Vital Signs Monitor

93300-05

Service Manual
070-1949-00 Rev. H

 2014 Spacelabs Healthcare.

All rights reserved. Contents of this publication may not be reproduced in any form without the written permission of
Spacelabs Healthcare. Products of Spacelabs Healthcare are covered by U.S. and foreign patents and/or pending
patents. Printed in U.S.A. Specifications and price change privileges are reserved.
Spacelabs Healthcare considers itself responsible for the effects on safety, reliability and performance of the
equipment only if:

assembly operations, re-adjustments, modifications or repairs are carried out by persons authorized by
Spacelabs Healthcare, and
the electrical installation of the relevant room complies with the requirements of the standard in force, and
the equipment is used in accordance with the operations manual.

Spacelabs Healthcare will make available, on request, such circuit diagrams, component part lists, descriptions,
calibration instructions or other information which will assist appropriately qualified technical personnel to repair
those parts of the equipment which are classified by Spacelabs Healthcare as field repairable.
Spacelabs Healthcare is committed to providing comprehensive customer support beginning with your initial inquiry
through purchase, training, and service for the life of your Spacelabs Healthcare equipment.

CORPORATE OFFICES
Corporate Headquarters
Spacelabs Healthcare, Inc
35301 SE Center Street
Snoqualmie, WA 98065
U.S.A
Phone (1) 800-287-7108
Phone (1) 425-396-3300
Fax (1) 425-396-3301

Authorized EC Representative UNITED KINGDOM

Spacelabs Healthcare, Ltd.
43 Moray Place
Edinburgh, Lothian EH3 6BT
Scotland
44(0)131 240 6481, Phone
44(0) 131 240 6459, Fax
lance is a registered trademark of Spacelabs Healthcare, Inc.

Other brands and product names are trademarks of their respective owners.

Caution:
Rx Only

US Federal law restricts the devices documented herein to sale by, or on the order of, a
physician.
Before use, carefully read the instructions, including all warnings and cautions.

Table of Contents
Contents
Introduction
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1
Physical Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Electrical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
AC Line Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Environmental Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Monitor Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Setup
Unpacking the monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Power Cable Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2
Mounting the monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Network Setup (Central System only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3
Central Printer Setup . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .2-9
Theory
System Block Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
External Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Interconnection Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-6
Maintenance
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Mechanical Inspection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Electrical Safety Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Preventive Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4
Functional Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-5
Assembly/Disassembly Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Routing of Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-31
IBP Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-32
NIBP Calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-33
EtCO2 Calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-35
Software Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-35
Service Due Date Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-35
Touch Screen Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-36
Battery Maintenance Requirement. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-37
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-38
Troubleshooting
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
System Startup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Power On Diagnostic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Diagnostic Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Error Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Information Required for Diagnostic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
System Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 5-3
Parts
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
Assembly Drawings and Schematics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

Glossary

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-1

Appendix A Electromagnetic Compatibility

Appendix B Symbols

Introduction
Contents
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Physical Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Electrical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Environmental Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Monitor Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Overview
Spacelabs Healthcares products are designed and manufactured under good manufacturing
practices and in compliance with all applicable regulatory requirements. To ensure proper
operation in accordance with these guidelines, this product must be maintained by trained
technicians, using Spacelabs Healthcare authorized replacement parts.
Warnings, cautions, and notes are used throughout this manual. They are identified by the formats
shown below. Be sure to read all warnings, cautions, and notes included in each section of this
manual.

Warning:
Alerts the user to potentially serious outcomes (death, injury, or serious
adverse events) to the patient or user.

Caution:
Alerts the user to actions to be taken to avoid non-serious injury to the patient or
user, or to adverse effects to the device.
Note:
Failure to observe notifications may result in unexpected outcomes.
The lance monitor is a lightweight, portable monitor designed for use as a compact bedside
monitor or as a battery-operated monitor. The monitor features a resistive touch screen control and
can be operated on either AC mains or battery power.
Supported parameters including ECG, Resp, SpO2, NIBP, Temperature, Invasive Pressure and
EtCO2.

Figure 1-1: lance monitor

1-1

Introduction

Physical Dimensions
Assembled Weight

2.4 kg (5.3 lbs) (for 10.2 display)

Dimensions (WHD)

252 193 75 (mm) 9.9 x 7.6 x 3.0 (in) (for 10.2 display)

Electrical Specifications
Designed for continuous operation. Requires outlet with ground (Protective Earth) conductor.
Designated Class I by applicable electrical safety standards.

AC Line Requirements
AC input voltage range
AC input current
AC input frequency range

100-240 VAC
2.0 A - 1.0 A
50/60 Hz

Internally powered - automatic charging when line connected.

Fully charged battery provides continuous monitoring for up to 5 hours.
Requires 5 hours to fully charge internal battery.

Environmental Requirements
Operating Temperature
Humidity (operating)

0 to 40 C (32F to 104F)
15% to 95% relative humidity, non-condensing

1-2

Introduction

Available Configuration
Configuration
93300-05

10.2" display, 4 trace, ECG, RESP, NIBP, SpO2 and 2 Temp

lance 5
93300-05I

10.2" display, 5 trace, ECG, RESP, NIBP, SpO2, 2 Temp and 2 IBP

lance 5i
93300-05IC

10.2" display, 5 trace, ECG, RESP, NIBP, SpO2, 2 Temp, 2 IBP and EtCO2

lance 5c
93300-05E

Black color 10.2" display, 4 trace, ECG, RESP, NIBP, SpO2, 2 Temp

lance 5 elite
93300-05IE

Black color 10.2" display, 5 trace, ECG, RESP, NIBP, SpO2, 2 Temp and 2 IBP

lance 5i elite
93300-05ICE

lance 5c elite

Black color 10.2" display, 5 trace, ECG, RESP, NIBP, SpO2, 2 Temp, 2 IBP and
EtCO2

Monitor Options
93300-X
-1
-2
-3
-4
-5
-7
-8
-9
-12
-16
-17
-18C
-22
-05
-07
-A
-C
-E
-I
-M
-N
-P
-S
-T
-U

English
German
French
Italian
Spanish
Polish
Portuguese
Dutch
Russian
Turkish
Czech
Chinese (Simplified)
Chinese (Traditional)
10.2" display with Base config.
12.1" display with Base config. (Refer to 93300-07 Service Manaul)
Arrhythmia Analysis
EtCO2
Elite Black Color (If this option is not selected, the unit is white in color)
Dual Invasive Blood Pressure
Masimo SpO2
Nellcor Oximax SpO2
Network enabled
Spacelabs SpO2
ST Segment Analysis
lance Recorder enabled (Recorder hardware should be ordered separately)

1-3

Introduction

External Recorder

1-4

Setup
Contents
Unpacking the Monitor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Power Cable Connections .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mounting the monitor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Network Setup (Central System only) .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Central Printer Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2-1
2-2
2-3
2-3
2-9

Unpacking the Monitor

The lance monitor is shipped in one carton. Upon receiving the equipment, complete a
detailed inventory to verify that the equipment you received matches your order. This
inventory must include serial numbers, model numbers, and all options and cables received.
Carefully inspect these items for shipping damage. If any damage is evident, immediately
notify the shipping company and Spacelabs Healthcare. Please follow your hospitals
procedure regarding the disposal or recycling of packaging waste.

List of Components

Spacelabs lance Monitor

AC Power Cord
Startup Kit
Mounting Solution (Packed separately)
Operations and Service Manual CD

Qty 1
Qty 1
Qty 1
Qty 1
Qty 1

Reusable Packing Materials

The lance monitors packing material is designed to be reusable. Both the shipping box
and inserts can be unfolded to minimize the storage place. We highly recommend you to
keep a few for use during shipment.
In case there is no servicing facility nearby you. You may consider sending the monitor
back to Spacelabs Healthcare or our authorized distributor for servicing.
In order to provide maximum protection during shipment, it is recommended that the original
packing materials be used for packing.

2-1

Setup

Power Cable Connections

Warning:
Do not connect to an electrical outlet controlled by a wall switch because the device
may be accidentally powered off.
Do not use outlet switches not rated for load switching to control power to the monitor .

AC Power
Make sure that the AC outlet is properly grounded and supplies the specified voltage and
frequency (100 to 240 VAC; 50 to 60 Hz, 1.0 A at 230VAC and 2.0A at 115VAC.

AC
Receptacle

Fuse
Holder

Battery
On/Off
Switch
Figure 2-1: AC power connection

Before connecting the lance to AC power:

1 Turn on the Battery On/Off Switch
2 Cover the battery On/Off switch with the warning sticker to prevent unintended access.
Warning Label

To connect the lance monitor to AC power:

1 Connect the female connector end of the AC power cord to the mains connector on the
lance monitor. Refer to Figure 2-1.
2 Plug the male connector end of the AC power cord into a properly grounded mains outlet.
3 Switch the Battery On/Off switch at the back of the monitor to Battery position.
4 The LED on the front panel should illuminate in yellow.
5 Charge the battery for 5 hours before the first use.
6 Turn on the monitor. The LED on the front panel should illuminate in green.
2-2

Setup

Mounting the monitor

The lance monitor must be installed on a desktop mount or wall mount. The warranty will be void if
damage is due to monitor not mounted. Follow the mounting instructions provided with the mounting
solution to ensure it is properly installed.

Warning:
Desktop and wall Mount that is not properly installed has potential danger of
detaching from the mounting surface and cause severe injury.
Monitor which is not securely mounted has the potential to fall when subject to
external forces.

Caution:
Check to ensure the wall mount or desktop mount is securely attached to the supporting
surface. Check to ensure the mounting adaptor is securely attached to the monitor.

View Bedside Monitors at a Central Station (Central

System only)
Network Requirements:
Creating a network of lance bedsides and an lance central station requires the following:
1.
2.

The bedside devices and the PC running the central station software should be physically
connected using a regular Ethernet switch.
Both bedside monitors and PC should be set to either static or automatic IP addressing mode.
devices in the same dedicated network should be using the same mode.

