PageWriter TC Cardiograph Service Manual

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PageWriter TC Cardiograph

SERVICE MANUAL

Notice

About This Edition

Published by Philips

Medical Systems

Printed in USA

Publication number

453564106431

Edition History

Edition 1, October 2008

Software Revision

A.01.00 and higher

Edition 2, March 2010

Software Revision

A.04.01 and higher

Edition 3, September 2010

Software Revision

A.04.03 and higher

Warranty

Philips Medical Systems reserves the right to make changes to both this

Service Manual and to the product that it describes.

Product specifications are subject to change without notice.

Nothing contained within this Service Manual is intended as any offer, warranty, promise, or contractual condition, and must not be taken as such.

Copyright

©

2010 Koninklijke

Philips Electronics N.V.

All rights are reserved. All other product names are the property of their respective owners.

Reproduction in whole or in part in any form, or by any means, electrical, mechanical or otherwise, is prohibited without the written consent of the copyright holder.

Philips Medical Systems

3000 Minuteman Road

Andover, MA 01810 USA

(978) 687-1501

Unauthorized copying of this publication may not only infringe copyright laws, but may also reduce the ability of Philips

Medical Systems to provide accurate and current information to users.

Compliance

The Philips Medical

Systems PageWriter

TC70/TC50/TC30 cardiograph complies with all relevant international and national standards and laws. Information on compliance will be supplied on request by a local Philips Medical

Systems representative, or by the manufacturer.

United States federal law restricts this device to use by or on the order of a physician. THIS

PRODUCT IS NOT

INTENDED FOR HOME

USE.

Training

Users of this product must receive adequate clinical training on its safe and effective use before attempting to operate the product as described in this Service Manual.

Training requirements vary by country. Users must ensure that they receive adequate clinical training in accordance with local laws or regulations.

For further information on available training on the use of this product, please contact a Philips Medical

Systems representative, or the manufacturer.

Intended Use of this

Service Manual

This Philips product is intended to be operated only in accordance with the safety procedures and operating instructions provided in the Service

Manual, and in accordance with the purposes for which it was designed.

Installation, use, and operation of this product is subject to the laws in effect in the jurisdiction(s) in which the product is being used. Users must only install, use, and operate this product in such a manner that does not conflict with applicable laws or regulations that have the force of law.

Use of this product for purposes other than the express intended purpose provided by the manufacturer, or incorrect use and operation, may relieve the manufacturer (or agent) from all or some responsibility for resultant noncompliance, damage, or injury.

Medical Device

Directive

The PageWriter TC70/

TC50/TC30 Cardiograph complies with the requirements of the Medical

Device Directive 93/42/

EEC and carries the

0123

mark accordingly.

Authorized EU-representative:

Philips Medizin Systeme

Böblingen GmbH

Hewlett Packard Str. 2

71034 Böblingen

Germany

Contents

Chapter 1 Introduction

Who Should Use this Service Manual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Philips ECG XML Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Using the Philips InCenter Site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

About Adobe Acrobat Versions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4

Safety Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

Symbols Marked on the Cardiograph or Patient Interface Module (PIM) . . . . . . . . . . . 1-5

Safety Symbols Marked on the Cardiograph Packaging . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8

Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph Cart . . 1-9

Safety and Regulatory Symbols Marked on the PageWriter TC50/TC30 Cardiograph

Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9

Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph AC

Power Adapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10

Important Patient and Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11

Accessories and Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11

AC Power Adapter and AC Power Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12

Analog ECG Output Signal Port. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13

Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13

PageWriter TC50/TC30 Cardiograph One Battery Operation . . . . . . . . . . . . . . . . . . 1-14

Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

Defibrillation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

Diagrams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

Display Accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

ECG Interpretation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15

Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15

Faxed ECGs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15

General Cardiograph Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15

IEC 60601-2-51. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

Lead Wires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

Main Waveform Display Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

Modem Card and Fax Feature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-17

Pacemaker. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-17

Patient Data Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-17

Patient Interface Module (PIM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

Servicing the Cardiograph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

Touch Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19

USB Memory Stick . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19

PageWriter TC70 Cardiograph Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19

PageWriter TC50 Cardiograph Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-23

Contents-1

Table of Contents

Contents-2

PageWriter TC30 Cardiograph Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-25

Patient Interface Module (PIM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-27

About Class A and Class B Patient Data Cables and PIMs . . . . . . . . . . . . . . . . . . . . . . .1-27

Attaching the Patient Data Cable to the PIM and Cardiograph . . . . . . . . . . . . . . . . . . .1-28

Special Note about Patient Interface Module (PIM) . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-30

PIM ECG Button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-31

Configuring the 16-Lead PIM (PageWriter TC70 and PageWriter TC50 cardiograph only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-31

Installing the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-35

Notes about Battery Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-35

Charging the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-38

Calibrating the Batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-39

Battery Power Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-39

Using the On/Standby Button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-41

Using the Wireless LAN Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-42

Using the Modem Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-43

Using the USB Memory Stick . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-43

Using the Barcode Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-44

Using the Cardiograph Touch Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-45

Touch Screen Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-46

Changing the Lead Format on the Main ECG Screen . . . . . . . . . . . . . . . . . . . . . . . . . . .1-49

The Status Bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-51

Using the Keyboard Shortcuts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-53

Chapter 2 Cardiograph Care and Maintenance

Cardiograph and PIM Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3

Approved Cleaning Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3

Patient Data Cable and Lead Wire Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4

Approved Cleaning Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4

Reusable Electrode Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-5

Cleaning the Print Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-6

Changing the Printer Paper. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-7

Battery Maintenance and Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-9

Replacing the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10

Battery Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12

Patient Interface Module (PIM) Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14

Ping Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-15

Lead Wire Performance Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-15

Cardiograph and Accessory Disposal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-16

Maintaining the Touch Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-16

Touch Screen Calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-16

Touch Screen Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-16

Changing the Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-17

Replacing the PageWriter TC50/TC30 Cardiograph Fuse . . . . . . . . . . . . . . . . . . . . . . . . . .2-18

Cardiograph Overall Sensitivity Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-19

PageWriter TC Cardiograph Service Manual

Table of Contents

Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19

Performing the Sensitivity Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19

Cardiograph and Accessory Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20

Chapter 3 Troubleshooting

Troubleshooting Cardiograph Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Start up Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Display Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Keyboard Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5

Signal Acquisition Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

Main Screen Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10

Archive Screen Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12

Configuration Screen Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18

Printer Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21

Compact Flash (CF) Card/USB Memory Stick Issues . . . . . . . . . . . . . . . . . . . . . . . . . . 3-25

TraceMaster ECG Management System Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-28

Orders Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-30

Remote Query Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-32

Fax Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-34

Log File and Custom Settings Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-34

Lead Map Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-35

Wireless Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-35

Restarting the Cardiograph. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-37

Using the Service Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-38

Using the About the Cardiograph Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-39

Using the Diagnostic Tests and Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-42

Using the Diagnostic Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-45

Viewing and Saving Log Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-50

About Log Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-50

Saving Log Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-51

Chapter 4 Performance Verification and Safety Tests

Required Testing Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

External Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

Internal Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Upgrades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Test and Inspection Matrix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4

Test Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Performance Verification Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Visual Inspection (V) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Power On Test (PO) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6

Individual Functional Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6

Safety Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12

PageWriter TC Cardiograph Service Manual

Contents-3

Table of Contents

Chapter 5 Parts and Supplies

Ordering Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-1

PageWriter TC70/TC50/TC30 Cardiograph Cart Replacement Parts . . . . . . . . . . . . . . . . . .5-2

PageWriter TC70/TC50/TC30 Customer Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . .5-3

Other PageWriter TC Cardiograph Replacement Parts. . . . . . . . . . . . . . . . . . . . . . . . . .5-5

Paper Tray Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-6

Patient Interface Module (PIM) Replacement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-7

Supplies and Ordering Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-7

Ordering Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-7

Special Note about Welsh Bulb Electrodes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8

PageWriter TC Cardiograph Supply Part Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8

Ordering Options and Upgrades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-11

Contacting a Philips Response Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-13

Chapter 6 Installing PageWriter TC Cardiograph Software and Enabling Tokens

Software Upgrades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1

Obtaining Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1

Downloading Software Files from Philips InCenter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1

Installing the Software Upgrade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3

Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3

Verifying the Software Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-7

Enabling Upgrade Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-8

Chapter 7 Cart Assembly

Safety Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-1

Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph Cart. . .7-1

Safety and Regulatory Symbols Marked on the PageWriter TC50/TC30 Cardiograph

Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3

Assembling the PageWriter TC70 Cardiograph Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3

Assembling the PageWriter TC50/TC30 Cardiograph Cart . . . . . . . . . . . . . . . . . . . . . . . . . .7-7

Using the Cart Wheel Positioners and Brake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-12

Chapter 8 Theory of Operation

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-2

Hardware Logical View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-2

Main Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-2

Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

Patient Interface Module (PIM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

Printer Control (FPGA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

Battery (Lithium Ion) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

Keyboard and Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

Contents-4

PageWriter TC Cardiograph Service Manual

Table of Contents

Touch Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

LAN Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

Magnetic Card Reader (PS/2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

Barcode Reader (PS/2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

Smart Card Reader. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

USB Memory Stick . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

Wireless LAN Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6

Modem Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6

High Level ECG Data Flow and Storage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6

Internal Main Archive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9

Internal Remote Archive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9

External USB Memory Stick Archives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9

Rendered ECG Report Prints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9

Fax-Rendered ECG Report Print . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10

Power System Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-11

Battery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-11

Voltage Rails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12

Power Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-14

Battery Power Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-15

Battery Discharging. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-16

Battery Charging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-16

Charge Current . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-16

Battery Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-16

Appendix A Specifications

Technical Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

PageWriter TC70 Cardiograph ECG Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

PageWriter TC50 Cardiograph ECG Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

PageWriter TC30 Cardiograph ECG Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

PageWriter TC70 Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

PageWriter TC50/TC30 Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

PageWriter TC70 Touch screen Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

PageWriter TC50 Touch screen Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

PageWriter TC30 Touch screen Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

Patient Interface Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

Patient Interface Module Signal Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

Signal Processing/Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

Auto Frequency Response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3

Rhythm Frequency Response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3

Minimum Amplitude or Value of Patient Physiological Signal . . . . . . . . . . . . . . . . . . . . . A-3

Filters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3

Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3

Report Formats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3

Battery Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-4

Ethernet LAN Network Connection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5

Wireless LAN Network Connection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5

FAX Capability (optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5

Modem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5

PageWriter TC Cardiograph Service Manual

Contents-5

Table of Contents

Barcode Reader (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5

Magnetic Card Reader (optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6

Smart Card Reader (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6

Smart Card Reader (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6

ECG Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6

Orders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6

ECG File Formats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6

Power and Environment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6

TC30 Cardiograph Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7

TC30 Cardiograph Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7

PageWriter TC50 Cardiograph Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7

PageWriter TC50 Cardiograph Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7

PageWriter TC70 Cardiograph Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7

PageWriter TC70 Cardiograph Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8

Safety and Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8

Classification (IEC 60601-1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8

Electromagnetic Compatibility (EMC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9

Reducing Electromagnetic Interference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9

Wireless LAN Card Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-15

Summit SDC-CF20G Wireless Adapter (Option D21) . . . . . . . . . . . . . . . . . . . . . . . . A-15

Summit SDC-CF22AG Wireless Adapter (Option D22) . . . . . . . . . . . . . . . . . . . . . . . A-19

Contents-6

PageWriter TC Cardiograph Service Manual

1

1

Introduction

This PageWriter TC Cardiograph Service Manual provides information on the following aspects of using and maintaining the PageWriter TC70, TC50, and TC30 model cardiographs.

Theory of operation

Maintenance procedures

Troubleshooting procedures and diagnostic tests

Performance verification and safety testing

Ordering parts and supplies

Software installation

Cart replacement kits and procedures

Specifications

Before performing maintenance or troubleshooting on the PageWriter TC cardiograph, review the PageWriter TC Cardiograph Instructions for Use located on the User Documentation

DVD shipped with the cardiograph, or download the file from the Philips InCenter site

( incenter.medical.philips.com

). This Service Manual assumes you are familiar with the controls, basic cardiograph operations, and capabilities of the device as described in the Instructions for

Use.

This chapter provides information on:

Who Should Use this Service Manual . . . . . . . . . . . . . . . . . . . . . . .1-2

Philips ECG XML Information . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3

Using the Philips InCenter Site . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3

About Adobe Acrobat Versions. . . . . . . . . . . . . . . . . . . . . . . . .1-4

Safety Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-5

Important Patient and Safety Information . . . . . . . . . . . . . . . . . . . 1-11

PageWriter TC70 Cardiograph Components . . . . . . . . . . . . . . . . .1-19

PageWriter TC50 Cardiograph Components . . . . . . . . . . . . . . . . .1-23

PageWriter TC30 Cardiograph Components . . . . . . . . . . . . . . . . .1-25

Patient Interface Module (PIM) . . . . . . . . . . . . . . . . . . . . . . . . . . .1-27

About Class A and Class B Patient Data Cables and PIMs . .1-27

Attaching the Patient Data Cable to the PIM and

Cardiograph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-28

Special Note about Patient Interface Module (PIM) . . . . . . . .1-30

PIM ECG Button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-31

1-1

Introduction

Who Should Use this Service Manual

Configuring the 16-Lead PIM (PageWriter TC70 and

PageWriter TC50 cardiograph only) . . . . . . . . . . . . . . . . . . . .1-31

Installing the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-35

Notes about Battery Installation . . . . . . . . . . . . . . . . . . . . . . .1-35

Charging the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-38

Calibrating the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-39

Battery Power Indicator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-39

Using the On/Standby Button . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-41

Using the Wireless LAN Card . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-42

Using the Modem Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-43

Using the USB Memory Stick . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-43

Using the Barcode Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-44

Using the Cardiograph Touch Screen . . . . . . . . . . . . . . . . . . . . . .1-45

Touch Screen Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-46

Changing the Lead Format on the Main ECG Screen. . . . . . .1-49

The Status Bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-51

Using the Keyboard Shortcuts . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-53

Who Should Use this Service Manual

This Service Manual is intended for users who handle preventive maintenance, periodic operational checks, and basic troubleshooting for PageWriter TC cardiographs.

Before attempting to service the cardiograph, you must review the following documentation and training materials:

PageWriter TC Cardiograph Instructions for Use

This Service Manual

This PageWriter TC Cardiograph Service Manual is intended to assist users in the safe and effective use of the product.

Please read this Service Manual, and strictly observe all Warning and Cautions as described in this document.

Pay special attention to all of the safety information provided in the Safety Summary and

Important Patient and Safety Information section.

The following conventions are used in this document.

WARNING Warning statements describe conditions or actions that may result in a potentially serious outcome, adverse event, or a safety hazard. Failure to follow a Warning may result in death or serious injury to the user or to the patient.

1-2

PageWriter TC Cardiograph Service Manual

Philips ECG XML Information

Introduction

CAUTION

Caution statements describe when special care is necessary for the safe and effective use of the product. Failure to follow a caution may result in minor to moderate personal injury or damage to the product or other property, a remote risk of more serious injury, or may cause environmental pollution.

N O T E

Notes contain additional important information about a topic.

T I P

A Tip contains suggested information on using a particular feature.

Menu items and button names appear in bold no-serif font. Example: Touch the

Config

button.

Internal software components or file directories appear in regular no-serif font. Example:

ECGs are stored to the

RubyArchiveInternal

directory.

Philips ECG XML Information

The PageWriter TC cardiographs export ECG data in XML (Extensible Markup Language) format. There are three available XML schema versions on the cardiograph: version 1.03, version 1.04, and version 1.04.01. Version 1.03 exports ECG data in 12-lead format only, version 1.04 exports ECG data for up to 16 leads, and version 1.04.01 exports ECG data for up to 16 leads and includes full interpretation from the Philips DXL ECG Algorithm.

Information regarding the Philips ECG XML schema can be obtained directly from Philips

Medical Systems by sending an email request to:

[email protected]

. Please include your name, facility, and the serial number of your PageWriter TC cardiograph in the email request.

N O T E

The default XML version setting on the cardiograph must be coordinated with the XML version compatibility of the TraceMaster ECG Management System, or other third party ECG management system used by your facility. For more information on configuring your cardiograph for use with an external ECG management system, see the PageWriter TC Network Configuration Guide included on the

User Documentation and Training DVD, or download the file from the Philips InCenter site.

Using the Philips InCenter Site

The Philips InCenter site provides frequent updates to all Philips Cardiac Systems product documentation and product software, including the PageWriter TC cardiographs.

The Philips InCenter site requires an active registration and password. To register, go to the

InCenter site at: incenter.medical.philips.com and click on the

Need help?

link on the main page

(located under the user login and password fields). On the following page, under

Software

Updates

(lower right corner of page), click the

Click here for account registration

link. The

Cardiac Systems InCenter Registration page appears. Complete all of the information fields on the page to receive a login and password for the InCenter site.

Registration for the InCenter site requires the serial number of at least one PageWriter TC cardiograph in active use at your facility. The serial number is found on the product identification label, located next to the text

SN

. The product identification label is located on

the rear panel of the cardiograph, see (see Figure 1-1 on page 1-4).

PageWriter TC Cardiograph Service Manual

1-3

Introduction

Using the Philips InCenter Site

Figure 1-1 Cardiograph Product Identification Label (rear cardiograph view)

About Adobe Acrobat Versions

Adobe Acrobat Reader version 9.0 must be installed on the PC that is used to access the

Philips InCenter site. Previous versions of Acrobat Reader are not compatible with the Philips

InCenter site, and attempting to access InCenter with a previous version of Acrobat Reader will result in error messages when opening documents. Uninstall all previous versions of

Acrobat Reader, and then proceed for a free install of Acrobat Reader 9.0 at: www.adobe.com

.

Any version of Adobe Acrobat Professional or Acrobat Elements are also not compatible with the Philips InCenter site, and error messages will appear when opening documents with these applications. Acrobat Reader 9.0 must be installed in addition to Acrobat Professional or

Acrobat Elements.

Follow this procedure when accessing documents on the Philips InCenter site.

To access documents on the Philips InCenter site:

1

Exit Acrobat Professional or Acrobat Elements (if open).

2

Start Acrobat Reader 9.0.

3

Open Internet Explorer, and go to the Philips InCenter site. Keep Acrobat Reader 9.0 open the entire time while accessing the InCenter site.

1-4

PageWriter TC Cardiograph Service Manual

Safety Summary

Introduction

Safety Summary

Symbols Marked on the Cardiograph or Patient Interface Module (PIM)

Symbol Name Description

Attention; read the Instructions

for Use

See the PageWriter TC Cardiograph Instructions for

Use.

Defibrillator Proof

DC Polarity

Direct Current

ECG physio isolation is type CF, defibrillator proof.

Suitable for all patient applications including direct cardiac application. System is in continuous operation.

Indicates the polarity of the DC power connector.

Indicates that the equipment is suitable for direct current only.

PageWriter TC Cardiograph Service Manual

1-5

Introduction

Safety Summary

Symbols Marked on the Cardiograph or Patient Interface Module (PIM)

Symbol Name

Disposal

Description

Dispose of in accordance with the requirements of your country.

ECG output signal

Local Area Network (LAN)

Connector

Modem Connector

The connector near this symbol provides access to an analog ECG signal that can be used as a synchronization signal for external devices, such as an imaging device. This analog ECG signal is not diagnostic quality and should not be used for ECG analysis purposes.

Connect the Ethernet RJ45 LAN cable to the connector directly above this symbol to establish LAN connectivity.

Connect an analog phone line to the connector directly above this symbol.

Attention; read the Instructions

for Use

See the PageWriter TC Cardiograph Instructions for

Use.

Patient Interface Module (PIM)

Connector

Connect the PIM patient data cable to the connector located directly above this symbol.

PCMCIA icon Insert the wireless LAN card into the slot located directly above this symbol.

PS/2 Connector

Serial Number

Connect the Magnetic Card Reader or Barcode Reader to the connector located directly above this symbol.

The number next to this symbol is the serial number of the cardiograph.

1-6

PageWriter TC Cardiograph Service Manual

Safety Summary

Introduction

Symbols Marked on the Cardiograph or Patient Interface Module (PIM)

Symbol Name

On/Standby

Description

Pressing the button with this symbol on it puts the cardiograph into Standby (power saving mode).

USB Connector The connector near this symbol is used with a USB device.

Non-ionizing electromagnetic radiation

Interference may occur in the vicinity of equipment marked with this symbol.

Equipotential Grounding Post Equipotential grounding post used for establishing common ground between instruments.

Class II Protection against electric shock (PageWriter TC70

Cardiograph only).

Fuse The PageWriter TC50 Cardiograph and PageWriter

TC30 Cardiograph contains a 1.6 amp (250V) timedelay fuse.

PageWriter TC Cardiograph Service Manual

1-7

Introduction

Safety Summary

Safety Symbols Marked on the Cardiograph Packaging

Symbol Description

Keep dry.

Ambient temperature range of -20 o

C (-4 o

F) to 50 o

C (122 o

F) (non-condensing) for transport and storage.

Note: the batteries will discharge at a rapid rate if the cardiograph is stored at a high temperature.

Atmospheric pressure range of 0 to 4572 meters (15,000 feet), 572 hPA above sea level for transport and storage.

Relative humidity range of 10% to 90% (non-condensing) for transport and storage.

Made from recycled materials.

Fragile.

Lithium ion battery. Do not dispose of in trash. Follow local regulations for disposing of as small chemical waste.

This product consists of devices that may contain mercury, which must be recycled or disposed of in accordance with local, state, or federal laws. (Within this system, the backlight lamps in the monitor display contain mercury.)

Dispose of in accordance with the requirements of your country.

1-8

PageWriter TC Cardiograph Service Manual

Safety Summary

Introduction

Safety and Regulatory Symbols Marked on the PageWriter TC70

Cardiograph Cart

Symbol Name

Cart Transport

Description

Do not transport the cart with the drawer open.

Cart Drawer Weight

Limit

Do not place more than 3 kilograms or 6.6 pounds of weight into the cart drawer.

Cart Storage Bin Weight

Limit

Do not place more than 3 kilograms or 6.6 pounds of weight into the cart storage bin.

Safety and Regulatory Symbols Marked on the PageWriter TC50/TC30

Cardiograph Cart

Symbol Name

Cart Storage Bin Weight

Limit

Description

Do not place more than 3 kilograms or 6.6 pounds of weight into the cart storage bin.

Optional Patient Cable

Arm

Do not transport the cart with the patient cable arm positioned to the side. Only transport the cart with the patient cable arm positioned to the front of the cart.

PageWriter TC Cardiograph Service Manual

1-9

Introduction

Safety Summary

Safety and Regulatory Symbols Marked on the PageWriter TC70

Cardiograph AC Power Adapter

Symbol Name

No serviceable parts inside

Description

There are no serviceable parts inside the AC adapter. Do not open the AC adapter case.

Indoor, dry location use only

The AC adapter is only intended for indoor use in a dry location.

Attention; read the

Instructions for Use

See the PageWriter TC Cardiograph Instructions

for Use for information on the AC power adapter.

AC adapter disposal Dispose of in accordance with the requirements of your country.

1-10

PageWriter TC Cardiograph Service Manual

Important Patient and Safety Information

Introduction

Important Patient and Safety Information

The PageWriter TC70 cardiograph, PageWriter TC50 cardiograph, and PageWriter TC30 cardiograph isolate all connections to the patient from electrical ground and all other conductive circuits in the cardiograph. This reduces the possibility of hazardous currents passing from the cardiograph through the patient’s heart to ground.

WARNING Failure to follow these warnings could affect both patient and operator safety.

Accessories and Supplies

WARNING Always clean and disinfect reusable electrodes before patient use. Failure to properly clean and disinfect reusable electrodes before patient use may cause infectious materials to be transferred between patients.

WARNING The Welsh bulb electrodes (available as an accessory for the cardiograph) do not meet the requirements of IEC 60601-2-25 for defibrillation recovery time, and cannot be reliably used for patient diagnosis immediately following defibrillation.

WARNING When using additional peripheral equipment powered from an electrical source other than the cardiograph, the combination is considered to be a medical system. It is the responsibility of the operator to comply with IEC 60601-1-1 and test the medical system according to the requirements. For additional information contact Philips Medical

Systems.

WARNING Do not use non-medical peripherals within 6 feet of a patient unless the non-medical peripherals receive power from the cardiograph or from an isolation transformer that meets medical safety standards.

CAUTION

The Welsh bulb electrodes contain natural rubber latex which may cause allergic reactions.

CAUTION

The use of equipment that applies high frequency voltages to the patient (including electrosurgical equipment and some respiration transducers) is not supported and may produce undesired results.

CAUTION

Only use Philips Medical Systems replacement parts and supplies with the cardiograph. The use of nonapproved replacement parts and supplies with the cardiograph is strictly prohibited. Cardiograph safety and performance are not guaranteed when non-approved replacement parts and supplies are used with the cardiograph.

PageWriter TC Cardiograph Service Manual

1-11

Introduction

Important Patient and Safety Information

Using accessories, peripherals, or cables that are not supplied with the cardiograph or that are not recommended by Philips Medical Systems can result in increased emissions or decreased immunity of the cardiograph.

Connect other equipment in accordance with IEC 60601-1-1 Medical Electrical Systems

Standard or IEC 60601-1: 2005 (3rd Edition) Medical Electrical Equipment Standard

Clause 16 Medical Electrical Systems.

When connecting the cardiograph to other AC powered equipment, only connect equipment approved to IEC 60601-1 Medical Electrical Equipment or IEC 60950-1 Information

Technology Equipment.

Only use patient electrodes that are approved by Philips Medical Systems. The use of nonapproved patient electrodes may degrade cardiograph performance.

To prevent burns to the patient, remove all ECG electrodes and lead wires prior to the use of high frequency surgical equipment (including electrosurgical equipment and some respiration transducers).

AC Power Adapter and AC Power Cord

WARNING Only use the external power supply with part number 453564094411 with the

PageWriter TC70 cardiograph in order to prevent electrical safety hazards. The use of any other power supply is not approved by Philips Medical Systems.

WARNING Whenever the AC power cord is connected to a live power outlet, ensure that it is also securely attached to the cardiograph. Always disconnect the AC power cord from the power outlet when it is not connected to the cardiograph.

WARNING Only use grounded power cords (three-wire power cords with grounded plugs) and

grounded electrical outlets that are labeled as Hospital Only or Hospital Grade. NEVER adapt a

grounded plug to fit an ungrounded outlet by removing the ground prong. Use the equipotential post when redundant earth ground is necessary according to IEC 60601-1-

1.

CAUTION

The power supply could feel warm to the touch.

The PageWriter TC70 cardiograph external power supply, part number 453564094411, is designed with a three wire supply system. The ground only serves a functional purpose for

EMC and not protective earth for electrical safety. Use of an appropriate three-wire power cord is necessary to provide proper EMC operation.

1-12

PageWriter TC Cardiograph Service Manual

Important Patient and Safety Information

Introduction

Only use the AC power adapter designed to be used with the PageWriter TC70 cardiograph, part number 453564094411, in order to ensure continued compliance with the requirements of IEC 60601-1.

To disconnect the cardiograph from AC power, unplug the cardiograph AC power cord from the mains power supply.

This equipment complies with the earth leakage current limits as specified in UL 60601-

1:2003 Medical Electrical Equipment - General Requirements for Safety, only when connected to a 120 Volt mains power supply.

Periodically inspect the patient data cable, lead wires, and AC power cord for any worn or cracked insulation. Ensure that no exposed wires are visible on the AC power cord.

Only use the Philips Medical Systems AC power cord (part number 453564094411) supplied with the cardiograph. Use of any other power supply has not been verified and may lead to operator or patient harm, including electrical shock. Periodically inspect the AC power cord and AC power connector to ensure that both are in a safe and operable condition. If the AC power cord or AC power connector are not in a safe or operable condition, operate the cardiograph on battery power and contact Philips Medical Systems for service.

Analog ECG Output Signal Port

Do not use the analog ECG output signal port (not supported on cardiograph) for diagnostic purposes and do not use this signal for critical synchronization timing.

Do not connect any equipment to the cardiograph analog ECG output signal port that does not meet medical safety requirements and that has not been evaluated by local safety personnel.

Batteries

CAUTIONS

Before removing and replacing batteries from the cardiograph, press down and hold the On/

Standby button ( ) (located on the front of the cardiograph), to shut down the cardiograph.

Ensure that the cardiograph is shut down. When the cardiograph is fully shut down, the screen is black, and the On/Standby button is not illuminated. Once the cardiograph is shut down, proceed to remove and replace the batteries.

When removing batteries from the cardiograph, the batteries could feel warm to the touch.

The battery capacity for the PageWriter TC50 cardiograph or PageWriter TC30 cardiograph with a single battery installed using the battery with Philips part number 989803170371, is

30 minutes of continuous Rhythm printing, or 30 total ECG reports.

When operating the PageWriter TC50 cardiograph or PageWriter TC30 cardiograph with one battery installed, only use the Philips battery with part number 989803170371. Do not use the battery with Philips part number 989803160981 for one battery operation.

When operating the PageWriter TC70 cardiograph, PageWriter TC50 cardiograph, or

PageWriter TC30 cardiograph with two batteries installed, ensure that both batteries contain

PageWriter TC Cardiograph Service Manual

1-13

Introduction

Important Patient and Safety Information the same Philips part number. The battery part number identification label is found on the bottom of the battery. The cardiograph cannot operate with two batteries that contain different part numbers. If the cardiograph is operated with two batteries with different part numbers, the cardiograph will display an error message and will not operate.

PageWriter TC50/TC30 Cardiograph One Battery

Operation

The PageWriter TC50 cardiograph, or PageWriter TC30 cardiograph with installed software version A.04.00 and higher can operate on a single battery with Philips part number 989803170371.

The battery capacity for the PageWriter TC50 cardiograph, or the PageWriter TC30 cardiograph with a single battery installed using the battery with Philips part number

989803170371, is 30 minutes of continuous Rhythm printing, or 30 total ECG reports.

When operating the PageWriter TC50 cardiograph, or the PageWriter TC30 cardiograph with one battery installed, only use the Philips battery with part number 989803170371.

Do not use the battery with Philips part number 989803160981 for one battery operation.

When operating the PageWriter TC50 cardiograph or the PageWriter TC30 cardiograph with one battery installed, the single battery may be inserted into either battery compartment.

Cart

Ensure that the cardiograph is securely attached to the cardiograph cart before use.

Defibrillation

WARNING Do not touch the patient, patient data cable, leads, or the cardiograph during defibrillation. Death or injury may occur from the electrical shock delivered by the defibrillator.

Diagrams

Upon customer request, Philips Medical Systems will make available circuit diagrams, component part lists, descriptions, calibration instructions and other technical information.

Display Accuracy

The accuracy of the ECG signals are within +/- 5% (or +/- 40 uV whichever is greater), over a range of 0 to 5 mV, in the presence of differential and common mode DC offset voltages of +/- 300 mV. The cardiograph performance is tested to comply with the accuracy requirements over the dynamic ranges and frequency ranges specified in the IEC 60601-2-

51 and AAMI EC-11 standards.

1-14

PageWriter TC Cardiograph Service Manual

Important Patient and Safety Information

Introduction

For additional details regarding accuracy and precision, refer to the Physician's Guide and the Manufacturer's Disclosure Statement.

ECG Interpretation

CAUTION

Always enter accurate patient information (including age and gender) if using the Philips DXL ECG

Algorithm or Philips 12-Lead Algorithm for ECG interpretation.

Electrodes

Philips recommends the use of disposable electrodes at all times for all patient applications.

Choose either adult or pediatric disposable electrodes based on the age and size of the patient. See “Disposable and Reusable Electrodes” on page 1-49 for information on ordering disposable electrodes.

Faxed ECGs

CAUTION

No guarantee is made as to the suitability of a faxed ECG for any particular purpose, due to the variability inherent in fax technology.

CAUTION

Faxed ECGs should only be sent to secure recipient fax machines.

General Cardiograph Use

WARNING Electrical shock hazard. Keep the cardiograph, Patient Interface Module (PIM), and all cardiograph accessories away from liquids. Do not immerse the cardiograph, PIM, or other accessories in any liquids.

WARNING Do not use this cardiograph near flammable anesthetics. It is not intended for use in explosive environments or in operating rooms. The disconnection or connection of AC power, or electrostatic discharge (ESD) may result in an electrical spark.

CAUTION

The cardiograph may generate electromagnetic interference (EMI) that may cause nearby equipment to fail.

PageWriter TC Cardiograph Service Manual

1-15

Introduction

Important Patient and Safety Information

CAUTION

The use of equipment that applies high frequency voltages to the patient (including electrosurgical equipment and some respiration transducers) is not supported and may produce undesired results.

Disconnect the patient data cable from the cardiograph, or detach the leads from the patient prior to performing any procedure that uses high frequency surgical equipment.

The use of non-Philips equipment connected to, or operating with, the PageWriter TC70 cardiograph, PageWriter TC50 cardiograph, or the PageWriter TC30 cardiograph is not tested or supported, and may produce undesired results.

Connecting multiple cardiographs to the same patient may pose a safety hazard due to the summation of leakage currents. Any combination of instruments should be evaluated by local safety personnel before being put into service.

IEC 60601-2-51

For information on the standard IEC 60601-2-51, please go to the Philips InCenter web site

( incenter.medical.philips.com

). For information on using the Philips InCenter site, see page 1-

4.

Lead Wires

WARNING Electrical shock hazard. Do not touch accessible connector pins and the patient simultaneously.

WARNING Do not touch any loose or exposed leads during defibrillation. Death or injury may occur from the electrical shock delivered by the defibrillator.

WARNING Ensure that the electrodes or lead wires do not come in contact with any other conductive materials (including earth-grounded materials) especially when connecting or disconnecting electrodes to or from a patient.

Main Waveform Display Screen

Manual measurements of ECG intervals and magnitudes should be performed on printed

ECG reports only. Do not make manual measurements of ECG intervals and magnitudes on the main waveform display screen since these ECG representations are scaled.

1-16

PageWriter TC Cardiograph Service Manual

Important Patient and Safety Information

Introduction

Modem Card and Fax Feature

WARNING Do not connect the modem card to a phone line when the cardiograph is connected to a patient.

WARNING Only connect the phone line to the modem connector ( ) located on the rear panel of the cardiograph. Never attach the phone line to the LAN connector ( ).

No guarantee is made as to the suitability of a faxed ECG report for any particular purpose, due to the variability inherent in fax technology.

Pacemaker

Pace pulses may not be visible on a printed ECG report that uses simultaneous acquisition.

