Capnograph Service Manual Mme: SOO Mpp ’ ( I Catalog Number 1895 Version 2 September 2000 Copyright SIMS BC, Inc. - 2000Tablo of Contents CCAPNOGRAPH SERVICE MANUAL Proprietary Notice. WARRANTY... “Limited Warranty Disclaimer of Warranties. Limitat ‘Warranty Procedure, CE Notice... Chapter 4: Introduction Intended Use... ‘Symbol! Definitions... A Warnings, Cautions, and Notes. ‘Warnings... Cautions... Notes Chapter 2: Product Description 20652181 Main Processor Board Power Supplies se ‘Microprocessor and Memory External Timer Circuitry .. Printer Interface... Front Panel Interface ‘COMET CO? Sensor (Bench). Analog Acquistion Cire... Display Interface ‘Speaker Drive Circuitry... Pump Control. . Vaive Contro! Serial interface... Product Description... “Theory of Operation Product Specifications. ‘Data Provided tothe Host System... Data Provided From the Host System (Protocol it and Protocol #2). Data Provide From the Bost Sytem (Pract 3) Power Requirements, om Diimensions.roons Serial Communications Specification ‘Communication Protocols. Communication Protocol #1. Communication Protocol #2 Communication Protocol #3... Capnograph Service Manual fiTable of Contents: Serial Communication Notes - Protocol iI and Protocol #2. ‘Oximeter Transmitted Data ~ Protocol #1... a Oximeter ‘Transmitted Data ~ Protocol #2 Oximeter Received Data — Protocol #1 and Protocol Serial Communication Notes ~ Protocol #3 Slow Data Packet Format Slow Data Message Format. Fast Data Message Format, Pin Description... Jumper Settings. Probes . Checking Pulse Oximeter Demonstration Software. Chapter 4: C0 Theory of Operation ‘Theory of Operation... ‘Measuring CO;, Measuring Respiration Rate Nz0 Compensation. Chapter 5: Pneumatics and CO; Calibration 54 ‘Connecting a Non-Recirculating Scavenging System Checking for Leaks Calibrating the Capnograph Low Calibration 0 Lowiligh Calibration . Chapter 6: Printer Sutin Printer Sotup .. Printer Menu Printer/Output Chapter 7: Routine Maintenance 7A ‘Charging the Battery... ‘Cleaning and Disinfecting. Maintenance Chart. Long Term Storage General Cleaning Performance and Safety Chocks. Inspecting the System... Cables and Cords Chapter 8: Troubleshooting ‘Troubleshooting the Occlusion LLow Priority Alar i ‘Capnograph Service ManuelChapter 9: Supplies, Accessories & Specifications ‘Supplies and Accessories Ordering Information.. Specifications. Capnograph Peripheral Pulse Rate. Pulse Strength... ‘Alarm Limits Ranges.. Serial Output Power. Ph oa Environment. ieee eer eS Appendix: Parts Lists, Assembly Drawings Appendix-1 ‘Capnograph Service Manual aCE Notice Conditions of Warranty ‘This warranty is void if the Product has been altered, misused, damaged by neglect or accident, not properly maintained or recharged, or repaired by persons not authorized by Seller. Misuse includes, but is not limited to, use not in compliance with the labeling or use with accessories not manufactured by Seller. This warranty does not ' cover normal wear and tear and maintenance items, Limitation of Remedies ‘The original purchaser’s exclusive remedy shall be, at Seller’s sole option, the repair or replacement of the Product. THIS IS THE EXCLUSIVE REMEDY. In no event will Seller’s liability arising out of any cause whatsoever (whether such cause is hased in contract, negligence, strict liability, tort or otherwise) exceed the price of the Product and in no event shall Seller be responsible for consequential, incidental or special damages of any kind or nature whatsocver, including but not limited to, lost business, revenues and profits. Warranty Procedure To obtain warranty service in the USA, you must request a Customer Service Report (CSR) number from Technical Service, Reference the CSR number when returning your Product, freight and insurance prepaid, to: SIMS BCI, Ine., N7 W22025 Johnson Road, Waukesha, WI 53186-1856. Telephone: 1-800-558-2345, Facsimile: 262- 542-3325. Seller will not be responsible for unauthorized returns or for loss or damage to the Product during the return shipment, ‘The repaired or replaced Product will be shipped, freight prepaid, to Purchaser. CE Notice Marking by the symbol C €y473 indicates compliance of this device to the Medical Device Directive 93/42/EEC. Authorized Representative (as defined by the Medical Device Directive): | SIMS Graseby Limited Phone: (44) 1923 246434 Colonial Way, Watford, Herts, Fax: (44) 1923 240273 | UK, WD2 4LG | Capnograph Service Manual vProprietary Notice Proprietary Notice Information contained in this document is copyrighted by SIMS BCI, Inc. and may not be duplicated in full or part by any person without prior written approval of SIMS BCI, Inc. Its purpose is to provide the user with adequately detailed documentation to efficiently install, operate, maintain, and order spare parts for the device supplied. Every effort has been made to keep the information contained in this document current and accurate as of the date of publication or revision. However, no guarantee is given or implied that the document is error free or that it is accurate with regard to any specification. WARRANTY Limited Warranty Seller warrants to the original purchaser that the Product, not including accessories, shall be firee from defects in materials and workmanship under nofmal use, if used in accordance with its labeling for two years from the date of shipment to the original purchaser. Seller warrants to the original purchaser that the reusable oximeter sensors supplied as accessories, shall be free from defects in materials and workmanship under normal use, if used in accordance with its labeling for one year from the date of shipment to the original purchaser (USA ). Disclaimer of Warranties ‘THE FOREGOING EXPRESS WARRANTY, AS CONDITIONED AND LIMITED, IS IN LIEU OF AND EXCLUDES ALL OTHER WARRANTIES WHETHER EXPRESS OR IMPLIED, BY OPERATION OF LAW OR OTHERWISE, INCLUDING BUT NOT LIMITED TO, ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Seller disclaims responsibility for the suitability of the Product for any particular medical treatment or for any medical complications resulting from the use of the Product. This disclaimer is dictated by the many clements which are beyond Sellet’s control, such as diagnosis of patient, conditions under which the Product may be used, handling of the Product after it leaves Seller’s possession, execution of recommended instructions for use and others. . ‘Capnograph Service ManualChapter 1: Introduction Intended Use: (Chapter 1: introduction ‘The Capnograph is a low cost COz monitor with oximetry and optional external printer, It may be used in the hospital or clinical environment, and during emergency land transport. Tt is not intended for use in the home. It is intended to be used in all critical environments, including ventilatory applidations, patient ground transport, provides end tidal CO2 (ET COz) inspired CO2 (in COg) and respiration rate ‘measurenaents on all patients from pediatric to adult. ‘The oximetry parameter works with all SIMS BCI, Inc. oximetry sensors, providing %SpO2 and pulse rate on all patients from pediatric to adult, The Capnograph permits continuous patient monitoring with adjustable alarm limits as well as visual and auditory alarm signals. It EMS (Emergency Medical Services) and anesthesia. The capnogtaphy parameter is not intended nor designed to be used as an apnea monitor. Symbol Definitions ‘SYMBOL, fw ‘Type OF equipment. ‘Attention, consult accompanying documents. Refer servicing to qualified service personnel Input voltage Printer output Direct Gurrent ‘Alarm Silence ‘On/of ‘Wavotorm/Trend or Menu Exit ‘MenufEnter Up or Down arrows Battory Power Extemal Power/Baltery Ellminator Non AP Device Breath Indicator Date of Manufacture [> elola 2 bees balo> P| 8 Drip Proof High Alarm Limit indicator Pulse Rate Low Alarm Limit Indicator Respiration Rato Use By ALL, KIA ‘Alaa ‘Capnograph Service ManualChapter 1: Introduction A Warnings, Cautions, and Notes KEYWORD DEFINITION WARNING | Tells you about something that could hurt the patient or hurt the operator. CAUTION __ | Tells you about something that could damage the monitor. NOTE ‘Tells you other important information.” Warnings WARNING: Federal law (USA) restricts the use or sale of this device by, or on the order of, a physician. WARNING: Do not use this device in the presence of flammable anesthetics. WARNING: Do not autoclave, ethylene oxide sterilize, or immerse in liquid. Unplug before cleaning or disinfecting. : WARNING: ELECTRICAL SHOCK HAZARD when cover is removed. Do not remove covers. Refer servicing to qualified personnel. WARNING: Use only $pO, sensors supplied with, or specifically intended for use with, this device. WARNING: Do not use this device in the presence of magnetic resonance imaging (MR or MRI) equipment. WARNING: Do not plug the monitor into an outlet controlled by a walll switch. WARNING: This device must be used in conjunction with clinical signs and symptoms. This device is only intended to be an adjunct in patient assessment. WARNING: In the event that earth ground integrity is lost, the performance of this, device and/or other devices nearby may be affected due to excessive RF emissions. WARNING: Prolonged use or the patient’s condition may require changing the SpO2 sensor site periodically, Change sensor site and check skin integrity, circulatory status, and correct alignment at least every 4 hours. WARNING: When attaching SpO2 sensors with Microfoam® ! tape, do not stretch the tape or attach the tape too tightly. ‘Tape applied too tightly may eause inaccurate readings and blisters on the patient's skin (lack of skin respiration, not heat, causes the blisters). 