PROTOCAL PROPAQ 102EL
PROTOCAL
PROPAQ 102EL
OPERATION AND SERVICE MANUAL
Section 1
General Information
Available The CalibrationMaintenance Manual contains information for the service
i technician to service Propaq monitors at the replaceable module level.
Documentation Replaceable modules are items that can be easily replaced without
desoldering circuit board components.
Servicing to the component level requires the Schematics & Drawings
Set, and the appropriate option section for SpO2, CO2 and Propaq Printer
options.
— For detailed circuit descriptions, bills of materials, mechanical
assembly drawings, and schematics of the monitor main board,
interconnect board. and recharger board, see the Schematics &
Drawings Set (orderable separately as 810-0334-10).
— Similar information on the Printer, Oximeter, and Capnograph 1s
found in the appropriate option section of the Schematics &
Drawings Set:
Service manuals contain service information for the biomedical electronic
technician (BMET or CBET). Only factory-trained technicians should
service the Propaq series monitors.
NOTE
This manual does not include operating instructions or information.
Refer to the appropriate users guide.
About This The Calibration/Maintenance Manual contains eight sections and three
Manual arrendices, as described below.
Section 1 General Information—This section contains information about
how to use the manuals, and a description of the Propaq senes monitors,
optional Expansion Module with printer, SpO2 option, and CO2 option.
« Section 2 Installation and Service—This section contains instructions on
how to unpack and repack the monitor for shipping. Servicing interval
recommendations are provided for developing preventive maintenance
schedules. À functional verification procedure allows checking the
performance and safety features of the monitor without opening the case.
Calibration/Maintenance Manual 810-0334-01 1-1
Section 1—General Information Propaq 100-Series Monitors
Product
Description
==
Section 3 Calibration—This section lists all tools and test equipment
needed to perform a complete calibration procedure. A description of the
Service Menu functions is provided. The calibration procedure allows you
to calibrate the Propaq to factory specifications.
Section 4 Troubleshooting—This section contains descriptions of screen
messages and software error codes for use in troubleshooting.
* Section 5 Replacement Procedures—This section contains information
and step-by-step instructions on making modular repairs to the Propag, and
shows you how to remove and replace serviceable modules.
» Section 6 Theory of Operation—This section describes the Propag's
circuitry at the system and functional-block levels only.
Detailed circuit operation descriptions for each of the monitor’s circuit
boards and specific options are contained in the Schematics & Drawings
Set and appropriate option section, as noted on the previous page.
+ Section 7 Diagrams—This section contains block diagrams and cabling
drawings.
o Section 8 Replaceable Parts—This section lists serviceable mechanical
and electrical parts (generally in kit form) for the Propag series monitors,
the printer, the pulse oximeter, and the capnography option.
» Appendix A Buildable Test Equipment—This section provides
descriptions and schematics for test equipment that vou can build for
servicing the Propaq.
. Appendix B Dynatech/Nevada Patient Simulator Modification— This
section shows you how to modify Dynatech/Nevada models 213A, 215A,
and 217A Patient Simulators for use with the Propaq series monitors. This
section is especially important if you simultaneously connect both the ECG
and invasive blood pressure channels of this patient simulator to the Propag.
+ Appendix C Software Revision History— This section lists the software
revisions for the Propag.
The Propaq series is a product line of lightweight, ultra-portable patient
monitors applicable to a wide variety of health care services. These
monitors measure and display a patient’s vital signs, including ECG,
non-invasive blood pressure, invasive blood pressure, temperature, oxygen
saturation derived by pulse oximetry (with SpO2 Option) and mainstream
carbon-dioxide monitoring (with COz Option). Propaq configurations vary
depending on the model. Table 1-1 lists the monitors and their
configurations available at the printing of this manual.
810-0334-01 Calibration/Maintenance Manual
Propaq 100-Series Monitors Section 1—General Information
—
Table 1-1. Propaq 100-Series Monitors Configurations
Standard Features Options
Analog Out/ HP
Model | ECG | Cuff |P1 |P2| T1 | T2| Defib Sync |SpOz| CO» {Printer ; Conn.
102 v v v | v v v v v | v
104 v v v viv v v v v v
106 v v У | У | У v v v v v
All models of monitor may be ordered with the optional Hewlett-Packard
patient connector side panel.
The Propaq Expansion Module allows SpO2 and CO2 monitoring to be
added to any Propaq monitor. The Expansion Module with Printer (EMP)
includes a high-resolution, dot-matrix printer for documenting patient vital
signs.
Limited The Propaq 100-Series Monitors are sold by Protocol Systems, Inc. under
Warranty the warranties set forth in the warranty statement supplied with each
product. Additional copies of the warranty statement can be obtained from
Protocol Systems, Inc.
History of Propaq manuals are updated with each new monitor design, and history
Manuals By information is provided (as deemed appropriate) for earlier monitors. In
. = some cases, an early manual 1s re-released with an updated part number; in
Monitor Serial other cases, a new manual is released. The following table lists the releases
Numbers of Propaq manuals, and cross-references the serial numbers of the monitor
and printer (and the software version number) to which the manual applies.
Monitor/Printer Issue/
Serial Number & Revision/ Issue
Software Version Part Number | Date Comments
SERVICE DOCUMENTATION
TBXXXXX Rev À Technical Reference Guide
(Printer TCOXxxx) 810-0012-01
Software V.6 |
TEXXXXX Rev A 2/92 | Technical Reference Guide
(Printer TCOxxxx) 810-0257-00
Software V.6
MXXXXXX Rev A 10/92 | Service Manual Version 7
(Printer MCOxxx) 810-0334-00 software '
Software V.7 | | |
MXXXXXX Rev À 9/93 | Calibration/Maintenance
(Printer MCOxxx) 810-0334-01 Manual, adds Capnograph and
Software V.7/8 Version 8 software
Calibration/Maintenance Manual 810-0334-01 1-3
Section 1—General Information
pi CL ee re Она
1.4
Propaq 100-Series Monitors
e a ——
Monitor/Printer Issue/
Serial Number & Revision/ Issue
Software Version Part Number | Date Comments
MXXXXXX Rev A 9/93 | Schematics & Drawings Set
(Printer MCOxxx) 810-0334-10
Software V.7/8
MXXXXXX Rev A 9/93 | Printer Section of 810-0334-01
(Printer MCOxxx) 810-0334-30
Software V.7/8
MXXXXXX Rev A 9/93 | SpO2 Section of 810-0334-01
(Printer MCOxxx) 810-0334-20
Software V.7/8
MXXXXXX Rev A 9/93 | CO» section of 810-0334-01
(Printer MCOXxxx) 810-0334-40
Software V.7/8
USERS DOCUMENTATION
TXXX Rev A 4/89 | Original Release (Users Guide)
(Version 3.x) 810-0035-00
TXXX Rev A 8/89 | Original Release (Printer
(Printer TCOxxx) 810-0085-00 Operators Guide)
TXXX Revs A,B,C 10/89, | Updates for software 4.xx.xxx,
(Version 4.x) 810-0035-01 | 12/89, | misc. correction and update
4/90 | data, and international
certification
TXXX Rev A 9/90 | Updates for software 5.XX.XXX,
(Version 5.x) 810-0140-00 adding SpO2
TXXX Rev A 6/91 | Updates for software 6.0,
(Version 6.x) 810-0035-02 includes printer operator's
guide, and SpO2. Adds EL
option.
TXXXX Rev A 8/91 | Hewlett-Packard Connector
(Version 6.x) 810-0203-00 update, supplements 810-0035-02
TXXXX Rev A 10/91 | Pulse oximetry update,
(Version 6.x) 810-0250-00 supplements 810-0035-02
TXXXX Rev B 6/92 | Software 6.2 update,
(Version 6.2) 810-0324-00 supplements 810-0035-02
MXXXX Rev B 6/92 | Software 7.0 update,
(Version 7.x) 810-0331-00 supplements 810-0035-02
MXXXXXX Rev A 4/93 | Software version 8.0. Original
(Printer MCOxxx) 810-0408-00 release of User’s Guide. English
(Version 8.0) language
810-0334-01 Calibration/Maintenance Manual
E
4885 Kingsway, Suite 311, Burnaby, BC, Canada V5H 4T2
Phone: (800)656-9088, (604) 451-1199 Fax: (604) 451-1189
E-mail(service): tony.li@mindray.com.cn
Website: www.mindray.com.cn MINDRAY
Mindray Co., Ltd., Vancouver Office |
SERVICE NEWS RELEASE
PM-8000 Patient Monitor Upgrade is Available
We are glad to inform you that an upgrade for Mindray PM-8000 Patient Monitor is available now.
