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6004 Non-Invasive

Blood Pressure Monitor


Service Manual

SYS (mmHg) DIA (mmHg) %SpO2


B e f n
h
120 80 98 a Z
g c SENSOR M c
x i 10f MAP
90 60
p
(mmHg)
NEO
d o

- English
Catalog Number 1877
Version 9, October 2007
© 2007 Smiths Medical PM, Inc. family of companies. All rights reserved.
Table of Contents

Table of Contents

Revision History........................................................................................................................ v
Warranty and Service Information........................................................................................ vii
Proprietary Notice...................................................................................................................................................................................vii
Warranty.....................................................................................................................................................................................................vii
Limited Warranty.............................................................................................................................................................................vii
Disclaimer of Warranties...............................................................................................................................................................vii
Conditions of Warranty.................................................................................................................................................................vii
Limitation of Remedies.................................................................................................................................................................vii
Warranty Procedure.............................................................................................................................................................................. viii
CE Notice.................................................................................................................................................................................................. viii
Chapter 1: Introduction........................................................................................................ 1-1
About this Manual.................................................................................................................................................................................1-1
Definition of Symbols..........................................................................................................................................................................1-1
General Warnings..................................................................................................................................................................................1-3
Oximetry Warnings...............................................................................................................................................................................1-5
Temperature Warnings........................................................................................................................................................................1-6
General Cautions...................................................................................................................................................................................1-6
NIBP Cautions.........................................................................................................................................................................................1-7
Temperature Cautions.........................................................................................................................................................................1-7
General Notes.........................................................................................................................................................................................1-8
NIBP Notes...............................................................................................................................................................................................1-8
Oximetry Notes......................................................................................................................................................................................1-8
Temperature Notes...............................................................................................................................................................................1-8
Chapter 2: Circuit Description ............................................................................................. 2-1
Main PCB Circuit Description (58452B2).......................................................................................................................................2-1
Battery Charger.............................................................................................................................................................................2-1
System Power Supply and ON/OFF Circuitry......................................................................................................................2-1
Microprocessor and Memory Section...................................................................................................................................2-2
Memory Map and I/O Map Address Space...................................................................................................................................2-2
Physical Memory Map.................................................................................................................................................................2-2
I/O Memory Map...........................................................................................................................................................................2-3
Display Controller..................................................................................................................................................................................2-3
Latched I/O’s- ADC Signals and the Printer Reset......................................................................................................................2-5
Speaker Volume Controller and Driver..........................................................................................................................................2-6
ADC Serial Data Interface...................................................................................................................................................................2-7
Parallel I/O’s.............................................................................................................................................................................................2-7
Pump and Valve Control.....................................................................................................................................................................2-8

Non-Invasive Blood Pressure Monitor Operation Manual 


Table of Contents

Serial I/O’s.................................................................................................................................................................................................2-8
Real Time Clock (RTC)...........................................................................................................................................................................2-8
Watch Dog Timer...................................................................................................................................................................................2-8
Analog Section.......................................................................................................................................................................................2-9
Signal Dictionary...................................................................................................................................................................................2-9
Main Board......................................................................................................................................................................................2-9
Display Circuit Description (58454B1)........................................................................................................................................ 2-12
Signal Dictionary................................................................................................................................................................................ 2-12
Display Board.............................................................................................................................................................................. 2-12
Chapter 3: Optional Printer Circuit Description (58440B1)............................................... 3-1
Signal Dictionary...................................................................................................................................................................................3-1
Chapter 4: Oximeter Boards Circuit Descriptions............................................................... 4-1
Business Card Oximeter Board ( 71552B1 )..................................................................................................................................4-1
General Description.....................................................................................................................................................................4-1
Power Supply.................................................................................................................................................................................4-1
Interface and Reset Circuitry....................................................................................................................................................4-1
Microprocessor Circuit................................................................................................................................................................4-1
Memory and I/O Decoding.......................................................................................................................................................4-2
A / D Converter..............................................................................................................................................................................4-3
LED Drive.........................................................................................................................................................................................4-3
Analog Signal Processing...........................................................................................................................................................4-3
Signal Dictionary...........................................................................................................................................................................4-4
Digital Oximeter Board ( 71802B1 ).................................................................................................................................................4-5
General Description.....................................................................................................................................................................4-5
Power Supply.................................................................................................................................................................................4-5
Interface and Reset Circuitry....................................................................................................................................................4-5
Microprocessor Circuit................................................................................................................................................................4-5
A/D Converter................................................................................................................................................................................4-5
LED Drive.........................................................................................................................................................................................4-6
Analog Signal Processing...........................................................................................................................................................4-6
Nellcor MP506 Oximeter Board........................................................................................................................................................4-6
Chapter 5: Temperature Board Circuit Description............................................................ 5-1
General Description..............................................................................................................................................................................5-1
Power Supply..........................................................................................................................................................................................5-1
Isolated Interface...................................................................................................................................................................................5-1
Chapter 6: Using the Oximeter Option................................................................................ 6-1
Test Equipment and Tools Required...............................................................................................................................................6-1
Visual Inspection....................................................................................................................................................................................6-1
Power Supplies.......................................................................................................................................................................................6-1
Main Board (58452B2).........................................................................................................................................................................6-1
Battery Charger and Power Supply Test...............................................................................................................................6-1

ii Non-Invasive Blood Pressure Monitor Operation Manual


Table of Contents

Calibration check...................................................................................................................................................................................6-2
NIBP Calibration Verification.....................................................................................................................................................6-2
Temperature Board (58492B1)..........................................................................................................................................................6-2
Power Supply and Reference....................................................................................................................................................6-2
Appendix........................................................................................................................... App-1
Assembly Drawings, Schematics, Parts Lists & Bills of Material......................................................................................App-1

The serial autocorrelation technology in the monitor is covered by U.S. Patent No. 5,558,096.

BCI and the Smiths design mark are trademarks of the Smiths Medical family of companies. The symbol ®
indicates the trademark is registered in the U.S. Patent and Trademark Office and certain other countries. All
other names and marks mentioned are the trade names, trademarks or service marks of their respective owners.

Non-Invasive Blood Pressure Monitor Operation Manual iii


Table of Contents

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iv Non-Invasive Blood Pressure Monitor Operation Manual


Revision History

Revision History

Revision Date Comment


Rev. 9 October, 2007 • Added design theme frame, BCI lozenge and Smiths Medical logo to
front cover.
• Added Australian Representative to Warranty section and back
cover.
• Added WEEE Recycling instructions in symbol table in Chapter 1.
• Changed some cautions and notes to warnings.
• Added RF Interference warning.
• Added warning to verify that all LEDs light up upon startup of the
device.
• Added warning about incorrectly applied sensors.
• Added note about alarm limits being retained through power cycles.
• Added company address and phone number to back cover.

Revision Date Comment


Rev. 8 January, 2007 • Added Warnings about AC Power and about placement of monitor
and cables to Chapter 1.
• Added Note about connecting the AC Charger to Chapter 1.
• Added Warning about certain clinical conditions causing the
oximeter to display dashes or erroneous values.
• Added Caution about certain cleaning agents.
• Added this Revision History.
• Updated Line Art.
• Added trademark information to Table of Contents.
• Updated Warranty Statement.
• Updated company name.
• Added symbol chart from 1876 Operation Manual.
• Updated page numbering scheme for Appendix drawings.
• Added back cover.

Non-Invasive Blood Pressure Monitor Service Manual 


Revision History

This page is intentionally left blank.

vi Non-Invasive Blood Pressure Monitor Service Manual


Warranty and Service Information

Warranty and Service Information

Proprietary Notice
Information contained in this document is copyrighted by Smiths Medical PM, Inc. and may not be duplicated in
full or part by any person without prior written approval of Smiths Medical PM, Inc. Its purpose is to provide the
user with adequately detailed documentation to efficiently install, operate, maintain, and order spare parts for
the device supplied. All information contained in this document is believed to be current and accurate as of the
date of publication or revision, but does not constitute a warranty.

Warranty
Limited Warranty
Smiths Medical PM, Inc. (“Seller”) warrants to the original purchaser that the Product, not including accessories,
shall be free from defects in material and workmanship under normal use, if used in accordance with its labeling,
for two years from the date of shipment to the original purchaser.

Seller warrants to the original purchaser that the reusable oximeter sensors supplied as accessories, shall be free
from defects in materials and workmanship under normal use, if used in accordance with its labeling, for one
year from the date of shipment to the original purchaser (USA only).

Disclaimer of Warranties
THE FOREGOING EXPRESS WARRANTY, AS CONDITIONED AND LIMITED, IS IN LIEU OF AND EXCLUDES ALL
OTHER WARRANTIES WHETHER EXPRESS OR IMPLIED, BY OPERATION OF LAW OR OTHERWISE, INCLUDING
BUT NOT LIMITED TO, ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR
PURPOSE.

Seller disclaims responsibility of the suitability of the Product for any particular medical treatment or for any
medical complications resulting from the use of the Product. This disclaimer is dictated by the many elements
which are beyond Seller’s control, such as diagnosis of patient, conditions under which the Product may be used,
handling of the Product after it leaves Seller’s possession, execution of recommended instructions for use and
others.

Conditions of Warranty
This warranty is void if the Product has been altered, misused, damaged by neglect or accident, not properly
maintained or recharged, or repaired by persons not authorized by Seller. Misuse includes, but is not limited to,
use not in compliance with the labeling or use with accessories not manufactured by Seller. This warranty does
not cover normal wear and tear and maintenance items.

