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5250 Respiratory Gas Monitor: Service Manual
5250 Respiratory Gas Monitor: Service Manual
Service Manual
S 5250 RGM
0 670 ml
Paw TV
ADULT
L
SpO2 MV 8.0
S 18/ -1
G N 2O O2 CKT.
I 90 N
cm 51% 48%
O L (6) H2O
80
Service Manual
Important
This manual is subject to periodic review, update, and revision. Customers are
cautioned to verify that the information in this manual applies to the software and
hardware present in the equipment.
This product must be cleaned and checked periodically. Do not use a defective
product. Parts that are broken, missing, plainly worn, distorted, or contaminated
should be replaced immediately. If repair or replacement becomes necessary,
request service advice from Datex-Ohmeda (information is listed on the back
cover). Do not repair this product or any of its parts other than in accordance with
written instructions provided by Datex-Ohmeda.
The user of this device shall have the sole responsibility for any malfunction that
results from improper use, faulty maintenance, improper repair, unauthorized
service, damage, or alteration by anyone other than Datex-Ohmeda.
The safety, reliability, and performance of this device can be assured only under
the following conditions:
Trademarks
Datex® and Ohmeda® are the property of Instrumentarium Corp. or its subsidiaries.
Nafion is a registered trademark of E.I. DuPont deNemours and Co., Inc.
Tygon is a registered trademark of Norton Peformance Plastics
All other product and company names are the property of their respective owners.
i
Table of Contents
2/Theory of Operations
2.1 Power input assembly ...................................................................................................................... 2-1
2.1.1 Connectors ..................................................................................................................................2-1
2.1.2 Toroid.............................................................................................................................................2-2
2.1.3 Fuses...............................................................................................................................................2-2
2.2 Power supply board........................................................................................................................... 2-2
2.2.1 General..........................................................................................................................................2-2
2.2.2 Main regulators ........................................................................................................................2-2
Major components for each channel...........................................................................2-2
2.2.3 Power monitor..........................................................................................................................2-3
2.2.4 Display preregulators............................................................................................................2-3
2.2.5 Frequency monitor................................................................................................................2-3
2.2.6 Infrared photometer source switch..............................................................................2-3
2.3 Motherboard........................................................................................................................................... 2-4
2.3.1 General description...............................................................................................................2-4
2.3.2 Rear panel connectors.........................................................................................................2-4
Protection.....................................................................................................................................2-4
Isolated RS-232..........................................................................................................................2-4
2.3.3 Display serial driver..............................................................................................................2-5
2.3.4 Configuration jumper SW1...............................................................................................2-5
2.4 Pneumatics description ................................................................................................................... 2-5
2.4.1 Routing the gas sample....................................................................................................... 2-5
2.4.2 Conditioning the gas .............................................................................................................2-5
2.4.3 Normal flow with O2............................................................................................................2-6
2.4.4 Normal flow without O2.....................................................................................................2-7
When the RGM is sampling inhaled gas ..................................................................2-7
When the RGM is sampling exhaled gas..................................................................2-7
2.4.5 Purge flow ...................................................................................................................................2-8
2.4.6 Manual/auto zero flow.........................................................................................................2-9
2.4.7 Analyzing the dry gas.........................................................................................................2-10
2.4.8 Exhausting the gas................................................................................................................2-10
2.5 Pneumatics interface board....................................................................................................... 2-11
2.5.1 General........................................................................................................................................2-11
2.5.2 Pressure and flow .................................................................................................................2-11
2.5.3 Water trap full sensor.........................................................................................................2-11
2.5.4 O2 amplifiers...........................................................................................................................2-12
2.5.5 Temperature ............................................................................................................................2-12
2.5.6 Solenoid drivers.....................................................................................................................2-12
2.5.7 Test points .................................................................................................................................2-12
2.5.8 Pump driver.............................................................................................................................2-13
2.6 IR gas analyzer.................................................................................................................................. 2-13
2.6.1 IR photometer (ACX-200)..................................................................................................2-13
ACX-200 measurement board........................................................................................2-13
IR photometer .........................................................................................................................2-14
Internal and external bus.................................................................................................2-16
Memory.......................................................................................................................................2-16
Reference voltages................................................................................................................2-16
Measuring electronics for CO2, N2O, and AA......................................................2-16
A/D conversion.......................................................................................................................2-17
D/A conversion.......................................................................................................................2-17
ii
Table of Contents
Timing of CO2, N2O, and AA signals .......................................................................2-17
Motor speed control.............................................................................................................2-17
Pressure measurement......................................................................................................2-17
Temperature measurement ............................................................................................2-17
2.7 Signal processor board.................................................................................................................. 2-19
2.7.1 General description.............................................................................................................2-19
2.7.2 Microprocessor .......................................................................................................................2-19
2.7.3 Memory.......................................................................................................................................2-19
2.7.4 Decoding ....................................................................................................................................2-19
2.7.5 Watchdog...................................................................................................................................2-19
2.7.6 Configuration input switches.........................................................................................2-20
2.7.7 Analog acquisition................................................................................................................2-20
RGM analog input assignments....................................................................................2-20
2.7.8 Analog output..........................................................................................................................2-21
2.7.9 TVX interface ..........................................................................................................................2-21
2.7.10 SpO2 oximeter (MINX) interface.................................................................................2-21
2.7.11 Status LEDs...............................................................................................................................2-21
2.7.12 Serial I/O...................................................................................................................................2-22
2.7.13 Other inputs.............................................................................................................................2-22
2.7.14 Test points.................................................................................................................................2-22
2.8 SpO2 oximeter (MINX) board.................................................................................................. 2-23
2.8.1 Description................................................................................................................................2-23
2.8.2 Power supply...........................................................................................................................2-23
2.8.3 Control inputs.........................................................................................................................2-23
2.9 Display controller board............................................................................................................... 2-24
2.9.1 General description.............................................................................................................2-24
2.9.2 Processor and interfacing.................................................................................................2-24
2.9.3 System memory .....................................................................................................................2-24
2.9.4 Communicating to the signal processor..................................................................2-24
2.9.5 Watchdog circuit...................................................................................................................2-24
2.9.6 Programmable logic............................................................................................................2-25
2.9.7 Power regulation...................................................................................................................2-25
2.9.8 Audio............................................................................................................................................2-25
2.9.9 Touch screen interface......................................................................................................2-25
2.9.10 Video ............................................................................................................................................2-26
Graphic CPU...........................................................................................................................2-26
Video memory and video output circuits...............................................................2-26
2.9.11 Test points.................................................................................................................................2-26
2.10 Display matrix assembly .............................................................................................................. 2-27
2.10.1 Input signal descriptions..................................................................................................2-27
2.10.2 Input connector configuration (J1) ..............................................................................2-28
2.10.3 Optical characteristics .......................................................................................................2-28
iii
Table of Contents
3.2 Dip switch and jumper positions............................................................................................... 3-3
3.2.1 On the signal processor board ........................................................................................3-3
3.2.2 SW1 on the motherboard...................................................................................................3-4
3.3 Power-up self-test................................................................................................................................. 3-4
3.3.1 Power-up functions................................................................................................................3-5
3.4 Power supply checks ........................................................................................................................ 3-5
3.5 Pneumatic system checks .............................................................................................................. 3-6
3.5.1 Sample flow ...............................................................................................................................3-6
3.5.2 Pump leakage............................................................................................................................3-8
3.5.3 System leakage .........................................................................................................................3-8
3.5.4 Pump vacuum ..........................................................................................................................3-8
3.5.5 Zero valve test...........................................................................................................................3-8
3.5.6 Purge valve test ........................................................................................................................3-9
3.5.7 O2 valve test...............................................................................................................................3-9
3.5.8 Water trap sensor test...........................................................................................................3-9
3.5.9 Purge and sample line blocked test...........................................................................3-10
3.6 Calibration checks........................................................................................................................... 3-10
3.6.1 Barometric pressure check..............................................................................................3-10
3.6.2 Barometric pressure calibration...................................................................................3-11
Pressure calibration.............................................................................................................3-11
3.6.3 PAW check.................................................................................................................................3-13
3.6.4 Airway pressure calibration...........................................................................................3-14
3.6.5 Gas analyzer check—zero and span calibration..................................................3-15
Zero and span calibration...............................................................................................3-15
3.6.6 Circuit O2 check ...................................................................................................................3-16
3.7 SpO2 module checks (if installed)........................................................................................ 3-17
3.8 Patient flow sensor check (if installed)............................................................................... 3-18
3.8.1 Flow threshold test...............................................................................................................3-18
3.8.2 Reverse flow detection simulation..............................................................................3-20
3.9 Sample flow calibration............................................................................................................... 3-20
3.10 Internal temperature calibration............................................................................................ 3-21
3.11 Analog output check ...................................................................................................................... 3-22
Channel assignments..........................................................................................................3-23
3.12 RS-232 loop back hardware check....................................................................................... 3-24
3.13 Leakage current and ground resistance checks ............................................................ 3-24
iv
Table of Contents
4.3 Troubleshooting tables.................................................................................................................. 4-11
4.3.1 Nonfunctioning monitor or power supply.............................................................4-11
4.3.2 TVX/patient flow sensor problems.............................................................................4-11
4.3.3 Communication fail or signal processor failure..................................................4-12
4.3.4 O2 sensors/O2 calibration problems.........................................................................4-13
4.3.5 Pneumatics problems.........................................................................................................4-14
4.3.6 Gas analyzer/calibration problems............................................................................4-15
4.3.7 Display assembly problems............................................................................................4-16
4.3.8 SpO2 oximeter board problems...................................................................................4-16
4.3.9 Intermittent problems or unusual behavior..........................................................4-17
5/Repair Procedures
5.1 Maintenance schedule..................................................................................................................... 5-1
5.2 Service policy........................................................................................................................................ 5-2
5.2.1 Obtaining service......................................................................................................................5-2
5.3 Cover removal and replacement................................................................................................ 5-3
5.4 Front panel.............................................................................................................................................. 5-4
5.4.1 SpO2 connector replacement..........................................................................................5-4
5.4.2 Power switch replacement................................................................................................5-5
5.4.3 Display panel removal and replacement..................................................................5-5
5.4.4 Display cable replacement................................................................................................5-5
5.4.5 Display panel disassembly ................................................................................................5-6
5.4.6 Display controller board replacement........................................................................5-7
5.4.7 Display matrix panel replacement ...............................................................................5-7
5.4.8 Display touch panel assembly replacement ...........................................................5-7
5.4.9 Display panel reassembly ..................................................................................................5-8
5.5 Rear panel............................................................................................................................................... 5-8
5.5.1 Fan replacement .....................................................................................................................5-8
5.5.2 Rear panel I/O board replacement..............................................................................5-9
5.6 Photometer replacement................................................................................................................. 5-9
5.7 Toroid with power input module........................................................................................... 5-10
5.7.1 Toroid assembly replacement .......................................................................................5-10
5.7.2 Secondary fuse replacement..........................................................................................5-12
5.8 Circuit board removal and replacement............................................................................ 5-13
5.8.1 Power supply board assembly......................................................................................5-13
5.8.2 Signal processor board ......................................................................................................5-14
Battery replacement ............................................................................................................5-15
5.8.3 SpO2 oximeter board .........................................................................................................5-16
5.8.4 Measurement board ............................................................................................................5-17
5.8.5 Motherboard ............................................................................................................................5-17
5.9 Pneumatics system ............................................................................................................................. 5-18
5.9.1 Pneumatics tubing assembly removal and replacement..............................5-18
5.9.2 Zero solenoid valve replacement ................................................................................5-20
5.9.3 Purge solenoid valve replacement..............................................................................5-20
5.9.4 Flow restrictor replacement ...........................................................................................5-20
5.9.5 O2 solenoid valve replacement....................................................................................5-21
5.9.6 Zero inlet kit replacement...............................................................................................5-21
5.9.7 Pump replacement ..............................................................................................................5-21
5.9.8 Scrubber replacement.......................................................................................................5-22
v
Table of Contents
6/Illustrated Parts List
6.1 5250 main unit assembly .............................................................................................................. 6-2
6.1.1 Parts list ........................................................................................................................................ 6-2
6.1.2 Illustration ...................................................................................................................................6-3
6.2 Access panel assembly..................................................................................................................... 6-4
6.2.1 Parts list ........................................................................................................................................ 6-4
6.2.2 Illustrations, front and back......................................................................................6-5, 6-6
6.3 Display filter PCA ............................................................................................................................... 6-7
6.3.1 Parts list ........................................................................................................................................ 6-7
6.3.2 lllustration...................................................................................................................................6-7
6.4 Display assembly ................................................................................................................................. 6-8
6.4.1 Parts list ........................................................................................................................................ 6-8
6.4.2 Illustration ...................................................................................................................................6-8
6.5 Rear panel assembly ......................................................................................................................... 6-9
6.5.1 Parts list ........................................................................................................................................ 6-9
6.5.2 Illustration ...................................................................................................................................6-9
6.6 Signal processor board.................................................................................................................. 6-10
6.6.1 Parts list ......................................................................................................................................6-10
6.6.2 Illustration .................................................................................................................................6-10
6.7 Pneumatics assembly..................................................................................................................... 6-11
6.7.1 Parts list ......................................................................................................................................6-11
6.7.2 Illustration .................................................................................................................................6-12
6.7.3 Pneumatics interface board parts list .......................................................................6-12
6.7.4 Pneumatics routing..............................................................................................................6-13
6.8 Photometer and O2 sensor assembly.................................................................................... 6-14
6.8.1 Parts list ......................................................................................................................................6-14
6.8.2 ACX 200 illustration ............................................................................................................6-14
6.9 Motherboard........................................................................................................................................ 6-15
6.9.1 Parts list ......................................................................................................................................6-15
6.9.2 Illustration .................................................................................................................................6-15
6.10 Toroid assembly ................................................................................................................................ 6-16
6.10.1 Parts list ......................................................................................................................................6-16
6.10.2 Illustration .................................................................................................................................6-16
6.11 Water trap sensor assembly ....................................................................................................... 6-17
6.11.1 Parts list ......................................................................................................................................6-17
6.11.2 Illustation...................................................................................................................................6-17
6.12 SpO2 (MINX) oximetry assembly .......................................................................................... 6-18
6.12.1 Parts lists....................................................................................................................................6-18
6.12.2 Illustration .................................................................................................................................6-18
6.13 Upgrade kits ........................................................................................................................................ 6-18
6.14 Special service tools........................................................................................................................6-18
6.15 Optional service parts.................................................................................................................... 6-19
6.16 Additional parts................................................................................................................................. 6-19
vi
List of Figures
Figure Description Page
vii
viii
1/Overview
This chapter contains:
• An overview of the features and major components of the 5250 Respiratory
Gas Monitor (RGM).