MODEL NUMBER: Mindray PM-8000 Patient Monitor
APPLIES TO: PM-8000 sold in North America with serial number below than AX61-0349, shipped
before Jan. 2006.
NEW FEATURES:
1. 22-level SpO2 Pulse-tone Modulation (Pitch Tone).
2. Shorten high level alarm sound to 3 seconds intervals.
DESCRIPTION: This upgrade should meet the anticipation of end-users who like “pitch tone” function.
It consists of exchange a keypad board and software upgrade, and can be performed by your service
representative under proper training by Mindray.
MINDRAY PART NUMBER: UP-PM8000-001
PRICING: US$200.00 per monitor, freight included.
SUPPORT: Instruction documents and free training in Vancouver office.
CONTACT:
Tony Li
Customer Service Engineer
North America
Mindray Co., Ltd. Vancouver Office
4885 Kingsway, Suite 311
Burnaby, BC, V5H 4T2, Canada
Tel: 604-451-1199 Ext. 12
Fax: 604-451-1189
E-mail: tony.li@mindray.com.cn
We will be happy to answer any questions you may have regarding this upgrade. Please contact us if we
can help in any way.
North America News Letter 20060214
Section 2
Installation and Service
Introduction this section provides the information for unpacking, initial setup and
checkout of the Propaq 100-series monitors. Information is provided for
developing a preventive maintenance schedule.
When the monitor is first unpacked and before it is placed in service, the
functional verification and safety checks provided in this section should be
performed.
Unpacking/ use the following guidelines when unpacking the monitor from its shipping
Repacking "o".
1. Before unpacking the monitor, check the shipping carton for damage.
2. If damage is apparent, it is a good idea to stop unpacking the carton
and contact the shipping company for further instructions. If the carton
Is intact, unpack the Propagq.
3. With the Propaq out of its carton, check to see that all the items listed
on the Packing Slip (provided with shipment) are in the shipping
carton.
4. If an item is missing, first recheck the carton, then check with your
receiving department. If necessary, contact Protocol Systems, Inc. at the
address and phone number shown in Repair and Upgrade Support.
The shipping carton and packing material should be saved for repacking
the monitor in case it needs to be sent to a repair center or back to
Protocol Systems for service.
Warranty If during the warranty period, the Propaq requires service, DO NOT
S г ATTEMPT TO SERVICE IT YOURSELF. For fast, convenient service from
ervice
Protocol Systems, follow the procedure below.
Calibration/Maintenance Manual 810-0334-01 2-1
Section 2—Installation and Service Propaq 100-Series Monitors
Repair and
Upgrade
Support
For repair and upgrade information, contact:
Technical Services Dept.
Protocol Systems, Inc.
8500 S. W. Creekside Place
Beaverton, OR 97005-7107 U.S.A.
or call Protocol Systems, Inc. in the U.S.A. at (800) 289-2500.
Technical Services toll-free number: (800) 289-2501.
For world-wide facsimile communications, call (503) 526-4200.
If calling from outside the United States, call (503) 526-8500.
When calling Protocol for service information or to order service parts,
please have the following information ready:
+ model number (102, 104, or 106 from front of monitor),
+ serial number (from back of instrument),
+
software version (from startup screen)
attached options, if any (such as printer or SpO2 option)
a full description of the problem or service needed
- your complete return shipping address
* your purchase order number (for non-warranty repairs, all upgrades and
parts orders)
« a contact name and phone number for any further questions.
Model and serial numbers are printed on the label located on the rear of the
monitor and options. The software version number is displayed each time
the monitor is powered on.
If you are returning a Propaq for service:
+ The Technical Service representative will give you a Return Material
Authorization (RMA) number and tell you where and how to ship the
monitor for service. Without the RMA number. Protocol cannot accept
the monitor for service.
Package the monitor in its original shipping carton using the original
packing material. The material and carton were specifically designed for
the monitor’s safety during shipment.
« Clearly address the box and ship it to the address provided by Protocol's
Technical Service representative. Be sure to write the RMA number on
the outside of the shipping carton, and on any included correspondence.
For the location of your nearest Protocol Systems authorized repair center,
or for information on all Protocol Systems products, contact Protocol
Systems, Inc.
- DIA AI92A4 Mi
Calibration/Maintenance Manual
Propaq 100-Series Monitors
——
Recommended
Service
Service Intervais
Calibration/Maintenance Manual
Section 2—Installation and Service
|
The Calibration/Maintenance Manual provides instructions and information
for technicians to repair the Propaq at the replaceable module level.
Replaceable modules include circuit boards, large hardware items, such as
the air pump, check valve, chassis parts, and other parts easily replaced
without desoldering of surface-mount components and other small hardware.
Module-level repair allows monitor repair in minimal time and for a
nominal price for the replaceable module.
Because of the specialized equipment and knowledge required to
manufacture and repair the Propag, Protocol Systems, Inc. recommends that
only Protocol’s authorized repair facilities provide component-level repair. If
repair by other than Protocol’s authorized repair facilities is required, such a
facility must have the necessary equipment to service and repair surface
mount technology (SMT) electronics as well as the specialized equipment to
service Propaq monitors. The Schematics & Drawings Set (orderable as
810-0334-10) and appropriate option section (SpO2 PN 810-0334-20, Printer
PN 810-0334-30, or CO2 PN 810-0334-40) provides schematics, parts lists,
etc. helpful in component-level servicing. Contact Protocol Systems, Inc. for
more information.
Table 2-1 lists recommended service intervals and procedures that should be
considered in order to keep the monitor in good operating condition.
Table 2-1. Recommended Service Intervals/Procedures
Interval/Condition
Perform
Semi-annually
Complete Functional Verification and
Safety Check (Section 2).
Minimum every three years
Replace lithium battery. Replace battery
pack. Replace air filter.
Monitor is dropped, in an accident, or
suspected rough handling.
Complete Functional Verification and
Safety Check (Section 2).
Suspected malfunction with all or part
of functions.
Functional Verification (Section 2) of
suspected function(s).
Monitor fails Functional Verification.
Repair followed by Functional
Verification (Section 2), and Calibration
as required (Section 3).
Module has been replaced and monitor
fails Functional Verification.
Repair followed by Functional
Verification (Section 2), and Calibration
as required (Section 3).
Every 5,000 hours of operation or
whenever screen becomes difficult to
view
Replace LCD backlight (LCD monitors
only)
810-0334-01
2-5
Section 2—Installation and Service Propaq 100-Series Monitors
Functional The functional verification procedures verify proper operation of the
Verification monitor, oximeter, and printer. This procedure should be performed at
intervals or conditions listed in Table 2-1.
Self Test Many functions, such as alarms, waveform and scale sizing, and printer
control, are software operations. Since system software 1s automatically
checked during the monitor’s power-up self-test, all software functions work
normally if no error messages appear during the power-up sequence. (Some
error messages indicate hardware failures.)
The Service Menus Service Menus are provided to facilitate functional verification. The Service
Menus (Figure 2-1) contain several functions for testing and verifying the
Cuff channel, display, invasive pressure channel (models 104 and 106 only),
and printer. During the functional verification procedure, the Service Menu
functions will be accessed to perform necessary tests.
(system | [Free |
[INSERV__| SERVICE | [| TIME/DAY | (more | [MAIN MENU]
. | .
(CUFFTST | [IBP Teste] [sPOzTEST®] | MORE |
1
mo
1 [ourTesT
" CYCLE | COLUMN 1 | | COLUMN 2 | BORDER
E
aIgP TEST applicable only for Propaq 104, 106.
bSPO2 TEST intended for factory use with SpO2 option.
cNET TEST applicable only for Network option. VERSION 7 x
Fig. 2-1. The Service Menus, Version 7
210-0334-01 Calibration/Maintenance Manual
Propaq 100-Series Monitors
Section 2—Installation and Service
INSERV
CHANGE
CUFF TST
| TEMP TEST |
HED
PRINTERd
SNAPSHOTd
NEXT
IBP TEST?
PIXL TST
| CO2 TESTe |
LOOP TEST
> CYCLE |
PUMP TST
BP TEST applicable only for Propaq 104, 106.
bSPO2 TEST intended for factory use with SpO2 option.
“NET TEST applicable only for Network option.
dDepends on option installed.