Patient Data Cable

WARNING The Philips Medical Systems patient data cable (supplied with cardiograph) is an integral part of the cardiograph safety features. Use of any other patient data cable may lead to the distortion or corruption of patient ECG data, may compromise defibrillation protection and degrade cardiograph performance, and overall cardiograph safety may be seriously degraded.

WARNING Ensure that the patient data cable is securely connected to the PIM Connector ( on the rear panel of the cardiograph.

)

The PageWriter TC50 cardiograph with installed software version A.03.00 and higher is only compatible with the Class B patient data cable (Philips part number 989803164281).

Keep the patient data cable away from power cords and any other electrical equipment.

Failure to do so can result in AC power line frequency interference on the ECG trace.

Periodically inspect the patient data cable for any cracks or breaks in the cable insulation. If the integrity of the patient data cable is not assured, replace the patient data cable. Contact

Philips Medical Systems for further assistance, see “Contacting a Philips Response Center” on page 5-13.

PageWriter TC Cardiograph Service Manual

1-17

Introduction

Important Patient and Safety Information

Patient Interface Module (PIM)

WARNING Always clean and disinfect the Patient Interface Module (PIM) after patient use, if the

PIM comes into direct contact with the patient’s skin. Failure to properly clean and disinfect the PIM after direct contact with the patient’s skin may cause infectious materials to be transferred between patients.

CAUTION

If using the optional, 16-lead PIM, always ensure that the leads connected to the Patient Interface

Module (PIM) are the same leads that are displayed on the cardiograph screen.

The PageWriter TC50 cardiograph with installed software version A.03.00 and higher is only compatible with the Class B 12-lead PIM (Philips part number 453564150741, AAMI and 453564150761, IEC) or the Class B 16-lead PIM (Philips part number 453564150751,

AAMI and 453564150771, IEC).

Always put the cardiograph in Standby before replacing the Patient Interface Module

(PIM). Do not change the PIM while the cardiograph is in active use.

Printer

CAUTION

Do not pull on the paper while an ECG report is being printed. This can cause distortion of the waveform and can lead to potential misdiagnosis.

Servicing the Cardiograph

Only qualified personnel may service the cardiograph or may open the cardiograph housing to access internal cardiograph components. Do not open any covers on the cardiograph.

There are no internal cardiograph components that are serviced by the operator.

The Philips Medical Systems warranty is applicable only if you use Philips Medical

Systems approved accessories and replacement parts. See “Supplies and Ordering

Information” on page 1-46 for more information.

Software

WARNING Only install Philips Medical Systems software on the cardiograph. The installation or use of software not approved by Philips Medical Systems is strictly prohibited and cardiograph safety and performance are not guaranteed.

1-18

PageWriter TC Cardiograph Service Manual

PageWriter TC70 Cardiograph Components

Introduction

Touch Screen

WARNING Do not use sharp objects with the touch screen or apply excessive force to the touch screen. Applying excessive force to the touch screen may result in breaking the touch screen display and can cause sharp, jagged parts to expel to persons nearby.

Manual measurements of ECG intervals and magnitudes should be performed on printed

ECG reports only. Do not make manual measurements of ECG intervals and magnitudes on the touch screen display since these ECG representations are scaled.

USB Memory Stick

WARNING Do not use the USB memory stick to import ECGs from other cardiographs, or other non-Philips devices onto any model of the PageWriter TC cardiograph.

CAUTIONS

Only use the USB memory stick that is available for purchase as an optional accessory from Philips

Medical Systems with the PageWriter TC cardiograph.

Do not insert a USB memory stick into the cardiograph, or remove a USB memory stick from the cardiograph when the cardiograph is acquiring ECG data from the patient.

Only use the USB memory stick to transfer data between the cardiograph and a computer. Do not use the USB memory stick with other devices.

Keep all USB memory sticks that contain patient data in a secure location where they cannot be accessed by unauthorized personnel. Always delete patient data from a USB memory stick promptly after use.

Affix a label to all USB memory sticks that contain patient data notifying users that unauthorized access of patient data on the USB memory stick is punishable by law.

Periodically inspect the USB connectors (side and rear of cardiograph) for any cracks or breaks. If the integrity of a USB connector is not assured, do not use the USB connector,

and contact Philips Medical Systems for further assistance, see “Contacting a Philips

Response Center” on page 5-13.

PageWriter TC70 Cardiograph Components

The following sections include a description of all of the components of the PageWriter TC70 cardiograph, including the connection ports on the cardiograph, the Patient Interface Module

(PIM), and optional accessories available with the cardiograph. For information on ordering

any of the optional accessories for the cardiograph, see “PageWriter TC Cardiograph Supply

Part Numbers” on page 5-8.

PageWriter TC Cardiograph Service Manual

1-19

Introduction

PageWriter TC70 Cardiograph Components

Figure 1-2 PageWriter TC70 Cardiograph (left front view)

A

B

C D E F

H

G

A Touch screen

B

Audio speaker

C AC power on indicator light

D On/Standby button

E

ID button

F

ECG button

G Paper tray

H Keyboard

1-20

PageWriter TC Cardiograph Service Manual

PageWriter TC70 Cardiograph Components

Figure 1-3 PageWriter TC70 Cardiograph (right front view)

Introduction

I

Battery compartment

J

USB memory stick connector

J

I

PageWriter TC Cardiograph Service Manual

1-21

Introduction

PageWriter TC70 Cardiograph Components

Figure 1-4 PageWriter TC70 Cardiograph (rear view)

A H

B

C

D

A Modem connector

B

LAN connector

C Barcode reader or magnetic card reader connector

D Analog ECG output signal connector (not supported)

E

USB connector

F

PIM connector

G Wireless LAN card slot (with protective cover installed)

H AC power connector

E

G

F

WARNING

Do not connect the modem card to a phone line when the cardiograph is connected to a patient.

CAUTION

Do not insert a USB memory stick into the cardiograph, or remove a USB memory stick from the cardiograph when the cardiograph is acquiring ECG data from a patient.

1-22

PageWriter TC Cardiograph Service Manual

PageWriter TC50 Cardiograph Components

Introduction

PageWriter TC50 Cardiograph Components

The following sections include a description of all of the components of the PageWriter TC50 cardiograph, including the connection ports on the cardiograph, the Patient Interface Module

(PIM), and optional accessories available with the cardiograph. For information on ordering

any of the optional accessories for the cardiograph, see “Supplies and Ordering Information” on page 5-7.

Figure 1-5 PageWriter TC50 Cardiograph (right front view)

G H I J

F

E

A Touch screen

B

Audio speakers

C Battery compartment

D USB memory stick connector

E

Paper tray

F

Keyboard

G AC power on indicator light

H On/Standby button

I

ID button

J

ECG button

C

D

A

B

PageWriter TC Cardiograph Service Manual

1-23

Introduction

PageWriter TC50 Cardiograph Components

Figure 1-6 PageWriter TC50 Cardiograph (rear view)

A

B

H

I

C

D

G

F

E

A Wireless LAN card slot (with protective cover installed)

G Barcode reader or magnetic card reader connector

B

Equipotential grounding post

C AC power cord connector

I

H LAN connector

Modem connector

D PIM connector

E

USB connector

F

Analog ECG output signal connector (not supported)

WARNING

Do not connect the modem card to a phone line when the cardiograph is connected to a patient.

CAUTIONS

Do not insert a USB memory stick into the cardiograph, or remove a USB memory stick from the cardiograph when the cardiograph is acquiring ECG data from a patient.

Only use grounded power cords (three-wire power cords with grounded plugs) and grounded electrical outlets that are labelled as Hospital Only or Hospital Grade. Never adapt a grounded plug to fit an ungrounded outlet by removing the ground prong. Use the equipotential post when redundant earth ground is necessary according to IEC 60601-1-1.

1-24

PageWriter TC Cardiograph Service Manual

PageWriter TC30 Cardiograph Components

Introduction

PageWriter TC30 Cardiograph Components

The following sections include a description of all of the components of the PageWriter TC30 cardiograph, including the connection ports on the cardiograph, the Patient Interface Module

(PIM), and optional accessories available with the cardiograph. For information on ordering

any of the optional accessories for the cardiograph, see “Supplies and Ordering Information” on page 5-7.

Figure 1-7 PageWriter TC30 Cardiograph (right front view)

A

B

G H I J

C

D

F

E

A Touch screen

B

Audio speakers

C Battery compartment

D USB memory stick connector

E

Paper tray

F

Keyboard

G AC power on indicator light

H On/Standby button

I

ID button

J

ECG button

PageWriter TC Cardiograph Service Manual

1-25

Introduction

PageWriter TC30 Cardiograph Components

Figure 1-8 PageWriter TC30 Cardiograph (rear view)

A

B

I

H

G

C

D

F

A Wireless LAN card slot (with protective cover installed)

G Barcode reader or magnetic card reader connector

B

Equipotential grounding post H LAN connector

I

Modem connector

E

C AC power cord connector

D PIM connector

E

USB connector

F

Analog ECG output signal connector (not supported)

WARNING

Do not connect the modem card to a phone line when the cardiograph is connected to a patient.

CAUTIONS

Do not insert a USB memory stick into the cardiograph, or remove a USB memory stick from the cardiograph when the cardiograph is acquiring ECG data from a patient.

Only use grounded power cords (three-wire power cords with grounded plugs) and grounded electrical outlets that are labelled as Hospital Only or Hospital Grade. Never adapt a grounded plug to fit an ungrounded outlet by removing the ground prong. Use the equipotential post when redundant earth ground is necessary according to IEC 60601-1-1.

1-26

PageWriter TC Cardiograph Service Manual

Patient Interface Module (PIM)

Introduction

Patient Interface Module (PIM)

The same Patient Interface Module (PIM) is used on all models of the PageWriter TC cardiograph. The PIM is a hand-held device that connects to the patient data cable. The PIM is available in a standard 12-lead, or for the PageWriter TC70 and TC50 cardiographs, an optional 16-lead model is available. For information on configuring the optional 16-lead PIM,

see “Configuring the 16-Lead PIM (PageWriter TC70 and PageWriter TC50 cardiograph only)” on page 1-31.

N O T E

Figure 1-9 shows AAMI version PIMs.

Figure 1-9 16-lead (left) and 12-lead (right) Patient Interface Module (PIM)

About Class A and Class B Patient Data Cables and PIMs

Prior to August, 2009, PageWriter TC70 cardiographs with installed software version A.02.00 and lower were shipped from Philips Medical Systems with Class A patient data cables and

Class A PIMs. All PageWriter TC70 cardiographs and PageWriter TC50 cardiographs with installed software version A.03.00 and higher are shipped from Philips Medical Systems with

Class B patient data cables and Class B PIMs.

The only visual difference between a Class A and a Class B PIM or patient data cable is the number of connectors on the PIM, and the number of pins on the PIM connector end of the patient data cable. All Class A devices have 5 connectors/pins on the PIM connector, and on the PIM connector end of the patient data cable. All Class B devices have 8 connectors/pins on the PIM connector, and on the PIM connector end of the patient data cable.

N O T E

Both Class A and Class B patient data cables have 5 pins on the connector end that attaches to the cardiograph.

Class A patient data cables can only be used with a Class A PIM on the PageWriter TC70 cardiograph. Class B patient data cables can only be used with a Class B PIM on any model of the PageWriter TC cardiograph. When ordering replacement patient data cables or PIMs from

PageWriter TC Cardiograph Service Manual

1-27

Introduction

Patient Interface Module (PIM)

Philips Medical Systems, check the number of connectors on the PIM, and also check the number of pins on the PIM connector end of the patient data cable to ensure that you are ordering the correct Class A or Class B device.

N O T E

If you are unable to connect a patient data cable to a PIM connector, check that both devices are compatible. You cannot connect a Class A patient data cable to a Class B PIM.

Figure 1-10 Class A and Class B Patient Data Cable Connectors

A B

A Class A patient data cable (5 pins)

B

Class B patient data cable (8 pins)

Figure 1-11 Class A and Class B Patient Interface Module (PIM) Connectors

A B

A Class A PIM (5 connectors)

B

Class B PIM (8 connectors)

Attaching the Patient Data Cable to the PIM and

Cardiograph

The patient data cable must be attached to the PIM connector before use. Once attached to the

PIM, the patient data cable is then attached to the cardiograph through the appropriate PIM connector on the rear of the cardiograph.

WARNING Ensure that the patient data cable is securely connected to the PIM connector ( on the rear panel of the cardiograph.

)

1-28

PageWriter TC Cardiograph Service Manual

Patient Interface Module (PIM)

Introduction

WARNING The Philips Medical Systems patient data cable (supplied with cardiograph) is an integral part of the cardiograph safety features. Use of any other patient data cable may lead to the distortion or corruption of patient ECG data, may compromise defibrillation protection and degrade cardiograph performance, and overall cardiograph safety may be seriously degraded.

N O T E

The PageWriter TC50 cardiograph and the PageWriter TC30 cardiograph with installed software version A.03.00 and higher are only compatible with the Class B patient data cable (Philips part number 989803164281).

To attach the patient data cable to the PIM and to the cardiograph:

1

Align the raised dot on the top of the patient data cable connector with the front of the

PIM. Insert the patient data cable connector through the metal housing. Push the patient data cable connector firmly into the PIM connector. The connector clicks when it is locked into position.

2

Connect the other end of the patient data cable to the PIM connector port ( ) located on the rear panel of the cardiograph. Align the raised circle on the cable connector upright as shown in the figure. Turn the cable connector to the right to lock it into position.

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Introduction

Patient Interface Module (PIM)

3

Drape the patient data cable over the top of the rear handle on the cart to help ensure that the patient data cable does not drag on the ground.

To disconnect the patient data cable from the PIM:

Twist the end of the patient cable connector inside the metal housing and pull the connector out.

CAUTION

Special Note about Patient Interface Module (PIM)

The PIM is an electronic device and can feel warm if placed on bare skin.

If the PIM is placed on the patient’s bare skin, always place a sheet or cloth between the PIM and the patient. If the PIM is left on the patient’s skin for an extended period of time, the PIM could reach a maximum temperature of 46 °C (114.8 °F) in a room environment with a temperature of 40 °C (104

°F).

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PageWriter TC Cardiograph Service Manual

Patient Interface Module (PIM)

Figure 1-12 Placing PIM on patient’s skin

Introduction

A

A Cloth placed between PIM and patient

PIM ECG Button

The PIM has an

ECG

button that is used to take ECGs from the bedside.

Figure 1-13 ECG button on PIM

A

A PIM ECG button

Configuring the 16-Lead PIM (PageWriter TC70 and

PageWriter TC50 cardiograph only)

The optional 16-lead PIM may be configured to support up to 16 optional leads for adult and pediatric application. The 16-lead PIM is shipped with four optional leads, color clip identifiers, and shorting plugs. For information on ordering the 16-lead PIM option, see

“Supplies and Ordering Information” on page 5-7.

N O T E

The 16-lead PIM is not available with the PageWriter TC30 cardiograph.

PageWriter TC Cardiograph Service Manual

1-31

Introduction

Patient Interface Module (PIM)

CAUTION

When using the 16-lead PIM, always ensure that the leads connected to the Patient Interface Module

(PIM) are the same leads that are displayed on the cardiograph screen.

Figure 1-14 16-Lead PIM Kit

A

D

B

C

A Color identification clips

B

Optional leads (4 total)

C Lead separator

D Shorting plug (6 total)

CAUTION

To configure the 16-lead PIM:

1

Press the On/Standby button ( ) to put the cardiograph into Standby.

Always put the cardiograph in Standby before connecting or disconnecting the Patient Interface

Module (PIM). Do not disconnect or connect the PIM to the cardiograph while the cardiograph is in active use.

2

Disconnect the PIM from the cardiograph, if necessary.

N O T E

3

There are six optional lead connectors available on the PIM. These optional lead connectors are labeled:

C3R/V3R

,

C4R/V4R

,

C5R

/

V5R

,

C7/V7

,

C8/V8

and

C9/V9

. Any of these optional leads (up to a maximum of four) may be configured for use with the cardiograph.

The cardiograph does not support the configuration of 18 leads. Any of the optional leads, up to a maximum of 4, may be configured for use with the cardiograph.

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PageWriter TC Cardiograph Service Manual

Patient Interface Module (PIM)

Figure 1-15 16-Lead PIM Optional Lead Connectors (AAMI/IEC)

Introduction

A

A Optional lead connectors

4

Attach the appropriate color-coded identification clip (included in the lead kit) to the lead, and attach the small color clip near the connector end of the lead wire.

Figure 1-16 Attaching the color clips to the lead

PageWriter TC Cardiograph Service Manual

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Introduction

Patient Interface Module (PIM)

5

Attach the lead to the correct lead connector on the PIM. If any lead connectors on the

PIM are left empty, insert a shorting plug (included in kit).

Figure 1-17 Shorting Plug (included in Lead Kit)

N O T E

6

To configure the 16-lead PIM for standard 12 leads, insert shorting plugs into all of the optional lead connectors.

Ensure that each lead is firmly connected to the PIM.

Recommended 16-Lead Configurations

Table 1-1 provides some suggested configurations of the 16-lead Patient Interface Module

(PIM) for adult and pediatric application.

N O T E

The recommended 16-lead configuration options described in Table 1-1 are the only 16-lead options

that are compatible with the TraceMaster ECG Management System.

Table 1-1 15 and 16-Lead PIM Configuration Options

Lead Placement Lead Option Standard 12-leads plus extended leads (AAMI/IEC)

Pediatric

(15 leads)

V3R/C3R, V4R/C4R, V7/C7

Posterior

(15 leads)

V7/C7, V8/C8, V9/C9

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PageWriter TC Cardiograph Service Manual

Installing the Batteries

Table 1-1

15 and 16-Lead PIM Configuration Options (continued)

Lead Placement Lead Option Standard 12-leads plus extended leads (AAMI/IEC)

Balanced

(16 leads)

V3R/C3R, V4R/C4R, V7/C7, V8/C8

Introduction

Installing the Batteries

The PageWriter TC70 cardiograph is shipped with two batteries, and the PageWriter TC50 and PageWriter TC30 cardiographs are shipped with one or an optional two batteries that are used to power the cardiograph when AC power is not available.

CAUTION

Insert the batteries into the cardiograph before plugging the cardiograph into AC power.

Notes about Battery Installation

N O T E S

If operating the PageWriter TC50 or PageWriter TC30 cardiograph with one battery installed, the battery may be inserted into either battery compartment.

When operating the PageWriter TC50 or PageWriter TC30 cardiograph with one battery installed, only use the Philips battery with part number 989803170371. Do not use the battery with Philips part number 989803160981 for one battery operation.

When operating any model of the PageWriter TC cardiograph with two batteries installed, ensure that both batteries contain the same Philips part number. The battery part number identification label is found on the bottom of the battery. The cardiograph cannot operate with two batteries that contain different part numbers. If the cardiograph is operated with two batteries with different part numbers, the cardiograph will display an error message and will not operate.

PageWriter TC Cardiograph Service Manual

1-35

Introduction

To install the batteries:

1

Open the battery door.

Installing the Batteries

2

Locate the two gold pull tabs inside of the battery compartment. Pull the tabs straight out of the battery compartment and lay flat.

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PageWriter TC Cardiograph Service Manual

Installing the Batteries

Introduction

N O T E

3

Insert the battery with the external connector facing the bottom rear of the compartment.

If operating the PageWriter TC50 or the PageWriter TC30 cardiograph with a single battery installed, the battery may be inserted into either battery compartment.

4

Push in the battery and ensure that the battery is fully inserted into the slot. The pull tab will insert along with the battery. If necessary, insert the second battery following the same procedure.

PageWriter TC Cardiograph Service Manual

1-37

Introduction

5

Reinstall the battery door.

Installing the Batteries

6

Connect the AC power cord to the cardiograph. Charge the batteries for five hours before operating the cardiograph on battery power only.

Charging the Batteries

Charge the batteries for five hours prior to initial use. Plug the cardiograph into AC power whenever possible, and fully charge the batteries. Proper battery maintenance and care, including frequent and full charging of the batteries, will help to prolong battery life.

There are configurable power saving features available on the cardiograph. These features are used to help prolong overall battery life, and to optimize battery power use between battery charges.

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PageWriter TC Cardiograph Service Manual

Installing the Batteries

Introduction

CAUTION

When removing the batteries from the cardiograph, the batteries could feel warm to the touch.

Calibrating the Batteries

The batteries may require periodic calibration to ensure the continued accuracy of the battery power and overall battery status information displayed on the cardiograph. When battery

calibration is required, a message appears on the Battery Status window, see Figure 1-19 on page 1-41. For more information on battery calibration, see “Battery Calibration” on

page 3-12.

Battery Power Indicator

The battery power indicator ( ) appears on the Status Bar and is always visible. The indicator displays the current battery power level. After installing and initially charging the batteries for five hours, the cardiograph can operate on AC power while the batteries are charging, but the batteries will charge at a slower rate.

Figure 1-18 Battery Power Indicator on the Status Bar

A

A Battery level indicator

PageWriter TC Cardiograph Service Manual

1-39

Introduction

Installing the Batteries

To check the battery power level:

1

From any screen, tap on the battery icon on the Status Bar ( ). The Battery Status window appears. This window provides detailed information on the status of the cardiograph batteries. The battery icon indicates the overall charge status of the battery.

Table 1-2 Battery Icon (on Status Bar or Battery Status window)

Icon on Status Bar Battery Level

Fully Charged Battery

75% power capacity

50% power capacity

Low Battery Power:

 red battery icon appears when power level is below

25%

 cardiograph beeps and an error message appears until the unit is plugged into AC power (audio feature may be disabled) tap the icon to see how many minutes are left of operating battery power

If overall battery power is below 15% and the cardiograph is in Standby, when the On/Standby button

( ) is pressed it will flash green five times and the cardiograph will be unable to return to active use. Plug the cardiograph into AC power to recharge the batteries.

No or Dead Battery

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PageWriter TC Cardiograph Service Manual

Using the On/Standby Button

N O T E

Introduction

If the Plug in the Cardiograph message appears, the cardiograph needs to be plugged into AC power immediately.

Figure 1-19 Battery Status Information with Plug in the Cardiograph message

2

Touch the

Close

button to close the window.

Using the On/Standby Button

The On/Standby button ( ) is used to:

 put the cardiograph into Standby when not in active use in order to conserve battery power

 shut down all power to the cardiograph for extended periods of inactivity return the cardiograph to active use

CAUTION

Ensure that all patient data from an active patient session is saved before entering Standby, or shutting down the cardiograph. Unsaved patient data (patient identification information, unreviewed Event Markers, unsaved ECGs) are deleted when the cardiograph enters Standby.

To put the cardiograph into Standby (power save):

1

Press the On/Standby button gently to put the cardiograph into Standby. When the cardiograph is in Standby, the screen is black.

T I P

2

Plug the cardiograph into AC power whenever possible to recharge the batteries.

Press the On/Standby button again to return the cardiograph to active use. The previously viewed screen (prior to entering Standby) appears.

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1-41

Introduction

Using the Wireless LAN Card

N O T E S

If overall battery power is below 15% and the cardiograph is in Standby, when the On/Standby button is pressed it will flash green five times and the cardiograph will be unable to return to active use. Plug the cardiograph into AC power to recharge the batteries.

2

If the Disclose or Rhythm screens are viewed prior to entering Standby, the Main screen will appear when the cardiograph is returned to active use.

To shut down the cardiograph:

1

Press and hold the On/Standby button for 3 seconds to shut down the cardiograph. When the cardiograph is shut down, any unsaved patient data is lost.

Press the On/Standby button to return the cardiograph to active use. The cardiograph fully restarts and the Main screen appears.

Using the Wireless LAN Card

The PageWriter TC cardiograph supports wireless connectivity which is used to transfer ECG and order data between the cardiograph and a TraceMaster ECG Management System. The cardiograph can also be configured to transfer ECG data using a wireless connection to a third party ECG management system. For information on configuring cardiograph connectivity with a TraceMaster or other third party ECG management system, see the PageWriter TC

Cardiograph Network Configuration Guide available on the User Documentation and

Training DVD, or the file can be downloaded from the Philips InCenter site.

CAUTION

Only use wireless LAN cards with the PageWriter TC cardiograph that have been purchased from

Philips Medical Systems. The use of non-approved wireless LAN cards with either model cardiograph is not tested or supported, and Philips Medical Systems does not guarantee cardiograph operation or wireless LAN connectivity.

For information on installing the card and configuring the cardiograph for wireless transmission, see the PageWriter TC Cardiograph Wireless LAN Installation Instructions. The file is available for download from the Philips InCenter site ( incenter.medical.philips.com

).

For information on ordering the wireless card, see “Supplies and Ordering Information” on page 5-7.

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PageWriter TC Cardiograph Service Manual

Using the Modem Card

Introduction

Using the Modem Card

The modem card is an optional accessory that is used to fax ECGs to a configured receiving fax machine, or is used to transfer ECGs or orders by modem between the cardiograph and a

TraceMaster ECG Management System. The cardiograph can also be configured to transfer

ECG data by modem to a third party ECG management system. For information on configuring cardiograph connectivity with a TraceMaster or other third party ECG management system, see the PageWriter TC Cardiograph Network Configuration Guide available on the User Documentation and Training DVD, or the file can be downloaded from the Philips InCenter site.

For information on ordering the modem card, see “Supplies and Ordering Information” on page 5-7.

WARNING

Do not connect the modem card to a phone line when the cardiograph is connected to a patient.

Using the USB Memory Stick

The USB memory stick is an optional accessory that is used to transfer orders to the cardiograph from a computer that has the WebSelect Utility installed, and can also be used to transfer completed ECGs (as either an XML or as a PDF file) from the cardiograph to a

TraceMaster ECG Management System, remote networked PC or server, or other third party

ECG management system. The USB memory stick can also be used to save custom settings specified on the Setup screens as a Custom Settings file. This Custom Settings file can then be transferred to additional cardiographs to help speed up the configuration process.

For information on using the WebSelect Utility, see the Using OrderVue with PageWriter

Cardiographs guide. This guide is available for download from the Philips InCenter site. For

information on the Philips InCenter site, See "Using the Philips InCenter Site" on page 1-3

CAUTION

The PageWriter TC cardiographs only support the USB memory stick that is available for purchase as an optional accessory from Philips Medical Systems. Philips does not guarantee that other USB memory sticks are compatible with the PageWriter TC cardiographs.

PageWriter TC Cardiograph Service Manual

1-43

Introduction

Figure 1-20 USB memory stick inserted into USB connector

Using the Barcode Reader

A

CAUTION

A USB memory stick inserted into USB connector (tip illuminates when properly inserted)

The USB memory stick can store up to 200 ECGs and 200 orders. Ensure that the USB memory stick is firmly inserted into the USB connector located on the front right side of the cardiograph (next to the battery door). The tip of the USB memory stick illuminates when it is properly inserted into the USB connector.

Do not insert a USB memory stick into the cardiograph, or remove a USB memory stick from the cardiograph when the cardiograph is acquiring ECG data from a patient.

CAUTION

Only use the USB memory stick to transfer data between a PageWriter TC cardiograph and a computer. Do not use the memory stick with other devices.

Using the Barcode Reader

The barcode reader is an optional accessory that is used to quickly enter ID information by scanning a barcode.

The barcode reader attaches to the barcode reader connector ( ) on the rear panel of the cardiograph. Attach the barcode reader to the cardiograph before turning on AC power. For

information on ordering the barcode reader, see “Supplies and Ordering Information” on page 5-7.

N O T E

The Metrologic Scanner Instructions for Use (only available in English), which provides complete information on configuring and using the barcode scanner, is included on the User Documentation and

Training DVD, or is available for download from the Philips InCenter site.

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PageWriter TC Cardiograph Service Manual

Using the Cardiograph Touch Screen

Figure 1-21 The Barcode Reader

Introduction

Using the Cardiograph Touch Screen

The touch screen provides access to all of the cardiograph features. Simply touch the buttons on the screen to open the different screens and to perform different functions.

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1-45

Introduction

Using the Cardiograph Touch Screen

Touch Screen Overview

The touch screen is organized into different areas that are grouped by function. The following sections provide an overview of each area of the touch screen.

Figure 1-22 Touch Screen Overview

A B C

D

E

F

K

J

Table 1-1

Touch Screen Item

A

Touch Screen Overview

Feature

Selected Exam Type

I H G

Description

The Exam Type selected for the current patient session.

The available Exam Types are:

Resting 12-

Lead

,

Resting Extended Lead

(PageWriter

TC70/TC50 only), and

Timed ECG.

Touch the button to change the selected Exam

Type.

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PageWriter TC Cardiograph Service Manual

Using the Cardiograph Touch Screen

Introduction

Table 1-1

Touch Screen Item

B

Touch Screen Overview (continued)

Feature

Exam Layout

C

D

E

F

G

Current Operating

Settings

Status Bar

Waveform Display

Toolbar

Help

Description

The settings underneath this button include the selected ECG report layout settings, and the level of interpretation generated by the Philips algorithm that are being applied to the selected

Exam Type.

Any of the settings on this screen may be edited, and the new settings are applied to the current patient session.

The settings underneath this button include the selected filters (Artifact, Baseline Wander), pacing detection setting, and report scaling settings being applied to the current patient session.

The

Unknown

pacing setting is recommended for most ECGs.

Displays information about the current cardiograph settings, including selected Exam

Type, current patient name, network connectivity status, PIM status, and the current date and time.

See "The Status Bar" on page 1-51.

Display area for ECG waveforms. Lead connection quality is indicated by the color of the waveform.

Press the up arrow ( ) or the down arrow

( ) key (on keyboard) to change the displayed lead format.

All cardiograph ECG acquisition modes and ECG management features.

Provides information on how to use the cardiograph.

H Setup

The settings underneath this button are used to configure or change cardiograph settings, or to access the service utilities. Access to these screens may require entering a password.

PageWriter TC Cardiograph Service Manual

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Introduction

Using the Cardiograph Touch Screen

Table 1-1

I

Touch Screen Overview (continued)

Touch Screen Item Feature

ECG Storage and

Management Features

J

K

Rhythm and Disclose

Features

1-2-3 Operation

Features

Description

Provides access to the ECG Archive, which is used as temporary storage for all ECGs acquired on the cardiograph.

From the Archive, ECGs may be transferred (as an XML file or as a PDF file) to a TraceMaster

ECG Management System, a third party ECG management system, a USB memory stick, or as a PDF file only to a configured networked remote PC or server.

From the Archive, a TraceMaster server may be searched for previous ECGs to view and print on the cardiograph.

The number on the button (

9

) displays the number of ECGs currently stored in the

Archive.

The Rhythm feature is used to print continuous rhythm strips until the

Stop

button is touched.

The Disclose feature is used to review captured

Events, to view continuous data from one selected lead, or to print ECG reports in a variety of formats.

The number on the

Disclose

button (

0

) displays the number of Events currently stored in

Disclose.

The

Map

,

ID

, and

ECG

buttons are used in sequence to acquire and print an ECG.

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PageWriter TC Cardiograph Service Manual

Using the Cardiograph Touch Screen

Introduction

Changing the Lead Format on the Main ECG Screen

The format of the waveforms that display on the Main screen can be changed at any time. The

available lead formats are described in Table 1-3.

Table 1-3

6x2 (12-lead option) or

Split Screen View (16-lead option)

3x4

Main Screen Lead Formats

Lead Format

12x1 or 16x1

Description

This view provides ten seconds of continuous ECG waveform data for each available lead

The 16x1 format is only available with the PageWriter

TC70 cardiograph with the 16-lead option

The PageWriter TC50 cardiograph with the 16-lead option will only display the 12x1 view; to view all 16 leads select the split screen view (see below)

This view provides five seconds of continuous ECG waveform data for each lead on a split screen

In the split screen display, the limb and augmented leads are on the left, and the precordial leads are on the right for both the 12-lead and the 16-lead display option

For the TC30 cardiograph only, this is the default lead

format on the cardiograph, see (see Figure 1-23 on page 1-50)

This view provides 2.5 seconds of waveform data for each lead, with 3 total rows with 4 leads in each row

In this view, the limb and augmented leads are on the left, and the precordial leads are on the right

In this view, only 12 leads are displayed even if the

16-lead option is being used

PageWriter TC Cardiograph Service Manual

1-49

Introduction

Using the Cardiograph Touch Screen

Figure 1-23 Main Screen with Split Screen View (12 Leads Displayed)

A B

A Limb Leads

B

Precordial Leads

To change the lead display on the main screen:

1

Press the down arrow key (on keyboard) or the up arrow key to scroll through the available Main screen lead formats.

2

Press the up arrow key (on keyboard) to change the display back to the original view.

3

For the TC30 cardiograph only, the lead format that displays on the Main screen when the cardiograph is shut down (by pressing and holding the On/Standby button ( ) will be retained once the cardiograph is returned to active use.

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PageWriter TC Cardiograph Service Manual

Using the Cardiograph Touch Screen

Introduction

The Status Bar

The Status Bar (top of the screen) provides information about the current cardiograph settings.

The Status Bar is always visible.

Figure 1-24 The Status Bar

A B C D E F G H

K

Table 1-4

Status Bar Item

A

The Status Bar

Feature

Selected Exam Type

B

C

D

ECG Layout

Operating Settings

Event Marker Alert

J

I

Description

The Exam Type selected for the current patient session.

The available Exam Types are:

Resting 12-

Lead

,

Resting Extended Lead

(PageWriter

TC70/TC50 only), and

Timed ECG

.

The current ECG report layout settings, including the level of interpretation generated by the algorithm.

Any of the settings on this screen may be edited for the current patient session.

The current selected filters (Artifact, Baseline

Wander), pacing detection setting, and report scaling settings.

The

Unknown

pacing setting is recommended for most ECGs.

If this flashing icon appears, saved Event markers ( ) have not yet been reviewed on the Disclose screen, and will be deleted within the next 5 minutes (TC70 cardiograph), the next 2 minutes (TC50 cardiograph), or the next

75 seconds (TC30 cardiograph).

Touch the

Disclose

button on the toolbar to review saved Events.

PageWriter TC Cardiograph Service Manual

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Introduction

Using the Cardiograph Touch Screen

Table 1-4

F

G

H

The Status Bar (continued)

Status Bar Item

E

Feature Description

PIM Disconnected

Caps Lock

If this icon appears, the Patient Interface

Module (PIM) is not connected to the cardiograph.

