Standard.......................................................................................... 1.11
Electromagnetic Compatibility.................................................................... 1.12
Electromagnetic Emissions........................................................................ 1.12
Electromagnetic Immunity.......................................................................... 1.13
Recommended Separation Distances between Portable and Mobile
RF Communications Equipment................................................................. 1.15

Service Manual CNS-6201 C.1


CONTENTS

System Composition for EMC Test............................................................. 1.15


Restriction of Radio Equipment (European Union countries only)............. 1.16
European Community CE Notice............................................................... 1.16
Panel and Parts Descriptions.......................................................................................... 1.17
PU-621R Central Monitor Processing Unit........................................................... 1.17
Front Panel................................................................................................. 1.17
Rear Panel.................................................................................................. 1.17
LCD Display (Locally Purchased Display)............................................................ 1.18
YL-611P/YL-612P Alarm Indicator....................................................................... 1.19
WS-960P Recorder Unit....................................................................................... 1.20
Front Panel................................................................................................. 1.20
Rear Panel.................................................................................................. 1.20
RY-910PA Remote Controller................................................................................ 1.21
Laser Printer (Network Printer)............................................................................. 1.22
Composition.................................................................................................................... 1.23
Overall Connection Diagram........................................................................................... 1.25

Section 2 Troubleshooting..................................................................... 2.1


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

C.2 Service Manual CNS-6201


CONTENTS

SpO2 Monitoring......................................................................................... 2.20 1


NIBP Monitoring......................................................................................... 2.21
CO2 Monitoring........................................................................................... 2.21 2

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

Service Manual CNS-6201 C.3


CONTENTS

Section 4 How to Install Operating System and CNS Software.......... 4.1


Backing Up Settings......................................................................................................... 4.2
Exchanging Central Monitor Processing Units....................................................... 4.2
Backing Up to a USB Thumb Drive......................................................................... 4.3
Restoring Settings on a Central Monitor................................................................. 4.5
Removing the USB Thumb Drive...................................................................................... 4.7
Installing the Operating System and CNS Software......................................................... 4.8
Preparation............................................................................................................. 4.8
Installing the Operating System.............................................................................. 4.8
Installing the CNS-6201 Software.......................................................................... 4.9
Setting the IP Address.......................................................................................... 4.10
Setting the Sound Volume.................................................................................... 4.11
Setting the Clock Time.......................................................................................... 4.11
Checking the TCP/IP Settings.............................................................................. 4.12
Setting the Language........................................................................................... 4.12
Setting the BIOS Default Settings......................................................................... 4.13

Section 5 Maintenance........................................................................... 5.1


Restarting the Central Monitor.......................................................................................... 5.2
To Be Replaced Periodically............................................................................................. 5.2
Maintenance Check Items and Schedule......................................................................... 5.2
Checking the Central Monitor Processing Unit and LCD Display..................................... 5.3
1. Checking the Appearance for Damage and Contamination................................ 5.3
2. Checking the Power Cord................................................................................... 5.3
3. Checking the Operation at Power On................................................................. 5.3
4. Checking the Keyboard Operation...................................................................... 5.4
5. Checking the Mouse Operation.......................................................................... 5.4
6. Checking Operation at Restart........................................................................... 5.5
7. Checking Sound Generation from the Speaker.................................................. 5.5
8. Calibrating the Touchkeys................................................................................... 5.6
9. Adjusting the LCD Display.................................................................................. 5.7
10. Checking the Network Connection.................................................................... 5.7
11. Checking the RS-232C Communication........................................................... 5.7
12. Checking the Hardware Information............................................................... 5.11
Checking the Recorder Unit............................................................................................ 5.13
1. Checking the Appearance for Damage and Contamination.............................. 5.13
2. Checking the Operation at Power On............................................................... 5.13
3. Checking the Operation and Print..................................................................... 5.13
Checking the Network Printer......................................................................................... 5.13
Checking the Alarm Indicator.......................................................................................... 5.14
1. Checking the Appearance for Damage and Contamination.............................. 5.14
2. Checking the Operation at Power On............................................................... 5.14
3. Checking the Alarm Indicator Lights................................................................. 5.14
Safety Check................................................................................................................... 5.16
Safety Standard.................................................................................................... 5.16
PU-621R Central Monitor Processing Unit................................................. 5.16
Components............................................................................................... 5.16
Measuring Leakage Current................................................................................. 5.16

C.4 Service Manual CNS-6201


CONTENTS

LCD Display................................................................................................ 5.16 1


PU-621R Central Monitor Processing Unit................................................. 5.17
CNS-6201 Central Monitor Maintenance Check Sheet.................................................. 5.18 2

3
Section 6 Replaceable Parts List........................................................... 6.1
Locations of Replaceable Parts........................................................................................ 6.2 4
List of Replaceable Parts.................................................................................................. 6.3
5

Service Manual CNS-6201 C.5


GENERAL HANDLING PRECAUTIONS

This device is intended for use only by qualified medical personnel.


Use only Nihon Kohden approved products with this device. Use of non-approved products
or in a non-approved manner may affect the performance specifications of the device. This
includes, but is not limited to, batteries, recording paper, pens, extension cables, electrode
leads, input boxes and AC power.

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.

2. When installing or storing the instrument, take the following precautions:


(1) Avoid moisture or contact with water, extreme atmospheric pressure, excessive humidity and temperatures,
poorly ventilated areas, and dust, saline or sulphuric air.
(2) Place the instrument on an even, level floor. Avoid vibration and mechanical shock, even during transport.
(3) Avoid placing in an area where chemicals are stored or where there is danger of gas leakage.
(4) The power line source to be applied to the instrument must correspond in frequency and voltage to product
specifications, and have sufficient current capacity.
(5) Choose a room where a proper grounding facility is available.

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.

5. To Shutdown After Use


(1) Turn power off with all controls returned to their original positions.
(2) Remove the cords gently; do not use force to remove them.
(3) Clean the instrument together with all accessories for their next use.

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.

7. The instrument must not be altered or modified in any way.

8. Maintenance and Inspection


(1) The instrument and parts must undergo regular maintenance inspection at least every 6 months.
(2) If stored for extended periods without being used, make sure prior to operation that the instrument is in perfect
operating condition.

Service Manual CNS-6201 i


(3) Technical information such as parts list, descriptions, calibration instructions or other information is available for
qualified user technical personnel upon request from your Nihon Kohden representative.

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.

In the USA and Canada other warranty policies may apply.

CAUTION
United States law restricts this product to sale by or on the order of a physician.

ii Service Manual CNS-6201


EMC RELATED CAUTION
This equipment and/or system complies with IEC 60601-1-2 International Standard for electromagnetic
compatibility for medical electrical equipment and/or system. However, an electromagnetic environment
that exceeds the limits or levels stipulated in IEC 60601-1-2, can cause harmful interference to the
equipment and/or system or cause the equipment and/or system to fail to perform its intended function or
degrade its intended performance. Therefore, during the operation of the equipment and/or system, if there
is any undesired deviation from its intended operational performance, you must avoid, identify and resolve
the adverse electromagnetic effect before continuing to use the equipment and/or system.

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.

3. Effect of direct or indirect electrostatic discharge:


Make sure all users and patients in contact with the equipment and/or system are free from direct or
indirect electrostatic energy before using it. A humid room can help lessen this problem.

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.

6. Use with other equipment:


When the equipment and/or system is adjacent to or stacked with other equipment, the equipment
and/or system may affect the other equipment. Before use, check that the equipment and/or system
operates normally with the other equipment.

7. Use of unspecified accessory, transducer and/or cable:


When an unspecified accessory, transducer and/or cable is connected to this equipment and/or system,
it may cause increased electromagnetic emission or decreased electromagnetic immunity. The specified
configuration of this equipment and/or system complies with the electromagnetic requirements with the
specified configuration. Only use this equipment and/or system with the specified configuration.

Service Manual CNS-6201 iii


Caution - continued
8. Use of unspecified configuration:
When the equipment and/or system is used with the unspecified system configuration different than
the configuration of EMC testing, it may cause increased electromagnetic emission or decreased
electromagnetic immunity. Only use this equipment and/or system with the specified configuration.

9. Measurement with excessive sensitivity:


The equipment and/or system is designed to measure bioelectrical signals with a specified sensitivity. If
the equipment and/or system is used with excessive sensitivity, artifact may appear by electromagnetic
interference and this may cause mis-diagnosis. When unexpected artifact appears, inspect the
surrounding electromagnetic conditions and remove this artifact source.

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.

iv Service Manual CNS-6201


MEMBER STATES THIS EQUIPMENT WITH ZB/ZS/ZM-XXXPG SERIES TRANSMITTER IS INTENDED FOR
USE IN
As of August 2004, Nihon Kohden Corporation has notified the intended use of this equipment with
ZB/ZS/ZM-XXXPG series transmitter to the authority of the following member states based on R&TTE
directives (1999/5/EC).

• 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.

Service Manual CNS-6201 v


Conventions Used in this Manual and Instrument

Warnings, Cautions and Notes


Warnings, cautions and notes are used in this manual to alert or signal the reader to specific information.

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.

Text Conventions in this Manual


• Names of items that are displayed on the screen are enclosed in square brackets: [Menu]
• Messages that are displayed on the screen are enclosed in quotation marks: “CHECK ELECTRODES”

vi Service Manual CNS-6201


Explanations of the Symbols in this Manual and Instrument
The following symbols found in this manual/instrument bear the respective descriptions as given.
For the printer and bar code reader, refer to each manual.
On Screen

Symbol Description Symbol Description

Non-paced Change window

Print Settings

Record Filter display

QRS/pulse sync mark Display setup

Return to previous window/All Beds


Enter a comment
screen*1

Display a comment Alarm notice

Close a window Alarm silence

Alarm silence with remaining minutes


Scroll
2 at the central monitor

Stop auto scroll Alarm suspend at the transmitter

Zoom Alarm suspended

Increase/decrease setting All alarms off/vital sign alarm limit off

Display onscreen keyboard Off (Power)

Call pre-registered items Recorder open

Zoom in review Out of paper

Zoom out review Recorder disconnected

Select review Recorder error

Service Manual CNS-6201 vii


Symbol Description Symbol Description

Printer disconnected
Calibrate touch key
Printer error

ECG technical icon


Hard disk access
Replace the ECG electrodes

Hard disk error (Failed/None/No SpO2 technical icon


Array) Check the SpO2 probe attachment

Touch key off

Alarm volume 1 to 3
Transmitter battery status*2
Alarm volume 4 to 6

Alarm volume 7

Pause elapse time display Display/close individual function keys

*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.

On PU-621R Central Monitor Processing Unit

Symbol Description Symbol Description

Alternating current COM1/COM2 connector

On (Power) PS/2 keyboard connector

Off (Power) PS/2 mouse connector

Standby (Power button) MIC-IN connector

Power LED Sound output connector

HDD access LED LINE-OUT connector

Alarm LED LINE-IN connector

viii Service Manual CNS-6201


Symbol Description Symbol Description

Reset switch Warning, high voltage

Analog VGA connector Serial number

LAN0/LAN1/LAN2 connector Date of manufacture

USB0/USB1/USB2/USB3/USB4/
Attention, consult operator’s manual
USB5 connector

Products marked with this symbol


The CE mark is a protected conformity comply with the European WEEE
mark of the European Community. directive 2002/96/EC and require
Products marked with this symbol separate waste collection. For Nihon
comply with the requirements of the Kohden products marked with this
Medical Device Directive 93/42/EEC. symbol, contact your Nihon Kohden
(for PU-621R Op No.21K only) representative for disposal. (for PU-
621R Op No.21K only)

On WS-960P Recorder Unit

Symbol Description Symbol Description

Out of paper Attention, consult operator’s manual

The CE mark is a protected conformity


Serial number
mark of the European Community.
Products marked with this symbol
comply with the requirements of the
Date of manufacture
Medical Device Directive 93/42/EEC.