1 pierofoen is a registered trademark ofthe 3M Company. ‘Capnograph Service ManualChapter 1: Introduetion WARNING: Any monitor that has been dropped or damaged, should be inspected by qualified service personnel, prior to use, to insure proper operation. WARNING: The capnography parameter of this monitor is not for use on Neonates. WARNING: This monitor is not for use as an apnea monitor. WARNING: This monitor is not intended for use jn Sleep Study environments. ‘WARNING: This monitor is not for home use. WARNING: Remove device batteries prior to long term storage. WARNING: When connecting to or communicating with this monitor, verify proper operation before clinical use, Refer to the instrument's user manual for full instructions. Accessory equipment connecting to or communicating to the monitor's data interface must be certified according to the respective IEC standards, i.e, IEC 950 for data processing equipment or IEC 601-1 for electromedical equipment. All combinations of equipment must be in compliance with IRC 601-1-I systems requirements. WARNING: IEC 950 approved equipment including the HP82240B printer must be placed outside of the "patient environment". The patient environment is defined as an area 1.5m (4.92 feet) from the patient. See Chapter 10: Printer Ouput illustration 103. WARNING: Patient safety can be comprimised by the use of a power supply not be supplied by SIMS BCT, Inc, Use only the power supply included with your monitor, or j approved by SIMS BC, Inc. q Cautions i CAUTION: Ensure the device's AC rating is correct for the AC voltage at your installation site before using the monitor. The monitor's AC rating is shown on the external power supply. If the rating is not correct, do not use the monitor; contact SIMS BCI, Ine. service department for help. CAUTION: This device is intended for use by persons trained in professional health care, The operator must be thoroughly familiar with the information in this manual before using the monitor. CAUTION: Do not allow water or any other liquid to spill onto the thonitor. Unplug the external power supply from the monitor before cleaning or disinfecting the monitor. CAUTION: Should the device become wet, wipe off all moisture and allow sufficient time for drying before operating. ‘Cannograph Service Manual 73Chaptor 1: Introduction CAUTION: Do not use the device without the appropriate filter attached. Use of any other filter will cause degradation in performance, and/or permanently damage the device, CAUTION: It is the operator’s responsibility to set alarm limits appropriately for each individual patient. CAUTION: If the accuracy of any measurement is in question, verify the patient’s vital sign(s) by an alternative method and then check the monitor for proper functioning. CAUTION: Pump motors in the C02 monitor may adversely affect other medical equipment, e.g. ECG tracings. CAUTION: The monitor should be operated from its internal power source if the integrity of the protective carth conductor is in doubt. CAUTION: Follow local governing ordinances and recycling instructions regardi disposal and recycling of device components. ing CAUTION: The monitor contains a 6-hour Lithium Ion (LI+) battery. If the battery fails to hold a charge or otherwise becomes inoperable, the battery should be replaced and the old battery should be disposed of properly. Consult local officials for information about the proper disposal of the Lithium Ion battery. SIMS BCI, Inc. cannot dispose of monitor batteries. CAUTION: Pressing front panel keys with sharp or pointed instruments may permanently damage the keypad. Press front panel keys only with your finger. CAUTION: Do not disassemble unit, it contains no user serviceable parts. Refer to qualified service personnel. Notes NOTE: Dyes introduced into the bloodstream, such as methylene blue, indocyanine green, indigo carmine, and fluorescein, may cause an inability to determine accurate ‘SpOp readings. NOTE: Any condition that restricts blood flow, such as use of a blood pressure cuff or extremes in systemic vascular resistance, may cause an inability to determine accurate pulse and SpO, readings, NOTE: Operation of this device may be adversely affected in the presence of conducted transients or strong EM or RF sources, such as electrosurgery and electrocaudery equipment, x-rays, and high intensity infrared radiation. NOTE: Significant levels of dysfunctional hemoglobins, such as carboxyhemoglobin or methemoglobin, will affect the accuracy of the SpO; measurement. 4 (Capnograph Sorvice ManualChapter 1: Introduction NOTE: SpOp measurements may be adversely affected in the presence of high ambient light. Ifnecessary, shield the sensor area (with a surgical towel, for example). NOTE: Remove fingernail polish or false fingernails before applying SpO2 sensors. Fingernail polish or false fingernails may cause inaccurate SpO> readings. NOTE: All user and patient accessible materials are non-toxic. NOTE: Hazards arising from software errors have’been minimized. Hazard analysis was performed to meet EN1441: 1997. NOTE: Each input and output connection of the monitor is electrically isolated. NOTE: Performance and safety test data are available upon request. NOTE: To comply with government requirements for patient monitoring, the indefinite high priority alarm, medium priority alarm and low priority alarm tone silence feature may not be available in monitors shipped to your country. NOTE: Capnograph patient attachments, sample lines, and filters are disposable, single-patient use items. Use a new patient attachment, filter and sample line for each new patient. NOTE: Discard and replace the patient attachment if it becomes occluded. If an air leak is noted, check all patient connections. If the air leak persists, discard and replace the patient attachment. NOTE: When using the AC battery eliminator, the Capnograph is a class Il device with functional earth. This earth connection is for device electromagnetic compatibility and does not provide protection to the patient or user. NOTE: InC0, is only displayed in the message line if it has exceeded its alarm limit, NOTE: The presence of anesthetic agents may cause CO» readings to deviate beyond specified tolerances NOTE: Do not use monitor while nebulized medications are being administered. NOTE: The low SpO, alarm limit minimum test value is 80. If an operator changes the low SpO, alarm limit to a value less than 80, and a power down - power up sequence takes place, a minimum value of 85 takes the place of the operator entered value, . NOTE: Alarm settings are maintained when power is tumed off. If the low Sp02 setting is less than 80, the setting is changed to 85 at power up. NOTE: Optical cross-talk can occur when two or more sensors are placed in close proximity. It can be eliminated by covering each site with an opaque material. ‘Capnograph Service Manual 16(Chapter 2: Product Description Chapter 2: Product Description ‘The Capnograph is a portable handheld monitoring device. It provides side stream end tidal CO2 and SpO2 measurement capability, CO2 is measured with a self-contained low power CO2 sensor provided by CPT Inc. SpO2 measurements are made using the standard SIMS BCI, Inc. business card oximeter board. The parameters ean be displayed in numerical and graphical format on a 160 x 160 pixel LCD display. Control of the unit is provided through a front pariel keyboard. The unit is powered by asingle 7.4V lithium-ion rechargeable battery. ‘The Capnograph circuitry is located on four assemblies: the main processor board (20652B1), the SpO2 daughter board (71552B1), and the LCD display board (20653B1), and the front panel keyboard (20683B1). The main processor board operation is the subject of this document. | ‘The main processor board is the most fundamental component in the system, All other cireuit boards and components are considered peripherals to the main processor board. One of the design goals of the Capnograph was to incorporate as mich on the main board as possible. ‘The main board contains the CPU and memory for program execution, the drive circuitry for the display, pump, valve, and speaker, the interfaces for the $pO2 daughter board, the CO2 bench, ambient light detector, and extemal RS232 communications. The front panel interface cireuitry is located on the main board. A series of power supply circuits to power all the above systems also reside on the board. ‘The 71552B1 oximetry board provides complete SpO2 capability including the probe interface, signal detection, SpO2 and peripheral pulse rate calculation, waveform data and error and status codes. It is the same board that is used in the 9200 Advisor to provide SpO2 functionality. The 71552B1 requires that the host system provide patient isolation. For a more detailed description of the operation of this assembly refer to the 71552B1 theory of operation. { ‘The LCD display board (SIMS BCI, Inc. p/n 20653B1) provides the main display for i the user interface. It is a 160x160 pixel LCD dot matrix display. Circuitry on the | main processor board interface to the display board and control the display on a pixel | by pixel basis. The 20651 provides an AC voltage signal for the EL backlight that is included in the Pic View assembly. For more information refer to the 20653B1 PicView display documentation, ‘The front panel keypad provides pushbuttons used for user input and the front panel LED indicators. It is comprised of a combination of membrane switthes and LED indicators fabricated on a flex cireuit assembly. The membrane switches are a series of normally open, momentary switches. The main processor board responds to the | closure of each switch. The