Limitation of Remedies
The original purchaser’s exclusive remedy shall be, at Seller’s sole option, the repair or replacement of the
Product. THIS IS THE EXCLUSIVE REMEDY. In no event will Seller’s liability arising out of any cause
whatsoever (whether such cause is based on contract, negligence, strict liability, tort or otherwise) exceed
the price of the Product and in no event shall Seller be responsible for consequential, incidental, or
special damages of any kind or nature whatsoever, including but not limited to, lost business, revenues,
and profits.

Non-Invasive Blood Pressure Monitor Service Manual vii


Warranty and Service Information

Warranty Procedure
To obtain warranty service in the USA, you must request a Customer Service Report (CSR) number from Technical
Service. Reference the CSR number when returning your Product, freight and insurance prepaid, to:

Smiths Medical PM, Inc. Phone: (262) 542-3100


N7W22025 Johnson Drive Fax: (262) 542-0718
Waukesha, WI 53186-1856 Toll Free: (800) 558-2345

Seller will not be responsible for unauthorized returns or for loss or damage to the Product during the return
shipment. The repaired or replaced Product will be shipped, freight prepaid, to Purchaser.

To obtain warranty information outside of the USA, contact your local distributor.

Keep all original packing material, including foam inserts. If you need to ship the device, use only the original
packaging material, including inserts. Box and inserts should be in original condition. If original shipping
material in good condition is not available, it should be purchased from Smiths Medical PM, Inc.

Damages occurred in transit in other than original shipping containers are the responsibility of the shipper. All
costs incurred returning devices for repair are the responsibility of the shipper.

CE Notice

Marking by the symbol


93/42/EEC.
2 indicates compliance of this device to the Medical Device Directive

Authorized Representative (as defined by the Medical Device Directive):

Smiths Medical International Ltd. Phone: (44) 1923 246434


Colonial Way, Watford, Herts, Fax: (44) 1923 240273
WD24 4LG, UK

Australian Representative:
Smiths Medical Australasia Pty. Ltd. Tel: +61 (0) 7 3340 1300
61 Brandl Street, Eight Mile Plains,
QLD 4113, Australia

viii Non-Invasive Blood Pressure Monitor Service Manual


Chapter 1: Introduction

Chapter 1: Introduction

About this Manual


This manual contains circuit descriptions, voltage and waveform test points, detailed parts lists, and circuit
diagrams for the monitor. It is intended for persons trained in service, maintenance, and repair of modern
medical equipment. Thorough knowledge of this equipment’s operation is required before attempting to repair
this equipment.

These instructions contain important information for safe use of the product. Read the entire contents
of these Instructions For Use, including Warnings and Cautions, before using the monitor. Failure to
properly follow warnings, cautions and instructions could result in death or serious injury to the patient.

Definition of Symbols

symbol definition

x On/Off

h NIBP Start/Stop

B Alarm Silence

e Cancel

i Stat

n o Up and Down Arrows

d Manual/Auto

a Recall

Z Alarm Set

F Printer Output or Print Key

Print feed

g Alarm silence LED

c High Priority Alarm (red) or Low Priority Alarm/Alert (yellow) LED

M Low battery LED

f Interval

DIA Diastolic blood pressure

MAP Mean arterial pressure

NEO Neonate NIBP mode

SYS Systolic blood pressure

Non-Invasive Blood Pressure Monitor Service Manual 1-1


Chapter 1: Introduction

Symbol Definition

p Heart Rate LED

%SpO2 Percent Oxygen Saturation

6 Federal (U.S.A.) law restricts this device to sale by or on the order of a physician.

p Type CF equipment

q Defibrillator-proof type CF equipment.

g Attention, see instructions for use.

7 Refer servicing to qualified service personnel.

D Output Voltage

E Input Voltage
y Date of Manufacture
< Catalog Number
> Serial Number

7 Do not reuse. One use on one patient.

K Moisture Sensitive
IPX1 Drip Proof (monitor only)
1 Non AP Device

G Direct Current

0 Loudspeaker
Disposal (EU Countries)
Under the Waste Electrical and Electronic Equipment (WEEE) Directive 2006/96/EC and
implementing regulations, all devices and service items within the scope of the Directive
Z purchased new after August 13, 2005 must be sent for recycling when ultimately becoming
waste. Devices and items must not be disposed of with general waste. If purchased before
Collect that date, they may also be sent for recycling if being replaced on a one-for-one, like-for-
Separately like basis (this varies depending on the country). Recycling instructions to customers using
Smiths Medical products are published on the internet at:
http://www.smiths-medical.com/recycle
Disposal (other countries)
When disposing of this device, its batteries or any of its accessories, ensure that any negative
impact on the environment is minimized. Contact your local waste disposal service and
use local recycling or disposal schemes. Separate any other parts of the equipment where
arrangements can be made for their recovery, either by recycling or energy recovery. The
Y main batteries are potentially harmful and will require separate disposal according to
manufacturer’s instructions or local regulations.

Note: If applicable, EU, national or local regulations concerning


waste disposal must take precedence over the above advice.

1-2 Non-Invasive Blood Pressure Monitor Service Manual


Chapter 1: Introduction

keyword definition
WARNING! Tells you about something that could hurt the patient or hurt the operator.
CAUTION! Tells you about something that could damage the monitor.
NOTE! Tells you other important information.

General Warnings
WARNING! Do not use this device in the presence of flammable anesthetics.

WARNING! ELECTRICAL SHOCK HAZARD when cover is removed. Do not remove covers. Refer servicing
to qualified personnel.

WARNING! Do not use this device in the presence of magnetic resonance imaging (MR or MRI)
equipment.

WARNING! Operation of this device may be adversely affected in the presence of computed tomograph
(CT) equipment.

WARNING! Operation of this device may be adversely affected in the presence of conducted transients
or strong electromagnetic (EM) or radiofrequency (RF) sources, such as electrosurgery and
electrocautery equipment, x-rays, and high intensity infrared radiation.

WARNING! Do not plug the monitor into an outlet controlled by a wall switch.

WARNING! The 6004 is not intended for use in the home.

WARNING! This device is intended for use by persons trained in professional health care. The operator
must be thoroughly familiar with the information in this manual before using the monitor.

WARNING! This device must be used in conjunction with clinical signs and symptoms. This device is only
intended to be an adjunct in patient assessment.

WARNING! If the accuracy of any measurement is in question, verify the patient’s vital sign(s) by an
alternative method and then check the monitor for proper functioning.

WARNING! The monitor should not be used in the presence of electrosurgical equipment. The device has
no protective mechanisms to prevent patient burns when used with high frequency surgical
equipment.

WARNING! Equipment is protected against defibrillator discharge. Rate meters and displays may be
temporarily affected during defibrillation, but will rapidly recover.

Non-Invasive Blood Pressure Monitor Service Manual 1-3


Chapter 1: Introduction

WARNING! The vital signs monitor is suitable for use within the patient environment IEC 60950 approved
equipment must be placed outside of the patient environment. The patient environment is
defined as any volume in which intentional or unintentional contact can occur between the
patient and parts of the system or between the patient and other persons touching parts of
the system.
Figure 1.1: Patient Environment (Dimensions are not prescriptive)

WARNING! When connecting this monitor to any instrument, verify proper operation before clinical use.
Use only equipment meeting specifications given in this manual. Refer to the instrument’s
user manual for full instruc¬tions. Accessory equipment connected to the monitor’s data
interface must be certified according to the respective IED standards, i.e. IEC 60950 for data
processing equipment or IEC 60601-1 for electro medical equipment. All combinations
of equipment must be in compliance with IEC 60601-1-1 sys¬tems requirements. Anyone
connecting additional equipment to the signal input port or signal output port configures a
medical system, and therefore, is responsible that the system complies with the requirements
of the system standard IEC 60601-1-1.

WARNING! Any monitor that has been dropped or damaged should be checked by qualified service
personnel, prior to use, to ensure proper operation.

WARNING! This monitor will not operate effectively on patients who are experiencing convulsions or
tremors.

WARNING! Patient safety can be compromised by the use of a power supply not supplied by Smiths
Medical PM, Inc. Use only the power supply included with your monitor, or one approved by
Smiths Medical PM, Inc.

WARNING! Disconnect the AC power supply from the outlet before disconnecting it from the monitor.
Leaving the AC power supply connected to an AC power outlet without being connected to
the monitor may result in a safety hazard.

WARNING! Do not allow any moisture to touch the AC power supply connectors or a safety hazard may
result. Ensure that hands are thoroughly dry before handling the AC power supply.

WARNING! Do not place the monitor in the patient’s bed or crib. Do not place the monitor on the floor.

WARNING! Failure to place the monitor away from the patient may allow the patient to turn off, reset, or
damage the monitor, possibly resulting in the patient not being monitored. Make sure the
patient cannot reach the monitor from their bed or crib.

WARNING! Failure to carefully route the cable from the sensor to the monitor may allow the patient to
become entangled in the cable, possibly resulting in patient strangulation. Route the cable
in a way that will prevent the patient from becoming entangled in the cable. If necessary, use
tape to secure the cable.

1-4 Non-Invasive Blood Pressure Monitor Service Manual


Chapter 1: Introduction

Warning! If there is a risk of the AC power supply becoming disconnected from the monitor during use,
secure the cord to the monitor several inches from the connection.

WARNING! Medical electrical equipment, including this device, needs special precautions regarding
electro-magnetic compatibility (EMC) and needs to be installed and put into service
according to the EMC information provided in this manual.

WARNING! The monitor should not be used adjacent to or stacked with other equipment. If adjacent or
stacked use is necessary, the monitor should be observed to verify normal operation in the
configuration in which it will be used.