*Applicable only for CO2 option.
|
e
| COLUMN 1 |
AUTO PMP
DISPLAY
TIME/DAY
||
SERVICE
{
SPO2 TESTb|
NET TESTS
OUT TEST
COLUMN 2
CUFF CAL
| SYSTEM |
ENE
|
VERSION 8.x
MAIN MENU
da RENE
| MAIN MENU
| MAIN MENU |
Fig. 2-2. The Service Menus, Version 8
Menu functions are accessed by pressing one or a series of buttons below
menu labels on the monitor display. Button presses to access any function in
the Propag are shown in this manual with the > character separating the
names of the buttons to be pressed. For example, SENSORS > ECG >
LEAD means starting from the Main Menu, press the SENSORS button,
then the ECG button, and finally the LEAD button.
The Service Menu is activated by pressing from the Main Menú (Version
7.x software) SYSTEM > MORE > SERVICE, or (Version 8
SYSTEM > MORE > MORE > SERVICE.
Calibration/Maintenance Manual
NOTE
.X software)
In the following procedures, where Version 8.x button presses differ
from Version 7.x button presses, both versions are given. Otherwise,
button presses are the same for both versions.
810-0334-01
ee er
Section 2—Installation and Service Propag 100-Series Monitors
Equipment Required
Procedure
Table 2-2 lists all the equipment needed to perform a functional verification.
Some equipment can be manufactured. See Appendix A for information on
manufacturable test equipment.
Table 2-2. Equipment Required for Functional Verification
e
Equipment Description
Mercury -column Manometer with Bulb (400 mmHg). Baumanometer 14-383 wall
mount Manometer or equivalent
50 MHz Triggered Sweep Oscilloscope, Tektronix 2225 or equivalent
Variable DC Power Supply, 0-36 V, ЗА, VIZ WP-T15A or equivalent
Patient Simulators, Dynatech/Nevada 213A, 215A, or 217A with Temperature and
EGG Cable/Leads
Electromedics 37° C Temperature Sensor Simulator (See Appendix A)
IBP Simulator, 5 pV/mmHg/volt, Fogg Systems BP48C. BP28, or MDE Datasim
6000 with IBP cables
Adult Cuff Kit, Protocol PN 008-0006-XX
Protocol Cuff Calibration Kit, Protocol PN 008-0012-XX
Power Supply Adapter Cables (See Appendix A)
Propaq AC Power Adapter
North American, 120 V, 60 Hz, Protocol PN 503-0002-00
International, 220-240 V, 50-60 Hz, Protocol PN 503-0002-20
Japanese, 100 V, 50-60 Hz, Protocol PN 503-0002-30
Safety Analyzer, Dynatech/Nevada (formerly Neurodyne-Dempsey), 43 1F-1D or
equivalent
Rod-L Model M100AVSS5 High-Voltage Potential Tester. or equivalent
NELLCOR Pocket Tester, PT-2500
Test gas source: dry 4% to 10%* CO, balance air (with flow meter)
AA
Two rubber test tube stoppers. with 1/8" to 1/4" vent holes opened through (for
¡CO2 tests)
*Gas may be between 4 and 10%, but exact CO2 concentration must be certified within
+0.01%. See procedure later in this section for determining partial pressure.
—
NOTE
If the monitor has been stored for longer than one month without
the monitor connected to the ac adapter (for recharging). the
battery voltage should be checked. The battery may need to be
replaced if it cannot hold a charge.
The functional verification must be done only when the monitor 1s fully
assembled. Equipment required to perform this procedure is shown 1n
Table 2-2. Most items not commercially available can be made according to
the information in Appendix A.
e UN NAI95A MI
Calibration/Maintenance Manual
Propaq 100-Series Monitors
Section 2—Installation and Service
NOTE
If you plan to use a Dynatech/Nevada model 2134, 215A, or 2174
Patient Simulator to simultaneously simulate ECG and invasive
blood pressure, see Appendix B for important information.
If the monitor did not pass the functional verification, or when it is time to
do a routine calibration, see the Calibration Procedure in Section 3.
Functional verification and safety checks must always be done after monitor
disassembly or calibration, or whenever there is a question about the safety
of the patient functions.
NOTE
Before starting the verification procedures, charge the battery for
at least 8 hours with the monitor turned off. (Charge for 12 hours
if a Printer or SpO2 module is attached.)
Power System The following steps check the integrity of the power system.
Calibration/Maintenance Manual
1. If the ac power adapter is not plugged in, plug it into an ac socket
with the correct voltage and connect it to the monitor’s right side
panel dc power connector.
. Check that the green BATTERY CHARGING indicator lights.
. Disconnect the power adapter from the monitor. Check that the
BATTERY CHARGING indicator turns off.
CAUTION
In the next steps, carefully check for the proper polarity of the
connection between the power supply and the monitor. If voltage is
applied with the wrong polarity, it will blow an internal fuse (Fl
on the Recharger board). Refer to the diagram on the monitors
right side panel for proper polarity.
. Tum on the dc power supply and set it for 15 V £0.5 V.
. Using the power supply adapter cable (constructed as shown in
Appendix A), connect the power supply to the monitor’s dc input
connector on the right side panel.
. Check that the BATTERY CHARGING LED indicator lights.
. Check that the current draw from the supply is less than 650 mA.
NOTE
Initial charge current can be as high as 880 mA. However, as the
battery charges, the current will decrease. A fully charged battery
draws less than 100 mA. You should notice the current draw slowly
drop the longer the de supply is connected to the monitor.
. Tum off the power supply.
. Disconnect the supply from the monitor.
810-0334-01 2-7
Section 2—Installation and Service Propag 100-Series Monitors
= ти
Button Tests The following steps check the operation of the buttons.
1.
2.
Tum on the monitor.
Make sure that no error messages appear and the monitor correctly
powers up.
3. With the Main Menu displayed
4.
a. press one of the buttons
b. check that the menu changed
c. press the MAIN MENU button
d. repeat steps 3a through 3c until all buttons have been checked.
Make sure that the Main Menu is displayed when you are done.
Display The following steps check the display.
1.
2.
10.
о © HN VU во
Press MAIN MENU.
For Version 8.x software, press SYSTEM > MORE > MORE >
SERVICE > MORE > PIXL TST > CYCLE to start the display tests
(usually starts at COLUMN).
For Version 7.x software, press SYSTEM > MORE > SERVICE >
MORE > PIXL TST > CYCLE.
Check that all pixels in the activated columns are turned on.
Press the left button to advance to the next test, COLUMN2.
Check that all pixels in the activated columns are tumed on.
Press the left button to advance to the next test, BORDER.
Check that all pixels around the penmeter of the display are turned off.
Press any but the left button to stop the tests.
Press MAIN MENU.
Press SYSTEM > MORE > TIME/DAY and check that the displayed
time of day and date are correct. If they are not, correct them using
the NEXT and UP or DOWN buttons and set them with the ENTER
button.
The clock should be accurate to +2 seconds per day or +1 minute per
month. If the clock does not meet these specifications, complete the
calibration of the Clock/Calendar listed in Section 3.
810-0334-01 Calibration/Maintenance Manual
Propag 100-Series Monitors
T— A pl ale пы E
Section 2—Installation and Service
ECG Channel & The following steps check the ECG channel and the alarm indicator drivers.
Alarm Indicators
Calibration/Maintenance Manual
. Connect the ECG channel to the patient simulator.
. Set the simulator as follows:
normal sinus rhythm
30 beats per minute (bpm)
1 mV amplitude
. Set the monitor as follows (from the Main Menu, press the keys
indicated in parentheses):
Lead II (SENSORS > ECG > LEAD)
1 mV ECG size (SENSORS > ECG > SIZE)
25 mm/Sec sweep speed (SENSORS > ECG > mm/SEC)
ALL ALARMS OFF (ALARMS > ALL ALRM)
Version 7.x—Yv Tone to LOW (DISPLAY > MORE > У ТОМЕ)
Version 8.x—v Tone to LOW (SENSORS > ECG > MORE >
Y TONE)
. Check that a normal sinus rhythm ECG waveform is displayed with a
peak-to-peak height equal to that of the reference pulse at the left side
of the display (18 +2 pixels high, after subtracting 1 pixel from the
total for trace thickness). There should be a soft beep tone with each
QRS event.
NOTE
The patient simulator recommended in Table 2-2 provides a 1mV
output at Lead Il. Other simulators may provide 1 mV at different
leads. If you use a simulator other than the one recommended,
check the simulators specifications.
. From the Main Menu, press (V7.x) DISPLAY > MORE > wTONE, or
(V8.x) SENSORS > ECG > MORE > wTONE.
. Check that the tone tumed off
. Press v TONE twice more and check for high and medium tones.
This affects only the heart beat tone. Alarm tones are not affected.
Tum the tone off for the remainder of the functional verification.
. Press MAIN MENU.
. Check that the monitor’s heart rate display is 80 +4 bpm.
10.
Remove one ECG lead wire.
