Welch Allyn Spot Vital Signs LXi BP SYS 127 73 4 WEST DIA mmHg TEMP SpO2 985 % BP SYS 127 73 4 WEST mmHg mmHg AM Reading 01 TEMP F PULSE DIA /min 985 SpO2 62 Patient ID 0123456789 Weight Pain Clear Height Respiration Send/Next Reading Enter AM Reading 01 mmHg Patient ID 0123456789 Weight Height Respiration % F PULSE /min 62 Pain Clear Send/Next Reading Enter BR AUn Service Manual Welch Allyn Spot Vital Signs LXi Service Manual ii Welch Allyn Spot Vital Signs LXi Copyright 2008 Welch Allyn. All rights are reserved. No one is permitted to reproduce or duplicate, in any form, this manual or any part thereof without permission from Welch Allyn. Welch Allyn assumes no responsibility for any injury to anyone, or for any illegal or improper use of the product, that may result from failure to use this product in accordance with the instructions, cautions, warnings, or statement of intended use published in this manual. Welch Allyn®, Spot Vital Signs®, SureBP® Technology, and SureTemp® are registered trademarks of Welch Allyn. Braun ThermoScan® is a registered trademark of the Braun Company. LNCS™ is a trademark of, and SET®, LNOP®, and Masimo® are registered trademarks of, Masimo Corporation. Possession or purchase of a Masimo SpO2-equipped device does not convey any express or implied license to use the device with unauthorized sensors or cables which would, alone or in combination with this device, fall within the scope of one or more of the patents relating to this device. Nellcor® and Oxi-Max® are registered trademarks of Nellcor Puritan Bennett Inc. Software in this product is Copyright 2008 Welch Allyn or its vendors. All rights are reserved. The software is protected by United States of America copyright laws and international treaty provisions applicable worldwide. Under such laws, the licensee is entitled to use the copy of the software incorporated with this instrument as intended in the operation of the product in which it is embedded. The software may not be copied, decompiled, reverse-engineered, disassembled, or otherwise reduced to human-perceivable form. This is not a sale of the software or any copy of the software; all right, title, and ownership of the software remain with Welch Allyn or its vendors. For information about any Welch Allyn product, call Welch Allyn Technical Support: USA +1 800 535 6663 + 1 315 685 4560 Australia +61 2 9638 3000 Canada +1 800 561 8797 China +86 21 6327 9631 European Call Center +353 46 90 67790 France + 331 6009 3366 Germany +49 7477 9271 70 Japan +81 3 3219 0071 Latin America +1 305 669 9003 Netherlands +31 157 505 000 Singapore +65 6419 8100 South Africa +27 11 777 7555 United Kingdom +44 207 365 6780 Sweden +46 85 853 6551 Reorder #4500-89 Manual Material No. 704432 Ver. D Welch Allyn 4341 State Street Road Skaneateles Falls, NY 13153 USA Printed in USA EC REP European Regulatory Manager Welch Allyn Ltd. Navan Business Park Dublin Road Navan, County Meath, Republic of Ireland Tel.: +353 46 90 67700 Fax: +353 46 90 67755 Service Manual Contents iii Contents 1 - Safety Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Electrostatic Discharge (ESD) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 2 - Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Purpose and Scope. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Other Applicable Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Miscellaneous Mounting Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Mobile Stand Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Radio Mounting Accessory. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Barcode Reader Mounting Accessory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Spot Vital Signs LXi Configurations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Display Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 3 - Functional Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Self Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Internal Configuration Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 4 - Spot Vital Signs LXi Technical Overview. . . . . . . . . . . . . . . . . . . . . 35 System Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 SpO2 Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Radio Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Bar Code Scanner Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Printer Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Interconnect Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 5 - Maintenance and Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Battery Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Spot Vital Signs LXi Firmware Upgrade CD . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Spot Vital Signs LXi Radio Configuration CD . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Product Disposal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 6 - Calibration and Verification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pneumatic test assembly setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Voltage Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pressure verification test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 50 51 52 iv Contents Welch Allyn Spot Vital Signs LXi Blood pressure calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Functional tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temperature Functional Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Masimo SpO2 Functional Check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nellcor SpO2 Functional Check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 56 58 61 61 7 - Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SpO2 Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mechanical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Electrical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Patents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Environmental. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Radio. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Guidance and Manufacturer’s Declaration For Spot Vital Signs LXi Radio . . . . . 63 65 67 67 67 67 67 68 69 8 - Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Error Codes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Radio Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Service Work Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Radio Configuration Utility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 83 84 85 9 - Supplies and Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pulse Oximetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Miscellaneous. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Service Contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 88 89 92 94 10 - Field Replaceable Units. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 11 - Disassembly and Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Tool list . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Key Pad Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SpO2 Circuit Board Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Blood Pressure Circuit Board Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . LCD Inverter Ballast Board Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LCD Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pump Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RS232-Communication Circuit Board Disassembly . . . . . . . . . . . . . . . . . . . . . Fan and Power Circuit Board Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thermometry Circuit Board Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 105 106 108 109 109 110 110 111 111 Service Manual Contents v 12 - Repair Test Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 General Unit Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temperature Option Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SpO2 Option Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fail Safe Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 116 117 117 vi Contents Welch Allyn Spot Vital Signs LXi 1 1 Safety Summary Introduction All users of the Spot Vital Signs LXi must read and understand the safety summary, and all additional specific warnings and cautions located throughout the documentation. Warnings and Cautions Familiarize all operating personnel with the general safety information in this summary. Specific warnings and cautions are also found throughout this manual. General Warnings A warning statement in this manual identifies a condition or practice, which if not corrected or discontinued immediately, could lead to patient injury, illness, or death. These warnings pertain entirely to Spot Vital Signs LXi. WARNING The information in this manual is a comprehensive guide to the operation of Spot Vital Signs LXi. For best results, read this manual thoroughly before using the device. WARNING Spot Vital Signs LXi is designed for medical clinician use. Although this manual may illustrate medical spot-check techniques, only a trained clinician who knows how to take and interpret a patient’s vital signs should use this device. WARNING Spot Vital Signs LXi is not intended for use in environments that are without health care practitioner supervision. WARNING Spot Vital Signs LXi is not intended for continuous monitoring. Do not leave the device unattended while taking measurements on a patient. WARNING To ensure data integrity, save readings and clear the Spot Vital Signs LXi display between patients. WARNING The Spot Vital Signs LXi is not defibrillator proof. WARNING Spot Vital Signs LXi is not intended for use during patient transport. WARNING This device is not suitable for use in the presence of a flammable anesthetic mixture with air or oxygen or nitrous oxide. An explosion may result. 2 Safety Summary Welch Allyn Spot Vital Signs LXi WARNING To ensure patient safety, use only accessories and supplies (i.e., cuffs, hoses, temperature probes, SpO2 sensors, etc.) recommended for or supplied with Spot Vital Signs LXi. Using unapproved accessories with Spot Vital Signs LXi can affect patient and/or operator safety. WARNING Take care to prevent water or other fluid from entering any connectors on the device. Should this occur, dry the connectors with warm air. Check the accuracy of all operating functions. WARNING Every three months, inspect the blood pressure cuff, SpO2 cable, and other accessories for fraying or other damage. Replace as necessary. WARNING Do not use Spot Vital Signs LXi on patients who are on heart/lung machines. WARNING Electric shock hazard. There are no user-serviceable parts inside Spot Vital Signs LXi other than battery replacement (see “Battery Replacement” on page 46). An operator may only perform maintenance procedures specifically described in this manual. For service, refer the device to an Authorized Service Center. WARNING This device is not intended for hand-held use during operation. WARNING Do not autoclave. WARNING This device complies with current required standards for electromagnetic interference and should not present problems to other equipment or be affected by other devices. As a precaution, avoid using this device in close proximity to other equipment. WARNING Welch Allyn is not responsible for the integrity of any mounting installation. Welch Allyn recommends that the customer contact their Biomedical Engineering Department or maintenance service to ensure professional installation for safety and reliability of any mounting accessory. WARNING The Spot Vital Signs LXi consists of high-quality precision parts. Protect it from severe impact and shock. A qualified service technician must check any Spot Vital Signs LXi that is dropped or damaged for proper operation prior to further use. Do not use the Spot Vital Signs LXi if you notice any signs of damage. Contact the Welch Allyn Customer Service Department for assistance. WARNING Do not use an SpO2 finger clip sensor and a blood pressure cuff simultaneously on the same limb. Doing so may result in inaccurate pulse rate and perfusion readings. WARNING All signal input and output (I/O) connectors are intended for connection of only devices complying with IEC 60601-1, or other IEC standards (for example, IEC 60950) as appropriate to the device. Connecting additional devices to the Spot LXi may increase leakage currents. To maintain operator and patient safety, it is necessary to consider the requirements of IEC 60601-1-1. WARNING For proper patient electrical isolation, use only a Welch Allyn power supply (4500-101A) to charge Spot Vital Signs LXi and its attached peripheral devices. Do not use an external charger while the printer or weight scale is attached to Spot LXi. Service Manual Safety Summary 3 Blood Pressure Warnings These warnings pertain to the Spot Vital Signs LXi blood pressure feature. WARNING Spot Vital Signs LXi is not intended to measure BLOOD PRESSURE on neonatal patients. The AAMI SP10:2002 standard defines neonates as children 28 days or less of age if born at term (37 weeks gestation or more); otherwise up to 44 gestational weeks. WARNING To ensure pediatric blood pressure accuracy and safety, the Child Reusable Two-Piece Blood Pressure Cuff (4500-01), Infant Durable One-Piece Cuff (5082-82-4MQ), and the Infant Disposable One-Piece Cuff (5082-92-4MQ) are the smallest cuffs approved for use with young children and infants. The child’s arm must fit within the range markings on the cuff. WARNING Avoid compression of the blood pressure hose or cuff tubing of Spot Vital Signs LXi. This may cause system errors to occur in the device. WARNING Patients who are experiencing moderate to severe arrhythmias may give inaccurate blood pressure measurements. WARNING Spot Vital Signs LXi does not operate effectively on patients who are experiencing convulsions or tremors. WARNING Use only Welch Allyn blood pressure cuffs and/or hoses. Using other manufacturers’ blood pressure cuffs and/or hoses may produce inaccurate blood pressure readings. WARNING When several blood pressure measurements are taken on the same patient, regularly check the cuff site and extremity for possible ischemia, purpura, and/or neuropathy. WARNING Do not allow a blood pressure cuff to remain on the patient more than 10 minutes when inflated above 10 mmHg. This may cause patient distress, disturb blood circulation, and contribute to injury of peripheral nerves. WARNING Do not place the cuff on any extremity that is used for intravenous infusions or any area where circulation is compromised. WARNING Excessive cuff tightness may cause venous congestion and discoloration of the limb. WARNING Wrapping the cuff too loosely (preventing proper inflation) may result in errors. WARNING Do not change the connector(s) on the blood pressure cuff tubing of this device to luer type. Luer type connectors are commonly used in intravenous infusion systems. Using the luer connectors on blood pressure cuff tubing creates the risk that the blood pressure tubing could be mistakenly connected to a patient's intravenous line, resulting in the introduction of air into the patient's circulatory system. 4 Safety Summary Welch Allyn Spot Vital Signs LXi Temperature Warnings These warnings pertain to the Spot Vital Signs LXi temperature feature. SureTemp® Plus These warnings are specific to the SureTemp Plus thermometer option. WARNING Use only Welch Allyn probe covers. Using other manufacturers’ probe covers or no probe cover may produce temperature measurement errors and/or inaccuracy. WARNING Always use a probe cover whenever coming into contact with a patient. WARNING Long-term continuous monitoring beyond three to five minutes is not recommended in any mode. WARNING Oral/axillary probes (blue ejection button at top of probe) and blue removable probe wells are used for taking oral and axillary temperatures only. Rectal probes (red ejection button) and red removable probe wells are used for taking rectal temperatures only. Use of the probe at the wrong site will result in temperature errors. Use of the incorrect removable probe well could result in patient cross-contamination. WARNING The thermometer connectors and probe are not waterproof. Do not immerse or drip fluids on these items. Should this occur, dry the connectors and probe with warm air. Check all functions for proper operation and accuracy. WARNING Do not take an axillary temperature through patient’s clothing. Direct probe cover to skin contact is required. WARNING Do not autoclave. WARNING Use Welch Allyn single-use disposable probe covers to limit patient cross-contamination. WARNING Incorrect insertion of probe can cause bowel perforation. WARNING Washing hands greatly reduces the risk of cross-contamination and nosocomial infection. WARNING To ensure optimal accuracy, always confirm that the correct mode is selected. Service Manual Safety Summary 5 Braun Thermoscan PRO 4000 These warnings are specific to the Braun ThermoScan PRO 4000 thermometer option. WARNING Keep the probe window clean, dry, and undamaged at all times to ensure accurate measurements. To protect the probe window, always keep the thermometer in the storage cover while transporting or when not in use. WARNING Only use Braun ThermoScan probe covers with this thermometer. Using other manufacturer’s probe covers or no probe cover may produce temperature measurement errors and/or inaccuracies. If the thermometer is used without a probe cover attached, clean the lens (see “Braun ThermoScan PRO 4000 Thermometer” on page 44). WARNING Do not autoclave. WARNING The thermometer is not waterproof. Do not immerse or drip fluids on it. Should this occur, dry the thermometer with warm air. Check for proper operation and accuracy. SpO2 Warnings These warnings pertain to the Spot Vital Signs LXi SpO2 feature. WARNING Only use Spot Vital Signs LXi with Masimo or Nellcor SpO2 option with Masimo or Nellcor brand sensors and accessories, respectively. Using the wrong or unapproved sensors or cables may cause improper performance. WARNING The SpO2 sensor and extension cables are intended for use only for pulse oximetry measurements. Do not attempt to connect these cables to a PC or any similar device. WARNING Before using, carefully read the sensor Directions for Use, including all warnings, cautions, and instructions. WARNING Do not use a damaged sensor or pulse oximetry cable or a sensor with exposed optical components. WARNING Incorrect application or a long duration of use of an SpO2 sensor may cause tissue damage. Inspect the sensor site periodically as directed in the sensor’s Directions for Use. WARNING Certain ambient environmental conditions, sensor application errors, and certain patient conditions may affect SpO2 readings and pulse signal. WARNING Do not immerse the sensor or patient cables in water, solvents, or cleaning solutions (the sensors and connections are not waterproof). Do not use irradiation, steam, or ethylene oxide for sterilization. WARNING The SpO2 in the Spot Vital Signs LXi device is not intended for use as an apnea monitor. WARNING Consider the SpO2 an early warning device. As a trend toward patient deoxygenation is indicated, use laboratory instruments to analyze blood samples to completely understand the patient’s condition. 