All

2-3

Setup
Bedside Monitor Network Setup
Automatic IP Address Mode
1. The monitor is default to DHCP mode and will be assigned an IP address automatically when
connected to a router or switch with DHCP server functionality.

2.

When the central notices a bedside monitor on the network, it displays a dialog box that allows the
operator to select the physical location of the bedside monitor.

Static IP Address Mode

1. It is also possible to use static IP address for router and switch without DHCP server functionality.
To use the <Static IP address> mode, enter the biomed menu by touching <Monitor Setup> /
<Biomedical> / <Service> to access the <Setup Service> menu. Then select <Static IP> mode
from the <TCP/IP Setting>.

2.

The <Set Static IP> button will appear. Touch <Set Static IP> button to enter the <Set Static IP>
menu.

2-4

Setup
3.

Touch <Set Static IP> button then the <Set> button to enter the <IP address>, <Subnet mask> and
the <Default gateway>.

4.

Enter the IP address in the following pop-up window.

5.

Enter the Subnet mask in the following pop-up window.

2-5

Setup
6.

Enter the Default gateway address in the following pop-up window.

no gateway server is on the network.

This should be left blank if

Set the Central name

1.

Set the Central name that is to be connected in the dedicated network

This can be done in the <Setup Biomedical>/<Advanced Setting>/<Network Settings> as shown
below

2-6

Setup
Connect to Ethernet Network
Caution:
Only qualified personnel should attempt to connect a monitor to an Ethernet LAN the first time.
Do not connect the monitor to an Ethernet local area network (LAN) prior to configuring the
following settings. The monitor must be properly configured for LAN access before you operate the
monitor. If you fail to correctly configure the monitor, you may interrupt other units also using the
LAN.
Note:
Detailed installation instructions for the physical Ethernet LAN are beyond the scope of this document.

To connect a monitor onto an existing Ethernet LAN, complete the following steps at the Central:
1.

Click <Setup> / <Service> menu, select the <Configure...> button, and double click on a monitor
that will be used under the <Monitor Number> column. Enter the location/bed name to be
displayed at the Central.

Double click one of the monitor

2.
3.

Once set up this way, run the lance Central program on the Central PC.
Ensure the bedside monitor network setup is completed.
2-7

Setup

4.

Attach a network cable to the RJ45 network connector on the monitor.

Figure 2-2: Network Connection

5.
6.
7.

Connect the other end of the network cable to the nearest network port.
Power ON the monitor.
When the central notices a bedside monitor on the network, it displays a dialog box that allows the
operator to select the physical location of the bedside monitor.

8.

Confirm the connection.

9.

The monitor should start communicating. The bedside monitor ECG waveform and numeric will
be displayed within the small view windows of the selected location.

2-8

Setup

Disconnect from Ethernet Network

To remove a monitor from the LAN, disconnect the network cable from the 10/100BaseT network
connection.

2-9

Theory
Contents
System Block Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
External Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-6
Interconnection Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7
Boot Sequence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7

System Architecture
CO2

ORIDION
MINIMEDI CO2

EXH

SECOND
SPEAKER

Press

UART

ATMEL
ATMEGA640
MICROCONTROLLER

NIBP
PUMP / VALVE

ALARM OUT

NIBP

BUFFER

ISOLATOR

EXTERNAL
STRIP
CHART
RECORDER

BUFFER
PATIENT ISOLATED
FRONT END
BP1
BP2

Acquire
ATMEL
ATMEGA162V
MICROCONTROLLER

T1
T2
SpO2

ECG ACQ
ATMEL
ATMEGA162V
MICROCONTROLLER

ECG
RESP

MAIN
SPEAKER
I
S
O
L
A
T
O
R

COMPACT
FLASH CARD

Z-Bitsy

ETHERNET

BITSY-X
PROCESSOR BOARD

USB

BATTERY

BACK
LIGHT

LCD DISPLAY

+5V
+14V

POWER
SUPPLY

PATIENT ISOLATED
FRONT END

TOUCH SCREEN

AC INPUT
MODULE

AC INPUT

MONITOR BLOCK DIAGRAM

Patients ECG, RESP input signal is acquired, amplified and processed by the ECG ACQ ATMEL ATMEGA162V
microcontroller. This part is electrically isolated from the other circuitry.
Patient Invasive BP, Temperature and SpO2 input signal is acquired, amplified and processed by the Acquire ATMEL
ATMEGA162V microcontroller. This part is electrically isolated from the other circuitry.
Patient Non-Invasive BP and CO2 input signal is acquired and processed by the AMTEL Press ATMEGA640
microcontroller.
Monitor program is stored and run from the Zbitsy Board.
Z-Bitsy processor Board processes the data from I/O connectors and internal compact flash card.
The nurse alert output is controlled by the ATMEGA640 microcontroller.
The main speaker is controlled by the Zbitsy Board. The second speaker is controlled by the ATMEGA640
microcontroller.
Strip Chart Recorder is connected to the monitor externally. Signal send via a buffer to the processor board.
Display signal is sent from the Z-bitsy to the LVDS driver board. The signal from the LVDS is subsequently sent to the
LCD display. LCD backlight is controlled by the ATMEGA640 microcontroller.
AC power cord is connected directly to the monitor via an AC input module. The internal power supply generates +5v
and +14v for the boards and also responsible for charging the internal Lithium battery.
3-1

Theory

ECG Block Diagram

ECG
Input

MUX

PACER /
LEADOFF

AMP

Detection

A/D
Converter

ECG detection is by means of measuring the voltage of the QRS signal from the heart muscle.

Patient ECG is acquired via ECG lead wires.

Individual ECG lead signal is fed through a multiplexer for processing.

ECG signal from the multiplexer is fed to pacer detector to identify pacer spike for elimination
subsequently.

It is also sense for leadoff condition by leadoff detector.

ECG signal is amplified by amplifiers.

Amplified ECG signal is then sent to the analog to digital converter for conversion.

Digitized ECG signal is sent to the microcontroller for processing.

Respiration Block Diagram

RA
RESP
Input

28 KHz

LL

MUX

LEAD OFF

DEMOD

Detection

A/D
Converter

Patient respiration detection is by means of impedance pneumography.

RESP signal is acquired via RA and LL of ECG lead wires.

Thoracic impedance is detected by passing a 28 kHz carrier to electrodes RA and LL.

Leadoff detection circuitry is used to detect lead off conditions.

The acquired signal is fed through a demodulator to recover the outline of the respiration pattern.

The signal is sent to A/D for digital conversion.

Digitized signal is sent to microcontroller for processing.

3-2

Theory

Invasive Blood Pressure Block Diagram

+

Filter

IBP1
Input

AMP

A/D
Converter

AMP

A/D
Converter

Calibration
MUX

IBP2
Input
+

Filter

Patient blood pressure detection is by pressure transducer connected to the patient blood vessel via
catheter or tubing.

A +5v excitation voltage is applied to the pressure transducer.

The output of the pressure

transducer is at 5uv/mmHg/V.
-

Blood pressure signal is converted to voltage by the pressure transducer and sent through the filter
to the amplifier.

Calibration signal is control by a multiplexer for calibrating BP1 and BP2 channels.

Amplified signal is sent to the analog to digital converter for conversion.

Digitized signal is sent to the microcontroller for processing.

Temperature Block Diagram

T1/T2
Input

Filter

Auto CAL
20C/40C

A/D
Converter

AMP

Patient temperature detection is by using a temperature probe.

The thermistor inside the

temperature probes varies according to the temperature changes.

-

The thermistor signal is sent through a filter to the amplifier.

conversion.

Then sent to the A/D for

Digitized signal is sent to the microcontroller for processing.

A 20c and 40c signal controlled by the ATMEGA162V is used for auto calibration of the
temperature channels.

3-3

Theory

NIBP Block Diagram

Pressure
Transducer, P1

A/D
Converter

Buffer

Pt. Cuff
Bleed
Valve

Pressure
Transducer, P2

Vent
Valve

Pump

Micro
Controller
ATMEGA64

Patient NIBP detection is by means of oscillometric method.

The ATMEGA64 microcontroller controls the pump, vent valve and bleed valve during NIBP
measurement.

Cuff pressure is measure by P1 and sent through buffer to A/D conversion.

The digitized signal will be sent to the ATMEGA162V microcontroller for processing.

The ATMEGA64 microcontroller will trigger to deflate the cuff if pressure is detected by P2 for
more than 180 seconds.

Note:
The NIBP algorithm is modeled on the Biotek NIBP simulator. Diastolic pressures may appear
marginally low (no more than 6%) if the performance is checked with other patient simulators.

3-4

Theory

SpO2 Block Diagram

SpO2
Input

Red
AMP

IR

Ambient

S/H

AMP

LPF

S/H

AMP

LPF

S/H

AMP

Diff.
AMP

Red

Diff.
AMP

IR
A
D
C

LPF

Diff.
AMP

Red
DC

Diff.
AMP

IR
DC

Patient SpO2 detection is by comparison of Red and IR light absorption by patient arterial blood.

The current for driving the LED is controlled by the ATMEGA162V microcontroller.

The signal detected at the SpO2 sensor is amplified and captured at by the sample and hold
circuitry.

Then, the signal is further amplified and sent through a 7-8Hz LFP.

Each of dynamic RED and IR and static RED and IR signals are compare with the ambient signal
at the Differential Amplified.

This is to derive the SpO2 IR, SpO2 IR DC, SpO2 RED, SpO2 RED

DC signals.
-

The SpO2 DC, SpO2 IR, SpO2 IR DC, SpO2 RED, SpO2 RED DC signals are sent to ATMEGA
microcontroller for processing.