• Complete specifications for the monitor’s components.
• A list of the precautions you must follow when using or servicing this monitor.
• Safety guidelines to follow when servicing this monitor.
• Instructions for cleaning the monitor and its components.
1.1 Introduction
This service manual describes the following 5250 RGM models:
RGM with agent (REF: 6051-0000-126)
RGM with agent and SpO2 (REF: 6051-0000-125)
Related information
The information and instructions in this manual assume you are familiar with the
operation of the 5250 RGM. Refer to the 5250 RGM Operation and Maintenance
Manual for details regarding the features, functions, and use of the monitor.
Replacement parts whose part numbers are listed in this manual can be ordered
from Datex-Ohmeda. If you need to reference printed circuit board schematics
and components, purchase and refer to the information contained in the 5250
RGM PCA Drawing Service Kit. See chapter 6 for part numbers.
Technical competence
CAUTION: Only qualified service personnel should perform the procedures described in this manual.
1-1
5250 RGM Service Manual
1.2 Features
1.2.1 Display panel
The 5250 RGM uses a 4 x 8-in. amber electroluminescent flat display panel. The
panel has infrared (IR) touch controls for using the RGM’s software operations and
is removable for easy access and viewing.
The signal processor board monitors the flow within the pneumatic system
(differential pressure sensor on the pneumatics interface board). A sudden drop in
the flow or barometric pressure, indicating a blocked line or condensate in the
sample line, causes the microprocessor to switch pneumatic valves, thereby
shifting the sample flow through the water purge path of the pneumatics line to
clear the condensate from the sample line.
The stored values are continuously updated and displayed by the software
program as numeric values, continuous waveforms, trend data, and respiratory
rate data. The RGM determines a breath rate from the CO2 activity.
1-2
1/Overview
The RGM determines the patient's arterial oxygen saturation (SpO2) and pulse
rate by measuring the absorption of selected wavelengths of light. The light
generated in the sensor passes through the tissue and is converted to an electronic
signal by the photodetector. (Some light is absorbed by the tissue.) The electronic
signal passes to the oximeter and is amplified. The oximeter's circuitry processes
the signal, converting the light intensity information into SpO2 and pulse rate
values. The patient data then appear.
1-3
5250 RGM Service Manual
1-4
1/Overview
CAUTION: Make sure the selected monitor voltage agrees with the local voltage available.
1.4 Specifications
All specifications are based at sea level and subject to change without notice.
Electromagnetic effects
Indications that the 5250 is experiencing electromagnetic interference include the
following:
This interference may be intermittent. Careful correlation between the effect and
its possible source is important. The 5250 will not display any of these indications
if it is used within its intended electromagnetic environment as described in
IEC/EN 60601-1-2 (1993).
EMC performance
The 5250 complies with the requirements of IEC/EN 60601-1-2 (1993):
Electromagnetic compatibility - Requirements and test. The following EMC
standards were applied to verify conformance:
The 5250 was tested with an RS-232 cable attached (no printer or CPU) when
operating on AC power.
1-5
5250 RGM Service Manual
Power-fuse rating
100 Vac 50/60 Hz 1.0A T1.5A/250 V
120 Vac 50/60 Hz 1.0A T1.5A/250 V
220-230/240 Vac 50/60 Hz 0.5A T1.25A/250 V
Voltage tolerance
+10 to -15 percent
1-6
1/Overview
Compensation
CO2, N2O, and O2 for barometric pressure.
CO2 for O2, and N2O
Environmental characteristics
Operating
Temperature 15º to 40 °C
Humidity 0 to 95% RH, noncondensing
Pressure 500 to 800 torr
1-7
5250 RGM Service Manual
Displays
The displayed SpO2 and pulse rate values are updated every 2 seconds. The
plethysmographic waveform sweep is updated every 6 seconds (fast rate—
12.5 mm/sec.) or 12 seconds (slow rate—6.5 mm/sec.).
CO2:
Measuring range: 0 to 8% 8.1 to 15%
Zero drift: ±0.2% CO2 /24 hr unspecified
Gain drift: ±0.2% CO2 /24 hr unspecified
Temperature zero drift: ±0.2% CO2 /10 °C unspecified
Temperature gain drift: ±0.2% CO2 /10 °C unspecified
Response time: ≤400 ms @ 200 mL/min unspecified
Linearity: ±0.3% CO2 unspecified
N 2O :
Measuring range: 0 to 100%
Zero drift: ±2% N2O/24 hr
Temperature zero drift: ±2% /10 °C
Temperature gain drift: ±3% /10 °C
Response time: ≤400 ms @ 200 mL/min
1-8
1/Overview
Agent:
Measuring range: 0.0 to 5% halothane, enflurane, isoflurane
Gain stability: ±0.4% halothane/24 hr
Zero drift: ±0.6% halothane/24 hr
Linearity: ±0.2% halothane
Temperature zero drift: ±0.6% halothane/10 °C
Temperature gain drift: ±0.4% halothane/10 °C
Response time: ≤500 ms @ 200 ml/min
Agent:
Measuring range 0.0 to 5% desflurane 5.1 to 18.0% 18.1 to 30.0%
Temperature gain drift: ±0.4% desflurane/10 °C ± 0.1% unspecified
Response time: ≤500 ms
Agent:
Measuring range 0.0 to 8% sevoflurane 8.1 to 15.0%
Temperature gain drift: ±0.4% sevoflurane/10 °C unspecified
Response time: ≤500 ms
Channel assignments
Channel Scale
1 CO2 waveform 66.6 mV/%
2 N2O waveform 10 mV/%
3 PAW waveform (V x 140)-20 = cm H2O
4 Flow waveform 10 mV = 1 L/min
5 Agent waveform 66.6 mV/% (Desflurane: 33.3 mV/%)
6 O2 inspired/expired 10 mV/%
7 Plethysmograph 0 to 0.5 V with 16.1 mV resolution
1-9
5250 RGM Service Manual
The analog output accuracy is ±3.5 percent (absolute), linearity ±0.5 percent, with
an update rate of 10 mS and a resolution of 3.9 mV.
<ff>
* :RG CO2 O2 INT PAW FLOW CKT Bar Agent X
* :RG I E RR I E I E M TV MV N2 O O 2 Pres SpO2 PR I E <cr>
:RG xx.x xx.x xxx xxx xxx xxx xxx xxx xxxx xx.x xxx xxx xxx xxx xxx xx.x xx.x <cr>
Value indexes:
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
* These channel labels are printed at the top of each page or when new agent is
selected.
1. CO2 inspired in %
2. CO2 expired in %
3. CO2 respiratory rate in breaths per minute
4. O2 inspired in %
5. O2 expired in %
6. PAW inspired in cm H2O
7. PAW expired in cm H2O
8. PAW mean in cm H2O
9. Tidal volume in milliliters
10. Minute volume in liters
11. Nitrous N2O in %
12. Patient circuit O2 in %
13. Barometric pressure in torr in sample chamber. Can be used to convert %
CO2 to mmHg if desired. CO2 mmHg = CO2% x Barometric pressure /100.
CO2 kPa = CO2 mmHg /7.5
1-10
1/Overview
1.5 Precautions
Two types of precautionary notes are used in this manual:
• Warnings indicate a potentially harmful situation that may cause injury to the
patient or operator.
• Cautions indicate a condition that may lead to equipment damage or
malfunction.
1.5.1 Warnings
Biohazard
When handling materials that may have come into contact with patient exhalant
or fluids, follow approved procedures for contamination control.
Dispose of filter cartridges, water bottle contents, and sample lines in a receptacle
designated for patient waste.
Measure the leakage current whenever an external device is connected and at the
completion of repair procedures. Leakage current must not exceed 100
microamperes.
Do not touch any exposed wiring or conductive surfaces while the cover is
removed. The voltages present when electrical power is connected to the RGM
can cause serious injury or death. Never wear a grounding wrist strap when
working on an energized monitor.
1-11
5250 RGM Service Manual
Patient safety
Never test or perform maintenance on the monitor while it is being used to
monitor a patient.
The correct use of the oximetry function of this monitor is to measure only arterial
oxygen saturation (SpO2) and pulse rate.
• A pulse oximeter does not measure respiration and should never be used as a
substitute for an apnea monitor or as the primary monitor for infants being
monitored for apnea.
• A pulse oximeter may be used during sleep studies with adults only to gather
information regarding SpO2 and pulse rate.
Orient the flow sensor in the breathing circuit as indicated by the markings on the
sensor clip. The arrows must point in the direction of the flow in the breathing
circuit. If the clip is not mounted correctly, the 5250 RGM will not operate properly.
After completing simulation testing, be sure to return the sensor to its correct
orientation in the breathing circuit. The arrows should point away from the patient.
Data validity
Use only Datex-Ohmeda calibration gas of 1.75% halocarbon-23 (CHF3)/freon or
equivalent 6% CO2, 40% N2O, 50% O2 and 2.25% argon. Use of the wrong
calibration gas kit will result in improper calibration and the RGM will display
incorrect gas concentrations.
The oxygen monitoring portion of the 5250 RGM monitor should be calibrated at
the same temperature at which it will be used to monitor oxygen delivery in the
patient circuit. Operation at temperatures other than those present during
calibration may result in readings outside of the stated accuracy for the monitor.
When the ambient temperature changes, we recommend recalibrating the monitor
for maximum accuracy. Refer to the O2 sensor information sheet for more details.
Keep the circuit O2 sensor attached to the monitor to assure accurate O2 readings.
If detached, the sensor must be reattached and stabilized for up to 1 hour before
recalibrating.
1-12
1/Overview
Failure of operation
Perform the checkout procedures before using the monitor with a patient. If the
monitor fails any test, it must be removed from use until it has been repaired and
checked for correct operation.
System interconnection
Accessory equipment connected to the RS-232 serial connector must be certified
according to the current version of the respective IEC/EN standards (e.g., IEC
60950 for data processing equipment and IEC/EN 60601-1 for medical equipment).
