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2002213-043a - Sistemas Case
2002213-043a - Sistemas Case
2002213-043 Revision A
127(The information in this manual only applies to the CASE. Due to continuing product innovation,
specifications in this manual are subject to change without notice.
Listed below are GE Medical Systems Information Technologies trademarks. All other trademarks contained
herein are the property of their respective owners.
900 SC, ACCUSKETCH, AccuVision, APEX, AQUA-KNOT, ARCHIVIST, Autoseq, BABY MAC, C Qwik
Connect, CardioServ, CardioSmart, CardioSys, CardioWindow, CASE, CD TELEMETRY, CENTRA, CHART
GUARD, CINE 35, CORO, COROLAN, COROMETRICS, Corometrics Sensor Tip, CRG PLUS, DASH,
Digistore, Digital DATAQ, E for M, EAGLE, Event-Link, FMS 101B, FMS 111, HELLIGE, IMAGE STORE,
INTELLIMOTION, IQA, LASER SXP, MAC, MAC-LAB, MACTRODE, MANAGED USE, MARQUETTE,
MARQUETTE MAC, MARQUETTE MEDICAL SYSTEMS, MARQUETTE UNITY NETWORK, MARS,
MAX, MEDITEL, MEI, MEI in the circle logo, MEMOPORT, MEMOPORT C, MINISTORE, MINNOWS,
Monarch 8000, MULTI-LINK, MULTISCRIPTOR, MUSE, MUSE CV, Neo-Trak, NEUROSCRIPT,
OnlineABG, OXYMONITOR, Pres-R-Cuff, PRESSURE-SCRIBE, QMI, QS, Quantitative Medicine,
Quantitative Sentinel, RAC RAMS, RSVP, SAM, SEER, SILVERTRACE, SOLAR, SOLARVIEW, Spectra
400, Spectra-Overview, Spectra-Tel, ST GUARD, TRAM, TRAM-NET, TRAM-RAC, TRAMSCOPE, TRIM
KNOB, Trimline, UNION STATION, UNITY logo, UNITY NETWORK, Vari-X, Vari-X Cardiomatic,
VariCath, VARIDEX, VAS, and Vision Care Filter are trademarks of GE Medical Systems Information
Technologies registered in the United States Patent and Trademark Office.
3 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Recommended Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Required Tools and Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
4 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Assembly Descriptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Keypad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Thermal Writer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Power System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Standard PC Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Controlling Electrostatic Discharge Damage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Manual Information
Revision History
Each page of the document has the document part number and revision
letter at the bottom of the page. The revision letter identifies the
document’s update level.
Manual Purpose
This manual supplies technical information for service representative
and technical personnel so they can maintain the equipment to the
assembly level. Use it as a guide for maintenance and electrical repairs
considered field repairable. Where necessary the manual identifies
additional sources of relevant information and or technical assistance.
See the operator manual for the instructions necessary to operate the
equipment safely in accordance with its function and intended use.
Intended Audience
This manual is intended for the person who uses, maintains, or
troubleshoots this equipment.
Safety Information
Responsibility of the Manufacturer
GE Medical Systems Information Technologies is responsible for the
effects of safety, reliability, and performance only if:
n Assembly operations, extensions, readjustments, modifications, or
repairs are carried out by persons authorized by GE Medical Systems
Information Technologies.
n The electrical installation of the relevant room complies with the
requirements of the appropriate regulations.
n The equipment is used in accordance with the instructions for use.
General
This device is not intended for home use.
Parts and accessories used must meet the requirements of the applicable
IEC 601 series safety standards, and/or the system configuration must
meet the requirements of the IEC 60601-1-1 medical electrical systems
standard.
Periodically, and whenever the integrity of the device is in doubt, test all
functions.
If the installation of the equipment, in the USA, will use 240V rather
than 120V, the source must be a center-tapped, 240V, single-phase
circuit.
Term Definition
DANGER Indicates an imminent hazard which, if not avoided, will result in death or
serious injury.
WARNING Indicates a potential hazard or unsafe practice which, if not avoided, could
result in death or serious injury.
CAUTION Indicates a potential hazard or unsafe practice which, if not avoided, could
result in minor personal injury or product/property damage.
NOTE Provides application tips or other useful information to assure that you get
the most from your equipment.
Equipment Symbols
ATTENTION: Consult accompanying documents.
In Europe, this symbol means dangerous or high voltage. In the United States, this symbol represents
the CAUTION notice.