Service Manual CNS-6201 ix


Related Documentation

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.

x Service Manual CNS-6201


Section 1 General 1

General Information on Servicing......................................................................................................................... 1.3


Service Policy....................................................................................................................................................... 1.5
Specifications....................................................................................................................................................... 1.6
Function...................................................................................................................................................... 1.6
Display............................................................................................................................................. 1.6
Full Disclosure Window.................................................................................................................... 1.7
Arrhythmia Recall Window............................................................................................................... 1.7
ST Recall Window............................................................................................................................ 1.7
Trend Window................................................................................................................................... 1.7
Hemodynamics List Window............................................................................................................ 1.7
ECG 12 Lead Analysis Window....................................................................................................... 1.8
Report Window................................................................................................................................. 1.8
Overview Bed Window..................................................................................................................... 1.8
Alarm................................................................................................................................................ 1.8
Recording......................................................................................................................................... 1.8
Printing............................................................................................................................................. 1.9
Operation......................................................................................................................................... 1.9
Sound and Light Output................................................................................................................... 1.9
Data Output...................................................................................................................................... 1.9
Network............................................................................................................................................ 1.9
System Settings............................................................................................................................... 1.9
Saving Data...................................................................................................................................... 1.9
Performance................................................................................................................................... 1.10
LCD Display................................................................................................................................... 1.10
Environment................................................................................................................................... 1.10
Power Requirements...................................................................................................................... 1.10
Acoustic Energy (noise)................................................................................................................. 1.11
Mechanical Strength...................................................................................................................... 1.11
Dimensions and Weight (approximate, without protrusion)............................................................ 1.11
Safety Standard............................................................................................................................. 1.11
Electromagnetic Compatibility........................................................................................................ 1.12
Electromagnetic Emissions............................................................................................................ 1.12
Electromagnetic Immunity.............................................................................................................. 1.13
Recommended Separation Distances between Portable and Mobile RF Communications
Equipment...................................................................................................................................... 1.15
System Composition for EMC Test................................................................................................. 1.15
Restriction of Radio Equipment (European Union countries only)................................................. 1.16
European Community CE Notice................................................................................................... 1.16
Panel and Parts Descriptions............................................................................................................................. 1.17
PU-621R Central Monitor Processing Unit............................................................................................... 1.17
Front Panel..................................................................................................................................... 1.17
Rear Panel..................................................................................................................................... 1.17
LCD Display (Locally Purchased Display)................................................................................................ 1.18

Service Manual CNS-6201 1.1


YL-611P/YL-612P Alarm Indicator........................................................................................................... 1.19
WS-960P Recorder Unit........................................................................................................................... 1.20
Front Panel..................................................................................................................................... 1.20
Rear Panel..................................................................................................................................... 1.20
RY-910PA Remote Controller................................................................................................................... 1.21
Laser Printer (Network Printer)................................................................................................................ 1.22
Composition........................................................................................................................................................ 1.23
Overall Connection Diagram............................................................................................................................... 1.25

1.2 Service Manual CNS-6201


1. GENERAL

1
General Information on Servicing

Note the following information when servicing the instrument.

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.

Service Manual CNS-6201 1.3


1. GENERAL

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.

Handling the instrument


Because most of the boards in the instrument are multilayer boards
with surface mount electrical devices (SMD), a special tool is
required to remove and solder the electrical devices on it. To avoid
damaging other electrical components, do not remove and solder
SMD components yourself.

Preventing infection
Follow the local laws or regulations to prevent infection.

1.4 Service Manual CNS-6201


1. GENERAL

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.

Only disassemble the instrument or replace a board or unit in an environment


where the instrument is protected against static electricity.

As background knowledge for repair, note the following:


• To reduce the repair time, consider the problem before starting repair.
• To clarify the source of the troubles, use the information from the diagnostic
check function of the instrument and the information described in the
troubleshooting section.

Service Manual CNS-6201 1.5


1. GENERAL

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.

Individual Bed window


Number of waveform traces: Up to 16 traces. Display area can be selected.
Waveform sensitivity: Selectable
Blood pressure scale: Separate, common, high/low
Learning ECG: Available by touching the LEARN ECG key
Numeric data display: Monitoring numeric data can be displayed on the left side of the individual bed
window. All monitoring vital signs numeric data are displayed on the individual
numeric vital signs window.
Alarm indication: Highlighted message for arrhythmia (when arrhythmia is detected)*, highlighted
numeric data (when vital signs alarms are generated)*, alarm sound*, alarm
indicator lights
* Essential performance in EMC standard

1.6 Service Manual CNS-6201


1. GENERAL

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

Full Disclosure Window


Display formats: Zoom display, expanded waveform display
Saved data: 120 hours/bed
Number of saved waveforms: Up to 16 waveforms
Arrhythmia alarm and waveform color: Depends on the alarm level
Waveform zoom display: Available
Automatic scroll: Available
Full disclosure waveform recording: Available on network printer
Expanded waveform recording: Recorder, network printer
Caliper function: Available
Divider function: Available

Arrhythmia Recall Window


Display formats: List display, waveform display
Number of recall files: 1500 files/bed*
* The data is deleted after 120 hours even the files are less than a maximum
number.
Waveform length: More than 8 seconds (depends on the connected bedside monitor)
Arrhythmia recall recording: Recorder, network printer

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

Hemodynamics List Window


Display format: Tabular trend
Number of files: 256 files/bed*
* The data is deleted after 120 hours even the files are less than a maximum
number.
Parameters: Depends on the connected bedside monitor
Recording: Network printer

Service Manual CNS-6201 1.7


1. GENERAL

ECG 12 Lead Analysis Window


Display formats: Analyzed waveform, averaged waveform, comparison, report, analyzed numeric
data
Number of files: 200 files/bed*
* The data is deleted after 120 hours even the files are less than a maximum
number.
Displayed data: Depends on the connected bedside monitor
Recording: Network printer
Caliper function: Available
Divider function: Available

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

Overview Bed Window


With overview bed function, up to 32 patients plus one other patient’s waveform can be viewed.

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

1.8 Service Manual CNS-6201


1. GENERAL

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)

Sound and Light Output


Sound type: Alarm sound*, QRS sync sound and key clicking sound
Light type: Alarm indicator blinks in green synchronizing with a QRS sync sound.
Alarm indicator blinks or lights in alarm color (red, yellow and cyan)
synchronizing with an alarm sound.
* Essential performance in EMC standard.

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.

Service Manual CNS-6201 1.9


1. GENERAL

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

1.10 Service Manual CNS-6201


1. GENERAL

Acoustic Energy (noise) 1


Equipment used in medically used room
Less than 48 dB

Mechanical Strength
STATIONARY type

Dimensions and Weight (approximate, without protrusion)


PU-621R Central Monitor Processing Unit:
115 (W) × 350 (H) × 380 (D) mm, 11 kg

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

• SC-611R WS-960P Power Supply


*5 CAN/CSA C22.2 No.60601-1-1-02 (R2006) and UL 60601-1 (1st edition)
applies to the following items.
• WS-960P Recorder Unit
• SC-611R WS-960P Power Supply

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.

Emissions test Compliance Electromagnetic environment guidance


RF emissions Group 1 The CNS-6201 uses RF energy only for its internal function. Therefore,
CISPR 11 its RF emissions are very low and are not likely to cause any
interference in nearby electronic equipment.
RF emissions Class A The CNS-6201 is suitable for use in all establishments, excluding
CISPR 11 domestic establishments and those directly connected to the public low-
Harmonic emissions Class A voltage power supply network that supplies buildings used for domestic
IEC 61000-3-2 purposes.
Voltage fluctuations/ Applicable
flicker emissions
IEC 61000-3-3

1.12 Service Manual CNS-6201


1. GENERAL

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

<5% UT (>95% dip in <5% UT (>95% dip in


UT) for 5 s UT) for 5 s
Power frequency 3 A/m 3 A/m Power frequency magnetic fields should be at
(50/60 Hz) levels characteristic of a typical location in a
magnetic field typical commercial or hospital environment.
IEC 61000-4-8
NOTE: UT is the AC mains voltage prior to application of the test level.

Service Manual CNS-6201 1.13


1. GENERAL

IEC 60601 test


Immunity test Compliance level Electromagnetic environment - guidance
level
Portable and mobile RF communications equipment
should be used no closer to any part of the CNS-6201,
including cables, than the recommended separation
distance calculated from the equation applicable to the
frequency of the transmitter.

Recommended separation distance

Conducted RF 3 Vrms 3 Vrms d = 1.2 P


IEC 61000-4-6

Radiated RF 3 V/m 3 V/m d = 1.2 P 80 MHz to 800 MHz


IEC 61000-4-3 80 MHz to 2.5 GHz d = 2.3 P 800 MHz to 2.5 GHz

where P is the maximum output power rating of the


transmitter in watts (W) according to the transmitter
manufacturer and d is the recommended separation
distance in meters (m).

Field strengths from fixed RF transmitters, as determined


by an electromagnetic site survey*1, should be less than
the compliance level in each frequency range*2.

Interference may occur in the vicinity of equipment


marked with the following symbol:

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.

1.14 Service Manual CNS-6201


1. GENERAL

Recommended Separation Distances between Portable and Mobile RF Communications Equipment 1


The CNS-6201 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The
customer or the user of the CNS-6201 can help prevent electromagnetic interference by maintaining a minimum distance
between portable and mobile RF communications equipment (transmitters) and the CNS-6201 as recommended below,
according to the maximum output power of the communications.

Rated maximum output Separation distance according to frequency of transmitter (m)


power of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
(W) d = 1.2 P d = 1.2 P d = 2.3 P
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m)
can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power
rating of the transmitter in watts (W) according to the transmitter manufacturer.

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.

System Composition for EMC Test


The CNS-6201 Central Monitor is tested to comply with IEC 60601-1-2: 2001, Amendment 1: 2004 with the following
composition. If any part which is not specified by Nihon Kohden is used, the EMC specifications might not comply.