3-5

Theory

External Connectors
The monitors external connectors are listed
Reference
J4

Connector

Description

RJ45

Ethernet 10/ 100BaseT

Pin out
1
TD+
2
TD3
RD+
4
N.C.
5
N.C.
6
RD7
N.C.
8
N.C.
9
ETH LED1 +
10
ETH LED1 11
ETH LED2 12
ETH LED2 +
13
CHASSIS

J2

USB

USB Memory

1
2
3
4
5

VCC
Data Data +
GND
CHASSIS

J5

RJ25

Alarm Relay Output

1
2
3
4
5
6

SW1 (Common)
ALM OUT 1 (NC)
ALM OUT 2 (NO)
+14v DC
N.C.
GND

Contact Points

Strip Chart Recorder

1
2
3
4
5
6
7
8

TxD
DTR
RxD
CTS
+14v
+14v
GND
GND

Caution:
There is a delay of up to 0.2 seconds from alarm activation on the monitor until the signal
changes state on the remote alarm connector J5.

External Controls
The power ON/OFF switch located on the front bezel is the only external control for the monitor.

3-6

Theory

Interconnection Diagram
Patient Input
Connectors

LCD Driver
Board

J8

LCD Display

Zbitsy Board

Touch Screen

ECG/
RESP
J5

SpO2

JB3

JB10

J4
J1

T1

J23
J7

Inverter
Board

J13 (B)

Side Board

J3 (B)

Main
Speaker

LCD Backlight

External
Strip Chart Recorder
(Optional)

Main Board
T2

J10

BP1

J12
J8(B)
J16

BP2

J21 (B)

J18

J11

Nellcor
Board
(Optional)

Masimo
Board
(Optional)

J1

Battery

TB1

AC
Socket

Battery Charger
&
I/O Board

J17

J4

CO2 Board
(Optional)

J3

J4

J5

J2

RJ45

RJ25

USB

TB2

Power
Supply

Monitor PCBs
Interconnection Diagram

Boot Sequence
1.
2.
3.

After power-on, the SL and lance logo will be displayed during the boot up period.
Monitor will perform internal self test during this period.
The Normal screen will be displayed when no error is detected during the self test.

3-7

Maintenance
Contents
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Mechanical Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Electrical Safety Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2
Preventive Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Functional Tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-5
Assembly/Disassembly Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Routing of Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-29
IBP Calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-30
NIBP Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-31
EtCO2 Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-33
Software Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-34
Service Due Date Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-34
Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-35

Overview
The following information describes the requirements and tests necessary for safety and
performance verification of the monitor. It is recommended that the preventive maintenance check be done
annually.

Caution:
Observe precautions for handling electrostatic-sensitive devices!
Note:
Never touch electrostatic-sensitive electronic components without following proper
anti-static procedures, including the use of an ESD wrist band and mat. An electrostatic
discharge from your fingers can permanently damage electronic
components and cause latent failures.
All static-sensitive electronic components are packaged in static-shielding bags.
Retain the bag for repackaging the component should you need to store it or return it to
Spacelabs Healthcare for any reason.
Cleaning, preventive maintenance, and safety checks should be performed
annually and following any product disassembly/assembly. Preventive
maintenance and safety checks must be performed by trained personnel only.

Required Test Equipment

Electrical Safety Analyzer Dynatech Nevada 232C or equivalent
Patient Simulator Dynatech Nevada 300B or equivalent
Note:
Before testing, ensure that the module housing(s) and its DC power supply(s) have
their associated cables attached, but are not interconnected.
Ensure that the Ethernet cable and AC power sources are removed.
The AC line is auto detected; no user selection is necessary.
Ensure that the leakage test equipment is calibrated.

4-1

Maintenance

Mechanical Inspection
Verify that:
The monitor and all optional equipment are clean.
All screws are tight.
The case and connector pins are not damaged.
There are no frayed or pinched wires or cables.

Electrical Safety Testing

Safety testing protects the patient from electrical shock, especially micro-shock. It has been
determined experimentally that current values in the microampere (uA) range may cause fatal
arrhythmias in electrically susceptible patients. A patient is deemed electrically susceptible when
connected to monitoring equipment.

Definitions
Classification IEC/EN/UL 60601-1 Safety standard designation for the class of equipment and
type of patient applied parts that indicate the degree of protection provided against electrical shock.
Leakage Current Current that is not functional. It includes patient leakage, ground leakage,
and enclosure (or chassis) leakage.
Patient Lead Leakage Current that flows from the applied part of the patient lead to ground.
Chassis Leakage Current flowing from the enclosure (or from conductive parts accessible to
the operator) through the ground conductor.
Normal Condition Condition in which all means provided for protection are intact. Includes,
ground connections, insulation, creepage and clearance distances.
Single Fault Condition Open ground, open neutral, line voltage on a patient connection, or
any single state other than normal condition that could compromise patient safety.
UUT Unit Under Test.
Spacelabs Healthcare does not endorse standards to the exclusion of others. Therefore: BE SURE
TO CHECK YOUR LOCAL REQUIREMENTS TO ENSURE YOUR EQUIPMENT
SAFETY TESTS COMPLY WITH LOCAL STANDARDS. Generally accepted standards for
medical monitoring equipment, such as the Underwriters Laboratory (UL) and the National Fire
Protection Association (NFPA) standards, are summarized in Table 1.

4-2

Maintenance
Table 1: Summary of Standards for Medical Monitoring Equipment
International Mains to Chassis
U.S. (120 V) Mains to Chassis
Mains Resistance
Leakage
Leakage
100 A - normal condition, ground
300 A - normal condition, ground
500 milliohms*
attached (AC connector to chassis)
attached (AC connector to chassis)
500 A - single fault condition, open 300 A - single fault condition,
500 milliohms*
ground or reverse polarity
open ground or reverse polarity
* Measured from the AC Power cord third wire ground to the most distant ground attachment

Equipment Required
Electrical Safety Analyzer, Fluke model 232D or equivalent.
These tests should be performed according to the hospitals scheduling requirements, at least
annually or after repair or modification.
Note:
All tests must be performed according to the safety analyzers operations manual, and
any local requirements.

Warning
Before starting safety tests, ensure that no patient is connected to the device under test.
If safety tests must be performed on equipment currently monitoring a patient, obtain
permission to disconnect the cables from the monitor and patient.

Ground Resistance
1

Attach the power cord to the monitor under test, then measure the resistance from the
AC power cord third wire ground to a chassis location, such as the equipotential post
on the rear of the monitor.

Verify that the resistance is less than 500 milliohms (0.5 ohms).

Chassis Leakage Current Tests

1

Plug the leakage analyzers into mains power.

Plug the equipment into the analyzers AC receptacle.

Verify that the leakage current from the chassis to ground is less than the values in
Table 2.

4-3

Maintenance
Table 2: Enclosure Leakage Test Conditions and Limits
Neutral

Ground

Condition

Condition

Polarity

International

U.S.

Limit

Limit

Closed neutral

Closed ground

Normal polarity

100 A

300 A

Open neutral

Open ground

Normal polarity

500 A

300 A

Closed neutral

Open ground

Normal polarity

500 A

300 A

Patient Lead Leakage Current Tests (Patient Modules)

Before you can perform the Patient Lead Leakage Current Test, verify that the monitor
passes the ground resistance and chassis current leakage tests. It is recommended that the
equipment be operating for 30 minutes prior to the test to allow thermal stabilization.
1

Patient Leads Current Leakage measure the leakage current between each of the
patient lead wires and the ground lug on the monitor back panel. Also, measure the
leakage current between all combinations of ECG leads and ground. The current
must be less than 10 uA with the ground connected, and 50 uA with the ground open.

Leakage Current to Ground with 50/60 Hz AC mains voltage applied to leads.

Apply AC mains voltage and measure the leakage current between each of the ECG
lead wires and the ground. The current must be less than 50 uA at any line voltage.

Preventive Maintenance
A Spacelabs Healthcare Field Service Engineer or qualified hospital biomedical technician should
check the monitor and optional equipment for acceptable performance and electrical safety to

ensure they operate according to current requirements.

4-4

Maintenance

Function Test
Setup
Apply Shake Test to the monitor to confirm no loose parts inside the unit.
Connect lance to ECG, SpO2 and Temperature Simulators
Leave NIBP unconnected.
Power Up
Connect lance to mains power
Check: The yellow LED is lit.
Power-up the lance.
Check: Green LED in front panel is lit.
Check: Battery Charging icon is displayed (mains power)
Disconnect AC power from lance.
Check: Battery icon is displayed
S/N and SW Version Check
Touch <Monitor Setup> -> <Biomedical> -> <Service> -> Configuration> to bring up lances
Configuration Menu.
Check: serial number is correct
Check: ACQUIRE, PRESS, ECGACQ, CF displayed
Check: Main software version is correct
NIBP Safety and Pneumatic Checks
Start NIBP Measurement with hose disconnected
Listen for 2 NIBP pump speeds during the 1st 5 seconds of the measurement.
Stop NIBP Measurement.
Connect lance to NIBP Cuff wrapped around mandrel.
Start the NIBP measurement and observe the time. Squeeze the cuff every 5 seconds and then
release. Until message NIBP measurement time exceeded is displayed.
Check: NIBP measurement timeout in 135 seconds.
Main Physiological Parameters
ECG:
Setup monitor to display Leads III, II, V(for 5-Lead cable) or Lead II(for 3-Lead cable)
Verify that the selected ECG Leads are displayed correctly
Check parameters (HR, RR, SpO2, PR)
Set HR Low Alarm Limit to 60. Set HR to 40.
Verify that the ECG numeric zone turn yellow, alarm activated and message HR<60 is displayed.
Set HR High Alarm Limit to 80. Set HR to 120.
Verify that the ECG numeric zone turn yellow, alarm activated and message HR>80 is displayed.
Respiration:
Setup monitor to display RESP (in channel 2 only).
Check RESP waveform quality (clean signal),
Turn on the RR alarms,
Set RESP Lower Limit to 25.
Set simulator Resp Rate to 20.
Verify that the RESP numeric zone turns yellow, alarm activated and RR<25 message is displayed.
Set RESP High Alarm Limit to 35.
Set simulator Resp Rate to 40
Verify that the RESP numeric zone turns yellow, alarm activated and RR>35 message is displayed
4-5

Maintenance
SpO2
Setup monitor to display SpO2 (in channel 3 only).
Check SpO2 waveform quality (clean signal)
Turn on the SpO2 alarms,
Set SpO2 High Alarm Limit to 95.
Connect a SpO2 finger sensor to your finger and observe the reading,
If the reading is above 95%. Verify that SpO2 numeric zone turn yellow, alarm activated and
message SpO2 >95 is displayed.
Set SpO2 High Alarm Limit to 100 and Low Limit to 99.
Connect a SpO2 finger sensor to your finger and observe the reading,
If the reading is below 99%. Verify that the SpO2 numeric zone turn yellow, alarm activated and
message SpO2 <99 is displayed.