All configurations shall also comply with IEC/EN 60601-1-1. Anyone who connects
additional equipment to the RS-232 port connector configures a medical system,
and is therefore responsible that the system complies with the requirements of
IEC/EN 60601-1-1. If in doubt, call your local authorized service office, as listed on
the back cover of this manual. The 5250 RGM is referred to as an IEC 60601/B
device in the summary of situations table contained in IEC/EN 60601-1-1.
Service
A damaged membrane separator may result in a contaminated agent photometer.
Once contaminated the agent photometer assembly cannot be serviced and must
be replaced.
1.5.2 Cautions
Static sensitivity
Internal electronic components are susceptible to damage by electrostatic
discharge. To avoid damage when disassembling the monitor, observe the
standard precautions and procedures for handling static-sensitive components.
Cleaning
When cleaning the exterior of the RGM, follow these precautions:
• Do not autoclave, pressure sterilize, or gas sterilize the 5250 RGM.
• Use cleaning solution sparingly. Do not immerse the monitor in liquid.
Excessive solution may flow into the monitor and damage internal components.
• Do not touch or rub the display area with abrasive cleaning compounds or
any material that could damage the surface.
• Do not use organic-, petroleum-,or acetone-based solutions, or other harsh
solvents to clean the display area or the unit. These substances attack the
device’s materials and device failure may result.
To prevent permanent damage to the internal sensor and voiding its warranty, do
not clean the sample chamber of an RGM with agent.
1-13
5250 RGM Service Manual
Disposal
Dispose of this medical device and its packing materials in accordance with local
procedures and regulations.
Software
The 5250 RGM software consists of two cartridges that must be replaced in sets to
ensure software compatibility. The replacement procedures are located in the
5250 RGM Operation and Maintenance Manual.
Pneumatic system
To prevent damage to the 5250 pneumatic system, use only ventilators and
anesthetic equipment that limit the pressure at the patient connection port to 12.5
kPa (125 cm H2O) in compliance with IEC/EN 60601-2-13 (1997). Follow the
normal ventilator power-off sequence before you power off the 5250.
General
U.S. Federal law and Canadian laws restrict this device to sale by or upon the
order of a licensed medical practitioner.
Make sure the selected monitor voltage agrees with the local voltage available.
Never tamper with the set screws in the flow cartridge. Such action will render
the cartridge unusable.
Pressure in excess of 10 psi above atmospheric pressure could damage the PAW
transducer or sample system barometric pressure transducer in the RGM.
System calibrations may be erased if power is applied while the signal processor
software module is not in place.
When replacing either the microprocessor or the EPROM on the SpO2 oximeter
(MINX) board, be sure to use a chip extractor to avoid damaging the components.
Maximum voltage. No more than 5 volts should appear on any pin of the analog
output connector.
Do not attempt to repair or replace the photometer pressure transducer (B1). Each
pressure transducer is specifically calibrated with selected resistors for use on a
given board.
1-14
1/Overview
WARNINGS:
• Patient safety. Never test or perform maintenance on the monitor while it is being used to
monitor a patient.
• Electrical shock hazard. Before cleaning or repairing the monitor, turn it off and
disconnect it from AC mains power.
• Biohazard. When handling materials that may have come into contact with patient
exhalant or fluids, follow approved procedures for contamination control.
While working on the monitor, wear safety eyeglasses and gloves when handling
any component that may have come in contact with the patient’s exhalant gas or
fluids. A mask and gown are also recommended.
Important: After repairs are complete, test the monitor as directed in each
procedure to verify that is is functioning properly.
If the cover is removed for any test or repair procedure, always perform the
Functional checkout (section 3.1) and Leakage current and ground resistance
checks (section 3.13) before returning the unit for patient monitoring.
Note: We recommend that the 5250 RGM Operation and Maintenance Manual be
available for your reference.
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5250 RGM Service Manual
Equipment
• Safety eyeglasses or face guard and waterproof gloves (gown and mask are also
recommended)
• Paper towels or soft cloth; cotton swab
• Mild soap and water solution or cool, liquid cleaning solution, such as 70%
isopropyl alcohol, or equivalent
WARNINGS: Biohazard
• Dispose of filter cartridges, water bottle contents, and sample lines in a receptacle
designated for patient waste.
• When handling materials that may have come in contact with patient exhalant or fluids,
follow approved procedures for contamination control.
WARNING: Electrical shock hazard. Before cleaning or repairing the monitor, turn it off and
disconnect it from AC mains power.
CAUTIONS: Cleaning.
• Do not autoclave, pressure sterilize, or gas sterilize the 5250 RGM.
• Use cleaning solution sparingly. Do not immerse the monitor in liquid. Excessive solution may
flow into the monitor and damage internal components.
• Do not touch or rub the display area with abrasive cleaning compounds or any material that
could damage the surface.
• Do not use organic-, petroleum-, or acetone-based solutions, or other harsh solvents, to clean
the display area or the unit. These substances attack the device's materials and device failure
may result.
• To prevent permanent damage to the internal sensor and void its warranty, do not clean the
sample chamber.
1. Turn off the monitor and disconnect the power cord from AC mains power.
2. Dispose of the sampling tube assemblies and/or PAW Tygon® tubing.
3. Remove the water trap bottle and filter cartridge, and dispose of any contents
in a receptacle designated for patient waste.
4. Using a fine mist, spray the external surface of the RGM and the internal and
external surfaces of the water bottle. Do not spray directly into the speaker or
ventilation holes.
5. After 5 minutes, wipe the exterior surface of the monitor with a damp paper
towel or soft cloth. Saturate a cotton swab with 70 % isopropyl alcohol and
gently wipe the display area. Rinse the bottle with water.
1-16
2/Theory of Operation
Important: All references in the following descriptions are found in the 5250
Service Kit, PCA Drawings, part number 6050-0005-384.
The power switch (SW1) on the front panel of the RGM connects the power input
module to the toroid (T1) through connectors J2 and P1.
2.1.1 Connectors
Connectors TB and FB connect the secondary windings of the toroid to the power
supply board. The table below lists the corresponding connectors between the
input assembly and the power supply.
* These float with respect to system GND and can be measured only as a differential
pair.
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5250 RGM Service Manual
2.1.2 Toroid
The toroid is a power-efficient step-down transformer, used in this unit for space
and size considerations.
2.1.3 Fuses
The primary fuses are located in the power input module. To replace the primary
fuses, refer to the 5250 RGM Operation and Maintenance Manual. The secondary
fuses are 5 x 20-mm fast blow types. A fuse connects to each secondary winding of
the toroid. To replace the secondary fuses, refer to 5/Repair Procedures.
The power supply has a circuit that monitors the incoming power for an adequate
voltage level for proper operation, and it employs conventional linear regulation to
provide power free of switching transients.
The inputs to the power supply are fused on a terminal strip connector. Another
circuit passes a line frequency logic signal to the signal processor, which is used to
synchronize the SpO2 (MINX) oximeter
The main regulators have indicator LEDs that indicate the supply is on. Use a
voltmeter to verify the supply is within specification.
A decoupled +5-V output is provided (by L1 and C11) for the analog power for the
SpO2 oximeter (MINX) board
2-2
2/Theory of Operations
The +5-V regulator (VR4, an LT1084) is a low-overhead voltage part, with the
transformer winding chosen for minimum overhead at line voltage of 103 V ac.
Since the -5-V regulator is powered from of the same winding, a greater ratio of
capacitance (C16) to current reduces ripple, and therefore provides the extra
overhead for the standard regulator.
The other function of the circuit is to ensure that the voltage being monitored will
not exceed the +5.5 V dc maximum input voltage to the watchdog chip.
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5250 RGM Service Manual
2.3 Motherboard
2.3.1 General description
The motherboard interconnects the signal processor, the SpO2 oximeter (MINX)
board, the IR photometer analyzer boards, the display, and the rear panel
connectors. The system power enters the motherboard at J10 and is distributed to
the boards and display. Serial drivers to the display and to the RS-232 port are also
located on the motherboard.
This board is not bussed, so each daughter board has a specific socket:
J7 Signal processor board
J8 SpO2 oximeter (MINX) board
J9 Measurement board
The RS-232 channel operates through a 9-pin DB-type connector J2, which is wired
as follows:
2 Transmit
3 Receive
5, 7 Common
9 Alarm silence, transition high to low.
The analog output (J5) is wired with channels 1through 7 on consecutive pins
running clockwise from the gap at the top of the connector and from the common
on the center pin. (See section 1.4.4, Analog outputs.)
Protection
With the exception of the isolated RS-232 port, all of the rear panel connectors are
protected against electrostatic discharge by 5-V transorbs (CR1-CR13). The TVX
inputs have 4.7KΩ in series (R6, R9), while the analog outputs have 100Ω in series
with each output and with the common (analog ground).
The TVX interface also includes a multi-hole ferrite block (L1) in series with each
lead to limit electromagnetic emissions.
Isolated RS-232
The serial communications path is optically isolated by U3 for transmission and
by U2 for reception. This allows the device attached to the RS-232 port to operate
from a different ground reference.
U1, operating from an isolated 5-V output of the power supply, converts between 5-
V logic levels and RS-232 levels. This IC uses capacitors C1 and C4-C6 to raise the
5 V to ±10 V.
2-4
2/Theory of Operations
Spare
Spare
ACX 200
• Drawing a gas sample from the patient breathing circuit via a gas sample
tube.
• Conditioning the gas by removing any water or other liquids as well as
particulate matter.
• Routing the clean, dry gas through the appropriate sensors for analysis.
• Exhausting the gas to a scavenger system or back into the breathing circuit .
If the water trap bottle is full, a sensor in the water trap shuts down the pump,
and the RGM displays the WATER TRAP FULL message. The RGM resumes
normal operation after the water trap bottle is emptied.
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5250 RGM Service Manual
Yellow
0.010
CO2 Zero
Gas Analyzer O2
Scrubber Valve
NC
Patient NO
90% COM
Sample Flow COM
Inlet
NO Nafion
0.04 in.ID NC
4 in. (CO2) or
20 in. (Agent) O2 Valve
Barometer
Water
Separator
Purge
Valve
NO
COM
Tubing Coil Hydrophobic
(for flow Filters (2)
10% Flow NC measurement)
Sample
Exhaust
Flow Sensors
Pump
Bacterial
Filter
The O2 solenoid is de-energized (normally open position). The sample gas flows
through the O2 sensor. The O2 sensor is used to sense both inhaled and exhaled
gas. The flow rate is measured before the gas is exhausted through the pump and
out of the machine.
The sample flow rate ranges from 150 to 230 ml/min. The system is designed so
that, during normal operation, 90 percent of the gas sample passes through the gas
analyzer and O2 sensor while 10 percent flows through the water separator bottle
and then through the purge branch of the pneumatics.
2-6
2/Theory of Operations
Yellow
0.010
CO2 Zero
Gas Analyzer O2
Scrubber Valve
NC
Patient COM NO
Sample 90% COM
Inlet Flow
NO Nafion
0.04 in.ID NC
4 in. (CO2) or
20 in. (Agent) O2 Valve
Barometer
Water
Separator
Purge
Valve
NO
COM
Tubing Coil Hydrophobic
(for flow Filters (2)
10% Flow NC
measurement)
Sample
Exhaust
Flow Sensors
Pump
Bacterial
Filter
Figure 2-3. Normal flow without O2
The level of CO2 in the sample gas triggers the operation of the O2 valve.
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5250 RGM Service Manual
Yellow
0.010
CO2 Zero
Gas Analyzer O2
Scrubber Valve
NC
Patient COM NO
Sample COM
Inlet
NO Nafion
0.04 in.ID NC
4 in. (CO2) or
20 in. (Agent) O2 Valve
Barometer
Water
Separator
Purge
Valve
NO
COM
Tubing Coil Hydrophobic
(for flow Filters (2)
100% Flow NC
measurement)
Sample
Exhaust
Flow Sensors
Pump
Bacterial
Filter
If the flow sensor detects a drop of 40 ml/min from the baseline flow or more than
90 torr below atmospheric pressure, the RGM enters a purge-flow mode. The zero
valve and purge valve will energize (NC position). This opens up the gas analyzer
to the atmosphere and directs 100 percent of the sample gas through the water
bottle.
The system tests the flow rate every 5 seconds. If the flow rate doesn’t return to
normal within 25 seconds, the SAMPLE LINE/FILTER BLOCKED or NO FLOW
message appears. No flow is defined as less than 120 mL/min in the manual/auto
zero state.