6 Safety Summary Welch Allyn Spot Vital Signs LXi WARNING Tissue damage can be caused by incorrect application or duration of use of a Nellcor OxiMax sensor. Inspect the sensor site as directed in the sensor Directions for Use. WARNING Do not use the sensors during magnetic resonance imaging (MRI) scanning. Induced current could potentially cause burns. The MS board pulse oximeter may affect the MRI image, and the MRI unit may affect the accuracy of the oximetry measurements. WARNING Carefully route patient cabling to reduce the possibility of patient entanglement or strangulation. WARNING Failure to cover the Nellcor OxiMax sensor site with opaque material in high ambient light conditions may result in inaccurate measurements. General Cautions A caution statement in this manual identifies a condition or practice, which if not corrected or discontinued immediately, could lead to equipment failure, equipment damage, or data loss. These cautions pertain to the entire Spot Vital Signs LXi device. Caution If the accuracy of any measurement is in question, check the patient’s vital sign(s) with an alternate method and then check to verify the device is functioning properly. Caution Place the device on a secure surface or use one of the optional mounting accessories. Caution Do not place fluids on or near the device. Caution It is recommended that the device is used within stated operating temperature ranges (see “Environmental” on page 67). The device will not meet its performance specifications if used outside these temperatures ranges. Caution Always unplug the AC power transformer from the outlet before moving the mobile stand to a new location. Caution The basket has a three-pound weight limit. Take care not to exceed this limit. Caution Only use a 9V battery with the Healthometer scale. Remove and discard the wall mounted power supply. Caution When using the Healthometer scale, remove the two hex nuts on the RS-232 cable, as supplied, before screwing the cable into the scale base. Service Manual Safety Summary Blood Pressure Cautions These cautions pertain to the Spot Vital Signs LXi blood pressure feature. Caution Minimize extremity and cuff motion during blood pressure readings. Caution If the blood pressure cuff is not at heart level, note the difference in reading due to the hydrostatic effect. Add the value of 1.80 mmHg (.2 kPa) to the displayed reading for every inch (2.5 cm) above heart level. Subtract the value of 1.80 mmHg (.2 kPa) from the displayed reading for every inch (2.5 cm) below heart level. Caution Proper blood pressure cuff size and placement is essential to the accuracy of the blood pressure determination. See Reusable Two-Piece Cuff Measurements or Durable One-Piece Cuff Measurements of the Directions for Use for sizing information. Caution The position and physiologic condition of the subject can affect a blood pressure reading. Temperature Cautions These cautions pertain to the Spot Vital Signs LXi temperature feature. Caution The SureTemp Plus feature only operates with the probe well in place. Caution Do not use alkaline batteries in the Braun ThermoScan PRO 4000. Caution Biting the probe tip may result in damage to the probe. SpO2 Cautions These cautions pertain to the Spot Vital Signs LXi SpO2 feature. Caution The pulse oximeter is calibrated to determine the percentage of arterial oxygen saturation of functional hemoglobin. Significant levels of dysfunctional hemoglobin such as carboxyhemoglobin or methemoglobin may affect the accuracy of the measurement. Caution Some sensors may not be appropriate for a particular patient. If at least 10 seconds of perfusion pulses cannot be observed for a given sensor, change sensor location or sensor type for perfusion to resume. Caution Physiological conditions, medical procedures, or external agents that may interfere with the pulse oximeter’s ability to detect and display measurements include dysfunctional hemoglobin, arterial dyes, low perfusion, dark pigment, and externally applied coloring agents such as nail polish, dye, or pigmented cream. Caution When selecting a sensor, consider the patient’s weight and activity level, the adequacy of perfusion, the available sensor sites, the need for sterility, and the anticipated duration of monitoring. 7 8 Safety Summary Welch Allyn Spot Vital Signs LXi Electrostatic Discharge (ESD) Electrostatic discharge is a sudden current flowing from a charged object to another object or to ground. Electrostatic charges can accomulate on common items such as foam drinking cups, cellophane tape, synthetic clothing, untreated foam packaging material, and untreated plastic bags and work folders, to name only a few. Electronic components and assemblies, if not properly protected against ESD, can be permanently damaged or destroyed when near or in contact with electrostatically charged objects. When you handle components or assemblies that are not in protective bags and you are not sure whether they are static-sensitive, assum that they are static-sensitive and handle them accordingly. • Perform all service procedures in a static-protected environment. Always use techniques and equipment designed to protect personnel and equipment from electrostatic discharge. • Remove static-sensitive components and assemblies from their static-shielding bags only at static-safe workstations - a properly grounded table and grounded floor mat and only when you are wearing a grounded wrist strap (with a resistor of at least 1 megohm in series) or other grounding device. • Use only grounded tools when inserting, adjusting, or removing static-sensitive components and assemblies. • Remove or insert static-sensitive components and assemblies only with monitor power turned off. • Insert and seal static-sensitive components and assemblies into their original staticshielding bags before removing them from static-protected areas. Always test your ground strap, bench mat, conductive work surface, and ground cord before removing components and assemblies fromtheir protective bags and before beginning any disassembly or assembly procedures. Service Manual Safety Summary Symbols The following symbols are associated with the Spot Vital Signs LXi. Safety Symbols Identifies information within the manual to avoid injury. Caution: consult accompanying documents Identifies information within the manual to avoid equipment failure. Pb Internally Powered, Lead Acid Battery Handle with Care Transport Temperature Storage Humidity Recycle Class II Equipment IPXØ Equipment is not protected against the ingress of liquid. Type BF Equipment On/Off Recycle the product separate from other disposables, see “Product Disposal” on page 48. Non-ionizing radiation (RF transmitter) Mode of Operation: Continuous DC Power In Button Symbols Navigation Buttons Blood Pressure Select MEM Memory Power On/Off Connection Symbols USB Connection Serial Port Connection 9 10 Safety Summary Welch Allyn Spot Vital Signs LXi Agency Symbols CERTIFIED TO: CAN/CSA STD C22.2 NO. 601.1 C US 166292 CONFORMS TO: UL STD 60601-1 IEC 60601-1 The CE mark on this product indicates that it has been tested to and conforms with the provisions noted within the 93/42/EEC Medical Device Directive. 0297 EC REP European Regulatory Manager Welch Allyn Ltd. Navan Business Park Dublin Road Navan, County Meath, Republic of Ireland Tel.: +353 46 90 67700 Fax: +353 46 90 67755 11 2 Overview Purpose and Scope The Spot Vital Signs LXi Service Manual is intended as a reference for maintenance and repair to the field replaceable unit (FRU) level and are listed on page 95. Note If you crack the case some of these parts will need to be calibrated using the repair tool. Internal replacement parts require the Welch Allyn Spot LXi repair software. This manual provides the technical qualified service person with troubleshooting information, repair procedures, and calibration and performance verification instructions. A technical overview of the Spot Vital Signs LXi subsystems is provided as an introduction to the device’s circuitry and pneumatics. This manual is intended for the technical qualified service personnel. Service training classes on Welch Allyn’s products are available. Contact Welch Allyn Technical Service for information. Other Applicable Documents The Spot Vital Signs LXi Directions for Use manual is also available. Refer to this document for information other than maintenance and repair. Welch Allyn 9600 Plus Calibration Tester Directions for Use - for all models. Braun ThermoScan PRO 4000 User’s Guide - for models 450E0, 45NE0, 45ME0. Masimo Directions for Use - for models 45MT0, 45ME0. Nellcor Directions for Use - for models 45NT0, 45NE0. 12 Overview Welch Allyn Spot Vital Signs LXi Miscellaneous Mounting Accessories Wall Mount Kit WALL MOUNT KIT EF: 4701-62 2 aterial #: 711890 Rev. B Attach bracket to wall before assembling basket. 1 3 } 5 4 Welch Allyn is NOT responsible for the integrity of any wall mounting interface. Ensure you are using the appropriate hardware to mount the device to a surface. Welch Allyn recommends that the customer contact their Biomedical Engineering Department or maintenance service to ensure professional installation, safety, and reliability of any mounting accessory. Service Manual Overview 13 14 Overview Mobile Stand Kit Welch Allyn Spot Vital Signs LXi Service Manual Overview 15 16 Overview Welch Allyn Spot Vital Signs LXi Radio Mounting Accessory A 2 B 1 3 5 4 Service Manual Barcode Reader Mounting Accessory Overview 17 18 Overview Welch Allyn Spot Vital Signs LXi Warranty Spot Vital Signs LXi Welch Allyn warrants that the Spot Vital Signs LXi Radio products meet the labeled specifications of the products and will be free from defects in materials and workmanship that occur within one year after the date of purchase. The date of purchase is: 1) the date specified in our records if you purchased the Product directly from us, 2) the date specified in the warranty registration card that we ask you to send to us, or 3) the date of purchase of product from the authorized Welch Allyn distributor as documented from a receipt from said distributor. This warranty does not cover damage caused by: 1) handling during shipping, 2) use or maintenance contrary to labeled instructions, 3) alteration or repair by anyone not authorized by Welch Allyn, and 4) accidents. If a Product or accessory covered by this warranty is determined to be defective because of defective materials, components, or workmanship, and the warranty claim is made within the warranty period described above, Welch Allyn will, at its discretion, repair or replace the defective Product or accessory free of charge. You must obtain a service notification number from Welch Allyn to return your Product before you send it to Welch Allyn’s designated service center for repair. Contact Welch Allyn Technical Support. THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. WELCH ALLYN’S OBLIGATION UNDER THIS WARRANTY IS LIMITED TO REPAIR OR REPLACEMENT OF PRODUCTS CONTAINING A DEFECT. WELCH ALLYN IS NOT RESPONSIBLE FOR ANY INDIRECT OR CONSEQUENTIAL DAMAGES RESULTING FROM A PRODUCT DEFECT COVERED BY THE WARRANTY. Accessories Refer to the manufacturer’s Directions for Use for the Masimo and Nellcor finger sensor and cable warranty. Refer to the Directions for Use provided with the Welch Allyn Blood Pressure Cuff for warranty information. The SureTemp Plus probe is covered by a one-year warranty and the SureTemp Plus probe well is covered by a 90-day warranty against original defects in material and workmanship. Probe covers are intended for single-use only. The Braun ThermoScan PRO 4000 is covered by a three-year warranty against original defects in material or workmanship. The printer is covered by a one-year warranty against original defects in material or workmanship. The barcode scanner is covered by a five-year warranty against original defects in material or workmanship. Service Manual Overview 19 Service Caution Unauthorized repairs will void the warranty. A Welch Allyn Service Center must perform all repairs on products under warranty. Qualified service personnel or a Welch Allyn Service Center should repair products out of warranty. User Servicable Parts For user servicable parts available see “Supplies and Accessories” on page 87. Technical Assistance If you have an equipment problem that you cannot resolve, call the Welch Allyn Service Center nearest you for assistance. Technical service telephone support is available on normal business days. If you are advised to return a product to Welch Allyn for repair or routine maintenance, schedule the repair with the service center nearest you. Before returning a product for repair, you must obtain authorization from Welch Allyn. Service personnel will give you a Service Notification number. Please note this number on the outside of your shipping box. Returns without a Service Notification number will not be accepted for delivery. Field Replacement Units See “Field Replaceable Units” on page 95. Service Loaners Service loaners are provided, on request, if a Welch Allyn Service Center provides repair service. Loaners for products repaired while under the original warranty, or while under service contract, are provided free of charge and are shipped within 48 hours of notification of need. For service repairs outside of warranty or contract, loaners are available for a nominal charge and shipment is subject to availability. Loaners are shipped pre-paid; however, this charge is added to the service charges. Service Intervals Verify Spot Vital Signs LXi on an annual basis for blood pressure, temperature, and SpO2 accuracy. 20 Overview Welch Allyn Spot Vital Signs LXi Spot Vital Signs LXi Configurations Table 1. Available Versions of Spot Vital Signs LXi REF Description 450T0 SureBP with SureTemp Plus Thermometer 450E0 SureBP with Braun ThermoScan PRO 4000 Thermometer 45MT0 SureBP with Masimo SpO2 and SureTemp Plus Thermometer 45ME0 SureBP with Masimo SpO2 and Braun ThermoScan PRO 4000 Thermometer 45NT0 SureBP with Nellcor SpO2 and SureTemp Plus Thermometer 45NE0 SureBP with Nellcor SpO2 and Braun ThermoScan PRO 4000 Thermometer Controls Figure 1. Spot Vital Signs LXi Front Panel with SureTemp Plus Thermometer SureTemp Plus thermometer: remove the probe to take a temperature. BP SYS 127 73 4 WEST mmHg DIA mmHg TEMP 985 SpO2 % AM Reading 01 F PULSE /min Removable probe well: store the temperature probe here when not in use; remove to clean or replace to eliminate cross-contamination. 62 Patient ID 0123456789 Weight Pain Clear Height Respiration Send/Next Reading Enter Probe cover storage area: storage space for one box of probe covers. Navigation button: move throughout the options in the Navigation Window or to increase/decrease parameter units. Select button: accepts the current option. Power button: controls power to the device. Charging LED: indicates when device is plugged in and charging the battery. Blood Pressure Start/Stop button: initiates a new blood pressure cycle. Pressing again aborts an active blood pressure measurement. Memory button: recalls up to 50 most recent readings. Service Manual Overview 21 Figure 2. Spot Vital Signs LXi Front Panel with Braun ThermoScan PRO 4000 Thermometer BP SYS 127 73 Braun ThermoScan PRO 4000 thermometer: store the probe covers toward the back of the thermometer housing; remove the thermometer to access the covers. 4 WEST mmHg DIA AM Reading 01 mmHg TEMP 985 SpO2 PULSE % /min 62 Patient ID 0123456789 Weight Height Respiration F Pain Clear Send/Next Reading Enter BR AUn Navigation button: move throughout the options in the Navigation Window or to increase/decrease parameter units. Memory button: recalls up to 50 most recent measurements. Charging LED: indicates when device is plugged in and charging the battery. Power button: controls power to the device. Charging LED: indicates the thermometer battery is charging. Select button: accepts the current option. Blood Pressure Start/Stop button: initiates a new blood pressure cycle. Pressing again aborts an active blood pressure measurement. 22 Overview Welch Allyn Spot Vital Signs LXi Display Window Note 1. Before using Spot Vital Signs LXi for the first time, you must program an initial configuration screen. Press the Power button. The display window shows the initial configuration screen. Figure 3. Initial Configuration Screen Change Local Defaults Menu Model No.: 45NTO Serial No. 2005040004 Language: BP Units: Temperature Units: Height Units: Weight Units: Date Format: Date: Time Format: Time: Select 2. Use the Select button to access the options and accept the entries, and use the Navigation buttons to move through the menu. 3. The word “Exit” appears at the bottom of the list after you have programmed all items in the menu. You must program all items before you can start to use the device. 4. Scroll to Exit and press the Select button to save the entries. Service Manual Overview 23 The liquid crystal display (LCD) may indicate any of the following: systolic blood pressure (mmHg or kPa), diastolic blood pressure (mmHg or kPa), MAP (mmHg or kPa), temperature (F or C), temperature mode, pulse rate, pulse signal level, SpO2 percent, department location, date, time, record number, height (in or cm), weight (lb or kg), respiration rate, pain level, connectivity signal strength, and battery charge level. Figure 4. Display Window Connectivity indicator: shows the status of Spot LXi sending a wireless reading. Reading sent: indicates a successful wireless send reading attempt. Reading not sent: indicates an unsuccessful wireless send reading attempt. X Systolic and Diastolic display: if MAP is turned on, the screen toggles between the systolic and diastolic values, and the word “MAP” and the MAP value. { BP SYS mmHg DIA mmHg 127 73 SpO2 display: shows the percent saturation of arterial hemoglobin. For devices with SpO2 only. Navigation Window: shows menu options, error messages, or temperature conversion. Clock: shows the current time. 4 WEST Reading number indicator: shows what reading the device is on. Spot Vital Signs LXi retains up to 50 readings in memory. AM Reading 01 Battery level indicator: shows the battery charge level. { 985 { 62 TEMP Temperature display and indicator: shows the temperature in Fahrenheit or Celsius. Location identifier: shows where the device belongs. If no location is entered, this area displays the date. SpO2 { F % PULSE /min Patient ID 0123456789 Weight Pain Height Clear Send/Next Reading Respiration Thermometer probe setting indicators: shows temperature mode. For devices with SureTemp Plus thermometer only. Thermometer probe setting indicators: shows Monitor Mode. For devices with SureTemp Plus thermometer only. Out-of-range indicator: shows the patient’s temperature reading above or below the measurement range limits. For devices with SureTemp Plus thermometer only. Enter Pulse Signal Bar Graph: shows the strength of the pulses detected. Pulse display: shows the pulse rate. Clinician ID icons: The figure icon signifies that Spot Vital Signs LXi requires the clinician to enter the Clinician ID. The check mark signifies Spot Vital Signs LXi has recorded the Clinician ID. For devices with a bar code scanner only. 24 Overview Welch Allyn Spot Vital Signs LXi Connections Use the following instructions to connect the blood pressure hose, thermometer probe, and optional attachments to the Spot Vital Signs LXi. Figure 5. Spot Vital Signs LXi Side and Rear Panel Connections Icon ID label CTIONS ort 56 MAT: 7039 SureTemp Plus thermometer connection port (for units with SureTemp Plus only) SpO2 cable connection port (for units with SpO2 only) II I Port I for external device connection Blood pressure hose connection port DC power connection port USB connection for PC (behind plug) Port II for external device connection Battery door Mobile stand or wall mount screw connection Service Manual Overview 25 Braun ThermoScan PRO 4000 Lock Press the lock tab toward the Braun ThermoScan PRO 4000 thermometer until it clicks. To release the housing, insert the lock release pin into the lock release hole until the lock tab snaps back. Figure 6. Spot Vital Signs LXi with Braun ThermoScan PRO 4000 Lock Lock release pin Lock tab Lock release hole Blood Pressure Hose and Cuff Identify and have available the Spot Vital Signs LXi, blood pressure cuff, and the blood pressure hose. 1. Inspect the blood pressure hose; notice that one end has a single, gray connector fitting and the other end has two white fittings. 2. Squeeze the side tabs on the gray connector and completely push the blood pressure hose connector into the blood pressure hose connection port until it clicks into place (see Figure 5 on page 24). 3. Twist the white connectors on the blood pressure hose and cuff connectors together. 26 Overview Welch Allyn Spot Vital Signs LXi Thermometer Spot Vital Signs LXi is available with either the SureTemp Plus thermometer or the Braun ThermoScan PRO 4000 thermometer. SureTemp Plus SureTemp Plus is available with two probes and matching wells; one for oral/axillary temperatures (blue ejection button and probe well) and one for rectal temperatures (red ejection button and probe well). WARNING Always use a probe cover whenever coming into contact with a patient. Caution The SureTemp Plus feature only operates with the probe well in place. 1. Align the probe well with the tabs facing up and down into the round opening of the SureTemp Plus housing on the right side of Spot Vital Signs LXi. Push it into place. 2. Align the temperature probe connector with the SureTemp Plus thermometer connection port on the back of the Spot Vital Signs LXi (see Figure 5 on page 24). You can only insert the connector into the port one way. 3. Press the tab on the connector and push it until it clicks into place. 