810-0334-01 2-9
Propaq 100-Series Monitors
Section 2—Installation and Service
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
Check that an equipment alarm occurs. The LEAD FAIL message
should accurately indicate the removed lead.
Disconnect one of the two remaining leads.
Check that an equipment alarm occurs with a LEAD FAIL
MULTIPLE message.
Reconnect all leads.
Press MAIN MENU.
Check that the ALARM(S) OFF light 1s on.
Press ALARMS > STAT SET to automatically set heart rate alarm
limits.
Set the simulator heart rate outside a heart rate alarm limit.
!
Check that an alarm Violation occurs with the tone and ALARM light
on. |
NOTE
The alarm tone may be set to high, med or low through DISPLAY
> MORE > MORE > ¡NEXT (press until “alarm tone volume”
function appears) > CHANGE.
Press ALL ALRM to turn off alarms.
Check that the tone tums off.
Press MAIN MENU.
Adjust the simulator heart rate to 80 bpm.
Set the simulator for PACED RHYTHMS, NON-FUNCTION.
If pacer indicator is not on, press SENSORS > ECG > MORE >
PACER to turn on the pacer indicator.
A dashed line between the heart rate numeric and waveform
windows indicates the pacer indicator 1s on.
Check that a dashed vertical line 1s displayed on the ECG waveform
each time a pacer pulse occurs.
Check that the heart rate numeric 1s displayed as three horizontal
dashed lines.
Press MAIN MENU.
= = A mm BR
CalibratinnMaintenance Manual
Propaq 100-Series Monitors
Pao
Section 2—Installation and Service
P1, P2 The following steps verify the operation of one invasive pressure channel
(P1). Repeat the steps for checking P2 of a Propaq 106. If you are verifying
a Propaq 102, skip this part of the procedure.
14.
Calibration/Maintenance Manual
NOTE
Check that the P1 and P2 waveforms are turned on in the wave
select window.
CAUTION
Many blood pressure simulators are not intended to be used as a
calibration standard. The simulator you use should have an
accuracy of at least 1%. Check your simulator $ specifications.
NOTE
If you are using the Dynatech/Nevada model 2134, 2154. or 2174
patient simulator, do not simultaneously monitor ECG and invasive
blood pressure (IBP) unless the modification to the simulator is
performed as described in Appendix B. If vou do not wish to
modify your simulator. use ECG and IBP independently.
. Disconnect the ECG cable from the monitor.
(Disconnecting an active channel initiates an equipment alarm.)
. Press the DISABLE button to remove the alarm screen.
. Plug the pressure simulator into the monitor’s P1 connector (use the
P2 connector if verifying P2).
. Set the simulator to 0 mmHg.
. Check that P1 NOT ZEROED (or P2 NOT ZEROED) is displayed in
the blood pressure numerics window.
(The pressure scale does not appear until the pressure channel has
been zeroed.)
. Zero the pressure channel by pressing SENSORS > INV PRS >
MORE > ZERO PI (Press MORE twice to access ZERO P2).
. Check that P1 ZEROED (or P2 ZEROED) is displayed.
. Check that the mean pressure numeric is 0 mmHg +2 mmHg.
. Set the pressure simulator to 200 mmHg.
10.
11.
12.
13.
Check that the mean pressure numeric is 200 mmHg +2 mmHg.
Set the pressure simulator to 0 mmHg.
Press MORE > RESCALE.
Check that the displayed pressure waveform noise is no larger than 6
pixels p-p, after subtracting 1 pixel from the total for trace thickness.
Press MAIN MENU.
810-0334-01 2-11
Si
7-19
CUFF Channel
on 2—Installation and Service Propaq 100-Series Monitors
ecti
NOTE
In the following steps, the monitors displayed pressure must be
checked against a calibrated mercury-column manometer.
_ Connect the cuff, manometer with bulb, and the monitor together with
the Cuff Calibration Kit. See Figure 2-3.
. Wrap the adult cuff around a cylindrical object about the size of an
adult’s arm.
Press SYSTEM > MORE > (V8.x press MORE again) SERVICE >
CUFF TST > CUFF CAL.
The Propaq pneumatic components now prevent cuff air from flowing
through the vent port to the atmosphere for a ten-minute period. If
steps 4 through 9 take longer than ten minutes, simply press CUFF
CAL again.
Close the valve on the bulb and squeeze the bulb 10 inflate the cuff to
250 mmHg as shown on the mercury-column manometer.
Check that the reading on the monitor’s display is 250+4 mmHg.
— Reduce the pressure to 100 mmHg and check that the displayed
pressure is 100+2 mmHg.
—
ПМ
e MANOMETER
|
CALIBRATION
кт 7!
CUFF HOSE
CUFF
Fig. 2-3. Cuff Calibration Kit Attachments
810-0334-01 Calibration/Maintenance Manual
Propaq 100-Series Monitors Section 2—Installation and Service
Erectors eerste,
10.
11.
12.
13.
14.
Temperature
Calibration/Maintenance Manual
. Reduce the pressure to 0 mmHg and check that the displayed pressure
is 0+2 mmHg. Close the bulb valve.
. Press PUMP TST.
Check that the pump inflates the cuff to approximately 229 mmHg
within 10 seconds.
Observe the leak rate display on the monitor screen. Check that the
leak rate is less than 10 mmHg/min after one minute.
With the bulb valve closed, while observing the manometer, inflate the
cuff until the monitor automatically vents the pressure.
Check that the manometer reading is approximately 260 mmHg when
the pressure is vented.
Press MAIN MENU.
Disconnect the cuff and Cuff Calibration Kit.
. Disable the equipment alarm by pressing DISABLE.
NOTE
The Propaq 106 does not support Electromedics temperature
probes. Steps 5 and 6 below do not apply to the Propag 106.
. Insert a YSI 400 Series calibrated temperature probe simulator into the
T1 jack.
. Check that T1 temperature is +0.2°F (+0.1°C) of the calibration
temperature.
. Replace the YSI 400 simulator with a YSI 700 Series probe simulator.
Check that T1 temperature is +0.2°F (+0.1%C) of the calibration
temperature.
. Insert an Electromedics 2100 Series calibrated temperature probe
simulator into the T2 jack. (See Appendix A).
. Check that the displayed temperature (T2) is +0.2°F (+0.1°C) of the
calibration temperature.
810-0334-01 2-13
Section 2—Installation and Service Propag 100-Series Monitors
—oqasd a ————————g—l—l
Battery Capacity This procedure checks the capacity of the battery to ensure that it is capable
Test of holding a charge.
wm Ed WN
NOTE
A new battery should pass the following test The run time of older
batteries will decrease proportionally with age. Replacement is
recommended when the run time becomes insufficient for the
monitor s application.
Use the ac power adapter and charge the monitor for at least 8 hours
with the monitor turned off (12 hours if a printer or pulse oximeter 15
attached).
_ Disconnect the power adapter.
Set the monitor as follows: CUFF in manual mode.
Run the monitor for 8 hours.
Check that the monitor did not automatically tum off. (See Propaq
Users Guide for a description of how the Propaq responds to falling
battery voltage).
_ Use the ac power adapter and charge the monitor for at least 8 hours
with the monitor tumed off. (Charge at least 12 hours if an EMP or
pulse oximeter 1s attached.)
SpO2 Checks The following steps check the operation of the pulse oximetry option (SpO2).
1.
Disconnect all test cables from the monitor's patient channel
connectors. (It is not necessary to disconnect the cuff hose.)
Connect the NELLCOR SpO2 test fixture to the Propaq’s D-type
connector.
The test fixture has no on/off switch. It automatically turns on with
the monitor power.
Tum off all alarms by pressing ALARMS > ALL ALRM from the
Main Menu.
— Press MAIN MENU.
Tum on the SpO2 waveform in the wave select window (DISPLAY >
MORE > WAVE SEL).
010 N221.01 Calibration/Maintenance Manual
Propaq 100-Series Monitors
EE me Ge ieee ee oe ppg
OO o ~~ a
10.
11.
12.
13.
14.
16.
17.
18.
19.
Section 2—Installation and Service
. Check that the SpO2 numeric is 81 +2.
. Check that the pulse rate is 40 +3.
. Check that the waveform shape is similar to Figure 2-4.
. Check that the speaker is sounding with every pulse indicated on the
display.
Check that the speaker volume changes according to the ¥ TONE
setting (V7.x—DISPLAY > MORE > vTONE;
V8.x—SENSORS > ECG > MORE > TONE).
Disconnect the SpO2 test fixture from the Propag.
Check that an equipment alarm occurs.
Press SUSPEND.