2-8
2/Theory of Operations
If the system bounces back and forth between purge flow and normal, the
SAMPLE FILTER BLOCKED message appears. This means the membrane filter
cartridge in the water separator is probably the cause of the line blockage and
should be replaced.
Yellow
0.010
CO2 Zero
Gas Analyzer O2
Scrubber Valve
NC
Patient NO
90% COM
Sample Flow COM
Inlet
NO Nafion
0.04 in.ID NC
4 in. (CO2) or
20 in. (Agent) O2 Valve
Barometer
Water
Separator
Purge
Valve
NO
COM
Tubing Coil Hydrophobic
(for flow Filters (2)
10% Flow NC measurement)
Sample
Exhaust
Flow Sensors
Pump
Bacterial
Filter
The manual/auto zero flow mode is used to zero calibrate the gas analyzer. You
can enter this mode manually through the service screens. The system
automatically enters this mode periodically to compensate for the inherent drift of
the analyzer. In this mode the zero valve is energized, and purge and O2 valves
are de-energized.
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5250 RGM Service Manual
2-10
2/Theory of Operations
Both transducers are nominally rated for 1 psi, and have a nominal transfer ratio
of 15 mV/PSI with a reference of 10 V from the signal processor. The amplifiers
have a gain of 333, yielding a final transfer ratio of 5 V/psi.
The Service screen indicates the voltages and values measured by these sensors.
CAUTION: Pressure in excess of 10 psi above atmospheric could damage the PAW transducer or
sample system barometric pressure transducer in the RGM.
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5250 RGM Service Manual
2.5.4 O2 amplifiers
The amplifier (U3A) for the circuit O2 sensor has a load resistor of 681 Ω and a
noninverting gain of 122. One side of the thermistor in the cell holder is connected
to the cell anode, which is the ground of the amplifier circuit. The other side of
the thermistor connects to the 49.9 Ω resistor R14. This applies a temperature
variable load to the cell in parallel with the 681 Ω fixed load (R15). The 10 V offset,
applied through R34, shifts the signal to the full -10 V to +10 V range of the A to D
converter. Thus, 10-V output is 0 percent O2, also defined as no cell installed.
Note: The internal O2 sensor amplifier has a similar configuration, using U3B.
The voltages and values measured on the internal and circuit O2 sensors are
identified in the Service screen.
2.5.5 Temperature
U2 is a temperature-controlled current source, with a transfer function of 1 uA/K.
The current from the 10-V reference through R6 offsets for room temperature
(about 300 K), and amplifier U5B yields a voltage output of 200 mV/degree,
centered around approximately 28 °C.
The 10-V reference of the temperature sensor comes from the ADC of the signal
processor board.
The voltages and values measured by the temperature sensor are indicated in the
Service screen. This circuit is used to generate the DEVICE OVERHEATED alarm
if the internal temperature of the RGM exceeds 50 °C.
2-12
2/Theory of Operations
The measurement board plugs into the motherboard; and the photometer mounts
to the chassis behind the front access cover.
2-13
5250 RGM Service Manual
Oxygen
Sensor
Input
IR photometer
The IR photometer is a dual-path type. The photometer detects IR light absorption
through two separate cells in the measuring chamber: a reference cell and a
sample cell. The sample gas is measured by determining the ratio between the
intensity of IR light that is transmitted through the reference cell and through the
sample cell.
The two cells are located next to each other. The sample cell is in series with the
gas sample system; the reference cell is open only to the inside of the photometer.
The photometer contains a gas absorber that ensures that the reference cell is
essentially free of CO2, N2O, and the agent.
A revolving disc, or wheel, located between the measuring chamber and the
detector, controls the light passing through the photometer. Five optical filters are
located around the outer edge of the wheel. They are spaced 72 degrees apart and
are in line with the sample and reference cells. Each filter passes a specific
wavelength of IR light that is associated with each gas to be measured (CO2, N2O,
and agent).
2-14
2/Theory of Operations
IR light first passes at the CO2 absorption wavelength through the reference cell,
then through the sample cell, and is then blocked completely. This sequence is
repeated for IR light at the N2O absorption wavelength and then the agent
absorption wavelength.
After passing through the filters, the IR light is focused by a mirror (part of the
detector assembly) onto an IR detector. The detector measures the light levels for
each gas. For each revolution of the wheel, this process produces 10 light levels
specific to the gas content (two for each gas) and a baseline reference signal (one
for each gas) when the IR light is completely blocked off (Dark).
The reference and sample cells are located next to one another so that the leading
edge of the filters passes over the reference cell first, and the trailing edge of the
filters passes over the sample cell last. The leading portion of the resulting
waveform is associated with the reference cell; the trailing portion is associated
with the sample cell.
An optical sensor in the photometer detects light from a reflective surface on the
wheel once every revolution. The pulses from this sensor synchronize the
electronics on the measurement board to the signal from the IR detector.
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5250 RGM Service Manual
Under normal operation, the measurement board supplies a signal (lamp) to the
motherboard, which controls power to the IR source. If the measurement board
fails to receive the expected signals from the photometer, it assumes that a
photometer failure may have caused the wheel to stop spinning. It removes the
lamp signal to avoid overheating and damage to the wheel.
Memory
Memory components include 64K x 8K-bit program memory EPROM (D4),
32K x 8K-bit low current CMOS RAM (D22) powered by a RAM Upgrade Kit or a
jumper on the motherboard, and EEPROM (D2) for permanent calibration values
and setup memory.
Reference voltages
Reference voltages are established by the A/D converter (D14) reference voltage
output (REFOUT, pin 8). This +10 V voltage is buffered by A2D. -10 V reference
voltage is obtained by inverting and buffering +10 V with amplifier A2C.
The signals are converted to a voltage by A24D and amplified by A24A, then
applied to capacitor C30, which removes the DC offset. The dark level is
established on C30 when the synchronous switch A28A is closed.
Each signal is sampled by the peak detection circuit, consisting of A24C, V26,
A28B, R97, R201, and C15. When the peak voltage of a signal is sampled, the
switch A28B is open, sending the signal through V26, which acts like a diode. The
peak signal is then applied to the capacitor C15. C15 is brought down to ground
potential between signal peaks when A28B is closed and the dark signal is
transmitted to it.
The voltage peak of each gas (both measure and reference) is applied to an
instrumentation amplifier (A24B) then to the input of a multiplexer (D23). D23
separates the signal to each of its components (CO2 reference and measuring, N2O
reference and measuring, and AA reference and measuring). For CO2, the offset
voltage is subtracted from the reference signal at A13B.
2-16
2/Theory of Operations
Each gas signal, the temperature compensation signal, and the pressure signal are
transmitted to D13, which serves as a demultiplexer whose output is applied to an
A/D converter (D14) through an instrumentation amplifier.
A/D conversion
A/D conversion is made with a 12-bit A/D converter (D14). Input signal is
multiplexed with D10 and D13. After conversion is completed, signal ADCRDY
rises to +5 V.
D/A conversion
D/A conversion is made with a 12-bit D/A converter (D11). D12 multiplexes the
analog output to 8 sample and hold circuits. Two of these are used to drive offset
voltages for N2O and CO2 measurement. The others are used for external analog
outputs (CO2,OUT, N2OOUT, VOLC, O2OUT, etc.).
The processor produces the necessary address information to cause the PAL (D15)
to produce the control pulses for the synchronous switches A28A and A28B (dark
and clear).
Pressure measurement
CAUTION: Do not attempt to repair or replace the photometer pressure transducer (B1). Each
pressure transducer is specifically calibrated with selected resistors for use on a given board.
The pressure transducer (B1) measures the sampling system pressure after the
photometer. Voltage reference V1, resistors R17, R108, R89, and amplifier A31C
supply the pressure measurement bridge with 4 mA current. The pressure signal
is amplified with A31A and A31B. The output of A31A corresponds to pressures
400 to 900 mmHg and is within -9.5 V and +9.5 V range.
Temperature measurement
Temperature measurement exitation voltage for the photometer stabilizing diode
is fed from +10 V through resistor R104. The stabilizing diode voltage is
proportional to photometer temperature. This voltage is amplified with A31D.
2-17
5250 RGM Service Manual
2-18
2/Theory of Operations
2.7.2 Microprocessor
The microprocessor (U13) is a NEC V25+ integrated processor with parallel I/O (32
lines, shared with other functions), two serial I/O ports with independent baud
rate generators, two timers, and an interrupt controller. The crystal frequency is
14.3181 MHz, which gives a 5-MHz system clock on CKOUT, P0 bit 7.
The parallel port pins are used for system configuration, oximeter (MINX)
interfacing, TVX clip interfacing, and analog input multiplexer control.
2.7.3 Memory
Memory consists of static RAM package location (U8) and a ROM card (U6). U8 is
connected to a lithium battery for non-volatile RAM.
The ROM card is replaceable without removing the board from the RGM.
Note: Never power up the unit with the ROM card removed.
2.7.4 Decoding
Two programmable logic chips (PALs U14 and U16) perform the external I/O
decoding, using simple combinatorial logic upon address and processor control
lines to enable the I/O functions. Another PAL (U24) performs the same functions
for memory accesses.
2.7.5 Watchdog
The watchdog chip U18 requires pulses every 50 mS on its watchdog input (WDI)
to inhibit an auto-reset function. These pulses are output on P2 bit 7 of the V25
CPU. A watchdog fail reset may be seen when bit #8 is lit (see Section 2.7.11,
Status LEDs).
This chip also has a power-fail comparator and reference, which monitors PWR MON
on its PFI pin. This comparator outputs a signal to the CPU nonmaskable interrupt
(P1 bit 0) if the voltage falls below 1.3 V. The monitored signal from the power supply
will allow operation for at least 12 mS after this threshold has been passed.
This circuit also contains a lithium battery (B1), which supplies power to the Vout
pin if Vcc falls below the battery voltage. This powers the time of day clock (U23)
and the nonvolatile memory (U8). When Vcc falls below 4.65 V (±0.1 V), two other
signals, PDCTL and LO_V, disable U8 and U23 respectively. Two additional
control lines, RESET and ~RESET, are used for U8 and U23.
2-19
5250 RGM Service Manual
Not used
Calibration constants
Not used
SpO2 board
Off On
Figure 2-8. SW1 signal processor configuration switch
The ADC converts the voltage and sends the data to the processor as two bytes.
The input range is ±10 V, for a scale factor of 4.88 mV/bit. The converter reference
is buffered by op-amp U21 and output to the pneumatics interface board.
2-20
2/Theory of Operations
Of the 8 voltage outputs, 7 are divided by 10, R9-R15 and R2-R8, providing the
general purpose analog outputs with a 0-to-1 voltage range.
Channel 6 is also routed to the analog input multiplexer U20 as a test signal
(ATEST).
TVXB goes to interrupt line (INT1), where it can either directly interrupt the
processor or generate a macro service call to store the time of the event in a buffer.
The other bit for direction sensing may be read at P1 bit 5. The interrupt bit may
be read at P1 bit 2.
The processor reads ready status (IBF and ~OBF) at P1 bits 6 and 1 respectively.
~OBF may also generate and interrupt (INT0) to insure timely reception of data
from the oximeter. Saturation data and the oximeter status/control information
occur through the parallel interface provided by the bus transceiver U17.
A patient pulse signal from the oximeter is received at P2 bit 4 as a short (about 16
mS) logic pulse, which software must sample regularly to sense. This signal
triggers the pulse beep.
The ADC reads the patient plethysmograph, which is then sent to the display.
Bit # 0 1 2 3 4 5 6 7 8 9
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5250 RGM Service Manual
Bits Status
0-4 General software status
Bits 0-3 are CO2 breath phase bar graph.
Bit 4 is PAW breath phase.
5 O2 solenoid
6 Purge solenoid
7 Zero solenoid
8 Watchdog failure
9 Spare solenoid valve
2-22
2/Theory of Operations
The oximeter board uses the Intel 80C196KA 16-bit microprocessor. This
microprocessor has a high level of integration and an internal 10-bit ADC. The
microprocessor and EPROM are socketed for easy replacement and code
enhancement. These components are the only user-serviceable parts.
CAUTION: When replacing either the microprocessor or the EPROM on the SpO2 oximeter (MINX)
board, be sure to use a chip extractor to avoid damaging the components.