4. Insert the temperature probe into the probe well. Braun ThermoScan PRO 4000 Caution Do not use alkaline batteries in the Braun ThermoScan PRO 4000 thermometer. 1. Open the package of rechargable batteries and follow the installation guide provided. 2. Open the box of probe covers as directed on the box and slide the box into the metal guides toward the back of the thermometer housing with the opening at the top and perforation facing forward. 3. Hold the Braun thermometer at a 45° angle then insert the probe and the top of the thermometer into the housing. 4. Lower the bottom portion of the thermometer into the housing until it snaps into place. If you do not properly seat the thermometer, it could fall out of the holder and become damaged. 5. Slide the thermometer housing into the thermometer slot on the right side of the Spot Vital Signs LXi device. 6. Push the lock tab forward to prevent the thermometer housing from falling out of Spot Vital Signs LXi (see Figure 6 on page 25). To release the lock, insert the lock release pin into the lock release hole. Service Manual Overview 27 SpO2 Sensor Spot Vital Signs LXi is available with a wide variety of SpO2 sensors and ships with a reusable finger clip sensor. 1. Align the shape and pin configuration of the extension cable connector to the SpO2 cable connection port on the left side of the Spot Vital Signs LXi device. 2. Push the connector firmly into the SpO2 cable connection port until you hear it click into place (see Figure 5 on page 24). 3. Align the opposite end of the extension cable to the sensor cable connector and firmly push them together. Note Use only Masimo or Nellcor SpO2 sensors and accessories with the Spot Vital Signs LXi with Masimo or Nellcor configurations, respectively. Radio CTIO NS ort MAT: 70395 6 The Spot Vital Signs LXi identifies which serial port to use after activating the Radio in the internal configuration mode. II I Welch Allyn offers two different radios: • 802.11 b radio and • 802.11 a/b/g radio Only use Welch Allyn Radios PO LIN WER CO K MM Quick Reference Card Attach the Quick Reference Card to the Spot Vital Signs LXi handle, mobile stand, or wall mount using the supplied plastic cable tie. 28 Overview Welch Allyn Spot Vital Signs LXi AC Power Transformer Note To assure proper electrical isolation, replace the AC power transformer/charger using only the Welch Allyn specified part. The operator can use the Spot Vital Signs LXi with AC or battery power (after charging the battery). 1. Insert the round transformer connector into the AC power connection port on the back of the Spot Vital Signs LXi (see Figure 5 on page 24). 2. Insert the line cord into the line connector on the transformer then plug the power cord on the transformer into the AC main power source to charge the battery. Battery Charge the battery for 6 hours before initial use. Charge the device an additional hour if it includes a Braun ThermoScan PRO 4000 thermometer. If there is an external printer, connect the printer to the Spot Vital Signs LXi, enable it in the Internal Configuration Mode (see “Internal Configuration Mode” on page 30 if this is the first time you power on the device, and then Table 7 on page 33), and then charge the Spot Vital Signs LXi for an additional 6-8 hours. While Spot Vital Signs LXi is charging, the charging LED (~) flashes and the battery level indicator segments on the display continuously sequence. When the battery is fully charged, the charging LED is solid and the battery level indicator is steady with all segments continuously shown on the display. If the device includes a Braun ThermoScan PRO 4000 thermometer, the charging LED below the thermometer will illuminate orange as it is charging. When the battery is fully charged, the LED will power off. If the device has an external printer, the charging LED on the printer will flash orange and green when Spot Vital Signs LXi is plugged into the AC main power source. Note There is no hazard associated with leaving the battery in the device, even if the device is not used for long periods of time. 29 3 Functional Overview This functional verification procedure helps to confirm the proper operation of the Spot Vital Signs LXi and options. This procedure supports the requirements of routine preventative maintenance. It is not necessary to disassemble the Spot Vital Signs LXi to perform this procedure. For the calibration procedures, see “Calibration and Verification” on page 49. If the Spot Vital Signs LXi fails certain functional tests or a circuit board is replaced, the device may require calibration. It is necessary to disassemble the Spot Vital Signs LXi for calibration. Always perform this functional verification procedure after performing any calibration. This procedure contains additional tests that are not included in calibration procedures. Self Test The Spot Vital Signs LXi performs a self-test each time the device is powered on. Press the Power button to turn the device on or off. Upon each power up, the display lights up, a beep sounds, and the Spot Vital Signs LXi displays the model and serial numbers. If the internal self-check is successful, the display shows its normal functions (see Figure 4 on page 23) with all values blank, and the device is ready for operation. If the self-check fails, an error code is shown in the Navigation Window (see “Error Codes” on page 73). Spot Vital Signs LXi automatically powers off when not used for 30 minutes. 30 Functional Overview Welch Allyn Spot Vital Signs LXi Internal Configuration Mode You can change several device operating parameters in the Internal Configuration Mode. When changed, these settings become the default power-up settings. You will also see non-changeable device configurations for technical service purposes. To Enter the Internal Configuration Mode: 1. Turn the Spot Vital Signs LXi off. 2. Press and hold the Select and Power buttons for 5 seconds. The device enters the Internal Configuration Mode and the Configuration Menu screen appears on the display. Figure 7. Internal Configuration Mode Menu Configuration Menu Version Numbers Manual Parameters Battery External Devices Location Identifier Save Readings Date/Time Buttons Lockout Blood Pressure Defaults Temperature Event Log Contrast Select 3. Use the Navigation buttons to move through the menu options and then press the Select button to access the options or accept a change. See the following tables for descriptions of the menu options. 4. Press the Power button to exit the Internal Configuration Mode. Service Manual Functional Overview 31 Table 2. Configuration Menu Options Setting Description Version Numbers* Displays the software and hardware version numbers in the Spot Vital Signs LXi device. Battery* Displays the battery level. Location Identifier Allows the entry of the device’s location (e.g., the department name). Follow the display prompts and use the Navigation and Select buttons to enter up to 10 characters. Date/Time Changes the date and time formats or updates the actual date and time. See Table 3, “Date/Time Menu Options” for available settings. Blood Pressure Changes the blood pressure options. See Table 4, “Blood Pressure Menu Options” for available settings. Temperature Changes the temperature options. See Table 5, “Temperature Menu Options” for available settings. Contrast Changes the Display Contrast options. Use the left/right navigation buttons to adjust. Manual Parameters Changes the manual parameters defaults. See Table 6, “Manual Parameters Menu Options” for available settings. External Devices Enables or disables available external devices. See Table 7, “External Devices Menu Options” for available settings. Save Readings Saves the current patient reading at a preselected time interval or upon request. See Table 8, “Save Readings Menu Options” for available settings. Buttons Lockout Secures Spot Vital Signs LXi so unauthorized people cannot use the device or access data without enacting the proper key sequence. To override the buttons lockout feature, simultaneously press the Left Navigation button and the Select button. Defaults Allows the user to select the default settings for the device and reset the unit to the default settings. See Table 9, “Change Local Defaults Options” for available settings. Event Log* Displays the recent button presses, errors, measurements, measurement sites, battery state changes, and patient reading send events. * Displayed information only; operator cannot change. Table 3. Date/Time Menu Options Setting Description Date Format Displays the date in one of the following styles: • mm/dd/yyyy example: July 16, 2005 = 07/16/2005 • dd/mm/yyyy example: 16 July 2005 = 16/07/2005 Date Changes the date on the Display Window and in patient readings. If a location is entered (see “Location Identifier “ in Table 2, “Configuration Menu Options”), the date will not appear on the Display Window; the location will. Time Format Displays the time in one of the following styles: • 12-hour example: 5:00 PM • 24-hour example: 17:00 Time Changes the time on the Display Window. 32 Functional Overview Welch Allyn Spot Vital Signs LXi Table 4. Blood Pressure Menu Options Setting Description BP Calibration Check Prepares the Spot Vital Signs LXi for calibration. Only qualified personnel should verify the Spot Vital Signs LXi blood pressure calibration. For more details, see “Blood pressure calibration” on page 54. Blood Pressure Units mmHg or kPa. Mean Arterial Pressure (MAP) On or off. Table 5. Temperature Menu Options Setting Description Temperature Units Fahrenheit (°F) or Celsius (°C). Temperature Mode SureTemp Plus models only: Oral, Pediatric Axillary, Adult Axillary, and Last Mode. In Last Mode the device takes the next temperature in the mode in which the previous temperature was measured. Rectal Mode is available only when the rectal probe (red ejection button) and probe well are attached. Table 6. Manual Parameters Menu Options Setting Description Height On or off. Height Units Inches (in) or centimeters (cm). Height Default Changes the default patient height displayed in the Navigation Window. Weight On or off. Even if weight is enabled here, if weight scale is enabled in the External Devices Menu, you cannot manually enter the weight. Weight Units Pounds (lb) or kilograms (kg). Weight Default Changes the default patient weight displayed in the Navigation Window. Respiration On or off. Pain Level On or off. Service Manual Functional Overview 33 Table 7. External Devices Menu Options Setting Description Information System On or off. You must enable this option to send patient readings wired or wirelessly. Barcode Patient ID On or off. You must enable this option to send patient readings wirelessly. Barcode Clinician ID On or off. You must enable this option to require mandatory sign in of a clinician. Mandatory Sign In Yes or no. You must enable this option to require the sign-in of the clinician. Clear on Send/Save: Yes or no. You must enable this option to clear the Clinician ID after after sending or saving the measurements. Clear on Power Cycle: Yes or No. You must enable this option to clear the Clinician ID after powering the Spot Vital Signs LXi off. Weight Scale On or off. Spot Vital Signs LXi connects to a scale and the weight shows on the display window (see “Spot Vital Signs LXi Technical Overview” on page 35 for scale details). Wireless Module None or 802.11 B. You must enable 802.11 B to send patient readings wirelessly. The radio is available as an accessory only with Welch Allyn Connex. Printer On or off. Printer Paper Plain or labels. Only available if the Printer is enabled. Table 8. Save Readings Menu Options Setting Description Save Mode Manual or automatic. If automatic, Spot Vital Signs LXi saves readings at a preselected time interval. For either option, Spot Vital Signs LXi automatically saves the measured parameters into memory before automatically powering off when not used for 30 minutes. Auto Save Interval Changes the amount of time before automatically saving the current patient reading. Only available if Automatic Save Mode is enabled. Reading Full Action Auto Overwrite, Ask Overwrite, Do not Overwrite. Spot Vital Signs LXi can save 50 patient readings in memory. Upon reaching reading 51, the device may automatically overwrite reading 1, ask the user if he/she wants to overwrite reading 1, or disable the ability to take another reading until at least one reading is erased. Table 9. Change Local Defaults Options Setting Description Language English, Dansk, Nederlands, Suomi, Français, Deutsch, Italiano, Norsk, Español, Português, Svenska, or Chinese. BP Units mmHg or kPa. Temperature Units Fahrenheit (°F) or Celsius (°C). Height Units Inches (in) or centimeters (cm). Weight Units Pounds (lb) or kilograms (kg). Date Format Displays the date in one of the following styles: • mm/dd/yyyy example: July 16, 2005 = 07/16/2005 • dd/mm/yyyy example: 16 July 2005 = 16/07/2005 Time Format Displays the time in one of the following styles: • 12-hour example: 5:00 PM • 24-hour example: 17:00 34 Functional Overview Welch Allyn Spot Vital Signs LXi 35 4 Spot Vital Signs LXi Technical Overview System Description The Spot Vital Signs LXi automatically measures systolic and diastolic pressure (excluding neonates), pulse rate, temperature (oral, adult axillary, pediatric axillary, rectal, and ear), and pulse oximetry (SpO2) as well as calculates Mean Arterial Pressure (MAP). Furthermore, Spot Vital Signs LXi allows the entry of height, weight, respiration rate, and pain level. Spot Vital Signs LXi also calculates Body Mass Index (BMI) following height and weight entry. The device is intended to be used by clinicians and medically qualified personnel. It is available for sale only upon the order of a physician or licensed health care provider. Refer to the Spot Vital Signs LXi Directions for Use manual for complete information. Battery System Spot Vital Signs LXi includes a 6 Volt, 6 amp-hour sealed lead-acid battery that supplies all power to the device. An external power supply charges the battery. The battery is always on-line (floated) rather than switching out when attached to the external power supply. Spot Vital Signs LXi uses a fuse and a shunt diode for protection against reverse battery connections. The fuse is located on the main board in the negative battery line and a reverse battery connection causes it to blow and require repair. The negative line location is more likely to short the battery (+) wire to ground than short the battery (-) wire to the VBUS node. Battery Charger Provides two levels of power to fast-charge or to float the battery at fixed voltages using software control. The fast-charge level rapidly brings the battery up to near-full capacity (7 Volts) using software to not overcharge the battery. The float level, set per the manufacturer’s recommendation, slowly tops-off the battery and can stay on indefinitely. “CPU I/O” Power Supply Provides power to the I/O pins of the DragonBall MPU and the attached peripheral IC’s. The nominal voltage is set to a value of 3.15 Volts so that both the 3.0 Volt MPU and 3.3 Volts peripherals can operate within specifications. Spot Vital Signs LXi uses buck switching topology for efficiency and an on-off power latch directly controls the power supply. 36 Spot Vital Signs LXi Technical Overview Welch Allyn Spot Vital Signs LXi Standby Mode The Standby Mode conserves battery power. The device goes into Standby Mode if it is not used for two minutes. Press any button to bring the Spot Vital Signs LXi out of Standby Mode. CPU Core Power Supply Powers the MPU core only and operates at the recommended Dragonball voltage range of 1.8 +/- 0.1 Volts; 2.0 Volts absolute max. The +3.15 Volt supply powers the +1.8 Volt supply for efficiency and, more importantly, for power sequencing. During power-on the +1.8 Volt supply cannot exceed the +3.15 Volt supply. The R207/C182 further delays the +1.8 Volt supply. During power-off, D106 prevents the +1.8 Volt supply from exceeding the +3.15 Volt supply by more than a partial diode drop. +5V Supply Provides supply to miscellaneous loads that require more than 3.15 Volts. The Power Latch controls the supply and the average load current is small, so efficiency is not important. Clock/Calendar Power The Clock/Calendar U19 receives power from two sources. During power on the clock runs from the +5 Volt supply and during power down the clock receives power directly from the battery potential using a voltage divider. Capacitor C131 provides power to the U19 during the battery exchanges. Zener D102 prevents overvoltage to U19 in the case of operation directly from the charger. Mod F NIBP Power This module is powered directly from VBUS through an EMI filter. Software via BP-PWRON-BAR controls the power. Level shifter Q115 / Q104 assures that the module remains off when the MPU is unpowered. SpO2 and Thermometer Power A common structure supplies SpO2 and thermometry. A single push-pull driver delivers squarewave power to a pair of isolation transformers, one for SpO2 and the other for thermometry. THERM-PWR-BAR activates the driver under software control. Level shifter Q118, Q119 assures that the module remains off when the MPU is unpowered. In the push-pull (forward) configuration, VBUS is multiplied by the transformer turns ratio and supplied to the input of the rectifier diodes. This is filtered and passed through lownoise 5-Volt linear regulators to supply power to the parameter modules. LCD Power The LCD data interface connects directly to the +3.15 Volt MPU I/O power supply. This powers the driver ICs inside the LCD pane and assures the data interface to the LCD is always powered when the unit is powered. Service Manual Spot Vital Signs LXi Technical Overview 37 The contrast (bias) supply to the LCD panel and the LCD CCFL backlight both derive power indirectly from a pre-regulator. A software control can shut down the pre-regulator. For efficiency, it is implemented as a buck switcher operating directly from the battery. The primary purpose of the pre-regulator is to protect the backlight inverter / ballast from battery voltages that it cannot tolerate and to control current out of the unregulated ballast. The voltage is set to the low side of 5 Volts to reduce battery consumption, while still driving the CCFL with adequate voltage. External Load (RS-232) Power There are two power outlet means on the Spot Vital Signs LXi – RS-232 port power and the Braun PRO 4000 charger. Two isolated power supplies provide power to each of the external RS-232 ports. This power is available to external devices on pin 9 of each serial connector whenever the software enables the corresponding RS-232 port. SureTemp Plus Thermometer Interface The SureTemp Plus OEM module is located in an optional pod and is connected to the main PCB via a flex cable.The Thermometer Probe connection is located on a separate PC board. It is connected to the SureTemp Plus OEM module by a ribbon cable. The electrical interface to the thermometer pod is a 6-pin ribbon connector, Molex 52271-0690 or equivalent. Braun ThermoScan PRO 4000 Thermometer Interface The interface to the Braun ThermoScan PRO 4000 thermometer is located in the optional pod and connects to the main PCB via a flex cable. The communications link is a single duplex current loop that also charges the Braun battery pack. The presence or absence of current passing through the Braun ThermoScan PRO 4000 charge contacts controls the interface charge LED, located within the pod, which mimics the Braun ThermoScan Pro 4000 Base Station (type 6021). SpO2 Description A shielded flat-flex cable connects the user interface sensor connector J8 to the SpO2 electronics. The Masimo SpO2 module mates to the Masimo Adaptor Board that, in turn, mates to the Main board. This provides power and communications to the module from the Main board. The Nellcor SpO2 module mounts directly to the Main board. This provides power and communications to the module, and brings the sensor signals to the main board where EMI and ESD can be controlled. The sensor signals pass through the main board to the mating connector for the shielded flat-flex cable. 