NOTE
The following steps require a suitable ECG/SpO; simulator to
provide a synchronized ECG and SpOz signal. Instead of a
simulator, you can connect ECG electrodes to yourself and use a
NELLCOR sensor on your finger.
Provide synchronized ECG and SpO2 signals to the Propagq.
. Press SENSORS > MORE (if necessary) > SpO2 > MORE > C-LOCK
until C-LOCK 1s tumed ON.
Check that the SpO2 signal and ECG signals appear normal and
“normal” readings appear on the monitor.
Unplug the ECG connector from the Propag.
Check that the NO C-LOCK message alternates with the time of day.
Disconnect all cables from the Propaq.
FURL
SYS _/ DIA —MEAN
Calibration/Maintenance Manual
Fig. 24. SpO2 Waveform Shape
810-0334-01 2-15
a
—_—
Section 2—Installation and Service Propaq 100-Series Monitors
Printer Tests The following steps check the functionality of the printer.
uu к о ю №
10.
NOTE
Functional verification should be performed on the monitor before
beginning the printer tests. The monitor must be functioning
properly in order to perform printer tests.
Tum on the monitor and check that the green LED on the printer's
front panel lights after 2 to 3 seconds.
Connect the patient simulator to the monitor.
Set the patient simulator for ECG, normal sinus rhythm.
Check that the monitor displays a normal ECG signal.
Press and hold in the printer's PAPER FEED button.
Paper should feed out the side of the printer as long as the button 1s
held in.
Release the PAPER FÉED button.
. Press the printer’s SNAPSHOT button.
The printer should print an eight-inch strip of a normal ECG wave
form. The paper should stop only after the entire waveform has been
fed out of the printer.
_ Press the printer’s START/ STOP button.
The printer should begin printing a normal ECG waveform without
stopping.
Press the START/STOP button to stop printing.
Press the START/STOP button to start printing.
o1n A224 NI Calibration/Maintenance Manu
Propaq 100-Series Monitors
Section 2—Installation and Service
— 0
11.
12.
13.
14.
18.
19.
20.
21.
22.
23.
= o A V———
Lay the Propaq on its back while the printer is printing.
Completely open the paper door on the bottom of the Expansion
Module.
Check that the printer stops printing, that the green LED is not lit, and
that an equipment alarm and CHECK DOOR message appear on the
monitor screen.
Cut the printer paper from the roll, leaving a strip of paper in the
printer mechanism.
. Close the paper door and set the monitor upright.
16.
17.
Press the START/STOP button.
After the printer runs out of paper, check that the green LED is not lit
and that an equipment alarm and PAPER OUT message appear on the
monitor screen.
Open the printer door and replace the end of the paper roll in the
printer.
Close the paper door and set the monitor upright.
Check that the green LED lights.
Press and hold in the printer's PAPER FEED button and then press the
START/STOP button.
Check that a test printout similar to Figure 2-5 is printed.
Tum off the monitor and simulator, and disconnect the simulator from
the monitor.
TENER
Calibration/Maintenance Manual
Fig. 2-5. Printer Test Printout.
810-0334-01 2-17
Propaq 100-Series Monitors
Section 2—Installation and Service
CO Functional This procedure verifies CO2 accuracy. If the verification test results are
Verification within specifications, board calibration is not required.
Functional verification and calibration procedures require calculations of
local barometric pressure and partial pressure of the test gas source (in
mmHg) to compare to Propaq displayed values.
Determine Local Barometric Pressure
1. Determine local altitude above sea level. For worldwide locations,
obtain altitude from local geological maps (U.S.G.S. maps in the United
States) or other local references. Refer to Table 2-3 to determine local
uncorrected pressure (LUP) for established altitude.
2 Determine ATIS reported pressure (inches or millimeters of Hg).
For U.S. locations, consult local telephone directories to obtain the
Automated Terminal Information Service (ATIS) number, which 15
typically listed under United States Govemment Offices, Department of
Transportation, Federal Aviation Administration, Air Traffic Control
Towers. Among various statistics reported is the “altimeter”, which 1s
given in four integers. The four digits represent the barometric pressure
as referred to sea level, in units of inches of mercury, with an assumed
decimal point occurring between the second and third numbers.
For worldwide locations, equivalent altimeter statistics, in millimeters of
mercury, may be obtained from local agencies.
NOTE
The difference in altitude between the calibration site and the ATIS
site should not be greater than 30 m or 100 ft.
3 Determine local barometric pressure using LUP and ATIS. Apply the
ATIS and LUP values to the following formula to calculate the local
barometric pressure (mmHg):
Local Barometric Pressure =
0.033421 - LUP - ATIS (ATIS in inches of mercury)
000131579 - LUP + ATIS (ATIS in millimeters of mercury)
EXAMPLE 1:
Step 1: The user's altitude is 5000 feet. The LUP from Table 2-3 is 632.3:
Step 2: The reported ATIS is 30.09 (“Altimeter: three zero zero niner.”)
Step 3: Multiply 632.35 (LUP) times 30.09 (ATIS) times 0.033421
Local Barometric pressure = 635.92 mmHg
EXAMPLE 2:
Step 1: The user's altitude is 1000 meters. The LUP from Table 2-3 1$
674.11
Step 2: The reported ATIS is 764.29 mmHg.
Step 3: Multiply 674.11 (LUP) times 764.29 (ATIS) times 0.00131579
Local Barometric pressure = 677.92 mmHg
O1N N224 A1 Calibration/Maintenance Manu
Propaq 100-Series Monitors
Section 2—Installation and Service
Determine Partial Pressure of Test Gas Source
Determine the partial pressure of test gas source. Multiply the local
barometric pressure as determined
(+.01% accuracy) of the test gas.
EXAMPLE:
Step 1: The local barometric
635.92
Step 2: The certified CO? gas percentage is 5.00%.
Step 3: Determine CO2 partial pressure. Multiply 635.92 times 0.0500
CO2 partial pressure = 31.8 mmHg
Table 2-3. Local Uncorrected Barometric Pressure
as a Function of Altitude
——————;—Í——;—;——]] k;——————l —s;——;—O—;D—T—
in step 3 times the certified percentage
pressure as calculated in step 3, Example 1 is
Calibration/Maintenance Manual
Altitude | Pressure | Altitude | Pressure | Altitude Pressure | Altitude | Pressure
(Feet) | (mmHg) | (Feet) (mmHg) | (Feet) (mmHg) | (Feet) | (mmHg)
2000 816.56 |1000 732.93 | 4000 656.38 |10000 | 522.65
-1900 |813.66 | 1100 730.27 | 4200 651.52 |10333 | 515.93
-1800 1810.76 | 1200 727.62 | 4400 646.68 | 10667 |509.26
-1700 {807.87 {1300 724.97 | 4600 641.88 |11000 | 502.69
-1600 |804.99 | 1400 722.33 | 4800 637.10 |11333 |496.18
-1500 [802.11 |1500 719.70 | 5000 632.35 |11667 | 489.72
-1400 799.25 | 1600 717.07 | 5200 627.64 |12000 |483.34
-1300 1796.39 [1700 714.46 | 5400 622.95 112333 |477.04
-1200 |793.54 | 1800 711.85 | 5600 618.28 |12667 |470.78
-1100 |790.70 | 1900 709.25 | 5800 613.65 |13000 | 464.60
-1000 | 787.87 {2000 706.65 | 6000 609.04 [13333 |458.50
-900 785.05 |2100 704.07 | 6200 604.47 |13667 |452.44
-800 782.23 |2200 701.49 |6400 599.92 |14000 | 446.46
-700 779.42 |2300 698.92 | 6600 595.40 |14333 | 440.55
-600 776.62 |2400 696.36 | 6800 590.90 |14667 |43468
-500 773.83 {2500 693.80 | 7000 586.44 {15000 |428.89
-400 771.05 | 2600 691.26 | 7200 582.00 15333 [423.17
-300 768.28 |2700 688.72 | 7400 577.58 |15667 |417.49
-200 765.51 | 2800 686.18 | 7600 573.20 |16000 | 411.89
-100 762.75 |2900 683.66 | 7800 568.84 116333 |406.35
0 760.00 | 3000 681.14 | 8000 564.51 |16667 | 400.86
100 757.26 |3100 678.63 |8200 560.21 |17000 |395.44
200 754.52 | 3200 676.13 | 8400 555.93 |17333 (390.08
300 751.80 |3300 673.64 | 8600 551.68 |17667 138476 |