Equipotential
Signal input
Signal output
Fuse
On/Standby
ASSIFIED
Classified by Underwriters Laboratories Inc. with respect to electric shock, fire, mechanical and other
CL
C R US
specified hazards, only in accordance with UL 2601-1, CAN/CSA C22.2 No. 601.1, IEC 60601-1, and,
MEDICAL EQUIPMENT
UL 2601-1 CAN/CSA 601.1
if required, IEC 60601-2-27, IEC 60601-2-30, IEC 60601-2-34, IEC 60601-1-1.
4P41
001A, 002A, 003A
Service Information
Service Requirements
Follow the service requirements listed below.
n Refer equipment servicing to GE Medical Systems Information
Technologies’authorized service personnel only.
n Any unauthorized attempt to repair equipment under warranty voids
that warranty.
n It is the user’s responsibility to report the need for service to GE
Medical Systems Information Technologies or to one of their
authorized agents.
n Failure on the part of the responsible individual, hospital, or
institution using this equipment to implement a satisfactory
maintenance schedule may cause undue equipment failure and
possible health hazards.
n Regular maintenance, irrespective of usage, is essential to ensure
that the equipment will always be functional when required.
Equipment Identification
The Serial Number and Unit ID number tags appear on the device in the
location shown below.
D 1 XX 0005 G XX
General Description
127(See CASE Operator’s Manual for “Putting the System into
Service.”
Front View
Monitor
Paper tray
Function keypad
Acquisition Module
Holder
Rear View
Access Panel
Equipotential pin,
power inlet with
fuses, Mains switch
Introduction
Recommended Maintenance
A regular equipment maintenance program helps prevent unnecessary
equipment and power failures and also reduces possible health hazards.
This chapter contains instructions for the following recommended
maintenance:
:$51,1*
Failure on the part of all responsible individuals,
hospitals or institutions, employing the use of this device,
to implement the recommended maintenance schedule
may cause equipment failure and possible health
hazards. The manufacturer does not in any manner,
assume the responsibility for performing the
recommended maintenance schedule unless an
Equipment Maintenance Agreement exists. The sole
responsibility rests with the individuals, hospitals, or
institutions utilizing the device.
Multimeter
Isopropyl Alcohol
n Check the case and display screen for cracks or other damage.
n Regularly inspect all cords and cables for fraying or other damage.
n Verify that all cords and connectors are securely seated.
n Inspect keys and controls for proper operation.
Exterior Cleaning
Clean the exterior surfaces once per month, and more frequently if
needed.
Interior Cleaning
Disassembly
To clean the interior, remove the screws from the CPU access door, then
remove the door.
General
Check for dust buildup on the surfaces of the interior circuit boards,
components, and assemblies. Use commercially available compressed air
to blow away accumulated dust. Follow the manufacturer’s directions for
use.
Thermal Printhead
Clean the thermal printhead every three months, or more often with
heavy use. A build-up of thermal paper coating on the printhead can
cause light or uneven printing.
1. 120 VAC (± 10 VAC) between the line contact and neutral and
between the line contact and ground.
2. Less than 3 VAC between neutral and ground.
NEUTRAL ❶ LINE
❷ ❶
GROUND
MD1128-011A
HOT ❷ HOT
❶ ❶
GROUND MD1128-012A
Leakage Tests
The leakage tests are safety tests to ensure that the equipment poses no
electrical health hazards. Use the table below to determine which tests
apply to the unit under test and the maximum allowable leakage
currents. For international leakage limits, refer to the internal standards
agencies of that particular country.
If the unit under test fails the leakage tests, do not allow the customer to
use the equipment. Call Tech Support for assistance. (See the “How to
Reach Us” page in the front of the manual.)
:$51,1*
Total system leakage current must not exceed 300
microamperes.
Maximum Current
Test
(µA)
1 Ground-wire-leakage-to-ground 300
2 Chassis-leakage-to-ground 300
3 Patient-cable-leakage-to-ground 10
4 Patient-cable-leakage-into-patient-leads-from-120 V ac 20
Test #1
Ground-wire-leakage-to-ground
“To be tested” power connector on back of
tester (may not be labeled on some testers).
Tester Tester
power Polarity UUT
cord Norm power
Line Line cord
Neutral
Unit
Neutral under
test
Gnd Rvs (UUT)
Gnd
1K
Meter
connectors
V
M13052-01E
Test #2
Chassis-leakage-to-ground
Apply line voltage to the UUT chassis for this test.