38 Spot Vital Signs LXi Technical Overview Welch Allyn Spot Vital Signs LXi Radio Description For radio description, refer to the manufacturer’s Directions for Use. The radio interfaces to the Spot Vital signs LXi through an RS-232 female connector with a 9-pin male/female null modem connection. Figure 1. 9-pin Null Modem Pinout MA 0051 (DB9M/F) Adapter Pin out: 09 Male 09 Female 2 3 3 2 4 1+6 5 5 1+6 4 7 8 8 7 9 9 G G Bar Code Scanner Description The Spot Vital Signs LXi has a 2D scanner (IMAGETEAM™ 4600). This scanner is programmed specifically for Welch Allyn. Scanners not purchased through Welch Allyn will not work with the Spot Vital Signs LXi. 4600SF031C Settings Parameter Setting Factory Default 9600 38400 Data Bits: 7 8 Stop Bits: 1 1 Parity: Even None Handshaking: None None Beeper - Good Read: Off On Beeper Volume - Good Read: Off Medium Manual Trigger, Low Power Manual/Serial Trigger 5 seconds - Terminal Interfaces: Baud Rate: Output: Trigger Mode: Lower Power Time Out: Service Manual Spot Vital Signs LXi Technical Overview Parameter Setting Factory Default Prefix1: <STX><SOH><DC2> (Ctl-BAR) None Suffix1: <CR><LF> <CR><LF> 39 Data Editing: NOTES: 1. Applies to all symbologies. 2. Select the he <CR><LF> prior to revising the Terminal Interface parameters. Output Format The data accepted as a valid bar code reading consists of an ASCII text string composed of three elements: the prefix, the message consisting of the bar code data, and the suffix. The format of the string is as follows: “<STX><SOH><DC2>AA...AA(CR><LF>” where: Field Description STX Start of Text character, 0x02. SOH Start of Header character, 0x01. DC2 Device Control 2 character, 0x12. A Message data consisting of alpha-numeric chacters in the range 0x20 through 0x7E. The message length can range from 0 to 20 characters. CR Carriage return character, 0x0D. LF Line feed character, 0x0A. Note 1. Spot Vital Signs LXi issues a single beep for valid bar codes and displays the message scanned in on the units display. If a bar code is invalid, Spot Vital Signs displays nothing. 2. Spot Vital Signs LXi treats bar codes longer than 20 characters as invalid. 3. Spot Vital Signs LXi checks the parity bit of every character received. If a parity error is detected in the preamble, Spot Vital Signs LXi ignores the remainder of the bar code (no beep issued). If a parity error is detected in the message data or suffix, Spot Vital Signs LXi treats the bar code as invalid. 4. Refer to the bar code scanner manual for a list of supported symbologies. Interface The bar code scanner interfaces to Spot Vital Signs LXi through an isolated RS-232 DB-9 female connector. A started 4600SF031C cable (Part #42204253-01 RS232, 9PIN D, HHP 0204 REF F) is required for use with the scanner. 40 Spot Vital Signs LXi Technical Overview Welch Allyn Spot Vital Signs LXi Printer Description All models of the Ap1300 printer use an industry standard RS-232 interface. The default parameters are 9600 baud, 8 data bits, 1 stop bit, and no parity. Serial data is expected in standard RS-232C format with -12 Volt meaning ‘mark’ or ‘1’ and +12 Volt a logical ‘0’, with reference to the common ground. The serial data output line, TxD, transmits XON/XOFF and status information to the host at the same Baud rate and in the same format as the serial data input. The hardware busy line is true (nominal -12 Volt) when busy. Both serial output lines will relax to approximately 0 Volt when the Ap1300 is in sleep mode and the user must allow a short period after awakening before relying on the values of these signals. The Ap1300 has three operating modes, when not actually printing. Idle Mode Ready to accept data, but no data are in the buffer awaiting printing and the printer motor is not running. Sleep Mode Effectively switched off. Spool Mode Active, but storing data for later printing. Different color combinations on the front-panel LED indicate the modes. No light is emitted in sleep mode. Table 1. LED Pattern Table Pattern Battery Buffer Mode Constant Green Running Normal Fast Flashing Green Running Spool * Long Green - Short Red Battery Low Normal Short Green - Short Red Battery Low Spool * Short Green - Long Orange Trickle Charging Normal Long Orange Flash Trickle Charging Spool * Fast Flashing Orange Fast charging Spool (Printing prohibited) Fast Flashing Red Error Condition Spool (Printing prohibited) No Light Flat or in sleep mode * Spool may have resulted from Paper Out or Head Up conditions) No hardware power switch is fitted, as power control is either automatic or by command from the host computer. To save power, the printer enters sleep mode after a period of inactivity, factory-set to 30 seconds, but prorammable from the host. It can also be programmed to stay idle indefinitely or to go to sleep on command. The Ap1300 utilizes Fujitsu FTP-628MCL 103 printer mechanism, with a fixed (parallel) print head with 384 horizontally-arranged thermal elements. A stepper motor advances the paper and the printing takes place in a single-dot row for each step of the paper. Each printed dot is approximately 1/8 mm square. The printing speed and dot density are controlled according to the battery voltage and the head temperature. The Spot Vital Signs LXi provides two levels of power to fast-charge or to float the battery at fixed voltages using software control. The fast-charge level rapidly brings the battery Service Manual Spot Vital Signs LXi Technical Overview up to near-full capacity (7 Volts) using software to not overcharge the battery. The float level, set per the manufacturer’s recommendation, slowly tops-off the battery and can stay on indefinitely. 41 42 Spot Vital Signs LXi Technical Overview Welch Allyn Spot Vital Signs LXi Interconnect Diagram Item Description Item Description A1 PCA, Main, Spot Vital Signs LXi W1 Assy, Power Harness, Spot Vital Signs LXi A1-F1 Fuse, FlastBlo, 5A W1-A1 PCA, Power Interface, Spot Vital Signs LXi A2 PCA, Serial Interface, Spot Vital Signs LXi W2 Flex, Main, Spot Vital Signs LXi A3 Display, LCD, 320 x 240, Mono W3 Cbl Flx, 1/2mm, 15 POS A4 Inverter, LCD W4 Assy, Ballast Harness, Spot Vital Signs LXi A5 Assy, Battery, Spot Vital Signs LXi W5 Assy, LCD Gnd Harness A5-F1 Wire Protection Fuse W6 Assy, Cable, Flat Flex, SpO2 A6 Assy, Fan Unit Cooling Wire Clip, Side Entry, .375 Wide A7 PCA, Masimo Adapter, Spot Vital Signs LXi Foam Strip, 2 Sided Adhesive A8 Masimo MS-11 SpO2 W7 Cbl, Flx, 1mm, 6POS Shield, Masimo EMI W8 Cbl, Flx, 1mm, 8POS Tape, Copper, Masimo Shield W9 Cbl, Flx, Braun, Spot Vital Signs LXi A9 PCA, SureTemp Plus, OEM w/o EDAC A10 PCBA, BP OEM, (MOD F) A11 Assy, Pump, and Tubing, Spot Vital Signs LXi A11-F1 Filter, Air, 1/8 Barbs A12 Assy, Transducer Tubing, Spot Vital Signs LXi A13 PCA, EDAC, Spot Vital Signs LXi A14 Nellcor MP506 SpO2 PCB A15 PCA, Braun Interface, Spot Vital Signs LXi Wire Color BLK Black BRN Brown RED Red ORN Orange GRN Green BLU Blue PNK Pink 5 4 3 2 1 1 WHT X1 DGND X3 A5 BATTERY - J108 SERIAL INTERFACE +5LCD J107 BACKLIGHT DGND SERA-PF-BAR SERA-EN SERA-RXE SERA-TX-BAR LCD-VDD LCD-LACD LCD-LSCLK DGND LCD-LP LCD-FLM SERA-RTS-BAR 8 2 + 1 GRN SERB-RXE BLK C USB-SUSPND 1 SER-GND RED + ORN + WHT D107 6 A1-F1 FUSE 5A CHG-IN CHG-GND +3.15V DGND 1 A1-J5 JTAG 2 4 6 8 10 12 14 16 18 20 J104 POWER W1-A1-JP2 Ferrite + 2 USB-VM +3.15V 1 3 5 7 9 11 13 15 17 19 15 16 2 MNT10 26 USB-VPO 27 USB-VMO 28 J103 THERMOMETER MNT4 1 GND-ZBI MNT5 1 P102 2 RTS 7 TXD 3 CTS 8 DTR 4 ZC+5V 9 J1 SERIAL I 5 1 J10 GND-ZD DTE 1 2 3 4 5 6 7 8 9 10 1 W6 SPO2 FPC ASSY J8 SPO2 Mini-D GND-ZBX P101 A7 1 MNT24 1 RED-C P1 MNT21 A8-J3 IR-C +5VA 1 2 3 4 5 6 7 8 9 10 P3 MNT23 1 J90 SENSOR ANODE CATH INNER INNER CONTROL A10-P6 SENSOR 1 2 3 4 5 6 7 8 9 10 A10-J81 VALVE B MASIMO ADAPTOR BOARD W7 FFC RST DAV RX TX NIBP BOARD 2 ANODE CATH INNER INNER DIGI-CAL OUTER LED(1) OUTER LED(8) DIGI-GND LED (1) MNT6 A10 A10-J80 PUMP 2 RXD J6 P6 SPO2 SENSOR Cut out for MS-11 LED (8) GND-ZC A1-JP2 0 1 J101 SENSOR DET+ GND-DIGI DIGICAL DETINNER GND-ZB 1 B BLU DSR 6 24 1 1 2 3 4 5 6 7 8 9 10 MNT9 MNT7 J3 USB DEVICE DCD 1 25 C-LOCK 1 2 3 SPO2I-RESET-BAR 4 5 +12V 6 ANA-OUT 7 SPO2I-TX 8 SPO2I-RX 9 +5VA 10 CTS-BAR 11 12 +5VD 13 14 RX TX HOST-WAKEUP-BAR RESET-BAR GND POWER HOST_TX VBUS GND HOST_DSR HOST_RX GND PWR_ON ECG_SYNC DGND 1 2 3 4 5 6 7 8 MNT8 DTE 18 22 USB-RCV J102 SPO2 CONTROL J105 NIBP CONTROL POWER INTERFACE BOARD 9 17 DGND FAN ZC+5V J2 SERIAL II SERIAL INTERFACE BOARD 14 23 S3 RESET FAN A6 W1-A1 4 GND-ZE 29 6 5 4 3 2 1 W1-A1-J3 A2 FFC 12 30 BLK 8 DTR C RED 2 3 CTS 21 DGND + 7 TXD 20 NOPOP center = + 1 2 RTS 19 USB-VP 4 5 USB-OE-BAR BAT-GND 3 10 13 SERB-RTS-BAR 2 A5-F1 W2 11 SERB-CTS-BAR RXD 5 9 SERB-EN 2 BLU 6 +5V SERB-PF-BAR VBUS BAT-IN 1 DSR 6 5 7 SERB-TX-BAR 1 RED 1 DCD 1 3 +HST-IF SER-SYNC MAIN BOARD GND-IO J11 VBUS POWER 4 LCD-VEE A1 30 1 2 SERA-CTS-BAR USB-ID-BAR BLK + J4 CHARGER DGND W1 POWER HARNESS 1 Ferrite VBUS-IO DGND LCD-D0 LCD-D1 LCD-D2 LCD-D3 1 J110 1 1 W5 J106 LCD BATTERY 5 D Pinout on LCD is reversed from standard Molex assignment. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 INVERTER / BALLAST 3 LCD W4 RED BLK 2 D A3 1 CN1 1 1 2 A4 CN2 PNK 5 4 3 2 1 W3 FFC FRM LOAD CP DISP-ON VDD VSS VEE D7/NC D6/NC D5/NC D4/NC D3 D2 D1 D0 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 GRN 3 1 8 A13 J5 SURETEMP PLUS PROBE THERMOMETER INTERFACE (EDAC) BOARD MNT22 A8-J1 RED BLK A8 MASIMO SPO2 BOARD Shield A11 A11-F1 PUMP & TUBING A12 M TRANSDUCER TUBING FILTER A9-J1 CONTROL 6 1 A A9 SURE TEMP PLUS OEM BOARD A9-J3 PROBE 8 7 6 5 4 3 2 1 W8 FFC PRODUCT ENCLOSURE BLOOD PRESSURE CUFF THIS INFORMATION IS THE PROPERTYOF WELCH ALLYN. IT IS SUBMITTED IN CONFIDENCE AND IS NOT TO BE DISCLOSED OR UTILIZED WITHOUT WRITTEN PERMISSION. APPROVALS CHECK PROJ. MGR. DATE - WELCH ALLYN TITLE Spot Lxi Interconnect Diagram - Source document: 40700-HDD SIZE NUMBER REV A B 5 4 3 A Note: This page depicts interconnect for basic unit plus Masimo SPO2 and SureTemp Plus Thermometer options. 2 PCB Mat'l # (ref) DATE 12/6/05 PCA Mat'l # (ref) DRAWN BY 1 SHEET 1 of 2 K Burdick 5 4 3 2 1 X1 DGND J110 X3 5 4 3 2 1 DGND LCD-D0 LCD-D1 LCD-D2 LCD-D3 DGND J107 BACKLIGHT J108 SERIAL INTERFACE +5LCD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 2 D 1 D DGND SERA-PF-BAR SERA-EN SERA-RXE SERA-TX-BAR LCD-VDD LCD-LACD LCD-LSCLK DGND LCD-LP LCD-FLM SERA-RTS-BAR A1 7 8 9 SERB-EN SERB-RXE USB-ID-BAR VBUS USB-SUSPND C BAT-GND 3 6 15 16 17 18 19 1 CHG-IN A1-F1 FUSE 5A 14 C D107 USB-VP 4 5 USB-OE-BAR 2 SER-GND 12 13 SERB-RTS-BAR 2 10 11 SERB-CTS-BAR SERB-TX-BAR BAT-IN 6 +5V SERB-PF-BAR 1 5 +HST-IF SER-SYNC MAIN BOARD 3 4 LCD-VEE J106 LCD 1 2 SERA-CTS-BAR CHG-GND +3.15V DGND J5 JTAG 2 4 6 8 10 12 14 16 18 20 J104 POWER 20 21 USB-VM +3.15V 1 3 5 7 9 11 13 15 17 19 2 22 23 S3 RESET USB-RCV 24 25 1 26 USB-VPO 27 USB-VMO 28 NOPOP DGND 29 30 DGND MNT9 MNT10 J103 THERMOMETER MNT4 J101 SENSOR 1 J6 SPO2 SENSOR ANODE CATH INNER INNER DIGI-CAL OUTER LED(1) OUTER LED(8) DIGI-GND LED (1) LED (8) Cut out for MS-11 MNT6 GND-ZBI MNT5 1 2 3 4 5 6 7 8 9 10 W6 FPC J8 SPO2 Mini-D GND-ZBX 1 A14-J2 CONTROL B 2 DET+ GND-DIGI DIGICAL DETINNER GND-ZC A1-JP2 0 1 1 2 3 4 5 6 7 8 9 10 RX TX HOST-WAKEUP-BAR RESET-BAR GND POWER 6 5 4 3 2 1 HOST_TX VBUS GND HOST_DSR HOST_RX GND PWR_ON ECG_SYNC MNT7 1 2 3 4 5 6 7 8 MNT8 DGND GND-ZB C-LOCK 1 2 3 SPO2I-RESET-BAR 4 5 +12V 6 ANA-OUT 7 SPO2I-TX 8 SPO2I-RX 9 +5VA 10 CTS-BAR 11 12 +5VD 13 14 J102 SPO2 CONTROL J105 NIBP CONTROL A14-J1 SENSOR B A14 W9 FFC NELLCOR SPO2 BOARD A15-J1 CONTROL A15 6 A15-J2 WELL CONTACTS BRAUN INTERFACE BOARD 1 CHG/DATA GND 2 1 Note: This page depicts interconnect for Nellcor SPO2 and Braun Thermometer options only. PRODUCT ENCLOSURE A A THIS INFORMATION IS THE PROPERTYOF WELCH ALLYN. IT IS SUBMITTED IN CONFIDENCE AND IS NOT TO BE DISCLOSED OR UTILIZED WITHOUT WRITTEN PERMISSION. APPROVALS CHECK PROJ. MGR. DATE - WELCH ALLYN TITLE Spot Lxi Interconnect Diagram - Source document: 40700-HDD SIZE NUMBER REV A B 5 4 3 2 PCB Mat'l # (ref) DATE 12/6/05 PCA Mat'l # (ref) DRAWN BY 1 SHEET 2 of 2 K Burdick 43 5 Maintenance and Service Cleaning WARNING Before performing any maintenance or service to the Spot Vital Signs LXi, disconnect the AC power line from the electrical outlet. Spot Vital Signs LXi Caution Prevent water or other fluids from entering any connectors. If the connectors get wet, dry them with warm air. Check all measurement functions. Caution Do not sterilize or autoclave the Spot Vital Signs LXi device. As necessary, clean the device with a cloth slightly dampened with either 70% isopropyl alcohol, 10% chlorine bleach solution, or mild detergent in water, or use PDI Sani-System Cloths. Never immerse Spot Vital Signs LXi in any type of fluid. Blood Pressure Cuff Before washing the Reusable Two-Piece Cuff, remove the two connectors and bladder, close off tubes with plugs (available as accessory 5082-163), and close the hook and loop fasteners. After washing, allow the cuff to air dry. Re-assemble the tube fittings. Never press with an iron. Blood Pressure Hose and Cable Wipe the pressure hose with a damp cloth moistened in a mild detergent solution. Do not immerse hose. 44 Maintenance and Service Welch Allyn Spot Vital Signs LXi SureTemp Plus Thermometer Temperature Probe Caution DO NOT immerse or soak the probe in any type of fluid. Caution DO NOT use steam, heat, or gas sterilization on the probe. Caution DO NOT autoclave the probe. Press down on the connector tab and slide the connector out of the port to remove the temperature probe. Regularly wipe the probe with a cloth dampened with warm water and a mild detergent solution, a 70% isopropyl alcohol solution, or a 10% chlorine bleach solution. Removable Probe Well Caution DO NOT use hard or sharp objects to clean the probe well. This could damage the probe well and cause the device to not function properly. Caution DO NOT use steam, heat, or gas sterilization on the probe well. Caution DO NOT autoclave the probe well. 1. Remove the temperature probe from Spot Vital Signs LXi (see “Temperature Probe” on page 44). 2. Grasp the well under the probe opening and pull up gently to remove it from the device. 3. Swab the inner and outer surface of the probe well with a cloth dampened with a mild detergent solution, 70% isopropyl alcohol, or 10% chlorine bleach solution. Immerse the probe well in mild detergent solution as necessary for cleaning. 4. Dry all surfaces thoroughly before re-assembling the device (see “SureTemp Plus” on page 26) for reassembly instructions. Braun ThermoScan PRO 4000 Thermometer Use a soft cloth slightly moistened with alcohol to clean the thermometer display and exterior. Do not use abrasive cleaners. Damage to the probe window or the presence of dirt or cerumen on the probe window can affect the accuracy of your temperature measurement. To clean the window, gently wipe it with a cotton swab slightly moistened with alcohol and immediately wipe dry with a clean cotton swab. Allow to dry at least five minutes before taking a temperature. Every month, clean the Braun ThermoScan PRO 4000 charging contacts within the Spot Vital Signs LXi housing with a swab slightly dampened with alcohol. Service Manual Maintenance and Service 45 SpO2 Sensors WARNING Do not immerse the sensor in water, solvents, or cleaning solutions (the sensors and connections are not waterproof). Do not use irradiation, steam, or ethylene oxide for sterilization. Clean the reusable SpO2 sensor with a 70% isopropyl alcohol solution. Do not immerse the sensor. Radio Refer to Manufacturer’s Directions for Use. Printer The printer label kit comes with a two-step head cleaner. Follow the directions provided with the cleaner. 46 Maintenance and Service Welch Allyn Spot Vital Signs LXi Battery Replacement Spot Vital Signs LXi Caution Only use the Welch Allyn 4500-84 lead acid battery. Using an incorrect battery will cause damage to the Spot Vital Signs LXi and void the warranty. Caution Do not break the shrinkwrap around the battery. If necessary, replace the internal battery after heavy use or the battery no longer charges. 1. Power off the Spot Vital Signs LXi and disconnect the AC power transformer cord. 2. Remove the four screws holding the battery door using a phillips-head screwdriver. Remove the battery door to expose the battery. 3. Tip the Spot Vital Signs LXi backward and slide the battery out. Disconnect the oneway connector and then attach a new battery to the connector as shown. The oneway connector ends only connect one way. Do this as quickly as possibly to prevent loss of clock time. Figure 1. Battery Removal and One-way Connector One-way connector 4. Slide the battery into the compartment as far as it will go. Push the connector down into the case next to the battery. 5. Replace the battery door and tighten each of the four screws. 6. Connect the AC power transformer to the Spot Vital Signs LXi and allow the new battery to charge for approximately 6 hours. The rechargeable batteries in the Braun ThermoScan PRO 4000 thermometer requires an additional 1 hour to charge and the rechargeable batteries in the external printer require an additional 4 hours to charge. You can use the Spot Vital Signs LXi during this charging period via the AC power cord. If Spot Vital Signs LXi displays the E38 error code after power up, set the date (see “Date/Time Menu Options” on page 31). The battery is a non-spillable lead-acid battery and must be recycled or disposed of properly according to national or local regulations. Service Manual Maintenance and Service 47 Braun ThermoScan PRO 4000 Caution Do not use alkaline batteries in the Braun ThermoScan PRO 4000 thermometer. Welch Allyn supplies a rechargeable battery pack with the Braun ThermoScan PRO 4000 thermometer. 1. Open the battery compartment. 2. Remove the battery pack and replace with a new battery pack, verify the poles are in the right direction. 3. Slide the battery door back in until it snaps into place. If the battery is completely discharged, the LEDs will not illuminate. Allow the unit to charge at least 15 minutes before proceeding. The battery is a rechargeable battery and must be recycled or disposed of properly according to national or local regulations. Printer Caution Do not use alkaline batteries in the printer. 1. Open the battery compartment. 2. Remove the battery pack and replace with a new battery pack, verify the poles are in the right direction. 3. Slide the battery door back in until it snaps into place. Allow the printer to charge at least 15 minutes before proceeding. The battery is a rechargeable battery and must be recycled or disposed of properly according to national or local regulations. 48 Maintenance and Service Welch Allyn Spot Vital Signs LXi Spot Vital Signs LXi Firmware Upgrade CD This CD upgrades the Spot Vital Signs LXi unit software version. A detailed procedure is available on the upgrade CD. Spot Vital Signs LXi Radio Configuration CD This CD configures the Spot Vital Signs LXi Radio to a local network. This feature requires Welch Allyn Connex Version 2.0 or higher (not available in all countries). For more information about Connex, see www.welchallyn.com. Product Disposal Do not dispose of this product as unsorted municipal waste. Prepare this product for reuse or separate collection as specified by Directive 2002/96/EC of the European Parliament and the Council of the European Union on Waste Electronic and Electrical Equipment (WEEE). If this product is contaminated, this directive does not apply. For more specific disposal information, see www.welchallyn.com/weee,or contact Welch Allyn Customer Service at +44 207 365 6780. 49 6 Calibration and Verification Terms BP test volume repair fixture. Equipment with four separate volume cylinders: 100cc, 200cc, 250cc, and 500cc. Referred to in this procedure as Test Volume. Calibration. Process to change the outputs of the UUT that are out of range. After saving, the changes become permanent until the next calibration. Pneumatic test assembly. Equipment that connects the UUT, the pressure meter, the squeeze bulb, and the BP test volume repair fixture. Repair software. Software package to verify and calibrate the Spot LXi device. Service computer. Computer with the repair software loaded and ready to operate. Tests. Process to check the outputs of the UUT. UUT. Unit under test. 50 Calibration and Verification Welch Allyn Spot Vital Signs LXi Pneumatic test assembly setup Equipment: See “Tool list” on page 101 for equipment part numbers. Note • Square fitting connector • Squeeze bulb with bleeding scew • Calibrated pressure meter • Power supply, 0-10 volts, 2 amps capacity or better • UUT • Two-tube blood pressure hose with “Y” fitting • BP test volume repair fixture. Must have at least the following volume cylinders: 100cc, 250cc, and 500cc • 12-inch (30.5 cm) tubing with .25-inch (6.35 mm) ID - quantity 4 1. Connect a piece of tubing to the squeeze bulb with bleeding screw and the opposite end to the square fitting connector. 