Check that the PIM cable is firmly attached to the connector on the cardiograph, and that there are no breaks or cracks in the cable.

Indicates that the Caps Lock setting is enabled

(keyboard types in all capital letters).

Touch the Caps Lock key (on keyboard) to disable the setting.

LAN and Wireless LAN

Connectivity

LAN connectivity:

Indicates if the cardiograph is connected to a live Ethernet connection through the LAN connector ( cardiograph.

) on the rear of the

If no LAN connection is detected, a red “x” mark appears on the icon ( ).

Wireless LAN connectivity:

Indicates the signal strength of a the wireless

LAN connection.

Green bars indicate that the wireless adapter is associated to an access point. The higher the number of green bars, the better the connection.

No bars indicates that the cardiograph is losing the wireless LAN signal and that the cardiograph should be moved to an area with a stronger signal.

Gray inactive bars ( ) indicate that the wireless adapter is unable to associate to an access point.

Battery Power Indicator

Displays the available battery power. For more

information, see “Battery Power Indicator” on page 1-39.

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PageWriter TC Cardiograph Service Manual

Using the Keyboard Shortcuts

Introduction

Table 1-4

J

I

K

The Status Bar (continued)

Status Bar Item Feature

Date and Time

Heart Rate Indicator

Description

Displays the current date and time.

The date and time can be set manually, or the cardiograph can be configured to automatically synchronize the date and time with a TraceMaster ECG Management server.

Go to the

Archive

or

Setup

screens to manually change the date and time (accessing these screens may require entering a password). Tap the displayed date and time to edit the settings.

Displays the patient heart rate in beats per minute.

The icon appears in white when no patient is attached to the cardiograph

Patient Date of Birth,

Name, and ID Number

Note: The heart rate indicator measurement has been verified with a simulator that can generate ECG waveforms up to 240 bpm (beats per minute).

Accuracy of this measurement beyond 240 bpm has not been verified

Displays the date of birth, patient name, and patient ID number for the current patient session.

Using the Keyboard Shortcuts

The following key stroke combinations can be used from any cardiograph screen.

Table 1-5 Keyboard Shortcuts

Keyboard Shortcut

Ctrl

+

Alt

+

C

Ctrl

+

Alt

+

P

Action

Runs the Touch Screen Calibration test. See “Touch Screen

Calibration and Test” on page 3-45 for more information.

Saves a screen capture of the current cardiograph screen as a

.bmp graphic file to an inserted USB memory stick.

PageWriter TC Cardiograph Service Manual

1-53

Introduction

Using the Keyboard Shortcuts

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PageWriter TC Cardiograph Service Manual

2

1

Cardiograph Care and Maintenance

The following chapter contains information about basic cardiograph care, and periodic cardiograph maintenance that may be required. If further technical assistance is required,

contact the nearest Philips Response Center, see page 5-13.

Table 2-1 Recommended Frequency of Maintenance Tasks

Component

Cardiograph and

Patient Interface

Module (PIM)

Cleaning

Changing the

Printer Paper

Replacing the

Batteries

Battery

Calibration

Recommended

Frequency

Weekly, or after patient use if patient’s skin comes into contact with PIM

Weekly

Maintenance Task and page number

“Cardiograph and PIM Cleaning” on page 2-3

Patient Data Cable and Lead Wire

Cleaning

Reusable

Electrode

Cleaning

Print Head

Cleaning

After each patient use

“Patient Data Cable and Lead Wire Cleaning” on page 2-4

“Reusable Electrode Cleaning” on page 2-5

When necessary due to uneven print quality

“Cleaning the Print Head” on page 2-6

When necessary

“Changing the Printer Paper” on page 2-7

When necessary

When necessary, due to inaccurate battery status information displayed on cardiograph

“Replacing the Batteries” on page 2-10

“Battery Calibration” on page 2-12

2-1

Cardiograph Care and Maintenance

Table 2-1

Recommended Frequency of Maintenance Tasks (continued)

Component

Patient Interface

Module (PIM)

Test

Ping Test

Recommended

Frequency

When necessary, to confirm that the PIM is communicating with the cardiograph

When necessary, to confirm that the cardiograph can successfully communicate with an entered

IP address

Weekly

Maintenance Task and page number

“Patient Interface Module (PIM) Test” on page 2-14

“Ping Test” on page 2-15

Lead Wire

Performance Test

Touch screen calibration

When necessary, due to decreased touch screen performance

Weekly

“Lead Wire Performance Test” on page 2-15

“Touch Screen Calibration” on page 2-16

Touch screen cleaning

Changing the date and time

When necessary

Replacing the

PageWriter TC50/

TC30 Cardiograph

Fuse

When the cardiograph is plugged into AC power, but the green AC power indicator light does not illuminate

Cardiograph

Overall Sensitivity

Test

Once per year

“Touch Screen Cleaning” on page 2-16

“Changing the Date and Time” on page 2-17

“Replacing the PageWriter TC50/TC30

Cardiograph Fuse” on page 2-18

The overall sensitivity test is used to test the calibration voltage. According to IEC 60601-2-

51, this test should be run regularly. Taking an

ECG using a 12-lead simulator allows you to verify areas of operation that the extended self tests cannot check, and allows you to verify the accuracy of the sensitivity settings. See

“Cardiograph Overall Sensitivity Test” on page 2-19.

2-2

PageWriter TC Cardiograph Service Manual

Cardiograph and PIM Cleaning

Cardiograph Care and Maintenance

Cardiograph and PIM Cleaning

WARNING

Electrical shock hazard. Keep the cardiograph, Patient Interface Module (PIM), and all cardiograph accessories away from liquids. Do not immerse the cardiograph, PIM, or other accessories in any liquids.

WARNING Always clean and disinfect the Patient Interface Module (PIM) after patient use, if the

PIM comes into direct contact with the patient’s skin. Failure to properly clean and disinfect the PIM after direct contact with the patient’s skin may cause infectious materials to be transferred between patients.

CAUTION

To clean the cardiograph and PIM:

1

Unplug the AC power cord.

2

Ensure that the AC power indicator light (next to power button) is not lit.

3

Wipe the external surfaces of the cardiograph and the PIM with a soft cloth dampened in any of the approved cleaning solutions listed below.

When cleaning, avoid the lead wire connectors and patient data cable connectors.

Approved Cleaning Solutions

Mild soap and water

Isopropyl alcohol (consisting of 70% solution)

Chlorine bleach (5.25% sodium hypochlorite content) mixed as 3% solution in water

Quaternary ammonium compounds such as Steris Coverage Plus NPD, mixed as one half fluid ounce per gallon water, or one part Coverage Plus NPD to 256 parts water

CAUTIONS

Do not use strong solvents or abrasive cleaning materials.

Do not use any of the following to clean the cardiograph:

Acetone

Iodine-based cleaners

Phenol-based cleaners

Ethylene oxide sterilization

Ammonia-based cleaners

The cardiograph, PIM, lead wires, and patient data cable should not be autoclaved, ultrasonically cleaned, or immersed.

PageWriter TC Cardiograph Service Manual

2-3

Cardiograph Care and Maintenance

Patient Data Cable and Lead Wire Cleaning

Patient Data Cable and Lead Wire Cleaning

Prior to cleaning the patient data cable, inspect the patient data cable for any cracks or breaks in the cable insulation. If the integrity of the patient data cable is not assured, replace the

patient data cable. Contact Philips Medical Systems for further assistance, see “Contacting a

Philips Response Center” on page 5-13.

Approved Cleaning Solutions

Mild soap and water

Isopropyl alcohol (consisting of 70% solution)

Chlorine bleach (5.25% sodium hypochlorite content) mixed as 3% solution in water

Quaternary ammonium compounds such as Steris Coverage Plus NPD, mixed as one half fluid ounce per gallon water, or one part Coverage Plus NPD to 256 parts water

CAUTIONS

Do not use strong solvents or abrasive cleaning materials.

Do not use any of the following to clean the cardiograph:

Acetone

Iodine-based cleaners

Phenol-based cleaners

Ethylene oxide sterilization

Ammonia-based cleaners

The cardiograph, PIM, lead wires, and patient data cable should not be autoclaved, ultrasonically cleaned, or immersed.

CAUTION

To clean the patient data cable and lead wires:

1

Dampen a soft cloth with soapy water or with one of the disinfectants or cleaning agents

listed in “Approved Cleaning Solutions” on page 2-4.

2

Wring excess moisture from the cloth before cleaning.

Do not:

 Autoclave the patient data cable or lead wires or use ultrasonic cleaners

Immerse

Use abrasive materials

 Wet the connectors

2-4

PageWriter TC Cardiograph Service Manual

Reusable Electrode Cleaning

Cardiograph Care and Maintenance

Reusable Electrode Cleaning

Reusable limb clamp and Welsh Bulb electrodes must be cleaned after each use.

WARNING

Always clean and disinfect reusable electrodes before patient use. Failure to properly clean and disinfect reusable electrodes before patient use may cause infectious materials to be transferred between patients.

Figure 2-1 Welsh Bulb and Limb Clamp Electrode

CAUTION

To clean reusable electrodes:

1

For Welsh Bulb electrodes only: detach the rubber bulb from the metal cup by pulling.

Wash the rubber bulb in warm water. Remove all electrolyte gel residue, check inside the rubber bulb to ensure that all residue is removed.

2

For all reusable electrodes: dampen a soft cloth with one of the disinfectants or cleaning agents listed below.

Cidex Ortho Phthaladehyde

Cetylcide

Vesphene 2 Aqueous Phenolic Germicidal Agent

Do not:

Use isopropyl alcohol

Autoclave the reusable electrodes or use ultrasonic cleaners

Use abrasive materials

3

4

5

Wring excess moisture from the cloth before cleaning.

Dry the bulb and cup of the Welsh Bulb electrode thoroughly before use.

Store the reusable electrodes away from direct sunlight and excessive heat when not in use.

PageWriter TC Cardiograph Service Manual

2-5

Cardiograph Care and Maintenance

Cleaning the Print Head

Cleaning the Print Head

Clean the print head periodically, as a dirty print head may cause poor or uneven print quality.

Clean the print head more frequently when printing large volumes of ECGs.

Figure 2-2 PageWriter TC70 Cardiograph Cleaning the Print Head

A

Figure 2-3 PageWriter TC50 Cardiograph Cleaning the Print Head

A

2-6

PageWriter TC Cardiograph Service Manual

Changing the Printer Paper

Cardiograph Care and Maintenance

Figure 2-4 PageWriter TC30 Cardiograph Cleaning the Print Head

A

A Print head

To clean the print head:

1

Open the paper drawer.

2

Wipe the print head lightly with a foam swab dipped in 90% alcohol.

3

Allow the print head to dry.

Changing the Printer Paper

Replace the printer paper when a red stripe appears on the printed ECG report. Only use

Philips Medical Systems replacement printer paper. For part ordering information, see

“Supplies and Ordering Information” on page 5-7.

To change the printer paper:

1

Open the paper drawer and remove any remaining sheets. Lift up the paper hold down bar.

A

A Paper hold down bar

PageWriter TC Cardiograph Service Manual

2-7

Cardiograph Care and Maintenance

Changing the Printer Paper

2

Insert a new pack of printer paper with the printed side facing up. Make sure that the hole for the paper sensor is positioned as shown below.

A

3

A Paper sensor hole

Drape the first sheet over the roller and place the paper hold down bar on top of the paper.

A

4

A Paper hold down bar

Close the paper drawer.

2-8

PageWriter TC Cardiograph Service Manual

Battery Maintenance and Care

Cardiograph Care and Maintenance

Battery Maintenance and Care

The PageWriter TC70 cardiograph operates with two removable lithium ion batteries that supply power to the cardiograph during mobile use. The PageWriter TC50 and PageWriter

TC30 cardiograph use either one or two removable lithium ion batteries that supply power to the cardiograph during mobile use.

For optimal battery performance:

When operating the PageWriter TC50 or PageWriter TC30 cardiograph with one battery installed, only use the Philips battery with part number 989803170371. Do not use the battery with Philips part number 989803160981 for one battery operation.

When operating any model of the PageWriter TC cardiograph with two batteries installed, ensure that both batteries contain the same Philips part number. The battery part number identification label is found on the bottom of the battery. The cardiograph cannot operate with two batteries that contain different part numbers. If the cardiograph is operated with two batteries with different part numbers, the cardiograph will display an error message.

Before initial use, fully charge the batteries for five hours before operating the cardiograph without AC power. Regularly and consistently charging the batteries will prolong battery life.

Charging, storing, or using the batteries at temperatures above 50 o

C (122 o

F) can damage the batteries and reduce overall battery life.

Check the battery power indicator on the Status Bar. Tap the battery icon on the Status Bar

for information on remaining battery power, see Figure 1-18 on page 1-39.

Always charge the batteries when the cardiograph is not in use. Plug the cardiograph into

AC power. Ensure that the green AC power indicator light on the front of the cardiograph is lit. The batteries will charge while the cardiograph is in use, but will charge at a slower rate.

Operate the cardiograph, charge the batteries, and store the batteries at a room temperature of 25 o

C (77 o

F) or lower. Exposure to higher temperatures may reduce battery life, damage the batteries, and degrade overall cardiograph performance.

If the cardiograph will be stored for more than sixty days without use, fully charge the batteries, and after the batteries are fully charged remove AC power from the cardiograph, and then remove the batteries from the cardiograph. Store the batteries in a cool, dry location. A set of fully charged batteries stored outside the cardiograph will need to be recharged every sixty days.

PageWriter TC Cardiograph Service Manual

2-9

Cardiograph Care and Maintenance

Battery Maintenance and Care

Replacing the Batteries

WARNING

Properly dispose of or recycle depleted batteries according to local regulations. Do not disassemble, puncture, or incinerate the disposed batteries.

WARNING

Carefully follow the instructions for replacing the batteries. Only use batteries with

Philips part number 989803160981 or Philips part number 989803170371.

CAUTIONS

Before removing and replacing batteries from the cardiograph, press down and hold the On/

Standby button ( ) (located on the front of the cardiograph), to shut down the cardiograph.

Ensure that the cardiograph is shut down. When the cardiograph is fully shut down, the screen is black, and the On/Standby button is not illuminated. Once the cardiograph is shut down, proceed to remove and replace the batteries.

When removing batteries from the cardiograph, the batteries could feel warm to the touch.

How often batteries need to be replaced depends on how well the battery is maintained and how much it is used. If the batteries are fully charged but lose significant power after only a few ECGs, consider replacement. For information on ordering replacement batteries, see

“Supplies and Ordering Information” on page 5-7.

To install the batteries:

1

Press and hold the On/Standby button

( )

(located on the front of the cardiograph).

Ensure that the cardiograph is shut down. When the cardiograph is fully shut down, the screen is black and the On/Standby button is not illuminated.

2

Unplug the cardiograph from AC power.

3

Open the battery door.

2-10

PageWriter TC Cardiograph Service Manual

Battery Maintenance and Care

Cardiograph Care and Maintenance

4

Remove the batteries from the battery compartment by pulling on the gold straps.

N O T E

5

Insert the replacement battery with the external connector facing the bottom rear of the compartment.

If operating the PageWriter TC50 or PageWriter TC30 cardiograph with one battery installed, the battery may be inserted into either battery compartment.

6

Ensure that the battery is fully inserted into the slot. The pull tab will insert along with the battery. Insert the second battery following the same procedure.

PageWriter TC Cardiograph Service Manual

2-11

Cardiograph Care and Maintenance

7

Reinstall the battery door.

Battery Calibration

8

Connect the AC power cord to the cardiograph. Charge the batteries for five hours before operating the cardiograph on battery power only.

Battery Calibration

Battery calibration may be necessary in order to enhance the accuracy of the battery level indicator that displays on the Status Bar. If the accuracy of this indicator is affected, the other battery indicators included on the Battery Status window (that is opened by tapping the battery icon on the Status Bar) may also be less accurate.

2-12

PageWriter TC Cardiograph Service Manual

Battery Calibration

Figure 2-5 Battery Power Indicator on the Status Bar

Cardiograph Care and Maintenance

A

A Battery level indicator

The recommended intervals for battery calibration are dependent upon factors in your clinical use model. When the battery power indicators are not functioning so that they are useful in your daily work environment, Philips recommends calibrating the batteries following the procedure described in this section.

The battery calibration procedure requires that the cardiograph be taken out of active use for up to 8 hours.

To calibrate the batteries on the cardiograph:

1

Attach the AC power cord to the cardiograph. Ensure that the AC power supply is connected to a grounded electrical outlet and that the cardiograph is receiving AC power.

Check that the AC power indicator light (located next to the On/Standby button) is lit.

2

Fully charge the batteries.

3

To ensure that the batteries are fully charged, view the

Charge Current

field in the

Service Utility. Touch the

Setup

button on the toolbar. Select the Service Utility from the

Configuration Setup and Service Utilities menu.

N O T E

4

5

Accessing the Service Utility may require entering a password. If a password is lost and cannot be

retrieved, contact the Philips Response Center for assistance (see page 5-13).

From the Service Utility screen, ensure that the

About the Cardiograph

button is selected

(top of screen). A selected button is highlighted in blue.

Underneath the

Battery Status

column (middle of screen), check that the

Charge

Current

field for both batteries display

0 mA

, ensuring that both batteries are fully charged.

6

7

8

9

Touch the

Print

button (top of screen) to print out a report of the cardiograph settings displayed on this screen.

Touch the

Exit

button (lower right hand corner of screen). Touch the

Exit

button again on the Setup main menu.

Once the Main screen appears, touch the

ID

button to open the ID entry screen. Ensure that the ID screen remains open.

Unplug the cardiograph from AC power. Ensure that the AC power indicator light (located next to the On/Standby button) is not lit.

10

Keep the ID screen displayed and allow the batteries to deplete of all battery power. This process will take approximately 8 hours to complete. When the batteries are depleted of all power, the screen is black and the cardiograph cannot be returned to active use by touching the On/Standby button.

PageWriter TC Cardiograph Service Manual

2-13

Cardiograph Care and Maintenance

Patient Interface Module (PIM) Test

N O T E

11

Once the batteries are fully depleted, reconnect the cardiograph to AC power. Press the

On/Standby button to power on the cardiograph in order to confirm successful calibration.

Afterwards, charge the batteries fully before returning the cardiograph to active use.

12

On the Main screen, touch the

Setup

button.

13

Select the

Service Utility

from the

Configuration Setup and Service Utilities

menu.

14

From the Service Utility screen, ensure that the

About the Cardiograph

button is selected

(top of screen). A selected button is highlighted in blue.

15

Underneath the

Battery Status

column, check that the

Expected Max Error (%)

and

Full

Capacity (mAh)

values as viewed on the screen are different than the values printed on the report generated from the Service Utility screen. If the values are different, the battery calibration procedure is complete.

If the Expected Max Error (%) field has not been reset to 2%, another calibration procedure may be necessary. The max error value may not change if the full charge capacity has been decreased by more than 256 mAh or increased by more than 512 mAh. If this occurs, another calibration procedure is recommended as soon as it is convenient to further improve the accuracy of displayed battery status information. For batteries with more than 8% of error, the maximum error will remain unchanged if a limited calibration cycle occurs.

Patient Interface Module (PIM) Test

This test is used to confirm that the Patient Interface Module (PIM) is communicating with the cardiograph. This test can be performed when the cardiograph displays PIM error messages, or when the cardiograph is unable to acquire data from the PIM. Be sure that the PIM patient data cable is securely attached to the PIM connector on the rear of the cardiograph before performing the test.

If this test fails, it may indicate a problem with the PIM or with the PIM patient data cable.

To perform the PIM Test:

1

Ensure that the patient data cable is securely attached to the PIM connector ( the rear of the cardiograph. Ensure that the PIM disconnected icon (

) on

) does not appear on the Status Bar (top of screen).

2

Touch the

Setup

button on the bottom toolbar. The Configuration Setup and Service

Utilities menu appears.

3

4

5

Touch

Configure Cardiograph Default Settings

. On the Default Cardiograph Settings screen, touch the

Maintenance Test

button (upper right side of screen).

The Maintenance Test screen appears. Touch the

Patient Interface Module (PIM) Test

button. The PIM test automatically starts and the results appear on the screen. The

Patient

Interface Module (PIM) Test

window reports the

PIM Option

, the currently installed software

PIM Kernel Version

, and if the PIM Test has failed or passed. If the message

PIM Test Passed

appears, the PIM is communicating properly with the cardiograph.

Touch the

Close

button to close the window.

2-14

PageWriter TC Cardiograph Service Manual

Ping Test

Cardiograph Care and Maintenance

6

If the message

PIM Test Failed

appears, check that the PIM patient data cable is securely attached to the PIM connector on the rear of the cardiograph. If the error message persists, contact the Philips Response Center for assistance.

Ping Test

The Ping Test is used with a wireless or wired network connection to verify that the cardiograph can successfully communicate over a network connection to an entered IP address.

To perform the Ping Test:

1

Ensure that the LAN cable is securely attached to the LAN connector ( ) on the rear of the cardiograph, or that the wireless LAN connection is associated to an access point and that green bars appear on the Status Bar (top of screen), indicating a live wireless connection.

2

Touch the

Setup

button on the bottom toolbar. The Configuration Setup and Service

Utilities menu appears.

3

4

5

6

Touch

Configure Cardiograph Default Settings

. On the Default Cardiograph Settings screen, touch the

Maintenance Test

button (upper right side of screen).

On the Maintenance Test screen, touch the

Ping Test

button. The Ping Test window appears.

Enter the IP address to ping. Touch the

Ping

button.

The Ping Test results window appears and reports the test results.

Lead Wire Performance Test

The Lead Wire Performance Test should be run on a weekly basis. This test examines all of the lead wires for shortages and reports the results. Lead wire shortages can often be subtle and appear as intermittent ECG signal loss, signal noise, or reduced signal amplitude. Any lead that is reported as having a shortage must be replaced.

To perform the Lead Wire Performance Test:

1

Ensure that the patient data cable is securely attached to the PIM connector ( the rear of the cardiograph. Ensure that the PIM disconnected icon (

) on

) does not appear on the Status Bar (top of screen).

2

Ensure that all leads are securely attached to the lead connectors on the PIM.

3

4

5

Disconnect the PIM from a patient or patient simulator before starting the test.

Touch the

Setup

button on the bottom toolbar. The Configuration Setup and Service

Utilities menu appears.

Touch

Configure Cardiograph Default Settings

. On the Default Cardiograph Settings screen, touch the

Lead Wire Performance Test

button.

PageWriter TC Cardiograph Service Manual

2-15

Cardiograph Care and Maintenance

Cardiograph and Accessory Disposal

6

7

The Lead Wire Performance Test window appears with the message

Checking

Leadwires...

At the conclusion of the test, any lead wire shortages are identified on the same window.

Replace any leads that are identified as having a lead wire shortage. Touch the

Close

button when done.

Cardiograph and Accessory Disposal

When the cardiograph has reached the end of its product life, dispose of it according to local ordinances. When any of the cardiograph accessories reach the end of their product life, dispose of these items in accordance with manufacturer instructions and local ordinances.

Maintaining the Touch Screen

The touch screen may require occasional maintenance, including calibration and cleaning.

Touch Screen Calibration

The touch screen may be calibrated at any time. Calibration is recommended if it requires many attempts to select an item on the screen, or if selecting items on a specific area of the screen is difficult.

The touch screen may also require calibration if the cardiograph is used in different settings

(seated instead of standing) or by users of significantly different height. The touch screen may need to be recalibrated to work optimally in the new setting or with the new user.

To calibrate the touch screen:

1

From any screen, touch the

Ctrl

+

Alt

+

C

keys (on keyboard) at the same time. Or, touch the

Setup

button on the Toolbar (accessing the Setup screens may require entering a password). On the following screen, touch

Configure Cardiograph Default Settings

.

Touch the

Maintenance Test

button (top right of screen), and then touch

Touch Screen

Calibration and Test

.

2

A white screen appears with a cross hair (center of screen). Touch the middle of the cross hair where the two lines intersect. When the cross hair is touched it moves to a new location. Continue to touch the center of the cross hair.

3

Tap the screen (when a message appears) to end the test.

2-16

Touch Screen Cleaning

The touch screen may require occasional cleaning.

To clean the touch screen:

1

Dampen a soft cloth with water or with isopropyl alcohol.

2

Wring excess moisture from the cloth.

3

Wipe the touch screen area clean. Allow the touch screen to dry completely before use.

PageWriter TC Cardiograph Service Manual

Changing the Date and Time

Cardiograph Care and Maintenance

4

Perform the Touch Screen Calibration test (see page 2-16) to optimize performance.

Changing the Date and Time

The date and time that displays on the cardiograph may be changed manually, or may be configured to automatically synchronize with a specified TraceMaster server using the Time

Synchronization feature. For more information on configuring the Time Synchronization feature on the cardiograph, see the PageWriter TC Cardiograph Network Configuration Guide on the User Documentation and Training DVD.

Follow the procedure below to manually set the date or time.

N O T E

Opening the Setup screens may require entering a password. If a password is lost and cannot be

retrieved, call the Philips Response Center for further assistance. See "Contacting a Philips Response

Center" on page 5-13.

To set the date and time:

1

Touch the

Setup

button on the main toolbar.

2

The Configuration Setup and Service Utilities menu appears. Touch the button next to

Configure ECG Network Settings

.

3

4

5

6

7

8

The Configure Network Settings screens appear. Touch the

ECG Mgmt Systems

button

(top of screen).

The TraceMaster settings screens appear. The

Create TraceMaster Connection

tab is selected. Touch the

Edit/Delete TraceMaster Connection

tab (top of screen).

Under

Time Synchronization Settings

(middle of screen), touch the

Set

button next to

Manual Time Set

.

The Date and Time Settings window appears with the current specified date and time displayed. To change the current date, touch the back or forward arrows next to the name of the displayed month (to change the month), or touch a date on the calendar to change the date within the displayed month.

To change the displayed time, touch the hour and minutes displayed under

Current Time

, or touch the up or down arrow buttons next to the displayed time to manually change the time. Touch the time designator to change it to

AM

or to

PM

.

Touch the dropdown arrow button under

Time Zone

to change the selected time zone.

N O T E S

9

The time displayed on the cardiograph automatically adjusts for Daylight Savings Time, if applicable.

Touch the Time Sync button to manually synchronize the cardiograph date and time with a specified TraceMaster server.

Touch the

OK

button when done. Touch the

Exit

button (lower right corner of screen) to exit the Setup screen. The new time and date is immediately applied.

PageWriter TC Cardiograph Service Manual

2-17

Cardiograph Care and Maintenance

Replacing the PageWriter TC50/TC30 Cardiograph Fuse

Replacing the PageWriter TC50/TC30 Cardiograph Fuse

The AC fuse needs to be replaced when the cardiograph is plugged into AC power, but the green AC power indicator light does not illuminate.

N O T E

The PageWriter TC70 cardiograph does not have a replaceable fuse.

Figure 2-6 AC power indicator light on TC50 or TC30 cardiograph

A

A AC power on indicator light

Only use replacement AC fuses with Philips part number 453564131221, or use a 1.6 amp

(250V) time-delay fuse the same size and configuration as the original fuse.

Figure 2-7 Replacing the AC Fuse

A

A AC fuse

To replace the AC fuse:

1

Unplug the cardiograph from AC power. Pull out the AC power cord from the AC power connector on the rear of the cardiograph.

2

Locate the AC fuse, which is directly below the AC power connector.

2-18

PageWriter TC Cardiograph Service Manual

Cardiograph Overall Sensitivity Test

Cardiograph Care and Maintenance

3

4

5

Push on both ends of the fuse and pull out the fuse from the fuse holder slot.

Insert the new fuse using the same orientation.

Push the fuse all the way into the fuse holder slot. The fuse snaps into place.

Cardiograph Overall Sensitivity Test

The overall sensitivity test is used to test the calibration voltage. According to

IEC 60601-2-51, this test should be run regularly. Taking an ECG using a 12-lead simulator allows you to verify areas of operation that the extended self tests cannot check, and allows you to verify the accuracy of the sensitivity settings. This test should be run approximately once a year.

Before You Begin

To perform this test, you need an ECG simulator that is calibrated and is able to produce a

1mV

2 Hz

square wave on

Lead I or II

. (The lead you use is dependent on the simulator.)

Performing the Sensitivity Test

To perform the test:

1

Set the simulator to the

2Hz square wave setting and the amplitude to

1mV.

2

Ensure that the Simulated Waveform feature (cardiograph displays simulated patient ECG waveforms) is not enabled on the cardiograph.

3

4

Touch the

Exam

button on the Status Bar, and then touch the

Resting 12-Lead

button.

Touch the factory default

Standard 12-lead

Exam Profile button.

5

6

7 c d a b

Touch the

Settings

button on the Status Bar.

Set the Artifact filter to

OFF

.

Set the Limb Leads setting to

10 mm/mV

.

Set the Speed setting to

25 mm/sec

.

Touch

OK

.

Touch the

ECG

button on the toolbar. If a message appears that no patient information has been entered, touch the

Continue

button. Depending on how the cardiograph is configured, the ECG may automatically print. If not, touch the

Print

button.

Verify Lead I or II for the following items on the printed report:

– The height of the ECG pulses for the sensitivity setting

– Measure the peak of the ECG pulse and calculate the voltage for the sensitivity setting

– Verify that the measured voltage value is

1mV

. Count the boxes that are contained in the square wave from the top to the bottom, using the top left corner of the square wave labeled

A

in Figure 2-8 as the upper boundary, and the lower right corner of the

PageWriter TC Cardiograph Service Manual

2-19

Cardiograph Care and Maintenance

Cardiograph and Accessory Disposal square wave labeled

B

in Figure 2-8 as the lower boundary. The square wave should

measure

10 mm

(10 boxes) with a + 5% margin for error.

Figure 2-8 Overall Sensitivity Test Results or depending on simulator

A B

8

If the results fall outside of the + 5% range, run the test again. If you get the same results, try running the test on a different cardiograph. If the test fails on the other cardiograph, the simulator may be out of calibration. If the test passes on the other cardiograph, it may indicate a problem with your cardiograph. Contact the Philips Response Center for further

assistance. See “Contacting a Philips Response Center” on page 5-13.

Cardiograph and Accessory Disposal

When the cardiograph has reached the end of its product life, dispose of it according to local ordinances. When any of the cardiograph accessories reach the end of their product life, dispose of these items in accordance with manufacturer instructions and local ordinances.

2-20

PageWriter TC Cardiograph Service Manual

3

2

Troubleshooting

This chapter provides information for localizing cardiograph problems to the subassembly level. This information is designed for use with the cardiograph’s diagnostic self-tests to help you efficiently repair the cardiograph with a minimum of equipment.

The Philips Response Center can assist with product troubleshooting and provide technical expertise to help with any issue with the PageWriter TC cardiograph or any of its accessories.

For a full listing of contact phone numbers, see “Contacting a Philips Response Center” on page 5-13.

This chapter provides the following information:

Troubleshooting Cardiograph Issues . . . . . . . . . . . . . . . . . . . . . . . .3-2

Start up Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2

Display Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3

Keyboard Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5

Signal Acquisition Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7

Main Screen Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10

Archive Screen Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12

Configuration Screen Issues . . . . . . . . . . . . . . . . . . . . . . . . . .3-18

Printer Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-21

Compact Flash (CF) Card/USB Memory Stick Issues . . . . . .3-25

TraceMaster ECG Management System Issues . . . . . . . . . . .3-28

Orders Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-30

Remote Query Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-32

Fax Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-34

Log File and Custom Settings Issues . . . . . . . . . . . . . . . . . . .3-34

Lead Map Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . .3-35

Wireless Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-35

Restarting the Cardiograph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-37

Using the Service Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-38

Using the About the Cardiograph Screen . . . . . . . . . . . . . . . .3-39

Using the Diagnostic Tests and Utilities . . . . . . . . . . . . . . . . .3-42

Using the Diagnostic Tests . . . . . . . . . . . . . . . . . . . . . . . . . . .3-45

Viewing and Saving Log Files . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-50

About Log Files. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-50

Saving Log Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-51

3-1

Troubleshooting

Troubleshooting Cardiograph Issues

Troubleshooting Cardiograph Issues

The troubleshooting information in this section will help you to localize a fault and to correct it.

The following charts list symptoms and the steps to follow to investigate and solve the problem. Several failure mode symptoms may actually be hardware induced or triggered, and may require board replacement or opening of the cardiograph for inspection, please contact the

Philips Response Center for further assistance. See “Contacting a Philips Response Center” on page 5-13.

Start up Issues

Table 3-1 Start up Issues

Symptom

Failed to implement custom settings.

The cardiograph will automatically restart and restore current settings.

Please contact the

Philips Response

Center for further assistance.

message

Possible Cause &

Investigation Step

Failure to load a configuration file

Possible Solutions

1

2

3

Restore the factory default settings.

Try loading the configuration file again.

If the problem persists, manually configure the cardiograph settings.

3-2

PageWriter TC Cardiograph Service Manual

Troubleshooting Cardiograph Issues

Troubleshooting

Display Issues

Table 3-2

Symptom

Display Issues

Screen is dark and shows no image

Possible Cause &

Investigation Step

Cardiograph is in Standby.

Cardiograph battery capacity is below 15%.

Power issue: AC Power

AC is applied but AC Power

On indicator LED is dark.

Power issue: Battery

AC is not attached and the battery is inserted into the cardiograph. Push the On/

Standby button. The screen remains dark.

Cardiograph battery capacity is below 15%.

Solution

1

2

3

1

2

3

1

2

3

Press the On/Standby button

( ). Confirm that the cardiograph can be returned to active use.

If the cardiograph does not restart, connect the cardiograph to AC power and then press the On/Standby button.

User training on proper use of Standby.

Inspect AC power connections.

Ensure AC cord is not damaged and is plugged into appropriate live AC power socket.

Ensure that the power cord is is connected to the power input connector on the back of the cardiograph.

Open battery compartment door and inspect battery condition.

Ensure that the gold battery strap is fully extended before installing the battery.

Replace the batteries. See

“Replacing the Batteries” on page 2-10.

PageWriter TC Cardiograph Service Manual

3-3

Troubleshooting

Table 3-2

Symptom

Display Issues (continued)

Possible Cause &

Investigation Step

Display assembly failure

A dialog box shows software version information with a black background

Main board failure

File system is destroyed.

Troubleshooting Cardiograph Issues

Solution

Replace display. Contact the

Philips Response Center for

assistance. See “Contacting a

Philips Response Center” on page 5-13.