Tester Tester
power Polarity UUT
cord Norm power
Line Line cord
Neutral Unit
under
Neutral test
(UUT)
Gnd Rvs
Gnd
1K
Meter Probe to
connectors exposed chassis
V
M13052-02E
Test #3
Patient-cable-leakage-to-ground
“To be tested” power connector on back of
tester (may not be labeled on some testers).
Tester Tester
power Polarity UUT
cord Norm power
Line Line cord
Neutral
Unit
under
Neutral test
(UUT)
Gnd Rvs
Gnd
1K
Meter Patient cable
connectors
Patient
cable connectors M13052-03E
Test #4
Patient-cable-leakage-into-patient Leads-from 120 VAC
During this test, line voltage is applied to the patient cable connectors.
To prevent erroneous readings, do not allow the leadwires to contact
conductive materials such as metal handles, and do not place the
leadwires on the floor.
1K
Patient
cable connectors
M13052-04E
Ground Continuity
This test verifies that there is continuity (less than 100 mΩ resistance)
between all the exposed metal surfaces, which have the potential to
become energized, and the ground prong on the mains AC power cord. If
the metal surfaces are anodized or painted, scrape off a small area in an
inconspicuous area for the probe to make contact with the metal.
Assembly Descriptions
Monitor
The system uses a 17" monitor rated IEC-950 universal AC input. This
monitor has a standard IEC320 power cord and the usual 15 pin RGB
video connector on cable for the following signals.
Keypad
The keypad is designed as a bus powered, low speed USB peripheral
using a Cypress MCU. There is protection from ESD on the PCB as well.
The keypad is hot pluggable, and in the CASE system it relies on a
custom software driver running the USB ports on the motherboard under
NT 4.
Thermal Writer
The thermal writer assembly contains a thermal printhead with cue hole
sensor, a motor/encoder assembly to drive the platen roller, a
Information Technologies designed PCB to receive scan line data and
motor commands from the PC over USB. The PCB is based on an
Cypress high speed USB MCU with an 8051 core. The program is stored
on a FLASH memory chip which can be reprogrammed from the host PC.
The PCB connects to the thermal printhead motor and cue sensor
through a 40 pin ribbon harness. A standard type ’B’ R/A USB connector
provides the link to the PC using any high speed USB A to B cable under
5m.
Power System
AC power comes into the unit through an IEC-320 inlet module that has
an equipotential ground stud mounted near it. The AC power then goes
to a power distribution PCB. Its function is to route AC power and
isolated AC power to the proper places in the unit. Regular AC power is
routed to the medical grade power supplies. Isolated AC power is derived
from the isolation transformer, and routed to the IEC-950 CRT monitor.
No switching of AC power is needed with inputs from 100–240 VAC since
all supplies and the isolation transformer are universal input in the unit.
Standard PC Components
PC Subsystem
The PC Subsystem provides processing, video, and network capability
using industry standard PC components. Besides on PCB connectors for
floppy and IDE drives, the motherboard has an I/O panel arrangement in
one corner (per standard ATX designs) that has off PCB connectors for
PS/2 mouse & keyboard, two USB ports, PC serial port #1 and #2, PC
parallel port #1, audio line out/in, microphone.
PS/2 Keyboard
A standard 104 key Windows 95 keyboard with PS/2 interface is
connected to the PC I/O panel PS/2 keyboard connector.
PS/2 Mouse
A standard two or three button mouse with PS/2 interface is connected to
the PC I/O panel PS/2 mouse connector.
Hard Drive
An EIDE hard drive in 3.5" form factor. This drive connects to the
motherboard primary IDE channel as a master through a standard IDE
ribbon cable. Power comes from the power distribution PCB.
Floppy Drive
A 1.44Mbyte floppy drive in 3.5" form factor. This drive connects to the
motherboard floppy channel through a standard floppy ribbon cable.
Power comes from the power distribution PCB.
CD-R/W Drive
An EIDE CD-R/W drive in 5.25" form factor. This drive connects to the
motherboard primary IDE channel as a slave through a standard IDE
ribbon cable daisy chained with the hard drive. Power comes from the
power distribution PCB.
Acquisition/Interface Card
Designed and built by Information Technologies, this Motorola DSP
based PCB plugs into an expansion slot on the motherboard and provides
an interface to the PC that allows CAM-14 acquisition and analog/TTL
I/O and needed COM ports.
&$87,21
The CASE contains components that are susceptible to
electrostatic discharge damage. Observe all static
precautions while performing service. Failure to observe
these precautions may result in failure of components.