Units Cable length


PU-621R Central Monitor Processing Unit —
VL-611R LCD Unit —
YL-612P Alarm Indicator 5.0 m
YS-098P2 Alarm Indicator Additional Kit 5.0 m
WS-960P Recorder Unit —
SC-611R WS-960P Power Supply
WS split cable 2.8 m
HES49-240125 LF AC adapter 1.98 m
ND01-AC2500-JPNK Power cord W 2.5 m
YS-097P6 VL Cable Set (Main)
RGB cable (DVI-DVI) 5.0 m
USB cable (A-B) 5.0 m
Stereo Cable 5.0 m
YS-097P9 VL Cable Set (Second)
RGB cable (DSUB(S)-DSUB(S)) 5.0 m
USB cable (A-B) 5.0 m
RY-910PA Remote Controller —
NE0100 Realforce91 keyboard 1.6 m
Basic optical mouse 1.7 m
LS2208 Bar Code Reader 2.1 m
907012 USB-RS232C CG-USBRS232R 0.4 m

Service Manual CNS-6201 1.15


1. GENERAL

Restriction of Radio Equipment (European Union countries only)


By ERC Recommendation 70-03E (2007-02) Annex 1 Band F1
Standard/test suites applied: EN 300 220-3 V1.1.1: 2000-09
EN 300 220-1 V1.3.1: 2000
Receiver class: Class 1
Frequency band(s): 433.050 MHz to 434.790 MHz (adapted country)
Norway: 441.750, 441.775, 441.800, 441.825, 441.850, 441.875, 441.900,
441.925, 441.950, 441.975 MHz (by Norwegian regulations No. 1399
of 20 December 2000)
Channel step: Receiver type A: 25 kHz
Receiver type C: 50 kHz
25 kHz in Norway
Received type of modulation: FSK (Frequency Shift Keying)
Antenna connector: External BNC antenna connector

European Community CE Notice


Marking by the symbol indicates compliance of this equipment with the Medical Device Directive (MDD) 93/42/EEC.
Such marking indicates that this equipment meets the following technical standards:
MDD essential requirement
Safety: IEC 60601-1: 1988
IEC 60601-1 Amendment 1: 1991
IEC 60601-1 Amendment 2: 1995
IEC 60950-1: 2005
Electromagnetic compatibility: IEC 60601-1-2: 2001
IEC 60601-1-2 Amendment 1: 2004
Pollution degree (PD): PD2
Over voltage category (OVC): OVC II
Altitude during operation: ≤2000 m

1.16 Service Manual CNS-6201


1. GENERAL

1
Panel and Parts Descriptions

PU-621R Central Monitor Processing Unit


Front Panel
1
2
3
4
5
6

Rear Panel 7 8 9 10

17 6 16 15 14 13 12 11

1 Power button 1: Connects to the TOUCH 11 Power connector


Press to start the CNS-6201 system connector on the LCD display Connects to a wall AC outlet using
program. (second display). the power cord to supply AC to
2 Power LED 2: Connects to the mouse. the PU-621R Central Monitor
Lights when the unit is in 3 to 5: Connects to the bar code Processing Unit.
operation. Turns off when the unit reader and other units. 12 LINE-IN connector
is not in operation. 7 DVI connector Not used.
3 HDD access LED Connects to the DVI connector on 13 LINE-OUT connector
Lights when the hard disk is the LCD display (main display). Connects to the SOUND connector
accessed. 8 Analog VGA connector on the LCD display (main display).
4 Alarm LED Connects to the RGB connector on 14 MIC-IN connector
Not used. the LCD display (second display). Not used.
5 Reset button 9 COM1/COM2 connector 15 PS/2 mouse connector
Restarts the internal system of PU- Connects to the alarm indicator Connects to the PS/2 connector on
621R Central Monitor Processing and recorder unit. the YL-611P or YL-612P Alarm
Unit. 1: Connects to the COM connector Indicator.
on the YL-611P or YL-612P
6 USB0/USB1/USB2/USB3/ Alarm Indicator. 16 PS/2 keyboard connector
USB4/USB5 connector 2: Connect to the RECORDER Connects to the PS/2 keyboard.
Connects to the LCD display, connector on the WS-960P 17 LAN0/LAN1/LAN2 connector
mouse or bar code reader. Recorder Unit. Connects to the network system.
0: Connects to the TOUCH 10 Main power switch 0: Connects to monitor network.
connector on the LCD display Turn on or off to supply power to 1: Not used.
(main display). the main unit. 2: Connects to the hospital
network.

Service Manual CNS-6201 1.17


1. GENERAL

LCD Display (Locally Purchased Display)


The specified model ET2400L-8CJM-1-BG-NKD-G LCD display from Tyco
Electronics or Elo TouchSystems may be changed without notice. Contact your
Nihon Kohden representative when you purchase a display.

WARNING
Do not turn off the display to which the speaker cable is connected.
The alarm sound cannot be heard.

1.18 Service Manual CNS-6201


1. GENERAL

YL-611P/YL-612P Alarm Indicator 1

1 2

1 Alarm indicator 4 COM connector


Blinks or lights when an alarm is activated. Blinks with Connects to the COM1 connector on the PU-621R
sync sounds. Central Monitor Processing Unit.
2 Remote control sensor 5 PS/2 connector
Receives signals from the remote control. Connects to the PS/2 mouse connector on the PU-621R
3 Alarm indicator cable Central Monitor Processing Unit.
The cable length depends on the alarm indicator model.
YL-611P: 2.5 m
YL-612P: 5 m

When YS-098P1 or YS-098P2 Additional Alarm Indicator Unit is Connected


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

Service Manual CNS-6201 1.19


1. GENERAL

WS-960P Recorder Unit

Front Panel Rear Panel


1

4
2
3

Rear Panel 1 Recorder release lever


Move the lever in the direction of the arrow ( ) to
release the lock.
2 Recorder
Contains the recording paper.
3 Error lamp
Blinks when out of paper. Lights when the recorder door
is open.
Front Panel 4 Recorder unit connector
Connects to the COM2 connector on the PU-621R
Central Monitor Processing Unit.

1.20 Service Manual CNS-6201


1. GENERAL

RY-910PA Remote Controller 1

6
11

POWER
1 7

2 MENU/HOME
SILENCE
ALARMS
8

DISPLAY 10
SELECT CHANNEL
3

1 Power button 7 LED


Not available. Lights when the pointer on the screen is moved by the
2 MENU/HOME key selection knob. Blinks when a key on the remote control
Not available. is pressed.
3 DISPLAY SELECT key 8 SILENCE ALARMS key
Not available. Not available.
4 Display 9 Customized keys
Displays the channel number and the display number. Not available.
5 Strap hole 10 CHANNEL keys
Use a strap to prevent dropping the remote control. Select the monitor when a channel is assigned to the
monitor.
6 Selection knob
Move this knob up/down/left/right to move the cursor or 11 ENTER key
mouse pointer on the screen. Registers the setting selected on the screen.

Service Manual CNS-6201 1.21


1. GENERAL

Laser Printer (Network Printer)


Use the laser printer that Nihon Kohden recommends. Connect to the network
when you use the network printer. Refer to the printer manual together.

Recommended laser printer: Hewlett Packard, LaserJet 4100n


Hewlett Packard, LaserJet 4250n
Hewlett Packard, LaserJet P4015n
Hewlett Packard, LaserJet P4515n
Hewlett Packard, LaserJet Enterprise 600 M602

The recommended model may be changed without notice. Contact your Nihon
Kohden representative when you locally purchase a laser printer.

1.22 Service Manual CNS-6201


1. GENERAL

1
Composition

CNS-6201 PU-621R Central Monitor Processing Unit

YL-611P Alarm Indicator (2.5 m) (Option)

UR-4124 LED-PIC Board

UR-4092 Control A Board

UR-4093 Control B Board

UR-4138 Control C Board

YL-612P Alarm Indicator (5 m) (Option)

UR-4124 LED-PIC Board

UR-4092 Control A Board

UR-4093 Control B Board

UR-4138 Control C Board

WS-960P Recorder Unit (Option)

UR-4129 WS OPE 1 Board

UR-4130 WS-MAIN Board

UR-4131 WS-POWER Board

RG-502X Paper Drive Unit

Service Manual CNS-6201 1.23


1. GENERAL

SC-611R WS-960P Power Supply (Option)

YS-098P1 Additional Alarm Indicator Unit (2.5 m)

UR-4124 LED-PIC

YS-098P2 Additional Alarm Indicator Unit (5 m)

UR-4124 LED-PIC

YS-097P5 VL Cable Set (Main) (2.5 m)

YS-097P6 VL Cable Set (Main) (5 m)

YS-097P8 VL Cable Set (Second) (2.5 m)

YS-097P9 VL Cable Set (Second) (5 m)

QS-056PK Software Kit

1.24 Service Manual CNS-6201


1. GENERAL

1
Overall Connection Diagram

PU-621R
Graphic card LCD display
RGB

DVI LCD display

Motherboard set LINE OUT


CODEC

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

Service Manual CNS-6201 1.25


Section 2 Troubleshooting
2

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

Service Manual CNS-6201 2.1


2. TROUBLESHOOTING

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.

How to use the troubleshooting table


1. Determine which troubleshooting table to use.

2. In the “Trouble” column, find the trouble item that matches the problem.

3. Do the action recommended in the “Action” column.

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.

2.2 Service Manual CNS-6201


2. TROUBLESHOOTING

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.

Service Manual CNS-6201 2.3


2. TROUBLESHOOTING

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.

2.4 Service Manual CNS-6201


2. TROUBLESHOOTING

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.

Service Manual CNS-6201 2.5


2. TROUBLESHOOTING

All Beds Screen/Individual Bed Window


Trouble Possible Cause/Criteria Action Refer to
Numeric data and messages The display is refreshed. This
–– ––
disappear for a moment. is normal.
The bed is discharged. Admit the patient. Operator’s
The monitoring of the bed is Manual
Resume monitoring.
paused. Section 4
The bedside monitor or the
Turn on the bedside monitor or the multiple
multiple patient receiver is ––
patient receiver.
turned off.
The currently measured
Confirm the setting so that the currently Operator’s
lead/label is different from the
measured lead/label matches the lead/label Manual
Waveform is not displayed. lead/label to be displayed on
to be displayed on the screen. Section 12
the screen.
Operator’s
The waveform is not selected Manual
Set the waveform as a displayed waveform.
as a displayed waveform. Section 6
and 8
The bed is not registered as a Administrator’s
Register the bed to the monitored bed.
monitored bed. Guide
Network is disconnected. Confirm the network connection. ––
Operator’s
The parameter of the numeric
Set the parameter of the numeric data to the Manual
data is not selected as the
displayed parameter. Section 6
displayed parameter.
and 8
The label of the currently
Confirm the setting so that the label of the Operator’s
measured numeric data is
currently measured numeric data matches Manual
different from the label to be
Numeric data is not displayed. the label to be displayed. Section 12
displayed.
A vital sign alarm occurred in
a parameter that is not set to
The numeric data of a parameter whose Operator’s
a displayed parameter and its
vital sign alarm is currently occurring has a Manual
numeric data took the place
higher priority to be displayed. Section 5
of a numeric data that is set to
the displayed parameter.
Measure the waveform or numeric data. ––
Confirm the setting so that the currently Operator’s
measured lead/label matches the lead/label Manual
to be displayed on the screen. Section 12
The desired waveform or
The waveform or numeric Register the desired parameter on the
numeric data cannot be
data is not measured. [Parameters] window of the System Setup.
selected.
A parameter registered at the [Parameters] Administrator’s
window of the System Setup is displayed Guide
on setting keys even when it is not currently
measured.
Refer to “Setting Parameter Priority” in
Operator’s
The desired parameter cannot The parameter is a parameter Section 6 of the Operator’s Manual for the
Manual
be displayed. that cannot be displayed. list of parameters that can be displayed on
Section 6
the central monitor.

2.6 Service Manual CNS-6201


2. TROUBLESHOOTING

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.

Tabular Trend Window


Trouble Possible Cause/Criteria Action Refer to
The central monitor where the
Tabular trend data is not Turn on the central monitor where the bed’s
bed’s data is saved is turned ––
displayed. data is saved.
off.
Cannot select a parameter The parameter is not
Register the parameter at the [Parameters] Administrator’s
you want to add to the tabular registered at the [Parameters]
window of the System Setup. Guide
trend. window of the System Setup.
When the display interval is
NIBP numeric data is not not [1 min], NIBP numeric Operator’s
displayed on the tabular trend data other than NIBP Use NIBP Tabular Trend or set [ ]→ Manual
(Vital Sign 1 to 4). measurement time is not [+NIBP] to [ON] on each trend. Section 9
displayed.
The central monitor where the Tabular trend data is not created when the
Tabular trend data is not
bed’s data is saved was turned central monitor where the bed’s data is ––
saved.
off during measurement. saved is turned off.