Record Results
ECG Arrythmia & ST (For option A & T only)
Set simulator to generate PVC. Observe PVC per minute counter increases by 1 in every
occurance of PVC waveform.
Observe that the monitor generate PVC alarm when the PVC per minute counter reaches 10.
Set simulator to generate Couplet.Observe that the monitor generates Couplet alarm.
Set simulator to generate V-tach waveform. Observe that the monitor generates V-tach alarm.
Set simulator to generate Pause waveform. Observe that the monitor generates Pause alarm.
Set the ST alarm ON and ST setting to 1mm.
Set the simulator to generate ST value 1 mm above the baseline. Observe that the monitor
generates ST alarm..
Set the simulator to generate ST value 1 mm below the baseline. Observe that the monitor
generates ST alarm
Repeat the above steps above with ST settings of 2, 3, 4, 5, 6, 7, 8mm.
ECG/Respiration Lead-off Check
Attach ECG cables to the ECG simulator
White, Black, Green, Red, Brown (for AAMI 5-lead cable)
White, Black, Red (for AAMI 3-lead cable)
Setup ECG II,I, V(for 5-lead ECG cable only) in Channels 1, 2, 4
Disconnect RL (Green) (for 5-lead ECG cable only)
Observe that all waveforms are still displayed
Reconnect RL, Disconnect LL (Red)
Observe that all waveforms except for Lead I disappear Check ECG Lead message is
displayed.
Reconnect LL, Disconnect RA (White)
Observe that all waveforms disappear, and ECG Lead off message is displayed.
Reconnect RA, Disconnect LA (Black)
Observe that all waveforms except Lead II disappear.
Reconnect LA, Disconnect V (Brown) (for 5-lead ECG cable only)
Observe that Lead V waveform disappear
Reconnect V
Record results

4-6

Maintenance

Select Respiration Lead in Channel 2

Disconnect LL (Red)
Observe that the RESP waveform disappears
Reconnect LL, Disconnect RA (White)
Observe that the RESP disappear
Reconnect RA
Record results

Temperature
Connect a temp probe to the monitor.
Leave the temp probe in room temp for 3 min.
Observe that the monitor displays the room temp.
Hold the temperature probe and wait for 3 min.
Observe that the monitor displays approx. 36.5 degrees Celsius or your body surface temperature.
IBP
Set P1 IBP Systolic alarm limit to 110(L) and 130(H), Diastolic alarm limit to 70(L) and 90(H),
Mean alarm limit to 85(L) 105(H).
Set the simulator to generate Systolic pressure below 110mmHg. Observe that the monitor
generates P1 IBP Systolic low limit alarm.
Set the simulator to generate Systolic pressure above 130mmHg. Observe that the monitor
generates P1 IBP Systolic high limit alarm.
Set the simulator to generate Diastolic pressure below 70mmHg. Observe that the monitor
generates P1 IBP Diastolic low limit alarm.
Set the simulator to generate Diastolic pressure above 90mmHg. Observe that the monitor
generates P1 IBP Diastolic high limit alarm.
Set the simulator to generate Mean pressure below 85mmHg. Observe that the monitor generates
P1 IBP Mean low limit alarm.
Set the simulator to generate Mean pressure above 105mmHg. Observe that the monitor
generates P1 IBP Mean high limit alarm.
Same setting and test apply to P2.
EtCO2
Connect the EtCO2 sampling line to a 5% CO2 gas cylinder output port. Verify that the EtCO2
reading on the monitor is 38mmHg2mmHg.
Set the EtCO2 alarm high limit to 30mmHg. Verify that the monitor generates EtCO2 high limit
alarm.
Set the EtCO2 alarm low limit to 45mmHg. Verify that the monitor generates EtCO2 low limit
alarm.
Network
Check: Central Waveforms match monitor
Check: Central Parameters match monitor
Record results

4-7

Maintenance
Alarm Annunciation
Set ECG simulator to Asystole. Verify that the ECG numeric zone turn red and displayed
ASY, alarm is triggered with message ECG asystole displayed.
Set ECG simulator to VFib. Verify that the ECG numeric zone turn red and displayed VF,
alarm is triggered with message ECG ventricular fibrillation displayed.
Check: Life-threatening alarm tone is annunciated (in groups of ten at eight second intervals)
Record results

2nd Speaker
Check: 2nd speaker is activated if alarm is not attended in the preset period of time (0-3 minutes).
Check: Alarm Silence key (silences both speakers)
Set ECG simulator to normal sinus rhythm
Record results

Speaker Volume
Select Speaker Volume in <Monitor Setup> -> <Clinical> -> <System>
Check: speaker volume sounds at all 10 settings (note, only main speaker will sound)
Recorder Option
(Skip this page if Recorder not installed)
Connect Recorder
Check: lance reports Recorder connected.
Open the recorder door
Check: lance reports Recorder door is open
Remove paper then close the recorder door
Check: lance reports Recorder out of paper
Insert a roll of paper and close door.
In lance <Monitor Setup> -> <Biomedical> -> <Service> Menu, run <Recorder Diagnostics>
Check: test pattern at end of recording for missing print head dots.

Power Cycle and Check Time

Power cycle monitor
Check: lance logo seen during start-up
Check: correct time on monitor display

Electrical Leakage Current Tests

Connect the monitor power cord and the patient leads to the safety analyzer.
Power up the Safety Analyzer
Power up the monitor
Test the monitor for normal and single fault conditions
Compare the results with Table 1 & 2 in the Electrical Safety Testing section above to insure safe
operation.
Power off the monitor
Equipment failing this test should be repaired before returning to service.

4-8

Maintenance

Assembly/Disassembly Procedures
Caution:
Before beginning any disassembly procedures, power OFF the monitor,
disconnect the AC cord from the AC power receptacle, remove the battery switch
label and disconnect the battery by moving the battery switch to
position.
Observe precautions for handling electrostatic-sensitive devices!
Replace the battery switch label when the monitor is re-assembled.
Proper torque 6.0
0.5 lb-in is recommended to secure the enclosure with screws at
assembly.

Required Tools and Parts

Anti-static mat with wrist strap
#1 and #2 Phillips-head screwdriver
5/16-inch nut driver
3/16-inch nut driver

Installing or Replacing the Optional Recorder

1.

Align the top and bottom locking pins with the keyholes on the monitor side panel.

Latch Release
Latch

2.

Side the recorder downward until the latch locks the recorder in position.

3.

To uninstall, release the latch and slide the recorder upward until it reach the top of the keyhole.
Then, gently detach it from the monitor side panel.

4-9

Maintenance

Replacing the Front Panel / LCD

1.

Remove label covering battery on/off switch.

position.

Disconnect battery power by moving the switch to off

Battery ON/OFF Switch

2.

Remove two screws from the top and three screws from the bottom that is hidden under the rubber
plugs.

Remove
Rubber Plug
& Screw

Remove
Rubber Plug
& Screw

Remove
Rubber Plug &
Screw

Remove
Rubber Plug
& Screw

Remove
Rubber Plug
& Screw

4-10

Maintenance
3. Place the monitor upright in front of you with the screen facing you.

4. Gently create a small gap at the top right corner at the junction of the front and rear enclosure
with your finger nail or non-metallic tools to prevent scratching the enclosures. Gradually
widen the gap so that it is enough to insert the finger tip.
(Note 1: There are latches along the left and right sides of the front and rear enclosure.
Therefore, it is easier to start separating the front and rear enclosure from the top right corner
as shown.

It is easier to start
separating the front and
rear enclosures from this
area.

There are three latches

along each side of the
monitor.

4-11

Maintenance

5. Insert the finger tip into the gap created in step 4. Use the thumb to push the rear enclosure
and the index finger to pull the front enclosure. Gradually apply force until the latches on the
right hand side of the monitor are unlocked. Crack sound may be heard when the latches
are unlocked. The right hand side of the monitor has been opened now. Maintain the gap
in about 1cm wide.
Use the index finger to pull
the front enclosure in the
direction of arrows.

DO NOT flip the front panel to open.

The latches on the left hand side of the
monitor will be broken.

Use the thumb to push the

rear enclosure in the
direction of arrows.

6. Continue to separate the front and rear enclosures by moving the finger tips along the gap
from right to left. Maintain the gap on the right hand side of the monitor in about 1cm while
unlocking the latches on the left hand side of the monitor. Again, crack sound may be heard
while unlocking the latch. Support the front enclosure with your left hand to prevent it from
tipping forward.

Keep the gap on

the right at about
1cm wide while
uplocking the
latches on the left.

Further separate
the enclosures
gently along the
top by moving
the finger tips
towards the left
of the monitor in
the direction of
arrows.

4-12

Maintenance
7.

Maintain the opening on the top to about 5cm.

Disconnect the LCD Backlight cable.

Keep the gap on

the top at about
5cm.

Disconnect the LCD

Backlight cable.

8.

Move the front enclosure towards the left and lean against the rear enclosure to get access to the touchscreen cable connector on the Main Board.

Touch-screen
cable connector.

4-13

Maintenance

9. Flip the latch of the touch-screen cable connector (J23) downwards and remove the touch-screen cable
carefully. (Warning: DO NOT flip the latch down more that 90 degrees or the connector will be
damaged permanently.)

Touch-screen cable.

Touch-screen cable
connector latch.