WARNING! Use only original manufacturer or recommended patient cables. Use of accessories other
than those specified may result in increased electro-magnetic (EM) emissions or decreased
EM immunity of the device. To avoid potential electro-static discharge interference, do not
use cables which incorporate metal or metal-coated connectors.

WARNING! It is the operator’s responsibility to set alarm limits appropriately for each individual patient.

Warning! Verify that all LEDs (light emitting diodes) on the display light up upon startup of the device.

NIBP Warnings
WARNING! Blood pressure measurements may be inaccurate if cuffs and/or hoses, other than those
specified by Smiths Medical PM, Inc., are used.

WARNING! Make sure that hoses are not kinked, compressed, or restricted.

WARNING! Check that operation of the equipment does not impair the circulation of the monitored
patient.

WARNING! Repeated use of the stat mode for periods longer than 15 minutes should be avoided
to reduce the patient’s risk for soft tissue or nerve damage. When using the monitor for
long periods of time, select the longest clinically appropriate measurement interval and
periodically examine the patient for signs of injury and ensure proper cuff placement.

WARNING! Blood pressure measurements may not be accurate for patients experiencing moderate to
severe arrhythmias.

Oximetry Warnings
WARNING! Use only SpO2 sensors supplied with, or specifically intended for use with, this device.

WARNING! Incorrectly applied sensors may give inaccurate readings. Refer to the sensor insert for
proper application instructions.

WARNING! Prolonged use or the patient’s condition may require changing the sensor site periodically.
Change sensor site and check skin integrity, circulatory status, and correct alignment at least
every 4 hours.

WARNING! When attaching SpO2 sensors with Microfoam® tape, do not stretch the tape or attach the
tape too tightly. Tape applied too tightly may cause inaccurate readings and blisters on the
patient’s skin (lack of skin respiration, not heat, causes the blisters).

Non-Invasive Blood Pressure Monitor Service Manual 1-5


Chapter 1: Introduction

WARNING! Dyes introduced into the bloodstream, such as methylene blue, indocyanine green, indigo
carmine, patent blue V (PBV), and fluorescein may adversely affect the accuracy of the SpO2
reading.

WARNING! Any condition that restricts blood flow, such as use of a blood pressure cuff or extremes in
systemic vascular resistance, may cause an inability to determine accurate pulse and SpO2
readings.

WARNING! Significant levels of dysfunctional hemoglobins, such as carboxyhemoglobin (with CO-


poisoning) or methemoglobin (with sulfonamide therapy), will adversely affect the accuracy
of the SpO2 measurement.

WARNING! SpO2 measurements may be adversely affected in the presence of high ambient light. If
necessary, shield the sensor area (with a surgical towel, for example).

WARNING! Optical cross-talk can occur when two or more sensors are placed in close proximity. It can be
eliminated by covering each site with an opaque material.

WARNING! Remove fingernail polish or false fingernails before applying SpO2 sensors. Fingernail polish
or false fingernails may cause inaccurate SpO2 readings.

WARNING! Tissue damage may result from overexposure to sensor light during photodynamic therapy
with agents such as verteporphin, porfimer sodium and meta-tetrahydroxyphenylchlorin
(mTHPC). Change the sensor site at least every hour and observe for signs of tissue damage.
More frequent sensor site changes or inspections may be indicated depending upon the
photodynamic agent used, agent dose, skin condition, total exposure time or other factors.
Use multiple sensor sites.

WARNING! Under certain clinical conditions, pulse oximeters may display dashes if unable to display
SpO2 and/or pulse rate values. Under these conditions, pulse oximeters may also display
erroneous values. These conditions include, but are not limited to: patient motion, low
perfusion, cardiac arrhythmias, high or low pulse rates, or a combination of the above
conditions. Failure of the clinician to recognize the effects of these conditions on pulse
oximeter readings may result in patient injury.

Temperature Warnings
WARNING! Single use disposable probe covers, available from Smiths Medical PM, Inc. will limit patient
cross-contamination. The use of any other probe cover or the failure to use a probe cover
may produce temperature errors.

WARNING! Do not autoclave or immerse the temperature probes in liquid.

WARNING! Incorrect insertion of rectal temperature probes can cause bowel perforation.

General Cautions
CAUTION! Ensure the device’s AC rating is correct for the AC voltage at your installation site before using
the monitor. The monitor’s AC rating is shown on the external power supply. If the rating is not
correct, do not use the monitor; contact Smiths Medical PM, Inc. service department for help.

Caution! Do not allow water or any other liquid to spill onto the monitor. Do not autoclave, ethylene
oxide sterilize, or immerse the monitor in liquid. Evidence that liquid has been allowed to
enter the monitor voids the warranty.

1-6 Non-Invasive Blood Pressure Monitor Service Manual


Chapter 1: Introduction

CAUTION! Unplug the external power supply from the monitor before cleaning or disinfecting the
monitor.

CAUTION! Do not allow water or any other liquid to enter any of the openings on the monitor. Evidence
that liquid has been allowed to enter the monitor voids the warranty.

Caution! Chemicals used in some cleaning agents may cause brittleness of plastic parts. Follow
cleaning instructions in this manual.

CAUTION! Should the device become wet, wipe off all moisture and allow sufficient time for drying
before operating. For devices with the optional electronic thermometer or printer, servicing is
required for proper function after accidental wetting.

CAUTION! Pressing front panel keys with sharp or pointed instruments may permanently damage the
keypad. Press front panel keys only with your finger.

CAUTION! Do not disassemble the unit. The unit is not user serviceable. Refer to qualified service
personnel.

CAUTION! Operation of this device may be adversely affected in the presence of portable and mobile
communications equipment.

NIBP Cautions
CAUTION! Verify the proper cuff size and patient operating mode before each measurement.

CAUTION! Extremity and cuff motion should be minimized during blood pressure determinations.

CAUTION! Proper blood pressure cuff size and placement are essential to the accuracy of the blood
pressure determination.

CAUTION! Any blood pressure recording can be affected by the position of the patient, his or her
physiologic condition, and other factors.

CAUTION! Blood pressure measurements should be interpreted by a physician.

Temperature Cautions
CAUTION! Oral temperature probes (blue ejection button) are to be used for taking oral temperatures
only. Rectal probes (red ejection button) are to be used for taking rectal temperatures only.
The use of the wrong probe will produce temperature errors.

CAUTION! Do not use the thermometer if you notice any signs of damage to the probe. Contact the
Customer Service Department for immediate assistance.

CAUTION! Unplug the temperature probe from the monitor before cleaning or disinfecting.

CAUTION! Wash hands after taking rectal temperatures. Washing hands greatly reduces the risk of
cross-contamination and nosocomial infection (NI).

Non-Invasive Blood Pressure Monitor Service Manual 1-7


Chapter 1: Introduction

General Notes
NOTE! All user and patient accessible materials are non-toxic.

NOTE! The equipment is suitable for connection to public mains.

NOTE! To tear paper off gently, pull paper towards you tightly against the cutter and use the cutter to
tear it off. Use caution not to pull paper through the printer as this might damage the paper feed
rollers.

NOTE! Connect the AC Charger to the AC Power Connector of the monitor first and the AC Charger to the
Wall Outlet second.

NOTE! Alarm limits are retained through power cycles.

NIBP Notes
NOTE! Systolic and Diastolic blood pressure measurements determined with this device are equivalent
to those obtained by a trained observer using the cuff/stethoscope auscultation method,
within the limits prescribed by the American National Standard, Electronic or Automated
Sphygmomanometers. AAMI SP10-1992.

NOTE! Mean Arterial blood pressure measurements determined with this device are equivalent to those
obtained by an intra-arterial blood pressure measurement device as determined by Smiths
Medical PM, Inc.

NOTE! Clinical validation studies are available upon request.

Oximetry Notes
NOTE! The low SpO2 alarm limit minimum test value is 80. If an operator changes the low SpO2 alarm
limit to a value less than 80, and a power down - power up sequence takes place, a minimum value
of 85 takes the place of the operator entered value.

Temperature Notes
NOTE! Holding the temperature probe still during readings will ensure a fast and accurate measurement.

NOTE! When using the monitor mode, allow the temperature readout to stabilize for three minutes for
oral and rectal temperatures.

NOTE! The temperature measurement will shut off automatically if the probe temperature remains
below 28.9 ⁰C (84.0 ⁰F) or above 42.2 ⁰C (108.0 ⁰F) for more than five minutes.

NOTE! Monitor mode will start automatically if the ambient probe temperature is greater than 33.9 ⁰C
(93 ⁰F).

NOTE! Alarms are not available for the temperature option. This option is intended for intermittent
measurements only.

1-8 Non-Invasive Blood Pressure Monitor Service Manual


Chapter 2: Circuit Description

Chapter 2: Circuit Description

Main PCB Circuit Description (58452B2)


Battery Charger
The battery charger is built around charging controller U16. This IC controls the charging current in both fast
charge and trickle charge modes, switching from fast charge mode to trickle charge mode when the end of
charge condition has been reached. It senses charging current by measuring the voltage drop across current
sense resistor R80. Thermistors T2, T5 and the thermistor inside the battery pack in combination with resistors
R64, R65, and R73 provide temperature control, preventing fast charge in very cold or very hot environments,
and, preventing the battery from overheating during fast charge. U16 controls the switch mode voltage
regulator U18 using current mirror Q8-Q9. This completes the feedback loop.

The charging indicator circuitry is built around multivibrator Q11-Q12. Depending upon the FAST control signal
(U16, pin 8), the green LED either stays lit (in trickle charge mode) or blinks with a very low duty factor (in the fast
charge mode).