Service Manual CNS-6201 2.7


2. TROUBLESHOOTING

Full Disclosure and Expanded Waveform Window


Trouble Possible Cause/Criteria Action Refer to
The central monitor where the
Full disclosure waveform is Turn on the central monitor where the bed’s
bed’s data is saved is turned ––
not displayed. data is saved.
off.
Operator’s
The desired full disclosure The full disclosure waveform Choose the waveform for the stored
Manual
waveform is not displayed. is not saved. waveform on the Full Disclosure window.
Section 9
The parameter is not
Measure the parameter. ––
The desired waveform cannot measured.
be selected for a stored The stored waveform setting Set the stored waveform setting on the Operator’s
waveform. is on a central monitor where central monitor where the bed’s data is Manual
the bed’s data is not saved. saved. Section 9
The central monitor where the
Turn on the central monitor where the bed’s
bed’s data is saved is turned ––
The waveforms that are data is saved.
off.
selected for the stored
The currently measured
waveform are not saved. Make the currently measured lead/label
lead/label is different from the
match the lead/label to be saved.
lead/label to be saved. Operator’s
Set arrhythmia analysis to [ON] at both the Manual
Arrhythmia analysis is set to
bedside monitor and central monitor. You Section 12
[OFF] at the bedside monitor
cannot set color to an arrhythmia that does
and/or the central monitor.
not have color.
Turn the arrhythmia alarm to [ON] at both
The arrhythmia alarm is set to Operator’s
the bedside monitor and central monitor.
On the Full Disclosure [OFF] at the bedside monitor Manual
You cannot set color to an arrhythmia that
window, the arrhythmia and/or the central monitor. Section 5
does not have color.
waveform does not have
Noise interference
color. You cannot set color to an arrhythmia that
Poor electrode attachment ––
does not have color.
condition
[Waveform Alarm Color] on
Set the [Waveform Alarm Color] on the Full Operator’s
the Full Disclosure window or
Disclosure window or Expanded Waveform Manual
Expanded Waveform window
window to [ON]. Section 9
is set to [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.

2.8 Service Manual CNS-6201


2. TROUBLESHOOTING

Arrhythmia Recall Window


Trouble Possible Cause/Criteria Action Refer to
2
Operator’s
Arrhythmia recall files are not Arrhythmia analysis is set to
Turn the arrhythmia analysis to [ON]. Manual
created. [OFF].
Section 12
Arrhythmia recall files for a Select the arrhythmia to create a recall file
Recall file creation for the
particular arrhythmia are not on [ ] → [Create Recall Waveform] of
arrhythmia is set to [OFF]. Operator’s
created. the Arrhythmia Recall window.
Manual
Arrhythmia recall files for Unselect the arrhythmia to create a recall
Recall file creation for the Section 5
unnecessary arrhythmias are file on [ ] → [Create Recall Waveform]
arrhythmia is set to [ON].
created. of the Arrhythmia Recall window.
The number of arrhythmia
recall files for one bed
exceeded the limit and older
Arrhythmia recall files are
files are deleted. Deleted files cannot be recovered.
deleted.
[Delete] is touched when
––
several files have a deletion
mark.
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.
Arrhythmia recall files are not
displayed. The arrhythmia types to be Touch [ ] on the Arrhythmia Recall Operator’s
displayed on the screen are window to display the setting window. Manual
not selected. Select the arrhythmias to be displayed on Section 9
the screen.
The central monitor where the Arrhythmia recall files are not created when
Arrhythmia recall files are not
bed’s data is saved was turned the central monitor where the bed’s data is ––
saved.
off during measurement. saved is turned off.

ECG 12 Lead Analysis Window


Trouble Possible Cause/Criteria Action Refer to
The central monitor can display ECG 12
The bedside monitor cannot
ECG 12 Lead analysis files lead analysis files of the BSM-4100 series
output ECG 12 lead analysis ––
are not displayed. bedside monitor only when the bedside
files to a network.
monitor version is 03-02 or later.

Hemodynamics List Window


Trouble Possible Cause/Criteria Action Refer to
The central monitor where the
Hemodynamics data is not Turn on the central monitor where the bed’s
bed’s data is saved is turned
displayed. data is saved.
off.
The central monitor where the
Hemodynamics data is not created when
bed’s data is saved was turned
the central monitor where the bed’s data is
––
off during measurement. saved is turned off.
Hemodynamics data is not
The central monitor can display
saved. The bedside monitor cannot
hemodynamics data of the BSM-4100 series
output hemodynamics data to
bedside monitor only when the bedside
the network.
monitor version is 02-09 or later.

Service Manual CNS-6201 2.9


2. TROUBLESHOOTING

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.

2.10 Service Manual CNS-6201


2. TROUBLESHOOTING

Overview Bed Window


Trouble Possible Cause/Criteria Action Refer to
2
To display data of a 8000 series bedside
The desired bed cannot be
The bed is a 8000 series monitor on this central monitor, a central
selected for the Overview Bed ––
bedside monitor. monitor on the network must be monitoring
screen.
the bed.

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.

Service Manual CNS-6201 2.11


2. TROUBLESHOOTING

Error Messages

Error messages are categorized into two types, messages sent from bedside
monitors/multiple patient receiver and messages generated at the central monitor.

Messages from Bedside Monitors and Multiple Patient Receivers


Messages about Measurement Conditions of Each Parameter
The central monitor receives error messages from bedside monitors and multiple
patient receivers and displays them on the screen. Here is the message list. For
causes and countermeasures for each message, refer to the bedside monitor or
multiple patient receiver operator’s manual.

Some messages displayed at the bedside monitor or multiple patient receiver are
not displayed or are different on the central monitor.

An item with an asterisk (*) is an alarm.

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

2.12 Service Manual CNS-6201


2. TROUBLESHOOTING

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

Service Manual CNS-6201 2.13


2. TROUBLESHOOTING

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

2.14 Service Manual CNS-6201


2. TROUBLESHOOTING

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

Service Manual CNS-6201 2.15


2. TROUBLESHOOTING

Other

Message Possible Cause/Criteria Action


Weak electric field strength of a Check the patient condition and ensure the
wireless telemeter. patient’s safety. Then check the following:
• Remaining charge of the transmitter
SIGNAL LOSS*1 battery
The network communication is lost • Transmitter antenna lead condition
during sleep mode. • Distance between the multiple patient
receiver and transmitter
Change Transmitter Battery*1 Weak transmitter battery. Replace the batteries with new ones.
The CALL button on the transmitter
CALL*1 ––
was pressed.
Two or more transmitters have the
Change the channel of the transmitter.
same channel.*2
Two or more beds whose data is Change the channel number of the bed
Channel Duplicated
received by the multiple patient whose data is received by the multiple
receiver use the same channel patient receiver on the Admit/Discharge
number.*3 window.
• The selected bedside monitor
power is OFF or disconnected
from the network.
Check the patient condition and ensure the
• The network communication is
COMMUNICATION LOSS patient’s safety. Then check the monitoring
lost during sleep mode.
systems.
The multiple patient receiver for the
transmitter is disconnected from the
network.
The arrhythmia analysis is set to
Arrhythmia Analysis Off ––
OFF.
ALL ALARMS OFF All alarms are off. ––
ALARMS SUSPENDED Alarms are suspended. ––
OFF The bed is discharged. ––
A technical alarm is detected on the
ALARM Check the bedside monitor status.
bedside monitor.
An input unit is not inserted into the
Input Unit Disconnected*4 bedside monitor or data acquisition —
unit.
The data is being sent from the
Receiving Data*4 —
bedside monitor.

*1 Displayed only when receiving data from a transmitter.


*2 “Channel Duplicated” is displayed only when using a transmitter and multiple patient receiver which accept the
Channel Duplicated message.
* “Channel Duplicated” is displayed only when using a multiple patient receiver which accepts the “Channel
3

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

function is set to on is connected.

2.16 Service Manual CNS-6201


2. TROUBLESHOOTING

Messages from Central Monitor


Mainly displays messages about the recorder or printer.
2
WS-960P Recorder Unit

Message Possible Cause/Criteria Action


The recorder unit door is not closed
RECORDER DOOR OPEN Close the door completely.
completely.
Set recording paper in the recorder unit. If
there is recording paper in the recorder unit
No recording paper in the recorder
RECORDER OUT OF PAPER and the message still appears, the paper
unit.
detection sensor is malfunctioning. Clean
the sensor part in the recorder unit.
RECORDER POWER OFF OR
The recorder unit is disconnected. Connect the recorder unit.
DISCONNECTED

Printer

Message Possible Cause/Criteria Action


Printer is OFF LINE The laser printer is not registered. Install the printer driver.
Job Error Error in the printer. Refer to the printer manual.

Other

Message Possible Cause/Criteria Action


To resume monitoring, touch [Resume] on
Resume Monitoring of the bed is paused. the Pause window of the [Admit/Discharge]
window.
The central monitor processing unit Check if the fan works.
Main Unit Overheat
temperature is too hot. Check if the vent hole is blocked.
The central monitor processing unit
Main Unit Abnormal Voltage
voltage is abnormal.
Central monitor processing unit fan Contact your Nihon Kohden representative.
Main Unit Fan Error
error.
CPU Fan Error CPU fan error.
HDD [Port X] Error Replace the hard disk drive which has a
Error on the hard disk.
(X is 0 or 1) failure.

Service Manual CNS-6201 2.17


2. TROUBLESHOOTING

Messages from Multiple Patient Receiver


General

Message Possible Cause/Criteria Action Refer to


The transmitter battery is
Insert the battery correctly.
reversed.
Transmitter
If a beep sounds continuously on the
Operator’s
The transmitter battery is transmitter or there is no sound even when
Manual
weak. the call key is pressed, replace the battery
with a new one.
The channel number of the Operator’s
Set the channel number of the monitor to
monitor does not match that Manual
match the transmitter channel.
of the transmitter. Section 4
Receiving antenna is Administrator’s
Connect the antenna properly.
disconnected. Guide
Transmitter
SIGNAL LOSS The transmitter power is
Turn on the transmitter power. Operator’s
turned off.
Manual
The antenna system is faulty. Contact your Nihon Kohden representative.
Telemetry
The antenna is not placed at system
Place the antenna at an appropriate position.
an appropriate position. Installation
Guide
Multiple
The transmitter type (A or C) patient
Check the combination of the transmitter
does not match the receiver receiver
and multiple patient receiver.
(A or C). Operator’s
Manual
An alarm has been generated Operator’s
Take appropriate action depending on the
XXX alarm by an item that is not Manual
alarm level.
displayed. Section 5
Transmitter
The transmitter battery is Replace the battery with a new one
Change Transmitter Battery Operator’s
weak. immediately.
Manual
The Call button on the
CALL –– ––
transmitter has been pressed.
ORGXXXXX SRAM Battery The backup battery of the
Low. Contact NIHON multiple patient receiver is Contact your Nihon Kohden representative.
KOHDEN old.