Flip the latch down to

unlock.

10. The picture below shows the touch-screen cable connector J23 in its unlocked position.

Touch-screen cable
connector latch in its
unlocked position.

4-14

Maintenance
11. The picture below shows the touch-screen cable connector J23 in its locked position.

Touch-screen cable
connector latch in its
locked position.

interconnection cables.
12.

Place the LCD front panel flat in front of the rear enclosure before disconnecting the LCD and
Backlight Inverter cables.

LCD Cable

Touch Screen Cable

Backlight Inverter Cable

13. Gently disconnect the LCD cable from the Zbitsy Board.

4-15

Maintenance
14. Gently disconnect the Backlight Inverter cable from the Main Board.

LCD Backlight
Cable

Touch Screen Cable

LCD Cable

15. Replace the LCD Assembly.

16. Reconnect the LCD cable, Touch Screen cable, LCD Backlight cable and reassemble the monitor.

Caution:
Never pull on the flex cable. This may damage the cable end or the connector.
Take care when handling cables and connectors. They are fragile and can be damaged if not
handle carefully.
Note:
Proper operation of the monitor depends upon correct cable re-insertion following disassembly. Ensure
that the flex cable is aligned properly and fully inserted into the connector prior to locking the
connector tab down.

Replacing the Zbitsy Board

1.

Disconnect battery power by moving the rear switch to off position.

2.

Remove the Front Panel.

4-16

Maintenance
3.

Gently separate the two connectors between the Zbitsy Board and the Main Board.
Separate this connector between
the Zbitsy and Main Board

Mylar sheet placed

between Zbitsy Board
and Main Board

Zbitsy Board

Main Board

Separate this connector between

the Zbitsy and Main Board

4.

Replace the Zbitsy Board and reassemble the monitor. Make sure the mylar sheet is placed
between the Zbitsy and Main Board during reassembly.

Replacing the Main Board

1.

Disconnect battery power by moving the rear switch to off position.

2.

Remove the front panel.

3.

Remove four screws that hold the Main Board to the rear enclosure.
Remove Screw
(under the mylar sheet)

Remove Screw

Remove Screw
Remove Screw
(under the mylar sheet)

4-17

Maintenance
4.

Gently disconnect all the interconnection cables from the Main Board and Zbitsy Board.
the interconnection from the Patient Input Panel are under the mylar sheet.

Please note

These connections
from Patient Input
Panel are under the
mylar sheet.

5.

Separate the connector that connects the Main Board and I/O Board.

Separate connection between

Main Board and I/O Board

(View from bottom)

The connector can be seen from

the left after lifting up the Main
Board slightly

(View from Patient Input Panel side)

4-18

Maintenance
6.

Disconnect the NIBP hose from the Tee joint near the top right of the Main Board.

Disconnect the hose from

the Tee Joint

7.

Gently lift the Main Board up from the left. Make sure the top right corner near the alarm LED by
moving the Main Board to the left when removing the Main Board from the rear enclosure.

Move Main Board to the left to

near the alarm LED

4-19

Maintenance
8.

Place the monitor in upright position. Gently remove the Main Board partially from the rear
enclosure. Disconnect the interconnection cables before completely separate the Main Board from
the rear enclosure.

9.

Disconnect the EtCO2 cable (if installed), Side PCB cable, Power Supply cable and Speaker cable from
the Main Board.

Speaker cable

Side PCB cable

Power Supply cable

EtCO2 cable (if installed)

10. Remove the Zbitsy Board from the Main Board.

11. Replace the Main Board and reassemble the monitor.

4-20

Maintenance

Replacing the Inverter board Assembly

1.

Disconnect battery power by moving the rear switch to off position.

2.

Remove the Front Panel.

3.

Remove the Main Board and Zbitsy Board from the rear enclosure.

4.

Remove the Mylar sheet covering the battery.

5.

Remove two screws that hold the Inverter Board on the rear enclosure.
Remove Screw

Remove Screw

Replacing the Power Supply Assembly

1.

Disconnect battery power by moving the rear switch to off position.

2.

Remove the Front Panel.

3.

Remove the Main Board and Zbitsy Board from the rear enclosure.

4.

Remove the Mylar sheet covering the battery.

5.

Remove four screws that hold the Power Supply Board on the rear enclosure.

Remove Screw

Remove Screw

Remove Screw

Remove Screw

4-21

Maintenance
6.

Flip the Power Supply Board to the right and remove the cables from the AC input module.

Disconnect AC Input Cable

Power Supply cable

7.

Replace Power Supply Board and reassemble the monitor.

Power Supply during reassembly.

Ensure the mylar sheet is installed on the

4-22

Maintenance

Replacing the CO2 Board

1.

Disconnect battery power by moving the rear switch to off position.

2.

Remove the Front Panel.

3.

Remove the Main Board and Zbitsy Board from the rear enclosure.

4.

Remove four screws that hold the CO2 Board on the rear enclosure.

Remove Screw

Remove Screw

5.

Remove Screw

Remove Screw

Replace EtCO2 Board and reassemble the monitor.

4-23

Maintenance

Replacing the Battery

1.

Disconnect battery power by moving the rear switch to off position.

2.

Remove the front panel.

3.

Remove the Main Board and Zbitsy Board from the rear enclosure.

4.

Remove the mylar sheet which covering the battery.

5.

Remove the screws that is holding the patient input panel.

Remove Screw

Remove Screw

6.

Remove four screws that secure the two metal braces to the rear enclosure.

Remove Screw

Remove Screw

Remove Screw

Remove Screw

4-24

Maintenance
7.

Flip the patient input panel sideway so that the Temperature connector is clear from the battery.
Remove the battery by pulling the strap on the top, and then remove the battery from its contact.

Pull this strap to lift the

battery up

8.

Replace battery and reassemble the monitor.

4-25

Maintenance

Replacing the Masimo SpO2 PCBA

1.

Disconnect battery power by moving the rear switch to off position.

2.

Remove the Front Panel.

3.

Remove the Main Board and Zbitsy Board from the rear enclosure.

4.

Remove the Mylar sheet and Battery.

5.

Remove the Masimo SpO2 PCBA by removing four screws holding the Board to the rear enclosure.

Remove Screw

Remove Screw

6.

Remove Screw

Remove Screw

Replace the Masimo SpO2 PCBA and reassemble the monitor.

4-26

Maintenance

Replacing the Nellcor SpO2 PCBA

1.

Disconnect battery power by moving the rear switch to off position.

2.

Remove the Front Panel.

3.

Remove the Main Board and Zbitsy Board from the rear enclosure.

4.

Remove the Mylar sheet and Battery.

5.

Remove the Nellcor PCBA by removing two screws holding the board to the rear enclosure.
Remove Screw

Remove Screw

6.

Replace the Nellcor Board and reassemble the monitor.

4-27

Maintenance

Replacing the I/O PCBA

1.

Disconnect battery power by moving the rear switch to off position.

2.

Remove the front panel.

3.

Remove the Main Board and Zbitsy Board from the rear enclosure.

4.

Remove the Mylar sheet and Battery.

5.

Remove the screw on the Ground Plate that is holding the grounding wire from the I/O Board.

6.

Remove the screw that holds the I/O Board to the rear enclosure.

Remove Screw

Remove Screw

7.

Gently slide the I/O Board out of the slots on both sides.

Battery Connector

8.

Main board Connector

Reinstall the replacement I/O Board in reverse order.

4-28

Maintenance

Replacing the Patient Input Panel

1.

Disconnect battery power by moving the rear switch to off position.

2.

Remove the front panel.

3.

Remove two screws that hold the patient input panel to the rear enclosure.

Remove Screw
T1

T2
SpO2
IBP 1
IBP 2

ECG

Remove Screw

4.

Gently remove all the interconnection cables from the Main Board.

5.

Remove the patient input panel from the rear enclosure.

6.

Replace the patient input panel board and reassemble the monitor.

4-29

Maintenance

Replacing the Recorder Side PCBA

1.

Disconnect battery power by moving the rear switch to off position.

2.

Remove the Front Panel.

3.

Remove the Main Board and Zbitsy Board from the rear enclosure.

4.

Remove the CO2 PCBA if installed.

5.

Remove two screws from the middle that hold the Recorder Side PCBA to rear enclosure.

Alarm LED connector

Remove Screw

Remove Screw

Connect to Main board

6.

Remove the recorder Side PCBA.

7.

Replace the Side Board and reassemble the monitor in reverse order.

4-30

Maintenance

Routing of Cables
It is important to route the Speaker cable, Jumper cable and EtCO2 cable and hose (For option C only)
according to the diagram below.

4-31

Maintenance

IBP Calibration
Required tools and parts:
1.
2.
3.

Patient Simulator (Dynatech Nevada 300B or equivalent) with Invasion BP cable, or

Reusable pressure transducer, or
Disposable pressure transducer

IBP calibration procedure

1.

Perform IBP calibrations only on units with option I whenever the Zbitsy Board or Main Board
is replaced.

2.

Plug the two pressure cables (BP1/BP2) from the patient simulator into the IBP1/IBP2 connectors
of the Patient Input Panel of the monitor. Set the simulator to a static pressure of 0mmHg for
both BP1 and BP2. Or connect pressure transducer to the IBP1/IBP2 connectors.

3.

Power on the monitor.

4.

Select <MONITOR SETUP> / <Biomedical> / <Service> keys.

5.

Select <Start P1 Calibration>. The message P1 calibrating will be displayed at the bottom of the
screen. Waiting briefly. Verify message P1 calibration OK followed by 2 beep tones.

6.

Select <Start P2 Calibration>. The message P2 calibrating will be displayed at the bottom of the
screen. Waiting briefly. Verify message P2 calibration OK followed by 2 beep tones.

4-32

Maintenance

NIBP Calibration
Required tools and parts:
1.
2.
3.
4.
5.
6.