The comparator U9 uses the voltage divider of R81-82 to determine a low battery condition. The comparator
output is connected to a bit of the parallel input port and is read by the microprocessor to give an early warning
about a low battery condition. The battery voltage set point used to trip the comparator is 5.3 volts. The
hysteresis built into the comparator circuit is enough to keep itself from oscillating. However, due to the added
load of the pneumatics when a measurement is being taken, the LO BATT indicator has additional software
hysteresis built in. The comparator output must be active low for one minute without returning to an inactive
state for the LO BATT indicator to turn on. When the indicator has been activated, the unit has 30 minutes
(minimum) of continuous battery operation life left before the unit will turn itself off, while SpO2 and automatic
NIBP measurements are being taken at 5 minute intervals.

System Power Supply and ON/OFF Circuitry


The power requirements for the monitor are provided via battery operation or a desktop power charger. The
charger will provide power for the monitor, as well as recharging the six volt 5-cell Nickel-Cadmium (NiCd)
battery pack. The battery will fast charge while connected to the power charger in a maximum of 4 hours. The
monitor is continuously trickle charging when the battery is fully charged. The power input of the monitor will
be 24VDC, 1.0 ampere maximum.

The power supply provides power for the main PCB(58452b1), display PCB (58454b1), pump and valve operation,
and all optional circuitry. The main PCB uses +5VDC, to provide power for digital circuits, and after filtering, it
provides power for the analog front-end. The pump and valves use +6VDC which is derived from the +5VDC.
The display PCB uses +5VDC. The options use directly or indirectly power from the +5VDC supply. The printer
PCB (58440b1) option uses +5VDC directly. Each SpO2 PCB(71552b1, 71802b1, or Nellcor MP506) option accepts
isolated power (+/- 5VDC) that is derived from the +5 volt rail.

The system +5VDC power supply is built around a low drop voltage regulator IC U17. MOSFET transistor Q13 is
used as a controlled element. Isolated power for the SpO2 board is generated by the DC-DC voltage converter
built around U20, Q14 and transformer T3. The clock signal (460KHz) for the converter is the microprocessor clock
divided by the frequency divider inside U8.

The Power ON/OFF circuitry is built using the voltage comparator located inside the IC U15. When the x key
is pressed, it pulls the base of PNP transistor Q10 to “ground” through resistor R55. Transistor Q10 pulls up EN
(enable) input of voltage regulator U17 turning system +5V on. From then the high voltage level on EN input is
maintained by the VCC voltage through resistors R78 and R66 until power is off.

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Chapter 2: Circuit Description

There are several conditions which can power down the monitor. If the x key is pressed, the microprocessor
generates a /HALT signal which pulls down the PFI input of the voltage comparator inside U15. The output open
drain signal, /PFO, goes low and turns off U17 by pulling EN low. The other condition for turning the Monitor off
is a low battery. The battery voltage is measured by the resistor divider R81-R82. If this voltage is lower than the
1.25VDC threshold of the internal comparator of U15, the output signal, /PFO, goes low.

The +6VDC power for pneumatics is generated from the +5VDC rail by the boost switching regulator U19. The
primary processor (U11-Z8S180) provides the pneumatic power supply enable through Q15. R69 and C37
combine in series to create a “soft start” for the regulator. The resistor divider combination of R67-68 programs
the output voltage based on the formula Vout = 1.24V * (R67 / R68 + 1).

Microprocessor and Memory Section


Dual Processors are the heart of the control scheme for the blood pressure measurement. The processors,
when coupled with the dual pressure sensors, make the monitor single-fault proof and protects against many
double fault conditions. This provides maximum patient safety. The primary processor (U11-Z8S180) provides
the pneumatic power supply enable. The secondary processor (U13-PIC16C71) does the actual activation of
the valves and the pump. This scheme enables either processor to stop the measurement and vent the cuff if
something is wrong. Watchdog control is used for both of the processors providing an additional safety feature.

Physical memory organization consists of 128K bytes ROM(U3) located at 0-1FFFFH, 128K bytes RAM(U4) located
@20000H-3FFFFH, and 24 bytes of RAM in the Real Time Clock (RTC) (U10). The RAM and ROM can be accessed
using zero wait states with a crystal frequency of 18.432MHz. The RAM portion of the RTC is used to store factory
calibration data and the monitor configuration byte. RAM and the RTC are battery backed by a three volt lithium
cell through the microprocessor supervisory circuit(U15).

The memory is always checked at initial power-up of the monitor. The ROM is checked for proper checksum
information and the RAM calibration data is checked versus a copy stored in the RTC RAM (master copy).
Calibration data is restored using the master copy if it is corrupted. Battery backed RAM is checked for proper
operation by reading the current data, modifying the RAM location, reading it back to verify it’s the same, and
finally restoring the original data.

Memory Map and I/O Map Address Space


Physical Memory Map

Device Address Space


OTP ROM 0 .. 1FFFF
RAM 20000 .. 3FFFF

This map’s address decoder is located inside the PLD U8. This circuit has the following schematic representation:

Figure 2.1: Address Decoder

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Chapter 2: Circuit Description

I/O Memory Map


The following I/O map is integral to the PLD:

I/O Address Space Device


0 .. 1FFF Internal processor I/O registers
2000 .. 3FFF Watch Dog Timer strobe
4000 .. 5FFF A/D serial data clock strobe
6000 .. 7FFF External I/O port strobe(U6-U7)
INPUTS: Keypads K_IN0 .. K_IN4
RTC data In
Low battery
A/D data input ADCRXS

OUTPUTS: Keypads K_OUT0 .. K_OUT2


RTC chip select
RTC clock
RTC data out
PIC processor reset
Display PCB load data strobe
8000 .. 9FFF UART(U5) chip select
A000 .. BFFF *Write serial display data
C000 .. DFFF *Latched I/O’s

OUTPUTS: A/D chip select


A/D start conversion
A/D start calibrate
RESET optional printer
E000 .. FFFF *Volume Control Select
* These strobes are internal to the PLD only. The internal strobes of the PLD are
used to control the VCS, Latched I/O’s, and the synchronous display data output.

Display Controller
The display receives data from the main PCB via a synchronous serial communication. The method of, and basis
for, this communication is as follows:
1. The main processor writes to the address A000H using an output instruction with the only significant bit
being D0 on the data bus. Starting with the MSB of a 16-bit word the program writes a total of three 16-bit
words (one for each controller on the display board).
2. The main processor latches the newly loaded data by using input instructions to read from the addresses
600F and 600E. This sequence first strobes the load signal of the display high, which loads the data, then
returns the signal low.
3. This sequence is repeated for every digit which needs updating.

NOTE! If one or more controllers digits do not need to change, no-ops, or no operation codes, can
be written to those controllers. But something must always be written in the sequence or the
displays will be gibberish.

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Chapter 2: Circuit Description

Taking a closer look at the actual loading of one bit using the schematic below reveals that first, the data bit is
loaded into the PLD register DFF2-171. The data bit is presented at the output pin DTXS by the end of the output
instruction. The output instruction also “presets” the clocking flip-flop (DFF2-172) to its inactive state. The data
is clocked (signal output DCKS) into the display controller(s) when the next opcode is read by the processor.
Remember, this is a serial stream of data; not only does it clock this current bit of data, but also data bits from
WORDN-1 and WORDN-2 into the next controller and last controller in the stream, respectively.

NOT
OUTPUT ADCCKS
57
204
A13 INPUT 74138
190 VCC Y0N
A14 INPUT
188 VCC Y1N OUTPUT
A 159 WDI
A15 INPUT
189 VCC Y2N
B
NAND2 Y3N OUTPUT /IO0
/WR INPUT C 56
52 VCC Y4N OUTPUT /UARTCS
/RD INPUT G1 58
53 VCC 51 G2AN Y5N
/IOE INPUT G2BN /IO1
Y6N
54 VCC
/VCS
Y7N
3:0 DECODER
50
GND
55

DFF2
PRN
D0 Q OUTPUT DTXS
D
CLK
CLRN QN

171
DFF2
PRN

D Q

CLK
GND
174 QN
CLRN NOR2

172 OUTPUT DCKS


/RD 180
176

Figure 2.2: Display Controller

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Chapter 2: Circuit Description

Latched I/O’s- ADC Signals and the Printer Reset


The latched I/O’s are for controlling the A/D converter and resetting the optional integral printer. If the printer is
held in reset, it’s not going to print.

The A/D signals are used as follows: (See schematic below.)


• /ADC_CS: This signal is needed only for controlling serial transmission of data from the device. It is not a
typical, all encompassing chip select. Data, when ready, is read by first asserting this signal, then when
finished reading the data, returning it to an inactive state. This signal is active low.

• ADCCAL: This signal is used(in conjunction with ADCCNV) to calibrate the A/D. It must be used, and must
be done with this operation before the device is used. This signal when asserted along with the ADCCNV
pin, will start a calibration cycle. Once the cal cycle is started, return this signal low.