USB A or B
Pin Name
1 Vcc
2 - Data
3 + Data
4 Ground
COM A, B, C, D
6 XMIT 422+
7 +12V, 0.5A MAX
2 1
8 RXD 422+
MD1322-007
SHLD CHASSIS
Acquisition Interface
Pin Name
2 GND
3 AMTX+
4 AMTX-
5 AMRX+
6 AMRX-
7, 8, 9, 10 N/C
Pin Name
1 +3.3V
2 +3.3V
3 GROUND
4 +5V
5 GROUND
6 +5V
7 GROUND
10 +12V
11 +3.3V
12 -12V
13 GROUND
15 GROUND
16 GROUND
17 GROUND
18 -5V
19 +5V
20 +5V
1 DATA
2 N/C
3 GROUND
4 +5V (fused)
5 CLOCK
6 N/C
1 STROBE #
2 DATA BIT 0
3 DATA BIT 1
4 DATA BIT 2
5 DATA BIT 3
6 DATA BIT 4
7 DATA BIT 5
8 DATA BIT 6
9 DATA BIT 7
10 ACK#
11 BUSY
12 ERROR
13 SELECT
14 AUTO FEED #
15 FAULT #
16 INIT #
17 SLCT IN #
18 GROUND
19 GROUND
20 GROUND
21 GROUND
22 GROUND
23 GROUND
24 GROUND
25 GROUND
1 DCD #
2 SERIAL IN
3 SERIAL OUT
4 DTR #
5 GROUND
6 DSR #
7 RTS #
8 CTS #
9 RI #
Take the time to make all the recommended visual checks (refer to the
visual inspection list) before starting any detailed troubleshooting
procedures
Mounting Hardware Loose or missing screws or other hardware, especially fasteners used as connections to
ground panes on PCBs
Power Source Faulty wiring, especially AC outlet
Circuit not dedicated to system
(Power source problems can cause static discharge, resetting problems, and noise.)
Power-up Self-test
On power-up, the system automatically runs an internal self-test. If all
circuits test good, the start up screen displays.
Diagnostic Tests
Introduction
Use the diagnostic tests to check that the unit is operating properly. The
tests check operation of the acquisition module and board, writer, and
keypad. A burn-in test in the menu is for factory production only.
3. From the bottom of the Service Screen choose the CASE Test
Software you want to view. Note that Burn-in and Loopback Test
keys are used for manufacturing purposes only.
Acquisition Test
Click ACQ TEST at the bottom of the service screen. The acquisition test
screen appears.
Writer Test
Click WRTR TEST at the bottom of the service screen.
Keypad Test
Click KEYPAD TEST at the bottom of the service screen.
Press each key and watch the interactive screen to be sure all are
functioning properly.
Servicing Drives
To access drives for servicing follow these steps:
1. Lift drive bezel up at bottom and pull away from the CASE chassis.
2. Remove the four lock nuts from the drives assembly front panel.
1. Use a screw driver to loosen and open the I/O access drawer.
2. Remove five mounting screws from the I/O drawer rear panel.
MOUNTING
SCREWS
3. Carefully slide out the I/O drawer to gain access to the I/O boards
and mother board assembly
1. Disconnect the keyboard and mouse connectors from the I/O drawer
and pull cable through the cable guide and remove.
Ground Terminal
3. Remove the 12 mounting screws from under the worksurface and lift
it up from the front.
4. While holding the front up, reach underneath the worksurface and
carefully disconnect the two Keypad cables located near the left of
the Keypad assembly.
127(The Writer paper release button will fall through when the
worksurface is lifted. When reassembling the worksurface, the
button must be inserted from the top.
Release
Button
1. Press the paper release to move the print roller from the print head.
2. Remove the rubber disk from the slide plate and put aside.
3. Disconnect the print head ribbon cable from the print head
connector.
4. Move the slide plate to the right to remove pressure from the print
head.
5. Pull back on the brush assembly and lift out the print head.
6. Before installing the new print head, record the resistance value. If
different from the original, the Writer Test found earlier in this
chapter will have to be run when this your CASE is reassembled.
Resistance Value
7. Insert the new print head while taking care that the printhead brush
does not get caught under the printhead.
Incorrect
10. Connect the print head cable and reassemble the CASE.
11. Perform the Writer Test found earlier in this chapter.
1. With CASE worksurface removed, remove the two lock nuts and two
screws holding the Writer Tray in place and remove the Writer
Assembly.
2. Loosen the two lock nuts holding the Power Supply in place.
3. Disconnect cables connected to the Power Supply assembly and
carefully lift the assembly out for service.