LEDs located on the keypad assembly are driven by i circuitry on the main processor board. For more information on the front panel keypad ! assembly, refer to the 2068381 documentation. Capnograph Service Manual atChapter 2: Product Description 20652B1 Main Processor Board ‘The main processor board is the main circuit board in the Capnograph system. It consists of the following sections: Power Supplies Microprocessor and Memory External Timer Circuitry Printer Interface Front Panel Interface Ambient Light Interface Bench Analog Acquisition Circuitry Display Interface Speaker drive circuitry Pump Control Valve Contrel Serial Interface Battery voltage, +5V switching power supply, 45Vbench lincar‘supply, -V adjustable LCD bias voltage, -SVA. 68HC8I2A4 pC, 128Kx16 Flash memory, 32Kx16 Static RAM. ‘HPD 710541 three channel timer chip. PIC12C508 wC, IR LED drive. Switch input, LED drive, protectign circuitry. OPT101 light to voltage converter. CPT COMET bench. C02 signal amplifier, voltage reference, 4 channel A/D converter. SED 1335 display controller, 8Kx8 SRAM, high voltage EL. drive. Tone, volume, slew rate control. High current drive. High, low current drive. Printer channel, SpO2 interface, data logging. Capnograph Service ManualChapter 2: Product Description Power Supplies ‘The Capnograph is powered by a single 7.4V Lithium Jon battery. A high efficiency step down DC-DC converter is used to generate +5V from the battery voltage, The +5V powers all of the digital circuitry, the display, the pump, valve and speaker drive cireuitry, and the SpO2 daughter board. The +5V provides the input for an adjustable negative power supply. The range of the negative supply is -SV to -1SV. This voltage is required for the LCD display and the voltage controls the contrast of the LCD display. The output voltage of this switching regulator is controlled by the LCDCK and LDIR signals. This negative voltage is linearly regulated to SV with a linear voltage regulator. This voltage is required by the SpO2 board, Microprocessor and Memory External Timer Circuitry ‘The Motorola 68HC812A4 processor provides a low power, fully integrated solution to the overall design of the Capnograph. The 68HC812.A4 is run i 16 bit wide mode which means that instructions are fetched 16 bits at a time. A single 16 bit wide Flash memory device (E28F200BV_T) is used to store program code, trend data, and non- volatile setup information. A single 16 bit wide static RAM (KM164000B) is used for program data space. The 68HC812A4 generates its own chip selects and bus timing signals. ‘An on board 8 bit A/D converter is used to convert ambient light and battery voltages. ‘The 68HC812A4 has an on chip background debugger capability that is used for code development and test. The background debug pins are located on connector J7, Three channels of digital timer functionality are provided with the #PD710S4L timer chip, The timer chip clock input is driven by the 68HIC812A4_E clock. One timer channel is used to generate the Microchip PIC clock. The second channel is used to generate the speaker tone. The third channel is used to generate the display synchronization signal to the processor. ‘Capnograph Service Manual 23Chapter 2: Product Description Printer Interface ‘The interface to the HP thermal printer is provided by the PICI2C508 microcontroller. ‘The PIC receives serial characters from the 68HC812A4 and converts them into the communications format that the HP printer requires. The output of the PIC drives a transistor that boosts the current drive for the IR LED. Front Panel Interface The front panel keyboard assembly connects to the main circuit board via J4 and J14. ‘The keyboard includes switches for ON/OFF, Waveform Select, Alarm Silence, Menw/Enter, Up and Down keys. Each of the keys on the keypad are normally open momentary single pole switches. ‘The assembly also contains 3 LEDs for displaying ETCO2 alarm, $pO2 alarm, and extemal power connection. The circuitry on the main circuit board drives the LEDs at the proper current levels, P-channel FET’ are used to drive the LEDs, The control signals that drive the FET gates are active low signals, ‘The circuitry surrounding the switch and LED drive connections protect the main board from potential statie discharge that is possible through the keyboard. COMET CO2 Sensor (Bench) ‘The main CO2 sensor for the Capnograph is the COMET CO? bench manufactured by CPT Ine. ‘The bench produces an output voltage that is proportional to the concentration of CO2 in the sample cell. Sample cell barometric pressure is provided with an on bench pressure sensor. Sample cell temperature is provided with an on bench temperature sensor. ‘The CO2 bench also includes an on bench EEPROM that contains factory calibration values. These values are read by the Capnograph at power up. The EECS, EBCLK, FEDAT signals are used to communicate with the bench EEPROM. Raw CO2, pressure and temperature values are manipulated with the EEPROM constants to provide calibrated CO2 Pressure and temperature values. Analog Acquisition Circuitry ‘The raw CO2 signal that is provided by the COMET bench is amplified with a non- inverting amplifier stage with a gain of 6.2. The temperature and pressure signals do not have any gain circuitry in the signal path, ‘ ‘The analog signals produced by the bench and amplifier circuitry are converted to digital codes with a 12 bit 4 channel A/D converter. ‘The converter is also driven with 2 4.096V voltage reference. This combination provides a conversion factor of | bivimY of input signal for each channel. a4 Capnograph Service ManualChapter 2: Product Description Display Interface ‘The display controller circuitry utilizes the S-MOS SED1335 Display controller. This controller uses an 8-bit data bus along with several control signals and an address line from the processor. ‘The controller uses a 10 MHz erystal to generate its system clock. This provides the maximum throughput to the display. ‘The graphics controller uses a 32Kx8 SRAM chip for its display memory. This ‘memory is separate from the RAM used by the 68HC812A4. This configuration allows refresh of the display without affecting main processor bandwidth, The host interface to the gruphics RAM is through the display controller. ‘The host sends a command to the controller for accessing the display RAM. The controller then writes/reads the data to/from the host processor. ‘This graphics access reading/writing process is tightly controtled in software to avoid pixel flicker on the display. ‘The following signals make up the display controller interface to the LCD panel connections: XDO to XD3 are the 4-bit X-driver (column drive) data outputs. These outputs are connected to the inputs of the X-driver chips. XSCL latches the data on XDO to XD3 into the input shift registers of the X-drivers on its falling edge. To conserve power, this clock halts between LP and the start of the following display line. LP latches the signal in the X-driver shift registers into the output data latches, LP is a falling-edge triggered signal and it pulses once every display line. The LP is connected to the external interrupts through a logical NAND gate. The NAND gate’s other input is used to mask off/on the interrupt when used in conjunction with the processors /NMI input, WF is the LCD panel AC drive output. The WE period is selected to be one of two values with SYSTEM SET command, YD is the data pulse output for the ¥ drivers. It is active during the last line of each frame. Data is shifted through the Y drivers be YSCL one by one to scan the display’s common connections. YDIS is the display power-down output signal, YDIS is HIGH while the display drive outputs are active, Speaker Drive Circuitry The speaker drive circuitry drives the speaker with a fundamental tone and harmonics. The circuitry has the capability of controlling the on/off slew rate of the tone as well as the volume. ‘The fundamental frequency is determined by the frequency of the TONE signal generated by the timer chip. SPKRON controls the on/off action of the speaker. /ESLEW controls the slew rate of the on/off ramp. CLICK is used to provide a key click sound when a key is pressed. The signal VOL_ PWM is ended with the TONE signal to provide a PWM style volume control. ‘Capnograph Service Manual 25‘Chapter 2: Product Description Pump Control Valve The pneumatic pump used to pull gas through the CO2 bench is a+5VDC pump. It is tured on and off with a P channel MOSFET. When the PUMPON signal generated by the 68HC812A4 goes to its active state, the MOSFET is turned on and SV is applied across the pump terminals and the pump runs. Control ‘The pneumatic valve used to switch the flow of CO2 scrubbed ambient gas or sample line gas to the CO2 bench. The valve is normally in the sample position. Energizing the valve selects the CO2 scrubbed ambient gas to pass to the sample chamber in the CO2 bench. ‘The control circuitry is similar to the pump drive circuitry. However the valve drive circuitry has a two stage drive circuit configuration. The first stage is made up of a high current P channel MOSFET. When the VALVON signal is sont active low, the high current drive MOSFET is turned on and the valve is connected directly to the SV supply. This gets the valve to the energized state quickly. At the same time that the high current MOSFET is turned on, the lower cutrent P channel MOSFET is turned on. ‘This circuit also conneets the valve to the +5V supply. In this circuit path there is 2 50 ohm resistance, This resistance limits the current through the valve and therefore the power dissipated by the valve, The valve need less current to keep it in the on state and the lower current MOSFET channel is all that is needed. Serial interface The main processor board provides two channels of asynchronous serial communications capability, One channel is used for bi-directional communication between the 68HC812A4 and the $pO2 daughter board. The second serial channel is used for unidirectional communication to the PIC12CS07. Data is transferred from the 68HC812A4 to the PIC. The PIC converts the serial data into the HP printer format. ‘An additional feature of the serial communication circuitry is that through the selection of the DIP switches, the second serial channel can be routed to provide data logging through the serial channel. 