Replace Main board. Contact the

Philips Response Center for

assistance. See “Contacting a

Philips Response Center” on page 5-13.

1

2

Wait 2 minutes and perform full software installation, see

“Installing PageWriter TC

Cardiograph Software and

Enabling Tokens” on page 6-1.

Confirm successful software

installation. See “Verifying the Software Installation” on page 6-7.

3-4

PageWriter TC Cardiograph Service Manual

Troubleshooting Cardiograph Issues

Troubleshooting

Keyboard Issues

Table 3-3

Symptom

Keyboard Issues

Keyboard is unresponsive

Possible Cause &

Investigation Step

Input focus loss

Keyboard controller subsystem has failed

Solution

1

2

3

4

5

Touch the cardiograph screen anywhere.

Restart cardiograph. See

“Restarting the Cardiograph” on page 3-37.

Perform the Service Utility

Keyboard/Hardware Key test

on page 3-47.

If the test passes, try using the keyboard again.

If the test fails, replace the keyboard. Contact the Philips

Response Center for

assistance, see “Contacting a

Philips Response Center” on page 5-13.

Touch the cardiograph screen anywhere.

ID or ECG button on keyboard is unresponsive

Keyboard is typing incorrect characters

Input focus loss

Keyboard has feature enabled

Caps Lock

Keyboard is typing incorrect characters

Incorrect keyboard option is installed

1

2

3

Check to see if the Cap Lock icon ( ) appears on the

Status Bar. See “The Status

Bar” on page 1-51.

Turn off the Caps Lock feature.

User training on Caps Lock use.

Contact the Philips Response

Center for assistance, see

“Contacting a Philips Response

Center” on page 5-13.

PageWriter TC Cardiograph Service Manual

3-5

Troubleshooting

Troubleshooting Cardiograph Issues

Table 3-3

Symptom

Keyboard Issues (continued)

Keyboard is typing incorrect characters

Possible Cause &

Investigation Step

The main board was recently replaced, and the procedure reset the cardiograph keyboard option to an incorrect setting.

Solution

1

2

If the main control board was recently replaced, perform a full installation of the cardiograph software using the

Biomed Software

Installation

option in the software installation wizard.

See “Installing the Software

Upgrade” on page 6-3.

If the problem persists after a full software installation procedure, contact the

Philips Response Center for further assistance. See

“Contacting a Philips

Response Center” on page 5-13.

3-6

PageWriter TC Cardiograph Service Manual

Troubleshooting Cardiograph Issues

Troubleshooting

Signal Acquisition Issues

Before attempting to troubleshoot a signal acquisition error as a mechanical issue, ensure that the following patient preparation and basic troubleshooting techniques have first been followed.

Always follow good skin and patient preparation techniques prior to taking an ECG. Proper skin preparation helps to ensure a good quality ECG. Skin is a poor conductor of electricity and frequently creates artifact that distorts the ECG signal.

To prepare the patient for an ECG:

1

Shave hair from electrode sites if necessary (excessive hair prevents a good connection).

2

Wash the skin thoroughly with soap and water.

3

Dry the skin vigorously to increase capillary blood flow to the tissues and to remove the dead, dry skin cells and oil.

N O T E

4

5

Do not use alcohol to clean the skin because it dries the skin. If there is no time, rub the electrode sites with gauze to remove the dead, dry skin and to increase capillary flow.

Always use disposable electrodes, and ensure that the disposable electrodes have not expired. Place the electrodes on flat, fleshy parts of the arms and legs, and place all limb electrodes equal distance from the heart, at the same position on each limb. If a limb site is not available (amputation, injury) place the electrodes closer to the torso.

Ensure that all electrodes are firmly attached, and that the lead wires are not pulling on the electrodes. If the electrodes can be moved easily, the electrode connection is too loose.

6

Reassure the patient and make sure that the patient is comfortable. If the patient has tremors, attach the limb electrodes higher on the patient (closer to the torso), and assist with limiting patient moving while taking the ECG.

After ensuring that proper patient preparation techniques are being followed, and that fresh electrodes are being applied to the patient, review the following table for further assistance.

PageWriter TC Cardiograph Service Manual

3-7

Troubleshooting

Troubleshooting Cardiograph Issues

Table 3-4

Symptom

Signal Acquisition Issues

All leads show leads off (red dashed line)

continuously

One or more leads show leads off (red dashed line)

periodically

Possible Cause &

Investigation Step

PIM communications have been lost due to

USB patient data cable connection failure, defective leads are connected to the PIM, or a Class A PIM is connected to the cardiograph.

Improper or incomplete patient and skin preparation techniques

Improperly attached electrodes or lead wires; expired disposable gel electrodes

Defib or high noise event

Solution

1

2

1

2

3

4

5

6

Check to see if the PIM disconnected icon

( ) appears on the Status Bar (top right of the screen).

Ensure that a Class B PIM is connected to the

cardiograph. See “About Class A and Class B

Patient Data Cables and PIMs” on page 1-27.

If the PIM is firmly attached, perform the PIM test

as described in “Patient Interface Module (PIM)

Test” on page 2-14. If the PIM Test fails, replace

the patient data cable. If the PIM Test continues to fail with a new patient data cable attached, replace the PIM.

If the PIM test passes, ensure that all lead wires are fully seated in the PIM lead connectors.

Ensure that all lead wires are intact and that there are no cracks visible in any of the lead wires.

Run the Lead Wire test, see “Lead Wire

Performance Test” on page 2-15. Replace any

defective lead wires.

Ensure that good patient preparation and skin preparation techniques have been followed as

described on page 3-7.

1

2

Ensure that the lead adapters are clean and have a tight fit.

Ensure that the electrodes are within their shelf life and are firmly attached to the patient.

Observe frequency and recovery behavior.

The PIM performs an automatic ranging action when input signals vary significantly. If this behavior persists in the absence of electrode movement or defib events, the cardiograph should be serviced to inspect and possibly replace the PIM or lead cables. Contact the Philips Response

Center for assistance, see “Contacting a Philips

Response Center” on page 5-13.

3-8

PageWriter TC Cardiograph Service Manual

Troubleshooting Cardiograph Issues

Troubleshooting

Table 3-4

Symptom

One or more leads show leads off (red dashed line)

periodically

Signal Acquisition Issues (continued)

Possible Cause &

Investigation Step

PIM reset (up to ten second duration)

Patient Interface

Module (PIM) not detected

message or

PIM disconnected icon ( ) appears on screen

PIM communications have been lost due to

USB patient data cable connection failure, or defective leads are connected to the PIM.

PIM not connected

Faulty patient data cable

Faulty PIM

Class A PIM is connected to the cardiograph

Solution

5

6

1

It is normal for the PIM to reset under the following conditions:

 power on/wakeup

 screen changes insertion/removal of a USB device (USB memory stick)

Electrostatic discharge

When the PIM resets, it is normal for all leads to display as red dashed lines for up to ten seconds and for the PIM disconnected icon ( the Status Bar (top of screen).

) to appear on

1

2

3

4

2

3

(

Check to see if the PIM disconnected icon

) appears on the Status Bar (top of screen).

If the PIM is firmly attached, perform the PIM test as described in “Patient Interface Module (PIM)

Test” on page 3-45. If the PIM Test fails, replace

the patient data cable. If the PIM Test continues to fail with a new patient data cable attached, replace the PIM.

If the PIM test passes, ensure that all lead wires are fully seated in the PIM lead connectors.

Ensure that all lead wires are intact and that there are no visible cracks in the lead wires.

Run the lead wire test, see page 2-15.

Replace any of the leads that fail the lead wire test.

Check that a Class B PIM is connected to the

cardiograph, see “About Class A and Class B

Patient Data Cables and PIMs” on page 1-27.

Check that PIM patient data cable is firmly seated to the PIM connector ( ) on the rear of the cardiograph.

If the PIM is firmly attached, perform the PIM test

as described in “Patient Interface Module (PIM)

Test” on page 2-14. If the PIM Test fails, replace

the patient data cable.

PageWriter TC Cardiograph Service Manual

3-9

Troubleshooting

Troubleshooting Cardiograph Issues

Main Screen Issues

Table 3-5

Symptom

Incorrect language appears on

Waveform display is no longer updating, system is unresponsive

Waveform display is no longer updating, system is unresponsive

Main Screen Issues

cardiograph software

Invalid Report

Handle

message

Possible Cause &

Investigation Step

The main board was recently replaced, and the procedure reset the cardiograph software localization (language) option to an incorrect setting.

Software is frozen

Main board failure

Solution

Report handle is invalid when preview, printing, saving ECGs.

1

2

1

2

1

2

3

1

2

3

If the main control board was recently replaced, perform a full installation of the cardiograph software using the

Biomed Software Installation

option in the software installation wizard. See

“Installing the Software Upgrade” on page 6-3.

If the problem persists after a full software installation procedure, contact the Philips

Response Center for further assistance. See

“Contacting a Philips Response Center” on page 5-13.

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

Export the log file. See “Viewing and Saving Log

Files” on page 3-50.

Report the software issue to the nearest Philips

Response Center, see “Contacting a Philips

Response Center” on page 5-13.

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

If this fails, remove and replace the main board.

Contact the nearest Philips Response Center for

further assistance, see “Contacting a Philips

Response Center” on page 5-13.

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

Wait 2 minutes and perform full software

installation. See “Installing the Software Upgrade” on page 6-3.

Confirm successful software installation. See

“Verifying the Software Installation” on page 6-7.

3-10

PageWriter TC Cardiograph Service Manual

Troubleshooting Cardiograph Issues

Troubleshooting

Table 3-5

Main Screen Issues (continued)

Symptom Possible Cause &

Investigation Step

No Report

message The software can't map the input report handle to the internal report object. The handle is invalid.

Internal function error

message

Invalid file or the file resides on unsupported media.

Solution

1

2

3

1

2

3

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

Wait 2 minutes and perform full software

installation. See “Installing the Software Upgrade” on page 6-3.

Confirm successful software installation. See

“Verifying the Software Installation” on page 6-7.

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

Wait 2 minutes and perform full software

installation. See “Installing the Software Upgrade” on page 6-3.

Confirm successful software installation. See

“Verifying the Software Installation” on page 6-7.

PageWriter TC Cardiograph Service Manual

3-11

Troubleshooting

Troubleshooting Cardiograph Issues

Archive Screen Issues

Table 3-6

Symptom

Archive Screen Issues

Command timed-out

message

Possible Cause &

Investigation Step

The TraceMaster ECG

Management system is busy.

ECGs with incomplete required patient information fields cannot be transferred

message

The required information for the

ECG has not been entered.

Selected ECG(s) exceeds available space on

TraceMaster

Remote site

message

The TraceMaster system is out of available disk space.

Solution

Retry TraceMaster operation.

Transfer operations use network and server resources, which may occasionally be unable to service the requests.

Enter the required ECG information and try the archive operation again. For more information see Chapter 3

“The Patient Session” of the PageWriter TC

Cardiograph Instructions for Use.

Contact the TraceMaster system administrator and report the error.

3-12

PageWriter TC Cardiograph Service Manual

Troubleshooting Cardiograph Issues

Troubleshooting

Table 3-6

Archive Screen Issues (continued)

Symptom

Requested Function could not be completed

message

Insufficient storage available

message appears when you are attempting to transfer files to the USB memory stick.

Invalid database

message

Possible Cause &

Investigation Step

Network or modem phone line was interrupted during operation.

USB memory stick was not fully inserted into the slot on the cardiograph.

An attempt to transfer an unsupported ECG report type was made to

TraceMaster.

There is not enough space on the USB memory stick.

Archive database may be corrupted.

Solution

1

2

3

1

2

Retry operation.

Inspect cabling to network or analog phone line.

Transfer or query operations require reliable access to the network transport.

Verify that the USB memory stick is inserted correctly. Attempting to save ECGs to USB memory stick that is not accessible will result in an error message.

Retry the operation with fully functioning USB memory stick that is fully inserted into the USB

slot on the cardiograph. See “Using the USB

Memory Stick” on page 1-43.

1

2

Inspect ECG that failed the requested operation for selected format (report type).

Certain ECG report types are not supported by and will be rejected by the TraceMaster ECG Management

System.

Check the USB memory stick storage capacity.

Free up space on the USB memory stick by deleting files and retry the operation.

1

2

3

4

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

Wait 2 minutes and perform full software

installation. See “Installing the Software Upgrade” on page 6-3.

Confirm successful software installation. See

“Verifying the Software Installation” on page 6-7.

If the problem persists, contact the nearest Philips

Response Center, see “Contacting a Philips

Response Center” on page 5-13.

PageWriter TC Cardiograph Service Manual

3-13

Troubleshooting

Troubleshooting Cardiograph Issues

Table 3-6

Archive Screen Issues (continued)

Symptom

When an error occurs during transfer of multiple ECGs to a

TraceMaster system, the transfer process does not continue and transferred files are not deleted.

After pressing the

Archive button

, it takes longer than 40 seconds before the

Archive list is displayed when the

Main Archive has more than 130 ECGs stored.

Transfer of ECGs to a USB memory stick fails and there are still less than 200

ECGs on the removable media device.

No reply received from TraceMaster

Remote site

message

Archive function could not be completed. Please restart cardiograph and try again.

message

Possible Cause &

Investigation Step

Solution

Application limitation The PageWriter TC cardiograph ECG transfer operations fail in a known safe manner when multiple

ECG transfer operations are interrupted.

Retry the transfer for the remaining ECGs.

System slow-down from full ECG database

USB memory stick file system limitation

Not enough free space available on the USB memory stick to save the number of selected

ECGs

The server is unavailable

Configuration error

Archive error

Save or delete ECGs from the Main Archive.

There is a known system performance impact when the near maximum number of ECGs have been stored in the Main Archive.

Delete unwanted files from the USB memory stick.

1

2

1

2

3

Contact the TraceMaster system administrator and report the error.

Check the IP address and the TraceMaster server

URL in the TraceMaster configuration settings.

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

Contact the nearest Philips Response Center for further assistance.

3-14

PageWriter TC Cardiograph Service Manual

Troubleshooting Cardiograph Issues

Troubleshooting

Table 3-6

Archive Screen Issues (continued)

Symptom

Archive process was terminated due to an error

message

Bad reply received from TraceMaster

Remote site

message

Unexpected reply received from

TraceMaster

Remote Site

message

Invalid XML schema version

message

Unsupported XML version

message

Possible Cause &

Investigation Step

Archive error

Solution

Archive error, bad reply from server

1

2

Archive error, unexpected reply from server

Archive error, unsupported XML schema

XML schema of selected ECG is not supported by

TraceMaster server.

1

2

3

1

2

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

Contact the nearest Philips Response Center for further assistance.

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

Contact the TraceMaster system administrator and report the error.

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

Contact the TraceMaster system administrator and report the error.

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

Check the TraceMaster/ECG Management System configuration settings screens to ensure that the correct TraceMaster server version is selected.

XML error

message XML ECG file corrupted

1

2

3

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

Contact the nearest Philips Response Center for further assistance.

PageWriter TC Cardiograph Service Manual

3-15

Troubleshooting

Troubleshooting Cardiograph Issues

Table 3-6

Symptom

Archive Screen Issues (continued)

Possible Cause &

Investigation Step

Invalid encoding

XML unicode encoding is not

UTF-16

message

Error accessing external XML file

message

Error XML file is too large

message

Error XML file did not transform

message

Fax transmission did not complete

message

There is no default

TraceMaster server available for Auto

Time Sync

message

File I/O error

File is too large

File I/O error

Fax not completed

TraceMaster settings are not configured correctly.

Solution

1

2

3

1

2

3

1

2

3

1

2

3

1

2

3

1

2

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

Contact the nearest Philips Response Center for further assistance.

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

Contact the nearest Philips Response Center for further assistance.

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

Contact the nearest Philips Response Center for further assistance.

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

Contact the nearest Philips Response Center for further assistance.

Retry the fax operation.

If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

Contact the nearest Philips Response Center for further assistance.

Check the TraceMaster configuration settings on the cardiograph.

Touch the

Setup

button on the main toolbar to access the TraceMaster settings screen.

3-16

PageWriter TC Cardiograph Service Manual

Troubleshooting Cardiograph Issues

Troubleshooting

Table 3-6

Archive Screen Issues (continued)

Symptom

Some ECGs retrieved from TraceMaster and printed on the cardiograph look different from

TraceMaster prints or

XLi printouts.

Error occurred when deleting the selected ECGs.

Please check the

Error List below

message

Error occurred when transferring the selected ECGs.

Please check the

Error List below for more details.

message

Do you want to overwrite the existing patient information with the selected order

message

Possible Cause &

Investigation Step

Older or non-

PageWriter TC source

ECG files were retrieved. ECG was not created by a PageWriter

TC cardiograph.

Internal Compact Flash card read/write error

Transmission error

You attempted to use an order to overwrite patient information of an archived ECG.

Solution

1

2

Inspect the printed report date and information

Retrieving and printing older ECG files that were not sourced by the PageWriter TC cardiograph can have the following differences when printed:

Algorithm version appears as

HPxxx

on

TraceMaster and

PH

on PageWriter TC cardiograph.

Pacer tick marks are not present on PageWriter TC cardiograph printout.

Frank lead system generates 3 rhythm traces with flat line and no lead label on PageWriter TC cardiograph printout.

Custom lead names do not appear on PageWriter

TC cardiograph printout.

PageWriter TC cardiograph prints full interpretations regardless of original Xli ECG settings.

3

4

Retry the operation.

If the problem persists, restart the cardiograph. See

“Restarting the Cardiograph” on page 3-37.

If the issue is still not resolved, save the log files.

See “Viewing and Saving Log Files” on page 3-50.

Contact the nearest Philips Response Center for further assistance.

1

2

3

4

Retry the operation.

If the problem persists, restart the cardiograph. See

“Restarting the Cardiograph” on page 3-37.

If the issue is still not resolved, save the log files.

See “Viewing and Saving Log Files” on page 3-50.

Contact the nearest Philips Response Center for further assistance.

Check to make sure that you want to overwrite the information. If so, confirm the operation. If not, cancel the operation.

PageWriter TC Cardiograph Service Manual

3-17

Troubleshooting

Troubleshooting Cardiograph Issues

Configuration Screen Issues

Table 3-7 Configuration Screen Issues

Symptom

The maximum number of

TraceMaster connections has been configured.

Please edit or delete an existing

TraceMaster connection.

message

The maximum number of

OrderVue inboxes has been created.

Edit or delete an existing inbox.

message

Invalid XML version detected. Please try again.

message

Invalid XML platform detected.

Please try again.

message

Invalid XML file detected. Please try again.

message

Failed to implement custom settings.

The cardiograph will automatically restart and restore custom settings.

message

Duplicate Profile name. Please enter a unique name.

message

Possible Cause &

Investigation Step

There are a limited number of TraceMaster connections that can be configured on the cardiograph.

There are a limited number of OrderVue inboxes that can be configured on the cardiograph.

Invalid version detected when loading configuration file.

Invalid platform detected when loading configuration file.

Invalid configuration file detected when loading configuration file.

Corrupted configuration file detected when loading configuration file.

You attempted to save an exam profile under an existing name.

Solution

Remove one of the TraceMaster connections.

Remove one of the OrderVue inboxes.

If the problem persists, manually configure the cardiograph settings.

If the problem persists, manually configure the cardiograph settings.

1

2

1

2

Ensure you are selecting a configuration file.

If the problem persists, manually configure the cardiograph settings.

Cardiograph automatically restarts and loads current configuration.

If the problem persists, manually configure the cardiograph settings.

Choose another name and save the exam profile.

3-18

PageWriter TC Cardiograph Service Manual

Troubleshooting Cardiograph Issues

Troubleshooting

Table 3-7

Configuration Screen Issues (continued)

Symptom

Password is missing.

Please re-enter your password before continuing.

message

Password is not confirmed. Confirm your password before proceeding

. message

Possible Cause &

Investigation Step

The Configuration screen is password protected and you did not enter a password.

You enabled the

Configuration password but did not confirm it.

Solution

Enter the correct password to gain access to the configuration screens.

Confirm the configuration password after entering it.

There is a current system limitation of one fax profile.

Edit or delete an existing fax profile.

The maximum number of fax profiles has been configured. Please edit or delete an existing fax profile.

message

Please select a

TraceMaster server as the default connection

message

The cardiograph must restart in order to display simulated waveform data

message

The cardiograph must restart in order to return to normal operating mode

message

Unsaved changes will be deleted. Do you want to continue and discard changes?

message

You attempted to set a default TraceMaster server without first selecting it.

The cardiograph’s simulation mode was turned on and the device must be restarted to display simulated waveform data.

The cardiograph’s simulation mode was turned off and the device must be restarted to return to normal operation mode.

After making a configuration change, you touched the Exit button without saving the change.

You must first select a TraceMaster server before it can be set as the default.

Touch

OK

to restart the cardiograph.

Touch

OK

to restart the cardiograph.

Save any configuration changes before exiting the configuration screens.

PageWriter TC Cardiograph Service Manual

3-19

Troubleshooting

Troubleshooting Cardiograph Issues

Table 3-7

Configuration Screen Issues (continued)

Symptom

Invalid name. Please save again with a different name.

message

This TraceMaster server name is already in use.

Please enter a different name.

message

Please enable

Admin Password before enabling this password

message

Please disable all user passwords before disabling this one

message

The number of minutes set for

‘Shut Down’ must be greater than the number of minutes set for ‘Standby’

message

Possible Cause &

Investigation Step

You attempted to create a TraceMaster server or a fax recipient without entering a name.

You attempted to configure a

TraceMaster server name that is already in use.

Solution

Check the TraceMaster and Fax configuration settings and enter a valid name.

Check the TraceMaster configuration settings and specify another server name.

You attempted to enable an Archive,

Configuration, or

Service password without first enabling as

Admin password.

You attempted to disable the Admin password without first disabling the Archive,

Configuration, or

Service password.

You attempted to configure the shut down time to be less than the

Standby time.

1

2

1

2

Configure an Admin password first.

Configure the other passwords.

Disable the Admin password first.

Disable the other passwords.

Configure the Shut down time to be greater than the

Standby time.

3-20

PageWriter TC Cardiograph Service Manual

Troubleshooting Cardiograph Issues

Troubleshooting

Printer Issues

Table 3-8 Printer Issues

Symptom

The message

Busy

appears after you have sent a job to the printer.

The message

USB

appears when attempting to print a rhythm strip.

Possible Cause & Investigation Step Solution

A new print job has been sent to the printer and the printer cannot accept a new print job.

A new print job has been sent to the printer and the printer cannot accept a new print job.

Printing is disabled with one battery only, please check the battery

message

(PageWriter TC70

cardiograph only)

Low battery warning: printing is disabled. Connect the cardiograph to

AC power and recharge the batteries

message appears after you have sent a job to the printer.

The PageWriter TC70 cardiograph must operate with two batteries at all times.

No battery or dead battery

Field

Programmable

Gate Array (FPGA) communication is incorrectly configured. Please contact the Philips

Response Center for further assistance.

message

Internal error

Restart the cardiograph. See “Restarting the Cardiograph” on page 3-37.

Restart the cardiograph. See “Restarting the Cardiograph” on page 3-37.

Insert the second battery.

Plug the cardiograph into AC power or replace the battery.

1

2

Restart the cardiograph. See

“Restarting the Cardiograph” on page 3-37.

If the problem persists, replace the main control board. Contact the nearest Philips Response Center for

further assistance, see “Contacting a

Philips Response Center” on page 5-13.

PageWriter TC Cardiograph Service Manual

3-21

Troubleshooting

Troubleshooting Cardiograph Issues

Table 3-8

Printer Issues (continued)

Symptom

Field

Programmable

Gate Array (FPGA) is not connected.

Please contact the

Philips Response

Center for further assistance.

message.

Printer temperature is too high

message

Printer underflow.

message

Possible Cause & Investigation Step Solution

Internal error

The temperature of the print head is too high.

1

2

Restart the cardiograph. See

“Restarting the Cardiograph” on page 3-37.

If the problem persists, replace the main control board. Contact the nearest Philips Response Center for

further assistance, see “Contacting a

Philips Response Center” on page 5-13.

Shut down cardiograph and wait 20 minutes.

Intermittent PIM communication issues during rhythm printing

Printer voltage high

message.

Printer voltage low

message

Printer Door is

Open

message

Printer supply voltage on main board is outside of expected ranges on the high side.

Printer supply voltage on main board is outside of expected ranges on the low side.

Printer door is open.

1

2

Follow the steps in “Signal Acquisition

Issues” on page 3-7 for PIM signal

acquisition issues.

1

2

Restart the cardiograph. See

“Restarting the Cardiograph” on page 3-37.

If the problem persists, replace the main control board. Contact the nearest Philips Response Center for

further assistance, see “Contacting a

Philips Response Center” on page 5-13.

1

2

Restart the cardiograph. See

“Restarting the Cardiograph” on page 3-37.

If the problem persists, replace the main control board. Contact the nearest Philips Response Center for

further assistance, see “Contacting a

Philips Response Center” on page 5-13.

Close the printer door.

Restart the cardiograph. See

“Restarting the Cardiograph” on page 3-37.

3-22

PageWriter TC Cardiograph Service Manual

Troubleshooting Cardiograph Issues

Troubleshooting

Table 3-8

Printer Issues (continued)

Symptom

Check Printer message appears with no apparent printer problem present.

Printed report looks too small or compressed.

After opening and closing the paper drawer rapidly many times, the cardiograph was unresponsive.

Possible Cause & Investigation Step Solution

Printer controller error

Printer cable inside cardiograph has become dislodged.

1

2

Open and close printer paper drawer.

Message does not reoccur.

If message persists, replace the print head assembly. Contact the nearest

Philips Response Center for

assistance, see “Contacting a Philips

Response Center” on page 5-13.

Printer controller error

1

Printer controller error

2

3

4

1

2

Run the Printer Test from the Service

Utilities on page 3-43.

If test passes, retry print operation.

If test fails, restart the cardiograph.

See “Restarting the Cardiograph” on page 3-37.

If the problem persists, replace the print head assembly. Contact the nearest Philips Response Center for

assistance, see “Contacting a Philips

Response Center” on page 5-13.

Restart the cardiograph. See

“Restarting the Cardiograph” on page 3-37.

Cardiograph restarts and boots correctly. Reports print correctly.

If the problem persists, replace the print head assembly. Contact the nearest Philips Response Center for

assistance, see “Contacting a Philips

Response Center” on page 5-13.

PageWriter TC Cardiograph Service Manual

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Troubleshooting

Troubleshooting Cardiograph Issues

Table 3-8

Printer Issues (continued)

Symptom

Printer Error: Out of Paper/Paper Jam/

Door Open

messages

Printer not detected

message

Paper does not advance

Paper does not tear off cleanly, or paper stops at the wrong spot

Blank pages printed after ECG report

Possible Cause & Investigation Step Solution

Paper drawer is not fully closed

Out of paper, or paper loaded incorrectly with top-of-form hole on wrong side

Incompatible paper loaded

Defective paper tray assembly

Top-of-form sensor or door closed sensor issue

1

2

3

4

5

Make sure paper drawer is fully closed.

Reload the paper. Confirm that paper is loaded correctly.

Confirm that the paper is compatible with the Philips approved paper (see

Ordering Supplies in Chapter 4).

Replace the paper tray assembly.

If the sensors are bad, replace the print head assembly. Contact the nearest Philips Response Center for

assistance, see “Contacting a Philips

Response Center” on page 5-13.

Application error

Defective print head assembly

Application error

Top-of-form sensor issue

Defective print head assembly

Wrong paper size setting

Wrong method is being used to tear off paper

2

3

1

2

1

Restart the cardiograph. See

“Restarting the Cardiograph” on page 3-37.

Replace the print head assembly.

Contact the nearest Philips Response

Center for assistance, see

“Contacting a Philips Response

Center” on page 5-13.

Restart the cardiograph. See

“Restarting the Cardiograph” on page 3-37.

Replace the paper tray assembly.

If the sensors are bad, replace the print head assembly. Contact the nearest Philips Response Center for

assistance, see “Contacting a Philips

Response Center” on page 5-13.

Reload printer with correct paper size.

See “Changing the Printer Paper” on page 2-7.

Wrong paper size setting Reload printer with correct paper size.

See “Changing the Printer Paper” on page 2-7.

3-24

PageWriter TC Cardiograph Service Manual

Troubleshooting Cardiograph Issues

Troubleshooting

Table 3-8

Symptom

Print Error:

Unknown Error

Printer Issues (continued)

Possible Cause & Investigation Step Solution

Application timing issue

1

2

3

4

End the patient session and restart a new patient session.

Restart the cardiograph. See

“Restarting the Cardiograph” on page 3-37.

If the problem persists, save the log

files. See “Viewing and Saving Log

Files” on page 3-50.

Contact the nearest Philips Response

Center for assistance, see

“Contacting a Philips Response

Center” on page 5-13.

Compact Flash (CF) Card/USB Memory Stick Issues

Table 3-9 Compact Flash Card / USB Memory Stick Issues

Solution Symptom

Occasionally, copying ECGs from the Archive to a USB

Memory Stick fails

Possible Cause &

Investigation Step

USB memory stick subsystem time-out failure

CF card file system limitation

1

2

Retry the transfer operation.

Write operations occasionally fail for USB memory sticks.

If this condition reoccurs persistently, replace the

USB memory stick with Philips part number

989803145331. Not all USB memory sticks are

supported. See “Using the USB Memory Stick” on page 1-43.

Delete files from the Archive.

Maximum number of ECGs stored

message

Cannot store additional ECGs

message

CF card file system limitation

Delete unwanted files from the Archive.

PageWriter TC Cardiograph Service Manual

3-25

Troubleshooting

Troubleshooting Cardiograph Issues

Table 3-9

Symptom

Compact Flash Card / USB Memory Stick Issues (continued)

Solution

Cannot access internal Compact

Flash memory

message

Possible Cause &

Investigation Step

Compact Flash may be corrupted.

There are more than 200 ECGs stored on the USB memory stick. Only the first 200 ECGs will display on the cardiograph. Please store no more than

200 ECGs on the

USB memory stick.

message

An unknown error occurred when accessing the storage capacity of the selected archive

message

USB memory stick file system limitation

Abnormal error occurs when getting storage capacity of selected storage media.

1

2

2

3

1

Run the Internal Compact Flash test from the

Service Utilities on page 3-47.

If the test passes, retry the operation.

If the test fails, the Compact Flash card needs to be removed and replaced. Contact the nearest Philips

Response Center for assistance, see “Contacting a

Philips Response Center” on page 5-13.

Delete unwanted files from the USB memory stick.

The USB memory stick is not accessible. Please ensure that the USB memory stick is fully inserted into the USB connector

(right side of cardiograph).

message

The USB memory stick was not fully inserted into the slot on the cardiograph.

The USB memory stick contains unsupported software (such as

SanDisk U3

Desktop software).

1

2

3

Retry the operation.

If this condition reoccurs persistently, replace the

USB memory stick with Philips part number

989803145331. Not all USB memory sticks are

supported. See “Using the USB Memory Stick” on page 1-43.

Verify that the USB memory stick is inserted correctly.

Attempting to save ECGs to a USB memory stick that is not accessible will result in an error message.

Uninstall any software that is on the USB memory stick and format the drive.

Retry the operation with fully functioning USB memory stick that is fully inserted into the USB connector on the cardiograph. If this condition reoccurs persistently, replace the USB Memory

Stick with Philips part number 989803145331. Not

all USB memory sticks are supported. See “Using the USB Memory Stick” on page 1-43.

3-26

PageWriter TC Cardiograph Service Manual

Troubleshooting Cardiograph Issues

Troubleshooting

Table 3-9

Cannot disconnect the modem connection from

TraceMaster

Remote Site.

message

Compact Flash Card / USB Memory Stick Issues (continued)

Solution Symptom

The internal

CompactFlash (CF) card cannot be accessed. Please contact the Philips

Response Center.

message

Possible Cause &

Investigation Step

Compact Flash may be corrupted.

An unknown error occurred when accessing the storage capacity of the selected archive

message

Abnormal error occurs when getting storage capacity of selected storage media.

Failed to disconnect from TraceMaster via modem

Remove and replace the Compact Flash card. Contact the nearest Philips Response Center for assistance, see

“Contacting a Philips Response Center” on page 5-13.

1

2

3

1

2

3

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

Contact the nearest Philips Response Center for

assistance, see “Contacting a Philips Response

Center” on page 5-13.

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

If the problem persists, save the log files. See

“Viewing and Saving Log Files” on page 3-50.

Contact the nearest Philips Response Center for

assistance, see “Contacting a Philips Response

Center” on page 5-13.

Delete unwanted files from the USB memory stick.

Selected ECG(s), exceeds available

Archive space on

USB Memory Stick

message

Timed ECG number exceeds available number in Main

Archive

message

USB memory stick file system limitation

Storage capacity check for saving timed ECG

Delete unwanted files from the Main Archive.

PageWriter TC Cardiograph Service Manual

3-27

Troubleshooting

Troubleshooting Cardiograph Issues

TraceMaster ECG Management System Issues

Table 3-10 TraceMaster Issues

Symptom

Error. The lead system used to generate this ECG is not supported on the cardiograph.

Please print ECG directly from

TraceMaster.

message

Error. The ECG originated from a legacy TraceMaster system and cannot be printed. Please print ECG directly from TraceMaste

r. message

The Patient ID field must be enabled in order to transfer

ECGs to

TraceMaster. Touch the [ON] button underneath the

“Enabled” column to activate the

Patient ID field

. message

Required patient information is missing from the current ECG

message

Possible Cause &

Investigation Step

ECG XML version is incompatible

ECG XML version is incompatible

You attempted to transfer an ECG without a Patient ID to

TraceMaster

You attempted to transfer an ECG without the required information to TraceMaster

Possible Solutions

Print the ECG from TraceMaster.

Print the ECG from TraceMaster.

1

2

Follow the on screen instructions to enter a Patient

ID.

Retry the transfer operation.

Enter the required information and attempt the operation again.

3-28

PageWriter TC Cardiograph Service Manual

Troubleshooting Cardiograph Issues

Troubleshooting

Table 3-10

TraceMaster Issues (continued)

Symptom

There are no

TraceMaster connections configured for use.

Please go to Setup and add a

TraceMaster connection.

message

There is no

TraceMaster server selected as the default configuration.