2. Connect another piece of tubing to the square fitting connector and the opposite end to the calibrated pressure meter. 3. Connect another piece of tubing to the square fitting connector and the opposite end to the test volume. 4. Connect the last piece of tubing to the square fitting connector and the opposite end to the “Y” fitting on the two-tube blood pressure. Pneumatic test assembly Battery connector simulator Test volume DVM Pressure meter Power supply Double bp hose with y fitting Squeeze bulb DVM connections Service Manual Calibration and Verification 51 Voltage Calibration Equipment: Note See “Tool list” on page 101 for equipment part numbers. • UUT • Digital voltage meter • Power supply, 0 to 10 volts, 2 amps capacity or better • Battery connector simulator 1. Disconnect battery and connect power supply to UUT, observing correct polarity. Connect DVM to power supply leads at the battery simulator. 2. Set the power supply to 6.5 VDC. 3. Power on UUT in configuration mode (press the check button and power on the UUT). Hold check button until the UUT beeps twice. 4. Adjust the power supply to 5.5 +/- 0.1 VDC at battery connector simulator leads. 5. Select Calibrate > Voltage on the service computer. The UUT LCD goes blank. 6. Read the voltage on the DMM connected to the battery simulator leads. 7. Enter this voltage reading into the Actual Voltage field and click Calibration button. 8. Click the OK button to accept the inputs. Click Yes to make the changes permanent. 9. Enter your initials in the Calibration Signature Field and click OK. UUT resets and powers up in normal mode. 52 Calibration and Verification Welch Allyn Spot Vital Signs LXi Pressure verification test Note If this is a new NIBP board, go to “Blood pressure calibration” on page 54 and carefully follow the instructions to initialize this board. Any UUT in the field for a year or longer is due for calibration. See“Blood pressure calibration” on page 54 . Otherwise continue in this section. Equipment: Note See “Tool list” on page 101 for equipment part numbers. • Pneumatic test assembly (see “Pneumatic test assembly setup” on page 50) • Power supply, 0 to 10 volts, 2 amps capacity or better • Standard blood pressure cuff, size 11 (adult) preferred • Battery connector simulator • Digital voltage meter • UUT 1. Disconnect battery and connect the battery simulator and the power supply to the UUT, observing correct polarity. 2. Connect the DVM to the power supply leads at the battery simulator and set the power supply to 6.5 volts dc. Measure voltage where the power supply leads connect to the battery connector simulator leads. 3. Connect UUT to the pneumatic test assembly. Connect the test volume hose to the 500 cc cylinder. 4. Power on UUT in configuration mode (press the check button and power on the UUT). Hold check button until the UUT beeps twice. The configuration screen displays, scroll to Blood Pressure and select it. Select BP Calibration Check. 5. Open the repair software and select Test > Calibration. A Test Calibration box displays on the screen. 6. Verify the pressure is at or near zero and the voltage is within 0.1 VDC of the power supply (6.5 v dc). Verify the valve status is open and the pump status is off. 7. Select Close Valve on the UUT. The valve status changes to closed. 8. Select the Start Cuff Inflation. The pump starts inflating the cuff. Verify the pump status is on and the pressure is rising. 9. Inflate the pressure up to 250 mmHg. Select the Stop Pump on the UUT to stop the inflation. Fine tune the pressure reading to 250 mmHg with the squeeze bulb. 10. Check the reading on the pressure meter against reading on the UUT. a. Verify the pressure on the UUT is within the pressure tolerance in the table. Use the squeeze bulb to fine tune the pressure at each inflation pressure limit. If the pressure is within tolerance, go to the next inflation pressure. Inflation pressure Pressure tolerance Inflation pressure Pressure tolerance 250 mmHg +/- 2 mmHg 50 mmHg +/- 1 mmHg 150 mmHg +/- 1.5 mmHg 0 mmHg +/- 1 mmHg Service Manual Calibration and Verification 53 b. If the UUT is not within the pressure tolerance, open the valve to bleed pressure to zero. Select Calibrate > Pressure on the repair software. Proceed to “Blood pressure calibration”. UUT needs calibration. 11. If all readings are within specification, go to “Functional tests” on page 56. 54 Calibration and Verification Welch Allyn Spot Vital Signs LXi Blood pressure calibration Note This section updates the pressure calibration of the UUT. If all readings were within specifications during “Pressure verification test” on page 52, skip this section and go to “Functional tests” on page 56. Equipment: Note See “Tool list” on page 101 for equipment part numbers. • Pneumatic test assembly (see “Pneumatic test assembly setup” on page 50) • Digital voltage meter • Standard blood pressure cuff, size 11 (adult) preferred • Battery connector simulator • Power supply, 0 to 10 volts, 2 amps capacity or better • UUT To initialize the NIBP board: 1. Open repair tool (Ver 3.0 or greater) and click Calibrate > Reset Defaults. The Reset Defaults window displays. 2. Click Reset > Initialize > OK. The NIBP board is initialized. Perform the blood pressure calibration section. To perform the blood pressure calibration 1. Disconnect battery, connect the power supply, and set to 6.5 volts dc. Otherwise leave power supply as it is from “Pressure verification test” on page 52. 2. On the service computer select Calibrate > Pressure. 3. Power on UUT in configuration mode (press the check button and power on the UUT). Hold check button until the UUT beeps twice. The configuration screen displays, scroll to Blood Pressure and select it. Select BP Calibration Check. 4. Connect the hose to the 500cc cylinder of the test volume and verify the following: • the pressure is at zero mmHg, • the bleed screw on squeeze bulb is closed, • valve on UUT is in the open state. 5. On the computer screen select Calibrate Zero button. 6. Press the NIBP button to close valve on UUT and use the squeeze bulb to manually inflate the UUT to 200 mmHg. Let stabilize. Enter the pressure meter reading in the Calibration Gain Field on the service computer. Be as precise as possible. If pressure meter has resolution of 1 mmHg make sure it reads 200 without switching to 199 or 201. Enter 200.00 in Calibration Gain Field. 7. Click Calibrate Gain on the service computer. 8. Click OK to accept the inputs. Click Yes to make the changes permanent. Service Manual Calibration and Verification 9. Enter your initials in the Calibration Signature Field and click OK. UUT resets and powers up in normal mode. 10. Blood Pressure calibration is complete. 55 56 Calibration and Verification Welch Allyn Spot Vital Signs LXi Functional tests Note Perform the tests sequentially. Each test is software driven. Selecting the Test button begins the test. Connect and verify the correct cylinder (in parenthesis) or the test will fail. Select Configuration to see a preferred connections diagram for each test. Equipment: • Pneumatic test assembly (see “Pneumatic test assembly setup” on page 50) • Digital voltage meter • Standard blood pressure cuff, size 11 (adult) preferred • Battery connector simulator • Power supply, 0 to 10 volts, 2 amps capacity or better • UUT Test specifications: Leak test 6mm maximum in 15 seconds with a volume of 100 cc at 250 mmHg Dump test From 260 to less than 15 mmHg in 10 seconds or less with a volume of 500 cc Inflation test From 5 to 210 mmHg in 7 seconds or less with a volume of 250 cc Valve control test From 160 mmHg with a volume of 100 cc Open the valve for the following amounts of time and pressure drop: •10 msec = 4 to 12 mmHg •15 msec = 4 to 15 mmHg •25 msec = 4 to 25 mmHg Inflation linearity Connect a standard size cuff to the UUT and inflate. Measure the pressure at 6, 9, and 12 seconds and compare to the expected readings at these intervals. Also check the noise level at 7, 10, and 13 seconds into the inflation step. To perform the functional tests: 1. Close the Pneumatics test box and open the Current Levels test box. Perform the tests listed. a. Sleep state mode: LCD is off and the UUT is idle. Verify the current is approximately 200 mA. b. Valve/pump mode: UUT is fully active with the valve closed and the pump running. The UUT can draw up to 2.0 amperes in this state. c. Normal mode: LCD is lit, but the UUT is inactive. The UUT current draw is approximately 700 to 800 mA. 2. Close the Test Current Levels box and open the Test Noise Levels box. The Test Noise Levels test measures the amount of noise on the UUT A-D pressure channel. The sample is 1 second in length with 0 mmHg applied. The maximum allowed noise is .050 mmHg. 3. Close the Test Noise Levels box and open the Buttons Test box. Service Manual Calibration and Verification 57 4. Press each button on the UUT and verify the appropriate button lights on the service computer. 5. When finished close the Buttons Test box and open the Interface box. 6. Perform all commands in this test, verifying the LCD on the UUT responds correctly with each command. To perform the over pressure test: 1. Verify the UUT is in normal mode and remove the blood pressure cuff. 2. Re-install the pneumatic test assembly with the 250 cc cylinder connected. 3. Go to the repair software select Unit >Status. A Unit Status box displays. 4. Check the Log Status Information box in the lower right hand corner of the computer screen. Event logs display in rapid succession. 5. Immediately initiate a blood pressure reading. As the pressure increases, start applying additional pressure with the squeeze bulb. 6. Increase the pressure to the UUT until an E10 error displays. 7. Uncheck the Log Status Information box and close the Unit Status box. 8. Scroll through the event log to locate the last ‘no’ answer, directly followed by the first ‘yes’ answer in the column labeled over pressure. 9. Scroll to the right to see the mmHg pressure that these events occurred. 10. Select the higher pressure reading when the E10 error occurred. Verify the pressure is between 296 and 329 mmHg. Note The following tests are for verification only. There is no updating of calibration parameters. If any function fails accuracy standards, replace the part. 58 Calibration and Verification Welch Allyn Spot Vital Signs LXi Temperature Functional Check The 9600 Plus Calibration Tester takes approximately 20 minutes to heat to the lowest setting. When testing several thermometers at all three temperatures, it is recommended to test all probes at one Calibration Set Point Temperature before proceeding to the next Calibration Set Point Temperature. To further expedite testing start at the lowest Calibration Set Point Temperature. The 9600 Plus Calibration Tester does not have an internal fan, this causes a longer cool down time than warm up time. Refer to the 9600 Plus Calibration Tester Directions for Use manual for specific information regarding the LCD window or the control buttons. 1. Choose the proper mains plug insert and slide it over the two prongs in the power converter. Figure 1. Power Adapter and Mains Plug Inserts Two prongs in the power adapter US UK AUS EU 2. Plug the power adapter into the 9600 Plus Calibration Tester (Figure 1) and the opposite end into a wall outlet. 3. Place the 9600 Plus Calibration Tester on a level surface away from sunlight, drafts, and other sources of heat or cold. 4. Observe the Set Point Mode in the upper left hand corner of the LCD display. If the unit displays a "D", it is in Default Mode and will heat to the lowest Set Point Temperature. If you do not want to conduct testing at this Set Point Temperature, press and hold the Temperature Selection button to select the desired setting. The temperature display will flash before staying on continuously to indicate the 9600 Plus Calibration Tester has stabilized and is ready for use. Service Manual Calibration and Verification 59 Welch Allyn SureTemp Plus Thermometers Caution Store thermometers for testing in the same room as the 9600 Plus Calibration Tester for approximately 30 minutes prior to testing to allow for thermal accommodation. To begin functional verification of the SureTemp Plus thermometer: 1. Remove the probe from the probe well and clean it with either a 70% isopropyl alcohol solution, a 10% chlorine bleach solution, or a non-staining disinfectant. Let the probe air dry. Do not apply a probe cover. 2. Place the thermometer in Monitor Mode, refer to the thermometer’s Operator's Manual. 3. Insert the probe into the Thermistor Device Port. Figure 2. 9600 Plus Calibration Tester with the Welch Allyn SureTemp Plus Thermometer 4. Wait for approximately one minute or until temperature on the thermometer is stable for ten seconds. Compare the thermometer's temperature reading to the 9600 Plus Calibration Set Point Temperature. If the temperatures are within ±0.1° C (±0.2° F), the thermometer is within calibration. 5. Test all available thermometers for calibration verification at the current Calibration Set Point Temperature. Proceed to the next Calibration Set Point Temperature, see “Changing the Calibration Set Point Temperature” on page 61. 60 Calibration and Verification Welch Allyn Spot Vital Signs LXi Braun ThermoScan Pro 4000 Caution Store thermometers for testing in the same room as the 9600 Plus Calibration Tester for approximately 30 minutes prior to testing to allow for thermal accommodation. To begin functional verification of the Braun ThermoScan PRO 4000 thermometer: 1. Clean the probe tip with a cotton swab slightly moistened with isopropyl alcohol, remove excess alcohol with a clean cotton swab, and let air dry for 5 minutes.Do not use any chemical other than alcohol to clean the probe window. 2. Place the Braun ThermoScan Pro 4000 in Calibration Mode using the following steps. a. Push and release the I/O MEM button to turn the product on. The display shows symbols and functions. The Braun ThermoScan Pro 4000 performs an automatic self check. After a few seconds you hear a beep and see three dashed lines, a sound symbol, and ° C or ° F on the display. b. Push the I/O MEM button again and keep it pressed for the following steps: • After approx. 3 seconds the “OFF” symbol flashes on the display (keep pressing the button). • When you hear a beep, release the button immediately. • The Braun TheromScan Pro 4000 is now in calibration check mode and the display is flashing and showing the “CAL” symbol. 3. Apply a new probe cover. Place the probe firmly into the Ear Device Port. Figure 3. 9600 Plus Calibration Tester with the Braun ThermoScan Pro 4000 4. Wait approximately three seconds, press the thermometer Start button, and watch for the "Exac Temp" light to flash. 5. Leave the thermometer in the 9600 Plus Calibration Tester until you hear a beep. 6. Remove the Pro 4000 Thermometer from the 9600 Plus Calibration Tester and read the temperature in the thermometer’s display. If the temperatures are within ±0.1° C (±0.2° F), the thermometer is within calibration. Service Manual Calibration and Verification 7. 61 Wait one full minute before taking another reading with the same thermometer. Repeated measurements in short sequence may cause higher readings. 8. The device will exit CAL mode after four minutes. 9. Test all available thermometers for calibration verification at the current Calibration Set Point Temperature. Proceed to the next Calibration Set Point Temperature, see “Changing the Calibration Set Point Temperature”. Changing the Calibration Set Point Temperature To scroll from one set point to the next, press and hold the Temperature Selection button until a beep is heard. The newly selected set point appears in the upper left corner of the LCD display. The device’s current temperature is displayed, starts to flash, and continues flashing until the cavity reaches the equilibrium at the new set point. Masimo SpO2 Functional Check Use the Masimo Tester to perform to functionally check the Masimo sensors. 1. Orient the Masimo Tester such that the mini-D connector mates with the SpO2 connector on Spot Vital Signs LXi. 2. Power on Spot Vital Signs LXi and confirm the SpO2 reading in the Display Window is 81%± 3% and the pulse reading is 61 bpm ± 1 bpm. 3. Place the thumb and index finger on the gray buttons on either side of the Masimo Tester connector, press the buttons firmly, and gently pull to remove the tester. There is no way to change the functionality of the SpO2 module. If the SpO2 is out of calibration, contact Technical Service. Nellcor SpO2 Functional Check Use a Nellcor-approved SpO2 simulator (SRC-MAX ) to check the SpO2 functionality. 1. Orient the simulator such that the connector mates with the SpO2 connector on Spot Vital Signs LXi. 2. Power on Spot Vital Signs LXi and confirm the SpO2 reading in the Display Window is 90%± 1% and the pulse reading is 60 bpm ± 1 bpm. 3. Place the thumb and index finger on either side of the simulator connector, press the buttons firmly, and gently pull to remove the simulator. There is no way to change the functionality of the SpO2 module. If the SpO2 is not functioning properly, contact Technical Service. 62 Calibration and Verification Welch Allyn Spot Vital Signs LXi 63 7 Specifications Performance This section describes normal ranges for Spot Vital Signs LXi. Blood Pressure Accuracy Blood pressure accuracy meets or exceeds AAMI SP10:2002 standards for non-invasive blood pressure accuracy (± 5 mmHg mean error, 8 mmHg standard deviation). Blood pressure accuracy is validated for pressure measurement using the upper arm only. Cuff Pressure Range 0 to 300 mmHg Systolic Range 60 to 250 mmHg Diastolic Range 30 to 160 mmHg Blood Pressure Determination Time Typical: 15 seconds Mean Arterial Pressure Range 40 to 190 mmHg Pulse Rate Range (using SpO2 determination) 25 to 240 bpm Pulse Rate Range (using Blood Pressure determination) 35 to 199 bpm Pulse Rate Accuracy (using SpO2 determination) Without Motion: 25 to 245 bpm ± 3 digits1 With Motion: normal physiologic range (55 to 125 bpm) ± 5 digits Low Perfusion: 25 to 245 bpm ± 3 digits1 Pulse Rate Accuracy (using Blood Pressure determination) Overpressure Cutoff 1 Specification applies to device performance and was validated with Biotek and Nellcor simulators. ±5.0% 315 mmHg ±15 mmHg 64 Specifications Welch Allyn Spot Vital Signs LXi Temperature Specifications Temperature Range SureTemp Plus Braun ThermoScan PRO 4000 Calibration Accuracy SureTemp Plus Braun ThermoScan PRO 4000 for displayed temperature ranges Display Resolution SureTemp Plus Predict Time Oral Adult Axillary Pediatric Axillary Rectal 80° to 110° F (26.7° to 43.3° C) 68° to 108° F (20° to 42.2° C) ±0.2° F (0.1° C) (Monitor Mode) ± 0.4° F (±0.2° C) 95.9° to 107.6° F (35.5° to 42° C) ±0.5° F (±0.25° C) (outside this temperature range) 0.1° F or ° C Approx. 4 to 6 seconds Approx. 12 to 15 seconds (age 18 years and older) Approx. 10 to 13 seconds (age 17 years and younger) Approx. 