26 Capnograph Service ManualChapter 3: Pulse Oximetry Chapter 3: Pulse Oximetry Product Description ‘The SIMS BCI, Inc. 71552B1 Pulse Oximeter Board enables easy OEM integration for fast, reliable SpO, and Pulse Rate measurements on any patient, from neonates to adults, Serial communication at 4800, 9600, 19,200 Baud provides the host system with %SpOs, Pulse Rate, Signal Strength, Bargraph, Plethysmogram, and Status Bits data. The host system can send commands to control the averaging rates, synchronize the Plethysmogram waveform, and request the Oximeter software revision level. The 71552B1 Pulse Oximeter has a compact size of 3.5 inches wide by 2.0 inches deep by 0.5 inch high. An assortment of compatible Oximeter probes and patient attachments are available through SIMS BCI, Inc. Theory of Operation ‘The Oximeter determines Sp and pulse rate by passing two wavelengths of light, ‘one red and one infrared, through body tissue to a photodetector. During measurement, the signal strength resulting from each light source depends on the color and thickness of the body tissue, the probe placement, the intensity of the light sources, and the absorption of the arterial and venous blood (including the time varying effects of the pulse) in the body tissues. The Oximeter processes these signals, separating the time invariant parameters (tissuc thickness, skin color, light intensity, and venous blood) from the time variant parameters (arterial volume and $pOz) to identify the pulse rate and calculate oxygen saturation. Oxygen saturation calculations can be performed because oxygen saturated blood predictably absorbs less red light than oxygen depleted blood. (Capnograph Service Manuel aChepler 3: Pulse Oximetry Product Specifications Data Provided to the Host System 5p0; Range: 0- 100% Accuracy: [#2 %at 70- 100% SO, £3 % at 50-69% SpO, Pulse Rate Range: 30-250 BPM Accuracy: _[7: 2BPM at 30-250 BPM Signal Strength (0 8 (Protocol #1 and Protocol #2) Bargraph (= 15 (0-16 for Protocol #3) Plethysmogram 0 100, auto-gained for highest resolution, 4-bit and 16-bit waveforms available Flags Pulse Boop No Finger in Probe Probe Unplugged Searching for Pulse Searching Too Long, ‘ ‘Software Revision transmitted upon request Serial Communication Logic Levels TTL. voltage levels Data Provided From the Host System (Protocol #1 and Protocol #2) ‘Sp0; Averaging Value 4, 8, of 16 beat averaging (default: § beat) Pulse Rate Averaging Value 8 or 16 second averaging (default: 8 second) Plethysmogram scale and offset ‘Synchronized by Host or Performed Automatically Data Provided From the Host System (Protocol #3) ‘Set Waveform Rate Can be set from TOmsee to 247.5msee in 2.Smseo increments, Waveform Rate Request Ranges from lOmsec to 247.Smsee in 2.Smsee {nerements. Set Response Mode ‘Normal (default), fas, o slow mode Response Mode Request ‘Normal, fast, or slow mode. Restart Oximeter Restores all default values (Same as power on reset) Version Request Responds with version string. Primary Status Request Probe/No Probe attached, pulse search Secondary Status Request ‘Waveform OwOff, 8-bit/16-bit waveform Enable 16 bit Waveform Must restart Oximeter to disable Power Requirements Power Supply Input Voltage (typical) 45 VDC Digital @ 35mA electrically igolated 45 VDC Analog @ 16mA electrically isolated “SVDC Analog @ SmA electrically isolated Dimensions ‘Width 3.5 inches (8.9 om) Deptt 2.0 inches (5.1 em Height (0.5 inches (1.3 em) a2 (Capnograph Service ManualChapter 3: Pulse Oximetry Serial Commu ‘The 71552B1 Pulse Oximeter board communicates with the host computer through a single, high-speed asynchronous serial channel at TTL voltage levels. Data provided to the host includes %$pOz, Pulse Rate, Signal Strength, Bargraph, Plethysmogram, and Status Bits data. The host can send commands to control the averaging rates, synchronize the Plethysmogram Waveform, and request the Oximeter software revision level. Three protocol options are provided for system flexibility. ‘These protocols are hardware jumper selected. Communication Protocols There are 3 protocols available on the 71552B1 Pulse Oximeter Board which support the SIMS BCI, Inc. Communications Protocol. Jumper settings for each protocol and available baud rates are shown in the table below. Serial Port Setings | Bytes per | Packets ] Jumper | Jumper ] Jumper Baud _| Parity-Data-Stop | Packet | persee |y3-1_ | 13-2 | 43-3 Protocol At | 4800 0-8-1 3 6 [or [or | or Provoeo! #1 | 9600 Oe 3 6 [ON _[orr | orr Protocol #2 | 19,200 Est 8 120__[orr [on | Orr Protocol #3 | 9600 #1 Variable [Variable [OFF [OFF [ON Protocol #3 | 19,200, Bl Variable [Vario [ON [OFF [| ON. Communication Protocol #1 Data is transmitted from the Oximeter board to the host at a rate of 60 packages per second. Data is formatted in 5 byte packets. Data packages transmitted from the ‘Oximeter to the host can be synchronized by using bit 7. The communication settings are 4800 or 9600 Baud, One Start Bit, Eight Data Bits, Odd Parity, One Stop Bit. Communication Protocol #2 Data is transmitted from the Oximeter board to the host at a rate of 120 packages per second. Data is formatted in 8 byte packets. Data packages transmitted from the Oximeter to the host can be synchronized by using bit 7. ‘The communication settings are 19,200 Baud, One Start Bit, Fight Data Bits, Even Parity, One Stop Bit. Communication Protocol #3 Data is transmitted from the Oximeter board to the host at a rate defined by the host system, Fast data is formatted in 4 byte packets. Slow data packets wall vary in length, The communication settings are 9,600 and 19200 Baud, One Start Bit, Bight Data Bits, Even Parity, One Stop Bit. This communication protocol available upon request. Capnograph Service Manual 33Chapter 3: Pulse Oximetry Serial Communication Notes - Protocol #1 and Protocol #2 Start up averaging is: spo2 ~8 pulses AR = 8 seconds To synchronize Plethysmogram level and offset algorithm, the ‘A’ command is used, After start up, auto pleth size/ofiset is enabled, and thg board periodically adjusts Plethysmogram level to keop the waveform in range using the processor's intemal timer. If command 'G' is sent, the internal timer is disabled, and the Master can adjust the Plethysmogram by sending the 'A' command. This command makes the board run an adjustment algorithm once, to make sure that during the next time interval the Plethysmogram will stay in range. For example, one could send this command between the Master's screen "frames" to make sure that during the display of any given frame there will not appear to be any "jumps" on the waveform. Commands can be sent any time asynchronously with the output data, ‘Commands can be sent "back-to-back", except 'E’ after 'E' (send revision level), If Master has not received revision information yet from previous ‘E' command, the next ‘E' command will be lost. "Revision level" response interrupts normal data stream at any place. It is assumed that 'E' command will be sent once during power up, hence no significant amount of data will be lost, When data packets are sent from the Oximeter to the Host, there may be times when there is invalid data (for example, when finger is removed from probe). Invalid data can be interpreted as: invalid Rate = OxEF invalid $pO2 = Ox7F invalid Ploth = Ox7E invalid Signal Strength = OxF ar ‘Capnograph Service ManualOximeter Transmitted Data - Protocol #1 jeter board to the Host in 5 byte packets. Baud rate is jumper selectable for 4800 or 9600 baud. Data is transmitted from the Oxit Chapter 3: Pulse Oxtmetry Byte |_Bit_| Description Byte | Bit_[ Description 1 [0 [Signal Strengit 0 4 [0 [Rateo 1 _| Signal Strength 1 1_| Rato 1 2_| Signal Strength 2 2_| Rate? 3 _| Signal Strength 3 3 | Rate 3 4 [11 = searching too long 4 | Ratea 5_|1= probe unplugwed 5__| Rate 5 6 _[1= pulse boop 6 | Rateo 7 _|eyne. bit) 7 | 0 Gyne. bid 2_| 0 | Plethysmogram 0 3_|_0 _|spo.0 1_| Plethysmogram 1 1_| sp0.1 2 _| Plethysmogram 2 2_|8p0,2 3_| Plethysmogram 3 3 [Sp0.3_* 4 _| Plethysmogram 4 4_[sp0.4 5__| Plethysmogram 5 3_| Spo.5) 6 _| Plethysmogram 6 6_| spo. 7 | OGyne. bid) 7 [0 @ne. bit) 3 [0 | Bargraph 0 1 | Bargraph 1 2 | Bargraph 2 3_| Bargraph 3 4 | T= no finger in probe or probe unplugged 5_|1 = searching for pulse 6 | Rate 7 (ee byte 4) 7 [0 (syne. bi) ‘Capnograph Service Menual 38‘Chaptor 3: Pulse Oximetry Oximeter Transmitted Data - Protocol #2 Data is transmitted from the Oximeter board to the Host in 8 byte packets. ‘The baud rate is 19,200 baud, The checksum is a 14 bit number specified as a 2’s complement of the sum of the first 6 bytes of the data packet. [Byte [Bit [Description Byte | Bit_[ Description i (0 | Signal Strength 0 s_|, 0 | Sp0.0 1_| Signat Strength 1 1 [p01 2 _ | Signal Strength 2 2__[Sp0.2 3__| Signal Strength 3 3 | Spo.3 4 arching too long 4 [Sp0.4 S_[1= probe unpluesed 3_| Sp0.5 6 6 | Sp0r6 7 7_[0 Gyne. bity 2 | 0 | Plethysmogram 0 6 | 0-1 [00=4 beat average SPO2, 1_| Plotiysmogram 1 8 beat avorgge Pulse Rate 2 _| Plethysmogram2 (1 = 8 boat