2.18 Service Manual CNS-6201


2. TROUBLESHOOTING

ECG Monitoring

Message Possible Cause/Criteria Action


2
Change the electrode positions to where
The baseline is not stable due to
there is less influence from the body
respiration or body movement.
movement.
Change the electrode position to where
there is less muscle.
EMG noise is superimposed.
Eliminate conditions of cold and tension
from the patient.
The electrode is pulled by the lead. Put some slack into the electrode lead.
The electrode is dry.
The electrode cannot be attached Replace the electrode with a new one.
firmly to the skin.
NOISE The contact between the lead and Clean the electrode lead clip or replace the
electrode is poor. electrode lead with a new one.
Rub the skin with “skinPure” skin
High electrode impedance.
preparation gel.
An electric blanket is used. Use another warming method.
Keep the ESU away from the transmitter
ESU emits strong electromagnetic
or bedside monitor or turn off the emitter
interference.
source power.
Connect the equipotential ground terminal
Equipotential grounding is not on the bedside monitor to the equipotential
acquired. ground terminal on the wall with the
grounding lead.
Noise interference for more than
30 seconds and heart rate cannot be
CANNOT ANALYZE Remove noise.
counted and arrhythmia cannot be
analyzed.
Connect the electrode lead to the electrode
The electrode lead is detached.
firmly.
The electrode cannot be attached
Replace the electrode with a new one.
firmly to the skin.
The electrode lead is disconnected
Connect the electrode lead to the transmitter
from the transmitter or bedside
or bedside monitor.
monitor.
Poor contact between the lead and
CHECK ELECTRODES electrode. Replace the electrode lead with a new one.
The electrode lead is damaged.
Differential offset voltage at
Replace the electrode with a new one.
electrodes.
ECG waveform baseline wanders Change the electrode positions to where
due to body movement and it is there is less influence from the body
difficult to detect QRS. movement.
Large hum noise on the ECG Check that the central monitor is properly
waveform. grounded.
PACING QRS of a pacing pulse is detected. ––
(This message appears only when An electric blanket is used. Use another warming method.
pacing detection is set to [ON] on Set the pacing detection to [OFF] on the
the ECG window.) ECG of a neonate is monitored.
ECG window.

Service Manual CNS-6201 2.19


2. TROUBLESHOOTING

SpO2 Monitoring

Message Possible Cause/Criteria Action


Considerable body movement. When the message is displayed frequently,
The probe is not attached to the check the patient condition and, if
M (highlighted) patient properly. necessary, change the attachment site.
The message will disappear once the
NIBP measurement is in process.
measurement process is completed.
A surgical light, bilirubin lamp, or
LIGHT INTERFERE Cover the attachment site with a blanket.
sunlight is close to the probe.
Searching for the correct pulse
Wait until the pulse wave is detected.
wave.
The probe attachment site is not Attach the probe to an appropriate place.
appropriate. Refer to the each probe manual.
Poor blood circulation for Check the patient condition, probe
measuring SpO2. attachment or change the attachment site.
DETECTING PULSE
The probe is too tight and it is
Reattach the probe.
obstructing the blood circulation.
The probe is not attached to the
Attach the probe to the patient properly.
patient properly.
The probe cable is disconnected Connect the probe cable to the SpO2
from the SpO2 connection cord.* connection cord.
The probe attachment site is not Attach the probe to an appropriate place.
appropriate. Refer to the each probe manual.
Poor blood circulation for Check the patient condition, probe
measuring SpO2. attachment or change the attachment site.
The probe is secured too tightly
and it is obstructing the blood Reattach the probe.
circulation.
The probe is not attached to the
CANNOT DETECT PULSE Attach the probe to the patient properly.
patient properly.
One of the following messages is
displayed for 30 seconds.
Refer to each screen message section and
• LIGHT INTERFERE
remove the cause of the alarm or message.
• CHECK PROBE
• DETECTING PULSE
The probe cable is disconnected Connect the probe cable to the SpO2
from the SpO2 connection cord.* connection cord.
The probe cable is disconnected Connect the probe cable to the SpO2
from the SpO2 connection cord. connection cord.
The probe is deteriorated. Replace the probe with a new one.
The probe is damaged or short-
Replace the probe with a new one.
circuited.
Replace the SpO2 connection cord with a
The SpO2 connection cord failure.
new one.
CHECK PROBE
The SpO2 connection cord is
Firmly connect the SpO2 connection cord to
disconnected from the bedside
the bedside monitor.
monitor.
The probe cable is disconnected Firmly connect the probe cable to the
from the transmitter. transmitter.
The probe is not attached to the
Attach the probe to the patient properly.
patient properly.

* 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.

2.20 Service Manual CNS-6201


2. TROUBLESHOOTING

NIBP Monitoring

Message Possible Cause/Criteria Action


2
NIBP SAFETY CIRCUIT The air hose is bent or squeezed. Remove the cause.
RUNNING The inflation time is too long. Stop measurement.
NOTE
When this message is In auto mode measurement, the
displayed, measurement cuff inflation started before the cuff Stop measurement.
cannot be performed for 40 deflation is complete.
seconds.
Enormous pressure was applied by When measuring an adult, ask the patient
HIGH CUFF PRESS
the pressure of the cuff. not to move too much.
The cuff is disconnected from the
Firmly connect the cuff to the air hose.
air hose.
CHECK CUFF/HOSE
The cuff or air hose is damaged. Replace the cuff or air hose with a new one.
The air hose is bent or squeezed. Remove the cause.
The maximum blood pressure
exceeded 290 mmHg when using Measure by palpation, auscultation or the
SYSTOLIC OVER
the adult cuff, or 125 mmHg when invasive blood pressure method.
using the neonate cuff.
The measuring time exceeded the If the cause is arrhythmia, measure by
MEAS TIME-OUT specified time due to arrhythmia or invasive blood pressure measurement.
noise. Remove the cause if due to noise.
The patient’s pulse wave is too Measure by palpation or the invasive blood
small. pressure method.
WEAK PULSE
The cuff is wrapped too loosely. Wrap the cuff around the arm properly.
The cuff size is inappropriate. Use the appropriate cuff.
Measure by palpation or invasive blood
The patient’s pulse wave is small.
pressure measurement.
CANNOT DETECT PULSE
The cuff is not wrapped on the Wrap the cuff around the arm of the patient
patient correctly. properly.
NIBP MODULE ERROR Module malfunction. Contact your Nihon Kohden representative.

CO2 Monitoring

Message Possible Cause/Criteria Action


Refer to the CO2 sensor kit manual. If
Insufficient sensor light.
necessary, replace the kit with a new one.
CHECK SENSOR
The CO2 sensor is damaged. Replace the CO2 sensor with a new one.
The CO2 adapter is damaged. Replace the CO2 adapter with a new one.

Service Manual CNS-6201 2.21


Section 3 Disassembly and Assembly
3

Before You Begin.................................................................................................................................................. 3.2


Cautions and Notes.................................................................................................................................... 3.2
Screws in Use............................................................................................................................................ 3.2
Required Tools............................................................................................................................................ 3.3
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

Service Manual CNS-6201 3.1


3. DISASSEMBLY AND ASSEMBLY

Before You Begin

Cautions and Notes

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

Binding head 0.49N•m (5kgf•cm)


screw

M3 × 8 mm

3.2 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

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

Service Manual CNS-6201 3.3


3. DISASSEMBLY AND ASSEMBLY

Removing the Front Panel, Top Cover and Support Bar

1. Remove the two binding head screws which secure the front panel to the
instrument.

Binding head screws

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

3.4 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

4. Slide the top cover 1 cm backward and lift it up.

Top cover

5. Remove the three screws which secure the support bar to the chassis frame.

NOTE in Assembling the Instrument


Fasten the leftmost part of the support bar with a pan head screw.
Then fasten the other two parts with two pan head screws.
Screw Two screws

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.

Hook of support bar

Support bar
Slot

CAUTION in Assembling the Instrument


Use a preset torque screwdriver to tighten the screws. The screw
tightening torque must be 0.49 Nm (5 kgf•cm).

Service Manual CNS-6201 3.5


3. DISASSEMBLY AND ASSEMBLY

Replacing the CPU Fan

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.

3. Disconnect the cable of the CPU fan from the motherboard.

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.

Four positions to be pushed inward

3.6 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

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.

Location of CPU fan

Check that the four hooks are firmly latched in the four holes of the fan
receptacle.

Four holes of the fan receptacle

Service Manual CNS-6201 3.7


3. DISASSEMBLY AND ASSEMBLY

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.

Connector of CPU fan cable

Cable clamp

A loop of the CPU fan cable is


held with the cable clamp.

Buzzer SOM board


The CPU fan cable goes between the
buzzer and SOM board.

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.

3.8 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

Removing and Installing the HDD

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.

Service Manual CNS-6201 3.9


3. DISASSEMBLY AND ASSEMBLY

Replacing One HDD during Monitoring

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.

You can replace one HDD without stopping monitoring.

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.

3. Touch [Maintenance] → [Hardware Info] of the System Setup screen to


display the Hardware Info window.

3.10 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

4. Touch [Intel Matrix Storage Manager].

5. If the pop-up window appears, click [OK]. The Intel(R) Matrix Storage
Manager Console starts.

6. When a HDD is not inserted in either Port 1 (upper) or Port 2 (lower), a


mark appears on the gray HDD image of the port.

Service Manual CNS-6201 3.11


3. DISASSEMBLY AND ASSEMBLY

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.

8. Select [Restore RAID 1 data protection] and click the [ ] button.

3.12 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

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.

After rebuilding is complete, click the close button ( ) to close the


Intel(R) Matrix Storage Manager Console. You can use the CNS-6201
application normally.

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.

13. Click the close button ( ) to return to the CNS-6201 application.

Service Manual CNS-6201 3.13


3. DISASSEMBLY AND ASSEMBLY

Replacing Two HDDs

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.

2. When the “Press <CTRL-I> to enter Configuration Utility...” appears, press


Ctrl+ I on the keyboard. The RAID BIOS setup window appears.

3. Select [1. Create RAID Volume] and press the Enter key on the keyboard.
The CREATE VOLUME MENU is displayed.

3.14 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

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.

Service Manual CNS-6201 3.15


3. DISASSEMBLY AND ASSEMBLY

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.

8. Select [5. Exit].

3.16 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

9. Press the Y key on the keyboard. The screen returns to the RAID BIOS
setup screen.

10. Select [5. Exit].

11. When the “Are you sure you want to exit? (Y/N)” message appears,
press the Y key on the keyboard.

12. Turn the power off.

13. Install the operating system and CNS software. Refer to “Installing the
Operating System and CNS Software” in Section 4.

Service Manual CNS-6201 3.17


3. DISASSEMBLY AND ASSEMBLY

Replacing the Rear Fan

1. Remove the front cover and top cover. Refer to “Removing the Front Panel,
Top Cover and Support Bar”.

2. Disconnect the rear fan cable from the motherboard.

NOTE in Assembling the Instrument


Check that the rear fan cable is over the serial port cable.

3. Remove the screw which secures the rear fan to the chassis.

Serial port cable

Connector of the rear fan cable

The serial port cable is


under the rear fan cable.

Rear fan Screw

3.18 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

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.

NOTE in Assembling the Instrument 3


Check that the two hooks of the rear fan are latched at the two holes
of the chassis.
Rear fan

The two hooks are latched

The two hooks are released

Two hooks of rear fan

Service Manual CNS-6201 3.19


3. DISASSEMBLY AND ASSEMBLY

Replacing the 1 GB SO-DIMM Boards

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

3.20 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

4. Release the latch levers at both ends of the 1 GB SO-DIMM board by


carefully pulling the levers outward. The board rises.

5. Remove the 1 GB SO-DIMM board from the upper socket on the


motherboard by pulling the SO-DIMM board as shown below. 3

Upper socket
Step 4
Step 4

Release Lever

Step 5

Service Manual CNS-6201 3.21


3. DISASSEMBLY AND ASSEMBLY

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.

7. Remove the 1 GB SO-DIMM board from the lower socket on the


motherboard by pulling the SO-DIMM board as shown below.

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

3.22 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

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.

Check that both edges of the board are firmly


hooked by the latch levers.

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.

12. Assemble the main unit in reverse order.

Service Manual CNS-6201 3.23


3. DISASSEMBLY AND ASSEMBLY

Replacing the Graphic Card

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.