Sphygmomanometer
Pressure generator (e.g. squeeze bulb)
Trimmer driver
Two T-piece connector and 3 short hoses (approx. 15cm each)
Adult cuff wrap on cylinder
Stopwatch or equivalent (e.g. watch with second hand)

NIBP calibration procedure

1.

2.

Disassemble the monitor so that the NIBP calibration potentiometer R267 is accessible. This can
be done by removing the I/O Board from the rear enclosure and connect directly to the Main
Board.
The position of R267 on the Main Board is shown below.
NIBP calibration
potentiometer : R267

3.
4.

Make sure the monitor can be powered on and can perform NIBP measurement.
Setup the calibration system as show below.
Pressure of
Sphygmomanometer
NIBP
reading on
display

4-33

Maintenance
5.
6.

7.
8.
9.

Set monitors <NIBP Cal. Mode> to ON under <Monitor Setup>/<Biomedical>/<Service>

menu.
Pressurize the sphygmomanometer to 50mmHg. Observe the NIBP pressure reading on the
monitor display. Adjust the NIBP calibration potentiometer R267 until the reading is within
1mmHg of the sphygmomanometer pressure.
Repeat step 6 by pressurizing the sphygmomanometer to 100mmHg and 200mmHg respectively.
Release pressure and wait for NIBP reading to return to 0mmHg.
Reassemble the monitor.

NIBP leakage test procedure

1.

Setup the calibration system as show below.

=
Clamping
position

2.
3.
4.
5.

Pressurize the sphygmomanometer to 50mmHg. Then, clamp the hose as shown above.
Observe the pressure leakage during 1 minute by using a stop watch or equivalent. The leakage
rate should be within 6mmHg per minute.
Repeat step 3 by pressurizing the sphygmomanometer to 100 mmHg, 150mmHg, 200mmHg and
250 mmHg respectively.
If the leakage rate exceeded 6mmHg/min, then check the pneumatic system.

4-34

Maintenance

EtCO2 Calibration
Required tools and parts:
1.
2.

Oridion FilterLine sampling line

5% CO2 calibration gas cylinder.

EtCO2 calibration procedure

1.

2.
3.
4.

Connect an Oridion FilterLine sampling line to the lance monitor. Enable EtCO2 monitoring in
the <Monitor Setup>/<Clinical> menu. The EtCO2 waveform will replace RESP waveform and
display in the second waveform zone.
Attach the output of the 5% CO2 calibration gas canister to the sampling line.
Enter the <Monitor Setup>/<Biomed>/<Service> menu and press the <Start CO2 Cal> button.
CO2 calibrating message will be displayed while calibration gas is supplied to the sampling line.
CO2 calibration OK message will be displayed if the calibration completes successfully after 12 minutes. The will be an alert tone after the calibration. The EtCO2, FiCO2 and RR numeric
values will return to 0.

Caution:
Dispose calibration gases in accordance with local and federal laws.

Software Update
Refer to PSN for detailed upgrade instructions.

Service Due Date Setting

Set Service Due date under <Monitor Setup>/<Biomedical>/<Service> menu, There are three
preconfigured settings (3/6/12 months) are available.

4-35

Maintenance
When On is selected, the Service Due Time can be set by clicking at the Set button.

Touchscreen Calibration
Touchscreen calibration can be done under <Monitor Setup>/<Biomedical>/<Advanced Setting > menu.
Follow the steps stated below to perform the touch screen calibration.

4-36

Maintenance

Battery Maintenance Requirement

The following are the required discharge/charge cycle and interval:
i) Fully charge the battery every 6 months if the monitor is kept in storage most of the time as backup.
ii) Complete a full discharge/charge cycle of the battery every 6 months if the monitor is in regular use and
is connected to AC power most of the time.

Procedures :
For monitor kept in store room as backup
1. Fully charge the battery by connecting the monitor to AC power for at least 5 hours. Disconnect the AC
power and verify that the battery gauge at the lower right hand corner of the display represents a fully
charged battery icon as shown below.
2. Record of the battery discharge/charge cycle shall be maintained for future reference.
For monitor that is connected to AC most of the time
1. Disconnect the monitor from AC power.
2. Leave the monitor ON for a few hours until Battery Low alarm message is triggered.
3. Re-connect the monitor to AC power for at least 5 hours.
4. Disconnect AC power and observe that the battery gauge at lower right hand corner of the display
represents a fully charged battery icon. This indicates the completion of a discharge/charge cycle.
5. Re-connect AC power to resume normal use.
6. Record of the battery discharge/charge cycle shall be maintained for future reference.

4-37

Maintenance

Cleaning
Clean the case by washing it with mild soap and water. Use TF solvent for cleaning the electronic
connectors and contacts as necessary.

Warning:
Accelerated Hydrogen Peroxide (AHP) and quaternary ammonia-based products ARE NOT
RECOMMENDED for cleaning monitors and cables. These chemicals attack the plastics used in
patient monitors and cables, and will cause serious safety hazards as the electrical insulating
properties and structural integrity of the equipment break down.
Cavicide, Virex, Virex 256, SaniCloth, and Sanicloth Plus are common quaternary ammonia
germicidal products. The manufacturers of these solutions advertise that these germicidal products
are safe for use on hard, non-porous surfaces, such as linoleum floors, formica countertops, and
stainless steel. The manufacturers discourage the use of quaternary ammonia germicidal products
on computer-grade plastics and on data, patient, and power cables, which are classified as porous
materials.

Caution:
Do not autoclave.
Never use solvents, acetone, abrasive cleaning agents, or abrasive cleaning pads.
Use only approved cleaning agents including 70% alcohol, soap and water, green soap, or
10% bleach solution.
Note:
Refer to the operations manual for detailed cleaning instructions.

4-38

Troubleshooting
Contents
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
System Startup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Power On Diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Diagnostic Menu. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Error Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Information Required for Diagnostic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
System Troubleshooting Flow chart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-4

Overview
The first several sections describe the available diagnostics features and how to use them. This is followed
by a section which lists diagnostics failure messages and the suggested corrective actions. The
troubleshooting procedures in this chapter isolate equipment problems to a Field Replaceable Unit (FRU).

Caution:
Observe precautions for handling electrostatic-sensitive devices!
Note:
Never touch electrostatic-sensitive electronic components without following proper anti-static
procedures, including the use of an ESD wrist band and mat. An electrostatic discharge from your
fingers can permanently damage electronic components and cause latent failures.
All static-sensitive electronic components are packaged in static-shielding bags. Retain the bag
should you need to repackage the component for storage or need to return it to Spacelabs for any
reason.

Required Tools and Parts

The following items are necessary for troubleshooting:
Anti-static mat with wrist strap
#1 and #2 Phillips-head screwdriver
5/16-inch nut driver
3/16-inch nut driver
Patient simulator
Multimeter

Problem Solving
Before starting the troubleshooting procedures, first establish that there is a fault by performing the monitor
functional tests. Refer to the Operations Manual for specific information on operation.

5-1

Troubleshooting

System Startup
When the monitor is powered ON, observe the following sequence:
1. The LED on the front panel should illuminate in green after the On/Off button is depressed and the
monitor will beep once.
2. A boot screen will be displayed for a while.
3. Normal screen will be displayed and the monitor will beep twice.
4. NIBP zeroing and EtCO2 warning up (if EtCO2 is installed) message will be displayed after the
two beeps.

Power-ON Diagnostics
Power-ON diagnostic tests verify system hardware integrity during power-ON and can often help isolate
and troubleshoot a problem. The normal screen will be displayed after the completion of the Power-On
diagnostics.

Diagnostic Menus
Recorder diagnostic is available for testing the recorder. It can be accessed through <Monitor Setup> /
<Biomedical> / <Service> / <Recorder Diagnostics>. Diagnostic result will be printed from the recorder.

Error Log
For troubleshooting intermittent problems, the monitor maintains an error log for both recoverable and nonrecoverable errors in its battery-backed, non-volatile memory. All diagnostics failures are logged in the
error log. Most errors relate to the Zbitsy Board.
Event log can be access through <Monitor Setup> / <Biomedical> / <Service> / <Show Event Log>.

5-2

Troubleshooting

Information Required for Diagnostic

Please provide the following information before contacting EMO GTS for assistance..
-

Spacelabs Healthcare
Field Complaint Analysis Requirement

Submitter/Contact
Bedside Serial Number
Bedside Software Version
Bedside Options String
Central Software Version (if connected)
Bedside Event Log
Issue Pictures
Issue Video
Issue Description

Required
Required
Optional

Issue Reproduction Steps

5-3

Troubleshooting

System Troubleshooting Flowchart

This section describes troubleshooting procedures which can be used in conjunction with, or separately
from, the diagnostics to isolate a failure.
ECG/RESP
Re-analyze problem.
No

Display
ECG/RESP
waveform?

No

Problem resolved
from previous
stage?

Replace ECG cable

Replace ECG input

board

No

Problem resolved
from previous
stage?

YES
YES

YES

YES

Correct ECG and

RESP waveforms
appear on screen?

Noisy ECG
Signal?
No

End
No

YES

ECG lead
selection
functions?

Replace Main board

No

YES

Lead fault circuit

functions?

Replace Main board

No

YES

ECG and RESP

alarms OK?

Replace Main board

No

YES

Problem resolved
from previous
stage?

Re-analyze problem.
No

YES

End

For optimal cardiac monitoring, it is necessary to recognize problems that can interfere with getting a
reliable ECG signal. Causes of interference include artifact from patient movement and poorly placed or
poorly functioning equipment and electrical interference from AC or other bedside devices.
An artifact, also refer to as waveform interference, may be seen with excessive movement (somatic tremor).
It makes the baseline of the ECG appear wavy, bumpy, or tremulous. Dry electrodes may also cause this
problem because of poor contact. Intermittent artifact may also be due to intermittent lead wires and ECG
cable.
Electrical interference, also refer to as AC interference or 50/60-cycle interference, is caused by electrical
power leakage. It may also result from interference from other room equipment or improperly grounded
equipment. As a result, the lost current pulses at a rate of 50/60 cycles/second. This interference appears on
the ECG as a baseline thats thick and unreadable. In some case, the waveform baseline can be severely
affected and may cover the whole ECG waveform channel.
Refer to the table below for the most commonly encountered ECG problems, the possible causes, and
interventions.
5-4

Troubleshooting
Artifact (Waveform Interference)

Dirty or corroded
connections.
Improper electrode
application

Dry electrode gel

Intermittently short circuit in

lead wires or cable

Replace intermittent or
broken lead wires or cable

Electrical interference from

other medical devices in the
room.