The +V and -V analog supplies share a common return path called AGND. The
logic return is called DGND. AGND and DGND are tied together at the
microprocessor on the module.
Note: The logic supply must be within ± 5 percent of +5 V. The + analog must be
within + 100 mV of the +5 logic supply. The absolute magnitude of the -V supply
must be within ± 5 percent of +V.
The oximeter board communicates through both the serial and parallel ports.
Commands may be sent to configure performance parameters, override defaults,
and initiate diagnostic or calibration routines.
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5250 RGM Service Manual
There are two audio alarm signal sources, one programmable device for all
normal system output (patient warnings and alarms) and a second for total system
failure.
2-24
2/Theory of Operations
U33 has its own 16-MHz oscillator, U1, which provides the clock for the output
frequencies and for the state machine, which does the video timing functions.
Two low dropout regulators provide the +5-V supply with minimum power
dissipation. One regulator supplies the sound IC to isolate it from the digital noise
of the rest of the system; the other supplies the rest of the circuits.
2.9.8 Audio
A single-chip sound synthesizing IC (U2) generates complex audio alarm tones
and has software-controllable volume levels. For the system-failure alarm, an
additional audio tone circuit operates independently of the V25.
A 4-MHz clock from U33 provides the time base for the internal operations of
sound synthesis. A two-stage RC low-pass filter smooths the switching transients
from the synthesizer and mixes the two outputs (one for musical sounds and one
for percussion sounds) with the system fail-sound generator, U14.
U16 and its related resistors and capacitors drive the speaker that is mounted on
the display case.
The red and yellow alarm LEDs are also mounted on the touch frame, but are
controlled by the V25.
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5250 RGM Service Manual
2.9.10 Video
Graphic CPU
The 72123 advanced graphic display controller (AGC II), U30, controls the display
memory, and generates display synchronizing signals. It also provides high-speed
drawing operations for the host CPU (V25) such as line, rectangle, and circle
drawing, painting, copying, and rotating.
The V25 can affect the display memory contents in three ways:
• By directly addressing the display memory just as it does RAM or ROM.
In this case, the AGDC acts as an interface between the 8-bit V25 bus and the
16-bit video memory bus. The hardware interface employs chip-select signal
CSDM and the handshake signal READY. The AGDC then uses V25 address
line A0 to generate either its lower byte enable output (DLBE) or its upper
byte enable output (DUBE), depending on whether the address is odd or even.
• Indirectly by using the AGDC to perform high-level functions.
A feature of these functions is that the parameters given to the AGC II can be
specified as either actual display memory addresses, or more conveniently, as
X,Y coordinates relative to a previously set up 0,0 or origin point that is
defined as an address and particular bit.
• By using the V25s DMA mode in conjunction with the AGDCs DMA port (one
of the internal registers).
Data can be transferred in either direction between system memory and the
display memory using handshaking lines DMARQ from the V25, and DMAAK
from the AGDC.
The AGDC a uses programmable logic chip (U33) to control the RAMs and the
output shifting through two types of display memory cycles:
• Read cycles: normally used for manipulating memory data.
• Write cycles: normally used for manipulating memory data.
2-26
2/Theory of Operations
WARNING: Electrical shock hazard. The display generates potentially dangerous voltages
(high voltage pulses up to 225 V AC). Do not touch the driver-controller circuit board during
operation.
VID data loaded during the last 512 VCLK pulses preceding the falling edge of the
HS signal are displayed on the selected line. The lines to be displayed are selected
sequentially by the first 256 HS pulses following the rising edge on the VS pulse.
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5250 RGM Service Manual
2-28
3/Checkout and Calibration
3.0 General
This chapter provides
• Checkout procedures to determine whether the RGM is functioning properly.
• Calibration procedures.
WARNING: Failure of operation. Perform the checkout procedures before using the monitor
with a patient. If the monitor fails any test, it must be removed from use until it has been
repaired and checked for correct operation.
Before returning the RGM to clinical use, perform the leakage current and ground
resistance checks (see section 3.13). If the RGM fails to meet any of the checks,
refer to 4/Messages and Troubleshooting.
3-1
5250 RGM Service Manual
WARNING: Failure of operation. Perform the checkout procedures before using the monitor
with a patient. If the monitor fails any test, it must be removed from use until it has been
repaired and checked for correct operation.
This procedure provides an initial checkout procedure for monitors after they are
unpacked and before first use.
1. Inspect all of the accessories of the RGM for damage. Replace any broken or
damaged accessories. Datex-Ohmeda recommends that only genuine
replacement parts manufactured or sold by Datex-Ohmeda be used for all
repairs.
2. Inspect the exterior of the RGM for damage. Check all the connectors and
controls and replace any broken or damaged parts.
3. Press the Display Release latch to slide the display panel to the right. Empty
and replace the water trap bottle before proceeding with the checkout
procedure.
4. Turn on the RGM and allow it to warm up for 5 minutes.
5. Verify that the fan turns freely and blows air out the rear of the unit when
power is turned on.
6. During poweron the RGM performs several internal checks. The alarm tone
should sound and the red and yellow LEDs should flash. If a problem exists,
an alarm message appears. Refer to 4/Messages and Troubleshooting for a
description of the alarm messages.
7. Check the leakage current and ground resistance (see section 3.13).
8. Block sample input and verify that purge occurs. If not, see section 3.5.3.
9. Check the barometric pressure (see section 3.6.1).
10. Zero and span calibrate the monitor, (see section 3.6.5).
11. Check the patient circuit O2 sensor (see section 3.6.6).
12. If installed, check the SpO2 module (see section 3.7).
13. When the airway pressure line is connected to the PAW inlet and the
ventilator is on, pinch the airway pressure line to block the flow of air. Verify
that the PAW reading remains stable for 5 seconds.
3-2
3/Checkout and Calibration
See section 5.3 for cover disassembly instructions. Remove the top cover of the
RGM. Facing the front of the RGM, find the signal processor board on the far left
side.
A DIP switch (SW1), which is accessible from the top of the board, identifies the
optional boards installed in the RGM. The switches are numbered: 1 is the closest
to the front of the monitor; 4 is closest to the rear panel. Check that the switches
are positioned as required for the features present on the RGM.
Not used
Calibration constants
Not used
SpO2 board
Off On
Figure 3-1. SW1 signal processor configuration switch
Note: Except in the case of locking calibration constants, DIP switches and
jumpers are read only during poweron. Recycle the power after changing a switch
setting.
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5250 RGM Service Manual
Note: Except in the case of locking calibration constants, DIP switches and
jumpers are read only during poweron. Recycle the power after changing a switch
setting.
A jumper pad (SW1) provides sense inputs for configuration information to the
signal processor. Location of the jumper depends on whether the RGM is an agent
or non-agent monitor, and may need to be set after replacing the motherboard.
Spare
Spare
ACX 200
During poweron, the RGM performs several internal checks. The alarm tone
sounds and the red and yellow LEDs on the front panel flash. If a problem exists,
an alarm message appears. Refer to 4/Messages and Troubleshooting for a
description of the alarm messages.
Turn on the RGM and observe the functions as outlined in the following table. The
times listed are approximations. Warmup could take up to 3 minutes.
3-4
3/Checkout and Calibration
1. Turn off the power and disconnect the power cord; see section 5.3 for cover
disassembly instructions.
2. Remove the cover; see section 5.3.
3. Reconnect the power cord and turn on the monitor.
4. Verify that the LEDs on the power supply board are lit.
Channel LED Filter Regulator SCR
+5 CR18 C13 VR4 CR13
-5 CR19 C16 VR5 CR22
+15 CR16 C18 VR3 CR2
-15 CR17 C15 VR1 CR3
3-5
5250 RGM Service Manual
5. Using a DVM, with fine point test leads, check for the following voltages from
the power supply board with reference ground J1 pin 4.
Connector Voltage Description
J1 Pin 8 +5 ±0.25 V DC Digital supply
J1 Pin 9 +15 ±0.75 V DC Positive analog supply
J1 Pin 10 -15 ±0.75 V DC Negative analog supply
J1 Pin 12 -5 ±0.25 V DC Analog (MINX) supply
J1 Pin 13 +6.6 ±0.4 V DC Prereg display digital, loaded
J1 Pin 17 +15 V DC ± 0.75 Prereg display matrix, loaded
J2 Pin 2 +12 ±0.75 V DC Fan supply
6. Check for the following voltage from the power supply with reference ground
J1 pin 2.
Connector Voltage Description
J1 Pin 1 +5 ±0.25 V DC RS-232 isolated
90
VIEW ALL CLOCK SET EXIT
Figure 3-3. Select Service mode
3-6
3/Checkout and Calibration
Service
Agent ACX-200 Version 1.20 0402 ACX status hex
Display Version 6.00 0000 ACX error status hex
SpO2 Version S
Signal Processor Version 8.007 CPU type V25+
Agent 0.00 (%) 0.00
Barometric Pressure 627.5 (torr) 627.5
Breath volume flow --- (ml/breath) 0.0 (liters/minute)
Breath volume data 0 Uncorrected 0 (min 25.6us cnts/flip)
Cal constants 0 1=locked 92 Run Time Hours
CO2 Carbon Dioxide 0.10 (%) 0.10
Internal Temperature 24.5 (degrees C) 0.28 (volts)
SpO2 Pleth --- 0.45 (volts)
SpO2 Pulse Rate --- (Beats/min)
Saturation O2 --- (%)
N2O Nitrous Oxide 0.0 (%) -0.8
O2 Circuit Oxygen 0.0 (%) -10.00 (volts)
O2 Internal Oxygen 20.6 (%) -8.00 (volts)
PAW Pressure Airway 0.1 (cmH2O 0.01 (volts)
Pump Voltage 6.00 (volts) 153 (dac counts)
Sample flow rate 201 (ml/min) 3.15 (volts)
Oxygen valve status 0 0=oxygen cell active
Purge valve status 0 1=in purge state
Water trap full status 0 1=full
Zero valve status 0 1=in zero state
4. Select PNEUMA from the Service screen. The Pneumatics Service Screen
appears.
Zero
Input
CO2
N2O O2 Purge
Agent O2 Sample
Sample Zero Sample
Inlet Exhaust
Valve Sensors Valve Sensor Valve Pump
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5250 RGM Service Manual
3-8
3/Checkout and Calibration
WARNING: Biohazard. When handling materials that may have come into contact with patient
exhalant or fluids, follow approved procedures for contamination control.
1. While on the Pneumatics Service Screen, turn off the pump by selecting OFF.
2. To access the water trap bottle, press the Display Release and slide the display
panel to the right.
3. Carefully remove the water trap bottle. Carefully dispose of any contents in a
receptacle designated for patient waste.
4. Fill the trap bottle with water and submerge the tip (“V” portion) of the trap-
full plastic rod. Be careful not to let the water touch the tubing next to the
sensor rod.
5. Verify that the water trap sensor displays a Water trap full status of “1.”
6. Remove, empty, and replace the water trap bottle and verify that the sensor
displays a water trap full status of “0.”
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5250 RGM Service Manual
Note: Purging is disabled in certain service screens to allow for testing and
calibration.
3-10
3/Checkout and Calibration
5250
Syringe
60 cc or larger
Pressure Gauge
Pressure calibration
Note: Calibration constants must be unlocked (set signal processor's dip switch 3,
to On or closed position) before barometric calibration. Relock calibration
constants at the end of this procedure.
Calibration
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5250 RGM Service Manual
6. Select BARO CAL from the Calibration screen. The Barometric Pressure
Calibration screen is then displayed.
0 1 2 3 4 5 6 7 8 9
Note: Units of torr and mmHg for most practical purposes are identical.
7. Leave the inlet/exhaust ports open to ambient pressure.
8. Using the CLEAR and number icons, enter the local barometric pressure (not
corrected to sea level) in mmHg. Store this value by touching the LOW key.
Note: If the message INVALID LOW appears, go back to step 6.
9. Connect the sample exhaust to the sample inlet. Refer to Figure 3-6.
10. Connect a tee to the loop.
11. Connect a pressure gauge and open syringe to the tee.
12. Apply pressure via the syringe until the gauge stabilizes at 100 mmHg.
Note:: If the pneumatics system is not tight enough to hold a stable pressure
with a syringe, remove the RGM cover (see section 5.3, Cover removal and
replacement) and connect the pressure gauge and syringe directly to the
silicone tube that leads to the barometric pressure transducer (barometer) on
the gas analyzer measurement board.