10 to 13 seconds Service Manual Specifications 65 SpO2 Specifications Masimo Sensor Accuracy Guide Accuracy specified when used with Masimo SET pulse oximetry monitors or with licensed Masimo SET pulse oximetry modules using PC series patient cables, during no motion. Numbers present ± 1 standard deviation. Plus or minus one standard deviation represents 68% of the population. SpO2 accuracy from 70% to 100%. Pulse rate accuracy from 25 to 240 bpm. Performance Measurement Range SpO2: 1 to 100% Pulse Rate: 25 - 240 beats per minute (BPM) Perfusion 0.02% to 20% Accuracy Saturation: 70% to 100% No Motion: Adults, Pediatrics ± 2 digits Neonates ± 3 digits Motion: Adults, Pediatrics ± 3 digits Neonates ± 3 digits Low Perfusion: Adults, Pediatrics ± 2 digits Neonates ± 3 digits Pulse Rate Accuracy Pulse Rate: 25 to 250 bpm No Motion: Adults, Pediatrics, Neonates ± 3 digits Motion: Adults, Pediatrics, Neonates ± 5 digits Low Perfusion: Adults, Pediatrics, Neonates ± 5 digits Table 1. Masimo Sensor Accuracy Guide Saturation Accuracy Sensor Pulse Rate Accuracy Weight Range No Motion Motion No Motion Motion LNOP-ADT > 30 kg ± 2% ± 3% ± 3 bpm ± 5 bpm LNOP-PDT 10 to 50 kg ± 2% ± 3% ± 3 bpm ± 5 bpm LNOP-NEO < 10 kg ± 3% ± 3% ± 3 bpm ± 5 bpm LNOP-NEOPT < 1 kg ± 3% ± 3% ± 3 bpm ± 5 bpm LNOP-DCI > 30 kg ± 2% ± 3% ± 3 bpm ± 5 bpm LNOP-DCIP 10 to 50 kg ± 2% ± 3% ± 3 bpm ± 5 bpm Masimo Patents The Masimo sensors and cables are covered under one or more of the following U.S.A. patents: 5,758,644; 5,823,950; 6,011,986; 6,157,850; 6,263,222; 6,501,975; and other applicable patents listed at www.masimo.com/patents.htm. 66 Specifications Welch Allyn Spot Vital Signs LXi Nellcor Sensor Accuracy Guide Accuracy specifications are based on controlled hypoxia studies with healthy, non-smoking adult volunteers over the specified saturation SpO2 range. Pulse oximeter SpO2 readings were compared to SaO2 values of drawn blood samples measured by hemoximetry. All accuracies are expressed as + “X” digits. This variation equals + one standard deviation (+ 1 SD), which encompasses 68% of the population. Table 2. OxiMax Sensor Models, Single Patient Use Sensor Models SpO2 Range 70% to 100% MAX-AI1 ±2 MAX-PI* ±2 MAX-II ±2 2 ± 3.5 MAX-RI 1 The accuracy specification under motion conditions is ± 3. For a definition of motion, contact Nellcor Technical Services or your local Nellcor representative. 2 The accuracy specification has been determined between saturations of 80% to 100%. Table 3. OxiCliq Sensor Models, Single Patient Use Sensor Models OXICLIQ-PI SpO2 Range 70% to 100% ± 2.5 Table 4. Reusable Sensor Models Sensor Models D-YS (Infant to Adult) SpO2 Range 70% to 100% ±3 D-YS and D-YSE ± 3.5 D-YS and D-YSPD ± 3.5 DS-100A ±3 OXI-A/N (Adult/neonate) Adult: ± 3 Neonate: ± 4 OXI-P/I (Pediatric/infant) ±3 Nellcor Patents Covered by one or more of the following US Patents: 4,802,486; 4,869,254; 4,928,692; 4,934,372; 5,078,136; 5,351,685; 5,485,847; 5,533,507; 5,577,500; 5,803,910; 5,853,364; 5,865,736; 6,083,172; 6,708,049; Re. 35,122 and foreign equivalents. Service Manual Specifications 67 Mechanical Dimensions Height: 10.63 “ (27 cm) Length/Braun: 8” (20.32 cm) Length/SureTemp Plus: 7.5” (19 cm) Depth: 5.25” (13.34 cm) Weight 7.5 lbs (3.4 kg) Mounting Self-supporting on rubber feet Custom mobile stand Custom wall mount Portability May be hand-carried when held by the rear handle Electrical Power Requirements Patient-rated isolation transformer is connected to AC mains: 100-240V, 50-60Hz, 0.4A or internal power: 6Vdc, 6Ah Patents 6,827,488; 6,971,790; and other patents pending. Battery Sealed lead acid, with external charger. The Spot Vital Signs LXi battery is 90 to 100% charged after 6 hours of charging. The rechargeable batteries in the Braun ThermoScan PRO 4000 thermometer requires an additional 1 hour to charge and the rechargeable batteries in the external printer require an additional 4 hours to charge. The battery automatically charges when Spot Vital Signs LXi is powered through the AC power transformer. An operator can use the device while the battery is charging; however, the battery charges faster when the instrument is not in operation. Environmental WARNING This device is not suitable for use in the presence of a flammable anesthetic mixture with air or oxygen or nitrous oxide. An explosion may result. Operating Temperature Storage/Transport Temperature 50° to 104° F (10° to 40° C) Device with SureTemp Plus: -13 to 131F (-25 to 55C) Device with Braun ThermoScan PRO 4000: -4 to 122F (-20 to 50C) Relative Humidity 15 to 95% (non-condensing) Operating Altitude -557 to 16,000 ft. (-170 to 4877 m) 68 Specifications Welch Allyn Spot Vital Signs LXi Radio Refer to the manufacturer’s Direction for Use. Mechanical Dimensions Mounting Operating Temperature Storage Temperature 3.93” L x 2.38” W x 1.42” T 99.78mm L x 60.5 mm W x 36.1mm T Nylon Bracket -40° C to +85° C -40° C to +125° C Configuration Options DHCP Enabled or Not If not DHCP: • IP Address • Subnet Address • Gateway Encryption • WEP • WPA WPA Pass Phrase Channel WEP Key 1-4 SSID Default WEP Key WEP Authentication Service Manual Specifications 69 Guidance and Manufacturer’s Declaration For Spot Vital Signs LXi Radio Emissions and Immunity Information Electromagnetic Emissions The Spot Vital Signs LXi is intended for use in the electromagnetic environment specified below. The customer or user of the Spot Vital Signs LXi should assure that it is used in such an environment. Emissions Test Compliance Electromagnetic Environment - Guidance RF emissions Group 1 The Spot Vital Signs LXi uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. Class B The Spot Vital Signs LXi is suitable for use in all establishments, including domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes. CISPR 11 RF emissions CISPR 11 Harmonic emissions Class A IEC 61000-3-2 Voltage fluctuations/ flicker emissions Complies IEC 61000-3-3 Electromagnetic Immunity The Spot Vital Signs LXi is intended for use in the electromagnetic environment specified below. The customer or user of the Spot Vital Signs LXi should assure that it is used in such an environment. Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment - Guidance Electrostatic discharge (ESD) ± 6 kV contact ± 6 kV contact ± 8 kV air ± 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%. Electrical fast transient/ ±2 kV for power supply burst lines ±2 kV for power supply lines Mains power quality should be that of a typical commercial or hospital environment. IEC 61000-4-4 ±1 kV for input/output lines ±1 kV for input/output lines Surge ±1 kV differential mode ±1 kV differential mode IEC 61000-4-5 ±2 kV common mode ±2 kV common mode IEC 61000-4-2 Mains power quality should be that of a typical commercial or hospital environment. 70 Specifications Welch Allyn Spot Vital Signs LXi Voltage dips, short interruptions, and voltage variations on power supply input lines. >95% dip in 0.5 cycle >95% dip in 0.5 cycle 60% dip in 5 cycles 60% dip in 5 cycles 30% dip for 25 cycles 30% dip for 25 cycles IEC 61000-4-11 >95% dip in 5 seconds >95% dip in 5 seconds Power frequency (50/60Hz) magnetic field 3 A/m 3 A/m Mains power quality should be that of a typical commercial or hospital environment. If the user of the Spot Vital Signs LXi requires continued operation during power mains interruptions, it is recommended that the Spot Vital Signs LXi be powered from an uninterruptible power supply or battery. Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment. IEC 61000-4-8 Electromagnetic Immunity The Spot Vital Signs LXi is intended for use in the electromagnetic environment specified below. The customer or user of the Spot Vital Signs LXi should assure that it is used in such an environment. Immunity Test IEC 60601 Test Level Compliance Electromagnetic Environment - Guidance Level Portable and mobile RF communications equipment should be used no closer to any part of the Spot Vital Signs LXi, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance Conducted RF IEC 61000-4-6 3 Vrms 150 kHz to 80 MHz 3 Vrms d = (1.17) P Radiated RF IEC 61000-4-3 3 V/m 80 MHz to 2.5 GHz 3 V/m d = (1.17) P 80 MHz to 800 MHz d = (2.33) 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 metres (m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey,a should be less than the compliance level in each frequency range.b 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. a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted 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 Spot Vital Signs LXi is used exceeds the applicable RF compliance level above, the electrocardiograph should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the electrocardiograph. b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m. Service Manual Specifications 71 Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the Spot Vital Signs LXi The Spot Vital Signs LXi is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or user of the Spot Vital Signs LXi can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the Spot Vital Signs LXi as recommended below, according to the maximum output power of the communications equipment. Separation Distance According to Frequency of Transmitter (m) Rated Max. Output Power of Transmitter (W) 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz d = (1.17) P d = (1.17) P d = (2.33) P 0.01 0.117 0.117 0.233 0.1 0.37 0.37 0.74 1 1.17 1.17 2.33 10 3.70 3.70 7.37 100 11.70 11.70 23.30 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. 72 Specifications Welch Allyn Spot Vital Signs LXi 73 8 Troubleshooting This chapter provides helpful information in troubleshooting the Spot Vital Signs LXi. Error Codes The following tables of error codes provide a quick reference of the descriptions and probable causes of error codes. Table 1. Informational Error Codes Internal Event Log Code Number Displayed Internal Event Log Description Device Code Corrective Action _n/a Copyright notice displayed on powers up splash screen. _n/a Message displays when the user attempts Printing is already in progress to start another print while a print job is currently printing. _n/a Clear current reading. _n/a Erase all readings. _n/a Information screen telling the user how to Use the navigation keys to edit operate the location identifier edit menu characters and the SELECT key to stop in Configuration Mode. editing. _n/a Message displays when Mod F cannot perform a STEP NIBP measurement and switches to normal method. _n/a Message displays when in MEM mode and there are no readings to display. _n/a External devices configuration menu message when the user tries to exit the menu having enabling the information system, but not that Patient ID. User must enable the Patient ID if using the information system. _n/a Message displays below txtPIDMsgB. User must press SELECT and correct the problem. _n/a Information displays when the user enables device in external devices configuration menu. User must connect the Spot Vital Signs LXi to an external device. _n/a Message displays below txtPIDMsgA User must press SELECT when completed. _n/a Line displays below error/information message if the user can clear the error/ condition. User must press ACCEPT to clear. Restrict patient movement. 74 Troubleshooting Welch Allyn Spot Vital Signs LXi Table 1. Informational Error Codes Internal Event Log Code Number Displayed Internal Event Log Description Device Code _n/a Corrective Action User decides whether to reset everything back go factory default values. Error condition occurs causing the unit to Spot Vital Signs LXi will shut down in 1 automatically shut down. The user cannot minute. clear this message. _n/a _n/a User confirms to start printing. Table 2. Blood Pressure Error Codes Internal Event Log Code Number Displayed Internal Event Log Description Device Code 10 C01 User abort. 11 C03 Inflation too quick. Check tubing and connections. 12 E10 Overpressure Check patient. 13 C04 Major air leak. Excessive inflation time; check for air leaks. 14 C05 Excessive arm movement Excessive noice, check cuff placement; restrict patient movement. 15 C07 Auto cycle skipped, system busy. Device will power down. 16 C07 Auto cycle skipped, NIBP reached too soon. Device will power down. 17 C02 Auto zero failure. Auto zero failure; check air obstruction; limit patient movement. 18 C04 Could not reach target pressure. Excessive inflation time; check for air leaks. 19 E20 Missed A/D sample. General internal malfunction. Call Technical Support. 20 E20 A/D timeout failure. General internal malfunction. Call Technical Support. NIPB NOT AVAILABLE. Correct probe tip conditions. If problem persists, replace probe. If problem still persists, replace module. 21 Corrective Action 22 E11 Malfunction User should try another cycle. If problem persists, replace probe. 23 C06 Reinflation needed. Measurement was outside of device’s measurement range. 24 C05 Cycle took too long. Check cuff placement; restrict patient movement. 25 C12 Ambient temp out of range. Check internal temperature at probe well. Verify ambient temperature does not exceed operating specification. 26 C13 Battery failure Battery failure; use wall transformer. Service Manual Troubleshooting 75 Table 2. Blood Pressure Error Codes Internal Event Log Code Number Displayed Internal Event Log Description Device Code Corrective Action 27 E11 > 10mm residual pressure > minutes. Verify that the supply voltage is within specification. 28 E11 >15mm residual pressure >3 mins. Verify that the supply voltage is within specification. 29 C02 Couldn’t bleed pressure < 9 mmHg Auto zero failure, check tubing for kinks and connection integrity, limit patient movement. 32 Termistor pulled away from the tip or heater broken. Try another predict cycle. If the problem persists, replace probe. 33 Probe not responsive. Probe not characterized/calibrated. Replace probe. 34 Probe not characterized/calibrated. Replace probe. 41 C06 Low inflation; first step had largest value, Measurement was outside of Spot Vital first step’s value > systolic value. Signs LXi measurement range. 42 C06 Dump too soon; last step had largest value, next to last step’s value > diastolic value; will not normally occur in autodump mode. Check connections; restrict patient movement. 43 C05 Step too big systolic; difference in pressure between step above and step below systolic is too great. Excessive noise; check cuff placement and limit movement. 44 C05 Step too big diastolic; difference in pressure between step above and step below diastolic is too great. Excessive noise; check cuff placement and limit movement. 45 C05 Range error: calcualted BP is outside of measurement range. Excessive noise; check cuff placement and limit movement. 46 C05 Pressure reverse systolic; pressure of step Excessive noise; check cuff placement and above systolic is lower than pressure of limit movement. step below systolic. 47 C05 Pressure reverse diastolic; pressure of Excessive noise; check cuff placement and step above systolic is lower than pressure limit movement. of step below diastolic. 48 C05 Step too big MAP; difference in pressure between adjacent steps near MAP is too great. Excessive noise; check cuff placement and limit movement. 49 C05 Too few steps; less than 5 steps Excessive noise; check cuff placement and limit movement. 50 C05 Excessive noise; check cuff placement and Bad value diastolic; value of step below diastolic and step below that step are not limit movement. consistent. 51 C05 Value reverse systolic; value of step above Excessive noise; check cuff placement and systolic is greater than value of step limit movement. below systolic. 52 C05 Value reverse diastolic; value of step Excessive noise; check cuff placement and above systolic is greater than value of step limit movement. below diastolic. 76 Troubleshooting Welch Allyn Spot Vital Signs LXi Table 2. Blood Pressure Error Codes Internal Event Log Code Number Displayed Internal Event Log Description Device Code Corrective Action 53 C05 No info - can’t be produced by Mod F if they don’t exist in the code. Excessive noise; check cuff placement and limit movement. 54 C05 No info - can’t be produced by Mod F if they don’t exist in the code. Excessive noise; check cuff placement and limit movement. 55 C05 No info - can’t be produced by Mod F if they don’t exist in the code. Excessive noise; check cuff placement and limit movement. 56 C05 Out of memory; deflation contains too many steps. SW sets allowable limit of steps that can be stored and used for BP determination for a given cycle. Excessive noise; check cuff placement and limit movement. 57 C05 Retarget error; cycle tried to retarget too many times. Only one allowed retarget allowed per cycle. Excessive noise; check cuff placement and limit movement. 58 C05 Repump error: Tried to repump too many times. Limit is set to 3 repumps. This can occur on a cycle with bad signal to noise ratio or if a subject’s pulses are so small that pulses above the diastolic ratio are not detectable with the lowest allowed thread threshold. Excessive noise; check cuff placement and limit movement. 59 C05 Excessive noise; check cuff placement and Systolic curve fit error; the steps on the systolic side of the envelope could not be limit movement. curve fit. Causes include: too few or too many steps sent to curve fit routine; math error in curve fit routine. 60 C05 Diastolic curve fit error; the steps on the Excessive noise; check cuff placement and systolic side of the envelope could not be limit movement. curve fit. Causes include: too few or too many steps sent to curve fit routine; math error in curve fit routine. 61 C05 Systolic slope error; slope of curve fit of systolic points has a slope out of range. Can occur with bad cuff fit, rapidly changing BP etc. Excessive noise; check cuff placement and limit movement. 62 C05 Diastolic slope error; slope of curve fit of diastolic points has a slope out of range. Can occur with bad cuff fit, rapidly changing BP etc. Excessive noise; check cuff placement and limit movement. 63 C05 Systolic extrapolation error; the systolic Excessive noise; check cuff placement and pressure that is represented by the limit movement. systolic ratio is outside of the data sent to the curve fit routine. 64 C05 Diastolic extrapolation error; the systolic pressure that is represented by the diastolic ratio is outside of the data sent to the curve fit routine. 65 C05 Peak range error; the height of the peak of Excessive noise; check cuff placement and the envelope is outside normal limits. limit movement. 66 C05 Reinflation too late. Excessive noise; check cuff placement and limit movement. Excessive noise; check cuff placement and limit movement. Service Manual Troubleshooting 77 Table 2. Blood Pressure Error Codes Internal Event Log Code Number Displayed Internal Event Log Description Device Code Corrective Action 67 C06 High heart rate. Unable to determine blood pressure; pulse rate may be out-of-range. 68 Err Too many reinflates. Restrict patient movement. 69 C06 Problem reading the modeule’s EEPROM or Verify that the supply voltage is correct. saving to the module’s EEPROM. Try to make changes. If problem persists, replace module. 70 C06 Problem reading the probe’s EEPROM. 78 C06 The probe non-volatile error log memory Measurement was outside of device’s error detection mechanism detected error. measurement range. 79 C06 The module’s non-volatile error log memory error detecting mechanism detected an error. 5600 Err Invalid ModF algorithm. 5601 Err Invalid ModF init code. 5602 Err Invalid ModeF PMode. 5603 Err Invalid ModF target pressure. 5604 Err Invalid ModF configuration. Verify that the supply voltage is correct. Try to make changes. Measurement was outside of device’s measurement range. Table 3. Post Error Codes Internal Event Log Code Number Displayed Internal Event Log Description Device Code Corrective Action 80 E30 FPROM checksum error. General internal malfunction; contact technical support. 81 E31 RAM test failure. General internal malfunction; contact technical support. 82 E32 Factory EEprom checksum error. General internal malfunction; contact technical support. 83 E33 User EEprom checksum error. General internal malfunction; contact technical support. 84 E34 A/D converter failure. General internal malfunction; contact technical support. 85 E35 SpO2 module failure. General internal malfunction; contact technical support. 86 E36 Diatek module failure General internal malfunction; contact technical support. 87 E37 Printer problem. General internal malfunction; contact technical support. 88 E38 Real time clock failure. Date and time not set; see “Set the Date and Time Configurations” in the Directions for Use. 78 Troubleshooting Welch Allyn Spot Vital Signs LXi Table 3. Post Error Codes Internal Event Log Code Number Displayed Internal Event Log Description Device Code Corrective Action 89 E39 No calibration signature. General internal malfunction; contact technical support. 90 E40 Bad NIBP calibration record. General internal malfunction; contact technical support. 91 E41 Stepper valve bad. General internal malfunction; contact technical support. 92 E42 8bit substitute for 16bit errors. Internal communications error. Disconnect the battery and wait 5 minutes. Reconnect the battery, and then see “Set the Date and Time Configurations” in the Directions for Use. 93 E43 Error log checksum error. General internal malfunction; contact technical support. 94 Err-E44 POST que full. General internal malfunction; contact technical support. 