average SPO. 3_| Plethysmogram 3 8 beat average Pulse Rate 4 | Plethysmogram 4 10 = 16 beat average SPO2, 3 | Plethysmogram 5 16 beat average Pulse Rate 6, | Plothiyamogram 6 11 = 16 beat avorage SPO2, 7 [0 Gne. 6p 8 beat average Pulse Rats 3 {0 | Bargraph 0 2 | Unused 1_| Bargraph 1 3 _ | Unused 2 | Bargraph 2 4 | 1= Revision Level Reply 3 | Bargraph 3 S| Unused 4 | Teno finger in probe or 6 | 1=Disable Auto Pleth probe unplugged Sealing, S| 1= searching for pulse 7 _| 0 Gyne. bit) 6 _| Rate 7 Gee byte 4) 7_| 0-6 | Check sum Bits 0-6 7 [one bit) 7 | 0Gne. bit) 4 [0 | Ratoo 8 [0-6 | Checksum Bits 7-13, 1_| Rate 1 7 [0 ne. bit) 2 | Rate? 3 | Rate 3 © 4_| Rate 4 3_| Rate 5 6 | Rate 6 7_| 0 (syne, bit) ‘Capnograph Service Manual : oOwewevvVvuvuvreevewvuevevrevvueuweeeeueseseveTeweVvewTeeeee Chaptor 3: Pulse Oximetry Oximeter Received Data ~ Protocol #1 and Protocol #2 ‘The host system can send single character commands to the Oximeter to change the averaging values, synchronize the Plethysmogram scale and offset, and force the Oximeter to send the software revision level. ‘ASCH | Description ‘A__| Synchtonizes the Plethysmogram scale and offset to the next sample, Subsequent offset adjustments will also occur when the Plethysmogéam value exceeds the range 0-99. The Plethysmogram scale and offset is automatically adjusted every 256 samples. Sets SpO2 to 4-beat average and pulse rate to an 8-second average. Sets SpO, to 8-beat average and pulse rate to an 8-second average (default). ‘Sets SpO, to 16-beat average and pulse rate to a 16-second average. Forces Oximeter to send software revision level (x.xx) ina S-byte format: Byte 1: 80H Byte 2: (QOH for protocol #2) (PFH for protocol #1) Byte 3: Ones digit (ASCII) Byte4: Tenths digit (ASCL) ’ Byte 5: Hundredths digit (ASCID F _| Sets $pO2 to 16-beat average and pulse rate to an f-second average. G__[ Disable auto Plethysmogram scale and offset mlolale Serial Communication Notes — Protocol #3 Protocol #3 communicates with 2 method that combines two message types; slow and fast. Stow data packets are used to communicate commands and status messages in a bi-directional manner between the module and the host system. Fast daia packets are used to send pulse and waveform data in a timely manner from the module to the host. Slow data packets can contain more than one message. Fast data packets always contain only one message. Slow Data Packet Format Every slow data packet is transmitted with the following format: {STX) (0x02) Message Lengily (2 ASCII characters) Reserved Byte (0x20) ‘Slow Data Messages | (2 ASCII characters) Checksum The message length is in hex notation and has a max value of FE (255). The length is just the length of the data messages. It does not include the reserved byte or the checksum. ‘The checksum is determined from the message length bytes, reserved byte and data message bytes. Itis the 2’s complement of the modulo-256 sum of the bytes expressed in hex form. ‘Capnograph Service Manual a7Chapter 3: Pulse Oximety Slow Data Message Format The contents of the slow data packet is made up of multiple slow messages. 1 message format is: Message Identifier [a bye) Data Length Message Data _| (2 ASCII charactors) The following messages are supported in the SIMS KCI, Ine. 71552B1 Oximeter: From the Oximet 0) Pulse Searching, transmitted every ¥ second when active, TOO) Pulse Searching Too Long, transmitted every 10 seconds when active X00 Probe Off, transmitted every ‘4 socond when active _| Wo2xx ‘Waveform Rate, WOO command response. 1x isthe current | waveform rate and ranges from 0 t0 99, 7 Molx Response Mode, MOO command response. X= 1, 2 0r3 for Normal, [ Fast and Siow mode, respectively. Lax. Version, 00 command response. LL = message length, xxi. = fe ____| version strings SUMS BCI, tne. Oximeter v1.0 10/2097, SOx Primary Status, $00 command response. xx is decimal ASCHT | representation ofa bitmapped value where: | Ono probe, I=probe attached 7 7 }=no pulse search, [pulse search i 0 a eee Eee eee PE o [eic7 [0 i ‘SOx ‘Secondary Status, s00 command response. xx is decimal ASCIT representation ofa bitmapped value where: | bit0- | 0 waveform on (defi), 1=waveform off bit IC ‘it waveform (default), 1=16 bit waveform bit2- bit3- bits bit 5 bit & # bit 7 its FOIx Error, sent in response to various messages. x is defined as follows: IF RAM error (Oximeter stops) 2 ROM Checksum Error (Oximeter stops) a Last Message liad Checksum Error (message ignored) [5-___| Command value out of range (command ignored) o Command syntax error (command ignored) 38 Capnograph Service ManualTo the Oximeter: Chapter 3: Pulse Oximetry Wodsx Set Waveform Rate, xx is the caret waveform rate and anges from 4 to 99. Rate is 2.5ms per sample times xx. 4=10ms, . 99=247.5ms. The defaut rate is 4 (10ms). A W010 command causes waveform output to stop. | ‘Woo Waveform Rate Request. : oH Mol} Se Response do 15 Na, Fa and So mode, respectively. The default mode is Normal. M00 Response Mode Request. ‘AGO Restart Oximeter. j | oo |'Ver | soo Primary Status Request. 800, Secondary Status Request. w0d Enable 16 bit waveform output (there is no disable command | ss other than a restart) | Fast Data Message Format e Fast data messages are always four bytes in length. Every fast data message is transmitted with the following format: (0x10) [Message Data (ASCH, “@ bytes) Fast messages can occur at any time including during the transmission of slow data packets. When sent during a slow packet transmission they do not effect the length of checksum of the slow packet. ‘There are three valid fast data messages: ‘SpO2 and Pulse Rate Values are sent once per pulse. 1* data byte is SpO2 value, 2"! data byte is pulse rate value Pulse waveform and pulse bargraph values are sent at the programmed waveform rate. 1* data byte is pulse waveform from 0 to 255, 2" data byte is pulse bargraph from 0 to 16. Full scale (16 bit) pulse waveform values are sent at the programmed waveform rate. 1* byte is the LSB, 2" byte is the MSB. Data values range from 0 to 65535. ‘ ‘Capnograph Service Manual 39Chapter 3: Pulse Oximetry Pin Description J1 - Power and Communication Connector Pin | Deseription 1 ‘No Connect 2 GND. 3 GND i 4 7RESET Input 3 GND. 6 7 8 9 ‘No Connect -SVDC Analog Input TX Output RX Input 10__ | +5VDC Analog input | CTS input 12 | GND J2 - Oximeter Probe Connector “32 Pin_| SIMS BCI, Inc. Cable Color Code DBO Pin White 3 No Connect No Connect Black Yellow Green Orange. ‘No Connect Red 0 Shield’ 7 310 Capnograph Service ManualJumper Settings Jumper Settings are used to select communication modes. Tumpor | Jumper Tumper Baud B-1 B-2 B-3 Protocol #1 4800 OFF OFF OFF Protocol #9600 | ON ‘OFF OFF, Protocol #2_| 19,200 __[ OFF ‘ON ‘OFF Protocol | 9600 __| OFF (OFF ON Protocol #3 | 19,200 | ON ‘OFF ON, Factory Test_| 19,200 | ON ON ON, Chapior 8: Pulse Oximetry ‘Capnograph Service Manual StChapter 3: Pulse Oximetry Probes ‘Choose the appropriate probe from the following chart. Patient [Site Description ‘Adult Finger 3044: Probe, Adult >45 Kg 3444: Sensor Comfort Clip Finger or Toe | 3043: Probe, Universal “Y” 1300: Probe, Disp., Adult Finger Bar 3078: Probe, Far Pediatric | Finger 3044: Probe, Adult 15-45 Ke +3444: Sensor Comfort Clip Finger or Toe) 3043: Probe, Universal “Y" 1301: Probe, Disp, Ped. Finger Bar 3078: Probe, Ear Tnfant Hand or Foot | 3043: Probe, Universal “Y” 315Kg | Toe 3025: Probe, Wrap, Infant Finger or Toe __ { 1303: Probe, Disp, Infant : Neonat. [Hand or Foot | 1302: Probe, Disp., Neonate <3Ke Foot 3026: Probe, Wrap, Neonate Checking Pulse Oximeter Performance Pulse Oximeters do not require user calibration. To check the function of the device, an optional Oximeter/ECG Patient Simulator is available as an accessory (SIMS BCI, The, Catt 1606HE). ‘The simulator attaches to the Oximeter in place of the probe or patient cable. It provides a known SpO2 and pulse rate signal to the Oximeter, allowing the Oximeter’s performance to be checked. Follow the instructions included with the Oximeter/ECG Patient Simulator. 32 Capnograph Service ManualChapter 3: Pulse Oximetry Demonstration Software SIMS BCL, Inc, provides PC software for demonstration purposes only. The intent is to allow the OEM customer to quickly become familiar with the operation of the Oximeter board. This software is NOT be used in any product for sale, This circuit shown below, for interface to a PC for demonstration purposes, is for evaluation only and is to be used with a SPO? simulator. Do not connect direeth to a patient without proper patient isolation. Cofnmand line help is given if no ‘command line options are used for OEM.EXE or ADV.EXE, PROT3.EXE is @ “Windows” based program with a menu driven user interface. Demonstration Software Protocol #L OEMEXE Protocol if2 ADV.EXE, Protocol #3 PROTS.EXE, ‘The 71552 Oximeter board can be connected to your PC through a custom power/communication interface board. A sample schematic which could be used for the PC interface is shown below. act | Capnograph Service Manual 343Chapter 4: COz Theory of Operation Chapter 4: C02 Theory of Operation Theory of Operation Measuring CO; The device draws a sample of gas through the sample chamber. A light source shines infrared (IR) light through an optical bandpass filtér and then through the sample chamber. An IR detector responds to the amount of IR light that passes through the sample chamber. Because CO, absorbs IR light at a specific wavelength, the amount of light passing through the sample chamber varies according to the concentration of CO> in the sample chamber. When there is a high concentration of CO in the sample chamber, the detector senses a smaller amount of light than