A second option if the pneumatics system is not tight enough to hold a stable
pressure is to use 100 mmHg vacuum for set LOW and ambient pressure to
set HIGH. If this option is used, substitute the following steps 7, 8, and 12 for
those in the procedure:
7. Apply 100 mmHg of vacuum.
8. Enter 100 mmHg less than ambient pressure.
12. Open the sample exhaust and inlet ports to ambient pressure.
13. Holding this pressure to within +1 mmHg, press the HIGH key. Pressing either
LOW or HIGH automatically resets the calibration values unless you get an
error message.
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3/Checkout and Calibration
Notes:
• If the INVALID HIGH CALIBRATION message appears, check that the
connections match Figure 3-6 and go back to step 8.
• If the MUST DO LOW FIRST message is displayed, repeat this procedure
starting at step 6.
• If repeated attempts to calibrate barometric pressure are ineffective, set M
to 26000 and B to 0 using the Enter Calibration Constants screen and try
calibration again. See section 4.2.3, Enter Calibration Constants screen.
14. Press EXIT to return to the previous screen.
The values in the following table are to be used only as a point of reference. Use
them to check the uncorrected atmospheric pressure reading received from a
local source (airport, etc.) to verify that it is truly an uncorrected (to sea level)
value. The numbers used in this table should never be used to calibrate a unit.
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5250 RGM Service Manual
2. Apply 0, 50, and 100 cm H2O (0, 36.8, and 73.6 mmHg) ±1 mmHg to the
pressure inlet. The PAW display and pressure gauge reading should be within
± 5 cm H2O (+4 mmHg) of the gauge accuracy. If not, perform the next
procedure, airway pressure calibration.
3. Exit to the display screen.
3. Expose the PAW inlet to ambient atmospheric pressure and touch the SET
ZERO key. The new value is displayed on the screen.
4. Connect a squeeze bulb or syringe and a pressure gauge in parallel with the
PAW inlet. Refer to Figure 3-9 in section 3.6.3, PAW check.
5. Apply 60 cm H2O (44.1 mmHg) above ambient atmospheric pressure to the
pressure inlet and touch the SET SPAN key. The new value is displayed on
the screen.
6. Expose the PAW inlet to ambient atmospheric pressure. The PAW display
should read 0 ±5 cm H2O (+4 mmHg).
7. Apply -10, 50, and 100 cm H2O (-7.4, 36.8, 73.6 mmHg) below/above ambient
atmospheric pressure to the pressure inlet. The PAW display should read
within ± 5 cm H2O (±4 mmHg).
8. Press EXIT to return to the previous screen.
3-14
3/Checkout and Calibration
1. From the display screen select MENU and then select CALIBRATE
INTERNALS.
Touch the ZERO icon on the Calibration Internal Sensors screen. After about
30 seconds, the ZERO COMPLETE message is displayed After 15 seconds, the
values shown are:
Freon – 0.0%, ±0.1%
CO2 – 0.1%, ±0.1%
N2O – 0.0%, ±1%
O2 – 21.0%, ±1%
Refer to 4/Messages and Troubleshooting.
2. Use the proper Datex-Ohmeda calibration gas (as indicated on the screen).
Connect the sample tube from the sample inlet to the female luer connector of
the calibration bag as shown in Figure 3-11. Connect the other end of the
calibration bag to the can of calibration gas.
1 2 3 4
1 Calibration gas
2 Brass restrictor
3 Calibration bag
4 Sample line
5 Sample inlet
3. Once the pumping action of the RGM has evacuated the calibration bag, the
RGM automatically generates an alarm tone, and the message BEGIN SPAN
CALIBRATION appears.
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5250 RGM Service Manual
4. Press down on the valve stem of the gas canister until the calibration bag fills
but is not pressurized; then touch the SPAN key on the Calibrate Internal
Sensors screen.
Notes:
• Allow the RGM to draw gas from the bag, but do not let the RGM totally
evacuate the bag before span calibration is completed. Feed small
amounts of gas into the bag to prevent the bag from being emptied.
Continue this until the span calibration is complete.
• If the calibration bag does not fill up, either the canister is low, the flow
restrictor is blocked, or the bag has a leak in it.
5. After about 25 seconds, the message SPAN COMPLETE appears. Verify that
the values shown are the same as those on the calibration gas canister, with
the following tolerances:
Halocarbon 23 (CHF3)/Freon ± 0.1%
CO2 ± 0 .1%
N2O ± 1%
O2 ± 1%
If the Span calibration is unsuccessful, the INVALID SPAN message appears
on the screen, and you should repeat the span calibration. If necessary, refer to
section 4.3.5, Gas analyzer/calibration problems.
6. Disconnect the calibration gas from the sample inlet.
7. Select EXIT from the Calibrate Screen to return to the display screen.
8. Store the calibration bag in a location where it will be safe from puncture.
Note: Before checking the patient circuit O2 sensor, turn the RGM on and allow
the O2 sensor output to stabilize for at least 10 minutes. The 10-minute
stabilization assumes that the cartridge was removed from its sealed protective
packaging just before calibration, or that the sensor had been connected to the
RGM without interruption.
3-16
3/Checkout and Calibration
1. Check the sensor for foreign materials such as tape or cotton. Remove any
substances that may interfere with the transmission of light between the
emitter and detector.
2. Verify that a durable sensor opens and closes smoothly.
3. Check that the sensor is the correct model (see the user instructions for the
sensor) before connecting it to the RGM.
4. Connect a sensor to the SpO2 sensor connector. Check that the connection is
firm.
5. Turn on the RGM. Check that the sensor’s red emitter LED is on.
6. Attach the sensor to either a finger or an ear. Check that the sensor cable is
not twisted. Verify the following:
• A saturation value (SpO2) of greater than 90 percent is displayed.
• A clean plethysmographic waveform depicting a pulse is displayed.
• A digital pulse rate (PR) is displayed.
• A beep occurs with every pulse. The tone frequency depends on the
saturation value. High frequencies indicate high saturation values.
Note: This beep tone can be disabled from the Setup Screen.
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5250 RGM Service Manual
7. Verify that the high and low alarm limits for SpO2 and the pulse rate work (if
enabled) by setting the high and low alarm limits beyond the indicated
readings. Ensure that:
• The alarm tone sounds.
• The alarm light flashes.
8. Remove the sensor from the finger or the ear and verify that:
• The alarm message PROBE OFF PATIENT is displayed and the waveform
and digital values are not displayed.
• Three high alarm tones occur when the sensor is removed. Pressing alarm
silence stops the audio.
9. Unplug the sensor from the RGM and verify that the alarm message NO SPO2
PROBE appears on the screen.
10. Reconnect the sensor to the RGM and verify that the PROBE OFF PATIENT
alarm message is present.
Notes:
• The alarm volume level is selected through the Setup Screen and remains as
set until changed by the operator.
• The high/low alarm limits are defaulted at power on and remain so until
changed by the operator.
1. Connect the TVX flow sensor from the back panel of the RGM to the common
gas outlet of an anesthesia system or to a calibrated flow source known to be
functioning properly.
Note: Use 4 to 8 ft of tubing between the source and sensor to stabilize flow.
4 to 8 feet
of tubing
Anesthesia
System or
Calibrated
Flow Source
3-18
3/Checkout and Calibration
90
VIEW ALL CLOCK SET EXIT
Figure 3-13. Select adult patient type from Setup Screen
3. Set the gas flow from the flow source at 6.0 L/min.
4. Select Service mode and press “on.” Read the number for L/min in the right-
hand column.
If the RGM does not agree with the calibrated air source to within ±2 L/min,
replace the cartridge and repeat this test.
CAUTIONS:
• Destroy malfunctioning flow cartridges to prevent their inadvertent use.
• Never tamper with the set screws in the flow cartridge. Such action will render the
cartridge unusable.
5. If the RGM still does not agree with the calibrated air source, try replacing the
sensor clip, then repeat the test.
If the unit still fails the test, there is a leak in the test circuit or there is a
malfunction in the RGM and repairs are required (see 4/Messages and
Troubleshooting).
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5250 RGM Service Manual
90
VIEW ALL CLOCK SET EXIT
Figure 3-14. Activate reverse flow alarm on Setup Screen
3. Flow gas through the sensor cartridge in the reverse direction. An intermittent
low tone sounds, the yellow LED flashes and the REVERSE FLOW message
appears and indicates a reverse flow alarm condition.
Note: In this case the reverse flow is simulated for testing purposes only.
WARNING: Patient safety. After completing simulation testing, be sure to return the sensor to
its correct orientation in the breathing circuit. The arrows should point away from the patient.
3-20
3/Checkout and Calibration
Flowmeter
6024-0000-006
150 mL/min.
Variable
flow To Sample Exhaust
restrictor
1. Remove the top cover from the RGM. (See section 5.3.)
2. Allow RGM to stabilize to ambient temperature for 20 to 30 minutes.
3. Unlock cal constants using DIP switch #3 on the signal processor.
4. Go to the Enter Calibration Constants screen (see Figure 4-1).
5. If the internal temperature displayed in °C is not accurate ±5 °C, subtract the
reading on the screen from the current room temperature. Multiply this by ten
and add it to the present temp B calibration constant.
6. Enter the resultant B as the new B and verify that the temperature shown is
accurate ±5 °C.
For example, if the ambient temperature is 25.2 and the monitor shows 35.1,
(25.2 - 35.1) x 10 = -99. Add -99 to the present B value for internal temperature.
7. Lock Cal constants using DIP switch #3.
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5250 RGM Service Manual
8. Use a DVM to measure the output voltage of each pin (with respect to
common) of the analog output connector as indicated in the following table.
3-22
3/Checkout and Calibration
Optional:
9. Connect an oscilloscope or chart recorder to measure the output from each
pin.
10. Use the ZERO key to adjust the chart recorder to 0 V.
11. Use the ONE key to adjust the chart recorder to 1 V, full scale.
12. Select RAMP. During the ramp test, all seven pins should have a saw tooth
wave range 0 to 1 V. One ramp takes approximately 3 seconds. The ramp
should appear smooth with 1 jump from 1 to 0 V.
CAUTION: Maximum voltage. No more than 5 volts should appear on any pin of the analog
output connector.
Channel assignments
Channel Scale
1 CO2 waveform 66.6 mV/%
2 N2O waveform 10 mV/%
3 PAW waveform (V x 140)-20 = cm H2O
4 Flow waveform 10 mV –1 L/min
5 Agent waveform 66.6 mV/% (Desflurane: 33.3 mV/%)
6 O2 inspired/expired 10 mV/%
7 Plethysmograph 0-0.5 V with 16.1 mV resolution
The analog output accuracy is ±3.5 percent (absolute), linearity ±0.5 percent, with
an update rate of 10 mS and a resolution of 3.9 mV.
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5250 RGM Service Manual
1. From the RGM Setup Screen, select Service mode and touch “on.”
2. Select TESTS from the Service Screen to display the Diagnostic Selection
screen.
3. Connect a loop back jumper (DB9 connector with pins 2 to 3 shorted) to the
RS-232 port on the rear of the machine.
Note: The connector must be installed before selecting the test.
4. Select RS232 from the Diagnostic Selection screen.
5. Run at least ten passes of the diagnostic.
Note: The Diagnostic Pass Count numbers may not be consecutive due to the
speed of the test (for example, 3, 6, 7, 9, 10, . . ., etc.)
6. Press EXIT to complete the test.
7. Remove the loop back jumper.
3-24
4/Messages and Troubleshooting
This chapter contains
• A list of messages you may receive on the screen.
• Troubleshooting information.
• Specific troubleshooting procedures.