CAUTION in Assembling the Instrument


Use the 2 new hexagonal head bolts which are provided with a new
graphic card because the new bolts have a screw lock. If the old
bolts are reused, thy will come loose.

Hexagonal head bolts

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

3.24 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

4. Remove the graphic card from the motherboard while turning the release
lever clockwise until the graphic card is free.

Release lever

Service Manual CNS-6201 3.25


3. DISASSEMBLY AND ASSEMBLY

Replacing the ATX Power Unit

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.

Wait until the LED lamp on the


capacitor pack is turned off.

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.

3.26 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

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

Cable with 24-pin


connector
Cable with 8-pin Cable with 24-pin
connector connector
Cable with 10-pin
connector for HDD

Cable with 8-pin


connector
Cable clamp

4. Turn the cable clamp clockwise or counterclockwise until it is free. Remove


the cable clamp from the chassis.

5. Remove the two pan head screws which secure the ATX power unit to the
chassis.
Screws

Turn 90 degrees.

When attaching the cable clamp to


the original position, check that the
opening of the clamp faces rearward.

Service Manual CNS-6201 3.27


3. DISASSEMBLY AND ASSEMBLY

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

8. Slide the ATX power unit frontward and lift it upward.

3.28 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

Replacing the Capacitor Pack

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.

5. Disconnect the cable from the capacitor pack.

Connector

Put the cable of the capacitor pack


in this space when assembling the
instrument.

Wait until the LED lamp on the


capacitor pack is turned off.

Service Manual CNS-6201 3.29


3. DISASSEMBLY AND ASSEMBLY

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

Each fitting is attached to the


Screws capacitor pack with two screws.

3.30 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

Replacing the Motherboard Set

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”.

4. Remove the graphic card. Refer to “Replacing the Graphic Card”.

5. Remove the rear fan. Refer to “Replacing the Rear Fan”.

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

HDD and HDD case frame

7. Remove the seven screws which secure the motherboard to the chassis.

I/O ports on motherboard fit


in the corresponding open
mouths of the rear panel.

Service Manual CNS-6201 3.31


3. DISASSEMBLY AND ASSEMBLY

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.

9. Lift the motherboard upward and remove it.

10. Replace the motherboard with a new one.

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.

Put the I/O ports on the motherboard under the


bosses of the rear panel.

CAUTION in Assembling the Instrument


Never slide the motherboard after putting the motherboard on the
spacers. Sliding the motherboard will damage the back side of the
board with the spacers.

3.32 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

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

After tightening the screw at the hole A,


tighten the other six screws.
Hole A

Service Manual CNS-6201 3.33


3. DISASSEMBLY AND ASSEMBLY

Removing the Operation Panel Block

1. Remove the front cover and top cover. Refer to “Removing the Front Panel,
Top Cover and Support Bar”.

USB cable (4)

USB cable (5)

Operation-motherboard cable
Cable clamp

2. Release the operation-motherboard cable from the cable clamp and


disconnect the cable from the motherboard. Disconnect the two USB cables
from the motherboard. Refer to “Arrangements of Operation-motherboard
Cable, USB Cables and Cable from Power Switch” when assembling the
instrument.

3. Remove the two screws which secure the operation panel block to the
chassis.

Screws

Operation panel block

3.34 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

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

Service Manual CNS-6201 3.35


3. DISASSEMBLY AND ASSEMBLY

Replacing the Operation Board

After removing the operation panel block from the instrument, do the following.
Refer to “Replacing the Operation Panel Block”.

1. Disconnect the cable of the power switch and the operation-motherboard


cable.

2. Remove the screw which secures the operation board to the operation panel
chassis.

Screw

Operation-motherboard cable Cable from power switch Operation board

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

3.36 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

Replacing the Power Switch (Switch and Cable)

After removing the operation panel block from the instrument, do the following. 3
Refer to “Replacing the Operation Panel Block”.

1. Disconnect the cable of the power switch at the operation board.

Operation board

Disconnect the cable.

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.

The space is too small to


insert your finger. Use a
small flat-blade screwdriver
to press the two hooks.

Remove the power switch from


the operation panel as shown to
the left.

Service Manual CNS-6201 3.37


3. DISASSEMBLY AND ASSEMBLY

When assembling the operation panel block, check that the power switch is
attached to the operation panel as shown below.

3.38 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

Replacing the USB Cable

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

USB cable fitting

two hooks two USB cables

2. When assembling the operation panel block, check that the two USB cables
are attached to the operation panel as shown below.

Check the direction of


the two USB ports.

Service Manual CNS-6201 3.39


3. DISASSEMBLY AND ASSEMBLY

Replacing the HDD Interface Board

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

5. Disconnect the two SATA cables from the motherboard.

3.40 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

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.

Service Manual CNS-6201 3.41


3. DISASSEMBLY AND ASSEMBLY

8. Remove the three screws which secure the HDD interface board to the HDD
case frame. Remove the HDD interface board.

SATA 0 ATX-HDD interface cable with a SATA 1


4-pin connector

CAUTION in Assembling the Instrument


• Check that the SATA0 and SATA1 cables are properly connected
between the HDD interface board and motherboard.
• Insert the edge of the HDD interface board into the slot of HDD
case frame and fasten the HDD interface board with the three
screws.

Slot

3.42 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

Replacing the Rubber Feet

Remove the four binding head screws which secure the rubber feet to the bottom 3
of the main unit. Remove the four rubber feet.

Binding head screw Rubber foot

Service Manual CNS-6201 3.43


3. DISASSEMBLY AND ASSEMBLY

Overview of Cable Arrangement

Power switch and cable Operation-motherboard cable SATA cable (SATA0)

Front

two USB cables


SATA cable
(SATA1)

Motherboard-
ATX cable

Rear
Rear fan COM port-motherboard ATX-motherboard cable ATX-HDD
serial cable interface cable

3.44 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

Arrangement of ATX-HDD Interface Cable

ATX-HDD interface cable has a tag of “PA70002-5550”. 3


Connect either one of the two 4-pin
Connect the 10-pin connector of the connectors of the cable to the center
cable to the ATX power unit. of the HDD interface board.

The other 4-pin connector must be Cable clamp


fastened with a cable clamp.

Service Manual CNS-6201 3.45


3. DISASSEMBLY AND ASSEMBLY

Arrangement of SATA Cables

Top View of SATA Cable Arrangement


SATA 1 SATA 0 SATA 0 SATA 1

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.

3.46 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

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.

Right-angle connector of SATA cable Straight type connector

Service Manual CNS-6201 3.47


3. DISASSEMBLY AND ASSEMBLY

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)

3.48 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

Arrangement of Operation-motherboard Cable, USB Cables


and Cable from Power Switch
Cable from power switch 3
Connects to operation board. When
assembling the instrument, check the
direction of connector at the power switch.

Operation-motherboard cable

USB cable (4)


USB cable (5)

Place the bound three cables under


the HDD case frame as shown below.

USB cable (4)


USB cable (5)

Bind the two USB cables and


operation-motherboard cable
with the cable clamp.

Connect the USB cable (5)


to the socket marked with
Operation-motherboard cable
“5” on the motherboard.
Connect the USB cable (4) to the
socket marked with “4” on the
motherboard.

Service Manual CNS-6201 3.49


3. DISASSEMBLY AND ASSEMBLY

Arrangement of ATX-motherboard Cable (8-pin Connectors),


Motherboard-ATX Cable (24-pin Connectors) and Cable from
Capacitor Pack

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.

The cable of the


capacitor pack must be
arranged in the space
between the capacitor
pack and side panel.

3.50 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

Arrangement of COM Port-motherboard Serial Cable

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.

After attaching two new sockets


to the rear panel with four new
hexagonal head screws, connect the
other end to the motherboard.

Check that the socket shown as


COM2 is attached to the upper hole
of the rear panel.
Port number on rear panel

NOTE
Use a torque wrench to tighten the screws with 0.49 Nm (5 kgf•cm)
torque.

Arrange the cable of the rear fan so


that the fan cable is placed over the
COM port-motherboard cable.

Service Manual CNS-6201 3.51


3. DISASSEMBLY AND ASSEMBLY

Layout of Sockets on Motherboard

PCI SATA1

USB5
PCIE
USB4

SATA0 OPCN

FHS FAN COM ATXCN2 ATXCN1

Sockets on board Description


FAN 4 pins For connection to rear fan
FHS 3 pins For connection to CPU fan
COM 20 pins For connection to COM port (serial) on rear panel
ATXCN1 24 pins For connection to ATX power unit
ATXCN2 8 pins For connection to ATX power unit
OPCN 12 pins For connection to operation board
USB4 5 pins For connection to USB port on front panel
USB5 5 pins For connection to USB port on front panel
SATA0 – For connection to HDD for SATA0
SATA1 – For connection to HDD for SATA1
PCIE – For connection to graphic card
PCI – –

3.52 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

Layout of Sockets on Operation Board

PWRSW

CN1

Sockets on board Description


PWRSW 2 pins For connection to power switch
CN1 12 pins For connection to motherboard

Layout of Sockets on HDD Interface Board

SATA0 PWRCN SATA1

Sockets on board Description


PWRCN 4 pins For connection to ATX power unit
SATA0* – For connection to SATA0 socket on motherboard
SATA1* – For connection to SATA0 socket on motherboard

* Connects to the right angle type connector of the SATA cable.

Service Manual CNS-6201 3.53


3. DISASSEMBLY AND ASSEMBLY

Disassembling the WS-960P Recorder Unit

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.

3.54 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

4. Disconnect the connection cable between the WS OPE and POWER boards.

5. Remove the front enclosure from the recorder unit.

6. Remove the four screws on the top of the recorder unit.

Service Manual CNS-6201 3.55


3. DISASSEMBLY AND ASSEMBLY

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.

3.56 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

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.

Small screw PS2 × 6 Screw PS3 × 6

Board attachment
holder

Paper driver unit


RG-501X/502X

Service Manual CNS-6201 3.57


3. DISASSEMBLY AND ASSEMBLY

Disassembling the RG-501X/502X Paper Drive Unit

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.

3.58 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

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

3. Remove the thermal head and holder from the chassis.

Thermal head with holder

Service Manual CNS-6201 3.59


3. DISASSEMBLY AND ASSEMBLY

4. Remove the chassis covers R and L from the chassis.


Chassis cover L

Chassis cover R

5. Remove the two screws which secure the chassis to the paper magazine.
Remove the chassis from the magazine.

Paper magazine

BH2 × 6 SUS screws

3.60 Service Manual CNS-6201


3. DISASSEMBLY AND ASSEMBLY

Replacing the Thermal Head

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

Service Manual CNS-6201 3.61


3. DISASSEMBLY AND ASSEMBLY

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

Set the ground terminal in the slot


without touching the side walls.

Apply silicon oil on


these two points.

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.

3.62 Service Manual CNS-6201


Section 4 How to Install Operating
System and CNS Software
4
Backing Up Settings............................................................................................................................................. 4.2
Exchanging Central Monitor Processing Units........................................................................................... 4.2
Backing Up to a USB Thumb Drive............................................................................................................ 4.3
Restoring Settings on a Central Monitor.................................................................................................... 4.5
Removing the USB Thumb Drive.......................................................................................................................... 4.7
Installing the Operating System and CNS Software............................................................................................. 4.8
Preparation................................................................................................................................................. 4.8
Installing the Operating System................................................................................................................. 4.8
Installing the CNS-6201 Software.............................................................................................................. 4.9
Setting the IP Address.............................................................................................................................. 4.10
Setting the Sound Volume........................................................................................................................ 4.11
Setting the Clock Time............................................................................................................................. 4.11
Checking the TCP/IP Settings.................................................................................................................. 4.12
Setting the Language............................................................................................................................... 4.12
Setting the BIOS Default Settings............................................................................................................ 4.13

Service Manual CNS-6201 4.1


4. HOW TO INSTALL OPERATING SYSTEM AND CNS SOFTWARE

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.