when there is a low concentration of Op, The device computes the partial pressure of CO, SIPD (standard temperature, pressure, dry) based on measured levels of IR light intensity. The ETCO: ‘measurement is shown as an average of 4 breaths. CAUTION: Pump motors in the CO, monitor may adversely affect other medical equipment, e.g. ECG tracings. ‘Capnograph Service Manual 44Chapler 4: 002 Theory of Operation Measuring Respiration Rate ‘The device uses the continuous CO2 waveform to detect each breath cycle. It uses an adaptive algorithm to recognize each breath in the waveform, even in the presence of an elevated baseline (rebreathing) and higher frequencies in the CO2 waveform (cardiogenic oscillations). ‘The device computes respiration rate (RPM) from the total number of seconds for the last four breaths according to this formula: ; 60 seconds * breaths RPM = —__ ‘Number of seconds for 4 breaths N20 Compensation ‘The interfering effect of'N2O results in inaccurate CO2 readings, however the device has the ability to compensate for this. With the NzO compensation ENABLED, the device adjusts the CO, réading by an algorithm that assumes the concentration of N20 is 40% and compensates accordingly. JENO compensation is enabled and the concentration of NzO is not 40%, the displayed value must be adjusted by the following equation to got the actual COp concentration. CO; reading * 1.0625 Actual CO2 = 9 14(2 0625 N06) (40% With the NO compensation DISABLED, the device adjusts the CO reading by an algorithm that assumes the concentration of N2O is 0%. IfNzO compensation is disabled and the concentration of NO is not 0%, the displayed value must be adjusted by the following equation to get the actual CO concentration. CO; reading Actual CO2 = 14 ( 0.0625 2N20% 40% NOTE: The presence of other anesthetic agents may cause CO: readings to deviate beyond specified tolerances. ‘ 42 Capnograph Service ManualChapter 6: Pneumatics and CO» Calibration Chapter 5: Pneumatics and CO, Calibration Connecting a Non-Recirculating Scavenging System FIGURE 5.1: CONNECTING A NON-RECIRCULATING SCAVENGING SYSTEM © Connect tubing to oxhaust port, If desired, connect a non-recirculating scavenging system to the exhaust port on the ‘monitor's rear panel as shown, ZX CAUTION: When connecting a non-recirculating scavenging system, only use an exhaust line approved by SIMS BCI, Inc. Failure to comply may result in damage to the monitor. (Capnograph Service Manual oFChapter 8: Preumatics and CO2 Calibration Checking for Leaks 1. Pinch the sample line near the moisture filter connection. 2. Make sure the “C1CCLUSION” message appears in the lower left of the display. If no message appears, go to the Chapter 12: Troubleshooting section, Calibrating the Capnograph ; Calibration ensures that the ETCO; and Inspired CO2 measurements are accurate. Calibrate the device every 30 days. NOTE: Use only the calibration gas canister and flow regulator supplied with or ‘specifically Intended for use with this device. See Appendix A: Supplies and Accessories for information on ordering calibration gas. The device has two calibration modes: Low Calibration (LO CAL) and Low/High Calibration (LO/HI CAL). The LO CAL process is required if a significant change in altitude occurs. It is not necessary to remove the device from the patient while performing a LO CAL procedure because a three-way valve closes the patient inlet and ‘opens to room air. The LO/HI CAL procedure requires the delivery of a gas mixture from a canister. NOTE: Remove the device from the patient before performing a Low/High Calibration procedure. Low Calibration To perform a LO CAL, do the following: 1. Tum on the device. 2. Depress the MENU/ENTER (%) key. SelectCapnograph. Selectlow Cal. 3. A menu screen appears with the message: “3012 LOM CAL IN PROGRESS”, 4, When the unit is finished, a “CALIBRATION COMPLET! appear. 5. Press the MENU/ENTER (%) key to return to the Capnograph menu, or press the WAVE/TREND (98) key to exit all menus. ” message will $2 Capnograph Service ManualTet eee end Chapter 5: Preumatics and CO2 Calibration Low/High Calibration NOTE: Remove the device from the patient before Performing a Low/High On FIGURE 5.2: CONNECTING THE CALIBRATION GAS SEE EEE Eee EEE ee Ee EEE EEE eee © Gas Inlet @ Calibration Gas © Flow Control Valve To perform a Low/High Cal do the following: 1, Disconnect the patient attachment from the luer-look adapter. 2. Tum on the device. 3. Locate the calibration gas canister. 4, Press the MENU/ENTER (9%) key. Select £: nograph. Select LouHigh Cal and follow the directions on the display, 5. After the message ‘PLLERISE TURM GN CAL GAS” appears, quickly open the flow control valve on the calibration gas canister. The valve must be fully opened in less than 30 seconds. 6, When the message “CALIBRATION COMPLETE” appears, close the flow control valve of the calibration gas canister, disconnect the calibgation test fixture and exit all menus, 7. Tum the device off, by pressing the OFF/ON © key twice, to ensure the calibration data is saved. An unsuccessful calibration procedure causes an error message to appear, Operation resumes using the old calibration data. Refer to Capnograph Messages in Chapter 7 for further instructions. : Capnograph Service Manual 53Chapter 6: Printer Oulput Chapter 6: Printer Output Printer Setup FIGURE 6.1 PRINTER SETUP ‘The Capnograph communicates to the HP 82240B printer through the infrared serial port. Align the infrared serial ports as shown in the above illustration. Optimal distance from port to port is 4 ~ 6 inches. When Capnograph and printer are properly aligned proceed to the Printer menu on the Capnograph. WARNING: When connecting to or communicating with this monitor, verify proper operation before clinical use. Refer to the instrument's user manual for full instructions. Accessory equipment connecting to or communicating to the monitor's data interface must be certified according to the respective IEC standards, ie., IEC 960 for data-processing equipment or IEC 601-1 for electromedical equipment. All combinations of equipment must be in compliance with IEC 601-1-1 systems requirements. WARNING: IEC 950 approved equipment including the HP82240B printer must be placed outside of the “pationt environment.” The patient environment is defined as an area 1.5m (4.92 feet) from the patient. FIGURE 6.2: PALIENT ENVIRONMENT Capnograph Service Manual etChapter 6: Printer Output Printer Menu The Printer menu allows the user to select a data format for output to the infrared serial port, as well as select the output interval and/or the amount of data to send. This data can be output to a compatible printer. 7 T 36. 98. Rome > sumnemmoeur Era ecto Bas teem! sl 5 oat 14. 65. MESSAGES, FIGURE 6.3: PRINTER OUTPUT MENU, PATIENT DATA ‘ START/STOP Select this to enable/disable serial output. If'no output is currently in progress, this shows START. [f output is in progress, this shows STOP, Data Format Shows data output format, PATIENT DATA or TREND DATA. Interval ‘Shows the amount of time between data log outputs. 2 Gapnograph Service ManualChapter 6: Printer Output Printer/Output + + A mimkig_ > sian Pewmoureu, Eat Ne ies Seoton: em et": buat eA He T 14. 65:| MESSAGES FIGURE 6.4: PRINTER OUTPUT MENU TREND TABLES ‘The serial output data format and output interval or amount can be changed only if'no print output is in progress. To change the data format selection: 1, Select Printer from the Main Menu. If ES TART] is displayed, then no print output is currently in progress, so proceed with step 2. Otherwise, [% is shown and you must select STOP to halt the current output before the serial output data settings can be changed. To change the data format (Patient Data or Trend Tables): 2. Use the ARROW (A or V”) keys to point to the Format item, then press MENU/ENTER (9%). 3. Use the ARROW (A or \”) keys to switch between formats. When the format changes, the menu item below it changes. If Patierit Qata is selected, the menu item displayed below it is: Interval, r + 3 6 1 9 8. Noweg * Settee estat Oan ingral "sey oom (em) ’ 14: L 2 1 [wessaces — $8: FIGURE 6.5: PRINTING PATIENT DATA STATUS MENU, If Trend Table Interval. s Selected, the menu items below are: Time Spari and ‘Capnograph Service ManualChapter 6: Printer Output 4. 36. 98 ‘>{STOP] PRINTIOUTPUT >>Printing Trond Tables inervall 18 seconds, “14! 651. MESSAGES FIGURE 6.5: PRIORITY TREND TABLE STATUS. Press MENU/ENTER (7%) to accept the selection. ‘To change the output interval or trend time span: 5. Use the ARROW (A or V) keys to point to Interval (for Patient Data Format) or Time Spari (for Trend Tables format), then press MENU/ENTER (%) Use the ARROW (A or V’) keys to change the value, Press MENU/ENTER (%) to accept the selection. ‘When the output format has been set, select [START to enable the serial output. At this point, the [START field will change to [STOP] , and the message “Printing. « «” will be displayed in the menu area. Select [EXIT] or press WAVE/TREND (42) to exit menus. If serial output is, in progress, exiting menus will not stop it. ‘To STOP serial output: 1 a Select Printer from the main menu. Select [STOP (ifit is shown.) 