4.1 Messages
Message Category Range Default
ACX DECODE TASK FAIL System failure alarm na na
ACX XMIT TASK FAIL System failure alarm na na
AGENT DETECTED Single-tone emergency na >0.8% halothane
ANALOG FAIL System failure alarm na na
AUTO ZERO IN PROGRESS Silent advisory na na
CALIBRATE TASK FAIL System failure alarm na na
COMMUNICATIONS FAIL System failure alarm na na
CO2 APNEA Quiet emergency** 20 to 30 30 seconds
seconds
DEVICE OVERHEATED Advisory na na
DISPLAY CPU FAIL System failure alarm na na
DISPLAY DECODE TASK FAIL System failure alarm na na
DISPLAY DIAG TASK FAIL System failure alarm na na
DISPLAY RAM FAIL System failure alarm na na
DISPLAY ROM CHECKSUM FAIL System failure alarm na na
DISPLAY TASK FAIL System failure alarm na na
DISPLAY TOUCH PANEL FAIL System failure alarm na na
DISPLAY TREND TASK FAIL System failure alarm na na
DISPLAY VIDEO RAM FAIL System failure alarm na na
DISPLAY XMIT TASK FAIL System failure alarm na na
EVENT TASK FAIL System failure alarm na na
GAS ANALYZER SATURATED Warning na na
** Three advisory tones (one high tone and one low tone) followed by an emergency tone (three high tones).
4-1
5250 RGM Service Manual
* Default depends on agent selected. Refer to Anesthetic Agent display in 5250 RGM Operation and
Maintenance Manua l.
4-2
4/Messages and Troubleshooting
4-3
5250 RGM Service Manual
** Three advisory tones (one high tone and one low tone) followed by an emergency tone (three high
tones).
Refer to this chapter and the following chapters in this manual to help locate and
correct a malfunction.
If you are not familiar with the information in these troubleshooting sections,
refer to 2/Theory of Operation to better understand the RGM functions and refer
to 5/Repair Procedures for the proper disassembly of the RGM components.
CAUTION: Static sensitivity. This 5250 RGM’s electronic components that are susceptible to
damage by electrostatic discharge. When disassembling the RGM,
• Work at a static-control workstation and wear a static-control wrist strap to discharge
accumulated static charges.
• Use static-safe tools (tools with conductive or dissipative handles). Observe the safety
precautions associated with using conductive tools in a high-voltage environment.
• Handle the circuit boards (replacement and defective) by their nonconductive edges. Use anti-
static containers for transport.
4-4
4/Messages and Troubleshooting
If a test fails, a corresponding error message (indicating which test has failed)
appears in the upper-right corner of the display as follows:
4-5
5250 RGM Service Manual
The main service screen provides a summary of the overall state of the machine.
This screen shows the various software versions (SpO2 version appears only if the
function is present) and the readings from all of the sensors. Readings here, and
on the Enter Calibration Constants screen are formatted in both units (i.e., %CO2)
and volts.
The “Breath volume data” indicates uncorrected tidal volume of last breath. This
number will only update after “breath” start and end have been detected.
The SpO2 data is the same as that on the normal monitoring screen, except the
pleth data is a periodic snapshot of the voltage from the oximeter board.
Service
Agent ACX-200 Version 1.20 0402 ACX status hex
Display Version 6.00 0000 ACX error status hex
SpO2 Version S
Signal Processor Version 8.007 CPU type V25+
Agent 0.00 (%) 0.00
Barometric Pressure 627.5 (torr) 627.5
Breath volume flow --- (ml/breath) 0.0 (liters/minute)
Breath volume data 0 Uncorrected 0 (min 25.6us cnts/flip)
Cal constants 0 1=locked 92 Run Time Hours
CO2 Carbon Dioxide 0.10 (%) 0.10
Internal Temperature 24.5 (degrees C) 0.28 (volts)
SpO2 Pleth --- 0.45 (volts)
SpO2 Pulse Rate --- (Beats/min)
Saturation O2 --- (%)
N2O Nitrous Oxide 0.0 (%) -0.8
O2 Circuit Oxygen 0.0 (%) -10.00 (volts)
O2 Internal Oxygen 20.6 (%) -8.00 (volts)
PAW Pressure Airway 0.1 (cmH2O 0.01 (volts)
Pump Voltage 6.00 (volts) 153 (dac counts)
Sample flow rate 201 (ml/min) 3.15 (volts)
Oxygen valve status 0 0=oxygen cell active
Purge valve status 0 1=in purge state
Water trap full status 0 1=full
Zero valve status 0 1=in zero state
4-6
4/Messages and Troubleshooting
Screen Function
ENTER CAL Allows operator to view and alter the calibration constants
directly.
PNEUM Allows direct control over the pump and solenoids to aid in
diagnosing problems with the pneumatics system.
TESTS Accesses tests of the analog output and the RS-232 port.
CAL Allows calibration of the barometer, PAW, and sample flow,
which are less frequently required.
“ACX Status” is the hex or decimal representation of binary data indicating status
bit condition of the gas analyzer. The number is the sum of the following powers
of 2 with the indicated meanings.
ACX status
Hex Decimal Description
8000 32768 Gas measuring disabled
(motor or lamp off)
4000 16384 Motor not running
(out of sync, or accelerating)
2000 8192 EEPROM writing not complete
1000 4096 Initial AGC control
800 2048 Gas sampling disabled
400 1024 Open gas circuit
200 512 Occlusion
100 256 Averaging on
80 128 00= halothane, 10=isoflurane,
40 64 01=enflurane
20 32 Temperature sample frozen
10 16 Pressure sample frozen
8 8 Agent sample frozen
4 4 N2O sample frozen
2 2 O2 sample frozen
1 1 CO2 sample frozen
Some of these values (such as occlusion and open gas circuit) are not relevant in
the RGM, because it has its own pneumatics sensing and control. For example, a
normal ACX status would be 1090 (44216 ), which means open gas circuit, oxygen
sample frozen, and enflurane selected (1024 + 64 + 2).
4-7
5250 RGM Service Manual
The gas analyzer is considered to have failed if any of the bits in the mask 08FF
are set in the ACX error status.
4-8
4/Messages and Troubleshooting
4-9
5250 RGM Service Manual
Zero
Input
CO2
N2O O2 Purge
Agent O2 Sample
Sample Zero Sample
Inlet Exhaust
Valve Sensors Valve Sensor Valve Pump
On this screen, the pump can be toggled ON and OFF. Also, all valves (zero,
purge, and O2) can be individually controlled. The best method for leak testing is
to set the purge valve on, pump on, zero valve off, and to block the sample inlet.
Then to localize a leak, use hemostats or needle-nose pliers to pinch the tubing
from the pump, to the purge valve, then to the line, then to the water separator,
then to the zero valve, then to the gas analyzer, then to the O2 sensor. When the
flowmeter drops to zero there isn't a leak. When the flowmeter doesn't go to zero,
you've located the leak.
4-10
4/Messages and Troubleshooting
4-11
5250 RGM Service Manual
Bits Status
0-3 CO2 breath bar graph
4 PAW breath indicator
Bit # 0 1 2 3 4 5 6 7 8 9 5 O2 solenoid
6 Purge solenoid
7 Zero solenoid
8 Watchdog failure
9 Spare solenoid valve
1 2 3 4 5 6 7 8 9 10
If poweron halts with the LED bar's lights 1 If, during poweron, the LED bar's light 8
and 8 set, the RAM test has failed and the flashes slowly and repeatedly, a
signal processor board should be replaced. watchdog failure has occurred and the
signal processor board, signal processor
ROM cartridge, or power supply should
be replaced.
Figure 4-4. Communications, signal processor, or power supply fail and LED status
4-12
4/Messages and Troubleshooting
4-13
5250 RGM Service Manual
4-14
4/Messages and Troubleshooting
4-15
5250 RGM Service Manual
4-16
4/Messages and Troubleshooting
4-17
5250 RGM Service Manual
Notes
4-18
5/Repair Procedures
This chapter contains:
• Maintenance schedule.
• Datex-Ohmeda service policy.
• Procedures for removing and replacing parts.
Important: If the cover is removed for any test or repair procedure, always
perform the Functional checkout (section 3.1) and Leakage current and ground
resistance checks (section 3.13) before returning the unit for patient monitoring.
5-1
5250 RGM Service Manual
Note: Refer to the 5250 RGM Operation and Maintenance Manual for the following:
• Software replacement
• Signal processor software replacement
• Display panel software module replacement
• Sample filter cartridge replacement
• Internal O2 sensor replacement
• Circuit O2 sensor assembly and cartridge replacement
• Flow transducer cartridge replacement
• Flow sensor clip replacement
• Line fuse replacement
Do not use malfunctioning equipment. Make all necessary repairs or have the
equipment repaired by a Datex-Ohmeda service representative. For all repairs, use
only genuine replacement parts and service kits sold by Datex-Ohmeda.
1. Clean the equipment as described in section 1.7 of this manual. The unit
must be thoroughly dry before you pack it for shipment.
2. Package the monitor carefully for shipment (in the original shipping container,
if possible).
3. When you call for assistance, verify the shipping requirements. You may be
required to include the following items:
• A letter describing the problem in detail.
• Person to contact for questions about necessary repairs (name, telephone
or fax number, and country).
• Ship to and Bill to information.
• Warranty information (a copy of the invoice or other applicable
documentation).
• Purchase order number for tracking purposes or to cover repairs (if out of
warranty).
4. Ship the monitor as directed by your service office.
5-2
5/Repair Procedures
WARNING: Electrical shock hazard. Before cleaning or repairing the monitor, power it off and
disconnect it from AC mains power.
WARNING Biohazard. When handling materials that may have come into contact with patient
exhalant or fluids, follow approved procedures for contamination control.
5-3
5250 RGM Service Manual
Mounting screw
5-4
5/Repair Procedures
1. If access to the display cable assembly is required, remove the RGM cover
assembly. See section 5.3.
2. Remove the display panel from the RGM.
• Press the Display Release push button.
• Slide the display panel to the right until the alignment marks in the trap
area and on the upper right side of the display line up.
3. Gently lift the display straight up and pull the bottom away from the chassis.
4. Reattach the display panel to the RGM.
• Coil the cord in the cord storage box.
• Insert the top of the display, positioning the alignment marks at the top.
• Gently push the bottom towards the chassis.
5. Slide the display to the left until the latch clicks.
WARNING: Electrical shock hazard. Before cleaning or repairing the monitor, power it off and
disconnect it from AC mains power.
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5250 RGM Service Manual
5. Carefully separate the front and back portions of the display panel about an
inch. Note the ribbon cables connecting the two sections.
6. Fold open the two halves of the display so the short ribbon cable is not
strained.
7. Remove the screw connecting the cable shield wire to ground.
8. Remove the grommet for the display cable and remove the cable.
9. Replace with the new cable, making sure to replace the grommet and
connector J4.
10. Carefully reassemble the front and back portions of the display panel.
11. Replace the four mounting screws and hardware from the display panel.
12. Reinstall the toroid enclosure by snapping it into position.
Revision level
WARNING: Electrical shock hazard. Before cleaning or repairing the monitor, power it off and
disconnect it from AC mains power.
5-6
5/Repair Procedures
6. Remove the speaker connector (J3) from the display processor board.
7. Carefully remove the ribbon cable connector (J3) from the display processor
board by grasping the connector and pulling away from the board.
8. Carefully remove the ribbon cable connector (J1) from the display processor
board by releasing the latch on the connector and pulling away from the
board.
9. Carefully remove the ribbon cable connector (J2) from the display processor
board by releasing the latch on the connector and pulling away from the
board.
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5250 RGM Service Manual
7. View the display from the front for alignment within the bezel. Confirm that
the short flex cable is oriented towards the top.
8. Reassemble the display brackets and screws.
9. Place the EL bracket (loose) assembly into the bezel and carefully tighten the
four 4-40 screws.
10. Check the touch panel alignment from the front side of the bezel.
11. Slide the speaker into position using the foam tape as a wedge between it and
the bracket.
12. Reassemble the display panel as described in the following section.
5-8
5/Repair Procedures
5-9
5250 RGM Service Manual
5-10
5/Repair Procedures
Note: The toroid assembly includes the bracket, power input module, fuse block,
and terminal block (and cable to front panel switch), which are replaced at the
same time. Save all mounting hardware for installation of the new assembly.
A6-GND
(Rear Panel)
A5-P4
(Power Module)
A5-E1
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5250 RGM Service Manual
18. Connect the ground wire to the RGM chassis. See Figure 5-6.
19. Install the three mounting nuts securing the toroid bracket assembly to the
RGM base.
20. Replace the power supply board assembly making sure all connections to the
toroid terminal strip are correct. Reconnect J1, J3, J4, and the fan power
connection.
21. Reinstall the back panel and secure the two top screws and two bottom screws.
22. Reinstall the back panel and secure the two top screws and two bottom screws.
23. Check out the RGM as described in section 3.1, Functional checkout, before
returning to service.