• ADCCNV: This signal is used to start a conversion. It can be used by taking it from a low to a high. This will
start a conversion within 2 clock cycles + 200nS of the rising edge. However, if held high, the A/D will go
into an auto conversion mode. This is how it is used in our system. The A/D clock frequency is 115.2E+3
Hz. This clock rate will produce a conversion rate of 71Hz. It is also used as previously described for
starting a cal cycle.
NOT
OUTPUT /ADC_CS
199
74174 200
D0 1D 1Q
D1 OUTPUT
2D 2Q ADCCAL
200
D2 3D 3Q OUTPUT
202 ADCCNV
D3 4D 4Q
5D 5Q
6D 6Q
/RESET INPUT CLAN
207 VCC NOT
/IO1 CLK OUTPUT /PTRRST
6 206
REGISTER 225
193

Figure 2.3: Latched I/O’s- ADC Signals and the Printer Reset

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Chapter 2: Circuit Description

Speaker Volume Controller and Driver


Speaker Volume Controller is located in PLD U8. (See circuit diagram, fig 2.4.) The volume control code is stored
by the microprocessor into a four bit parallel register. Code 0 corresponds to the lowest volume, code F - to the
highest. Volume control circuitry inside PLD also includes a binary counter which divides the microprocessor
clock frequency. The by-products of this counter are the clock frequency for the Analog - to - Digital Converter
(signal ADCCLK) and for the DC-DC converter (signal ISOCLK) which provides power to the optional isolated
circuitry. Additionally, the clock for the UART which services the optional integral printer is generated here. The
binary code from the divider is compared with the number stored in the four bit parallel register. The result
of the comparison is the pulse train with a variable duty cycle which depends on the number stored in the
parallel register. If the number equals zero, the duty factor is 1/16; if the number equals F, the duty factor is 1,
or the output represents constant logical “one”. Then the signal is gated with the TONE signal from the primary
processor which makes the AUDIO signal. A total of 16 levels of volume, plus OFF, can be achieved with this
circuitry. The signal’s /SLEW and CLICK are used to drive the high side speaker out transistors. /SLEW does
this through an integrator which will be used to give sounds “soft edges”. CLICK is used to give the key click
feedback crisp short sounds. The AUDIO signal drives the MOSFET Q17. This MOSFET drives the low side of the
speaker which is connected through J5.
Divider by 5

V00 FREQDIV
PHI AND2
G DV2
DV4
136
DV8
9.216 MHZ CLR DV16
PHI INPUT OUTPUT
07 CLK 4 UARTCLK
149
FREQ. DIVIDER 1.8432 MHz

460.8KHZ
OUTPUT ISOCLK
Divider by 16

VCC
FREQDIV 7485
G DV2 A0
DV4 B0
DV8 A1
CLR DV16 B1
OR2
CLK 4 A2 ALBO
FREQ. DIVIDER B2 AEBO
A3 AGBO
1.8432 MHZ
B3
GND VCC
ALBI

D0 74174 AEBI
INPUT 1D
104 VCC 1Q AGBI
D1 INPUT 2D 2Q COMPARATOR AND2
105 VCC
D2 INPUT 3Q GND OUTPUT AUDIO
106 VCC 3D TONE INPUT
D3 INPUT 4D 4Q NOT VCC
107 VCC OUTPUT
D4 INPUT 5Q /SLEW
5D
213 VCC 6Q OUTPUT CLICK
D5 INPUT 6D
223 CLAN OUTPUT ADCCLK
/VCS CLK 6
REGISTER
102 115.2KHZ

/RESET INPUT
207 VCC

Figure 2.4: Speaker Volume Controller and Driver

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Chapter 2: Circuit Description

ADC Serial Data Interface


The serial data interface for pulsatile information is controlled by the primary processor through the PLD. See
figure below for waveform information of the following explanation. When data becomes available from the A/
D, the processor is interrupted by the /DRDY pin (channel 2 of fig. 2.5). The signal /ADC_CS (NOT SHOWN in fig.)is
the enabling pin for serial communications and the interrupt routine activates it. Data is then ready at ADCRXS
(channel 3 of fig. 2.5) and is read. The A/D is the strobed to bring out the next data bit by the signal ADCCKS
(channel 1 of fig.) This sequence is repeated until each of the 16 bits is read as shown in the figure. /ADC_CS is
then deactivated and the interrupt is completed.

Figure 2.5: ADC Serial Data

Parallel I/O’s
Parallel I/O provides the front panel keypad interface, RTC access, secondary processor reset, latching of the
loaded display data, low battery input, A/D data reception, and printer keypad inputs. Keypads, located on the
right and left sides of the unit, are the main user input function. The feedback to the user is both tactile and
audible with each press of a keypad. All functions of the monitor can be accessed through the use of these
keypads, except for the service menu which can only be accessed through the use of the serial port. The keys
i
available on the left side are: silence (B ), cancel (e), start (h ), off/on ( x ), and stat ( ). Keys on the
right side are: interval (f ), up and down arrows (no ), recall (a ), alarm set (Z ), and manual/auto (d
). These keys are multiplexed/demultiplexed using the parallel I/O(U6,7). The printer option when installed adds
two keys: feed and print. The feed key ( ) is used to load paper or advance it. The print key (F ) can toggle
the data logging mode on/off. It can also be used to print trends while in the recall mode.

Non-Invasive Blood Pressure Monitor Service Manual 2-7


Chapter 2: Circuit Description

Pump and Valve Control


The primary processor (Z8S180) provides the pneumatic power supply enable. The secondary processor(U13)
does the actual activation of the valves and the pump. This scheme enables either processor to stop the
measurement and vent the cuff if something is wrong. The proportional valve is controlled through pins
1,2 of J6. The valve is a normally closed valve, whose main purpose is to provide a linear bleed rate during a
measurement through the use of a PWM algorithm in U13. It is also turned full on when dumping the cuff’s
pressure at the end of a measurement. The MOSFET Q5 provides the drive current necessary to work the valve.
The digital valve is controlled through pins 3,4 of J6. Its only function is to “dump” the cuff’s pressure after a
measurement or over-pressure situation. This normally open valve is driven by two MOSFETs. One, Q6 is used for
the initial turn on of the solenoid only. The other MOSFET (Q7) is used to hold the valve while the measurement
is being taken. This is accomplished through resistors R48,49 which reduce power consumed by the valve and
overall valve drive circuit. Both drives for the valves are protected from the reversing voltage inherent when
turning off a solenoid. The inductive current load is shunted back to the supply through D5,6.

Serial I/O’s
Serial I/O channels of the Z8S180 processor consist of one channel for external RS-232 communications (back of
unit), asynchronous communication with the SpO2 option, and synchronous serial communications between
the primary and secondary processors. The off-processor UART is used for integral printer data output option.
It uses 2400 baud, 8 bits, no parity, 1 stop bit for communications. The RS232 Controller is built around IC U1,
which is used to convert CMOS voltage levels into RS232 bipolar voltage levels. U1 is connected directly to the
output DB9 connector(J4) through ferrite beads. The external RS-232C serial communications port is available for
use at 19200 Baud, 8 bits, no parity, 1 stop bit. The only function available for the operator would be for printing
the data log or dumping trends to a computer or a serial input printer. The port is also used to access the factory
service menu function. This allows qualified service personnel to factory calibrate the NIBP function. There is
access for day and date format, as well as permanent alarm silence control and optional equipment installation.
The ability to control individual NIBP functions of the unit is also available here. Information such as software
revisions of components installed is also provided in the factory service menu.

Real Time Clock (RTC)


The RTC is used to keep the time and store non-volatile information. It must be set before attempting to run a
measurement. The unit also must be factory calibrated before a measurement. The RTC is accessed through the
parallel port. It is powered from either the main +5VDC or the Lithium Battery BT1 when the Monitor is turned
off. Switching between main and battery power is performed by the watch dog timer U15. Crystal X2 is directly
connected to U10 to provide a very accurate time reference. The capacitor C74 trims the capacitive load for the
crystal to remain accurate over time and temperature. The RTC IC can be set and read by the microprocessor
through serial communications. The data line coming to U10 is bidirectional, and is used for both data in and out.
Transistor Q2 and resistor R26 convert two separate input and output serial data signals into one bi-directional
data signal using open collector with passive pull up approach.

Watch Dog Timer


Watch Dog Timer IC U15 is used to perform the following four functions:
• Its internal comparator is used in the ON/OFF circuitry (see earlier);

• It switches V-RAM from the main +5VDC power to 3VDC Lithium Battery BT1, providing power for both
RAM and the Real Time Clock;

• It resets the microprocessor at power up;

• It resets the microprocessor if signal WDI is not generated for about one and a half seconds, which
indicates that microprocessor was upset by ESD discharge and is not running properly.

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Chapter 2: Circuit Description

Analog Section
The high-resolution 16-bit delta-sigma analog to digital converter (U14) provides the system with ample
resolution for determining pressures. The delta-sigma converter provides the lowest possible signal to noise
figures available today. Two pressure sensors are used in the design. The sensor associated with the delta-sigma
converter provides the pulse amplitude information. The Motorola pressure transducer(MP1) is a temperature
compensated and calibrated output transducer. This sensor connected to the pic processor(U13) sends pressure
readings to the primary processor and these are used to determine the actual pressure recorded for systolic,
mean, and diastolic pressures based on pulse amplitude information. The unit calibration consists of storing
values for the offset, gain, and the temperature at which the device is calibrated. To remain in calibration over
the operating temperature span, a thermistor(T1) may be used for slight adjustments to the offset of this device.
The gain of the transducer remains in cal over the operating temperature specification.

The Sensym pressure transducer(PR1) is an uncompensated transducer. The transducer is calibrated for offset,
gain during final assembly test along with the Motorola transducer. This transducer is connected through an
instrumentation amp(U12) to a high resolution A/D. The gain of the amp is programmed via R33, 34, and 35. The
gain is set to 15.1 but, it may be changed by the PCB test procedure. The pressure sensor may have a negative
offset, and since the amp is single supply i.e., it can’t go below ground, D7 provides the output of the amp a
means of compensating for this. The A/D output is used to determine the relative pulse amplitude information of
the waveform, therefore accuracy of the absolute value is not essential in this device.