Make sure all medical

devices associate with the
same patient are attached to a
common ground. Use a
ground wire adaptor if
necessary.

Improper electrode
application
Defective ECG lead wires
and/or cable.

Re-apply electrodes.

Replace any faulty lead wires

and cable.

Electrical interference from

other medical devices
associated with the patient.

Make sure all medical

devices being used, such as
IV pump, ventilator,
electrical bed, are attached to
a common ground. Use a
ground wire adaptor if
necessary.
Check all three-pronged
plugs to ensure no prong is
loose.
Notify biomed department if
poor grounding has been
observed at wall socket or
power strip being used.

Replace dirty or corroded

wires
Check the electrodes and reapply if necessary. Clean
the patients skin well to
remove skin oil and dead
skin cells. Skin oils and
dead skin cells inhibit ECG
electrical signal conduction.
Check the electrode gel. If
it is dry, do not use and
replace with new electrodes.

Weak ECG Signal

Fuzzy Baseline (Electrical

Interference)

5-5

Troubleshooting
SpO2
Connect SpO2 cable to
simulator and monitor

SpO2 waveform
appears on display?

Replace sensor / cable

No

Problem resolved
from previous
stage?

No

Replace Main Board (Option S)

or
Masimo Board (Option M)
or
Nellcor Board (Option N)

YES

YES

SpO2 alarms OK?

No

Replace Main board or

Masimo Board (Option M) or
Nellcor Board (Option N)

Problem resolved
from previous
stage?

No

Re-analyze problem.

YES

YES

End

5-6

Troubleshooting

NIBP

Connect NIBP cuff to

monitor and simulator

Press Start NIBP and wait

for the cuff to inflate

Replace leak

Re-analyze problem.
No

YES

Cuff fully inflate?

No

Check air leak in

pneumatic system.

Air leak found?

Replace Main board

No

Problem resolved
from previous
stage?

YES

YES

Was reading
successful?

Replace Main board

No

Problem resolved
from previous
stage?

YES

Re-analyze problem.
No

YES

Press Start NIBP and wait

for the cuff to inflate

Press Stop NIBP while cuff

is inflating

Pump stops and

cuff deflates?

Replace Main board

No

Problem resolved
from previous
stage?

Re-analyze problem.
No

YES

YES

NIBP alarms ok?

Replace Main board

No

Problem resolved
from previous
stage?

Re-analyze problem.
No

YES

YES

End

5-7

Troubleshooting

TEMP

Connect temperature cable to

simulator and module

Temperature
numeric appears
on display?

No

Replace Temperature
probe

Problem resolved
from previous
stage?

Replace Main board

No

YES

YES

Temperature
alarms OK?

Replace Main board

No

Problem resolved
from previous
stage?

No

Re-analyze problem.

YES

YES

All Temperature
channels tested?
No

YES

End

5-8

Troubleshooting

Invasive BP

Connect pressure cable to

simulator and monitor

Pressure waveform
appears on display?

No

Replace pressure
transducer / cable

Problem resolved
from previous
stage?

Replace Main board

No

YES

YES

Pressure numeric
appears on display?

Zero BP channel

Pressure waveform
appears on display?

No

Re-analyze problem.
No

YES

YES

BP alarms OK?

Replace Main board

No

Problem resolved
from previous
stage?

Re-analyze problem.
No

YES

YES

All pressure
channels tested?
No

YES

End

5-9

Troubleshooting

EtCO2

Turn on the EtCO2 Enabled

in Clinical menu.

Does EtCO2 replace

RESP on display?

No

Replace Main board

Problem resolved
from previous
stage?

Re-analyze problem.
No

YES

YES
Connect a sampling
line

Does pump start

running?

No

Ensure sampling line

is compatible.
Replace sampling
line.

Problem resolved
from previous
stage?

Replace EtCO2
module
No

YES
YES

Does EtCO2
waveform appear on
display?

No

Check for occlusion.

Replace sampling line.

Problem resolved
from previous
stage?

Replace EtCO2
module

No

YES
YES

Does EtCO2
numeric appear
correctly on display?

Perform CO2 Calibration

No

Problem resolved
from previous
stage?

No

Replace EtCO2
module

YES

YES

EtCO2 alarms
OK?

Replace Main board

Problem resolved
from previous
stage?

Re-analyze problem.
No

No

YES

YES

End

5-10

Parts
Contents
Parts List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
Assembly Drawings and Schematics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5

Parts List
Part Number

Description
Electronic PCBA

670-1401-02
670-1401-04
670-1402-00
670-1402-04
670-1402-05
017-0102-00
010-1732-00
010-1636-01
010-1979-01
150-0352-00-x
150-0408-00
050-0660-00
010-1734-01
010-1958-00
010-1733-00
670-1407-01
670-1406-00
670-1397-02
670-1496-00
010-1635-01
670-1435-00
146-0130-00

PCBA,93300 Main Board

PCBA,93300 Main Board
PCBA, Zbitsy Board
PCBA,ZBITSY BOARD
PCBA,ZBITSY BOARD
Power Supply Assy
PCBA, Oridion CO2
PCBA, Masimo SpO2 (MS-2011)
PCBA,LVDS,T5 BOARD (For use with 150-0408-00)
DISPLAY,10.2",W/REPLACED CCFL TUBE,EXCHANGE
DISPLAY,LCD,10.2 IN TFT-LCD W/TOUCHSCREEN
KIT,SERVICE,CMI LCD REPLACE AUO,10.2"
10.2" Backlight Inverter
PCBA,LED DRIVER (For use with CMI LCD 150-0408-00)
LVDS Board (For AUO LCD 150-0352-00 only)
PCBA, Charger I/O
PCBA, Printer Interface
PCBA, ECG-DB9 (For use with option M & S)
PCBA, ECG-DB9 (For use with option N)
Nellcor SpO2 Board
PCB ASSY, LED, 93300
Battery,15V Lithium

Enclosure
ASSEMBLY SERVICE KIT

650-1579-00
650-1579-01
650-1579-02
650-1579-03
650-1579-04
650-1579-05
650-1585-00
650-1585-01
650-1585-02
650-1585-03
650-1585-04
650-1585-05
348-0726-01
348-0726-03
348-0726-04

ASSY,PANEL PATIENT,93300-M
ASSY,PANEL PATIENT,93300-IM
ASSY,PANEL PATIENT,93300-CIM
ASSY,PANEL PATIENT,93300-EM
ASSY,PANEL PATIENT,93300-EIM
ASSY,PANEL PATIENT,93300-CEIM
ASSY,PANEL PATIENT,93300-N
ASSY,PANEL PATIENT,93300-IN
ASSY,PANEL PATIENT,93300-CIN
ASSY,PANEL PATIENT,93300-EN
ASSY,PANEL PATIENT,93300-EIN
ASSY,PANEL PATIENT,93300-CEIN
Gasket, Horizontal
Gasket, Side
Gasket, Up

6-1

Parts
Elance 5i and c - Patient Input Panel hardware (White)
614-0421-00
PANEL ASSY,PATIENT INTERFACE,GREY
175-1628-00
CABLE ASSY,FOR IBP
175-1627-00
CABLE ASSY,TEMPERATURE,SHORT
334-4714-01
LABEL,PRINTER INSTRUCTION,GRAY
334-4715-01
LABEL,93300,SL SPO2,GRAY
334-4715-02
LABEL,93300,SL SPO2,IBP,GRAY
334-4715-03
LABEL,93300,SL SPO2,IBP,CO2,GRAY
Elance 5 Elite i and c - Patient Input Panel hardware (Black)
175-1628-00
CABLE ASSY,FOR IBP
175-1627-00
CABLE ASSY,TEMPERATURE,SHORT
614-0421-03
PANEL ASSY,PATIENT INTERFACE,SILVER
334-4715-04
LABEL,93300,SL SPO2,SILVER
334-4715-05
LABEL,93300,SL SPO2,IBP,SILVER
334-4715-06
LABEL,93300,SL SPO2,IBP,CO2,SILVER
334-4714-02
LABEL,PRINTER INSTRUCTION,Silver
For e5 (White) - 1st Generation Enclosure Replaceable Parts
050-0551-00
KIT,SERVICE,ENCLOSURE,10.2 INCH,WHITE
614-0421-00
Panel Assy, Patient interface, SL SpO2, Grey
614-0421-01
Panel Assy, Patient interface, Masimo SpO2, Grey
614-0421-02
Panel Assy, Patient interface, Nellcor SpO2, Grey
For e5 Elite (Black) - 1st Generation Enclosure Replaceable Parts
050-0551-01
KIT,SERVICE,ENCLOSURE,10.2 INCH,BLACK
614-0421-03
Panel ASSY, Patient interface, SL SpO2, Silver
614-0421-04
Panel Assy, Patient interface, Masimo SpO2, Silver
614-0421-05
Panel Assy, Patient interface, Nellcor SpO2, Silver
For e5 (White) 2nd Generation Enclosure Replaceable Parts
050-0616-00
KIT,SERVICE,ENCLOSURE REAR,WHITE,10.2"
367-0848-00
HANDLE,FRONT,WHITE,10.2"
367-0849-00
HANDLE,REAR,WHITE,10.2"
650-1552-04
ASSY,ENCLOSURE FRONT,WHITE,10.2 INCH
200-0402-04
COVER,ALARM LENS,10.2 INCH
333-0908-04
PANEL,PRINTER SIDE,10.2 INCH
614-0421-00
PANEL ASSY,PATIENT INTERFACE,GREY
614-0421-01
Panel Assy, Patient interface, Masimo SpO2, Grey
614-0421-02
Panel Assy, Patient interface, Nellcor SpO2, Grey