Please go to Setup and select a default

TraceMaster connection.

message

Invalid transfer destination is selected

message

Possible Cause &

Investigation Step

You attempted to access a TraceMaster server and no connection has been configured.

You did not configure a default TraceMaster server.

You selected an invalid

TraceMaster server.

Possible Solutions

1

2

1

2

Check the cardiograph’s TraceMaster configuration settings and ensure a valid

TraceMaster server is configured.

Check the cardiograph’s LAN/WLAN configuration settings. Touch the

Setup

button on the main toolbar to access the TraceMaster LAN and WLAN settings.

Check the cardiograph’s TraceMaster configuration settings and ensure a valid

TraceMaster server is configured as the default

TraceMaster server.

Check the cardiograph’s LAN/WLAN configuration settings. Touch the

Setup

button on the main toolbar to access the TraceMaster LAN and WLAN settings.

The XML version associated with this

ECG is not supported by

TraceMaster

message

ECG XML version is incompatible

1

2

1

2

Check the cardiograph’s TraceMaster configuration.

Check the cardiograph’s LAN/WLAN settings.

Touch the

Setup

button on the main toolbar to access the TraceMaster LAN and WLAN settings.

Check the cardiograph’s TraceMaster configuration settings and ensure the correct

TraceMaster server version is selected.

Check the cardiograph’s LAN/WLAN configuration settings. Touch the

Setup

button on the main toolbar to access the TraceMaster LAN and WLAN settings.

Select the TraceMaster server to delete.

Delete the TraceMaster server.

There is no

TraceMaster server to delete

message

Missing network settings information. Please enter correct and complete network settings.

message

You attempted to delete a TraceMaster server without first selecting one.

You attempted to configure a

TraceMaster without specifying all of the correct information.

1

2

1

2

Check the cardiograph’s TraceMaster configuration settings and ensure that all of the necessary information has been entered.

Check the cardiograph’s LAN/WLAN configuration settings. Touch the

Setup

button on the main toolbar to access the TraceMaster LAN and WLAN settings.

PageWriter TC Cardiograph Service Manual

3-29

Troubleshooting

Troubleshooting Cardiograph Issues

Orders Issues

Table 3-11 Orders Issues

Symptom

Command cannot be completed

message

Possible Cause &

Investigation Step

The TraceMaster system is busy.

Possible Solutions

Retry TraceMaster operation.

Transfer operations use network and server resource, which may occasionally be unable to service the requests.

Check the information specified and try again.

Command canceled

message

Internal error

message

There is not enough internal storage available to save new orders

message

You canceled the action or specified invalid information.

The orders list does not refresh.

Application limitation

Retry the operation.

Delete unwanted orders.

There is not enough internal storage available to download new orders

message

Not all orders can be downloaded because the

Worklist is full

message

Orders cannot be downloaded because they have been previously archived with ECGs.

Please check ECGs saved to the Main

Archive.

message

Application limitation

Application limitation

Order specified for download is already associated with an ECG that is currently saved to the Main Archive.

Delete unwanted orders.

Delete unwanted orders.

Transmit completed ECGs to TraceMaster.

3-30

PageWriter TC Cardiograph Service Manual

Troubleshooting Cardiograph Issues

Troubleshooting

Table 3-11

Orders Issues (continued)

Symptom

Invalid default

TraceMaster connection for selected OrderVue inbox. Please select the correct

TraceMaster connection for the inbox.

message

Order Error:

Requested function failed

message

Possible Cause &

Investigation Step

Incorrect TraceMaster specified in the configuration.

Possible Solutions

1

2

Check the cardiograph’s TraceMaster configuration settings.

Check the cardiograph’s LAN/WLAN configuration settings. Touch the

Setup

button on the main toolbar to access the TraceMaster LAN and WLAN settings.

Order Error: XML error

message

Orders number reached the limit of

200. Not all of the new orders were appended.

message

The connection to the server was reset

message

The network connection was broken during an orders operation.

No order source selected

message

Order application error

1

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

2

Repeat the order procedure that generated the error message. If the error persists, record the date and time of the error, and export the log files. See

“Viewing and Saving Log Files” on page 3-50.

3

Contact the nearest Philips Response Center for

further assistance, see “Contacting a Philips

Response Center” on page 5-13.

XML order error

1

2

3

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

If the error persists, export the log files. See

“Viewing and Saving Log Files” on page 3-50.

Contact the nearest Philips Response Center for

further assistance, see “Contacting a Philips

Response Center” on page 5-13.

Application limitation

1

2

Delete unwanted orders.

Refine your search criteria.

You attempted to get an order without specifying a source.

1

2

Retry the operation.

Contact your IT department to report the network is down.

Specify the source and retry the operation.

PageWriter TC Cardiograph Service Manual

3-31

Troubleshooting

Troubleshooting Cardiograph Issues

Table 3-11

Orders Issues (continued)

Symptom

Please select at least one order

message

Are you sure you want to delete the selected order(s)?

message

Possible Cause &

Investigation Step

You touched the ECG button without selecting an order.

You attempted to delete an order.

Possible Solutions

1

2

Select an order.

Touch the ECG button.

Check to make sure that you want to delete the selected order. If so, confirm the operation. If not, cancel the operation.

Selection exceeds maximum number of outboxes. Select no more than 24 outboxes.

message

The Order Search

Range cannot be left empty. Please enter a number between

0 and 99.

message

Application limitation

You attempted to search for an order without specifying the search range.

Select fewer outboxes and retry the operation.

Specify a search range and retry the operation.

Remote Query Issues

Table 3-12 Remote Query Issues

Symptom

Remote Query could not be completed

message

Remote Query get list error

message

Possible Cause &

Investigation Step

XML application was not successfully created due to a lack of system resources.

TraceMaster returned the wrong ECG list.

Possible Solutions

1

2

1

2

3

Retry the operation.

Restart the cardiograph. See “Restarting the

Cardiograph” on page 3-37.

Check the cardiograph’s TraceMaster configuration settings.

Check the cardiograph’s LAN/WLAN configuration settings.

Retry the operation.

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PageWriter TC Cardiograph Service Manual

Troubleshooting Cardiograph Issues

Troubleshooting

Table 3-12

Remote Query Issues (continued)

Symptom

Remote Query get

ECG error

message

Remote transfer error appears

message

Possible Cause &

Investigation Step

TraceMaster returned the wrong ECG file.

Unknown transfer error including no reply and unexpected reply.

Possible Solutions

1

2

3

1

2

Check the cardiograph’s TraceMaster configuration settings.

Check the cardiograph’s LAN/WLAN configuration settings.

Check to see if the TraceMaster server is up and running.

Check the cardiograph’s TraceMaster configuration settings.

Check the cardiograph’s LAN/WLAN configuration settings.

Retry the operation.

Check the LAN connection.

Check to see if the TraceMaster server is up and running.

No reply received from server

message

The LAN connection may have been disconnected during the transfer operation.

Server may be down.

Server may be down.

3

1

2

Unexpected reply received from server

message

Remote transfer schema error

message

No matching ECG is found on the selected server

message

The XML schema is not supported for the selected TraceMaster server.

The Patient ID may be incorrect.

The ECG you are looking for does not exist on the selected server.

1

2

1

2

Check the LAN connection.

Check to see if the TraceMaster server is up and running.

Check the TraceMaster Server Version in the cardiograph’s TraceMaster configuration settings.

Check the Patient ID.

Check to see if there is an ECG with the same

Patient ID.

PageWriter TC Cardiograph Service Manual

3-33

Troubleshooting

Troubleshooting Cardiograph Issues

Fax Issues

Table 3-13 Fax Issues

Symptom Possible Cause &

Investigation Step

Fax not completed

Possible Solutions

Fax transmission did not complete

message

There is no fax recipient available to edit

message

Missing fax recipient information. Please enter correct fax recipient settings.

message

Retry the fax operation

You attempted to edit a fax recipient without first selecting one.

You attempted to enter a fax recipient without all of the required information.

1

2

Select a fax recipient.

Edit the fax recipient.

Enter all of the required information in the Fax configuration screens.

Log File and Custom Settings Issues

Table 3-14 Log File Issues

Symptom

Error accessing file

message

Error damaged file

message

File already exists

message

Possible Cause &

Investigation Step

You can't copy files from a USB memory stick when attempting to load a configuration or log file.

You can't open a file due to a corrupted file.

You attempted to save a log file to an existing file.

Input error

message Invalid path and file name were specified.

No filename specified

message

Invalid filename specified

message

You did not specify a file name in the Browse dialog box.

You did not specify a file name in the Save

Logs dialog box.

Possible Solutions

1

2

Retry the operation

Make sure the file exists on the USB memory stick.

Retry the operation

Rename the log file and retry the operation.

Check the path and file name and ensure they are correct.

Specify a file name in the Browse dialog box.

Specify a file name in the Save Logs dialog box.

3-34

PageWriter TC Cardiograph Service Manual

Troubleshooting Cardiograph Issues

Troubleshooting

Table 3-14 Log File Issues

Symptom

USB memory stick is not detected.

Please ensure that the USB memory stick is fully inserted into the USB connector (right side of cardiograph).

message

The cardiograph must restart in order to load a new custom settings file

message

Possible Cause &

Investigation Step

Custom settings or log files cannot be saved because there is no USB memory stick in the cardiograph’s USB connector.

Possible Solutions

Insert a USB memory stick into the cardiograph’s USB connector (right side of cardiograph as the device is facing you).

A configuration file has been loaded.

Restart the cardiograph to use the new configuration settings.

Lead Map Troubleshooting

Table 3-15 Lead Map Troubleshooting

Symptom

Incorrect lead standard appears on the

Lead Map

(AAMI or IEC)

Possible Cause &

Investigation Step

The main board was recently replaced, and the procedure reset the cardiograph lead standard (AAMI or

IEC) to an incorrect setting.

Possible Solutions

1

2

If the main control board was recently replaced, perform a full installation of the cardiograph software using the Biomed Software Installation option in the software installation wizard. See

“Installing the Software Upgrade” on page 6-3.

If the problem persists after a full software installation procedure, contact the Philips

Response Center for further assistance. See

“Contacting a Philips Response Center” on page 5-13.

Wireless Troubleshooting

All wireless LAN troubleshooting topics are included in this section. For further assistance with configuring the cardiograph for wireless transmission to a TraceMaster ECG

Management System, or other third party ECG management system, see the PageWriter TC

PageWriter TC Cardiograph Service Manual

3-35

Troubleshooting

Troubleshooting Cardiograph Issues

Cardiograph Network Configuration Guide available for download from the Philips InCenter web site ( incenter.medical.philips.com

).

Table 3-16 Wireless LAN Troubleshooting

Symptom

LAN/WLAN connection is not available

message

Invalid IP Address

message

Possible Cause &

Investigation Step

The network connection has been broken.

Incorrect IP address specified for the server connection.

Possible Solutions

Contact your IT department.

1

Invalid Subnet Mask

message

Incorrect subnet mask specified in the cardiograph’s server configuration.

Invalid Default

Gateway

message

Invalid Primary

WINS

message

Incorrect default gateway specified in the cardiograph’s server configuration.

2

1

Incorrect Primary

WINS specified in the cardiograph’s server configuration.

2

1

Invalid Primary

DNS

message

Incorrect Primary DNS specified in the cardiograph’s server configuration.

2

1

2

1

Invalid directory

message

Incorrect directory specified in the cardiograph’s server configuration.

2

1

2

1

General wireless connectivity issues; unpredictable connectivity

The wireless infrastructure is not a

Cisco system, and the

CCX Features

setting in the Summit Client

Utility (SCU) is set to

Optimized

2

Check the cardiograph’s server configuration settings. Touch the

Setup

button on the main toolbar to access the server settings.

Contact your server administrator for information.

Check the cardiograph’s server configuration settings. Touch the

Setup

button on the main toolbar to access the server settings.

Contact your server administrator for information.

Check the cardiograph’s server configuration settings. Touch the

Setup

button on the main toolbar to access the server settings.

Contact your server administrator for information.

Check the cardiograph’s server configuration settings. Touch the

Setup

button on the main toolbar to access the server settings.

Contact your server administrator for information.

Check the cardiograph’s server configuration settings. Touch the

Setup

button on the main toolbar to access the server settings.

Contact your server administrator for information.

Check the cardiograph’s server configuration settings. Touch the

Setup

button on the main toolbar to access the server settings.

Contact your server administrator for information.

Open the Summit Client Utility (SCU) and change the

CCX Features

setting to

OFF

if the wireless infrastructure is not a Cisco system. For information, see “Configuring Wireless Adapter

Settings” on page 2-19.

Contact your system administrator for more information.

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PageWriter TC Cardiograph Service Manual

Restarting the Cardiograph

Troubleshooting

Restarting the Cardiograph

To restart the cardiograph:

1

Press and hold the

On/Standby

button ( ) for 2-3 seconds to shut down the cardiograph.

2

Press the

On/Standby

button again to power on the cardiograph.

3

If steps 1 and 2 do not work, press the restart button (rear of cardiograph), see Figure 3-9

and Figure 3-10.

After approximately 20 seconds, the PageWriter TC cardiograph software identification screen appears, followed by an audible beep.

Figure 3-9 Pressing the Restart button on the PageWriter TC50 or PageWriter

TC30 Cardiograph (apply gentle pressure only)

PageWriter TC Cardiograph Service Manual

3-37

Troubleshooting

Using the Service Utilities

Figure 3-10 Pressing the Restart button on the PageWriter TC70 Cardiograph

(apply gentle pressure only)

4

5

6

7

If steps 1,2, and 3 do not work, remove the batteries and the AC power from the cardiograph.

Reapply power and repeat steps 1 through 3.

If steps 1,2, and 3 do not work, remove the batteries and the AC power from the cardiograph.

Reapply power and repeat steps 1 through 3.

Using the Service Utilities

The Service Utilities enable you to:

Obtain information about the cardiograph, such as software versions, installed options, networking information, and battery status

Verify and optimize cardiograph performance using the diagnostic tests and utilities

To open the Service Utilities:

1

From the Main screen, touch the

Setup

button.

The Setup and Services main screen appears.

N O T E

Access to the Setup screens may require entering a password.

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PageWriter TC Cardiograph Service Manual

Using the Service Utilities

Figure 3-11 Setup and Services Main screen

Troubleshooting

2

Touch the button next to

Service Utilities

.

The Setup and Service Utilities screen appears.

Using the About the Cardiograph Screen

The

About the Cardiograph

screen in the Service Utility provides important information about the cardiograph that can help in the troubleshooting process. This screen provides information on:

 software revision levels: including application, kernel, and PIM software

PIM option installed: 12-lead or 16-lead networking information such as MAC and IP address storage information, such as total RAM, percentage of RAM used, Compact Flash and

USB memory stick usage

 battery status, such as capacity, voltage, temperature, percent charged, and cycle count voltage monitor information, such as AC/DC input, backlight, and PIM power installed options total pages printed

To access the About the Cardiograph screen:

From the Setup and Service Utilities screen, touch the

About the Cardiograph

tab.

PageWriter TC Cardiograph Service Manual

3-39

Troubleshooting

Figure 3-12 About the Cardiograph screen

Using the Service Utilities

To refresh the screen:

Touch the

Refresh

button to get the latest information.

To print the screen:

Touch the

Print

button to obtain a printed report of the information that displays on the

screen, see Figure 3-13.

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PageWriter TC Cardiograph Service Manual

Using the Service Utilities

Figure 3-13 Service Diagnostics Printed Report

Troubleshooting

PageWriter TC Cardiograph Service Manual

3-41

Troubleshooting

Using the Service Utilities

Using the Diagnostic Tests and Utilities

The Diagnostic Tests and Utilities help you to troubleshoot issues with the cardiograph. There are two level of tests.

Maintenance Tests – used to verify or to optimize cardiograph performance. These tests can be used as the first step in identifying a technical problem with the cardiograph.

Diagnostic Tests – used to identify and to troubleshoot a technical problem with the cardiograph and require a password to access.

All test results are entered in the Event log that is displayed on the screen. Additionally, you

can save all log files to a USB memory stick. (See “Viewing and Saving Log Files” on page 3-50 for information on log files.)

To access the Diagnostic Tests and Utilities screen:

From the Setup and Service Utilities screen, touch the

Diagnostic and Test Utilities

tab.

Figure 3-14 Diagnostic and Tests Utilities screen

3-42

PageWriter TC Cardiograph Service Manual

Using the Service Utilities

Troubleshooting

The

Maintenance

section of the screen lists the four maintenance tests.

Test

Printer Test

Page

3-43

Touch Screen Calibration and Test

3-45

Patient Interface Module (PIM) Test

3-45

Lead Wire Shortage Test

Ping Test

2-15

3-45

Printer Test

The Printer Test is used to verify that the cardiograph printer is able to correctly print the test page. Use this test to verify proper printer performance or when reports appear to have print quality errors.

To perform the Printer Test:

1

Touch the

Printer Test

button.

The message

Printing Test Page...

appears and the test page prints out.

2

Review the printer test page at points A, B, C, and D as shown on Figure 3-15.

Description Test

Point

A

B

C

D

The stepped bars are sharp edged and printed cleanly without distortion or missing segments

The spacing between the vertical lines is 25 mm with a discrepancy of no more or less than 2%

The diagonal lines should be straight and printed cleanly without distortion or breaks in the lines

The character set is printed cleanly without distortion or missing characters, and all characters are clearly legible

PageWriter TC Cardiograph Service Manual

3-43

Troubleshooting

Figure 3-15 Printer Test Page

A

B

C

D

Using the Service Utilities

3-44

PageWriter TC Cardiograph Service Manual

Using the Service Utilities

Troubleshooting

If the printer test page matches the printer test points as described in the previous table and the message

Printer Test Passed

appears, the cardiograph has passed the printer test.

If the printer test page does not match the printer test points as described in the previous table but the message

Printer Test Passed

appears, it is possible the print head is damaged. If the printer test page does not match the printer test points and the message

Printer Test Failed

appears, the cardiograph has failed the print test. Proceed with troubleshooting and possibly replacing the print head assembly. Contact the Philips Response Center for further assistance,

see “Contacting a Philips Response Center” on page 5-13.

Touch Screen Calibration and Test

For information on Touch Screen Calibration and Test, see “Maintaining the Touch Screen” on page 2-16.

Patient Interface Module (PIM) Test

For information on the Patient Interface Module (PIM) Test, see “Patient Interface Module

(PIM) Test” on page 2-14.

Lead Wire Shortage Test

For information on the lead wire shortage test, see “Lead Wire Performance Test” on page 2-15.

Ping Test

For information on the Ping Test, see “Ping Test” on page 2-15.

Using the Diagnostic Tests

More comprehensive diagnostic tests and operating statistics are provided in the Diagnostic

Tests section of the Service Utility. These tests are used to identify and to troubleshoot a technical problem with the cardiograph and require a password to access. All test results are entered in the Event log that is displayed on the screen. Additionally, you can save all log files

to a USB memory stick. See “Viewing and Saving Log Files” on page 3-50 for information on

log files.

The following tests are available on the Diagnostic Tests menu.

Table 3-17 Diagnostic Tests

Test

Flash Memory Test

Internal Compact Flash Test

Audio Test

Keyboard/Hardware Key Test

Page

3-46

3-47

3-47

3-47

PageWriter TC Cardiograph Service Manual

3-45

Troubleshooting

Using the Service Utilities

T I P

To access the Diagnostic Test screen:

1

From the Main screen, touch the

Setup

button. The Setup and Services main menu appears.

2

Touch

Service Utilities

.The Service Utilities screen appears.

3

4

5

Touch the

Diagnostic and Test Utilities

button (top of screen).

Use the Tab key on the keyboard to move the cursor to the

Enter Password field.

Use the keyboard to enter the password (

000000

) for Diagnostic Tests and touch the

Submit

button.

If entering the password using an AZERTY (French) keyboard, press and hold the Enter key (on keyboard) while entering the password code (000000).

The Diagnostic Test screen appears.

Figure 3-16 Diagnostic Test screen

Flash Memory Test

This test verifies that the onboard Flash memory is working properly.

To test the onboard Flash memory:

1

Touch the

Flash Memory Test

button.

A message lets you know if the onboard Flash memory passed the test.

3-46

PageWriter TC Cardiograph Service Manual

Using the Service Utilities

Troubleshooting

2

Select

Close.

If the onboard flash card fails the test, try the test again.

Internal Compact Flash Test

This test verifies that the internal Compact Flash is working properly.

To test the Internal Compact Flash:

1

Touch the

Internal Compact Flash

button.

A message lets you know if the Internal Compact Flash passed the test.

2

Touch the

Close

button

.

If the compact flash card fails the test, try the test again.

Audio Test

This test determines whether the cardiograph is emitting sounds.

To test audio:

1

Touch the

Audio

button from the list.

The test emits audible chime tones.

2

3

4

Select

Yes

when the see the message

Did you hear the sound playing?

A message lets you know that the audio test passed.

Select

No

if you did not hear the sound playing.

A message lets you know that the audio test fails.

Touch the

Close

button

.

Keyboard/Hardware Key Test

A successful Keyboard test is one in which each key is properly recognized when pressed.

To test the keyboard:

1

Touch the

Keyboard

/

Hardware Key Test

button.

The Keyboard Test window appears.

PageWriter TC Cardiograph Service Manual

3-47

Troubleshooting

Figure 3-17 Keyboard Test window (US Keyboard)

Using the Service Utilities

Figure 3-18 Keyboard Test window (European keyboard)

3-48

PageWriter TC Cardiograph Service Manual

Using the Service Utilities

Figure 3-19 Keyboard Test window (French AZERTY keyboard)

Troubleshooting

Figure 3-20 Keyboard Test window (Russian keyboard)

2

3

Press each key on the keyboard. If a key is highlighted, the key is registered.

After all the keys are highlighted, touch the

Close

button to finish the test.

A message lets you know if the test passed or failed. The test fails if any of the keys are not recognized when you press them or if you do not press all of the keys.

PageWriter TC Cardiograph Service Manual

3-49

Troubleshooting

Viewing and Saving Log Files

Viewing and Saving Log Files

All test results are entered in the Event Log that is displayed on the screen. Additionally, you can save all log files to a USB memory stick using the

Save Logs

feature in

Setup

, or use the key command

Ctrl + Alt + O

from any screen. Ensure that a USB memory stick is firmly connected to the cardiograph before saving log files. Also, the cardiograph can be configured to automatically or manually transmit log files directly to a specified TraceMaster ECG

Management System server, or to any other networked computer or server that is accessible over a LAN or WLAN. For more information on configuring and using a remote server to receive log files, see the PageWriter TC Cardiograph Network Configuration Guide.

About Log Files

Log files continuously record operating information about the cardiograph including events, errors, application integrity, battery power levels, memory use, test results, and user events related to ECG processing, along with the time and date of each event.

Figure 3-21 shows the Event Log as it appears on the Diagnostic Tests and Utilities screen.

Figure 3-21 Event Log Screen

3-50

PageWriter TC Cardiograph Service Manual

Viewing and Saving Log Files

Troubleshooting

Saving Log Files

The following log files can be saved to a USB memory stick, or can be transferred to a specified remote server:

 system1.log

 system2.log

CFG.xml

These log files are useful in troubleshooting cardiograph issues.

When exported from the cardiograph, the log files are saved to a

syslog

directory. Within the

syslog

directory, the two system log files are found. The file

system1.log

contains the most recent event log information, and can reach a maximum size of 2 MB. Once the

system1.log

file reaches 2 MB, the data in this file is moved to the

system2.log

file. The

system2.log

file retains this saved event log information until it is replaced again by more current information being moved from the

system1.log

file.

If the cardiograph is configured to automatically transfer log files and configuration files to a remote server, the

syslog

directory will also contain an

AutoSave

folder. This folder contains files that are scheduled for automatic transmission to a remote server. The files contained in this folder may or may not be as current as the files saved to the

syslog

directory; this is dependent upon on when the last automatic transmission to a remote server occurred.

Figure 3-22 The Syslog directory

N O T E

A DumpFiles directory may appear at the same level as the syslog directory. The DumpFiles directory contains error information that can be used by Philips personnel for troubleshooting purposes.

To save log files:

1

2

3

Insert the USB memory stick into the cardiograph.

Press

Ctrl + Alt + O

from any screen, or, from the Setup Main Menu, touch the button next to

Configure Cardiograph Default Settings

.

Touch the

Save/Load Settings

button on the Configuration Context Toolbar. The

Save/

Load Settings

screen appears.

PageWriter TC Cardiograph Service Manual

3-51

Troubleshooting

Figure 3-23 Save/Load Settings screen

Viewing and Saving Log Files

4

Under

Save Logs,

make sure that

USB memory stick

is highlighted

.

5

Touch the

Save

button. The Save Logs window appears.

Figure 3-24 Save Logs screen

6

7

To save the log files to the default file name and location, touch the

Save

button. Proceed to step 10.

The USB memory stick flashes while the log file is being saved. This can take up to 20 seconds.

To change the file name or location, touch the

Browse

button.

The Select file directory screen appears.

3-52

PageWriter TC Cardiograph Service Manual

Viewing and Saving Log Files

Figure 3-25 Select File Directory screen

Troubleshooting

8

9

Touch the

New Folder

button to create a folder for the log files and to specify a different file name, if desired. Touch the

OK

button.

Touch the

Save

button to save the log files to the specified file name and location.

The USB memory stick flashes while the log file is being saved. This can take up to 20 seconds.

10

Remove the USB memory stick when the file save is complete.

PageWriter TC Cardiograph Service Manual

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Troubleshooting

Viewing and Saving Log Files

3-54

PageWriter TC Cardiograph Service Manual

4

3

Performance Verification and

Safety Tests

This chapter describes the tests and inspections required to verify performance of the

PageWriter TC cardiograph following a service event.

This chapter provides the following information:

Required Testing Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

External Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

Internal Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Upgrades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Test and Inspection Matrix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4

Test Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Performance Verification Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Visual Inspection (V) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Power On Test (PO) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6

Individual Functional Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6

Safety Tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12

Required Testing Levels

The Performance Verification Tests verify proper operation of the PageWriter TC cardiograph following a service event. The level of testing required corresponds to the type of service performed.

N O T E

Installation and Preventive Maintenance are not considered service events since the cardiograph is designed to be installed and maintained by the user. Service Events are divided into two categories:

Repairs and Upgrades. Repairs are then further divided into External Repairs and Internal Repairs.

External Repairs

External Repairs consist of repairs or replacements of one or more items. Repair or replacement of these items does not require you to open the cardiograph case, therefore only a limited number of tests are necessary to verify performance post-repair. External repairs that involve the PIM, PIM data cable, and PIM lead set require an ECG simulation test to verify proper ECG signal path.

The typical external repairs include:

PIM

4-1

Performance Verification and Safety Tests

Internal Repairs

Patient Leads

PIM data cable

Labels

Batteries

Paper Tray

AC Power Cord

AC Power Supply

Wireless LAN card

USB external devices

Barcode reader

Trolley

External cables

Refer to Table 4-18 for the required test blocks that must be performed after any external

repair occurs.

Internal Repairs

If the case was opened, regardless of the repair, you must perform additional Performance

Verification Tests. Refer to Table 4-18 for the required test blocks that must be performed

after any internal repair.

Upgrades

N O T E

There are no upgrades available for the PageWriter TC70 cardiograph.

Most PageWriter TC50 cardiograph and PageWriter TC30 cardiograph upgrades are installed by the user, and are not considered service events. The only exceptions are upgrades for the

software and the magnetic card reader. Refer to Table 4-18 for the required test blocks that

must performed after these upgrades.

Table 4-1 Tests Required

Service Event

Repairs External Repairs not involving the patient module (battery, AC power supply, labels, or cart)

1

2

3

Test Blocks Required

Visual Inspection

Power On test

Functional tests specific to components repaired

4-2

PageWriter TC Cardiograph Service Manual

Upgrades

Performance Verification and Safety Tests

Table 4-1

Tests Required (continued)

Service Event

External repairs where the cardiograph case is not opened, but involving the patient module, patient lead set, or patient data cable

Upgrades

Internal repairs where the cardiograph case is opened

Software Upgrades (via USB memory stick)

3

4

1

2

Test Blocks Required

Visual Inspection

Power On test

ECG simulation test

Functional tests specific to components repaired

3

4

1

2

Perform Visual Inspection

Power On test

ECG simulation

Safety tests S2, and S3, plus functional tests specific to components repaired

Power On test

PageWriter TC Cardiograph Service Manual

4-3

Performance Verification and Safety Tests

Test and Inspection Matrix

Test and Inspection Matrix

The following Test and Inspection Matrix describes the various test blocks, expected test results, and what you need to document on the service record.

Table 4-2 Test and Inspection Matrix

Test Block

Name

Test or Inspection to Perform

Power On (PO)

Power on the unit (page 4-6).

Watch display for errors.

See the Troubleshooting chapter for a list of errors.

Expected (Passing)

Test Results

Visual Inspection

(V)

Perform visual inspection (page 4-5).

If there is no apparent wear, damage, or corrosion the visual inspection passes.

V:P (pass)

V:F (fail)

If the display shows the Software

Identification screen followed by the Main screen, the Power On test passes.

What to Record on a

Service Record

PO:P (pass)

PO:F (fail)

Individual Functional Tests. The Printer, Touch Screen, PIM and Keyboard tests can be run from within the

Service Utilities.

Printer Test (P)

Perform Printer Test (page 4-9).

As described in the test procedure.

P:P (pass)

P:F (fail)

Touch Screen

Test (TD)

Perform the Touch Screen

Display and Calibration tests

(page 4-9).

PIM Test (PIM)

Perform the PIM test

(page 4-10).

As described in the test procedure.

As described in the test procedure.

TD:P (pass)

TD:F (fail)

Keyboard Test

(K)

Leadwire Test

(LW)

ECG Simulation

(ECG)

Perform the Keyboard test

(page 4-10).

Test the lead wires for both open

and shorts (page 4-10).

As described in the test procedure.

As described in the test procedure.

Connect a 12 Lead Patient

Simulator to the lead set and print a 12 lead ECG. Visually analyze

the printout (page 4-11).

If there is trace activity in all leads with no notable distortion or noise, and cal pulses of proper duration and amplitude, then the

ECG Simulation passes.

PIM:P (pass)

PIM:F (fail)

K:P (pass)

K:F (fail

LW:P (pass)

LW:F (fail)

ECG:P (pass)

ECG:F (fail)

4-4

PageWriter TC Cardiograph Service Manual

Test Equipment

Performance Verification and Safety Tests

Table 4-2

Test Block

Name

Safety (S1)

PageWriter

TC50/TC30 cardiographs only

Safety (S2)

Test and Inspection Matrix (continued)

Test or Inspection to Perform

Earth Resistance Test (page 4-13).

Equipment leakage current

(page 4-13).

Safety (S3)

Leads leakage current (page 4-14).

Source (Normal condition)

With Mains on applied part

(Single Fault Condition)

Expected (Passing)

Test Results

Test limits: 200 mOhm using a reduced 200 mA test current

What to Record on a

Service Record

Example:

S1:P/100 mOhm

SF Maximum leakage current

< 1000 uA

< 10 uA x1

< 50 uA x3

Example:

S2:P/999

Example:

S3:P/5/20

Test Equipment

The following test equipment is required to perform the complete set of Performance

Verification tests:

ECG Simulator

Electrical Safety Tester

USB memory stick with the most recent PageWriter TC50 software

Performance Verification Tests

Visual Inspection (V)

Before beginning the inspection, press the On/Standby button ( ) for 2 to 3 seconds to put the cardiograph in Standby mode and unplug the power cord from the wall outlet. Inspect the cardiograph external surfaces for the following:

Worn or damaged power cord

Loose or missing hardware

Mechanical damage

Evidence of liquid spill

Worn printer drive gear

Worn printer roller

Corroded or damaged reusable electrodes, if present

PageWriter TC Cardiograph Service Manual

4-5

Performance Verification and Safety Tests

Performance Verification Tests

Damaged patient leads

Dirt/paper residue on the thermal print head

Frayed or damaged wiring

Visible touch screen damage

Replace any damaged or missing items.

Clean the patient data cable and patient leads as necessary. For more information, see

“Cardiograph and PIM Cleaning” on page 2-3, and see “Patient Data Cable and Lead Wire

Cleaning” on page 2-4.

Power On Test (PO)

Restart the cardiograph to process a completed Power On test.

To restart the cardiograph:

1

Press the

On/Standby

button ( ) for 2-3 seconds to shut down the cardiograph.

2

Press the

On/Standby

button again to power on the cardiograph.

After approximately 20 seconds, the PageWriter TC cardiograph software identification screen appears, followed by an audible beep.

The following self-tests are automatically performed during reboot:

Software CRC Test

Flash Memory: onboard CompactFlash (CF) and internal CompactFlash (CF)

PIM Status

USB Detect

Individual Functional Tests

You perform the Printer, Touch Screen, PIM, and Keyboard tests using the Service Utilities.

Accessing the Service Utilities

To access the Service Utilities:

1

From the Main screen, touch the

Setup

button.

The Configuration Setup and Services Utilities main screen appears.

4-6

PageWriter TC Cardiograph Service Manual

Performance Verification Tests

Performance Verification and Safety Tests

Figure 4-26 Configuration Setup and Services Main screen

2

Touch

Service Utilities

.

The Setup and Service Utilities screen appears with the

About the Cardiograph

tab displayed.

PageWriter TC Cardiograph Service Manual

4-7

Performance Verification and Safety Tests

Performance Verification Tests

Figure 4-27 Setup and Service Utilities About the Cardiograph screen

3

For detailed information about the components of this screen, see “Using the About the

Cardiograph Screen” on page 3-39.

Touch the

Diagnostic and Test Utilities

tab.

4-8

PageWriter TC Cardiograph Service Manual

Performance Verification Tests

Figure 4-28 Diagnostic and Tests Utilities screen

Performance Verification and Safety Tests

Printer Test (P)

The Printer Test is used to verify that the cardiograph printer is able to correctly print the test page. Use this test to verify proper printer performance or when reports appear to have print quality errors.

To perform the Printer test:

1

Touch the

Printer Test

button.

2

See “Printer Test” on page 3-43 for instructions.

Touch Screen Display and Calibration Test (TD)

The touch screen can be calibrated at any time. Calibration is recommended if it requires many attempts to select an item on the screen, or if selecting items on a specific area of the screen is difficult.