400 749.08 | 3400 671.15 | 8800 547.45 | 18000 [379.52 |
500 746.37 |3500 1668.67 | 9000 543.26 !18333 [374.34 |
600 743.67 | 3600 666.20 | 9200 539.08 118667 |369.20
700 740.97 |3700 663.73 | 9400 534.94 119000 364.13
800 738.28 | 3800 661.27 | 9600 530.82 [19333 |35912
810-0334-01 2-19
Section 2—Installation and Service Propag 100-Series Monitors
pre EE tr
Table 2-3. (Cont) Local Uncorrected Barometric Pressure
as a Function of Altitude
Altitude | Pressure | Altitude | Pressure | Altitude | Pressure | Altitude | Pressure |
(Feet) | (mmHg) | (Feet) (mmHg) | (Feet) (mmHg) | (Feet) (mmHg)
900 735.61 |3900 658.82 | 9800 526.72 | 19667 354.15
1000 732.93 | 4000 656.38 | 10000 522.65 |20000 349.24
Altitude | Pressure | Altitude | Pressure Altitude | Pressure | Altitude | Pressure
(Meters) | (mmHg) (Meters) | (mmHg) (Meters) | (mmHg) (Meters) | (mmHg)
-700 825.23 | 1000 674.11 | 2700 546.23 | 4400 438.74
-650 820.43 | 1050 670.03 | 2750 542.79 | 4450 435.86
-600 815.65 |1100 665.98 | 2800 539.37 | 4500 432.99
-550 810.89 | 1150 661.94 |2850 535.96 |4550 430.14
-500 806.15 | 1200 657.92 | 2900 532.58 | 4600 427.31
-450 801.43 |1250 653.92 2950 52921 | 4650 424.49
-400 796.74 | 1300 649.94 | 3000 525.85 14700 421.69
-350 792.07 | 1350 645.98 | 3050 522.52 14750 418.90
-300 787.43 | 1400 642.04 |3100 519.20 {4800 416.12
-250 782.80 | 1430 1638.12 | 3150 515.90 | 4850 413.36
| -200 778.20 | 1500 634.22 |3200 512.62 | 4900 410.62
-150 773.61 |1550 630.34 | 3250 509.35 | 4950 407.89
-100 769.05 | 1600 626.48 | 3300 506.10 | 5000 405.18
-50 764.52 | 1650 622.63 | 3350 502.87 | 5050 402.48 |
0 76000 11700 1618.81 |3400 499.65 | 5100 399.79
50 75551 11750 1615.00 | 3450 496.45 | 5150 397.12 |
100 751.03 | 1800 611.22 [3500 49327 | 5200 394.46 |
150 746.58 | 1850 607.45 |3550 490.10 | 5250 391.82
200 74215 |1900 |603.70 |3600 486.95 | 5300 389.19
250 737.74 |1950 599.97 | 3650 483.82 | 5350 386.58
300 733.35 |2000 596.26 |3700 480.70 | 5400 383.98
350 728.99 |2050 592.57 | 3750 477.60 | 5450 381.39
400 724.64 |2100 588.89 | 3800 474.51 | 5500 378.82
450 720.32 |2150 585.24 | 3850 471.44 | 5550 376.27
500 71601 |2200 581.60 | 3900 468.39 | 5600 373.72
550 711.73 |2250 577.98 | 3950 465.36 | 5650 37120
600 707.47 | 2300 57438 | 4000 462.33 | 5700 368.68
650 703.23 12350 570.80 | 4050 45933 | 5750 366.18
700 699.01 | 2400 567.24 | 4100 456.34 | 5800 363.69
750 69481 |2450 363.69 | 4150 45337 | 5850 36122
800 690.63 | 2500 560.16 | 4200 45041 | 5900 358.76
850 686.47 |2330 556.65 | 4250 44747 | 5950 356.31
900 682.33 | 2600 553.16 | 4300 444.54 | 6000 353.88
950 67821 |2650 549.68 | 4350 441.63 | 6050 351.46 —
1000 1|674.11 |2700 546.23 |4400 438.74 |6100 349.05
Aan ANA MA
Calihratinn/Maintenance Manu
Propaq 100-Series Monitors Section 2—Installation and Service
FETTE - nn DES
Functional Verification Procedure
This procedure verifies CO2 accuracy. If the verification test results are
Within specifications, board calibration is not required. If verification test
results exceed specification limits, calibration as instructed in Section 3
MAY or MAY NOT be required—see Table 2-4 for possible sources of
errors in testing. Before proceeding to calibration, check test parameters as
indicated in Table 2-4 to minimize errors.
1. Connect a CO2 sensor with airway adapter to the Propag CO2 input
connector.
2. Power the Propag on and use the menu keys to disable the patient
alarms. Set the CO2 measurement UNITS to millimeters of mercury
(mmHg).
3. Allow the monitor and sensor to warm up for a minimum of 15 minutes.
NOTE
Possible errors may be caused if the area has high background
CO? levels or if CO2 has been forced outside of the airway adapter
and into the sensor itself To reduce background CO2 level, the
area should be well ventilated and, preferably, the technician
should be the only person present. If CO2 has been Jorced into the
sensor, allow 24 to 48 hours for the CO; to dissipate.
4. After 15 minutes, check the CO2 reading (of ambient room air) on the
Propaq display to be 1 mmHg, +1 mmHg.
5. Procure two standard rubber test-tube stoppers and open a 1/8" to 1/4"
hole through each. Install the stoppers into each end of the sensor
airway adapter. Via the tubing/fitting combination, connect the CO2 gas
source through the hole in the stopper on one end of the airway
adapter. Leave the hole in the stopper on the other end of the airway
adapter open.
NOTE
Before performing steps 6 and 7, convert the percentage of the gas
source to partial pressure (mmHg) as instructed earlier in this
section.
6. Introduce a flow of test CO; at a rate of 60 to 200 ml/min into the
sensor airway adapter.
7. For test gas calculated partial pressure values of 30 mmHg or less,
check the CO2 reading on the Propag display to be within 3 mmHg.
For test gas calculated partial pressure values greater than 30 mmHg,
check the CO2 reading on the Propaq display to be within +10% of the
partial pressure value.
NOTE
If CO? test results are out of specification limits, refer to Table 2-4
Jor possible error sources. Verify test setup to minimize errors.
Calibration/Maintenance Manual 810-0334-01 2-21
Section 2—Installation and Service
2-22
E
Propaq 100-Series Monitors
Table 2-4. Possible Sources of CO2 Verification Test Errors
Specification or Possible
Error Cause of Error Correction
Incorrect/unknown 4 to 10%, certified to Verify gas supply. Gas
calibration gas within +0.01% may be between 4 and
concentration 10%. Once known,
convert percentage to
partial pressure (mmHg)
as instructed earlier in
this section
Barometer calibration
error
Known to within 3
mmHg
Determine ATIS, LUP,
local altitude values and
calculate local barometric
pressure. Calibrate Propaq
MSP board (see Section 3)
Insufficient/excessive
gas flow rate
Between 60 and 200
ml/min
Verify with flow meter
Excessive back pressure
in cuvette
Back pressure should
not exceed 1 mmHg
Connect gases as
instructed in verification
test
Air mixed with standard
gas
Check integrity of test
setup
Gas temperature
Gas temperature
entering airway adapter
should be at room
temperature
Store gas at room
temperature
Cuvette error
Results should not vary
more than 0.5 mmHg
due to cuvette tolerances
Use other cuvette (airway
adapter)
Thermal equilibrium
error
Sensor not warmed up
Allow sensor/system to
operate in a 15 minute
warm-up penod
High CO» reading with
sensor subject to room
air only
CO2 forced outside of
airway adapter into
sensor. This is possible
during demonstration if
exhaled gases are blown
through hands cupped
around cuvette and
exhaled gases are forced
Into sensor
Contain exhaled breath
through the inside of
cuvette only. Do not
allow gases to be forced
outside of cuvette and
into sensor housing. If
CO» has been forced into
sensor, allow 24 to 48
hours for the CO2 to
dissipate
810-0334-01
Calibration/Maintenance Manual
Propaq 100-Series Monitors
—
Section 2—Installation and Service
The following safety tests should be performed after any servicing which
Patient Isolation
Safety Checks
requires opening the monitor.
Patient Leakage (Risk) Current Test
Check leakage currents using a Dynatech/Nevada (formerly Neurodyne-
Dempsey) 431F-1D Safety Analyzer or its equivalent. The source current
should not exceed 10 pA rms. The sink current, measured between the
isolated patient connections (ECG) and the dc power input connector of the
monitor, should not exceed 20 uA rms. See the analyzer's operator's manual
for the proper safety check procedure. Table 2-5 lists the proper connections
between the monitor, power adapter, and the safety analyzer for each test.
Note: because of the all-insulated construction of the monitor, the Enclosure
Leakage Current Test to ground is not performed.