64, ‘Capnograph Service ManualChapter 6: Printor Output Output Examples: Patient Data A real-time Patient Data sample is output through the infrared port, one table per output interval. The time interval between tables is selected in the Fri rier" menu, Bach line of text in the patient data table ends with a carriage return, line feed, Sample Output i PATIENT DATA i Sample Interval: 15 secs Relative Time 00:00:15 ETCO2 28 mmHg inco2 03) mmHg Resp Rate 16 rpm Spo2 98 %Sp02 : Pulse 74 bpm 40% N20 /Com No Trend Table Data Trend data is output in tabular text format, one table per trend data record, starting at the oldest record. The number of records printed depends on the time span selected in the Pririter menu, For example, if Time Span ~ 2 hours, then two hours of accumulated trend data records will be printed. Every time the monitor is tured off, then on again, a new block of trend data is started in trend memory and the relative time clock is set to 0:00. Bach line of text in the trend tables ends with a carriage return, line feed. Each new block of many trend data records has the following title information: Sample Output TREND DATA Sample Interval: 15 secs NOTE: Changing the units of measure for a parameter will clear the trend data. Time Span 1 mins Relative Time 00:50:15 | ETCO2 28 mmig incoz 03 mniig c : Resp Rate 16 rpm spo2 98 %Sp02 Pulse 74 bpm ‘Capnogreph Service Manual esChapter 7: Routine Maintenance Chapter 7: Routine Maintenance Charging the Battery Charge the battery after the monitor is used under battery operation, when the “1. BATTERY” message is displayed, or after long term storage. Remove the battery from the device. Place the battery in the external charger unit. Verify the green “CHARGING” LED is lit. After 2.5 hours, the battery is fully charged, indicated by the “CHARGE COMPLETE” LED. To ensure continous use of the Capnograph, with battery power, the purchase of a second battery is recommended. Please refer to Appenix A: Supplies and Accessories, for more information. ZX CAUTION: The monitor contains a 4 hour Lithium-ion battery. If the battery fails to hold a charge or otherwise becomes inoperable, the battery should be replaced and the old battery should be disposed of properly. Consult local officials for information about the proper disposal of the Lithium-ion battery. ‘SIMS BCI, Inc. cannot dispose of monitor batteries. ‘ Cleaning and Disinfecting ZA CAUTION: Do not immerse the monitor or any of its accessories in liquid. Do not autoclave or ethylene oxide sterilize the monitor or any of its accessories. Unplug the external charger before cleaning or disinfecting the monitor or its accessories. Z\ CAUTION: Before cleaning or disinfecting the HP82240B printer, unplug the AC adapter, remove the batteries, and remove the paper. Z\ CAUTION: Should the device become wet, wipe off all moisture and allow sufficient time for drying before oporating. Clean the surfaces of the monitor and the accessories with a soft cloth moistened in a mild soap solution. If disinfecting is required, wipe the surfaces with isopropyl alcohol then wipe with a water moistened soft cloth. Capnograph Service Manual 7AChapter 7: Routine Maintenance Maintenance Chart Item ‘Action Interval Battery Charge ‘When LOW BATTERY message is displayed ‘After continuous use under battery power. ‘The monitor's surfaces. As required ‘Sp02 sensors. Inspect and change | Every 4 hows Patient site ‘When attaching a new Clean or disinfoct. patient. Capnograph patient | Discard the capnograph | When finished monitoring attachment, patient attachment the patient. The capnograph patient attachments are disposable, single-use items. ‘When the patient attachment becomes occluded or has an alr leak. Moisture fiter. Discard and replace the | The moisture filter oocludes moisture fitter. when itis ful Capnograph calibration. | Periorm a Low/High | Once every month. calibration, Pneumatic system ‘Cheok pneumatic After replacing the moisture system for leaks, filer and Capnograph patient attachment. Al least once evary two weeks, Calibration gas Discard and replace the | When the gas pressure canister. Calibration ges canister. | reading is 20 psi or less as, ‘shown on the flow contro! valve's pressure gauge. ZX CAUTION: Follow local governing ordinances and recycling instructions regarding disposal and recycling of device components. Long Term Storage ZX WARNING: Remove the device batteries prior to long term storage. Storage Facility ‘Temperature: Relative Humidity: Periodic Inspection; Special Procedures: Indoor -40 - 75° C (-40 - 167° F) 10-95%, non-condensing None required, Store the monitor and accessories in the original packing materials and shipping carton. Capnogreph Service ManualChapter 7: Routine Maintenance General Cleaning Performance and Safety Checks Cables and Cords ‘The LCD and all extemal surfaces may be cleaned with « mild diluted soap solution and a damp soft cloth. Do no use solutions which contain chlorine, ammonia, fluoro- carbons, or hydro-carbons. Do not us abrasive cleaners or high fiber wipes that may scratch the surface. Do not allow cleaners to remain on the system surfaces, wipe off immediately. NOTE: Before cleaning the unit, ensure the monitor is off and the mains power cord is disconnected, NOTE: Do not allow liquid fo enter the case or submerge any part of the system. Allow components to dry thoroughly before reconnecting system to AC power. Recommended Maintenance Frequency 7 General Cleaning ‘As Needed Inspect the system, cables, and cords Before Use | Safety Chocks (In Ace. with IBC 601-1) ‘Annually 4 i Inspecting the System Examine the exterior for cleanliness and general physical condition, Ensure the housing is intact, hardware is present and secure, and labeling is legible. Examine the power cord for damage/abuse. Ensure that the prongs of the plug are secure in the casing, and no damage is present in the cord itself Inspect all patient cables, leads, and sensors, for general condition, ‘Capnograph Service Manual 73Chapter 8; Troubleshooting Chapter 8: Troubleshooting Problem Possible Cause Corrective Action SPO; SENSOR " Sonsor nat connocied te moniior | a Connect the sensor tothe displayed. orpatient. patient cable and connect the Patient cable tothe monitor. ‘tach the eensor to the 1 | pation Sensor propery postioned oh | b, Reposition the sonsor on the patient. patient, 2. Incorrect sensor for application. ‘Choose the correct sensor for the application, Defective sensor or patient cable. 1. Change the sensor or contact SIMS BCI, Inc. service sdopariment or recharge battory. | Unit operates when 3. Battery shelf ife exceeded or . Contact SINS BCI, Ine. connected to external battery not charged. service department charger, but not on baltery power. : Display does not light Tfoperating on battery, battery Recharge battery may need charging. Green External Power Battery eliminator not properly Reseat battery eliminatorin LED not it seated in the unit. unit. No pulse registering on | a. Sensor or patient cable Check connections to patient bargraph. disconnected from monitor. ‘cable and sensor. ', Sensor incorrectly positioned, 3. Reposition sensor on patient. Poor patient perfusion, . Reposition sensor on patient. 1. Defective sensor or patient cable. Try a new sensor or contact, ‘SIMS BC, Inc. service eppears al startup department. Pulse rate erratic, ‘Sensor incommecily positioned. 1. Reposition sensor on patient, intermittent, or incorrect. 3 Poor patient perfusion. 'b. Reposition sensor on patient, Pationt motion. Patient must be stil for monitor to function propery, Place extremity on a pillow that acts as a "buffer" to ‘mation, ‘Ambient light I Shield with towel HIGH CALIBRATION Monitor needs calibration 3. Contact SIMS BC, Ine. REQUIRED, appears at Service representative. startup NEW CO2 SENSOR, New CO2 sensor or new software | a, Contact SIMS BCI, Inc appears at startup installed Service repregentative. ‘C02 BENCH ERROR, The CO2 Bench is not working. Contact SIMS BCI, nc. Service representative, “SP02 ERROR, appears ‘The Oximeter board has faled. Contact SIMS BOI, Inc. at startup Service representativo. User settings lost, reset | @. User data has been comupted and | a. Update any applicable user to default reset to factory defaults, setting through the menu structure, ‘Capnograph Service Manual etChapter &: Troubleshooting CAUTION: The monitor should be operated from its internal power source if the integrity of the protective earth conductor is in doubt. Troubleshooting the Occlusion Low Priority Alarm Most occlusions are automatically cleared within a minute. If occlusion cycles occur frequently or the occlusion low priority alarm persists, use the following chart to find and repair the problem. Disconnect ho patiot attachment from tho moisture {iar from the deve = Replace the pationtattachment|¢_Yas_| Does the osolision ‘and moisture fer alarm sop? JT No * Perform a leak tost Remove moisture itor ~ Replace moisture filter |, Yes ___| Does the occlusion alarm stert?