The touch screen may also require calibration if the cardiograph is used in different settings

(seated instead of standing) or by users of significantly different height. The touch screen may

PageWriter TC Cardiograph Service Manual

4-9

Performance Verification and Safety Tests

Performance Verification Tests need to be recalibrated to work optimally in the new setting or with the new user. The Touch

Screen Calibration procedures and tests include:

Force Calibration procedure

Touch Calibration test

To calibrate the touch screen with the Force Calibration procedure:

1

Touch

Force Calibration

.

2

See “Touch Screen Calibration and Test” on page 3-45 for instructions.

To calibrate the touch screen with the Touch Calibration test:

1

Touch

Start Test

.

2

See“Touch Screen Calibration and Test” on page 3-45 for instructions.

PIM Test (PIM)

This test is used to confirm that the Patient Interface Module (PIM) is communicating with the cardiograph. This test can be performed when the cardiograph displays PIM error messages, or when the cardiograph is unable to acquire data from the PIM. Be sure that the PIM patient data cable is securely attached to the PIM connector on the rear of the cardiograph before performing the test.

If this test fails, it may indicate a problem with the PIM or with the PIM patient data cable.

To perform the PIM Test:

1

Touch the

Patient Interface Module (PIM) Test

button.

2

See “Patient Interface Module (PIM) Test” on page 3-45 for instructions.

Keyboard Test (K)

A successful Keyboard test is one in which each key is properly recognized when pressed.

To perform the Keyboard Test:

1

Touch the

Keyboard

/

Hardware Key Test

button.

2

See “Keyboard/Hardware Key Test” on page 3-47 for instructions.

Leadwire Tests (LW)

Run the lead wire open and short tests. See “Using the Service Utilities” on page 3-38 and

“Lead Wire Shortage Test” on page 3-45 for instructions.

4-10

PageWriter TC Cardiograph Service Manual

Performance Verification Tests

Performance Verification and Safety Tests

ECG Simulation (ECG)

Taking an ECG using a 12-lead ECG simulator allows you to verify areas of operation that the extended self-test cannot check:

Integrity of the patient leads

Accuracy of the paper speed (not available on all simulators)

Accuracy of the gain settings (not available on all simulators)

The recorded ECG trace should look similar to the one shown in the following figure. Trace differences may result from differences in simulators, simulators settings, and from differences in configuration and control settings on the cardiograph.

Figure 4-29 Simulated 12-Lead ECG

To make a simulated ECG recording

1

Connect the PIM lead wires to the simulator.

Verify that all lead wires are connected by observing the display for flat lines.

2

3

4

Touch the

Map

button on the Toolbar.

Check the leads map to be sure that a red x does not appear next to any electrodes.

Firmly pull each lead wire tight, and then look for excessive noise on the display (may be indicated by yellow or orange waveforms).

Touch the

ECG

button on the toolbar. If a message appears that no patient information has been entered, touch the

Continue

button.

Depending on how the cardiograph is configured, the ECG may automatically print. If not, touch the

Print

button.

PageWriter TC Cardiograph Service Manual

4-11

Performance Verification and Safety Tests

Performance Verification Tests

5

Verify the following items when printing is complete:

– Trace activity for all leads. Confirms integrity for all patient electrodes and leadwires.

Noise should measure less than one (1) mm, with no baseline wander.

– No gross distortion of complexes or calibration pulses (no overshoot and so forth).

– Duration for calibration pulses for correct paper speed. With cardiograph set to record at 25 mm/sec, the calibration pulse should measure 5mm (calibration pulse duration is

200 ms).

– Calibration pulse amplitude is correct.

N O T E S

An arrhythmia simulator is not an acceptable tool for verifying computerized ECG analysis. The analysis software is biased to process human ECG data.

Noise may be an artifact of poor connections to the simulator or position of the cables. If noise appears, check the connectors or adjust the cable drape.

Safety Tests

This section covers tests of the cardiograph’s electrical safety.

N O T E

The PageWriter TC70 cardiograph is an electrical Class II device in which the protection against electrical shock does not rely on basic insulation and a protective earth conductor, but on double and reinforced insulation.

Test Notes

Use the procedures called out by the manufacturer of the safety analyzer in use.

Test both Normal and Reverse polarity line connections for each test, and record the worst-case value.

Use the barrel of the PIM connector to connect a test lead to chassis bare metal for the leakage tests.

PIM connector

4-12

PageWriter TC Cardiograph Service Manual

Performance Verification Tests

Safety Test S1 - Earth Resistance Test

Performance Verification and Safety Tests

Limits: 200 mOhm using a reduced 200 mA test current

Safety Test S2 - Equipment Leakage

Applicable to Class 1 and 2, type B, BF, CF. For Class 1: Protective Earth conductor is not connected. S = open. Measure equivalent leakage current to mains part from all Applied

Parts and enclosure in parallel. Measures grounded and ungrounded metal parts.

Maximum leakage current < 1000 uA.

Reference: VDE 0751.

PageWriter TC Cardiograph Service Manual

4-13

Performance Verification and Safety Tests

Safety Test S3 - Leads Leakage Current

Performance Verification Tests

Check each type CF Applied

Part separately with all patient connections short-circuited together.

Include all accessible conductive parts of enclosure.

CF

Applicable to Class 1 and 2, type CF.

Measures equivalent leakage current to mains part and enclosure from all Applied Parts in parallel.

Maximum leakage current CF < 50/100 uA. Tested separately (50 uA) or together (100 uA).

4-14

PageWriter TC Cardiograph Service Manual

5

1

Parts and Supplies

The part numbers for all available replacement parts for the PageWriter TC cardiographs are listed in this section. If the replacement part that you need is not listed in this section, please

contact the nearest Philips Response Center for further assistance. See “Contacting a Philips

Response Center” on page 5-13.

This chapter provides the following information:

Ordering Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-1

PageWriter TC70/TC50/TC30 Cardiograph Cart Replacement Parts5-2

PageWriter TC70/TC50/TC30 Customer Replacement Parts . . . . .5-3

Other PageWriter TC Cardiograph Replacement Parts . . .5-5

Paper Tray Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-6

Patient Interface Module (PIM) Replacement . . . . . . . . . . . . . . . . .5-7

Supplies and Ordering Information . . . . . . . . . . . . . . . . . . . . . . . . .5-7

Ordering Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-7

Special Note about Welsh Bulb Electrodes . . . . . . . . . . . .5-8

PageWriter TC Cardiograph Supply Part Numbers . . . . . .5-8

Ordering Options and Upgrades . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11

Contacting a Philips Response Center . . . . . . . . . . . . . . . . . . . . . .5-13

Ordering Replacement Parts

For further assistance, contact your local Philips Medical Systems Response Center. See

“Contacting a Philips Response Center” on page 5-13.

5-1

Parts and Supplies

PageWriter TC70/TC50/TC30 Cardiograph Cart Replacement Parts

PageWriter TC70/TC50/TC30 Cardiograph Cart

Replacement Parts

Figure 5-1 PageWriter TC70/TC50/TC30 Cardiograph Cart Replacement Parts

5-2

PageWriter TC Cardiograph Service Manual

Parts and Supplies

PageWriter TC70/TC50/TC30 Customer Replacement Parts

Table 5-1 PageWriter TC70 Cardiograph Cart Replacement Parts List

Reference Number Part Number

1

2

3 and 4

989803159011

*

989803149561

*

453564054291

5

6 453564054301

7 989803159001

*

Description

Cart Patient Cable Arm

Additional Cart Storage Bin

Directional locking caster

8 453564094411

Additional Wire Basket

PageWriter TC70 Cardiograph only

Cart Power Supply 15V, 80W

PageWriter TC70 Cardiograph only

N O T E

The parts listed in Table 5-2 that contain an asterisk (*) after the part number are only available through your sales representative or distributor.

PageWriter TC70/TC50/TC30 Customer Replacement

Parts

The following section lists all of the customer replacement parts for all models of the

PageWriter TC cardiograph. If the replacement part that you need is not listed in this section,

please contact the nearest Philips Response Center for further assistance. See “Contacting a

Philips Response Center” on page 5-13.

N O T E

The parts listed in this section are applicable to all models of the PageWriter TC cardiograph.

PageWriter TC Cardiograph Service Manual

5-3

Parts and Supplies

PageWriter TC70/TC50/TC30 Customer Replacement Parts

Figure 5-2 PageWriter TC70/TC50/TC30 Cardiograph Replacement Parts

5-4

Table 5-2

1

1

1

1

1

1

1

PageWriter TC70/TC50/TC30 Replacement Parts

Reference Number Part Number

453564094281

453564094291

453564094301

453564215081

453564171161

453564171171

453564171181

Description

PageWriter TC70 Keyboard Assembly

(USA English)

PageWriter TC70 Keyboard Assembly

(European)

PageWriter TC70 Keyboard Assembly

(French)

PageWriter TC70 Keyboard Assembly

(Russian)

PageWriter TC50 Keyboard Assembly

(USA English)

PageWriter TC50 Keyboard Assembly

(European)

PageWriter TC50 Keyboard Assembly

(French)

PageWriter TC Cardiograph Service Manual

Parts and Supplies

PageWriter TC70/TC50/TC30 Customer Replacement Parts

Table 5-2 PageWriter TC70/TC50/TC30 Replacement Parts

(continued)

Reference Number Part Number Description

1

1

1

1

1

453564203431

453564201791

453564201811

453564203421

PageWriter TC50 Cardiograph Keyboard

Assembly (Russian)

PageWriter TC30 Cardiograph Keyboard

Assembly (USA English)

PageWriter TC30 Cardiograph Keyboard

Assembly (European)

PageWriter TC30 Cardiograph Keyboard

Assembly (French)

453564203431 PageWriter TC30 Cardiograph Keyboard

Assembly (Russian)

453564171271 Battery Door 2

3 989803164281

*

Class B Patient Data Cable

Notes: For more information about Class B

Patient Data Cables, see “About Class A and

Class B Patient Data Cables and PIMs” on page 1-

27. This part is only available through your sales representative or distributor.

4 453564171441 Rubber Rear Screw Cover

5 453564171881 PageWriter TC50/TC30 only:

1.6 amp (250 V) Replacement Fuse

Other PageWriter TC Cardiograph Replacement Parts

Table 5-3 Other PageWriter TC Cardiograph Replacement Parts

Part Number

453564119001

453564096331

Description

Cardiograph to trolley mounting screws and washers (2)

Assorted screws consisting of:

M3 x 8mm T10 (20)

M3 x 6mm T10 (2, for I/O board assembly)

M4 x 8mm T 20 (6)

Display rubber plugs (4)

PageWriter TC Cardiograph Service Manual

5-5

Parts and Supplies

Paper Tray Replacement Parts

Figure 5-3 Paper Tray Parts Exploded Diagram

Paper Tray Replacement Parts

Table 5-4

1

2

Paper Tray Replacement Parts List

Reference Number Description

Paper Tray A4 Metric Spacer for A4 paper

Paper Guide for A4 paper

Complete Paper Tray Assembly

Part Number

453564172291

453564172301

453564171421

5-6

PageWriter TC Cardiograph Service Manual

Parts and Supplies

Patient Interface Module (PIM) Replacement

Patient Interface Module (PIM) Replacement

The same Patient Interface Module (PIM) is used on all models of the PageWriter TC cardiograph. Before ordering a replacement PIM, check the

Service Number

on the bottom

PIM label. Record this Service Number and keep this information with you when ordering replacement PIM parts, as this number determines which replacement part is ordered. For

further assistance, contact the nearest Philips Response Center. See “Contacting a Philips

Response Center” on page 5-13.

Figure 5-4 Service Number on PIM Label (bottom of PIM)

Service Number

Supplies and Ordering Information

The part numbers for all supplies for the PageWriter TC cardiograph are listed in this section.

Ordering Supplies

All supplies may be ordered on the web at: http://shop.medical.philips.com

Use the part numbers listed in this section to ensure that the correct supplies are ordered.

PageWriter TC Cardiograph Service Manual

5-7

Parts and Supplies

Supplies and Ordering Information

Special Note about Welsh Bulb Electrodes

Figure 5-5 Welsh Bulb Electrode

Welsh Bulb electrodes are offered as an optional supply part with the PageWriter TC cardiograph. Special care is necessary when using these electrodes. Pay special attention to all warnings associated with these electrodes. For information on cleaning the reusable Welsh

Bulb electrodes, see “Reusable Electrode Cleaning" on page 3-4. Philips Medical Systems recommends the use of disposable electrodes with the PageWriter TC cardiograph.

WARNING The Welsh bulb electrodes (available as an accessory for the cardiograph) do not meet the requirements of IEC 60601-2-25 for defibrillation recovery time, and cannot be reliably used for patient diagnosis immediately following defibrillation.

WARNING Always clean and disinfect reusable electrodes before patient use. See “Reusable

Electrode Cleaning” on page 3-4 for information on cleaning and disinfecting reusable electrodes. Failure to properly clean and disinfect reusable electrodes before patient use may cause infectious materials to be transferred between patients.

CAUTION

The Welsh bulb electrodes contain natural rubber latex which may cause allergic reactions.

5-8

PageWriter TC Cardiograph Supply Part Numbers

PIM Patient Data Cable

Part Number

989803164281

Description

Patient Data Cable, Class B 8-pin (2.0 meters/6.56 feet length)

Complete Lead Sets

Part Number

989803151631

989803151641

989803151711

Description

Complete AAMI Lead Set for Standard 12 Leads (arm lead 99 cm/39 in, leg lead 104.1 cm/41 in, chest leads 69.8 cm/27.5 in)

Complete IEC Lead Set for Standard 12 Leads (arm lead 99 cm/

39 in, leg lead 104.1 cm/41 in, chest leads 69.8 cm/27.5 in)

Limb Lead Set (AAMI/IEC) (arm lead 99 cm/39 in, leg lead 104.1 cm/41 in)

PageWriter TC Cardiograph Service Manual

Parts and Supplies

Supplies and Ordering Information

Complete Lead Sets

Part Number

989803151671

989803151651

989803151661

989803151731

989803151691

989803151751

989803151761

989803151771

989803151781

Description

Complete Chest Lead Set (AAMI/IEC) (chest leads 69.8 cm/27.5 in)

Long Complete AAMI Lead Set for Standard 12 Leads (arm lead

137.1cm/54 in, leg lead 142.2 cm/56 in, chest leads 69.8 cm/27.5 in)

Long Complete IEC Lead Set for Standard 12 Leads (arm lead

137.1cm/54 in, leg lead 142.2 cm/56 in, chest leads 106.6 cm/42 in)

Long Limb Lead Set (AAMI and IEC) (arm lead 137.1cm/54 in, leg lead 142.2 cm/56 in)

Long Chest Lead Set (AAMI/IEC) (chest leads 106.6 cm/42 in)

16-Lead Kit for AAMI Leads (arm lead 99 cm/39 in, leg lead

104.1 cm/41 in, chest leads 69.8 cm/27.5 in, extended leads 83.8 cm/33 in)

16-Lead Kit for IEC Leads (arm lead 99 cm/39 in, leg lead 104.1 cm/41 in, chest leads 69.8 cm/27.5 in, extended leads 83.8 cm/33 in)

Long 16-Lead Kit for AAMI Leads (arm lead 137.1cm/54 in, leg lead 142.21 cm/56 in, chest leads 106.6cm/42 in, extended leads

121.9cm/48 in)

Long 16-Lead Kit for IEC Leads (arm lead 137.1cm/54 in, leg lead 142.21 cm/56 in, chest leads 106.6cm/42 in, extended leads

121.9cm/48 in)

Lead Accessories

Part Number

989803129231

989803129241

989803101361

989803101371

989803106061

Description

Alligator Clips for Disposable Tab Electrodes (AAMI)

(10 total per pack)

Alligator Clips for Disposable Tab Electrodes (IEC)

(10 total per pack)

Alligator Clip Extender (Pediatric) for Disposable Tab

Electrodes (10 total per pack) (AAMI)

Alligator Clip Extender (Pediatric) for Disposable Tab

Electrodes (10 total in pack) (IEC)

Wide Disposable Tab Electrode Connector

(10 total per pack) (AAMI/IEC)

PageWriter TC Cardiograph Service Manual

5-9

Parts and Supplies

Supplies and Ordering Information

Lead Accessories

Part Number

989803166031

989803101701

989803151701

Description

Clear Tab with Snap Adapter (AAMI) (10 total electrodes)

IEC Snap Lead Adapter (converts IEC connector to grabber connector for use with snap disposable electrodes and 4mm banana plug termination cables)

16-Lead Spare Parts Kit (includes color rings, shorting plugs, lead separators and banana post adapters)

Disposable and Reusable Electrodes

Part Number Description

989803100441 Solid gel tab disposable cardiography electrode, resting diagnostic

ECG (35 mm x 22 mm, 1.37 x .86 in) (1000 total electrodes)

989803106051 Solid gel tab disposable cardiography electrode, resting diagnostic

ECG (33 mm x 20 mm, 1.29 x .78 in) (1000 total electrodes)

989803149901 Pediatric disposable tab electrode (14 mm x 34 mm, .55 x 1.33 in)

(1000 total electrodes)

989803101311 Reusable Welsh Bulb Electrode 15 mm diameter (AAMI) (6 total electrodes)

989803101651 Reusable Welsh Bulb Electrode 15 mm diameter (IEC) with banana plug adapter (1 total electrode)

989803101281 Reusable Welsh Bulb Electrode (IEC) with side screw connection

(6 total electrodes)

989803101661 Reusable Adult Limb Plate Electrode (IEC) (4 total electrodes)

989803101691 Reusable Adult Limb Clamp Electrode (4 total electrodes)

(AAMI/IEC)

989803101341 Reusable Adult Limb Plate Electrode for push-in type connection, nickel-silver (4 total electrodes) (AAMI/IEC)

989803100601 Rubber Strap for Reusable Limb Plate Electrodes (38 cm/15 in)

(4 total straps) (AAMI/IEC)

Printer Paper

Part Number Description

989803106261 Z-fold, with header, A size (21.6 x 28 cm/8.5 x 11 in)

989803106271 Z-fold, with header, A4 size (21 x 29.69 cm/8.27 x 11.69 in)

5-10

PageWriter TC Cardiograph Service Manual

Parts and Supplies

Ordering Options and Upgrades

Printer Paper

Part Number Description

989803106281 Anti-fade, A size (21.6 x 28 cm/8.5 x 11 in)

989803106291 Anti-fade, A4 size (21 x 29.69 cm/8.27 x 11.69 in)

Batteries

Part Number

989803160981

Description

Lithium-ion replacement battery (2 battery operation only for any cardiograph model)

PageWriter TC50/TC30 only, or for 2 battery operation for any cardiograph model)

Keyboard Covers

Part Number

989803166511

989803166501

Description

PageWriter TC70 Cardiograph Keyboard Cover (5 per pack)

PageWriter TC50/TC30 Cardiograph Keyboard Cover (5 per pack)

Replacement Fuse

Part Number

453564131221

Description

PageWriter TC50/TC30 Cardiograph 1.6 amp (250 V)

Replacement Fuse

USB Memory Stick

Part Number

989803145331

Description

USB Memory Stick

Ordering Options and Upgrades

For more information on ordering any of the following cardiograph upgrades or options, please contact your Philips Sales Representative or your local distributor.

Table 5-5 Data Input Options

Option Number

H12

Description

Barcode Reader

PageWriter TC Cardiograph Service Manual

5-11

Parts and Supplies

5-12

Ordering Options and Upgrades

Table 5-5 Data Input Options

(continued)

Option Number

H13

H14

Description

Magnetic Card Reader

Smart Card Reader

Table 5-6 Patient Interface Module (PIM) Options

Option Number

H21

H22

Description

12-Lead Patient Interface Module (PIM) (AAMI or IEC)

16-Lead Patient Interface Module (PIM) (AAMI or IEC)

Table 5-7 Product Upgrades

Option Number

D01

D07

D12

D21

D22

H10

H11

Description

Orders support (order system connectivity)

Manual order entry support (user entered orders)

Last ECG and Interactive Query support (requires

TraceMaster ECG Management System)

Wireless LAN support (802.11b/g)

Wireless LAN support (802.11a, 802.11b/g)

Ethernet LAN/Connectivity Board (PageWriter TC30

Cardiograph only)

Global Modem support

Table 5-8

C03

Cardiograph Cart and Accessories

Option Number

B01

B02

C01

C02

Description

Partially Assembled Cardiograph Cart

Fully Assembled Cardiograph Cart (only available in USA)

TC70 Cardiograph Cart Drawer

TC50 /TC30 Cardiograph Additional Cart Storage Bin/TC70

Cardiograph Additional Wire Storage Bin

Patient Cable Arm

Table 5-9 Keyboard Cover

Option Number

H16

Description

Keyboard Cover

PageWriter TC Cardiograph Service Manual

Parts and Supplies

Contacting a Philips Response Center

Contacting a Philips Response Center

The Philips Response Center can assist with product troubleshooting and provide technical expertise to help with any issue with the PageWriter TC cardiographs or any of its accessories.

For more information on the Philips Response Center go to: www.medical.philips.com/main/services/response_center

North America Response Centers

Country

Canada

Mexico

Puerto Rico

United States

Telephone Number

(800) 323 2280

01 800 710 8128

1 787 754 6811

(800) 722 9377

South America Response Centers

Country

Argentina

Brazil

Chile

Columbia

Peru

Telephone Number

54 11 4546 7698

0800 701 7789

0800 22 3003

01 8000 11 10 10

51 1 620 6440

Europe Response Centers

Country

United Kingdom

Austria

Belgium

Telephone Number

44 0870 532 9741

Fax: 44 01737 23 0550

43 1 60101 820

32 2 525 7102 (French)

32 2 525 7103 (Flemish)

31 40 2781619 Czech Republic

MCR Response Center

(located in The

Netherlands)

Denmark

Finland

45 80 30 30 35

358 615 80 400

PageWriter TC Cardiograph Service Manual

5-13

Parts and Supplies

Europe Response Centers

Country

France

Germany

Greece

MCR Response Center

(located in The

Netherlands)

Hungary

MCR Response Center

(located in The

Netherlands)

Italy

Netherlands

Norway

Poland

MCR Response Center

(located in The

Netherlands)

Romania

MCR Response Center

(located in The

Netherlands)

Russia

MCR Response Center

(located in The

Netherlands)

Slovak Republic

MCR Response Center

(located in The

Netherlands)

Spain

Sweden

Switzerland

Telephone Number

0 810 835 624

0180 5 47 5000

31 40 2781619

31 40 2781619

0800 232100

31 40 27 211 27

47 800 84 080

31 40 2781619

31 40 2781619

31 40 2781619

31 40 2781619

34 90 230 4050

46 200 81 00 10

0800 80 3000 (German)

0800 80 3001 (French)

Contacting a Philips Response Center

5-14

PageWriter TC Cardiograph Service Manual

Parts and Supplies

Asia Response Centers

Country

Australia

China

Hong Kong

India

Indonesia

Japan

Korea

Malaysia

New Zealand

Philippines

Singapore

Taiwan

Thailand

Telephone Number

1800 251 400

800 810 0038

852 2876 7578

1600 112 444

62 21 7910040, ext 8610

81 (0)120 095 205

82 (0)2 3445 9010

1800 886 188

0800 251 400

63 2 8162617 ext. 875

1800 Philips

0800 005 616

66 (0)2 614 3569

Africa and Middle East

Country

All countries

MCR Response Center

(located in The Netherlands)

Telephone Number

31 40 2781619

Contacting a Philips Response Center

PageWriter TC Cardiograph Service Manual

5-15

Parts and Supplies

Contacting a Philips Response Center

5-16

PageWriter TC Cardiograph Service Manual

6

2

Installing PageWriter TC Cardiograph

Software and Enabling Tokens

A software installation procedure takes approximately fifteen minutes to complete.

This chapter provides the following information:

Software Upgrades. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1

Obtaining Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1

Downloading Software Files from Philips InCenter. . . . . .6-1

Installing the Software Upgrade . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3

Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3

Verifying the Software Installation . . . . . . . . . . . . . . . . . . . . . . . . .6-6

Enabling Upgrade Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-7

Software Upgrades

The upgrade path for a specific cardiograph is dependent upon the software version that is currently installed on the unit. Follow the same procedure to upgrade the software in an existing working unit or to install software on a new system.

Obtaining Software

The software installation procedure requires the use of

 a computer with a USB slot

 internet access blank USB memory stick

The following procedure describes how to download the cardiograph software files to the

USB memory stick. If the USB memory stick with the applicable software is available,

proceed to page 6-3.

Downloading Software Files from Philips InCenter

All software upgrade files may be downloaded from the Philips InCenter web site found at: www.incenter.medical.philips.com

. The InCenter site requires an active login and password.

Instructions for obtaining a login and password are located on the right side of the main

InCenter home page.

6-1

Installing PageWriter TC Cardiograph Software and Enabling Tokens

Obtaining Software

N O T E

To load the software upgrade files to the USB memory stick:

1

Insert the USB memory stick into a compatible slot on a computer or other device.

2

Go to the InCenter site (

incenter.medical.philips.com

) and enter your login information.

3

For information on registering for the InCenter site, see “Using the Philips InCenter Site” on page 1-3.

On the top menu bar (top of screen), click on

Service

. From the drop-down menu, select

Software

,

Software Downloads

, and then

Diagnostic ECG

. The Diagnostic ECG

Software Downloads screen appears.

Figure 6-6 InCenter Service Menu

6-2

N O T E

4

5

6

7

Select

PageWriter

from the side menu (left side of screen). Then select

PageWriter

TC70

,

PageWriter TC50

, or

PageWriter TC30

. The applicable PageWriter TC cardiograph software download screen appears.

Click the applicable

PageWriter TC

cardiograph link.

On the following software download screen, click the applicable

PageWriter TC

cardiograph link.

The Documentation link contains all user documentation (instructions for use, quick reference cards) for the selected software version.

The InCenter software download license agreement appears. If you agree to the terms of the agreement, click

I agree

.

N O T E

8

9

A message may appear that the Download Manager application needs to be installed. Click as indicated to install the ActiveX control in order to continue with the software download. See the

InCenter main page for more information on installing and using ActiveX controls with the

InCenter site.

Select a file destination and then click

Save

. The Philips Download Manager dialog appears. The software files are saved to the specified destination. After the files are saved, click

Launch

. The WinZip Self Extractor dialog appears.

Select a destination for the files and then click

Unzip

. The files are saved to the specified destination.

10

Remove the USB memory stick from the computer or other device and proceed to the next section.

N O T E

Once you download software to a USB memory stick, the software installation program will run whenever you insert this USB memory stick into a cardiograph. If you want to use this USB memory stick for copying configuration files or saving log files, delete the SYSINT folder after you have installed the software.

PageWriter TC Cardiograph Service Manual

Installing the Software Upgrade

Installing PageWriter TC Cardiograph Software and Enabling Tokens

Installing the Software Upgrade

Before You Begin

Save configuration data to a USB memory stick. Although data such as custom configurations, archived ECGs, and orders are preserved during the software upgrade, it is recommended that you back up this data to a USB memory stick before upgrading the software.

Transmit archived ECGs to an ECG management system or USB memory stick before upgrading the software.

To install the software upgrade:

1

Ensure that the Patient Interface Module (PIM) is securely attached to the connector on the rear of the cardiograph.

Figure 6-7 Connecting the PIM to the cardiograph

2

3

Insert the USB memory stick into the USB slot.

Connect the cardiograph to AC power. Verify that the green LED on the front of the cardiograph is lit.

WARNING Always connect the cardiograph to AC power when performing the software upgrade. If the cardiograph is not connected to AC power when performing the software upgrade it may be damaged.

PageWriter TC Cardiograph Service Manual

6-3

Installing PageWriter TC Cardiograph Software and Enabling Tokens

Installing the Software Upgrade

4

Press the On/Off button to turn on the cardiograph. The software installation wizard automatically starts, and the Welcome screen appears.

Figure 6-8 Software Installation Wizard Welcome Screen

5

6

Touch

Next

.

A message appears notifying you that the cardiograph application must be exited, and that any unsaved ECG data will be lost. If there is any unsaved patient data, touch

No

to exit the installation wizard and to return to the cardiograph application. Save the patient data, and then restart the installation procedure. If there is no unsaved patient data, touch

Yes

to continue the installation.

A screen appears informing you that the system is collecting information. Once that

process is complete, the Select Installation Option screen appears. See Table 6-1 on page 5-5 for a description of each software installation option.

6-4

PageWriter TC Cardiograph Service Manual

Installing the Software Upgrade

Installing PageWriter TC Cardiograph Software and Enabling Tokens

Figure 6-9 Select Installation Option Screen

N O T E

The software application version (A.04.03) appears in the lower left corner of the screen.

Table 6-1 PageWriter TC Cardiograph Software Installation Options

Installation Option

Basic Software Installation

Description

This installation option is intended for general users.

Only recommended software components are installed; the user cannot select specific software components for installation.

The user cannot change the language, lead standard, or keyboard configuration of the cardiograph.

Biomed Software Installation

This installation option is only intended for use by internal Philips personnel.

Software Repair

This installation option is used to reinstall specific software components and is intended for use by internal Philips personnel.

The user cannot change the language, lead standard, or keyboard configuration of the cardiograph.

Notes

This installation option is fully localized.

This installation option is only available in English.

PageWriter TC Cardiograph Service Manual

6-5

Installing PageWriter TC Cardiograph Software and Enabling Tokens

Installing the Software Upgrade

Table 6-1

PageWriter TC Cardiograph Software Installation Options (continued)

Installation Option

Service Utility

Description

Use to enter the Service Utility.

Notes

For more information on using the Service Utility, see

“Using the Service Utilities” on page 3-38.

7

8

Select an installation option and then touch

Next.

The Select software components to install screen appears. The install program compares the information on your cardiograph to the information on the USB memory stick and only checks the components that need to be installed. In most cases, there will be components that are not checked.

Figure 6-10 Select software components to install Screen

N O T E

9

The software installation progress screen appears. When installation is complete, the

Installation Complete screen appears prompting you to remove the USB memory stick and restart the cardiograph. Remove the USB memory stick and touch

Restart

.

If the cardiograph’s registry was updated, you may see a message asking if you want to keep your current default settings, or reset all settings to factory defaults. Select Yes or No.

6-6

PageWriter TC Cardiograph Service Manual

Verifying the Software Installation

Installing PageWriter TC Cardiograph Software and Enabling Tokens

Figure 6-11 Installation Complete Screen

Verifying the Software Installation

Complete the following procedure to verify that the software application has been successfully installed.

To verify the software installation is complete:

1

From the cardiograph main screen, touch the

Setup

button.

2

Touch the button next to

Service Utilities

.

The Setup and Service Utilities screen appears.

3

Check the following information under

Software Revisions

(upper left corner) on the

About the Cardiograph

screen to ensure they are at the correct revisions:

– Main Application Revision

– Kernel Revision

– Application Revision

– PIM Kernel Revision

PageWriter TC Cardiograph Service Manual

6-7

Installing PageWriter TC Cardiograph Software and Enabling Tokens

\

Figure 6-12 Software Revisions

Enabling Upgrade Options

Enabling Upgrade Options

The PageWriter TC50 and PageWriter TC30 cardiographs have optional upgrades available, and these upgrade options can be selected either prior to or after initial cardiograph purchase.

If an optional upgrade is purchased after the cardiograph is in active use at your facility, the optional upgrade will need to be enabled directly on the cardiograph from the

Upgrade

Option

screen in Setup. For information on purchasing optional upgrades, see “Ordering

Options and Upgrades” on page 5-11.

N O T E

There are no upgrades available for the PageWriter TC70 cardiograph.

To enable a token/upgrade option:

1

Touch the

Setup

button on the main toolbar.

2

On the Cardiograph Setup and Service Utilities main menu, touch

Upgrade Kit

Installation and Software Updates

.

3

4

5

Touch the

Upgrade Option

button (top of screen). The Upgrade Option screen appears.

The cardiograph serial number appears at the top of the screen. Confirm that the serial number displayed on the screen is the correct serial number of the cardiograph.

Enter the Enable Upgrade Option code number (provided with the upgrade kit) into the

Enable Upgrade Code

field. Touch the

Enable Upgrade Option

button. The cardiograph automatically restarts and the new upgrade option is enabled.

6-8

PageWriter TC Cardiograph Service Manual

7

1

Cart Assembly

Follow the instructions in this chapter to assemble the cart, attach the bin to the cart, and attach the cardiograph to the cart. For information on replacing the rear casters, see the instruction sheet that comes with the replacement kit.

For part ordering information for the replacement kit, see “PageWriter TC70/TC50/TC30

Cardiograph Cart Replacement Parts” on page 5-2.

This chapter provides the following information:

Safety Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-1

Safety and Regulatory Symbols Marked on the

PageWriter TC70 Cardiograph Cart . . . . . . . . . . . . . . . . . .7-1

Safety and Regulatory Symbols Marked on the

PageWriter TC50/TC30 Cardiograph Cart . . . . . . . . . . . . .7-3

Assembling the PageWriter TC70 Cardiograph Cart. . . . . . . . . . . .7-3

Assembling the PageWriter TC50/TC30 Cardiograph Cart . . . . . .7-7

Using the Cart Wheel Positioners and Brake. . . . . . . . . . . . . . . . .7-12

Safety Summary

Safety and Regulatory Symbols Marked on the PageWriter TC70

Cardiograph Cart

Symbol Name

Cart Transport

Description

Do not transport the cart with the drawer open.

7-1

Cart Assembly

Symbol Name

Cart Drawer Weight

Limit

Safety Summary

Description

Do not place more than 3 kilograms or 6.6 pounds of weight into the cart drawer.

Cart Storage Bin Weight

Limit

Do not place more than 3 kilograms or 6.6 pounds of weight into the cart storage bin.

7-2

PageWriter TC Cardiograph Service Manual

Assembling the PageWriter TC70 Cardiograph Cart

Cart Assembly

Safety and Regulatory Symbols Marked on the PageWriter TC50/TC30

Cardiograph Cart

Symbol Name

Cart Storage Bin Weight

Limit

Description

Do not place more than 3 kilograms or 6.6 pounds of weight into the cart storage bin.

Optional Patient Cable

Arm

Do not transport the cart with the patient cable arm positioned to the side. Only transport the cart with the patient cable arm positioned to the front of the cart.