Ordering Parts
Introduction
The parts lists and assembly drawings in this chapter supply enough
detail for you to order parts for the assemblies considered field
serviceable. For component-level information, refer to the pcb assemblies
chapter. See the appendices for information on assemblies used in
previous configurations.
Writer
Printhead 1479-106
Writer Engine 413453-005
Drives
Power
Miscellaneous
Upper-level Assembly
Rev A
Item Number Description
CS4000_KISS_PUMP CASE 4000 KISS PTO OPTION CLASS
2008713-013 KIT KISS CASE4000 EXTERNAL
2008712-001 KIT KISS CASE4000 INTERNAL
CS4000_STARTER_KIT CASE 4000 STARTER KIT PTO OPTION
CLASS
900155-001 KIT STARTER MAX-1 BASIC
900155-002 KIT STARTER MAX-1 BASIC A4
900535-003 KIT A4 PAPER SPACER MAC 6
CS4000_MONITOR CASE 4000 MONITOR PTO OPTION
CLASS
408057-009 MONITOR 17" COLOR SONY
CS4000_SOFTWARE CASE 4000 SOFTWARE PTO OPTION
CLASS
2006930-001 OPT ACT CASE 4000 ARRHYTHMIA
DETECT/DOC
2006930-002 OPT ACT CASE 4000 2D WATERFALL
2006930-003 OPT ACT CASE 4000 MUSE BROWSER
2006930-004 OPT ACT CASE 4000 EXPORT DATA
2006930-005 OPT ACT CASE 4000 EXPORT PDF
2006930-006 OPT ACT CASE 4000 EXPORT WORD
2006930-007 OPT ACT CASE 4000 SCREEN DISP
CONFIG
2006930-008 OPT ACT CASE 4000 IN- TEST TABULAR
SUM
2006930-009 OPT ACT CASE 4000 IN- TEST TRENDS
2006930-010 OPT ACT CASE 4000 PREV TEST
RETRIEVAL
2006930-011 OPT ACT CASE 4000 ELECTRODE
IMPEDANCE
2006930-012 OPT ACT CASE 4000 12SL
2006930-013 OPT ACT CASE 4000 FULL DISCL
2006930-015 OPT ACT CASE 4000 STORE TO MUSE
NETWORK
2006930-016 OPT ACT CASE 4000 RISK FACTORS
2006930-017 OPT ACT CASE 4000 CD ARCHIVE
CS4000_CAM14 CASE 4000 CAM14 PTO OPTION CLASS
Part
Location Item Number Item Description Qty
Num
Part
Location Item Number Item Description Qty
Num
Part
Location Item Number Item Description Qty
Num
102 3 PLACES
88
A4
87
99
19
DETAIL "WORKSURFACE"
16
A22 28
96
62 6 PLACES
PLACE BUSHING ON
HARN (ITEM 28) IN 94
GROOVE ON DISPLAY
9 REF
SUPPORT (ITEM 9).
15
2 PLACES 104
A 11 10 61
53 2 PLACES
25
78 2 PLACES
2 PLACES 53
58 6 PLACES
DETAIL
"DISPLAY PLATFORM"
2008230-001
WARNING:
DANGER OF EXPLOSION IF BATTERY
IS INCORRECTLY REPLACED. REPLACE
ONLY WITH SAME OR EQUIVALENT TYPE.
( 3V LITHIUM - CR2032 ) DISPOSE OF
USED BATTERIES ACCORDING TO
MANUFACTURER'S INSTRUCTIONS.
W
w/ with
W watt
Warfar Warfarin
WHT white
WI Wisconsin
Technical Specifications
Instrument type Unity-enhanced cardiac stress testing system with 14 channel acquisition and
programmable lead configurations. Celeron-based, Web-enables, NT
technology platform and hard drive storage delivers local and MUSE
database access.
ST measurements ST amplitudes, slope, integral, index, ST/HR slope, ST/HR loops, ST/HR
index up to 15 leads
E, J, and post-J point Manual or computer selected
ECG interpretation (optional) 12SL Adult and Pediatric ECG Analysis Program
Technology Active, “Type BF” floating isolated powered 14 channel acquisition module
with built-in lead-fail detection and lead prep impedance measurement
Noise < 15 µV peak-to-peak noise over 0.01 to 150 Hz (-3 dB) bandwidth
High pass filter 0.01 Hz (or 0.05 Hz, special use) with DC offset control
Item Description
Item Description
Monitored leads 3, 6, or 15
Resolution Horizontal 1000 lines/s x 200 dpi dedicated local printing, 200 x 200 dpi
generic printing