Table 2-5. Electrical Connections for
Patient Leakage (Risk) Current Safety Tests
Monitor Monitor | Safety
Safety Test Power Adapter Dc Input Cable | Analyzer
Source Plugged into Connected to Power RA RA
Current Analyzer Outlet | Adapter LA LA
LL LL
Sink Current | Not Used Connected to Ground RA RA
Connector on Analyzer LA LA
| LL LL
Dielectric Strength (Hi-Pot) Test
Because of the close spacings of the monitor's internal components and the
critical positioning of sheet insulation within the monitor, Protocol Systems
recommends that a dielectric strength test be performed following any
procedure in which the monitor is opened.
This test requires specialized equipment which may not be available at
hospital repair facilities. If that is the case, Protocol Systems, Inc., will
perform the safety test for a nominal charge with one-day turnaround. See
Repair and Upgrade Support at the beginning of this Section.
WARNING
The Hi-Pot test is extremely hazardous. Only qualified service
personnel should perform this test. Conduct the test only on an
insulated table top, away from other persons and equipment.
Calibration/Maintenance Manual 810-0334-01 | 2-23
2—Installation and Service Propaq 100-Series Monitors
Section
Use a Rod-L Model M100AVS5 High-Voltage Potential Tester, or
equivalent. See the Model M100AVS5 manual for operating information and
safety recommendations.
1.
Set the high voltage potential of the tester to one of the values
specified in Table 2-6.
_ Connect the high-voltage output lead of the tester to the ECG leads,
using a dedicated patient cable reserved for use only in such tests.
_ Connect the tester’s chassis-connected retum lead to the monitor’s dc
input connector, using a suitable plug.
. Apply the test voltage for one second. The tester must not indicate
dielectric breakdown.
WARNING
If any dielectric breakdown occurs, do not use the monitor.
All internal sheet insulation barriers must be properly installed.
Check the monitor to determine the cause of dielectric break-
down; then repair the monitor or return the monitor to Protocol
Systems for repair.
Table 2-6. Summary of Connection Points and
High-Voltage Test Potentials
| Tester’s High-Voltage | Tester’s Grounded | High-Voltage Time Duration
Terminal Connection | Return Connection | Test Potential of Test
All ECG Leads on Shell of Monitor's | 4,000 Y ac ms 1 Second
Patient Cable. Dc Power Input
| Connected Together Connector i
QLINNI4.N1 Calibration/Maintenance Mant
Section 4
Troubleshooting
Introduction ты: section provides information that can be helpful in troubleshooting the
Propaq 100-Series Monitors.
Screen Messages may appear on the display to inform the operator of some
Messages functional condition. Those messages are explained below.
Equipment Alerts Equipment alert conditions result in both 1) an audible alarm tone which
and Caution sounds until the alert condition is corrected, and 2) an equipment alert
Messages message, which appears in the equipment alert window on the display. Some
equipment conditions also result in a caution message altemating with the
time of day, cuff, or temp numerics to the left of the heart rate.
CHECK ACUITY/DATA COMM CONNECTION. This message appears
when the Acuity cable is unplugged from the Propaq. To cancel, press the
DISABLE button. Pressing the NET OFF button (in the SYSTEM Menu)
prior to unplugging the Acuity cable does not prevent this equipment alert
from appearing. Software V7.01 and up only.
LOW BATT. This message indicates low battery voltage. Plug the Propaq
into ac mains using the power adapter to recharge the battery.
SIMULATING. INSERV mode is activated; simulated patient data is being
displayed and saved in trend memory. To deactivate, turn Propaq off and
then on.
PROGRAM FAULT: SETTINGS LOST, TIME/DAY RESET. If this
message appears when the Propaq is first turned on, it generally indicates a
drained lithium battery. The monitor can be used, but all settings will return
to factory defaults each time the monitor is turned off and on. Replace the
lithium battery as soon as possible.
ECG Messages ECG FAULT. Indicates ECG lead fault for one or more leads. An
equipment alert window appears, indicating which lead or leads are faulty.
Check ECG lead wires, electrodes, and cable.
Calibration/Maintenance Manual 810-0334-01 4-1
Section 4—Troubleshooting
Invasive Pressure
Messages
Propag 100-Series Monitors
The invasive pressure channel can produce messages that appear in the time
of day window, the blood pressure numerics window, and the equipment
alert window.
The following messages appear in the blood pressure numerics window.
Px NOT ZEROED. This message appears the first time a transducer is
connected to the monitor. It indicates that no zero reference has been
established. The monitor displays the pressure waveform, but to protect
against erroneous readings, the pressure waveform scale is not displayed.
Px ZEROING. This message briefly appears as the transducer is being
zeroed.
Px ZEROED. This message appears after the zero value has been accepted.
It remains for eight seconds and is replaced by. the current pressure values.
After zero acceptance, the pressure waveform scale appears.
Px ZERO REJECTED. This message appears after unsuccessfully
attempting to acquire a zero reference value. The message remains until the
CANCEL button is pressed. Causes of unsuccessful zeroing may include an
incompatible or defective transducer or cable.
Px CANCELED. This message appears after the CANCEL button is
pressed and remains for eight seconds.
The following caution messages can appear in the time of day window
above the heart rate.
P1 FAULT (P2 FAULT). One or both of these messages appear when a
transducer fault is detected. An equipment alert also occurs. (See the
following equipment alert messages.)
The following equipment messages can appear in an equipment alert
window. A caution message also appears in the time of day window.
TRANSDUCER NOT DETECTED. This message appears when the
Propaq detects that a transducer connection is broken. The transducer
connections and the transducer should be checked.
TRANSDUCER SHORTED. This message appears when the Propaq
senses a short in the transducer. The transducer should be replaced.
INCOMPATIBLE TRANSDUCER. This message appears when the Propag
has the Hewlett-Packard Connector-Compatible option, and an HP1290A
invasive pressure transducer has been plugged in. The HP1290A is not
compatible with this option; use only approved transducers listed in Section
6 of the Propaq Users Guide for Version 8 software.
NOTE
Since both pressure channels use the same hardware. an
incompatible transducer plugged into one channel will likely cause
false readings on the second channel as well even if a compatible
transducer is plugged into the second channel.
810-0334-01 Calibration/Maintenance Manual
Propaq 100-Series Monitors Section 4—Troubleshooting
Cuff Messages The following cuff messages can appear in the equipment alert window. A
CUFF FAULT caution message also appears in the CUFF window (to the
right of the time of day window).
CUFF FAULT: LOW BATTERY, CUFF DISABLED. The battery lacks
sufficient voltage to be able to operate the CUFF channel. Connect the
Propaq to the ac power adapter.
CUFF FAULT: CALIBRATION ERROR, CUFF DISABLED. The Propaq
continually recalibrates the cuff channel to ensure it can properly make cuff
determinations. If this message momentarily appears and then is removed,
the cuff channel was able to calibrate itself and the cuff channel is properly
operating. If this message continuously appears, the cuff channel could not
be properly calibrated and must be disabled using the DISABLE button.
Once the cuff channel is disabled, normal monitor operation continues, but
the cuff channel cannot be used. Repair is required.
CUFF FAULT: MEASUREMENT TIME OUT. A valid cuff measurement
could not be determined within 3 minutes. This could be due to patient
motion, arrhythmia, or other environmental influences such as transport
vibration. Try the measurement again.
CUFF FAULT: EXCESSIVE ARTIFACT. Too much patient motion,
patient arrhythmia, or sources of external cuff movement can cause this
message.
CUFF FAULT: NO PULSES DETECTED. The cuff may not be on a
patient or properly applied to the patient.
CUFF FAULT: NO CUFF. During cuff inflation the detected pressure did
not sufficiently rise. Check that the cuff connection is tight, and take the
measurement again.
CUFF FAULT: NO VALID BLOOD PRESSURE FOUND. The Propag
cannot process the measurement data it acquired. Patient motion, arrhythmia,
or outside environmental influences such as transport vibration can cause
this message.
CUFF FAULT: KINKED HOSE, CHECK HOSE. The Propaq could not
properly inflate the cuff. Check for a kinked hose between the monitor and
the patient.
CUFF FAULT: BLOCKED VENT. The pressure in the cuff cannot be
vented to the atmosphere. Inspect the vent hole for blockage.
CUFF FAULT: AIR LEAK, CHECK HOSE. The Propaq could not
properly inflate the cuff. Check the hose and cuff for obvious leaks, such as
the O-rings in the hose connections.
CUFF FAULT: WEAK PULSES, CAN'T FIND SYS/DIAS. There are not
enough pulses to determine the systolic or diastolic pressures, but a mean
pressure 1s available. Try reapplying the cuff after squeezing as much air
from it as you can, and then take another measurement.