USB thumb drive requirements


• Special drivers are not needed for installation
• The memory needs to be blank
• No viruses
• Formatted in FAT32 file system

Exchanging Central Monitor Processing Units


You can exchange central monitor processing units according to the following
procedure.

1. Back up the settings of the current central monitor on a USB thumb drive.
Refer to “Backing Up to a Removable Media”.

2. Cancel the registration of all the monitored beds on [Monitor Setting] →


[Monitored Beds Setting] of the System Setup screen. Refer to “Monitor
Settings” in Section 6-1 of the Administrator’s Guide.

3. Install the new central monitor. Set the IP address.

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.

4.2 Service Manual CNS-6201


4. HOW TO INSTALL OPERATING SYSTEM AND CNS SOFTWARE

Backing Up to a USB Thumb Drive


Back up the central monitor settings to a USB thumb drive.

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.

2. Enter the maintenance password and touch [ENTER].

3. Touch [System Exit]. The central monitor program exits.


Enter maintenance password.

4. Insert a USB thumb drive into the central monitor.

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.

5. Double-click the “CNS-6201” icon on the desktop to start the central


monitor program.

6. Touch [Maintenance] → [Backup Settings] → [Backup] of the System


Setup screen to display the Backup window. To display the backup window,
a maintenance password is needed. For the maintenance password, contact
your Nihon Kohden representative.

Service Manual CNS-6201 4.3


4. HOW TO INSTALL OPERATING SYSTEM AND CNS SOFTWARE

7. Touch [Start Backup]. The confirmation window opens.

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.

4.4 Service Manual CNS-6201


4. HOW TO INSTALL OPERATING SYSTEM AND CNS SOFTWARE

Restoring Settings on a Central Monitor


After exchanging the central monitors, restore settings on the central monitor by
using the backup in the USB thumb drive.

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.

2. Enter the maintenance password and touch [ENTER].

3. Touch [System Exit]. The central monitor program exits.


Enter maintenance password.

4. Insert a USB thumb drive into the central monitor.

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.

5. Double-click the “CNS-6201” icon on the desktop to start the central


monitor program.

6. Touch [Maintenance] → [Backup Settings] → [Restore] of the System Setup


screen to display the Restore window. To display the Restore window, a
maintenance password is needed. For the maintenance password, contact
your Nihon Kohden representative.

Service Manual CNS-6201 4.5


4. HOW TO INSTALL OPERATING SYSTEM AND CNS SOFTWARE

7. Touch the data you want to restore on the central monitor.


Stored data list
The stored data of a central monitor which has the same
software version as this central monitor is displayed.

8. Touch [Start Restore]. The confirmation window opens.

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.

10. Touch [OK].

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.

4.6 Service Manual CNS-6201


4. HOW TO INSTALL OPERATING SYSTEM AND CNS SOFTWARE

Removing the USB Thumb Drive

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.

1. Touch [Maintenance] → [Other Settings] of the System Setup screen to


display the Other Settings window. To display the Other Settings window,
a maintenance password is needed. For the maintenance password, contact
your Nihon Kohden representative.

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.

3. Touch [OK] to close the message window.

4. Remove the USB thumb drive from the central monitor.

Service Manual CNS-6201 4.7


4. HOW TO INSTALL OPERATING SYSTEM AND CNS SOFTWARE

Installing the Operating System and CNS Software

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

Main Second USB5


LCD display DVI LCD display CD drive
RGB
USB4
Bar code
Sound Touch panel Touch panel reader
USB0 USB1
AC adapter

Mouse

Keyboard USB3

Main power switch

Installing the Operating System


1. Check that all the power cords and cables are connected properly.

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.

4. Touch [ENTER] on the screen to complete the installation.

5. Restart the central monitor.

6. Right-click on the desktop and select Properties → Display Proportion →


Settings → Screen Resolution.

4.8 Service Manual CNS-6201


4. HOW TO INSTALL OPERATING SYSTEM AND CNS SOFTWARE

7. Set the screen resolution of the main display and second display to 1920 ×
1200.

Installing the CNS-6201 Software


1. Insert the USB thumb drive with the CNS-6201 software into the USB3
connector on the rear panel of the central monitor processing unit. 4

2. Click Start and select My Computer → Removable Disk.

3. Double-click Install.bat. The Setup program starts.

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 “Install successful” message appears, installation is complete.

If the “Press any key to continue…” message appears, press Enter to finish
installing the program.

5. Double-click the Registration folder on the desktop.

6. Double-click PU-621R to open the Registration Wizard.

7. Enter the computer name “CNSXXXX” in the computer name box. XXXX
is the last four digits of the instrument serial number.

8. Click OK. A “You must restart your computer…” message appears.

If you do not restart the computer immediately, click Close and [ ] to


close the explore and registration windows.

9. Enter the password in the password box.

NOTE
Contact your Nihon Kohden representative for the password.

10. Right-click on the Start → Explore to open the Explore window.

11. Right-click My Computer and select Properties.

12. Check that “Microsoft Windows XP Embedded Version 2002 Service Pack
2” is displayed on the (General) System window.

Service Manual CNS-6201 4.9


4. HOW TO INSTALL OPERATING SYSTEM AND CNS SOFTWARE

13. Click Start → Shutdown.

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.

Setting the IP Address


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.

3. Touch [Maintenance] → [Network] to display the Network window.

4. Enter the IP address of the monitor network. Touch [ ] of the IP


Address. Enter the IP address as “10.2.XXX.YYY”.
X and Y depends on the instrument serial number.
10.2.219.170 – 10.2.225.133

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.

6. Enter the IP address of the hospital network. Touch [ ] of the IP


Address. Enter the IP address as “10.1.2.3”.

NOTE
After entering the IP address, touch [ENTER] to register the setting.
Then, touch [OK] to close the window.

4.10 Service Manual CNS-6201


4. HOW TO INSTALL OPERATING SYSTEM AND CNS SOFTWARE

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.

9. Touch [System Exit]. The central monitor program exits.

Setting the Sound Volume


1. Right-click on the Start → select Explore→ Control Panel → Sound and
Audio Devices → Device Volume (Advanced) → Master volume → Options
→ Properties and check all the items in the Volume Control of the how the
following volume controls. Click OK.

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.

4. Click OK and close the Sound and Audio Devices window.

Setting the Clock Time


1. Double-click the Date and time of the Control panel → Time Zone and
check that the time zone of your local area is set.

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.

3. Click [ ] to close the control panel.

4. Double-click the clock display area of the lower right corner of the screen
and check that the date and time are correct.

5. Click [ ] to close the clock display area.

Service Manual CNS-6201 4.11


4. HOW TO INSTALL OPERATING SYSTEM AND CNS SOFTWARE

Checking the TCP/IP Settings


1. Double-click CNS-6201.

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. Check the following on the Information window.


• The revision is the installed software version.
• IP address is 10.xx.xx.xx. (TCP/IP settings).
• CNS is “CNSXXXX”. XXXX is the last four digits of the instrument
serial number. (network ID)

Setting the Language


1. Enter the maintenance password and touch [ENTER]. For the maintenance
password, contact your Nihon Kohden representative.

2. Touch [System Exit]. The central monitor program exits.

3. Click Start→ Control Panel → Regional and Language Options →


Languages → Details → Installed Services (Add).

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.

9. Check the following setting after the settings.


• “Start” at the left lower corner of the screen is in your local language.
• The CNS application is displayed in your local language.

4.12 Service Manual CNS-6201


4. HOW TO INSTALL OPERATING SYSTEM AND CNS SOFTWARE

10. Keep touching [POWER OFF] for five seconds until the countdown ends to
turn the central monitor power off.

Setting the BIOS Default Settings


Connect the following components to the PU-621R central monitor processing
unit. 4
Central monitor
Main
processing unit
LCD display

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.

Service Manual CNS-6201 4.13


Section 5 Maintenance

Restarting the Central Monitor............................................................................................................................. 5.2


To Be Replaced Periodically................................................................................................................................. 5.2 5
Maintenance Check Items and Schedule............................................................................................................. 5.2
Checking the Central Monitor Processing Unit and LCD Display......................................................................... 5.3
1. Checking the Appearance for Damage and Contamination................................................................... 5.3
2. Checking the Power Cord....................................................................................................................... 5.3
3. Checking the Operation at Power On..................................................................................................... 5.3
4. Checking the Keyboard Operation.......................................................................................................... 5.4
5. Checking the Mouse Operation.............................................................................................................. 5.4
6. Checking Operation at Restart............................................................................................................... 5.5
7. Checking Sound Generation from the Speaker...................................................................................... 5.5
8. Calibrating the Touchkeys....................................................................................................................... 5.6
9. Adjusting the LCD Display...................................................................................................................... 5.7
10. Checking the Network Connection....................................................................................................... 5.7
11. Checking the RS-232C Communication............................................................................................... 5.7
12. Checking the Hardware Information................................................................................................... 5.11
Checking the Recorder Unit............................................................................................................................... 5.13
1. Checking the Appearance for Damage and Contamination................................................................. 5.13
2. Checking the Operation at Power On................................................................................................... 5.13
3. Checking the Operation and Print........................................................................................................ 5.13
Checking the Network Printer............................................................................................................................. 5.13
Checking the Alarm Indicator............................................................................................................................. 5.14
1. Checking the Appearance for Damage and Contamination................................................................. 5.14
2. Checking the Operation at Power On................................................................................................... 5.14
3. Checking the Alarm Indicator Lights..................................................................................................... 5.14
Safety Check...................................................................................................................................................... 5.16
Safety Standard........................................................................................................................................ 5.16
PU-621R Central Monitor Processing Unit..................................................................................... 5.16
Components................................................................................................................................... 5.16
Measuring Leakage Current..................................................................................................................... 5.16
LCD Display................................................................................................................................... 5.16
PU-621R Central Monitor Processing Unit..................................................................................... 5.17
CNS-6201 Central Monitor Maintenance Check Sheet...................................................................................... 5.18

Service Manual CNS-6201 5.1


5. MAINTENANCE

Restarting the Central Monitor

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

To maintain the performance of the instrument, the following parts must be


periodically replaced.

Description Expected Life Span


WS-960P Recorder Unit
Thermal array head (AJ048-8E802) Approx. 370 stacks of recording paper
After 370 stacks of recording paper, the recording becomes thin.
Paper drive motor (CD-0004 Motor Assy) Approx. 9,000 stacks of recording paper
After 9,000 stacks of recording paper, the paper drive motor is
deteriorated and cannot feed the recording paper.
Platen roller (Platen roller Ø 8) Approx. six years
When the platen roller is deteriorated, the paper cannot be fed.

Maintenance Check Items and Schedule

Perform this maintenance check once in every six months.


A maintenance check sheet is provided at the end of this section. Make a copy of
this check sheet before using it.

5.2 Service Manual CNS-6201


5. MAINTENANCE

Checking the Central Monitor Processing Unit and LCD


Display

1. Checking the Appearance for Damage and Contamination


Check the following items.
• Central monitor processing unit is not cracked or damaged. 5
• No connectors, switches or knobs are broken or loose.
• No parts are contaminated with blood or chemicals.
• All components are properly connected to the central monitor processing unit.

2. Checking the Power Cord


Check the following items for the power cord.

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.

3. Checking the Operation at Power On


Connect the central monitor processing unit and LCD display and turn the power
of both units off.