6-2

Parts
For e5 Elite (Black) 2nd Generation Enclosure Replaceable Parts
050-0616-01
KIT,SERVICE,ENCLOSURE REAR, BLACK ,10.2"
367-0848-01
HANDLE,FRONT, BLACK ,10.2"
367-0849-01
HANDLE,REAR, BLACK ,10.2"
650-1552-05
ASSY,ENCLOSURE FRONT, BLACK ,10.2 INCH
200-0402-05
COVER,ALARM LENS,10.2 INCH
333-0908-05
PANEL,PRINTER SIDE,10.2 INCH
614-0421-03
PANEL ASSY,PATIENT INTERFACE,SILVER
614-0421-04
Panel Assy, Patient interface, Masimo SpO2, Silver
614-0421-05
Panel Assy, Patient interface, Nellcor SpO2, Silver
For e5 (White) 3rd
050-0634-00
650-1576-02
367-0848-00
367-0849-00
650-1552-04
200-0402-04
333-0908-04
614-0421-00
614-0421-01
614-0421-02
386-0609-00
175-1632-00
107-0104-00
348-0825-00
107-0103-00
348-0734-00
214-1104-00

Generation Enclosure Replaceable Parts

KIT,SERVICE,ENCLOSURE REAR,WHITE,10.2"
ASSY,ENCLOSURE REAR,WHITE,10.2"
HANDLE,FRONT,WHITE,10.2"
HANDLE,REAR,WHITE,10.2"
ASSY,ENCLOSURE FRONT,WHITE,10.2 INCH
COVER,ALARM LENS,10.2 INCH
PANEL,PRINTER SIDE,10.2 INCH
PANEL ASSY,PATIENT INTERFACE,GREY
PANEL ASSY,PATIENT INTERFACE,MASSIMO SPO2,GREY
PANEL ASSY,PATIENT INTERFACE,NELLCOR SPO2,GREY
PLATE, MOUNTING
CABLE ASSY,AC IN
INSULATOR,POWER SUPPLY
THERMAL PAD
INSULATOR,PLATE MOUNTING
GASKET,HEAT SINK
HEAT SINK

For e5 Elite (Black) 3rd Generation Enclosure Replaceable Parts

050-0634-01
KIT,SERVICE,ENCLOSURE REAR,BLACK,10.2"
650-1576-03
ASSY,ENCLOSURE REAR,BLACK,10.2"
367-0848-01
HANDLE,FRONT,BLACK ,10.2"
367-0849-01
HANDLE,REAR,BLACK,10.2"
650-1552-05
ASSY,ENCLOSURE FRONT,BLACK,10.2 INCH
200-0402-05
COVER,ALARM LENS,10.2 INCH
333-0908-05
PANEL,PRINTER SIDE,10.2 INCH
614-0421-03
PANEL ASSY,PATIENT INTERFACE, SILVER
614-0421-04
PANEL ASSY,PATIENT INTERFACE,MASSIMO SPO2, SILVER
614-0421-05
PANEL ASSY,PATIENT INTERFACE,NELLCOR SPO2, SILVER
386-0609-00
PLATE, MOUNTING
175-1632-00
CABLE ASSY,AC IN
107-0104-00
INSULATOR,POWER SUPPLY
348-0825-00
THERMAL PAD
107-0103-00
INSULATOR,PLATE MOUNTING
348-0734-00
GASKET,HEAT SINK
214-1104-00
HEAT SINK

6-3

Parts
Interconnection Cable
175-1629-00
175-1630-00
175-1634-00
175-1637-00
175-1637-01
175-1644-00
175-1635-00
175-1656-01
175-1663-01
175-1663-02
175-1674-00
175-1854-00
175-1872-00

Cable ASSY, High Voltage (For use with AUO LCD 150-0352-00)
Cable ASSY, Power Supply
Cable ASSY, Printer Interface
Cable ASSY, ECG Rev A
Cable ASSY, ECG Rev B
Cable ASSY, LVDS
Cable, Oridion EtCO2 to Main Board
CABLE ASSY,MS SPO2
CABLE ASSY,INNER,MASIMO SPO2
CABLE ASSY,INNER,NELLCOR SPO2
CABLE ASSY,INNER,NELLCOR SPO2,10PINS
CABLE ASSY,LED DRIVER (For use with CMI LCD 150-0408-00)
CABLE ASSY,INVERTER ADAPTER (For use with CMI LCD 1500408-00)

119-0509-00
010-1735-00
019-0537-00
019-0537-01

ASSY LTPA245, Printer Header & Roller ASSY, Paper Drive

PCBA,MAIN CONTROLLER,PRINTER
STYLUS KIT,93300,WHITE
STYLUS KIT,93300,BLACK

Others

6-4

Parts

Assembly Drawings and Schematics

The following assembly drawings and schematics are included as part of this manual.
Description
PCBA, 93300 M/B

P/N
670-1401-04

Drawing No.

6-5

Glossary
The following terms may appear in this manual:

7-1

Glossary

7-2

Glossary

7-3

Appendix A Electromagnetic
Compatibility
Contents
Electromagnetic Emissions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
Electromagnetic Immunity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
Separation Distances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3

Electromagnetic Emissions
Emission Test

Compliance

Electromagnetic Environment

RF emissions
CISPR 11

Group 1

The monitor emits electromagnetic energy in order to

perform its intended function. Nearby electronic equipment
may be affected. Evaluate on site before use.

Harmonic emissions
IEC 61000-3-2

Class A

Suitable for use in all environments other that domestic and

those directly connected to a low voltage supply network
used for domestic purposes.

Voltage
fluctuations/ flicker
IEC 61000-3-3

Complies

The monitor causes less that 0.06% maximum voltage

change during worse-case operation.

A-1

Appendix A - Electromagnetic Compatibility

Electromagnetic Immunity
Note:
The monitor is intended for use in the electromagnetic environment specified below. The customer, or user,
of the monitor should ensure that it is used in such an environment.
Immunity Test

Electrostatic
discharge (ESD)
IEC 61000-4-2

Electrical fast
transient/burst
IEC 61000-4-4
Surge
IEC 61000-4-5

Voltage dips,
short
interruptions,
and voltage
variations on
power supply
input lines
IEC 61000-4-11

IEC 60601 Test

Level
6 kV contact
8 kV air
2 kV for power
supply lines
1 kV for
input/output data
lines
1 kV differential
mode
2 kV common mode
<5% UT
(>95% dip in UT for
0.5 cycle)
40% UT
(60% dip in UT for 5
cycles)
70% UT
(30% dip in UT for 25
cycles)
<5% UT
(>95% dip in UT for
5 seconds)

Compliance Level

Electromagnetic Environment

6 kV contact
8 kV air

Floors should be wood, concrete,

or ceramic tile. If floors are
covered with synthetic material,
the relative humidity should be
at least 30%.

0.5 kV for power, test

levels >0.5kV
1 kV Transient on data
lines had no affect

Mains power quality should be

that of a typical commercial or
hospital environment.

1 kV differential mode
2 kV common mode

Mains power quality should be

that of a typical commercial or
hospital environment.

<5% UT
(>95% dip in UT for
0.5 cycle)
40% UT
(60% dip in UT for 5
cycles)
70% UT
(30% dip in UT for 25
cycles)
<5% UT
(>95% dip in UT for 5
seconds)

Mains power quality should be

that of a typical commercial or
hospital environment.
The monitor automatically
switches to internal battery
operation during mains power
interruptions.

Power frequency magnetic fields

should be at levels characteristic
3 A/m
3 A/m
of a typical location in a typical
commercial or hospital
environment.
Note: UT is the AC mains voltage prior to application of the test level. All power line immunity tests
were performed at 120 VAC/60 Hz and 230 VAC/50 Hz.
Power frequency
(50/60 Hz)
magnetic field
IEC 61000-4-8

A-2

Appendix A - Electromagnetic Compatibility

Frequency Separation Distances

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

3Vrms,
2Hz sine
80% AM
3Vrms,
2Hz sine
80% AM

A-3

Appendix A - Electromagnetic Compatibility

Interference
RF fields pulsating at a sustained rate within the physiological pass band of this equipment may be detected
and then displayed as a valid waveform, or the fields may alter a valid waveform and cause an erroneous
parameter value.
AC line transients may disrupt displayed ECG, RESP and SpO2 waveforms causing noise and erroneous
parameter data; may also affect video display synchronization.
Self recovers when line transients are removed.

Mitigation
Evaluate RF fields on site. Troubleshoot with patient simulators and then determine the source of the
interference. Separate the sensitive receivers from the causes of the interference (refer to the following
table).

Investigate sources of AC line transients in the facility power system; inspect facility ground network;
review equipment operating on the same low voltage circuit; separate suspect sources.
Use a Hospital Grade isolation transformer to protect the monitor from the line transients.

A-4

Appendix B Symbols
The following list of international and safety symbols describes all symbols used on Spacelabs Healthcare
products. No one product contains every symbol.
A CE mark certifies that a
product has met EU health,
safety, and environmental
requirements, which ensure
consumer safety.

XXXX

XXXX is the European Notified

Body number. 0123 is the
number for TV SD Product
Service GmbH, Mnchen,
Germany.

B-1

Appendix B - Symbols

B-2

Appendix B - Symbols

B-3

Appendix B - Symbols

B-4

Appendix B - Symbols

B-5

Appendix B - Symbols

B-6

Appendix B - Symbols

B-7

Appendix B - Symbols

B-8

Appendix B - Symbols

B-9

Appendix B - Symbols

Oridion Microsteam CO2

Not for use on Neonates or Infants

Read the instructions before use

Abbreviations used as symbols are shown below.

B-10

Appendix B - Symbols

lance is a registered trademark of Spacelabs Healthcare

B-11