5-12
5/Repair Procedures
10. When replacing the power supply board assembly, make sure all connections
to the terminal strip are correct.
11. Reconnect J1, J3, and J4.
5-13
5250 RGM Service Manual
1. Enter the Service Mode screen and access the Enter Calibration Constants screen.
Note: It is desirable to move the calibration constants from the old to the new
board. This can only be done if the old board will communicate with the
display. So, if there is no COMMUNICATIONS FAIL message, access the Enter
Calibration Constants screen and write down the “m” and “b” columns for all
channels except internal temperature.
To reach the Enter Calibration Constants screen from the main screen, touch
MENU, then SETUP, then SERVICE MODE, then “on,” and finally ENTER CAL.
2. Record the values from the columns titled m and b for the following
parameters:
m b
Agent ------------------------- -------------------------
Barometric pressure ------------------------- -------------------------
CO2 carbon dioxide ------------------------- -------------------------
N2O nitrous oxide ------------------------- -------------------------
Internal temperature ------------------------- -------------------------
O2 internal oxygen ------------------------- -------------------------
O2 circuit oxygen ------------------------- -------------------------
PAW pressure airway ------------------------- -------------------------
Sample flow rate ------------------------- -------------------------
5-14
5/Repair Procedures
After repairs are complete, perform the checkout procedure as specified in the
5250 RGM Operation and Maintenance Manual and retest the RGM leakage
current as described in section 3.13, Leakage current and ground resistance
checks.
Battery replacement
Use this procedure if all calibration constants, configurations/setup choices, and
time/date information are lost.
Note: If the battery clip is loose, calibration constants can be lost. Verify that the
clip tightly secures the battery.)
1. Disconnect all power to the RGM; then remove the signal processor board.
2. Connect a DVM between the terminal labeled B1 (+lead, which is located
beneath the gray adhesive battery cover) and TP12 (Grd).
3. The battery must measure at least 3.0 V. If it is below 3.0 V, replace the
battery, recalibrate the RGM, barometric pressure, PAW , flow, gases, and enter
the proper time and date information. To obtain a new battery, order part
number 6050-0001-459.
After replacing the battery and calibrating the respective parameters, power off
the RGM. Power on the RGM and verify that no RECALIBRATE messages appear.
5-15
5250 RGM Service Manual
Measurement Board
SpO2 Board
Signal Processor
Board
Figure 5-9. Signal processor, SpO2, and measurement circuit board removal
5-16
5/Repair Procedures
CAUTION: This circuit board is subject to damage by static electricity. Handle only at an approved
static-control workstation.
5.8.5 Motherboard
Refer to Figure 5-9 and to the illustration in section 6.9.2.
CAUTION: This circuit board subject to damage by static electricity. Handle only at approved
static-control workstation.
5-17
5250 RGM Service Manual
5-18
5/Repair Procedures
5-19
5250 RGM Service Manual
5-20
5/Repair Procedures
5-21
5250 RGM Service Manual
5-22
6/Illustrated Parts List
Section Page
6.1 5250 main unit assembly...........................................................................................6-2
6.1.1 Parts list ..................................................................................................................6-2
6.1.2 Illustration .............................................................................................................6-3
6.2 Access panel assembly................................................................................................6-4
6.2.1 Parts list ..................................................................................................................6-4
6.2.2 Illustrations, front and back...............................................................6-5, 6-6
6.3 Display filter PCA...........................................................................................................6-7
6.3.1 Parts list ..................................................................................................................6-7
6.3.2 lllustration.............................................................................................................6-7
6.4 Display assembly............................................................................................................6-8
6.4.1 Parts list ..................................................................................................................6-8
6.4.2 Illustration .............................................................................................................6-8
6.5 Rear panel assembly ....................................................................................................6-9
6.5.1 Parts list ..................................................................................................................6-9
6.5.2 Illustration .............................................................................................................6-9
6.6 Signal processor board.............................................................................................6-10
6.6.1 Parts list ...............................................................................................................6-10
6.6.2 Illustration ..........................................................................................................6-10
6.7 Pneumatics assembly................................................................................................6-11
6.7.1 Parts list ...............................................................................................................6-11
6.7.2 Illustration ..........................................................................................................6-12
6.7.3 Pneumatics interface board parts list ................................................6-12
6.7.4 Pneumatics routing.......................................................................................6-13
6.8 Photometer and O2 sensor assembly...............................................................6-14
6.8.1 Parts list ...............................................................................................................6-14
6.8.2 ACX 200 illustration .....................................................................................6-14
6.9 Motherboard...................................................................................................................6-15
6.9.1 Parts list ...............................................................................................................6-15
6.9.2 Illustration ..........................................................................................................6-15
6.10 Toroid assembly ...........................................................................................................6-16
6.10.1 Parts list ...............................................................................................................6-16
6.10.2 Illustration ..........................................................................................................6-16
6.11 Water trap sensor assembly..................................................................................6-17
6.11.1 Parts list ...............................................................................................................6-17
6.11.2 Illustration ..........................................................................................................6-17
6.12 SpO2 (MINX) oximetry assembly ......................................................................6-18
6.12.1 Parts lists.............................................................................................................6-18
6.12.2 Illustration ..........................................................................................................6-18
6.13 Upgrade kits ...................................................................................................................6-18
6.14 Special service tools...................................................................................................6-18
6.15 Optional service parts and PCA Drawing Service Kit...........................6-19
6.16 Additional parts............................................................................................................6-19
6-1
5250 RGM Service Manual
Italy 6030-0000-002
6-2
6/Illustrated Parts List
5 9 4
Barometric 2
Pressure
Transducer
1 3 PL
3
14
7
6
13
(beneath power
8 supply)
12
10 11
6-3
5250 RGM Service Manual
6-4
6/Illustrated Parts List
23
24
21
22
12
15
10
7
14
13
6-5
5250 RGM Service Manual
Item 17 (REF)
Item 31 (REF)
.25 ± .067 SpO2 cable assembly installed
.50 (REF)
Detail "D"
Scale: none VIEW B-B
17
19
16
VIEW A-A
PAW inlet tubing (installed)
Water trap flow
17
cable assembly
(installed)
Display release
arm (installed)
Compression
spring (installed)
Push button (installed)
6-6
6/Illustrated Parts List
6-7
5250 RGM Service Manual
9
9 12
11 10
10
4 3
1
6-8
6/Illustrated Parts List
6-9
5250 RGM Service Manual
TP12 TP4
TP7
TP13
TP6 TP8
TP9
TP20 TP14
TP11 TP15
TP10
TP16 TP17
TP19 TP18
6-10
6/Illustrated Parts List
* The long Nafion tubing is not included in the tubing kits. It is not needed.
6-11
5250 RGM Service Manual
6-12
6/Illustrated Parts List
6-13
5250 RGM Service Manual
Note: The PC board in the old cap must be transferred to the new cap.
1 4
5
9
10
6
7
6-14
6/Illustrated Parts List
6.9 Motherboard
6.9.1 Parts list
Item Part number
Motherboard PCA................................................................................................6050-0004-053
JJ77
J11
J8
O
OFF
FF ON
SW1
J9
J10
J1 J2
PCA, MOTHERBOARD,
CE, 5250
6050-0003-678
SERIAL NO. XXXXXX
6-15
5250 RGM Service Manual
6-16
6/Illustrated Parts List
2 Places
6-17
5250 RGM Service Manual
J2
U24
Processor
U26
EPROM
J1
6-18
6/Illustrated Parts List
O2 measurement
Item Part number
Patient circuit O2 sensor kit (cartridge not included) ....................0237-2030-700
O2 in-airway tee adapter, 22 mm................................................................6050-0001-222
O2 tee adapter, 22 mm......................................................................................0212-0763-100
Dome adapter kit..................................................................................................0236-0035-800
O2 sensor cartridge .............................................................................................0237-2034-700
6-19
5250 RGM Service Manual
Pressure sampling
Item Part number
Pressure sensing installation kit for GMS absorber .........................0236-6152-870
Volume measurement
Item Part number
Flow transducer cartridge (package of 10)............................................0237-2228-870
Flow sensor clip assembly
244 cm (96 in.)...............................................................................................6050-0001-853
488 cm (192 in.) ............................................................................................6050-0002-206
6-20
Appendix A/Material Safety Data Sheets (MSDS)
A. O 2 sensor (page 1 of 3)
Proprietary: NO
Ingredient: ACETIC ACID, POTASSIUM SALT; (4N SOLUTION POTASSIUM
ACETATE), LEAD (Pb) PURE
Ingredient Sequence Number: 01
NIOSH (RTECS) Number: AJ3325000
CAS Number: 127-08-2 & 7439-92-1
OSHA PEL: N/K (FP N)
ACGIH TLV: 8 ML (MFR)
A-1
5250 RGM Service Manual
A. O2 sensor (page 2 of 3)
Stability: YES
Cond To Avoid (Stability): NONE.
Materials To Avoid: NONE KNOWN.
Hazardous Decomp Products: NONE KNOWN.
Hazardous Poly Occur: NO
Conditions To Avoid (Poly): NOT RELEVANT.
A-2
A/Material Safety Data Sheets
A. O2 sensor (page 3 of 3)
The information set forth in this Material Safety Data Sheet is furnished free of charge for use by qualified employees of the user. All such
information is furnished for the independent investigation and verification thereof by the user. NO GUARANTEE OR WARRANTY (INCLUDING
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE) OF ANY KIND IS MADE WITH RESPECT TO SUCH INFORMATION OR THE
ACCURACY OR RELIABILITY THEREOF, OR WITH RESPECT TO THE PRODUCT COVERED BY SUCH INFORMATION. The manufacturer assumes no
liability for any damages (whether incidental, consequential, special or otherwise) whatsoever arising out of or in connection with the use of
such information or product, and all such use shall be at the user’s sole risk.
A-3
5250 RGM Service Manual
SECTION I – IDENTIFICATION
Material Volume% CAS No. OSHA PEL ACGIH MAC Other STEL
Halocarbon 23 1.75 75-46-7 S/A S/A S/A S/A
Carbon Dioxide 6 124-38-9 5000 ppm 90/91 5000 5000 30000
Oxygen 50 7782-44-7 NE NE NE NE
Nitrous Oxide 40 10024-97-2 S/A S/A S/A S/A
Argon 2.25 7440-37-1 S/A S/A S/A S/A
Appearance: Colorless
Odor: Slightly sweetish taste and odor.
Physical state: Gas
Vapor pressure: N/A
Vapor density (air = 1.0): 1.38
Boiling point (C): Gas
Solubility in water % by weight: 4.89 cm3/100 cm3
Appearance and odor: Colorless and odorless
Specific gravity (H2O=1): Gas
Evaporation rate: Gas
A-4
A/Material Safety Data Sheets
Emergency Overview
High pressure oxidizing gas
Vigorously accelerates combustion
Can increase respiration and heart rate.
Can cause anesthetic effects.
A-5
5250 RGM Service Manual
Clean up procedures: Evacuate and ventilate area. Remove leaking cylinder to exhaust
hood or safe outdoor area. Shut off source if possible and
remove source of heat.
Specialized equipment: None.
Precautions to be taken in handling: Secure cylinder when using to protect from falling. Use suitable
hand truck to move cylinders. No part of cylinder should be
exposed to temperatures above 52 ºC (125 ºF). Use only oxy-gen
cleaned equipment. Avoid oils and greases. Oxygen reacts
violently with hydrocarbons particularly at high pressure.
Precautions to be taken in storing: Store in well ventilated areas away from combustibles. Keep
valve protection cap on cylinders when not in use.
A-6
A/Material Safety Data Sheets
The information set forth in this Material Safety Data Sheet is furnished free of charge for use by qualified employees of the user. All such
information is furnished for the independent investigation and verification thereof by the user. NO GUARANTEE OR WARRANTY (INCLUDING
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE) OF ANY KIND IS MADE WITH RESPECT TO SUCH INFORMATION OR THE
ACCURACY OR RELIABILITY THEREOF, OR WITH RESPECT TO THE PRODUCT COVERED BY SUCH INFORMATION. Scott Medical Products
assumes no liability for any damages (whether incidental, consequential, special or otherwise) whatsoever arising out of or in connection
with the use of such information or product, and all such use shall be at the user’s sole risk.
A-7
5250 RGM Service Manual
Notes
A-8
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Louisville CO 80027-9560 USA
1 303 666 7001