Assembling the PageWriter TC70 Cardiograph Cart

The PageWriter TC70 cardiograph is available with an optional cart that includes a locking storage drawer, storage bin, and a built-in holder for the PIM (patient interface module). The instructions in this section describe the unassembled cart option. For information on ordering

the cart, see "Supplies and Ordering Information" on page 5-7.

To attach the cardiograph to a fully assembled cart, see Step 7 on page 7-6 .

CAUTION

Follow the procedure below to ensure that the cardiograph is securely fastened to the cart before use.

PageWriter TC Cardiograph Service Manual

7-3

Cart Assembly

Assembling the PageWriter TC70 Cardiograph Cart

Figure 7-1 TC70 Unassembled Cart Kit Contents

To attach the cardiograph to the cart:

1

Insert the beam into the cart base.

7-4

PageWriter TC Cardiograph Service Manual

Assembling the PageWriter TC70 Cardiograph Cart

Cart Assembly

2

Hold the beam steadily. Turn the cart onto the side to expose the bottom of the cart.

3

Place the ground strap onto the screw end.

4

Attach the bolt screws and tighten using the provided wrench. Ensure that the bolt screws are tightened to 80-100 in lbs.

PageWriter TC Cardiograph Service Manual

7-5

Cart Assembly

Assembling the PageWriter TC70 Cardiograph Cart

5

6

Turn the cart upright.

Attach the top shelf to the beam using the provided bolts and wrench. Tighten the bolts to

80-100 in lbs.

7

Align the rear feet of the cardiograph with the rear locking holes on the cart. Align the front feet of the cardiograph with the front screw holes on the cart. Lower the cardiograph onto the cart and snap into place.

7-6

PageWriter TC Cardiograph Service Manual

Assembling the PageWriter TC50/TC30 Cardiograph Cart

8

Insert the front screws through the bottom of the base, and tighten.

Cart Assembly

9

Slide the drawer onto the cart as shown.

Assembling the PageWriter TC50/TC30 Cardiograph

Cart

The PageWriter TC50 cardiograph and the PageWriter TC30 cardiograph are available with an optional cart that includes a storage bin and a built-in holder for the PIM (patient interface module). A second storage bin is available as an optional accessory. The instructions in this

section describe the unassembled cart option. For information on ordering the cart, see

"Supplies and Ordering Information" on page 5-7.

To attach the cardiograph to a fully assembled cart, see Step 10 on page 7-11.

CAUTION

Follow the procedure below to ensure that the cardiograph is securely fastened to the cart before use.

PageWriter TC Cardiograph Service Manual

7-7

Cart Assembly

Assembling the PageWriter TC50/TC30 Cardiograph Cart

Figure 7-2 Unassembled Cart Kit Contents

To attach the cardiograph to the cart:

1

Insert the beam into the cart base.

7-8

PageWriter TC Cardiograph Service Manual

Assembling the PageWriter TC50/TC30 Cardiograph Cart

Cart Assembly

2

Hold the beam steadily. Turn the cart onto the side to expose the bottom of the cart.

3

Place the ground strap onto the screw end.

4

Attach the bolt screws and tighten using the provided wrench. Ensure that the bolt screws are tightened to 80-100 in lbs.

PageWriter TC Cardiograph Service Manual

7-9

Cart Assembly

5

6

Turn the cart upright.

Attach the bin to the beam.

Assembling the PageWriter TC50/TC30 Cardiograph Cart

7

Insert the bin dividers as shown.

8

Slide out the tray on the top shelf.

7-10

PageWriter TC Cardiograph Service Manual

Assembling the PageWriter TC50/TC30 Cardiograph Cart

Cart Assembly

9

Attach the top shelf to the beam using the bolt screws. Tighten the bolts using the provided wrench. Ensure that the bolt screws are tightened to 80-100 in lbs.

10

Align the rear feet of the cardiograph with the rear holes on the cart. Lower the front feet of the cardiograph into the front holes on the cart and push the cardiograph into place.

Ensure that the cardiograph is locked into the slot on the front right of the cart.

PageWriter TC Cardiograph Service Manual

7-11

Cart Assembly

Using the Cart Wheel Positioners and Brake

11

Insert the screws through the bottom of the base, and tighten.

Using the Cart Wheel Positioners and Brake

Both cart models include one wheel brake and two wheel positioners. Lock the wheel positioners at all times when using the cart. The wheel positioners keep the cart straight when moving forward or backward, or when turning corners. The wheel positioners also help the cart to maneuver in tight spaces.

To use the cart wheel positioners and brake:

1

Align the front wheels so that they are straight. Step on both wheel positioners. Move the cart forward until the wheels lock into position. The cart will move forward or backward in a straight line.

7-12

PageWriter TC Cardiograph Service Manual

Using the Cart Wheel Positioners and Brake

Cart Assembly

2

Step on the gray rear wheel brake to lock the cart wheels. The cart will not move. Step on the wheel brake again to unlock the wheels.

PageWriter TC Cardiograph Service Manual

7-13

Cart Assembly

Using the Cart Wheel Positioners and Brake

7-14

PageWriter TC Cardiograph Service Manual

8

2

Theory of Operation

This chapter provides the following information:

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-2

Hardware Logical View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-2

Main Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-2

Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

Patient Interface Module (PIM) . . . . . . . . . . . . . . . . . . . . .8-4

Printer Control (FPGA) . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

Battery (Lithium Ion) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

Keyboard and Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

Touch Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-5

LAN Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-5

Magnetic Card Reader (PS/2) . . . . . . . . . . . . . . . . . . . . . . .8-5

Barcode Reader (PS/2) . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-5

Smart Card Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-5

USB Memory Stick. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-5

Wireless LAN Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-6

Modem Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-6

High Level ECG Data Flow and Storage . . . . . . . . . . . . . . . . .8-6

Internal Main Archive. . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-9

Internal Remote Archive. . . . . . . . . . . . . . . . . . . . . . . . . . .8-9

External USB Memory Stick Archives. . . . . . . . . . . . . . . .8-9

Rendered ECG Report Prints . . . . . . . . . . . . . . . . . . . . . . .8-9

Fax-Rendered ECG Report Print . . . . . . . . . . . . . . . . . . .8-10

Power System Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-11

Battery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-11

Voltage Rails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-12

Power Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-14

Battery Power Indicator . . . . . . . . . . . . . . . . . . . . . . . . . .8-15

Battery Discharging . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-16

Battery Charging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-16

Charge Current . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-16

Battery Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-16

8-1

Theory of Operation

Overview

Overview

At a system level, the PageWriter TC cardiograph performs acquisition, analysis, printing, storage, and transfer of ECG waveforms and other patient clinical data.

The PageWriter TC cardiograph consists of three major subsystems:

Main board

A main control board built around a powerful embedded processor (Marvell PXA270) with extensive I/O facilities, running Windows CE 5.0. The PageWriter TC cardiograph software application runs on the main board, which supports the display and user-input subsystems.

Print controller

A FPGA-based (Altera Cyclone-I) control circuit, embedded in the main board that provides all the real-time management of the printer.

Patient Interface Module (PIM)

An embedded processor (Marvell PXA270) running Windows CE 5.0, coupled with a signal acquisition board employing Philips proprietary mixed-signal ASIC technology for

ECG acquisition. The PIM communicates with the main board through USB.

Hardware Logical View

Control of the PageWriter TC cardiograph is provided by application software running on the main board, interacting with numerous hardware and software subsystems. The following are high-level descriptions of these various subsystems.

Main Board

The main board contains loader software and the Windows CE kernel image in its internal flash memory (64 MB).

At system boot, a basic interface configuration is performed by the loader and then the

Windows CE kernel loads. When Windows CE loads, the application launcher runs, verifying system and executable images before loading the main application. All interaction with the user is through the

Athena_APP

application. This application software is stored in internal

Flash memory.

Figure 8-1 illustrates the devices and interfaces provided by the main control board.

8-2

PageWriter TC Cardiograph Service Manual

Hardware Logical View

Figure 8-1 Devices and Interfaces for the Main Control Board

Theory of Operation

The main control board (together with interface boards and cables) allows the user to access interfaces including Compact Flash wireless LAN, USB connector, the PS/2 connection for a barcode reader device, the phone connector for a modem, and an RJ45 connector for LAN.

PageWriter TC Cardiograph Service Manual

8-3

Theory of Operation

Hardware Logical View

Display

The PageWriter TC70 cardiograph display is 1024 x 768 pixels, up to 65536-color TFT LCD with backlight. All display functions are handled by the main control board using the CPU

LCD port.

The PageWriter TC50 cardiograph display is 800 x 600 pixels, up to 65536-color TFT LCD with backlight. All display functions are handled by the main control board using the CPU

LCD port.

The PageWriter TC30 cardiograph display is 640 x 480 pixels, up to 65536-color TFT LCD with backlight. All display functions are handled by the main control board using the CPU

LCD port.

Patient Interface Module (PIM)

The PIM is a PXA270-based WinCE subsystem that is connected by the USB to the main control board. It provides real-time data acquisition of ECG signals from electrodes connected to the patient.

Printer Control (FPGA)

All data printing is handled by the main control board. The printer control is an Altera

FPGA-based control circuit. It accepts printable data, provides basic bitmap imaging operations, and controls the printer head and motor.

8-4

Battery (Lithium Ion)

The PageWriter TC70 cardiograph only operates with two batteries installed. The PageWriter

TC50 and TC30 cardiographs can operate with either one or two batteries installed with software version A.04.00 and higher. Each battery is a lithium ion, 11.1-volt, providing 7.2 amp-hours of current when fully charged.

N O T E S

When operating the PageWriter TC50/TC30 cardiograph with one battery installed, only use the

Philips battery with part number 989803170371. Do not use the battery with Philips part number

989803160981 for one battery operation.

When operating the PageWriter TC50/TC30 cardiograph with two batteries installed, ensure that both batteries contain the same Philips part number. The battery part number identification label is found on the bottom of the battery. The cardiograph cannot operate with two batteries that contain different part numbers. If the cardiograph is operated with two batteries with different part numbers, the cardiograph will display an error message and will not operate.

Keyboard and Buttons

The PageWriter TC cardiograph includes a laptop-format, PS/2, sealed, full-key action keyboard. Also included are three function buttons, used to turn the cardiograph on and off, for patient ID input, and ECG capture. These three function buttons are designed to support the 1-

2-3 ECG capture operation, and also have LED backlights to illustrate their current status.

The keyboard function includes a keyboard matrix, a PS/2 encoding chip on an interface board, and is managed through standard Win CE device drivers.

PageWriter TC Cardiograph Service Manual

Hardware Logical View

Theory of Operation

Touch Screen

The PageWriter TC cardiograph includes a 5-wire resistive touch screen in front of the LCD panel. The touch screen provides access to all of the cardiograph features. Users simply touch the buttons on the screen to open the different screens and to perform different functions. The touchscreen is controlled by WM9712 (Wolfson) on the main board to sense the touched position, while application software responds accordingly in different screens.

LAN Interface

The PageWriter TC cardiograph provides standard LAN capability through a LAN91C111

(SMSC) 10/100M LAN controller. The PageWriter TC cardiograph communicates with the

TraceMaster ECG Management System, networked PC or server, or other third party ECG management system through a LAN interface.

Magnetic Card Reader (PS/2)

A magnetic card reader is available as an option for the PageWriter TC cardiograph. The reader connects to the cardiograph through an external PS/2 connector and provides ISO and standard encoded magnetic strip support. Manual removal and insertion is required.

N O T E

The PS/2 port is not a plug-and-play port. You must attach the magnetic card reader to the port before powering on the cardiograph.

Barcode Reader (PS/2)

A barcode reader is available as an option for the PageWriter TC cardiograph. The reader connects to the cardiograph through an external PS/2 connector and provides standard barcode scanning capability. It emulates a keyboard, allowing scanned codes to be presented to the

PageWriter TC cardiograph as if they had been typed on the standard keyboard, powered by a

PS/2 connection. The barcode reader can be configured using special barcodes. For more information see the Metrologic Barcode Scanner Instructions for Use, available on the User

Documentation DVD or can be downloaded from the Philips InCenter site.

N O T E

The PS/2 port is not a plug-and-play port. You must attach the barcode reader to the port before powering on the cardiograph.

Smart Card Reader

A Smart Card Reader is available as an option for the PageWriter TC cardiograph. The reader connects to the cardiograph through an external USB connector and provides standard Smart

Card reading capability. The PageWriter TC cardiograph can use the Smart Card Reader to obtain patient information.

USB Memory Stick

A USB memory stick is available as an option for the PageWriter TC cardiograph. The memory stick connects to the cardiograph through the USB connector located on the right side of the cardiograph (with the front of the cardiograph facing you). The USB memory stick can

PageWriter TC Cardiograph Service Manual

8-5

Theory of Operation

High Level ECG Data Flow and Storage

CAUTION

be used to store and transfer ECGs (as XML or PDF) and orders between the cardiograph and a TraceMaster ECG Management System, networked PC or server, or other third party ECG management system.

Do not insert a USB memory stick into the cardiograph, or remove a USB memory stick from the cardiograph when the cardiograph is acquiring ECG data from a patient.

CAUTION

Only use the USB memory stick to transfer data between the cardiograph and a computer. Do not use the USB memory stick with other devices.

Wireless LAN Card

A wireless LAN Card is available as an option for the PageWriter TC cardiograph. The LAN card connects to the cardiograph through the Wireless LAN card slot and provides standard

WLAN capability. The PageWriter TC cardiograph communicates with the TraceMaster ECG

Management System, networked PC or server, or other third party ECG management system.

Modem Module

A modem module is available as an option for the PageWriter TC cardiograph. The modem is installed on the I/O module and interfaces to the main board through an RS232 connection, providing standard modem capability. The PageWriter TC cardiograph faxes ECG data to remote receivers or communicates with a TraceMaster ECG Management System, or other third party ECG management system through the modem module.

WARNING Do not connect the modem card to a phone line when the cardiograph is connected to a patient.

High Level ECG Data Flow and Storage

General ECG data flow begins with acquisition by the Patient Interface Module (PIM) from electrodes placed on a patient. Data is streamed real-time to the main control board, where it is received into the application buffers in RAM. These buffers are used to present the signal data on the real-time screen. When the user initiates an Auto ECG print, the corresponding

10-second segments of the signal data are then copied to the temporary ECG storage memory in RAM.

These 10-second segments are named ECG reports that can be previewed and printed. In the case of Auto mode, the ECG report may be configured to automatically print. An ECG report contains signal data, analysis information, patient demographics, and acquisition information, along with operator and device information. For information on the Philips ECG XML

schema, see “Philips ECG XML Information” on page 1-3.

If the

Save

button on the cardiograph is set to

Auto

, the ECG report is saved in XML format to the internal main archive. This archive is non-volatile and resides on the internal

8-6

PageWriter TC Cardiograph Service Manual

High Level ECG Data Flow and Storage

Theory of Operation

CompactFlash (CF) card. An index file with a CDB extension is also maintained in this archive.

From the internal main archive, the ECG XML data format files can be copied, deleted, previewed, printed, and transferred to other devices. The internal main archive cannot receive

ECG XML files from external devices. Retrieved ECG file storage is limited to the internal remote archive.

N O T E

PageWriter TC cardiograph-generated ECG XML files comply with the Philips Medical Systems ECG

XML Schema version. They incorporate an embedded CRC32 value, which is used to ensure the data integrity of the file.

PageWriter TC Cardiograph Service Manual

8-7

Theory of Operation

Figure 8-2 ECG Flow and Storage

High Level ECG Data Flow and Storage

8-8

PageWriter TC Cardiograph Service Manual

High Level ECG Data Flow and Storage

Theory of Operation

Internal Main Archive

The internal main archive resides on the internal CompactFlash (CF) card, and is used as the primary ECG data repository. This archive is referred to as the

Main Archive

in the software application. ECG XML files, and a related index file are stored here in the

PhilipsArchiveInternal

directory. All stored ECG files transition through this archive prior to transfer or copying to other devices, such as the USB memory stick.

Currently, the internal main archive is limited to storing 200 ECGs.

Internal Remote Archive

The internal remote archive resides on the internal CompactFlash (CF) card much like the internal main archive. All XML files retrieved from remote sites, such as the TraceMasterVue

ECG Management System, reside in this archive until deleted. ECG XML files and related index files are stored in the

PhilipsArchiveRemote

directory.

Currently, the internal remote archive is limited to a maximum of 100 ECGs.

External USB Memory Stick Archives

The external USB memory stick archives reside on a compatible memory stick connected to the USB port. Files can then be transferred to a connected memory stick using the

Archive

feature of the application software, and are stored in XML format. A CDB file is created and maintained on each compatible USB memory stick when ECG files are transferred to the USB memory stick. Currently, a USB memory stick archive is limited to storing 200 ECGs.

N O T E S

The PageWriter TC cardiograph only supports the USB memory stick that is shipped with the cardiograph, or that is available for purchase as an optional accessory from Philips Medical Systems.

Philips does not guarantee that other USB memory sticks are compatible with the PageWriter TC cardiograph.

When you add or delete compatible ECG XML files from a memory stick (not using the cardiograph), it is recommended that you delete all CDB files prior to reconnecting the memory stick to the cardiograph. In the absence of a CDB file, the cardiograph automatically regenerates the index based on the XML files on the memory stick.

Rendered ECG Report Prints

A rendered ECG report print is a hard copy representation of the ECG data. This includes a high-resolution print of the signal data, and may include configured patient demographics, acquisition information, and other non-signal data elements.

The PageWriter TC cardiograph allows the user to customize the fields on an ECG report print. The report print may consist of one or more continuous pages on perforated thermal media from the printer.

PageWriter TC Cardiograph Service Manual

8-9

Theory of Operation

Figure 8-3 Rendered ECG Report Print Sample

High Level ECG Data Flow and Storage

Fax-Rendered ECG Report Print

A fax-rendered ECG report print is equivalent to the rendered ECG report print, as described in the previous section, except it has been adjusted to comply with fax transmission and resolution device requirements. When the user starts a fax transfer, the ECG report is rendered and transmitted to a remote receiving fax machine that has been pre-configured on the cardiograph, using the optional fax and modem. The fax-rendered ECG report print may be stored on the received system end as an electronic file, and not actually used to produce a printed copy.

N O T E

No guarantee is made as to the suitability of the faxed ECG for any particular purpose, due to the variability inherent in fax technology.

WARNING Do not connect the modem card to a phone line when the cardiograph is connected to a patient.

8-10

PageWriter TC Cardiograph Service Manual

Power System Overview

Theory of Operation

Power System Overview

The PageWriter TC cardiograph power system consists of:

One 60-watt AC/DC medical grade power module

One or two 11.1 volt, 7.2amp-hour lithium ion rechargeable batteries

Battery charging circuitry, various voltage regulators, and logic circuitry on the main board

The PageWriter TC cardiograph is designed to run on AC power or battery power. The main board contains a battery charging chip that controls battery charging. The main board has an

A/D converter that monitors the voltage of the power supply, and a smart battery controller

(part of the charging chip) that monitors the battery charging status.

The major power draws within the PageWriter TC cardiograph is the LCD display backlights, which can draw up to 19 watts, and the thermal printer, which can draw approximately 35 watts. Provisions have been incorporated into the PageWriter TC cardiograph that allows the user to adjust the display brightness. To extend battery life, set the display brightness to the low or medium setting. Also, activate the power save mode (entering standby) to further extend battery life. The printer control circuitry is current-limited for normal printing.

However, if print demand is too high, the current limiter will not print the output, resulting in a faded page.

Battery

The one or two 11.1V rechargable lithium ion batteries provide power to the PageWriter TC cardiograph, and can support full cardiograph functionality without AC when properly charged. Built-in protection circuitry in each pack prevents damage to the battery by overcharging, over discharging, over current, and over temperature.

PageWriter TC Cardiograph Service Manual

8-11

Theory of Operation

Figure 8-4 Power System Block Diagram

Power System Overview

110~240V,

50~60 Hz

AC

External AC/DC

Module

(MW159RA1549F02)

Fuse

3A Max charging current

Vin

POWER SWITCH

PWR_OUT

Switch

LOAD_PWR

(CPU)

BKL_PWR_ON

PWR_ON

LT3470

SW RGLTR CONT

LTC1778EGN-1

VCC_RTC

MOSFET

Power Switch

12V

Real Time clock

15" LCD:

10" LCD:

6" LCD:

BACKLIGHT INVERTER

NEC NL10276BC30-18

NEC NL8060BC26-28

AUO G065VN01

VCC_BACKUP

VCC_BATT (3.3V)

3.3V

(CPU)

Panel_PWR_ON

5V

(FPGA)

USB1_nEN

VBAT1

(9~12.6V)

VBAT2

(9~12.6V)

Current limit

/switch circuit

Li-ion Battery 1

ME202CJ

(11.1V, 7100mAH)

SMBUS

Battery discharging

Li-ion Battery 2

ME202CJ

(11.1V, 7100mAH)

CHG_VDDS_ON nCHG_MODE_CTL

Power Switch

MOSFET Power switch

PHD_26V_ON

(FPGA)

VCC_PRNHD

MOSFET

(FPGA)

SMBUS

(FPGA)

(FPGA)

VM

(26V)

VCC_Motor

PRT_5V_ON

Daul Smart Battery System

Manager

(LT1760)

SW RGL TR

(LM2588S-Adj)

Printer Motor Driver

( L6219DS )

To PXA270

LOAD_PWR

BOOST_PWR_ON

(FPGA)

Power

Option

5V

(CPU)

3.3V

5V_PWR_ON

PWR_ON

VCC_PLD

PWM Regulator

LTC1628

(5V Current: 4A Max

3.3V Current: 4A Max)

(CPU)

PWR_EN

(CPU)

SYS_EN

(CPU)

PWR_EN

(CPU)

AC97_nRESET

3.3V

3.3V

3.3V

3.3V

3.3V

5V

Regulator

LTC3445

LT1761

Regulator Adj

LTC3406

Regulator Adj

LTC3404

5V

VCC_PLL

MOSFET

Power Switch

3.3V

CF2_nVCCD0

CF2_nVCCD1

VCC_SRAM

VCC_CORE

VCC_INT_PLD

Ext. CF socket

Intel PXA270

VCC_IO_PLD

power switch

CF2_VCC

CF2_nSHDN

CF2_nOC

(CPU)

GC_nRST

3.3V

CPLD

FLASH, SDRAM, Intel 270,SM501, Buffer, Ethernet, Touch screen, LCD, LED,

AC97 ,RS232, CF card, Wi-FI, FPGA, ADC, SDIO card, modem

VCC_1P5

VCC_1P8

FPGA

SM501

VCC_BATT

3.3V

3.3V

5V

(FPGA)

USB2_nEN

5V

(FPGA)

USB3_nEN

5V

(FPGA)

USB4_nEN

(FPGA)

UI_PWR_ON

5V

3.3V

(FPGA)

Modem_PWR_ON

5V

(FPGA)

EXT_PS2_PWR_ON

3.3V

(CPU)

SDIO_PWR_ON

3.3V

(FPGA)

CF1_PWR_ON

(CPU)

USB_nRST

Flash Memory

(CPU)

3.3V

LAN_RST

3.3V

Printer Head

MOSFET

Power switch

5V

Printer Motor

3.3V

Touchscreen/AC97 Codec

(Wolfson WM9712LGEFL/RV )

3.3V

USB_Hub

(USB2504)

3.3V

LAN Controller

(LAN91C111)

DAC_SHDN

(CPU)

PHD_5V

LCD Logic

Control Power

Switch

USB1 Switch

USB2 Switch

USB3 Switch

USB4 Switch

Keyboard

Internal Modem

Module

External

Magnetic Card/

Smart card

Reader

SDIO Power

Switch

Int. CF Storage

Card Power

Switch

Analog Out

Power Switch

Voltage Rails

The following section describes the various voltage rails used on the PageWriter TC cardiograph.

Vin

The DC voltage is supplied from the AC/DC adapter through fuses and diodes. The voltage level is between 13.95 to 14.43 VDC, with a maximum power output of 80 watts. This voltage is not monitored.

VCC_Battery 1/2

The battery voltages range between 9.0V to 12.6V. Discharge current (on each battery) is limited to a continuous 6.0 amps, with a 6.3 to 8.7 amp limit for short periods. These two voltages are monitored through the battery charger.

8-12

PageWriter TC Cardiograph Service Manual

Power System Overview

Theory of Operation

Load_PWR

The voltage is supplied by Vin and the battery. Its range is between 9.0V to 14.43V. This voltage is monitored.

+3.3V

Output from regulator U1401 (LTC1628). The input to this regulator is from Loads_PWR and can supply 3.3V at up to 4.0A of current. This voltage is monitored.

VCC_RTC

Output from regulator U1403 (LT3470) for the real timer and power sequence circuit. The voltage level is 3.3V, and can provide up to 200mA of current. This voltage is not monitored.

VCC_Core (+1.5V)

Output from regulator U1202 (LTC3445) which is 1.5V core power for the embedded processor. The input to this regulator is from the 3.3V supply and can supply up to 600mA of current. This voltage is monitored.

VCC_SRAM (+1.1V)

Output from regulator U1202 (LTC3445), which is 1.1V SRAM power for the embedded processor. The input to this regulator is from the +3.3V supply, and can supply up to 50mA of current. This voltage is not monitored.

VCC_PLL (+1.3V)

Output from regulator U1202 (LTC3445), which is 1.3V PLL power for the embedded processor. The input to this regulator is from the +3.3V supply, and can supply up to 50mA of current. This voltage is not monitored.

VCC_1P8 (+1.8V)

Output from regulator U1201 (LTC3404), which is 1.8V power for the flash memory core.

The input to this regulator is from the +3.3V supply, and can supply up to 600mA of current.

This voltage is monitored.

VCC_1P5 (+1.5V)

Output from regulator U1203 (LTC3406), which is 1.5V core power for the FPGA. The input to this regulator is from the +3.3V supply, and can supply up to 600mA of current. This voltage is monitored.

VCC_INT_PLD (+1.8V)

Output from regulator U1402 (LT1761), which is 1.8V power for the CPLD core. The input to this regulator is from the +3.3V supply, and can supply up to 100mA of current. This voltage is not monitored.

PageWriter TC Cardiograph Service Manual

8-13

Theory of Operation

Power System Overview

+5V

Output from regulator U1401 (LTC1628) which supplies all the 5.V power to the system.

Input is from Load_PWR, and output is 4.87 to 5.24 VDC with a maximum current of 3A.

This voltage is monitored.

USB4_VCC

Output from switch U702 (LM3525) which supplies the PIM power. Input is from +5V, and output is 5V with maximum current of 1.0A. This voltage is monitored.

VM

Output from regulator U1501 (LM2588), which supplies +26V power to the print head and motor. This voltage is not monitored.

VCC_PRNHD

Output from switch Q1503, which supplies +26V power to the print head. It is controlled by

FPGA on the main board. VCC_PRNHD provides power only when a print session starts.

Otherwise, VCC_PRNHD does not provide power. This voltage is monitored by FPGA.

VCC_MOTOR

Output from switch Q1501, which supplies +26V power to the print motor. It is controlled by

FPGA on the main board. VCC_MOTOR provides power only when a print session starts.

Otherwise, VCC_MOTOR does not provide power. This voltage is not monitored.

VCC_BKLGT

Output from regulator U1504 (LTC3780), which supplies display backlight. Input is from

Load_PWR and output is 12V with a maxim current of 3.5A.

Power Management

Power Modes Control

The system host processor controls transition between power modes, including:

Entering Standby if no activity is detected for a preset period of time (upon configuration).

Powering off the unit if no activity is detected for a preset period of time (upon configuration)

Entering Standby or shut down, when battery remaining capacity is below preset level and no AC power is applied

8-14

PageWriter TC Cardiograph Service Manual

Power System Overview

Theory of Operation

Battery Charging Logic

Battery charging is controlled by the charger chip. The charger chip can:

Charge the battery when the system is in off mode, Standby, and run mode.

Alert the user when charging is recommended for the battery, when the system is powered by battery only.

Battery Power Indicator

The battery power indicator appears on the Status Bar and is always visible. The indicator displays the current battery power level. The cardiograph can operate on AC power while the batteries are charging.

Figure 8-5 Battery Power Indicator on the Status Bar

A

A Battery level indicator

You can touch the Battery Power Indicator on the Status Bar to ensure that the batteries are fully charged. The Battery Status Information window appears. This window provides detailed information on the status of the cardiograph batteries.

N O T E

The battery indicator may not always accurately reflect the true charge state of the battery due to the age of the battery, or due to failure to perform specified battery maintenance.

Table 8-1 describes the battery level indicator.

Table 8-1 Battery Level Indicator Information (icon on Status Bar)

Icon on Status Bar Battery Level

Fully Charged Battery

75% power capacity

50% power capacity

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8-15

Theory of Operation

Power System Overview

Table 8-1 Battery Level Indicator Information (icon on Status Bar)

Icon on Status Bar Battery Level

Low Battery Power:

Red battery icon appears when power level is below

25%

Cardiograph beeps and an error message appears until the unit is plugged into AC power (audio feature may be disabled)

Tap the icon to see how many minutes are left of operating battery power

If overall battery power is below 15% and the cardiograph is in Standby, when the On/Standby button

( ) is pressed it will flash green five times and the cardiograph will be unable to return to active use. Plug the cardiograph into AC power to recharge the batteries.

No or Dead Battery

8-16

Battery Discharging

If no AC power is applied to the system, when the batteries are discharged to the 15% level, the PageWriter TC cardiograph automatically enters Standby and alerts the user to apply AC power. When the batteries are discharged to a 12% level, the PageWriter TC cardiograph automatically shuts down.

N O T E

The battery will continue to discharge when the cardiograph is not in use, or if the battery is stored outside of the cardiograph.

Battery Charging

When the AC power cord is plugged in, the battery begins to charge. Check the charging status

through the Service Utilities. See “Using the Service Utilities” on page 3-38 for more

information.

Charge Current

When AC power is applied to the cardiograph, the batteries are charged at maximum 3A total

current. Check the charging current through the Service Utilities. See “Using the Service

Utilities” on page 3-38 for more information.

Battery Information

Battery information is sent from the battery charger, U1301. This information is then sent to the host processor via SMBUS, and can be viewed from the Service Utilities screen. See

“Using the Service Utilities” on page 3-38 for more information.

PageWriter TC Cardiograph Service Manual

A

1

Specifications

Technical Specifications

PageWriter TC70 Cardiograph ECG Acquisition

Simultaneous Lead Acquisition (12 leads standard; up to 16 leads optional)

Rhythm Strips (12 leads standard; up to 16 leads optional)

Event Marking (15 independent events can be marked for later review and analysis)

Full Disclosure (12 leads standard; 16 leads optional)

Timed ECG

PageWriter TC50 Cardiograph ECG Acquisition

Simultaneous Lead Acquisition (12 leads standard; up to 16 leads optional)

Rhythm Strips (12 leads standard; up to 16 leads optional)

Event Marking (10 independent events can be marked for later review and analysis)

Full Disclosure (12 leads standard; 16 leads optional)

Timed ECG

PageWriter TC30 Cardiograph ECG Acquisition

Simultaneous Lead Acquisition (12 leads standard; up to 16 leads optional)

Rhythm Strips (12 leads standard; up to 16 leads optional)

Event Marking (6 independent events can be marked for later review and analysis)

Full Disclosure (12 leads standard; 16 leads optional)

Timed ECG

PageWriter TC70 Keyboard

Full alphanumeric capability QWERTY keyboard

A-1

Specifications

Technical Specifications

PageWriter TC50/TC30 Keyboard

65 button, standard full alphanumeric capability keyboard

Support for special characters

Optional, silicon-based flexible membrane keyboard cover that protects keyboard from particulate and liquid ingress

PageWriter TC70 Touch screen Display

1024 x 768 pixel resolution

30.4 cm x 22.8 cm (11.96 x 6.22 in) color liquid crystal touch screen display with backlight

PageWriter TC50 Touch screen Display

800 x 600 pixel resolution

21.1 cm x 15.8 cm (8.30 x 8.97 in) color liquid crystal touch screen display with backlight

PageWriter TC30 Touch screen Display

640 x 480 pixel resolution VGA with 18-bit/pixel color depth

5-wire, resistive touch screen

13.33 cm wide x 9.9 cm high (5.25 inches wide x 3.9 inches high) color liquid crystal touch screen display with backlight

Patient Interface Module

Remote, microprocessor-controlled module

ECG button with signal quality indicator allows user to take ECGs from the bedside

Patient Interface Module Signal Acquisition

8,000 samples per second per electrode/lead for standard 12 or up to 16 leads

Signal Processing/Acquisition

Sampling Rate

500 samples per second per electrode/lead

12 bit A/D conversion provides down sampled 5µV resolution, 500 samples per second measurement with no channel to channel skew

A-2

PageWriter TC Cardiograph Service Manual

Technical Specifications

Specifications

Auto Frequency Response

0.05-150 Hz, 0.15-150 Hz, 0.5-150 Hz

0.05-100 Hz, 0.15-100 Hz, 0.5-100 Hz

0.05-40 Hz, 0.15-40 Hz, 0.5-40 Hz

Rhythm Frequency Response

0.05-40 Hz, 0.05-100 Hz, 0.05-150 Hz

0.15-40 Hz, 0.15-100 Hz, 0.15-150 Hz

Minimum Amplitude or Value of Patient Physiological Signal

CAUTION

The QRS wave must be a minimum of 100µV peak to peak or greater for the lead’s complex to be measured. The operation of the cardiograph below this value may cause incorrect ECG analysis.