The thermistor temperature sensor used in the calibration of this device need not have an accuracy of better
than +/- 3°C at 25°C ambient. This device may be used for large temperature changes from the calibration point
to adjust the Motorola pressure transducer’s offset. This function is currently not needed.

Signal Dictionary
This section lists, in alphabetical order, the signal names used on the schematics. The signal’s origin, destination,
and purpose are described.

Main Board

SIGNAL DESCRIPTION
A0-A17 A0 through A17 are the microprocessor’s address lines. A0-
A17 are used to address the RAM, PROM, and I/O ports.
A18 = TONE Microprocessor output A18 (TOUT) is configured as a timer
output and controls the tone of the pulse beep speaker.
ADC_CS Signal used to select ADC.
ADCCAL ADC self calibrate control input
ADCCKS ADC serial data clock input
ADCCLK ADC clock frequency of 115.2KHZ.
ADCCNV Signal which starts an ADC conversion cycle.
ADCINT ADC data ready interrupt
ADCRXS ADC serial data output
ANA+5 The +5 volt power supply VCC is filtered to produce ANA+5.
ANA+5 powers the analog circuitry.
AUDIO Pulse-width-modulated signal representing audio TONE
frequency used to control speaker driver and generated by
U8.
/BUSY Return signal from the external printer or computer.
Indicates that remote device is not ready to receive data
from the Monitor. Is converted to CTS0 signal by U1.
CLICK This is used to control the hard edge for key click of the
speaker driver

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Chapter 2: Circuit Description

Signal Description
/CTS Clear To Send output from printer
D0-D7 D0 through D7 are the microprocessor’s data lines. The data
lines are routed to RAM, PROM and peripheral devices.
DISP-LD Signal used to load data after it has been clocked into the
display controllers.
DISPCKS Signal generated by U8 to clock serial data into the display
board.
DISPTXS Signal generated by U8 to input data into the display board
/DMA1 Starts DMA transfer of UART receive data(not currently
implemented)
GND Digital ground.
/HALT Signal used by microprocessor to turn power off.
IGND Isolated ground connection for optional SpO2 PCB
/INT1 /INT1 is used to alert the main processor of serial interrupts
from the UART.
/IO0 Strobe to U6 to read input data and to U7 to latch output
data.
ISO+5 Isolated +5VDC supply for oximeter board
ISO-5 Isolated –5VDC supply for oximeter board
ISOCLK Clock frequency 460KHZ used for Isolated Power Supply
K_IN0-K_IN4 Keypad inputs after ESD protection.
K_OUT0 Keypad output strobes
K_OUT1
K_OUT2
ON-STBY Line connected to the O/I key which turns on the unit.
OxRx Oximeter receive signal on isolated side of optocouplers
OxTx Oximeter transmit signal on isolated side of optocouplers
PHI Clock signal generated by microprocessor(9.216MHZ).
PICCX PICCX is the microprocessor’s high-speed, synchronous
serial output clock signal. It is used to control
communications between processors.
PICRST PIC processor reset input.
PICRX PICRX is the microprocessor’s high-speed, synchronous
serial input receiving data signal. Receives data from the PIC
processor.
PICTX PICTX is the microprocessor’s high-speed, synchronous
serial output transmitted data signal. Sends data to the PIC
processor.
PNEUON Signal to turn pneumatics power supply on and off.
/PTRST Printer reset input
PTRTX Printer serial data input
PUMP+, PUMP- Positive and negative pump wire connection.
PUMPON Signal to turn pump on and off.
PWR-LED Used to light green “CHARGE” LED on the display board.
/RAM Signal used to enable RAM.
/RD, /WR, Signals used by microprocessor to control memory and
/ME, /IOE peripheral devices.
/RESET Microprocessor and peripheral devices reset signal.
/ROM Signal used to enable ROM

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Chapter 2: Circuit Description

Signal Description
RTCLK RTC serial data clock input
/RTCS Signal used to select RTC chip.
RTDI RTC serial data input
RTDO RTC serial data output
/SLEW Signal used to control the soft edge function of the speaker
driver
TRST Reset signal for temperature module
TX0, RX0, CTS0 Asynchronous serial communication signals used to control
external serial communications.
TX1, RX1 Asynchronous serial communication signals used to
communicate with the oximeter board.
/UARTCS Signal used to select the UART.
VBATT Signal used to monitor battery voltage.
+VBATT, Positive and negative battery wires.
-VBATT
VCC VCC is the regulated +5 VDC supply generated by +5
volt power supply regulator chip U17 and its discrete
components.
VDD Same as VCC.
VLED Regulated power from external charger.
+6VPWR Supply voltage used by the pneumatics.
VP+ Unregulated power from battery or regulated power from
external charger.
V-RAM +5 VDC voltage when unit is on, or +3VDC voltage if unit is
off. Used to continuously power RAM and Real Time Clock.
WDI Watch dog timer input signal, resets watch dog timer.

Non-Invasive Blood Pressure Monitor Service Manual 2-11


Chapter 2: Circuit Description

Display Circuit Description (58454B1)


The display circuit is built around the MAX7219 serial interface eight digit LED display controller. Three of
these IC’s are located on the board and are daisy chained together. A three wire serial connection is used to
communicate with these controllers. The circuit is located in the PLD (U8) of the main board. Review the section
named Display controller of the main board description for further information of this circuit.

Signal Dictionary
This section lists, in alphabetical order, the signal names used on the schematics. The signal’s origin, destination,
and purpose are described.

Display Board

SIGNAL DESCRIPTION
/BLANK This input could be used to blank the display. It is
connected to +5 volts on the main board so the display is
always enabled.
DIG1-DIG24 DIG1 through DIG24 are outputs which sink current for
the common cathode connections for all seven- segment
displays, light bars, and the bar graph.
DISP-LD Signal used to load data after it has been clocked into the
display controllers.
DISPCKS Display board clock input for serial data
DISPTXS Display board input for serial data
DSP+ Display power, +5 volts DC
PWR-LED Used to light the green “CHARGE” LED
Sxa-Sxh Sxa through Sxh are outputs which source current for the
anode connections for all seven- segment displays, light
bars, and the bar graph.

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Chapter 3: Optional Printer Circuit Description (58440B1)

Chapter 3: Optional Printer Circuit Description (58440B1)


The thermal printer controller board is built around microcontroller U1 PIC16C58. It receives ASCII serial data
from the main board. The input ASCII stream as well as power comes to the board through the connector J3. The
serial protocol is 2400 baud, N81 with CTS for control of the transmission. The printed character is made up of a
7 X 5 dot matrix. The printer can print 16 characters per line at a rate of about 20 characters per second. It uses a
1 inch diameter roll of paper 38mm wide. The feed and print switches at the top of the unit can feed paper and
enable/disable the data logging function, respectively.

Printer driver IC U2 controls segments of the thermal head and printer motor. The printer mechanism tachometer
generator output is converted from a bipolar signal into a digital pulse train by the circuitry built around Q2.
This signal is used for timing the columns of dots being printed. Circuitry built around U3 is a temperature
compensated clock generator. This clock is used to time the duration of the printer head pulses. The frequency
of these pulses can be adjusted using the potentiometer VR1. This adjustment directly relates to the brightness
of the pixels. The time duration that the heads are on is made up of twenty pulses from the clock. Sixteen pulses
make up the duration when two or more consecutive dots are printed from the same thermal print head dot.

Printer “home” switch signal is filtered by the C5-R1 network and comes to the microcontroller. Its function is
twofold. The first is to detect the home position and stop the head when finished printing. This occurs when
the switch transitions from on to off. The home position is used as a reference point for starting the printing of
characters. This is timed when the switch goes from off to on. Counting the train of pulses from the tach begins
at this point. Two pulses from the tach must occur before printing begins synchronously with the second pulse.

Signal Dictionary

Signal Description
/CTS Clear to send output to main PCB
COMMON Thermal printhead common tied to +5 volts
Dot 0-Dot 6 Thermal printhead dot connections
DOT0-DOT6 Signals used to drive the transistor array inputs which drive
the printhead
HOME Signal conditioned home switch
M+, M- The wire connections to the motor
MOTOR The signal used to drive the transistor array input for the print
mechanism motor.
PCLK Temperature compensated clock generator output (TP1)
R, R(G) Home switch connections from printer mechanism
/RESET PIC processor reset line which is controlled by the main PCB
RXD Printer board receive serial data input
T, T(G) Printer mechanism tachometer connections
TG Signal conditioned tachometer
VCC +5 volt supply
VDD +5 volt supply
VSS ground

Non-Invasive Blood Pressure Monitor Service Manual 3-1


Chapter 3: Optional Printer Circuit Description (58440B1)

This page is intentionally left blank.

3-2 Non-Invasive Blood Pressure Monitor Service Manual


Chapter 4: Oximeter Boards Circuit Descriptions

Chapter 4: Oximeter Boards Circuit Descriptions

Three oximeter board options are available, the BCI® business card oximeter (71552B1), the BCI® digital oximeter
board (71802B1), and the Nellcor® oximeter board (MP506).

Business Card Oximeter Board ( 71552B1 )


General Description
The 71552B1 OEM Pulse Oximeter Board is intended to be used as a subsystem inside a host monitor. It requires
isolated power and isolated communication with the master microprocessor through an optically isolated
interface.