CUFF FAULT: OVERPRESSURE CONDITION, CHECK HOSE.
Occasionally high cuff pressures, caused by patient motion, can create leaks
in old hoses or bladders. This same type of patient motion can also activate
Calibration/Maintenance Manual 810-0334-01 4.3
Section 4—Troubleshooting
Ргорад 100-Series Monitors
A hdd MESSE
Temperature
Messages
++
the Patient Overpressure Safety Circuitry, which then disables the pump and
removes pressure from the cuff. When either case occurs, this equipment
message is displayed. Check the hose, press DISABLE, and try taking
another measurement.
CUFF FAULT: OVERPRESSURE CONDITION, CYCLE POWER.
If the Patient Overpressure Safety Cirtuit (Recharger Board) has been
activated, this message is displayed. This message is displayed several
seconds after the beginning of an attempted CUFF measurement, or if the
pressure remains above 5 mmHg for more than 2 minutes after an attempted
CUFF determination has ended. The cuff channel is disabled and the Propaq
must be turned off, then back on before the cuff channel can be used. If this
message reappears after cycling power, service the Propag.
The following messages can appear in’ the cuff status window (the upper
right corner of the normal status window area).
CALIBRATING. The CUFF channel is running an internal calibration.
DISABLED, CAL ERROR. See the description above for CUFF FAULT:
CALIBRATION ERROR, CUFF DISABLED.
DISABLED, LOW BATT. See the description above for CUFF FAULT:
LOW BATTERY, CUFF DISABLED
The following messages can appear in an equipment alert window. A
temperature caution message also appears in the temperature numerics
window when one of these messages appears.
PROBE NOT DETECTED. This message occurs when the Propaq has
successfully measured temperature and a probe 1s disconnected. Reconnect
the probe and acknowledge the equipment alert by pressing any menu key.
PROBE SHORT OR OUT OF RANGE. This message usually indicates :
probe problem. However, the temperature being measured may be beyond
the range of the probe or the range of the Propag. If the probe is correctly
applied to a patient who you believe has a measurable temperature, replace
the probe.
CALIBRATION ERROR, TEMP DISABLED. This message appears whe
the Propaq has detected that the temperature circuitry common to all
temperature channels is out of calibration. (This occurs when the values
obtained during auto calibration check do not match those obtained during
auto calibration.) The temperature channel is disabled until the Propaq 1s
repaired.
810-0334-01 Calibration/Maintenance Ma
Propaq 100-Series Monitors
Section 4—Troubleshooting
———————;o;;———————Ú;;]——...] ————————]—————— NN
$рО; Messages SpO2 messages can appear in the equipment alert window (SpO2 equipment
Printer Messages
CO, Messages
alerts), the SpO2 numeric window, or alternate with the time of day (SpO2
caution messages).
NO SENSOR DETECTED appears in the equipment alert window and
indicates a probe has been disconnected from the monitor after being
plugged in for a few seconds.
Pressing DISABLE deactivates the alert, removes the SpO2 plethys-
mograph, and deactivates the channel
If an SpO2 sensor is subsequently connected to the Propag, the channel
becomes active and performs its self-calibration.
SEARCH is displayed in the numeric window after the Pulse Oximetry
sensor is first connected to the monitor During this search time, the SpO2
channel tries to detect blood pulsing through the measurement site. Once the
measurement has been established, the OXygen saturation value is displayed
in the numeric window.
SpO2 SRCH alternates with the time of day whenever the channel cannot
detect a pulse for SpO2 measurements after it has successfully measured
Oxyten saturation. While this message is displayed, ??? is displayed in the
numeric window and the SpO2 channel searches for blood pulses at the
Sensor site.
NO C-LOCK. SpO2 is active with C-LOCK function turned ON, but a QRS
event cannot be detected. Check all ECG lead Wires, electrodes, and cable.
PRNT FAULT. Problem with the printer: low battery, overheating, out of
paper, paper door open. Check the printer paper, paper door, and general
functionality of printer. This alert message 1s displayed in the time of day
window.
CO? messages can appear in the equipment alert window and in numeric
zones, as follows:
The NON PROTOCOL SENSOR; DEGRADED WAVEFORM ;
ALTIMETER FAILURE, RANGE; and LOW BATTERY, HEATER
DISABLED (listed here in order of priority, highest priority alert first)
equipment alerts display UNCAL in the CO2 numerics zone, and the CO,
waveform is displayed without range scales.
If more than one alert occurs at the same time, the highest priority alert is
displayed in the equipment alert window. When an equipment alert is
acknowledged or its alert condition ceases, any lower priority alerts still
active remain in effect but do not generate new equipment alert screens.
During warm-up, WARM UP is displayed in the CO2 numerics zone, and
the waveform is displayed without range scales.
The breath rate numeric is not affected in either case. If the printer option 1s
present, INVALID is used in place of SRCH, UNCAL and WARM UP.
Calibration/Maintenance Manual 810-0334-01 15
Section 4—Troubleshooting Propaq 100-Series Monitors
ALTIMETER FAILURE, RANGE. The high or low CO2 sensor operating
range, -2000 ft (817 mmHg) to 15,000 ft (428 mmHg) has been exceeded.
The channel remains uncalibrated (RR not affected) and the equipment alert
is not reenabled until the altitude falls within the calibrated normal operating
range noted above.
ALTIMETER FAILURE, RATE. Barometric pressure is changing at a rate
greater than approximately 100 millimeters/minute. The channel 1s disabled
until disconnect.
DEGRADED WAVEFORM. The detector high peak signal level has
dropped below 1.75 V. This equipment alert and the CO2 numerics are not
reenabled until the detector high peak signal increases to 2.0 V or greater.
LACK OF WAVEFORM, SENSOR DISABLED. The detector high peak
signal level has dropped below 125 V. The channel will be disabled until
disconnect.
LOW BATTERY, HEATER DISABLED. The mainstream CO heater 15
disabled when the battery voltage falls below 7.3 V: it is not reenabled until
battery voltage exceeds 7.8 V.
NO SENSOR DETECTED. Sensor not connected. CO2 numerics go blank
and breath rate’ numerics read SRCH. Acknowledging the alert will cause
both entire zones to go blank.
NON PROTOCOL SENSOR. A Pryon CO2 sensor has been connected; 1t
does not contain the correct E2PROM code from Protocol.
SENSOR FAILURE, CALIBRATION ERROR. A very negative number
has been generated by the CO2 algorithm. This may be caused by a sensor
that is defective or out of calibration. The CO> channel is disabled until
disconnect.
SENSOR FAILURE, E2PROM. A failure in the sensor E2PROM 1s
detected (typically a checksum error). The CO2 channel 1s disabled until
disconnect.
SENSOR FAILURE, HEATER. A failure in the sensor temperature contr
hardware is detected (typically sensor error, but may be CO2 circuitry
malfunction). The channel 1s disabled until disconnect.
SENSOR FAILURE, MOTOR DRIVE. CO; sensor motor drive hardware
has failed. The channel is disabled until disconnect.
SENSOR TEMPERATURE TOO HIGH. The CO2 channel is disabled
until disconnected; because the sensor's high temperature limit of 48°C we
exceeded.
810-0334-01 Calibration/Maintenance Me
Propaq 100-Series Monitors Section 4—Troubleshooting
Fatal Error raul errors are errors, detected by software, that indicate the Propag is no
Codes longer able to function properly and must be retumed to Protocol for service.
When a fatal error is found, the software attempts to put the error message
and its number on the Propaq display. All monitoring functions are locked
out. Fatal errors are therefore distinct from equipment alerts, which permit
reduced monitoring capability.
Fatal errors are indicated in the following format:
х - ууу
x=0 indicates a problem found by the Display Control Processor
(DCP), i.e. non-isolated, section of the Propaq Main Board.
x =1 indicates a problem found by the Data Acquisition Processor
(DAP), ie. isolated, section of the Propag Main Board.
X=2 indicates a problem found by the Printer Control Processor on
the Printer Main Board.
x =3 indicates a problem found by the SpO2 Control Processor
(SCP) on the SCP Board.
x=53 Indicates a problem found by the Main Stream Processor
(MSP) on the MSP Board.
УУУ Indicate specific types of problems. Detailing the nature of
these problems is beyond the scope of this manual.
(Furthermore, these yyy codes change from one software
version to another.) Contact Protocol Systems, Inc. for more
details and/or send the monitor to an authorized Protocol repair
center for repair.
For addresses and phone numbers of Protocol Systems, Inc., see Repair
and Upgrade Support in Section 2, Installation and Service.
Calibration/Maintenance Manual 810-0334-01 4-7
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