Filters

AC noise (50 or 60 Hz)

Baseline Wander

Artifact

Printer

Printer Resolution

High-resolution, digital-array printer using thermal-sensitive paper

200 dpi (voltage axis) by 500 dpi (time axis) at 25 mm/sec

Report Formats

Exam Profiles

Up to 12 configured Exam Profiles can be specified

12 Lead Report Formats

3x4 (1R, 3R)

3x4, 1R 8ST

3x4, 1R 10ST

6x2

Panoramic 12 (Cabrera sequence only)

PageWriter TC Cardiograph Service Manual

A-3

A-4

Specifications

Technical Specifications

12x1

Extended Measurements

PageWriter TC70/TC50

16 Lead Report Formats

3x5 (1R, 3R)

3x5, 1R ST

4x4 (1R)

4x4 1R, ST

Extended Measurements

STEMI Diagnostic Aids

Graphical ST Vector

Polar ST Maps with frontal and transverse planes available on two ECG report formats

STEMI-CA criteria

Critical Values

Rhythm Report Formats

Rhythm (up to 12, or up to optional 16 selected leads)

Battery Operation

SMBus compliant batteries

Voltage

11.1 VDC (nominal), 7100 mAH (per battery)

Current

6.0 A max per battery (continuous)

Power

54 W max per battery (continuous)

PageWriter TC70/TC50/TC30 Two Battery Operating Capacity

45 minutes of continuous Rhythm printing, or a maximum of 237 individual sheets of ECG recording paper

PageWriter TC Cardiograph Service Manual

Technical Specifications

Specifications

PageWriter TC50/TC30 One Battery Operating Capacity

The battery capacity for the PageWriter TC50 or PageWriter TC30 cardiograph with a single battery installed using the battery with Philips part number 989803170371, is 30 minutes of continuous Rhythm printing, or 30 total ECG reports

Status Display

Full Charge Capacity (mAHR)

Remaining Capacity (%)

Temperature (deg C)

Discharge Current (mA)

Charge Current (mA)

Low battery audio and visual alerts

Recharge

Less than 4 hours if cardiograph is in Standby (not in active use) to at least 95% capacity

Less than 8 hours if the cardiograph is in active use to at least 95% capacity

Ethernet LAN Network Connection

10/100 Base-T IEEE 802.3 Ethernet via RJ45 connector (standard)

Wireless LAN Network Connection

Optional software required for wireless LAN connection. Wireless LAN connection is

802.11a/g/i, WPA, WPA2, and CCX compatible.

FAX Capability (optional)

Group 3, Class 1 or 2 fax

Modem

V.90, K56flex, enhanced V.34, V.32bis, V.32, V.22bis and below

Barcode Reader (optional)

Reads Code 39 (standard and full ASCII)

Flexible field data entry

PageWriter TC Cardiograph Service Manual

A-5

A-6

Specifications

Magnetic Card Reader (optional)

Reads cards adhering to ISO 7810, 7811-1, -2, -3, -4, -5

Smart Card Reader (optional)

Reads cards adhering to ISO/IEC 7816

Smart Card Reader (optional)

Reads cards adhering to ISO/IEC 7816, and EMV 3.1.1

Supports SLE 4418/28 and SLE 4443/42

ECG Storage

XML File Format in version 1.03, 1.04, 1.04.01, and 1.04.02

Up to 200 ECGs to internal flash memory

Up to 200 ECGs per USB Memory Stick (optional)

Full fidelity at 500 Hz of all 10 seconds of all 12 leads

Orders

Up to 200 pending orders can be stored on the cardiograph

ECG File Formats

XML and XML SVG

PDF

Power and Environment

PageWriter TC70 Cardiograph AC Adapter

Input voltage: 100 to 240 VAC

Input voltage frequency: 50 to 60 Hz

Input current: 1.4A - 0.7A

Output: 15 Volts DC, 5.33A, 80W

PageWriter TC50/TC30 Cardiograph AC Input Voltage

Input voltage: 100 to 240 VAC

Input voltage frequency: 50 to 60 Hz

PageWriter TC Cardiograph Service Manual

Technical Specifications

Technical Specifications

Specifications

Input current: 1.2A

PageWriter TC50/TC30 Cardiograph AC Output Voltage

Output: 15 Volts DC, 4.0A, 60W

PageWriter TC70/TC50/TC30 Cardiograph Environmental

Operating Conditions

10° to 40 °C (50° to 104°F)

10% to 90% relative humidity (non-condensing)

Up to 4,247m (14,000 ft.) altitude, 597 hPA

PageWriter TC70/TC50/TC30 Cardiograph Environmental

Storage Conditions

-20° to 50 °C (-4° to 122°F)

10% to 90% relative humidity (non-condensing)

Up to 4,572 m (15,000 ft.) altitude, 572 hPA

TC30 Cardiograph Dimensions

310 mm wide x 405 mm deep x 205 mm height (12.20 inches wide x 15.94 inches deep x

8.07 inches height)

TC30 Cardiograph Weight

8.6 kg (19 lb) including accessories (2 batteries installed, 200 sheets of ECG recording paper, Patient Interface Module, patient data cable, AC power cord)

PageWriter TC50 Cardiograph Dimensions

405 mm wide x 310 mm deep x 130 mm height (15.94 inches wide x 12.2 inches deep x

5.11 inches height) with top cover in down position

PageWriter TC50 Cardiograph Weight

13 kg (28 lb) including accessories

PageWriter TC70 Cardiograph Dimensions

330 mm length x 405 mm width x 135 mm height (12.99 inches wide x 15.94 inches deep x

5.31 inches height) with top cover in down position

PageWriter TC Cardiograph Service Manual

A-7

Specifications

Safety and Performance

PageWriter TC70 Cardiograph Weight

9 kg (19.84 lb) including accessories

PageWriter TC70/TC50/TC30 Cardiograph Shipping

Container Weight

Maximum shipping weight of packaged PageWriter TC cardiograph (including all accessories) is 17.1 kg (37.69 lb)

Safety and Performance

Meets the following requirements for safety and performance:

IEC 60601-1: 1988 +A1:1991 +A2:1995 Medical electrical equipment – Part 1: General requirements for Safety (Includes national differences for standards AS/NZS 3200.1.0:

1998, CAN/CSA-C22.2 No. 60601-1-M90 +B: 90 +S1: 94, EN 60601-1: 1990 +A1: 1993

+A11: 1993 +A12: 1993 +A13: 1996, JIS T 0601-1: 1999, UL 60601-1: 2003)

IEC 60601-2-25: 1993 +A1:1999 Particular requirements for the safety of electrocardiographs (Includes national differences for standards AS/NZS 3200.2.25: 1993,

CAN/CSA-C22.2 No. 60601-2-25: 1994 +A1: 2002, EN 60601-2-25: 1995 + A1: 1999)

IEC 60601-2-51: 2003 Particular requirements for safety, including essential performance, of recording and analyzing single channel and multi-channel electrocardiographs (Includes national differences for standards CAN/CSA-C22.2 No. 60601-2-51: 2004, EN 60601-2-51:

2003)

IEC/EN 60601-1-2 2001: 2nd ed Electromagnetic compatibility- Requirements and tests

AAMI EC11: 1991 (R: 2001) Diagnostic Electrocardiographic Devices

Classification (IEC 60601-1)

PageWriter TC50/TC30 Cardiograph Class I (Internally Powered)

PageWriter TC70 Cardiograph Class II (Internally Powered)

Symbol Meaning

ECG physio isolation is type CF, defibrillator proof. Suitable for all patient applications including direct cardiac application. System is in continuous operation.

IPX0

IPX4

Cardiograph has ordinary protection against the entry of liquids.

The PIM (patient interface module) is protected against splashing water. Water splashed against the PIM from any direction shall have no harmful effect.

A-8

PageWriter TC Cardiograph Service Manual

Electromagnetic Compatibility (EMC)

Specifications

Cardiograph is not suitable for use in the presence of flammable anesthetic mixture with air, oxygen, or nitrous oxide.

System is continuous operation.

WARNING When using additional peripheral equipment powered from an electrical source other than the cardiograph, the combination is considered to be a medical system. It is the responsibility of the operator to comply with IEC 60601-1-1 and test the medical system according to the requirements. For additional information contact Philips Medical

Systems.

Electromagnetic Compatibility (EMC)

Electronic devices can either generate or receive electromagnetic interference. The PageWriter

TC70/TC50/TC30 cardiograph have been evaluated for electromagnetic compatibility (EMC) with the appropriate accessories according to Medical Collateral standard IEC 60601-1-2,

Edition 2 (with exceptions noted in proceeding tables). This IEC standard has been adopted in the European Union as the European Norm, EN 60601-1-2, Edition 2.

WARNING Radio frequency (RF) interference from nearby transmitting devices may degrade performance of the electronic equipment. Electromagnetic compatibility with surrounding devices should be assessed prior to using the equipment.

WARNING Fixed, portable, and mobile radio frequency communications equipment can also affect the performance of electrical equipment. See your Service Provider for assistance with the minimum recommended separation distance between RF communications equipment and the PageWriter TC cardiograph.

WARNING The use of accessories and cables other than those specified in the Philips PageWriter

TC cardiograph service and user documentation can result in increased emissions or decreased immunity of the system.

WARNING The PageWriter TC cardiograph should not be used next to or stacked on top of other equipment. If you must stack the product, you must check that normal operation is possible in the necessary configuration before the product is used.

Reducing Electromagnetic Interference

The PageWriter TC70/TC50/TC30 cardiograph and accessories may become sensitive to interference from other RF energy sources including power lines. RF energy sources include

PageWriter TC Cardiograph Service Manual

A-9

Specifications

Electromagnetic Compatibility (EMC) other medical devices, wireless devices, information technology equipment, and radio/ television transmission. Should interference be encountered, as demonstrated by artifact on the

ECG trace, unintended change on operating state, or unit lockup, attempt to locate the source by assessing:

 if the interference is intermittent or constant?

 does the interference occur only in certain locations?

 does the interference occur only when in close proximity to certain medical devices?

 does the ECG signal quality change dramatically when the AC power cord is unplugged?

Once the source of the interference is located, attempt to attenuate the EMC coupling path by distancing the cardiograph from the source of the interference as much as possible. If further assistance is needed, contact the Philips Response Center nearest you.

Table A-1 PageWriter TC50/TC30 Cardiograph Guidance and Manufacturer’s

Declaration: Electromagnetic Emissions

The PageWriter TC50/TC30 cardiograph is intended for use in the electromagnetic environment specified in the table below. The customer or the user of the PageWriter TC50/

TC30 cardiograph should assure that it is used in such an environment.

Emissions Test

RF Emissions

CISPR 11

RF Emissions

CISPR 11

Harmonic Emissions

IEC 61000-3-2

Voltage fluctuations/ flicker emissions

IEC 61000-3-3

Compliance Electromagnetic Environment: guidance

Group 1 The PageWriter TC50/TC30 cardiograph uses RF energy only for its internal function. Therefore, its

RF emissions are very low are not likely to cause any interference in nearby electronic equipment.

Class B

Class A

Complies

The PageWriter TC50/TC30 cardiograph 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.

Table A-2 PageWriter TC70 Cardiograph Guidance and Manufacturer’s Declaration:

Electromagnetic Emissions

The PageWriter TC70 cardiograph is intended for use in the electromagnetic environment specified in the table below. The customer or the user of the PageWriter TC70 cardiograph should assure that it is used in such an environment.

Emissions Test

RF Emissions

CISPR 11

Compliance Electromagnetic Environment: guidance

Group 1 The PageWriter TC70 cardiograph 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.

A-10

PageWriter TC Cardiograph Service Manual

Electromagnetic Compatibility (EMC)

Specifications

Table A-2 PageWriter TC70 Cardiograph Guidance and Manufacturer’s Declaration:

Electromagnetic Emissions (continued)

The PageWriter TC70 cardiograph is intended for use in the electromagnetic environment specified in the table below. The customer or the user of the PageWriter TC70 cardiograph should assure that it is used in such an environment.

Emissions Test

RF Emissions

CISPR 11

Harmonic Emissions

IEC 61000-3-2

Voltage fluctuations/ flicker emissions

IEC 61000-3-3

Compliance Electromagnetic Environment: guidance

Class A

Class A

The PageWriter TC70 cardiograph is suitable for use in all establishments other than domestic and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes.

Complies

Table A-3 Guidance and Manufacturer’s Declaration: Electromagnetic Immunity

The PageWriter TC70/TC50/TC30 cardiographs are intended for use in the electromagnetic environment specified below. The customer or the user of the PageWriter TC cardiograph should assure that it is used in such an environment.

Immunity Test Electromagnetic Environment: guidance

Electrostatic

Discharge (ESD)

IEC 61000-4-2

IEC 60601

Test Level

+/- 6 kV contact

+/- 8 kV air

Compliance

Level

+/- 6 kV contact

+/- 8 kV air

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

Electrical Fast transient/burst

IEC 61000-4-4

Surge

IEC 61000-4-5

+/- 2 kV for power supply lines

+/- 1 kV for input/output lines

+/- 2 kV for power supply lines

+/- 1 kV for input/output lines

Mains power quality should be that of a typical commercial or hospital environment.

+/- 1 kV differential mode

+/- 2 kV common mode

+/- 1 kV differential mode

+/- 2 kV common mode

Mains power quality should be that of a typical commercial or hospital environment.

PageWriter TC Cardiograph Service Manual

A-11

Specifications

Electromagnetic Compatibility (EMC)

Table A-3 Guidance and Manufacturer’s Declaration: Electromagnetic Immunity (continued)

The PageWriter TC70/TC50/TC30 cardiographs are intended for use in the electromagnetic environment specified below. The customer or the user of the PageWriter TC cardiograph should assure that it is used in such an environment.

Immunity Test IEC 60601

Test Level

Compliance

Level

Electromagnetic Environment: guidance

Voltage dips, short interruptions and voltage variations on power supply input lines

IEC 61000-4-11

<5% U

40% U

T

(>95% dip in U

T) for 0.5 cycle

T

(60% dip in U

T) for 5 cycles

<5% U

T

(>95% dip in

U

T) for 0.5 cycle

40% U

T

(60% dip in U

T) for 5 cycles

Mains power quality should be that of a typical commercial or hospital environment.

If the user of the PageWriter TC cardiograph requires continued operation during power mains interruptions, it is recommended that the PageWriter TC cardiograph be powered from an uninterruptable power supply or a battery.

70% U

T

(>30% dip in U

T) for 25 cycles

70% U

T

(>30% dip in

U

T) for 25 cycles

<5% U

T

(>95% dip in U

T) for 5 seconds

<5% U

T

(>95% dip in

U

T) for 5 seconds

Power frequency

(50./60 Hz) magnetic field

3 A/m Complies Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment.

Note: U

T is the a.c. mains voltage prior to application of the test level.

A-12

PageWriter TC Cardiograph Service Manual

Electromagnetic Compatibility (EMC)

Specifications

Table A-4 Guidance and Manufacturer’s Declaration: Electromagentic Immunity (continued)

The PageWriter TC70/TC50/TC30 cardiograph are intended for use in the electromagnetic environment specified below. The customer or the user of the PageWriter TC cardiograph should assure that it is used in such an environment.

Immunity Test IEC 60601

Test Level

Conducted RF

IEC 61000-4-6

3 Vrms

150 kHz to

80 MHz

Compliance

Level

Electromagnetic Environment: guidance

3 Vrms

Portable and mobile RF communications equipment should be used no closer to any part of the PageWriter TC cardiograph, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.

Recommended separation distance

d

= 1.2 P

Radiated RF

IEC 61000-4-3

3 V/m

80 MHz to 2,5 GHz

3 V/m

d

= 1.2 P

80 MHz to 800 MHz

d

= 2.3 P

800 MHz to 2,5 GHz

Where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters

(m).

Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey 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 surfaces, objects, and people.

PageWriter TC Cardiograph Service Manual

A-13

Specifications

Electromagnetic Compatibility (EMC) 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 PageWriter TC cardiograph are used exceeds the applicable RF compliance level above, the PageWriter TC cardiograph should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the PageWriter TC cardiograph.

b.

Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.

Table A-5 Recommended Separation Distances Between Portable and Mobile RF Communications

Equipment and the PageWriter TC Cardiograph: for equipment and systems that are not

life-supporting

The PageWriter TC70/TC50/TC30 cardiographs are intended for use in the electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the PageWriter TC cardiograph can help to prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the PageWriter TC cardiograph as recommended below, according to the maximum output power of the communications equipment.

Rated Maximum Output

Power of Transmitter (W) Separation Distance According to Frequency of Transmitter (m)

150 KHz to 800 KHz 800 MHz to 2.5 GHz

0.01

d = 1.2

P

0.1 m

d = 2.3

P

0.2 m

0.1

1

10

100

0.4 m

1.2 m

4.0 m

12.0 m

0.7 m

2.3 m

7.0 m

23.0 m

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 the absorption and reflection from structures, objects, and people.

A-14

PageWriter TC Cardiograph Service Manual

Wireless LAN Card Specifications

Specifications

Wireless LAN Card Specifications

The specifications in the following sections are applicable to the Summit wireless adapters that are offered as options for the PageWriter TC cardiographs. Two options are available:

Option D21, Summit SDC-CF20G wireless adapter

Option D22, Summit SDC-CF22AG wireless adapter (see page A-19)

Summit SDC-CF20G Wireless Adapter (Option D21)

Length

72.8 mm (2.87 inches)

Width

43 mm (1.69 inches)

Thickness

Card body: 3.3 mm (0.13 inches)

Antenna: 7.3 mm (0.29 inches)

Weight

21 grams (0.7 ounces)

System Interface

16-bit Compact Flash Type I with 50-pin connector

Antenna

0 dBi gain omnidirectional with diversity

Chipset

Broadcom BCM4318E

Input Power Requirements

3.3 VDC +/- 5%

Typical Power Consumption (at maximum transmit power setting)

Transmit: 400 mA (1320mW)

Receive: 180 mA (594mW)

Standby: 10 mA (33 mW)

PageWriter TC Cardiograph Service Manual

A-15

Specifications

A-16

Wireless LAN Card Specifications

Operating Temperature

-30 °C to 75 °C (-22°F to 167°F)

Operating Humidity

10 to 90% (non-condensing)

Mounting

50-pin connector

Network Standards

IEEE 802.11b, 802.11g, 802.11i

Frequency Band

2.4 to 2.4897 GHz

Wireless Media

Direct Sequence-Spread Spectrum (DSSS)

Orthogonal Frequency Divisional Multiplexing (OFDM)

Media Access Protocol

Carrier sense multiple access with collision avoidance (CSMA/CA)

Data Rates Supported

802.11b (DSSS): 1, 2, 5.5, 11 Mbps

802.11g (OFDM): 6, 9, 12, 18, 24, 36, 48, 54 Mbps

Modulation

1, 6, 9 Mbps: BPSK

2, 12, 18 Mbps: QPSK

5.5, 11 Mbps: CCK

24, 36 Mbps: 16-QAM

48, 54 Mbps: 64-QAM

Regulatory Domain Support

FCC (Americas, parts of Asia, and Middle East)

ETSI (Europe, Middle East, Africa, and parts of Asia)

TELEC (Japan)

PageWriter TC Cardiograph Service Manual

Wireless LAN Card Specifications

Specifications

Operating Channels

FCC: 11 (3 non-overlapping)

ETSI: 13 (3 non-overlapping)

TELEC: 14 (3 non-overlapping)

Transmit Power Settings

NOTE

Maximum transmit power will vary according to individual country regulations. All values nominal, +/-1.5dBm.

DSSS

19 dBm (80 mW)

17 dBm (50 mW)

OFDM

15 dBm (30 mW)

10 dBm (10 mW)

0 dBm (1 mW) 15 dBm (30 mW)

10 dBm (10 mW)

0 dBm (1 mW)

Typical Receiver Sensitivity

1 Mbps: -96 dBm

2 Mbps: -95 dBm

5.5 Mbps: -94 dBm

6 Mbps:

9 Mbps:

11 Mbps:

-94 dBm

-91 dBm

-90 dBm

12 Mbps:

18 Mbps:

24 Mbps:

36 Mbps:

48 Mbps:

54 Mbps:

-88 dBm

-86 dBm

-83 dBm

-78 dBm

-76 dBm

-75 dBm

Delay Spread

1 Mbps:

2 Mbps:

5.5 Mbps:

6 Mbps:

9 Mbps:

11 Mbps:

600 ns

500 ns

400 ns

400 ns

400 ns

200 ns

12 Mbps:

18 Mbps:

24 Mbps:

36 Mbps:

48 Mbps:

54 Mbps:

350 ns

50 ns

250 ns

250 ns

150 ns

150 ns

PageWriter TC Cardiograph Service Manual

A-17

Specifications

Security

Standards

Wireless Equivalent Privacy (WEP)

Wi-Fi Protected Access (WPA)

IEEE 802.11i (WPA2)

Encryption

Wireless Equivalent Privacy (WEP, RC4 Algorithm)

Temporal Key Integrity Protocol (TKIP, RC4 Algorithm)

Advanced Encryption Standard (AES, Rijndael Algorithm)

Encryption Key Provisioning

Static (40-bit and 128-bit lengths)

Pre-Shared (PSK)

Dynamic

802.1X Extensible Authentication Protocol Types

LEAP

EAP-FAST

EAP-TLS

PEAP-GTC

PEAP-MSCHAPv2

Compliance

ETSI Regulatory Domain

EN 300 328

EN 301 489

EN 60590

EN 50371

EU 2002/95/EC (RoHS)

Wireless LAN Card Specifications

A-18

PageWriter TC Cardiograph Service Manual

Wireless LAN Card Specifications

FCC Regulatory Domain

FCC Subpart B, Class B

FCC Subpart C Part 15.247, 15.207

ANSI C63.4-2003

Industry Canada

RSS-210

TELEC Regulatory Domain

RCR STD – 33

ARIB STD - T66

ARIB STD T71

Certifications

Wi-Fi Alliance

802.11b, 802.11g

WPA Enterprise

WPA2 Enterprise

Cisco Compatible Extensions (CCX)

Version 4

Summit SDC-CF22AG Wireless Adapter (Option D22)

Length

67 mm (2.64 inches)

Width

43 mm (1.69 inches)

Thickness

5 mm (0.2 inches)

Weight

28 grams (1 ounce)

Specifications

PageWriter TC Cardiograph Service Manual

A-19

Specifications

Wireless LAN Card Specifications

System Interface

16-bit Compact Flash Type II with 50-pin connector

Antenna

0 dBi gain dual-band omnidirectional with diversity

Chipset

Broadcom BCM4318E

Input Power Requirements

3.3 VDC +/- 10%

Typical Power Consumption (at maximum transmit power setting)

Transmit: 400 mA (1320mW)

Receive: 180 mA (594mW)

Standby: 10 mA (33 mW)

Operating Temperature

-30 °C to 85 °C (-22°F to 185°F)

Operating Humidity

10 to 90% (non-condensing)

Mounting

50-pin connector and standard compact flash rails

Network Standards

IEEE 802.11a, 802.11b, 802.11d, 802.11e, 802.11g, 802.11h, 802.11i

Frequency Band

FCC

2.412 to 2.473 GHz

ETSI/KCC

2.412 to 2.483 GHz

TELEC

2.412 to 2.495 GHz

Wireless Media

Direct Sequence-Spread Spectrum (DSSS)

Orthogonal Frequency Divisional Multiplexing (OFDM)

A-20

PageWriter TC Cardiograph Service Manual

Wireless LAN Card Specifications

Media Access Protocol

Carrier sense multiple access with collision avoidance (CSMA/CA)

Data Rates Supported

802.11a and 802.11g (OFDM): 6, 9, 12, 18, 24, 36, 48, 54 Mbps

802.11b (DSSS): 1, 2, 5.5, 11 Mbps

Modulation

1, 6, 9 Mbps: BPSK

2, 12, 18 Mbps: QPSK

5.5, 11 Mbps:

24, 36 Mbps:

48, 54 Mbps:

CCK

16-QAM

64-QAM

Regulatory Domain Support

FCC (Americas, parts of Asia, and Middle East)

ETSI (Europe, Middle East, Africa, and parts of Asia)

TELEC (Japan)

KCC (Korea)

Operating Channels

FCC: 11 (3 non-overlapping)

ETSI and KCC: 13 (3 non-overlapping)

TELEC: 14 (4 non-overlapping)

Specifications

PageWriter TC Cardiograph Service Manual

A-21

Specifications

Wireless LAN Card Specifications

Transmit Power Settings

NOTE

Maximum transmit power will vary according to individual country regulations. All values nominal, +/-2dBm

802.11a

15 dBm (30 mW)

10 dBm (10 mW)

0 dBm (1 mW)

802.11b

18 dBm (63 mW)

17 dBm (50 mW)

15 dBm (30 mW)

10 dBm (10 mW)

0 dBm (1 mW)

802.11g

15 dBm (30 mW)

10 dBm (10 mW)

0 dBm (1 mW)

Typical Receiver Sensitivity

NOTE

Per <=10%

802.11a

6 Mbps:

9 Mbps:

-85 dBm

-84 dBm

12 Mbps: -83 dBm

18 Mbps: -80 dBm

24 Mbps: -76 dBm

36 Mbps: -73 dBm

48 Mbps: -70 dBm

54 Mbps: -65 dBm

802.11b

1 Mbps:

2 Mbps:

-96 dBm

-95 dBm

5.5 Mbps: -94 dBm

11 Mbps: -90 dBm

Delay Spread

1 Mbps:

2 Mbps:

600 ns

500 ns

5.5 Mbps: 400 ns

6 Mbps: 400 ns

9 Mbps: 400 ns

11 Mbps: 200 ns

12 Mbps:

18 Mbps:

24 Mbps:

36 Mbps:

48 Mbps:

54 Mbps:

350 ns

350 ns

250 ns

250 ns

150 ns

150 ns

802.11g

6 Mbps:

9 Mbps:

-94 dBm

-91 dBm

12 Mbps: -88 dBm

18 Mbps: -86 dBm

24 Mbps: -83 dBm

36 Mbps: -78 dBm

48 Mbps: -76 dBm

54 Mbps: -75 dBm

A-22

PageWriter TC Cardiograph Service Manual

Wireless LAN Card Specifications

Security

Standards

Wireless Equivalent Privacy (WEP)

Wi-Fi Protected Access (WPA), Personal and Enterprise

IEEE 802.11i, or WPA2, Personal and Enterprise

Encryption Protocols

Wireless Equivalent Privacy (WEP, RC4 Algorithm)

Temporal Key Integrity Protocol (TKIP, RC4 Algorithm)

Advanced Encryption Standard (AES, Rijndael Algorithm)

Encryption Key Provisioning (40-bit and 128-bit key lengths)

Static

Pre-shared via WPA-PSK or WPA2-PSK

Dynamic via EAP authentication

802.1X Extensible Authentication Protocol Types

LEAP

EAP-FAST

EAP-TLS

PEAP-GTC

PEAP-MSCHAPv2

Compliance

ETSI Regulatory Domain

EN 300 328

EN 301 489-1, EN 301 489-17

EN 301 893

EN 60950-1

EN 50371

EU 2002/95/EC (RoHS)

Specifications

PageWriter TC Cardiograph Service Manual

A-23

Specifications

FCC Regulatory Domain

FCC Part 15.247 Subpart C

FCC Part 15.407 Subpart E

Industry Canada

RSS-210

RSS-Gen Issue 2

TELEC Regulatory Domain

RCR STD – 33

ARIB STD - T66

ARIB STD T71

Certifications

Wi-Fi Alliance

802.11a, 802.11b, 802.11g

WPA: Personal and Enterprise

WPA2: Personal and Enterprise

Cisco Compatible Extensions (CCX)

Version 4

Wireless LAN Card Specifications

A-24

PageWriter TC Cardiograph Service Manual

Index

Numeric

16-leads attaching color clips to leads

1-33

,

1-34

configuring PIM

1-31

options

1-34

A

A4 paper tray guide

5-6

A4 paper tray spacer

5-6

AAMI leads part number

5-8

About the Cardiograph screen

3-39

accessories disposal

2-16 ,

2-20

ordering information

5-7

alligator clips part number

5-9

archive troubleshooting

3-12

B

barcode reader using with the cardiograph

1-44

batteries about one or two battery operation

1-35

battery gauge

1-52

battery status information window

1-39

calibration

2-12

charging

1-38

,

1-39

charging indicator

1-39

inaccurate battery power display

2-12

installing

1-35

maintenance and care

2-9

part numbers

5-11

power indicator

8-15

replacement

2-10

battery door replacement part

5-5

C

cables cleaning

2-4

,

2-5

calibration touch screen

2-16

,

3-45

caps lock feature indicator on Status Bar

1-52

cardiograph disposal

2-16 ,

2-20

external PC card archive

8-9

external remote archive

8-9

internal main archive

8-9

main board

8-2

power indicator

8-15

power management

8-14

power system overview

8-9

,

8-11

print controller

8-2

replacement parts

5-3

troubleshooting

3-2

cart brake

7-12

replacement parts

5-8

replacement screws

5-5

wheel positioners

7-12

Class A PIM

1-27

Class B PIM

1-27

cleaning approved cardiograph cleaning solutions

2-3

,

2-4

cables

2-4 ,

2-5

cardiograph

2-3

electrodes

2-4

, 2-5

lead wires

2-4

patient data cable

2-4

Patient Interface Module

(PIM)

2-3

touch screen

2-16

Compact Flash diagnostic test

3-47

troubleshooting

3-25

configuration screen troubleshooting

3-18

custom settings issues troubleshooting

3-34

customer service telephone numbers

5-13

D

date and time changing

2-17

diagnostic test audio

3-47

Compact Flash

3-47

keyboard

3-47

, 4-10

lead wire shortage

2-15

onboard flash

3-46

PIM

2-14

ping

2-15

sensitivity

2-19

touch screen

2-16

disinfectants

2-4

display troubleshooting

3-3

document downloads

1-3

DumpFiles directory

3-51

E

ECG data flow and storage

8-6

ECG simulation test

4-11

electrodes cleaning

2-5

cleaning reusable

2-5

disposable part number

5-9

,

5-10

enabling tokens

6-8

F

fax issues troubleshooting

3-34

fuse replacement part

5-5

replacing on TC30 and TC50

2-18

H

I

hardware logical view

8-2

IEC leads part number

5-8

InCenter web site

1-3

document errors

1-4

downloading software

6-1

errors opening PDF documents

1-4

using Adobe Acrobat

1-4

K

keyboard diagnostic test

3-47

,

4-10

European

3-48

French AZERTY

3-49

Index-1

replacement parts

5-4

Russian

3-49

shortcuts

1-53

troubleshooting

3-5

L

LAN network connection status indicator

1-52

Lead Map troubleshooting

3-35

lead wires chest leads part number

5-9

cleaning

2-4

limb leads part number

5-9

shortage test

2-15

leads off troubleshooting

2-15

,

3-7

log file troubleshooting

3-34

viewing and saving

3-50

M

main board

8-2

main screen display changing displayed leads

1-49

troubleshooting

3-10

maintenance batteries

2-9

battery replacement

2-10

cleaning

2-3

touch screen

2-16

touch screen calibration

2-16

,

3-45

touch screen cleaning

2-16

modem card using with cardiograph

1-43

N

network settings connection status indicator

1-52

O

onboard flash diagnostic test

3-46

ordering replacement parts

5-1

supplies

5-7

orders troubleshooting

3-30

P

paper part number

5-10

paper tray replacement parts

5-6

part numbers replacement parts

5-1

supplies

5-8

patient data cable

Class A (5-pin) and Class B (8pin)

1-27

cleaning

2-4

part number

5-8

replacement part

5-5

PC card troubleshooting

3-25

pediatric tab electrodes

5-10

performance verification tests

4-5

Philips InCenter web site

1-3

document errors

1-4

errors opening PDF documents

1-4

PIM

1-27 ,

1-31

12-Lead

1-27

16-Lead

1-31

Class A (5-pin) and Class B

(8-pin)

1-27

components

1-27

configuring the 16-lead

1-31

diagnostic test

2-14

,

3-45

replacement part

5-7

ping test

2-15

power indicator

8-15

power management

8-14

Power On test

4-6

power system overview

8-9 ,

8-11

print controller

8-2

print head cleaning

2-6

printed report red stripe appears

2-7

Printer Control (FPGA)

8-4

printer issues troubleshooting

3-21

printer paper part number

5-10

replacing

2-7

R

remote query issues troubleshooting

3-32

replacement parts battery door

5-5

cardiograph

5-3

cart

5-8

ordering

5-1

paper tray

5-6

patient data cable

5-5

PIM

5-7

replacing batteries

2-10

fuse

2-18

printer paper

2-7

Response Center telephone numbers

5-13

restarting the cardiograph

3-37

reusable

2-5

S

Safety

4-12

Safety Test S1

4-13

Safety Test S2

4-13

Safety Test S3 - Leads Leakage

Current

4-14

screen capture

1-53

sensitivity test

2-19

Service Diagnostics Printed

Report

3-41

Service Utility accessing and using

3-38

keyboard test

3-47

printed status report

3-41

using diagnostic tests

3-42

signal acquisition issues troubleshooting

3-7

simulation test

4-11

software downloads

1-3

installation

6-1

overview

1-45

split-screen display

1-49

Standby cardiograph not exiting

8-16

start up issues troubleshooting

3-2

Index-2

Status Bar icon description

1-51

LAN network connection status indicator

1-52

supplies ordering information

5-7

part numbers

5-8

Syslog directory

3-51

T

technical assistance phone numbers

5-13

technical specifications

A-1

test and inspection matrix

4-4

time changing

2-17

Time Synchronization feature

2-17

tokens enabling

6-8

touch screen calibration

2-16

,

3-45

calibration, keyboard shortcut

1-53

cleaning

2-16

maintenance

2-16

overview

1-45

TraceMaster issues troubleshooting

3-28

troubleshooting archive

3-12

Compact Flash issues

3-25

configuration screen

3-18

custom settings issues

3-34

display

3-3

fax issues

3-34

inaccurate battery power display

2-12

keyboard

3-5

leads off

2-15

,

3-7

log file issues

3-34

main screen display

3-10

orders issues

3-30

Philips Response Center phone numbers

5-13

printer issues

3-21

red stripe on printed report

2-7

remote query issues

3-32

restarting the cardiograph

3-37

signal acquisition issues

3-7

start up issues

3-2

U

TraceMaster issues

3-28

USB memory stick

3-25

wireless LAN

3-35

upgrade option enabling

6-8

ordering

5-11

post upgrade tests

4-2

USB memory stick cautions

1-43

storage capacity

1-44

using with cardiograph

1-43

Utilities accessing and using

3-38

V

verification software installation

6-7

visual inspection test

4-5

W

welsh bulb electrodes

5-8

cleaning

2-5

wireless LAN troubleshooting

3-35

using with cardiograph

1-42

Index-3

Philips Medical Systems

3000 Minuteman Road

Andover, MA 01810 USA

PageWriter TC Cardiograph

Service Manual

453564106431

Edition 3

*453564106431*

*Edition 3*

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Questions & Answers

2024-07-15

Q Q T

Where can I find maintenance procedures for the PageWriter TC70/TC50/TC30 Cardiograph Device?
The maintenance procedures for the PageWriter TC70/TC50/TC30 Cardiograph are provided in the service manual.

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