Power Supply
There is no power supply located on the Oximeter board. Isolated power is supplied by the host on connector
J1. Power requirements are:
• +5VDC +/-5% Digital

• +5VDC +/-5% Analog

• -5VDC +/-5% Analog

Interface and Reset Circuitry


Communication with the host is provided by a bi-directional asynchronous serial port. The host system can
reset the Oximeter by pulling the active low reset line low (J1 pin 4). U12 provides the processor reset signal.
Hardware jumpers are used to select baud rates and protocols. Baud rates of 4800, 9600, 19200 are available.
For more information on each protocol, please see the 71552B1 Technical Description document. The following
jumper settings are available:

Baud J3-1 J3-2 J3-3


Protocol #1 4800 OFF OFF OFF
Protocol #1 9600 ON OFF OFF
Protocol #2 19,200 OFF ON OFF
Protocol #3 9600 OFF OFF ON
Protocol #3 19,200 ON OFF ON
Factory Test 19,200 ON ON ON

Microprocessor Circuit
A standard microprocessor kernal is formed by microprocessor U9, PROM U10, and RAM U11. Crystal X1 and
capacitors C32 and C33 for the oscillator circuit. The microprocessor PHI output at U9-71 is one half of the X1
frequency.

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Chapter 4: Oximeter Boards Circuit Descriptions

Memory and I/O Decoding


Multiplexer U13B decodes A16, A17, and ME to allocate memory space and reset the Watch Dog Timer. The
following chart shows the memory address allocation:
Low Memory High Memory Signal or Enable Device
00000H 0FFFFH PROM U10
10000H 1FFFFH RAM U11
20000H 2FFFFH Watch Dog Timer Strobe U12

Multiplexer U13A decodes A6, A7, and IOE to allocate I/O space. The following chart shows the I/O address
allocation:
Low I/O Addr. High I/O Addr. Signal or Enable Device
00H 3FH not used
40H 7FH latch gate strobe to U15
80H BFH latch gate strobe to U14
C0H FFH not used

Addressable latch U14 decodes A0, A1, A2, A3 and provides 9 outputs for controlling the Oximeter circuitry. The
following chart shows the I/O addresses and the functions for each I/O address:
I/O Address Signal and Description
80H CAP-GND shunt inactive
81H CAP-GND shunt inactive
82H RED-DRV (red LED) off
83H RED-DRV (red LED) on
84H IR-DRV (infrared LED) off
85H IR-DRV (infrared LED) on
86H INTGRAT (integrator) off
RST-INT (integrator reset) on
87H INTGRAT (integrator) on
RST-INT (integrator reset) off
88H BASE (for integrator) off
89H BASE (for integrator) on
8AH POT-LD (digital potentiometer) inactive
8BH POT-LD (digital potentiometer) active
8CH ADCLK (serial ADC clock) low
8DH ADCLK (serial ADC clock) high
8EH /ADCS (ADC chip select) active
8FH /ADCS (ADC chip select) inactive

Data input latch U15 reads 6 inputs and latches them on D2, D3, D4, D5, D6, D7 for encoding. The following
chart shows input register masks:
Input Register Mask Signal and Description
04H Jumper 1
08H Jumper 2
10H PRB-DET (Probe Detect)
20H /PRB-FAULT (Probe Fault) active low
40H Jumper 3
80H ADOUT (from ADC serial output)

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Chapter 4: Oximeter Boards Circuit Descriptions

A / D Converter
Analog to Digital Converter (ADC) U8 is a 12 bit, successive approximation sampling ADC. The ADC +IN signal
input comes from TP5. VREF is used here as a pseudo ground. The ADC is configured as a differential input
converter with the -IN input connected to VREF. This allows the +IN signal to range from 2.5V to 5V.

The ADC transfers data with a 3 wire serial interface. ADCLK synchronizes the data transfer with each bit being
transmitted on the falling ADCLK edge and captured on the rising ADCLK edge. /ADCS must be held low when
the ADC transmits data.

LED Drive
LED Drive circuitry is used to turn on and off the Oximetry sensor LED’s, precisely controlling the current through
them. The second half of the variable potentiometer U7 is used to generate voltage between 0 and 2.5VDC. U7
is controlled, serially, by the processor. Operational amplifier U4B together with transistor Q1 create a constant
current sink. The current is proportional to the voltage generated by variable potentiometer. The H-bridge Q2-Q3
is used to activate either LED, red or infrared, inside the Oximeter sensor. The following table describes the states
of the H-bridge:
RED-DRV IR-DRV /RED-ENBL /IR-ENBL Function
1 0 0 1 Red LED is on
0 1 1 0 Infrared LED is on
0 0 1 1 “Open circuit” state

In this table 1 indicates logic 1, 0 indicates logic 0.

The “Open circuit” state is used to check for a possible sensor cable fault. In case of sensor cable fault, one of the
LED wires can short to the ground shield causing high current through the sensor LED. To prevent this, before
turning any LED on, the processor checks the cable by “floating” the H-bridge. If the cable is shorted, CON3 and
CON2 connections are pulled low, and comparator U5B generates /PRB_FAULT signal, which causes the processor
to shut down the LED excitation cycle and generate the appropriate message.

Analog Signal Processing


The differential photo amplifier formed by U1 and U2B, converts the photodetector’s current output to a voltage
at TP1 (VAMB). Amplifier U2A offsets the signal at TP1 allowing a wider signal range for the negative-going
pulses at TP4. Comparator U5A is used to inform the microprocessor if U2B is saturated by an excess of ambient
light. VAMB is passed through blocking capacitor C15 to remove the signal’s DC component. The signal is then
buffered and amplified by U3A. Gain is defined by the first channel of digital potentiometer U7. The output
of U3A is routed to the integrator-filter-offset circuitry U3B, controlled by analog switch U6. The output of the
integrator is then routed to the ADC for measurement.

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Chapter 4: Oximeter Boards Circuit Descriptions

Signal Dictionary
This section lists, in alphabetical order, the signal names used on the schematics. The signal’s origin, destination,
and purpose are described.
SIGNAL DESCRIPTION
ADCLK 3 wire serial interface for analog to digital converter U8.
ADOUT
/ADCS
/AMB-FAULT Signal informing processor about excess of ambient light.
ANA+5 Filtered EXTANA+5V. ANA+5 powers the analog circuitry.
ANA-5 Filtered EXTANA-5V. ANA-5 powers the analog circuitry.
BASE Keeps integrator U3B from saturating during data
acquisitions
CAP-GND Signal used to short blocking capacitor C15 to ground.
/CTS Serial Port Clear To Send handshake signal with RTS
(Request To Send) from host.
CON2, Sensor LED’s driving signals
CON3
/EXT-RST Active low external reset to uP supervisor U12. Can be
push-button or TTL.
FET-ON Used to control MOSFET H-bridge Q2 and Q3, which
powers probe LED’s.
INTGRAT, Signals used to enable integrator U3B.
IR-DRV Used to control MOSFET H-bridge Q2 and Q3, which
powers probe LED’s.
/NMI Non-Maskable Interrupt that signals watch dog timer
time-out.
POTCLK Clocks data into digital potentiometer chip U7.
POT-LD POT-LD is used to select digital potentiometer chip U7.
POTSDI Serial Data Input to digital potentiometer chip U7
PRB-DET PRB-DET is used to inform processor if sensor is plugged in.
/PRB-FAULT Signal used to inform processor about probe (sensor) cable
problem.
RED-DRV Used to control MOSFET H-bridge Q2 and Q3, which
powers sensor LED’s
RST-INT Resets integrator U3B by shorting capacitor C18.
RX Asynchronous serial communication receive signal from
host.
TX Asynchronous serial communication transmit signal to
host.
VAMB VAMB is the output of the front-end differential amplifier.
VLED Signal which defines LED drive current.
VREF 2.5 VDC reference voltage.
VCC Filtered EXTDIG+5V used for digital supply voltage.
/WDT Watch dog timer strobe to uP supervisor U12.

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Chapter 4: Oximeter Boards Circuit Descriptions

Digital Oximeter Board ( 71802B1 )


General Description
The 71802 OEM Pulse Oximeter Board is intended to be used as a subsystem inside a host monitor. It requires
isolated power and isolated communication with the master microprocessor through an optically isolated
interface.

Power Supply
There is no power supply located on the Oximeter board. Isolated power is supplied by the host on connector
J1. The power requirements are:
• +5VDC +/-5% Digital

• +5VDC +/-5% Analog

• -5VDC +/-5% Analog

Interface and Reset Circuitry


Communication with the host is provided by a bi-directional asynchronous serial port. The host system can
reset the oximeter by pulling the reset line low (J1 pin 4). U12 provides the processor reset signal. Hardware
jumpers are used to select baud rates and protocols. Baud rates of 4800, 9600, and 19200 are available. For more
information on each protocol, please see the 71800A1 Technical Description document. The following jumper
settings are available:
Baud J3-1 J3-2 J3-3
Protocol #1 4800 OFF OFF OFF
Protocol #1 9600 ON OFF OFF
Protocol #2 19,200 OFF ON OFF
Factory Test 19,200 ON ON ON

Microprocessor Circuit
The oximeter board includes two microprocessors: a U1 Z180 and a Digital Signal Processor (DSP) U4 ADSP2186.
They work in parallel to process the oximetry data. The two microprocessors share the Programmable Read Only
Memory--PROM (U3) and the Random Access Memory--RAM (U2). Address decoders (U5A and U5B) are used to
generate select signals for memory and I/O. A watch dog timer (U10) is used to reset both microprocessors.

A/D Converter
The A/D converter--ADC (U38) is configured as a two channel 16-bit ADC. The first channel is used by the
oximetry signal processing circuitry. The second channel is used to read configuration jumpers. The ADC’s
reference voltage input of 3.78VDC is formed by the filter-amplifier (U39B). The following sequence describes an
ADC conversion cycle:
1. After the ADC channel is chosen by the signal CH1/2, the CRS/FIN signal is set to log 1 for a few
microseconds to coarse charge the ADC input sampling capacitor. Then it is switched back to the fine mode
to reach the 16 bit accuracy level.