95 E44 E45 POST que full. General internal malfunction; contact technical support. Table 4. SureTemp Plus Temperature Error Codes Internal Event Log Code Number Displayed Internal Event Log Description Device Code Corrective Action 121 E0.4 Probe is over temperature (112° F / 44.4° C). Correct probe tip conditions. If problem persists, replace probe. 122 E0.1 Excessive heater energy. Try another predict cycle. If problem persists, replace probe. 123 23 Host interface error. Try another predict cycle. If problem persists, replace probe. 124 A^! Device outside operating temperature range. Decrease ambient temperature. 125 Av! Device outside operating temperature range. Increase ambient temperature. 126 26 Invalid SureTemp algorithm. Try another predict cycle. If problem persists, replace probe. 127 b^ Battery voltage over the algorithm’s maximum value. Contact Technical Service. 128 bv Battery voltage under the algorithm’s minimum value. Contact Technical Service. 129 29 Battery voltage not set. Try another predict cycle. If problem persists, replace probe. 130 30 Prediction algorithm not set. Try another predict cycle. If problem persists, replace probe. 131 31 Ambient temperature not set. Try another predict cycle. If problem persists, replace probe. Service Manual Troubleshooting 79 Table 4. SureTemp Plus Temperature Error Codes Internal Event Log Code Number Displayed Internal Event Log Description Device Code Corrective Action 132 E0.5 No probe temperature rise. Try another predict cycle. If problem persists, replace probe. 133 E0.9 Probe EEPROM is uninitialized. Bad probe gain. Calibrate probe or replace probe. 134 E0.9 Probe EEPROM is uninitialized. Bad probe response value. Calibrate probe or replace probe. 145 E0.2 A/D measurement overrun - pulse too long. Patient or environmental temperature conditions may be too low. Verify conditions at 80° F and 50° F respectively. If conditions are valid and problem persists, replace probe. If problem still persists replace device. 146 E0.2 A/D Measurement underrun - pulse too short. Patient or environmental temperature conditions may be too high. Verify conditions at 110° F and 104° F respectively. If conditions are valid and problem persists, replace probe. If problem still persists, replace device. 147 E4.1 A/D measurement overrun - RCAL pulse too long. If problem persists, replace device. 148 E4.1 A/D measurement underrun - RCAL pulse too short. If problem persists, replace device. 149 E4.0 A/D measurement overrun - PTB pulse too If problem persists, replace device. long. 150 E4.0 A/D measurement underrun - PTB pulse too short. If problem persists, replace device. 151 E0.2 A/D measurement overrun - timeout. If problem persists, replace device. 152 E0.9 Probe EEPROM is uninitialized. Bad probe A/D calibration. 159 bv Displayed when battery voltage is too low. 160 b^ Displayed when battery voltage is too high. 161 E4.2 Reference power supply malfunction. If problem persists, replace device. 162 E4.8 Device not calibrated. Calibrate device. 163 E4.9 Missing probe well - cycle will not start. Insert probe well. 165 E4.3 Device EEPROM save failure. Verify that the batteries are fresh. Try to make changes again. If problem persists, replace device. 166 E0.8 EEPROM CRC Failure. (CONFIG_TRANSFER_FAILURE) Verify that the batteries are fresh. Try again, if problem persists, replace the component that is indicated. 167 E4.4 Device EEPROM read/save failure. (CONFIG_START_FAILURE) Verify that the batteries are fresh. Try to make changes again. If problem persists, replace device. 168 E4.5 Device EEPROM read/save failure. (CONFIG_SLAVE_ACK_FAILURE) Verify that the batteries are fresh. Try to make changes again. If problem persists, replace device. 80 Troubleshooting Welch Allyn Spot Vital Signs LXi Table 4. SureTemp Plus Temperature Error Codes Internal Event Log Code Number Displayed Internal Event Log Description Device Code Corrective Action 169 E4.6 Device EEPROM read/save failure. (CONFIG_MASTER_ACK_FAILURE) Verify that the batteries are fresh. Try to make changes again. If problem persists, replace device. 170 E0.6 Probe EEPROM read failure. (CONFIG_NULL_CHAR_FAILURE) Verify that the batteries are fresh. Try to make changes again. If problem persists, replace device. 171 71 Device EEPROM access failure. (CONFIG_ACQUIRE_FAILURE) Try another predict cycle. If problem persists, replace probe. 172 72 Device EEPROM access failure. (CONFIG_RELEASE_FAILURE) Try another predict cycle. If problem persists, replace probe. 173 73 Device EEPROM access failure. (CONFIG_INVALID_PTR_FAILURE) Try another predict cycle. If problem persists, replace probe. 174 E4.7 Device EEPROM initialization failure. (CONFIG_INITIALIZE_FAILURE) If problem persists, replace device. 175 E0.7 Probe EEPROM is un-initialized. (CONFIG_UNINITIALIZED_PROBE) Verify that the batteries are fresh. If problem persists, replace probe. 180 E5.0 Heater stuck on. (ERROR_HEATER_ON) If problem persists, replace device. 181 E5.0 Heater stuck off. (ERROR_HEATER_OFF) If problem persists, replace device. 182 E5.0 Heater on when should be off. (ERROR_HEATER_VOLTAGE_HIGH_Q) If problem persists, replace device. 183 E5.0 Heater on when should be off. (ERROR_HEATER_VOLTAGE_Q_HIGH_ IMPEDANCE) If problem persists, replace device. 184 E5.0 Heater is off when it should be on. (ERROR_HEATER_VOLTAGE_LOW) If problem persists, replace device. 185 E5.2 Heater hardware failsafe failure. (ERROR_HEATER_FAILSAFE) If problem persists, contact Technical Service. Table 5. SpO2 Error Codes Internal Event Log Code Number Displayed Internal Event Log Description Device Code 1 Corrective Action Missing or disconnected sensor. Adjust or replace sensor. 3 -- No pulse from sensor. Adjust or replace sensor. 4 E7 Communications failure. Retake reading; contact Technical Service. 5 6 8-second timeout interval C8 Defective or bad SpO2 sensor. Replace sensor. C9 SpO2 time limit exceeded. Remove sensor from patient. Service Manual Troubleshooting Table 6. Comms Errors Internal Event Log Code Number Displayed Internal Event Log Description Device Code Corrective Action 1000 Err Invalid Operation in this Context. Internal error, contact Technical Service. 1001 Err Auto zero in progress. Internal error, contact Technical Service. 1002 Err Bad checksum. Internal error, contact Technical Service. 1003 Err Unimplemented command. Internal error, contact Technical Service. 1004 Err Buffer Overflow. Internal error, contact Technical Service. 1005 Err Overrun error. Internal error, contact Technical Service. 1006 Err Wrong data count. Internal error, contact Technical Service. 1007 Err FPROM erase error. Internal error, contact Technical Service. 1008 Err FPROM programming error Internal error, contact Technical Service. 1009 Err Bad Motorola record. Internal error, contact Technical Service. 1010 Err A/D channel locked. Internal error, contact Technical Service. 1011 Err RTC not present. Internal error, contact Technical Service. 1012 Err Attempt to reference nonexisting cycle. Internal error, contact Technical Service. 1013 Err Data range error. Internal error, contact Technical Service. 1014 Err Alarm pair range error. Internal error, contact Technical Service. 1015 Err No POST error to clear. Internal error, contact Technical Service. 1016 Err Can’t clear this POST error. Internal error, contact Technical Service. 1017 Err Command not command type. Internal error, contact Technical Service. 1018 Err NAK from ST3800 protocol. Internal error, contact Technical Service. 1019 Err No wireless link. Internal error, contact Technical Service. Table 7. Comms Host Errors Internal Event Log Code Number Displayed Internal Event Log Description Device Code Corrective Action 2001 Err Timeout. Internal error, contact Technical Service. 2002 Err Incorrect response header. Internal error, contact Technical Service. 2003 Err Incorrect response checksum. Internal error, contact Technical Service. 2004 Err Too much received data. Internal error, contact Technical Service. 2005 Err User cancelled. Internal error, contact Technical Service. 2006 Err User paused. Internal error, contact Technical Service. 81 82 Troubleshooting Welch Allyn Spot Vital Signs LXi Table 8. Printer Errors Internal Event Log Code Number Displayed Internal Event Log Description Device Code Corrective Action 5400 Err Problem with the printer Check all options; if problem persists, contact Technical Service. 5401 Err Printer is not responding. 5402 Err Displayed when print started and printer is Printer head will not shut all the way or out of paper. too much paper. 5403 Err Displayed when printing started and print head is not closed in place. Add paper. Table 9. Spot Vital Signs LXi Errors Internal Event Log Code Number Displayed Internal Event Log Description Device Code 5500 Corrective Action Unknown error code. 5501 Err Displayed when battery is too low for unit Charge battery; use wall transformer. to continue operating. 5502 Err Key stuck error causing the unit to be automatically shut down. Service Manual Troubleshooting Table 10. 802.11 b Radio Errors LED LED Color Function Power Off Bridge is not receiving power. Red Bridge failed its Power On Self Test (POST) and is not configured for wireless communication. Amber Bridge passed its POST but is not configured for wireless communication. Green Bridge passed its POST and is configured for wireless communication. Off Bridge is not receiving power. Red Bridge is searching for an Access Point. Green Wireless network and MAC have associated with an Access Point. Off No power or no wireless TCP session is established and no physical serial connection is detected. Red No wireless TCP sesion is established; a physical connection is detected. Blinking Red A physical serial connection was detected and there is serial traffic present on that connection, but no wireless TCP session is established. Amber A wireless TCP connection is established but no physical serial connection is detected (i.e. no serial cable is attached to the Bridge). Blinking Green A wireless TCP session is established, a physical serial connection is detected, and the Bridge is transmitting or receiving data across the wired serial port. Green A wireless TCP session is established, a physical serial connection is detected, but there is n o active data movement across the wired serial port. Link Comm NOTE:The 802.11 a/b/g radio has no functional LED displays. Radio Test Refer to Manufacturer’s Directions for Use. 83 84 Troubleshooting Welch Allyn Spot Vital Signs LXi Service Work Checklist Spot Vital Signs Model Number Serial Number Test BP Cycle Count Test Data Technician Date Pass/Fail Test Specification Unit SW Version SPO2 SW Version Thermometry SW Version Unit Pressure @ 0 mmHg +/- 1 mmHg Unit Pressure @ 50 mmHg +/- 1 mmHg Unit Pressure @ 150 mmHg +/- 1.5 mmHg Unit Pressure @ 250 mmHg +/- 2.0 mmHg Test Voltage @ 5.5 V +/- 0.1 VDC Current Test – Sleep State < 0.5 A Current Test – Patient DAQ < 1.25 A Current Test – Valve Pump < 2.0 A Noise Level < 0.05 mmHg Button Test Pass/Fail Interface Test Pass/Fail Leak Test <= 6mmhg in 15 seconds Dump Test < 10 Seconds Inflation Test < 7 Seconds Valve Control Test Pass/Fail Over Pressure Test 296 to 329 mmHg SPO2 Sensor - Masimo 81% +/- 3% 61bpm +/- 1bpm SPO2 Sensor - Nellcor 90% +/- 1% 60bpm +/- 1bpm Temperature Calibration Suretemp Plus 96.8 +/- 0.2F 105.8 +/- 0.2F Temperature Calibration Braun Pro 4000 96.8 +/- 0.2F 105.8 +/- 0.2F Temperature Cal Key Suretemp Plus 97.3 +/- 0.2 F Radio Ping Test Pass or Fail Pass Service Manual Troubleshooting Radio Configuration Utility This CD configures the Spot Vital Signs LXi Radio to a local network.Refer to DFU. 85 86 Troubleshooting Welch Allyn Spot Vital Signs LXi 87 9 Supplies and Accessories Blood Pressure Table 1. Reusable Blood Pressure Cuffs (1 per pack) REF Size REF Size 4500-01 Child 4500-03 Large Adult 4500-02 Adult 4500-04 Thigh Table 2. Reusable Blood Pressure Cuffs (1 per pack) REF Size REF Size REUSE-07-2MQ Infant REUSE-11-2MQ Adult REUSE-08-2MQ Small Child REUSE-12-2MQ Large Adult REUSE-09-2MQ Child REUSE-13-2MQ Thigh REUSE-10-2MQ Small Adult Table 3. Disposable Blood Pressure Cuffs (5 per box) REF Size REF Size SOFT-07-2MQ Infant SOFT-11-2MQ Adult SOFT-08-2MQ Small Child SOFT-12-2MQ Large Adult SOFT-09-2MQ Child SOFT-13-2MQ Thigh SOFT-10-2MQ Small Adult Table 4. Miscellaneous Supplies and Accessories REF Description REF Description 4500-30 Blood Pressure Hose (5ft/1.5M) 4500-31 Blood Pressure Hose (10ft/3M) 4500-32 Blood Pressure Hose (8ft/2.4M) 88 Supplies and Accessories Welch Allyn Spot Vital Signs LXi Temperature Table 5. SureTemp Plus REF Description 02895-000 SureTemp Plus Oral Probe and Well (9 feet/2.7M) 02895-100 SureTemp Plus Rectal Probe and Well (9 feet/2.7M) 02894-0000 SureTemp Plus Oral Well 02894-1000 SureTemp Plus Rectal Well 06138-000 SureTemp Plus Temperature Calibration Key 01802-110 9600 Plus Calibration Tester 05031-101 Disposable SureTemp Plus Probe Covers (1,000 covers, packaged 25/box) 20500-025M Probe Cover-Box 25 400194 Assy, Suretemp Plus Components, Spot Vital Signs LXi 400195 PCA, Suretemp Plus OEM without EDAC Calibrated 400196 PCA, EDAC, Spot Vital signs LXi Table 6. Braun ThermoScan PRO 4000 REF Description 04000-200 Braun ThermoScan PRO 4000 Thermometer (for North America, South America, and Asia Pacific) 04000-600 Braun ThermoScan PRO 4000 Thermometer (for Europe, Middle East, and Africa) 05075-800 Braun ThermoScan PRO 4000 Disposable Probe Covers (Case of 800 covers for North America, South America, and Asia Pacific) 04000-800 Braun ThermoScan PRO 4000 Disposable Probe Covers (Case of 800 covers for Europe, Middle East, and Africa) 01802-110 9600 Plus Calibration Tester 53020-0000 Braun ThermoScan PRO 4000 Rechargeable Battery Pack 4500-53 Braun Unlocking Key 4500-54 Repair-Braun with rechargeable batteries Service Manual Supplies and Accessories Pulse Oximetry Masimo Accessories Table 7. Adhesive Sensors: Single-Patient Use Catalog # NEO-WRAP-RP LNCS-INF-3 INF-WRAP-RP Description LNCS-ADTX Replacement Wrap Infant Adhesive YI-FM Multisite Foam Wrap AD/PED/NEO, YI Sensor LNCS-NEO-L-3 >30 kg Disposable Adhesive Finger Sensor-Infant Multisite Adhesive Wrap AD/PED/NEO, YI Sensor LNCS-TC-I Quantity Replacement Wrap Neo Adhesive YI-AD LNCS-YI Weight Range Multisite Reusable Sensor Reusable Ear Sensor Disposable Adhesive Finger Sensor- NEO/Adult LNCS-ADTX Adhesive Finger Sensor - Adult (20 per case) LNCS-PDTX Adhesive Finger Sensor - Pediatric (20 per case) 10 to 50 kg LNCS-PDTX LNCS INF-L Adhesive Finger Sensor - Infant (20 per case) 3 to 20 kg LNCS INF-L LNOP-ADT Adult sensor >66 lbs (30 kg) 20 LNOP-PDT Pediatric sensor 22 to 110 lbs (10 to 50 kg) 20 LNOP-NEO Neonatal sensor <22 lbs (10 kg) 20 SofTouch neonatal preterm sensor <2.2 lbs (1 kg) 20 Weight Range Quantity >66 lbs (30 kg) 1 LNOP-NEOPT Table 8. Reusable Sensor Catalog # Description LNCS-TC-I Reusable Ear Sensor LNCS-YI Multisite Reusable Sensor LNCS-DCI Finger sensor - adult LNCS-DCIP Finger sensor - pediatric 10 to 50 kg 1 LNOP-DCI Finger clip probe - adult >66 lbs (30 kg) 1 LNOP-DCIP Finger clip probe - pediatric 10 to 50 kg 1 Weight Range Quantity Table 9. Sensor Cables Catalog # Description LNC-4-WA 4-foot cable with DB-9 connector for LNCS NA 1 LNC-10-WA 10-foot cable with DB-9 connector for LNCS NA 1 4-foot cable with sensor connector NA 1 PC-04 89 90 Supplies and Accessories Welch Allyn Spot Vital Signs LXi Table 9. Sensor Cables Catalog # Description Weight Range Quantity PC-08 8-foot cable with sensor connector NA 1 PC-12 12-foot cable with sensor connector NA 1 Service Manual Supplies and Accessories Nellcor Accessories Table 10. OxiMax Adhesive Sensors: Single-Patient Use Catalog # Description Weight Range Quantity MAX-AI MAX-A Adhesive Sensor, adult >66 lbs (30 kg) Case of 24 MAX-PI MAX-P Adhesive Sensor, pediatric 22 to 110 lbs (10 to 50 kg) Case of 24 MAX-II MAX-I Adhesive Sensor, infant 6.5 to 44 lbs (3 to 20 kg) Case of 24 MAX-RI MAX-R Adhesive Sensor, adult nasal >110 lbs (50 kg) Case of 24 Table 11. OxiMax OxiCliq® Sensors: Reusable Cable with Adhesive Sensor Bandage Catalog # OC-3 OXICLIQ-PI Description OxiCliq Sensor Cable (3 ft / 91cm) OxiCliq P, pediatric Weight Range Quantity N/A 1 22 to 110 lbs (10 to 50 kg) Case of 24 Table 12. OxiMax Resuable Sensors Catalog # Description Weight Range Quantity DS-100A Durasensor® DS-100A finger-clip sensor, adult >88 lbs (40 kg) 1 OXI-A/N Oxiband® OXI-A/N, adult/neonatal < 6.5 lbs or > 88 lbs (<3 kg or >40 kg) 1 OXI-P/I Oxiband OXI-P/I, pediatric/infant 6.5 lbs to 88 lbs (3 to 40 kg) 1 D-YS Dura-Y® D-YS, multisite sensor >2.2 lbs (1 kg) 1 D-YSE D-YSE ear clip for Dura-Y sensor >66 lbs (30 kg) 1 D-YSPD PediCheck™ D-YSPD pediatric spot-check sensor 6.5lbs to 88 lbs (3 to 40 kg) 1 Weight Range Quantity N/A 1 Table 13. OxiMax Sensor Cables Catalog # DOC-10 Description DOC-10 (10 ft/3M) 91 92 Supplies and Accessories Welch Allyn Spot Vital Signs LXi Miscellaneous REF Description 4500-60 Mobile Stand, Spot Vital Signs LXi 4500-62 Wall Mount, Spot Vital Signs LXi 4500-84 Lead Acid Battery 705310 Directions for Use 705298 Quick Reference Card 4500-89 Service Manual 4500-11 Child Inf. Bag, 2 Tube Monitor 4500-12 Adult Bag, 2 Tube Monitor 4500-13 Large Adult Inf. Bag, 2 Tube Monitor 4500-14 Thigh Inf. Bag, 2 Tube Monitor 4500-75 Kit, Desk Plate, Spot Vital Signs LXi 4500-89 Service Manual, Spot Vital Signs LXi 4500-150E In-Service CD, Spot Vital Signs LXi 4500-100 Carrying Case , Spot Vital Signs LXi 4500-101A AC Power Transformer (desktop transformer, line cord not included) 4500-200 Cuffkit, Child, Adult, Thigh, 2T Cuff & Bag 4500-202 Cuffkit, Small Child, Child, Small Adult 2T 4500-400 Line Cord (United States/Canadian/Japanese version) 4500-402 Line Cord (European version) 4500-404 Line Cord (United Kingdom version) 4500-406 Line Cord (Australian Version) 4500-408 Line Cord (South African version) 4500-450 Transformer Mount, Spot Vital Signs LXi 4500-500 Kit, Printer, Spot Vital Signs LXi 4500-505 Printer Rechargeable Replacement Battery 4500-510 Printer Paper (10 rolls) 4500-520 Label Paper (10 rolls) and Cleaning Kit 4500-900 Kit, Dev Conn SDK Developers 4500-905 Repair Tool Software CD Kit 4500-906 Spot Vital Signs LXi Configuration CD 4500-907 Spot Vital Signs LXi Firmware Loader CD 4500-915 Image Team 4600 2D Bar Code Scanner Kit 4500-920 Radio Kit 4500-921 Radio Directions for Use 4500-922 802.11 a/b/g Spot Vital Signs LXi Radio Kit Service Manual Supplies and Accessories REF Description 4500-923 Spot Vital Signs LXi a/b/g Radio Directions for Use 4500-925 USB 2.0 Cable for Wired Connectivity 4500-926 Cable for Wired Connectivity, Keyspan (USB to serial adapter) 4500-927 Spot Vital Signs LXi USB/serial Cable Kit 5200-08 Calibration T Fitting 93 94 Supplies and Accessories Welch Allyn Spot Vital Signs LXi Service Contracts REF Description 4500-BT0 One-Year Service Contract, BP & Temperature 4500-BTS One-Year Service Contract, BP & Temperature 95 10 Field Replaceable Units The following list identifies the available FRUs for Spot Vital Signs LXi. To order an FRU, contact Welch Allyn Technical Support. Table 1. Spot Vital Signs LXi Base Components Component Number Object Description 400163 ASSY, POWER HARNESS, Spot Vital Signs LXi 400170 ASSY, PUMP HARNESS 400198 PCA, SERIAL INTERFACE, Spot Vital Signs LXi 400199 PCA, MAIN, Spot Vital Signs LXi 400200 BASE UNIT, SURETEMP, NELLCOR - Spot Vital Signs LXi 400203 BASE UNIT COMPONENTS, Spot Vital Signs LXi 400207 LANGUAGE COMPONENTS, ENG, Spot Vital Signs LXi 4500-901 Spot Vital Signs LXi Pump and Pump Tubing Kit 4500-902 Spot Vital Signs LXi Pump Tubing Kit 4500-84 Lead Acid Battery 4500-101A AC Power Transformer 400387 PBCA BP OEM, (MOD F) 400720 ASSY, BALLAST HARNESS, Spot Vital Signs LXi 400732 ASSY, BATTERY, Spot Vital Signs LXi 401082 Assy, Bezel and Window, Spot Vital Signs LXi 401250 Assy, Fan Unit Cooling 404940 PCA, Main, Spot Vital Signs LXi 421051-12 TUBING,1/8 X 1/4 X 2.50 421051-9 TUBING,1/8 X 1/4 X 0.95 59P586 FOOT, RUBBER 620028-E LABEL, CAUTION 620217 FITTING, "T", 1/8 X 1/16X 1/8 700101 HSG, HANDLE, LXi 700102 HSG, HANDLE INSERT, LXi Ultra 700103 HSG, REAR, LXi 700105 HSG, BATT DOOR, Spot Vital Signs LXi 700110 BUMPER, LCD, Spot Vital Signs LXi 96 Field Replaceable Units Welch Allyn Spot Vital Signs LXi Table 1. Spot Vital Signs LXi Base Components 700114 SWITCH ARRAY, Spot Vital Signs LXi 700119 INVERTER, LCD 705653 HOUSING, FRONT, Spot Vital Signs LXi 704423 HSG, PANEL, SPO2-BLANK, Spot Vital Signs LXi 