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

Service Manual CNS-6201 5.3


5. MAINTENANCE

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.

4. Check that the CNS-6201 All Beds screen is displayed automatically.

4. Checking the Keyboard Operation


Touch [Maintenance] → [Self Check] → [Keyboard] of the System Setup screen
to check if the keys on the keyboard works properly.

For checking the keyboard operation, refer to the “Checking the Keyboard
Operation” in Section 6-2 of the Administrator’s Guide.

5. Checking the Mouse Operation


Check if the optional mouse works properly.

1. Check if the mouse cursor can move on the display.

2. Click available items on the screen to select them.

5.4 Service Manual CNS-6201


5. MAINTENANCE

6. Checking Operation at Restart


Restart the central monitor and check if the central monitor program starts
properly.

1. Turn the central monitor power off.

2. Turn the central monitor power on.


5
3. Check the central monitor program starts and the All Beds screen is
displayed.

For turning the central monitor power on or off, refer to the “Turing Power On/
Off” in Section 3 of the Operator’s Manual.

7. Checking Sound Generation from the Speaker


Use the alarm volume and QRS sync sound volume settings on [Sound Control]
of the System Setup screen and check that there is sound from the speaker.

For checking the sound, refer to the “Sound Control” in Section 13 of the
Operator’s Manual.

Service Manual CNS-6201 5.5


5. MAINTENANCE

8. Calibrating the Touchkeys


Calibrate the touch screen when the touched position and activated position do
not match.

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.

2. Touch [Yes] on the confirmation window. The calibration screen appears.

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.

Touch before the timeout


bar on the screen is
finished.

When all three places are touched correctly, the screen changes.

4. Touch [ ] on the screen. The calibration finishes.

To calibrate the touchkeys again, touch the [ ].

Touch before the timeout


bar on the screen is
finished.

Calibrating the Touchkeys in Dual Display Composition


In dual display composition, the touchkeys calibration starts from the main
display. After the marks in the three places are touched on the main display,
touchkeys calibration on the second display starts. The calibration is complete
after the marks in the three places are touched on the second display.

5.6 Service Manual CNS-6201


5. MAINTENANCE

9. Adjusting the LCD Display


Refer to the LCD display manual.

10. Checking the Network Connection


Check if the network communication is normal.

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.

5. Set the transmitter or bedside monitor as a monitored bed.

6. Check the ECG waveform or sawtooth waveform appears on the All Beds
screen of the central monitor.

For the monitored bed settings, refer to the Administrator’s Guide.

11. Checking the RS-232C Communication


The following procedure is how to check the RS-232C communication when the
OS is Windows and using the Hyper Terminal application which is supplied with
Windows.

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 CNS-6201 central monitor


1. Display [System Configuration] → [RS-232C] of the System Setup screen.

Service Manual CNS-6201 5.7


5. MAINTENANCE

2. Set the RS-232C settings.


• Baud Rate: 38400
• Data Bits: 8
• Parity: None
• Stop Bits: 1
• Flow Control: Xon/Xoff
• Communication Mode: NK Protocol

3. Display the All Beds screen.

On the PC
1. Click [Start] and select [Run].

2. In the [Open] box enter “hypertrm” and then click [OK].

3. Click [Cancel] to close the Connection Description dialog box.

4. On the File menu, click [Properties] and open the New Connection
Properties dialog box.

5.8 Service Manual CNS-6201


5. MAINTENANCE

5. In the [Connect using] box, select a RS-232C port and Click [Configure...].

6. Set the Port and click [OK].


• Baud Rate: 38400
• Data Bits: 8
• Parity: None
• Stop Bits: 1
• Flow Control: Xon/Xoff

Service Manual CNS-6201 5.9


5. MAINTENANCE

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].

9. Click [OK] to close the New Connection Properties dialog box.

10. In the New Connection - Hyper Terminal window, enter “?S;DEV” and press
Enter on the keyboard.

5.10 Service Manual CNS-6201


5. MAINTENANCE

11. Check the “#S;DEV, 0000000000000000,” appear after the line you entered
in step 9.

12. On the File menu, click [Exit].

13. Click [Yes].

12. Checking the Hardware Information


Check the condition of the internal sensor and hard disk.

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.

3. Touch [Maintenance] → [Hardware Info] of the System Setup screen to


display the Hardware Info window.

Service Manual CNS-6201 5.11


5. MAINTENANCE

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.

5.12 Service Manual CNS-6201


5. MAINTENANCE

Checking the Recorder Unit

1. Checking the Appearance for Damage and Contamination


Check the following items.
• Recorder unit is not cracked or damaged.
• No connector or lamp are damaged.
5
• No parts are contaminated with blood or chemicals.
• Recorder unit is properly connected to the central monitor.

2. Checking the Operation at Power On


Connect the central monitor processing unit, LCD display and recorder unit
properly and turn the power off.

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.

1. Turn the central monitor power on.

2. Check that the error lamp on the recorder unit lights when the recorder unit
is opened.

3. Checking the Operation and Print


1 Check the network connection. Refer to “10. Checking the Network
Connection” in this section.

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.

Checking the Network Printer

Refer to the network printer manual.

The recommended model may be changed without notice. Contact your Nihon
Kohden representative when you locally purchase a laser printer.

Service Manual CNS-6201 5.13


5. MAINTENANCE

Checking the Alarm Indicator

Check the YL-611P/YL-612P alarm indicator. When the YS-098P1/YS-098P2


additional alarm indicator unit is used, check the additional alarm indicator unit
as the same way.

1. Checking the Appearance for Damage and Contamination


Check the following items.
• The alarm indicator is not cracked or damaged.
• No parts are contaminated with blood or chemicals.
• The alarm indicator is properly connected to the central monitor.

2. Checking the Operation at Power On


Check if the alarm indicator lights when the central monitor is turned on.

3. Checking the Alarm Indicator Lights


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.

3. Touch [Maintenance] → [Self Check] → [Alarm Indicator] of the System


Setup screen to display the Alarm Indicator window.

5.14 Service Manual CNS-6201


5. MAINTENANCE

4. Touch the each color key and check if the alarm indicator lights in touched
color.

Service Manual CNS-6201 5.15


5. MAINTENANCE

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

Measuring Leakage Current


LCD Display
You need to measure earth leakage current and enclosure leakage current in both
the normal condition and a single-fault condition to make sure that the allowable
value is not exceeded. You also need to record the measured values.

NOTE
Performing safety inspection requires a special instrument for measuring
leak currents.

Example of measuring earth leakage current

AC wall outlet AC power socket LCD Display

Leak current checker

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

5.16 Service Manual CNS-6201


5. MAINTENANCE

Example of measuring enclosure leakage current

AC wall outlet AC power socket LCD Display

Exposed metallic portion


(Equipotential terminal)
5

Leak current checker

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

PU-621R Central Monitor Processing Unit


Measure the protective earth current and contact current of the protective earth
wire. Perform the measurement following the IEC 60950 recommendations.

Service Manual CNS-6201 5.17


5. MAINTENANCE

CNS-6201 Central Monitor Maintenance Check Sheet


Issue No.
Facility name Installation site Purchase date Inspection date

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.

PU-621R Central Monitor Processing Unit WS-960P Recorder Unit


No.* Item Result Action Unit number Version number Serial number

Central monitor is not cracked or damaged


No.* Item Result Action
No connectors, switches or knobs are broken or
loose. Recorder unit is not cracked or damaged.
1 No parts are contaminated with blood or No connector and lamp are damaged.
1
chemicals. No parts are contaminated with blood or
All components are properly connected to the chemicals.
central monitor processing unit. The operation at power on is normal.
2
A Nihon Kohden specified power cord is used
3 The operation and printing are normal.
The metal prongs of the power cord are not
deformed.
2 YL-611P/YL-612P Alarm Indicator
The wire in the power cord is not damaged. Unit number Version number Serial number

The ground lead is not broken. No.* Item Result Action


3 The operation at power on is normal. The alarm indicator is not cracked or
damaged.
4 The keyboard keys operation is normal.
No parts are contaminated with blood or
5 The mouse operation is normal. 1
chemicals.
6 The operation at restart is normal. The alarm indicator is properly connected to
The sound generation from the speaker is the central monitor.
7
normal. 2 The operation at power on is normal.
8 The touch keys operation are normal. 3 The alarm indicator lights normally.
9 The LCD display format is normal.
Result Action
10 The network communication is normal. Network Printer
11 The RS-232C communication is normal.
12 The status of hardware information is all normal.

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

Earth leakage Normal condition [ ] μA


Overall Judgment
current Single-fault condition [ ] μA
The instrument is working normally.
Enclosure leakage Normal condition [ ] μA
The instrument is working normally but there is/are minor
current Single-fault condition [ ] μA matter(s).
The instrument must be repaired as soon as possible.
Keep this maintenance check sheet after inspection for optimal performance of this instrument.

5.18 Service Manual CNS-6201


Section 6 Replaceable Parts List

Locations of Replaceable Parts............................................................................................................................ 6.2


List of Replaceable Parts...................................................................................................................................... 6.3

Service Manual CNS-6201 6.1


6. REPLACEABLE PARTS LIST

Locations of Replaceable Parts

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)

6.2 Service Manual CNS-6201


6. REPLACEABLE PARTS LIST

List of Replaceable Parts

OEM Manufacturer’s Nihon Kohden


Index No. Description Picture/Figure
Registration Code Code No.
1 CPU fan PDS-MA01S0567 9000-006094

2 Rear fan PDS-MA02S0567 9000-006102

3 1GB SO-DIMM board PDS-MA03S0567 9000-006129

4 HDD (Hard Disk PDS-MA04S0567 9000-006111


Drive)

5 Graphic card PDS-MA05S0567 9000-006138

6 ATX power unit PDS-MA06S0567 9000-006147

Service Manual CNS-6201 6.3


6. REPLACEABLE PARTS LIST

OEM Manufacturer’s Nihon Kohden


Index No. Description Picture/Figure
Registration Code Code No.
7 Capacitor pack PDS-MA07S0567 9000-006156

8 Motherboard set PDS-MA08S0567 9000-006165


Consists of motherboard, small board on the motherboard, heatsink with
a CPU fan and two SO-DIMM (1GB) boards.

9 Operation board PDS-MA09S0567 9000-006174 Front side Back side

10 HDD interface board PDS-MA10S0567 9000-006183 Front side

Back side

11 ATX-motherboard PDS-MA11S0567 9000-006192


cable
8-pin connector at both ends
12 ATX-HDD interface PDS-MA12S0567 9000-006209
cable

10-pin connector at one end


and two 4-pin connectors at
the other end
13 Motherboard-ATX PDS-MA13S0567 9000-006218
cable
24-pin connector at both ends
14 COM port- PDS-MA14S0567 9000-006227
motherboard serial
cable

20-pin connector at one end


and two COM ports at the
other end

6.4 Service Manual CNS-6201


6. REPLACEABLE PARTS LIST

OEM Manufacturer’s Nihon Kohden


Index No. Description Picture/Figure
Registration Code Code No.
15 Operation- PDS-MA15S0567 9000-006236
motherboard cable

12-pin connector at both ends


16 SATA cable PDS-MA16S0567 9000-006245

Right angle type connector


at one end and straight type
connector at the other end
6
17 USB cable PDS-MA17S0567 9000-006254

5-pin connector at one end


and USB port at the other
end
18 Switch and cable PDS-MA18S0567 9000-006263

19 Rubber foot PDS-MA19S0567 9000-006272


4 rubber feet and 4 screws are provided with the PU-621R central
monitor processing unit.

Service Manual CNS-6201 6.5

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