2. Signal /HOLD is generated to start conversion.

3. After a few microseconds data is read serially and clocked by the CKS signal.

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Chapter 4: Oximeter Boards Circuit Descriptions

LED Drive
The sensor LED drive circuit consists of a programmable current sink (formed by U34A and Q11) and MOSFET
bridge (Q9 and Q10). The LED current is defined by the voltage generated by the second channel of the digital
potentiometer (U37) and referred to the output of the 2.5VDC voltage reference (U40). The amplifier (U34A)
compares the voltage across the current sense resistors (R119 and R120). The MOSFET bridge is controlled by
four digital signals connected to the gates of MOSFET’s. The combination of these signals reverses polarity of the
current through the sensor LED’s and “floats” sensor LED’s. When the LED’s are “floating,” the comparator (U35B)
checks for a possible short of the LED control conductor to ground which may happen during a sensor cable
failure. If this happens, the microprocessor does not turn the sensor LED’s on and informs the master system of
the sensor problem.

Analog Signal Processing


The differential transconductance amplifier (formed by U32 and U33B) converts the photodetector’s current
output to a voltage at TP16 (V-AMB). Amplifier U34B offsets the signal at TP16 so the signal baseline is at 3.4
VDC, allowing a wider signal range for the negative-going pulses at TP16.

Comparator U35A is used to inform the microprocessor if U33B is saturated by excess of ambient light. V-AMB is
passed through the blocking capacitor (C92) to remove the signal’s DC component. The signal is then buffered
and amplified by U33A. Gain is defined by the first channel of the digital potentiometer (U37). The output of
U33A is routed to the integrator-filter (U39A), which is controlled by the analog switch (U36). The signal at TP19 is
then passed to the ADC for measurement.

Nellcor MP506 Oximeter Board


See Nellcor MP506 product specifications for circuit information.

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Chapter 5: Temperature Board Circuit Description

Chapter 5: Temperature Board Circuit Description

General Description
The Temperature Board is an optional board used in the 6004 Monitor when the Temperature Option is
selected by the customer. It is a Welch Allyn design and uses Welch Allyn’s circuitry and algorithms. The
6004 temperature board is not user servicable. It takes power from the internal isolated Power Supply and
communicates with the master microprocessor on the 6004 Main board through an isolated interface.

Power Supply
The isolation transformer which powers the temperature board is located on the Main Board. Unregulated
+4VDC is provided to the temperature board through the three pin connector J10. This connector is also used to
receive the data from the temperature board at inverted TTL levels.

Isolated Interface
Unidirectional communication from the Temperature board to the Main board is provided through an optically
isolated interface built around U2. Transistor Q4 is used to drive U2’s internal LED.

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Chapter 6: System Testing

Chapter 6: Using the Oximeter Option

Test Equipment and Tools Required


• Manometer and fittings to tee in cuff
• Voltmeter

Visual Inspection
1. Check that all hardware is secure.
2. Check that all pneumatic connectors are secure.
3. Check that all electrical connectors are properly oriented and securely connected.
4. Check cosmetic appearance and mechanical fit.
5. Check that all labels are properly placed and undamaged.

WARNING! If the unit has an oximeter or thermometer installed and the unit has been disassembled
further than what has been described in this manual, it must be checked for patient safety
before it is used on a patient again. Leakage current tests and a 4000 VAC Hi-Pot test must be
done. Contact factory for information.

Power Supplies
NOTE! Removal of heatsink top and oximeter board may be necessary to access all test points.

Main Board (58452B2)


Battery Charger and Power Supply Test

1. Verify charger operation with no battery plugged in by checking the following test point:
a. With the (-) of the DMM to TP3, verify:
• TP4 10.0 ± 0.5 VDC
2. Verify the power supply operation with battery plugged in by checking the following test point:
a. With the (-) of the DMM connected to TP3, verify:
• TP4 5.0 to 8.0 VDC (+VBATT), depends on the state of the battery charge
• TP5 250 ± 50 mVDC (-VBATT), unless in trickle charge mode
• TP9 5.00 ± 0.05 VDC (+5VPWR)
3. With the (-) of the DMM connected to TP5, verify:
• TP7 1000 ± 200 mVDC, depending on temperature (values assume the same temperature for both
the battery and main board)
• TP6 535 ± 50 mVDC
• TP8 315 ± 100 mVDC, depending on temperature (values assume room temperature)
4. With the (-) of the DMM connected to TP15, verify:
• TP12 5.0 ± 0.25 VDC
• TP11 -5.0 ± 0.25 VDC
• TP14 5.9+0.4/-0.9 VDC
Non-Invasive Blood Pressure Monitor Service Manual 6-1
Chapter 6: System Testing

Calibration check
NIBP Calibration Verification
NIBP calibration verification is necessary only if doubt exists about the accuracy of the digital manometer’s
readings or the measured values.

WARNING! Do not verify the NIBP calibration while the cuff is attached to a patient.

1. Remove the NIBP cuff from the patient. Secure the cuff to a rigid fixture, about the same size as an arm.
2. “Tee-in” a standard mercury manometer (Baum 661-300 or equivalent) with the NIBP cuff.
3. Press the ALARM SET key for 3 seconds to enter the SYSTEM SETTINGS mode.
4. Press the ALARM SET key to display the initial cuff inflation pressure.
5. Press and hold the UP key until “[al” is displayed in the SYS area.
6. Press the START key to begin the calibration verification. The NIBP pumps up and holds the pressure at 260
mmHg (±10 mmHg). The digital manometer reading and the mercury manometer reading should agree to
within ±3 mmHg or ±2%, whichever is greater.
7. Press CANCEL to stop the verification and deflate the cuff.
8. Press CANCEL to restore the previous system settings and exit the SYSTEM SETTINGS mode.

NOTE! There are no user-serviceable adjustments for the NIBP calibration verification. If the monitor
appears to be out of calibration, contact your authorized repair center for help.

CAUTION! To insure that the unit remains in calibration, perform a calibration verification on a timely
basis.

1. Verify pneumatic supply when running cal check by checking the following test point:
a. With the (-) of the DMM to TP3, verify:
• TP13 6.0±0.1 VDC (While checking calibration only)
2. Verify proper analog operation by running cal check and checking the following test points:
a. With the (-) of the DMM to TP3, after the cuff is inflated verify (assumes 260mmHg cuff pressure):
• TP1 2.6±0.3 VDC (While checking calibration only)
• TP2 3.3±0.1 VDC (While checking calibration only)
b. With the (-) of the DMM to TP3, after the cal check complete and zero pressure on transducers verify:
• TP1 1.1±0.2 VDC (cuff disconnected)
• TP2 0.2±0.1 VDC (cuff disconnected)

Temperature Board (58492B1)


Power Supply and Reference

1. Verify power supply operation by checking the following voltages:


a. With the (-) of the DMM connected to pin 1 of J10 on the Main board:
• Pin 2 of J10 on the main board should be 3.2 – 5V
b. With the (-) of the DMM connected to pin 4 of J2 on the Temperature board:
• Pin 1 of J2 on the temperature board should be 3.2 – 5V

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Appendix

Appendix

Assembly Drawings, Schematics, Parts Lists & Bills of Material

NUMBER DESCRIPTION ITEM # of PAGES


58480A3 F/Asm NIBP Monitor Re-design A-1 5
58480A3 F/Asm NIBP Monitor BOM Re-design A-2 3
58480S2 System Schematic NIBP Monitor Re-design A-3 1
58452B2 PWB Asm Main NIBP Re-design A-4 2
58452B2 PWB Asm Main NIBP Parts List Re-design A-5 5
58452S2 Schematic PWB Main NIBP Re-design A-6 4
58454B1 PWB Asm Display NIBP A-7 1
58454B1 PWB Asm Display NIBP Parts list A-8 1
58454S1 Schematic PWB Display NIBP A-9 1
71552B1 PWB Asm SpO2 B.C. Board A-10 1
71552B1 PWB Asm SpO2 B.C. Board Parts List A-11 3
71552S1 Schematic SpO2 B.C. Board A-12 3
71802B1 PWB Asm Digital OEM Oximeter Board A-13 1
71802B1 PWB Asm Digital OEM Oximeter Board Parts List A-14 2
71802S1 Schematic Digital OEM Oximeter Board A-15 4
58440A1 Asm Micro Printer Board A-16 1
58440A1 Asm Micro Printer Board BOM A-17 1
58440B1 PWB Asm Micro Printer A-18 1
58440B1 PWB Asm Micro Printer Parts List A-19 1
58440S1 Schematic Printer Controller Board A-20 1
58490A1/A2 F/Asm Temp Module A-21 4
58490A1 F/Asm Temp Module BOM A-22 2
58490A2 F/Asm Temp Module BOM A-23 1
58492B1 PWB Asm Temp Module A-24 1
58492B1 PWB Asm Temp Module Parts List A-25 3

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Appendix

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App-2 Non-Invasive Blood Pressure Monitor Service Manual


2
Authorized Representative (as defined by the Medical Device Directive):
Smiths Medical International, Ltd. Phone: (44) 1923 246434
Colonial Way, Watford, Herts, Fax: (44) 1923 240273
WD24 4LG, UK

Australian Representative:
Smiths Medical Australasia Pty. Ltd. Tel: +61 (0) 7 3340 1300
61 Brandl Street, Eight Mile Plains,
QLD 4113, Australia

H Manufactured By
Smiths Medical PM, Inc.
Patient Monitoring and Ventilation
N7W22025 Johnson Drive
Waukesha WI, 53186

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