4500-89 SERVICE MANUAL, Spot Vital Signs LXi 401427 LABEL, ICON ID, Spot Vital Signs LXi 700863 CBL,FLX, 1/2mm,15POS,1.0" 704375 FLEX, MAIN, Spot Vital Signs LXi 703956 LABEL, BATTERY 701040 FITTING, PLASTIC L, 1/16 X 1/16 701502 Valve,Pneumatic,6PSI,5V,TH 703077 STANDOFF, PCB, BROACHING, #4 X .500 LG 703118 BATTERY CLIP, AA, SINGLE 703354 DISPLAY,LCD,320X240,BLITE,MONO,3.3V,5.7" 703355 FILTER, AIR, 1/8 BARBS 705284 Spot Vital Signs LXi Warranty Card English 705298 QRC, Spot Vital Signs LXi English 705310 DFU, Spot Vital Signs LXi English 703842 TUBING, SILICONE, .063ID X .125OD X 5.50 Table 2. SureTemp Plus Components Component Number Object Description 02692-100 PROBE ASSY,ORAL 9FT 02894-0000 ASSY,PRB WLL,BLUE,OEM,M690_692 400194 ASSY, SURETEMP+, COMPONENTS, Spot Vital Signs LXi 400195 PCA, SURETEMP+, OEM W/O EDAC, CALIBRATED 400196 PCA, EDAC, Spot Vital Signs LXi 700111 HOUSING, THERM OEM POD, Spot Vital Signs LXi 700112 PLATE, POD MOUNTING, Spot Vital Signs LXi 700858 CBL,FLX,1MM,6POS 700859 CBL,FLX,1MM,8POS 70999-0000 LABEL,SURETEMP TECHNOLOGY 02692-100 PROBE ASSY,ORAL 9FT Service Manual Field Replaceable Units Table 3. Braun ThermoScan PRO 4000 Components Component Number Object Description 400652 PCA, BRAUN INTERFACE, Spot Vital Signs LXi 400831 BRAUN COMPONENTS, Spot Vital Signs LXi 700112 PLATE, POD MOUNTING, Spot Vital Signs LXi 700820 HSG, BOTTOM, BRAUN POD, Spot Vital Signs LXi 700822 HSG, BRAUN POD, Spot Vital Signs LXi 704365 WINDOW, BRAUN POD, Spot Vital Signs LXi 700859 CBL,FLX,1MM,8POS 703161 SECURITY LOCK, BRAUN POD, Spot Vital Signs LXi 703162 LATCH, BRAUN POD, Spot Vital Signs LXi 703164 CONTACT, BRAUN POGO, Spot Vital Signs LXi 703165 SPRING, COMPRESSION 703192 COVER, BRAUN SECURITY, Spot Vital Signs LXi 711 Table 4. Masimo SpO2 Components Component Number Object Description 008-0648-00 MASIMO LNOP-DCI ADULT REUSABLE SENSOR 008-0960-00 MASIMO-LNCS-DCI ADULT REUSABLE SENSOR 008-0692-01 MASIMO - 8' INTERFACE CABLE 008-1013-00 SP02 CABLE, LNCS, MASIMO, MINI-D, 4’, EXP 400192 PCA, MASIMO OEM, Spot Vital Signs LXi 400205 MASIMO SPO2 COMPONENTS, Spot Vital Signs LXi 400555 PCA, MASIMO ADAPTOR, Spot Vital Signs LXi 400610 ASSY, CABLE, FLAT FLEX, SPO2 704422 HSG, PANEL, SPO2-MASIMO, LXi 705651 HOUSING, FRONT MASIMO, Spot LXi 711350 MASIMO MS-11 SP02, STD, SW V4.6.0.2 LNC-10-WA MASIMO, 10’ EXT CABLE, LNCS/DB-9 LNC-4-WA MASIMO, 4’ EXT CABLE, LNC/DB-9 LNCS-ADTX MASIMO, LNCS-ADTX ADULT ADHSV, 20 CASE LNCS-DCI MASIMO, LNCS-DCI ADULT REUSABLE SENSOR LNCS-DCIP MASIMO, LNCS-DCIP PED REUSABLE SENSOR LNCS-INF-L MASIMO, LNCS-INF-L INFANT ADHSV, 20 CASE LNCS-PDTX MASIMO, LNCS-PDTX PED ADHSV, 20 CASE LNOP-ADT DISPOSABLE ADHESIVE FINGER CLIP PROBE-AD LNOP-DCI REUSABLE FINGER CLIP PROBE-ADULT LNOP-DCIP REUSABLE FINGER CLIP PROBE-PEDIATRIC 97 98 Field Replaceable Units Welch Allyn Spot Vital Signs LXi Table 4. Masimo SpO2 Components Component Number Object Description LNOP-NEO DISP ADHESIVE FINGER CLIP PROBE-NEONATE LNOP-NEOPT DISPOSABLE FINGER SENSOR-NEONATE LNOP-PDT DISP ADHESIVE FINGER CLIP PROBE-PEDIATRIC PC-04 4-FOOT CABLE W/ SENSOR CONN PC-08 8-FOOT CABLE W/ SENSOR CONN PC-12 12-FOOT CABLE W/ SENSOR CONN Table 5. Nellcor SpO2 Components Component Number Object Description 400183 PCA, NELCOR OEM, Spot Vital Signs LXi 400201 NELLCOR SPO2 COMPONENTS, Spot Vital Signs LXi 400610 ASSY, CABLE, FLAT FLEX, SPO2 620377-1 "NELLCOR WORKS HERE" LABEL 704421 HSG, PANEL, SPO2-NELLCOR, LXi 704870 EVSPNELLCOR NELL3 PULSE OXIMETRY DOC-10 CABLE, SPO2 EXTENSION, NELLCOR DEC-4 EXTENSION CABLE 4 FT. DS-100A DURASENSOR,ADULT,DS-100A D-YS DURA-Y OXYGEN TRANSDER (1 sensor-40 wraps) D-YSE EAR CLIP (USE WITH DURA-Y SENSOR) D-YSPD PEDICHECK PEDIATRIC SPOT CHECK MAX-AI NELLCOR OXIMAX ADULT SENSOR (SU CS/24) MAX-II NELLCOR OXIMAX INFANT SENSOR (SU CS/24) MAX-PI NELLCOR OXIMAX PED SENSOR (SU CS/24) MAX-RI NELLCOR OXIMAX ADULT NASAL SEN (CS/24) OC-3 NELLCOR OXICLIQ SENSOR CABLE OXI-A/N NELLCOR OXIBAND AD/NEO TRANSDUCER 1/50 OXICLIQ-PI PEDIATRIC OXYGEN TRANSDUCER OXI-P/I NELLCOR OXIBAND PED/INF TRANSDUCER 1/50 Service Manual Field Replaceable Units Table 6. Radio Components Component Number Object Description 706514 Radio 4500-915 Image Team 4600 2D Barcode Scanner Kit 703878 Null Modem 9-Pin M/F 4-40 4500-920 Kit, Spot Vital Signs LXi 802.11 b Radio 4500-921 802.11 b radio Directions for Use 4500-922 Kit, Wireless Spot Vital Signs LXi 802.11 a/b/g Radio 4500-923 802.11 a/b/g Radio Directions for Use 4500-905 Repair Tool CD, Spot Vital Signs LXi 4500-906 Spot Vital Signs LXi Configuration CD 4500-907 Spot Vital Signs LXi Firmware Loader CD 4500-925 Cable for wired connectivity 4500-926 Cable for wired connectivity, Keyspan (USB to serial adapter) 4500-927 USB 2.0/serial cable kit 99 100 Field Replaceable Units Welch Allyn Spot Vital Signs LXi 101 11 Disassembly and Repair This chapter provides the instructions for removing and replacing serviceable modules in the Spot Vital Signs LXi. In general, re-assembly procedures are the reverse order of the disassembly procedures. WARNING Electric shock hazard. There are no user-serviceable parts inside Spot Vital Signs LXi other than battery replacement (see “Battery Replacement” on page 46). An operator may only perform maintenance procedures specifically described in this manual. For service, refer the device to an Authorized Service Center. Note Always disconnect the sealed lead-acid battery in the Spot Vital Signs LXi before performing any repair function. Tool list Description Part Number Qty Source Blood Pressure Test Volume Repair Fixture 401028 1 Welch Allyn Spot Vital Signs LXi Repair Software 401710 1 Welch Allyn Serivce Manual, Spot Vital Signs LXi 4500-89 1 Welch Allyn Spot Vital Signs LXi Directions for Use 705310 1 Welch Allyn 802.11 b Radio 4500-920 1 Welch Allyn 802.11 b Radio Directions for Use 4500-921 1 Welch Allyn 802.11 a/b/g Radio 4500-922 1 Welch Allyn 802.11 a/b/g Radio Directions for Use 4500-923 1 Welch Allyn Spot Vital Signs LXi Manufacturing Process Specifications 70012082 1 Welch Allyn Tester, Calibration, 9600 Plus 01802-110 1 Welch Allyn SureTemp Oral Probe 02895-000 1 Welch Allyn Blood Pressure Y-Tube, No Fittings 1/8 Tube 5082-183 1 Welch Allyn Spot Vital Signs LXi Work Instructions MPD WI-PS-0090 1 Welch Allyn Needle Nose Pliers 1 Tool/Supply Store Wire Cutter 1 Tool/Supply Store Tweezers 1 Tool/Supply Store #2 Phillips Screwdriver 1 Tool/Supply Store 102 Disassembly and Repair Welch Allyn Spot Vital Signs LXi Description Part Number Qty Source T10 Torx Driver 1 Tool/Supply Store 4” PVC Pipe 1 Tool/Supply Store Soldering Station 1 Tool/Supply Store Cable Tie Tool - T9921 GS2B 1 Marsh Electronics +1 800 877-8919 *Setra Pressure Meter 2270-01 1 Setra +1 800 257 3872 *Netech Pressure Meter 2000 in 1 Netech +1 800 547 6557 Nellcor Sensor Ext Cable (4’ Cable) Dec-4 1 Nellcor +1 800 635 5267 Nellcor Sensor Ext Cable (8’ Cable) Dec-8 1 Nellcor +1 800 635 5267 Nellcor Sensor DS-100A 1 Nellcor +1 800 635 5267 Masimo SpO2 Tester 1795 1 Masimo +1 800 326-4890 Nellcor SRC-MAX SpO2 Tester SRC-MAX 1 Nellcor +1 800 635 5267 Masimo Patient Cable 1005 1 Masimo +1 800 326-4890 Masimo Adult SpO2 Reusable Sensor 1269 1 Masimo +1 800 326-4890 Digital Volt Meter with 4 1/2 Digit Display 2 Electronics Supply Store Power Supply: 0-20 Vdc adjustable with 0-3A output 1 Electronics Supply Store Wireless Router 1 Electronics Supply Store Ethernet Cable 1 Electronics Supply Store IBM compatible computer Windows 2000, XP, NT4 1 * Only requires one of the pressure meters To disassemble Spot Vital Signs LXi: 1. Disconnect the power and all accessories from the Spot Vital Signs LXi. 2. Remove the four screws holding the battery door using a phillips-head screwdriver. Remove the battery door to expose the battery. CTIONS ort MAT: 703956 Top, back housing screws (2 places) II I Battery Door Screws (4 places) 3. Tip the Spot Vital Signs LXi backward and slide the battery out. Disconnect the oneway connector. Service Manual Disassembly and Repair 103 4. Remove the two screws inside the battery housing that are identified with arrows molded into the housing and the two screws at the top of the back upper housing. 5. Hold the device together, lay the back housing on the bench, and carefully lift the top housing off. 6. Remove the screw and slightly lift the circuit board from the right facing side and disconnect the flex cable (J103). 7. Observe the locations of the two tubes before disconnecting. Lift and disconnect the wire harnesses and the pneumatic tubing. The two wire harnesses are a 6-wire harness that connects to J104 and a 2-wire harness that connects to J80 on the small, mounted blood pressure board. 104 Disassembly and Repair Welch Allyn Spot Vital Signs LXi 8. Disconnect the red electrical connector and the gold ribbon connector. This is located on the main board. Lift up the tab on the white cable retainer so cable can slide out after it is unplugged. Gold Connector Red Connector 9. Lift the flap on the beige connector (large ribbon cable) to remove the main board. This releases the serial board cable from connector J108. J108 Note FOR MODELS NUMBERS (45MT0, 45ME0) ONLY: With diagonal cutting pliers cut jumper JP2 twice so that it is open. Cut it on each end on the dotted lines as illustrated, so that it is open connection. Service Manual Disassembly and Repair Key Pad Disassembly 1. Gently pull the button switch array out of the cover. 2. Align and push the new button switch array into place. 105 106 Disassembly and Repair Welch Allyn Spot Vital Signs LXi SpO2 Circuit Board Disassembly Note To assure proper SpO2 operation, replace the SpO2 board using only the Welch Allyn specified part. To assure patient electrical isolation, after the main board is nearly back in position, verity that the SpO2 flex cable is freely floating in space and is not pressed up against the main board. Masimo 1. Lay the LCD flat on an ESD mat. 2. Find the double-stack of circuit boards and remove the four corners screws. Carefully lift the circuit board straight up. 3. Remove the three screws on the circuit board located behind the LCD. Service Manual Disassembly and Repair 107 4. Slightly rock the circuit board back and forth while lifting straight up. 5. Replace with a new circuit board. Nellcor 1. Lay the LCD flat on an ESD mat. 2. Remove the three screws on the circuit board located behind the LCD. 3. Slightly rock the circuit board back and forth while lifting straight up. 4. Replace with a new circuit board and set the dip switches to match the original board (dip 1 and 2: up / dip 3 and 4: down). 108 Disassembly and Repair Welch Allyn Spot Vital Signs LXi Blood Pressure Circuit Board Disassembly Note When replacing the NIBP board see “To initialize the NIBP board:” on page 54 for instructions. Remove the four screws and carefully lift the circuit board straight up. There is one stationary connector. Service Manual Disassembly and Repair 109 LCD Inverter Ballast Board Disassembly This is a small board held in place with two-sided tape. It is located towards the bottom of the main board. Remove the connector at each end and pull straight up while taking care not to damage the board because the adhesive tape has considerable sticking strength. LCD Disassembly 1. Remove the main board. At the bottom of this board is a circuit board with a pink connector at the bottom. 2. Pull the brown tabs of the top connector forward and remove the ribbon cable. Inspect connector tabs for wear and replace if worn. 3. Turn the board over and pull back the soft rubber holders. Pull the cable from the lug to remove the grounding strap and remove the LCD. 4. Replace with a new LCD. 110 Disassembly and Repair Welch Allyn Spot Vital Signs LXi Pump Disassembly Note For proper blood pressure operation, replace the pump using only the Welch Allyn specifed part. To assure patient electrical isolation, route the pump wires through the rear housing clip feature (near the pump terminals) and held in place with a tiewrap to the holes in the rear housing at the back of the battery compartment. To assure patient electrical isolation, do not modify the length of the pump wires. 1. Snip the wire ties (2 places). 2. Disconnect the pneumatic tubing and unhook the wiring. 3. Replace with a new pump. RS232-Communication Circuit Board Disassembly 1. Remove the pneumatic connector and associated hoses from the pump and the two screws in the rear housing. Remove the associated hoses. 2. Release the catch and remove the cover and inner handle assembly. 3. Remove the connection port panel. 4. Remove the two screws inside the back housing and the ribbon cable that hold the RS232 board in place. Take care since the connector is easily broken. 5. Slide the board straight out and remove the wire harness. 6. Replace with a new circuit board. Service Manual Disassembly and Repair 111 Fan and Power Circuit Board Disassembly Note To prevent buildup of hydrogen gas, replace the fan using only the Welch Allyn specified part. This is a small board held in place with two-sided tape and one connector. Remove the screw before disconnecting the connector. Thermometry Circuit Board Disassembly Caution To assure patient electrical isolation, trap the flex cable to the thermometer pod behind the clip on the main housing adjacent to the main board connection point. Caution To assure patient electrical isolation, verify that the correct flex cable is used to connect the thermometer pod to the main board. The Braun and SureTemp Plus flex cables are slightly different in length and are not interchangeable. Caution To protect the user from high voltage, properly install the thermometer pod insulating paper separating the LCD ballast wires from the housing crack. SureTemp Plus Caution Do not attempt to repair or clean the solder joints on either SureTemp Plus board. Incorrect flux or technique can degrade thermomter accuracy. 1. Remove the two screws located at the thermometer housing with a T-10 torx wrench. Save the fish paper. 2. Locate the path of the notched tabs on the housing. Slide the housing up and out following this path and set the case aside. 112 Disassembly and Repair Welch Allyn Spot Vital Signs LXi 3. Remove the four screws from the mounting plate and save the fish paper. This exposes the circuit board. 4. Remove the three Torx screws (T10) on the board (one on bottom and one on either side of the probe well cover) and lift the board out of the housing and orient the part as shown. 5. Disconnect all connectors and replace with a new board. To replace the temperature connector, remove the one screw holding the temperature board and connector. Verify the fish paper is properly mounted upon reassembly. When replacing the SpO2/blood pressure housing, verify the orange and white twisted wire is pushed as far into the handle housing as possible. Failure to do so can cause the wires to stretch when the SpO2/blood pressure housing is inserted. Service Manual Disassembly and Repair 113 Braun ThermoScan PRO 4000 1. Remove the two screws located at the thermometer housing with a T-10 torx wrench. Save the fish paper. 2. Locate the path of the notched tabs on the housing. Slide the housing up and out following this path and set the case aside. 3. Remove the four screws that hold the metal shield in place. 4. Remove the springs and posts. Carefully rock the board back and forth while lifting straight up. 5. Disconnect all connectors and replace with a new board. 6. Reassembly is the reverse of disassembly. 114 Disassembly and Repair Welch Allyn Spot Vital Signs LXi 115 12 Repair Test Specifications This appendix refers to the Spot Vital Signs LXi without pneumatics (tubing and cuff), temperature probe, SpO2 probe, or main battery attached, unless otherwise noted. Use the Repair Software for the performing the tests on the Spot Vital Signs LXi. The standard test voltage, unless otherwise stated is 6.5 Vdc (+0/-0.25 Vdc). Unless otherwise stated, all calibrated volumes are ±10cc of the stated volume. General Unit Test A-D Noise Test The A-D Noise Test is defined as the amount of noise on the Spot Vital Signs LXi A-D pressure channel; over a 1 second sample time while 0.0 mmHg is applied to the Device pressure port. The maximum limit is 0.050 mmHg. Leak Test The Leak Test is defined as the amount of pressure drop that is recorded over a 15-second interval with a 100cc cylinder attached to the Spot Vital Signs LXi pressure port and that volume having a stabilized pressure of 250 mmHg. The maximum limit is 6 mmHg. Inflation Test The Inflation Test is defined as the amount of time the Spot Vital Signs LXi pump can inflate a 250 cc cylinder from 5 mmHg to 210 mHg. The maximum limit is 7 seconds. Dump Test The Dump Test is defined as the amount of time it takes Spot Vital Signs LXi to deflate a 500 cc cylinder from 260 mmHg to less than 15 mmHg. The maximum limit is 10 seconds. Pneumatic Accuracy Test Enter the Internal Configuration Mode to perform this test (see “Temperature Functional Check” on page 58). Perform an Auto-zero before starting this test (see “Temperature Functional Check” on page 58). The Pneumatic Accuracy test is defined as the comparison of Spot Vital Signs LXi’s pressure measurement and applied pressure at 0, 50, 150, and 250 mmHg. The 116 Repair Test Specifications Welch Allyn Spot Vital Signs LXi specification for each reading is within ±3 mmHg of the target pressure except for the 0 mmHg reading which is within ±1.0 mmHg. Valve Control Test Connect a 100 cc cylinder to the Spot Vital Signs LXi pressure port and pressurize to 160 mmHg. Give Spot Vital Signs LXi the commands to open the valve for 10 mmHg/s, 15 mmHg/s, and 25 mmHg/s. Record each pressure drop: 4 to 12 mmHg, 4 to 15 mmHg, and 4 to 25mmHg, respectively. Voltage Calibration Calibrate the Spot Vital Signs LXi battery voltage measurement circuit at 5.5 Vdc (+0.1/0.0 Vdc). After performing a successful battery measurement circuit calibration, Spot Vital Signs LXi’s memory will store a calibration signature of up to four printable characters. Blank Mode Current Test The Blank Mode Current Test is defined as the amount of current drawn through the battery terminals. All LCD segments, the back light, and the SpO2 mode are all turned off. The limit is 200 mA maximum. Back Light (Idle) Current Test The Back Light Current Test is defined as the amount of current drawn through the battery. All LCD segments and the back light are turned on while the SpO2 mode is turned off. The limit is 400 mA maximum. Valve/Pump Mode Current Test The Valve/Pump Mode Current Test is defined as the amount of current that is drawn through the battery terminals; Spot Vital Signs LXi is in the Blank Mode while the valve and pump are actuated to on. The limit is 2.0 A maximum. Interface Test When given the proper commands, the Display Window will turn on or off all segments and turn on or off the back light. When given the proper command, the buzzer sounds to verify operation. The user determines the pass/fail criteria. Temperature Option Requirements Accuracy Test Verify the accuracy of the temperature module is within ±0.2° F for readings with a nomal temperature of 97.3° F (36.3° C) using a Cal Key (5200-25). Verify Spot Vital Signs LXi can read a temperatures of 96.4° F (35.8° C) and 106° F (41.1° C) within ±0.3° F/±0.2° C using a Welch Allyn 9600 Plus Calibrator. Service Manual Repair Test Specifications 117 Temperature Probe Test Spot Vital Signs LXi displays “ORL” after you remove the blue thermometer probe from the blue probe well. SpO2 Option Requirements These tests are only valid on Spot Vital Signs LXi models with the Masimo or Nellcor SpO2 option. SpO2 Functional Test See “Masimo SpO2 Functional Check” or “Nellcor SpO2 Functional Check” on page 61 for the functional test. SpO2 Mode Current Test The SpO2 Mode Current Test is defined as the amount of current, less the Blank Mode Current, that is drawn through the battery terminals, placing Spot Vital Signs LXi in the Blank Mode, actuating the SpO2 mode and applying any SpO2 signal to the device. The maximum limit is 120 mA maximum. Fail Safe Test Over Pressure Test Verify that Spot Vital Signs LXi can detect over pressure on the pneumatic system between 296.0 mmHg and 329 mmHg. Over 15 mmHg Verify that Spot Vital Signs LXi can detect static pressure over 15 mmHg for 180 seconds. 118 Repair Test Specifications Welch Allyn Spot Vital Signs LXi Reorder No. 4500-89 Material No.704432 Ver. D
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