| I No. *. Perform a leak test Call authorized repair contr FIGURE 44,1: OCCLUSION LOW PRIORITY ALARM TROUBLESHOOTING CHART Repairs of SIMS BCT, Inc. devices under warranty must be made at authorized repair . If the device needs repair, contact your local distributor or SIMS BCL, Inc. cente service department. When calling, have the device’s model and serial number ready. SIMS BCI, Inc, Phone: (262) 542-3100 N7W22025 Johnson Road Toll-Free: (800) 558-2345 ‘Waukesha, WI USA 53186-1856 Fax: (262) 542-0718 E-Mail address: info@sims-bi.com 82 Capnograph Service ManualChapter 9: Supplies, Accessories & Specifications Chapter 9: Supplies, Accessories & Specifications Supplies and Accessories CAT NO. DESCRIPTION ary. 1100 | Adapter, Airway, Straight, 12.7 ID x 15 OD (mm) olka 1101 | Cannula, OraliNasal Ox10Os, Adult 10/pkg 1102 __[ Cannuia, Oral/Nasal 02/C02, Ped 10icko 1105 [ Adapter, Airway, Straight, 12.7 1D x 18 OD (mm), whiter ‘oipkg 1110___| Adapter, Return Flow "T™ ‘each 1114 [Adapter, Airway, Dual Por, Straight “o/pkg 1121 [ Gannsia, Oral/Nasal O2/COs + Sample Line, Adult “o/pkg 1123 __| Sample Line, OralNasal COs, Aduit 10/pkg 1124 __[ Sample Line, Oral’Nesal COz, Ped 10inkg 1129 | Sample Line, Nasal Oa, Adult “10/pkg 1130__| Sample tine, Nasal CO>, Pediatric ‘10ipkg 1131 ___ | Sample Line, Nasal Oz, Infant 10/okg 1140___| Semple Line, Extension, 18 ft. “o/s 1151 [ Adapter, Airway, 12.7 1D x 18 OD (mm), Ped “10/pkg 1152 | Adapter, Airway, 12.7 1D x 15 OD (mm), wifier, Ped “0/pkg 1300 | Sensor, Oximetty, Disposable, Adult Finger “orbex 1301 ___| Sensor, Oxmetry, Disposable, Ped Finger, 15-45 kg. “orbox 1302 __| Sensor: Oximetry, Disposable, Neonate <3 Kg *Olbox 1303___| Sensor, Oximetry, Disp, Infant Finger, 5-18 kg, “orbex 1608 __| Simulator, OximeteriECG each 1894 | Manual, Operation, (Capnograph) each 1895 __| Manual, Service, (Capnograph) ‘each 3025 _| Sensor, Oximetry, Wrap, Infant, 315 Kg ‘each 3026 | Sensor, Oximetry, Wrap, Necnate, <3Kg each 3043 ___| Sensor, Oximetry, Universal "V" each 3044 | Sensor, Oximetty, Finger ‘each 3048 | Strips, Adhesive 4010kg 3078 ___| Sensor, Oximetiy, Ear each 3134__| Tape Attachment Neonatal ‘BOipkg 3135 __| Tape Attachment infant Boipkg 3136 _| Tape Attachment Neonatal 100/okg 3137___ | Infant Attachment Tapa *00/okg 3138 | Universal "Y* Posey Wrap 1Olokg 3143___| Allachment, OxiLink small finger “oven 31438 __| Small finger OxiLink “orbox 3144 [Altachment, OxiLink medium finger 400/ein 31448 [Medium Finger OxLink “oVbox Capnograph Service Manual otCcheptor 9: Supplies, Accessori & Specifications CAT NO, DESCRIPTION ary. 3146 | Aitachment, Gvitink large finger “oon 31458 | Large Finger Oxiink 0/box 3311 | Gable, Oximetry, 5 each 3444 __| Sensor, Oximotry Comfort Cp finger each 5095 | Gas, ETCOs Cal, (10% 002, 21% Oz, bal Na) each 8030 Adapter, Airway, Elbow, 151D/220D x 150D (min) 10/pkg e044 [Sample Line, 8 Ops 8061 | Regulator, Gal. Gas Flow each 6208 | Gas Manifold fiter “orig e2tt | Sample Line 4 f. “Orpkg 8214 | Gapnograph Patient Attachment kit (1100, 6241, 8208) “otha 8217 | Kit Calibration Capnograph (6058, 6061, 8225, 8211) each 8400 __ | Gapnograph and Oximetry each 8403 | Batlry Eliminator, 105-125 VAG, 60 He, 100-240 VAG, BOI6O Hz «| __each 8404 | Battory Charger Kit each 8405 | Extended Life Moisture Trap Syaiom exch 8406 | Bary Eliminator, 208-252 VAG 50/60 Hz each 8407 | Battory Eliminator, 90-110 VAC 60 Hz each 8408 | Battery, 74 V Lithiurion Rechargeable each 6409 | Pole Mount each 8411 | Infered Printer, HP 622408 each est2 | Canying Case each * The SIMS BCI, Inc, 1302 and 3026 oximetry sensors should not be used on neonatal patients with the Capnograph monitor. Testing has not been conducted for the Capnograph for patients less than 30 days old. ‘These sensors may, however, be used on older patients. Ordering Information For ordering information, contact your local distributor or the SIMS BCI, Inc. customer service department, SIMS BCI, Inc. Phone: (262) 542-3100 N7W22025 Johnson Road Toll-Free: (800) 558-2345 ‘Waukesha, WI USA 53186-1856 Fax: (262) 542-0718 E-Mail address: info@sims-bei.com 92 ‘Capnograph Service ManualEERE Specifications Capnograph isplay Measurement Calibration Measurement Range Display Range Display Update Rate Accuraey* Delay Time ‘System Response Time Time from power on to accurate readings: N20 Compensation Averaging Flow Rate Chapter 9: Supplies, Accessories & Specifications LCD, with electrolumnescent (EI) back light 160 X 160 pixels; 38.4 om2, 62.x 62 mm Non-Dispersive IR absorption Manual 2 point. ; 0-10% CO; STPD (standard temperature and prossure dry) 0-100 mmHg; 0-13.3 kPa; 0-10% CO, ‘Waveform data updates at 24 Hz using a sliding erase bar to provide sweep speeds. Numerical data and messages are updated at 1 Hz, Sp02 pulse strength bar and the breath indicator update at 60 Hz. +£2mmllg or 4% of reading, whichever is greater £.0.3% (vol) CO, /24hrs 325ms (average) 2.140s (average) ’ 2.465s (average) 3 minutes (typical) selectable 40% (default = OFF) 4 breath average 120 +20 ml/mii * Accuracy specification for respiration rates less than 50 breaths per minute. ETCO2 specification for 51-80 breaths per minute is 10% of reading and for 81-150 breaths per minute is -20% of the reading. Respiration Rate Range Accuracy Averaging, Display Update Rate SpOz Range Accuracy Averaging, Pulse Tone Display Update Rate Sensor Calibration: 0-150 breaths/min £1 bpm 4 breath average 1 Fiz for Respiration value 0-100% SpO, (functional) £2 at 70-100% SpO, £3. at $0-69% SpO, 8 beats +h corresponds to SpO, value. Value adjugtable or OFF. Hz for $pO; value, 602. for waveform Red 660nm, 2.0 mW Infrared 905 nm, 2.0 - 2.4 mW Factory calibrated over 50% to 100% using human blood samples to functional saturation, Test methods available upon request. No in-service calibration required. ‘Capnograph Service Manual |Chapter 9: Supplies, Accessories & Specifications Peripheral Pulse Rate Range 30-254 bpm Accuracy #2 bpm or 2%, whichever is greater, at 30 to 254 bpm H Averaging B seconds Display Update Rate Iz Pulse Strength 7 NOT proportional to pulse volume! Range 30-254 bpm, indicates logarithmic strength of patient's pulse \ Display 8 segment bargraph Display Update Rate 60Hz Alarm Limits Ranges EYCO, : High: 0-100 mmHg (1 mm#ig steps), and OFF 0-13.3 kPa (0.1 kPa steps), and OFF 0-10.0% CO, (0.1% steps), and OFF Low: 0-100 mmHg (1 mmHg steps), and OFF Factory Defaults: High = 60 mmFig Low = 20 mmHg, Resp Rate High: 5-150 bpm (1 bpm steps), and OFF Low: 5-150 bpm (1 bpm steps), and OFF Factory Defaults: High = 35 bpm Low =5 bpm Inspired COs High: 0-100 mmHg (1 mmHg stops), and OFF 0-13.3 kPa, 0.1 kPa steps, and OFF 0-10.0% COs, 0.1% steps, and OFF Factory Default: High = 8 mmHg Pulse Rate High: 30-254 bpm (1 bpm steps), and OFF Low: 30-254 bpm (1 bpm steps), and OFF Factory Defaults: High = 150 bpm Low = 45 bpm 50-100% (1% stops), and OFF 50-100% (1% steps), and OFF High = OFF NOTE: User set alarm limits will be retained through power cycles. oe Capnograph Service ManualSerial Output Chapter 9: Supplies, Accessories & Specifications Infrared Port compatible with HP82240B Printer or similar device. Data Format: Options: Power AC Power (Optional) Battery Charger Battery Battery Disposal Physical Dimensions: Weight: Environment ‘Temperature: Relatiy Humidity EMC: Non-standard format ~ 500 baud ‘Text only, no geaphics. Patient data log or trend tables See Appendix A: Supplies and Accessories ‘MoliEnerey 7 Agency Approvals pending Lit (lithium-Ion) ,7.4 VDC Replaceable internal rechargeable, Fully charged continuous use life of approximately 6 hours. Maximum full-capacity charging time is 2.5 hours ‘The battery must be disposed of properly. For more information contact your local authorities. Width: 4.38" (111 mm) Height: 5.0" (127 mm) Depth: 2.90" (73.7 mm) 22 ounces (0.63 Kg) Operation: 0-50 C 2-122? F) Storage: -40-75°C (-40-167° F) Operation: 15-95% (non-condensing) Storage: 10-95% (non-condensing) As per the most recent FDA guidelines for Respiratory and ‘Oximetry devices, and EN60601-1-2. Capnograph Service ManualSEE er ee eee eee eee eee ee eee eer eee ee eee eee eee ee eee ere eee ete Appendix: Parts Lists, Assembly Drawings Appendix: Parts Lists, Assembly Drawings Assemblies, drawings, schematies, and component information not contained in this manual, is available upon request to SIMS BCI, Inc. Drawing No. _| Description |__Page 20650A1 F/Asm Drawing i Az 20650A1 F/Asm Bill of Materials AG 2065281 |’Asm Drawing Main Board AT_ 20652B1 Parts List Main Board He A9 2065281 Main Board Schematic Al3 [2065681 | Asm Drawing Battery Interface AB 2065681 Parts List Battery Interface : A-19 2065681 Schematic Battery Interface i A20 20681A1__| Asm Main/Display/Sp02 PWB Aa | 20681A1 Bill of Materials Main/Display/Sp02 PWB A23 20682A1 Asm Battery Interface 110V i A24 206822 | Asm Battery Interface 220V ee jp A-24 2068243 Asm Battery Interface 90V A-24 20682A1,A2,A3 | Bills of Materials for 110V,220V & 90V Asm Baitery Interfaces | A25 7120281 AC Power Supply 105V-125V 60H ‘A-26 7120282 AC Power Supply 208V-252V SO/60Hz A28 | 7120283 ACPower Supply 90 ASI 71552B1 i in BC $p02 A33 7155281 s List Business Card $pOz [434 _| 7155281 Schematic Main SpO2 |_A37 . | : Capoogranh Service Mannal AopendixtITEM 13 BOND IN PLACE ITEM 1 WITH ITEM 24 PLACE WITH, ITEM 25 ITEM 7—} | TUCK BETWEEN CYLINDER & BASE ITEM 11 «2 PLACES> «10 PLACES ON PUMP) | SDETAIL “he ITEM 29-4 ITEM 6 SEE DETAIL *A* TRIN FIN ON BOTH LOWER BOSSES TO ACCOMMABATE GXIMETER BOARD. SEE DETAIL *B* DETAIL Lit y— SEE SHEET 3 DWGNO: 20650A REV. DESCRIPTION ITEM 30 UPDATED PER LATEST, ASSEMBLY PROCEDURES EAR 3184 CLL 9-9-99 PRODUCTICN RELEASE. C/N 4301 1 cu s 9-9-9 SEE SHE! eon Sta. ich 02-02-00 SEE SHEE G58 S550 bea c2-25-0 UPDATE ILLUSTRATION 7 Se PRae ode EAE S 9406-30-00 TEACH AMOUNT vag 1S, ADDED ITEM 29 & St C/N_6207 RPA 10-03-00 ADDED A2 (OEM VERSICND C/N_6334 CLL 10-18-00 ‘ADDED ASSY, | AS C/N 148-01 RPA D4~! seca {SHOWED CUT OUT OF FI [CAN *e04- ot seh tithe TADLED.17E) (eri teb TLLUsrearion /N 1240-0 RPA 06-27-01 @irfala} a] wl }e lo} wo TRIN FIN "BY ORIGINAL (laa ||| ome SIMS BCI, Inc. DRNBY: RJR Toa. ay: C.LANGE __|ENG: P, ROPELLA, DATE: 10-12-98 [DATE 12-14-99 | DATE: 12-14-99 SCALE, NTS DONOT SCALE PRINT - JOA."S. SEIB ‘THIS DOCUMENT CONTAINS CONFIDENTIAL AND/OR|DATB: 12-14-99 PROPRIETARY INFORMATION AND IS NOT 70 BE RE- PRODUCED, DISTRIBUTED OR DISCLOSED WITHOUT | MFG. SANDERSON PRIOR APPROVAL OF SIMS BC, Inc. OR ITS DATE: 12- DESIGNATED AGENT. 12-14-99 TOLERANCE UNLES: OPHERISE SPECIFIED: AX: #010 SK: & 0 | ANGERS 1 MATERIAL’ FINISH: DWG NO: REV. ENERIC ASM CAPNOCHECK 11 8400 20650A AI=BCT, A2=OEM, A3=W/DIG. OXIMETRY BRD. [Sar 1 OF © GeDWGNO: 20650A REV. DESCRIPTION SEE SHEET 7 EAR# 3184 CLL_9-9-99 PRODUCTION RELEASE. CAN 4301 CLL 9-93-99 ADDED TAPE TTEM 28 C/N 5910 RPA 02-02-00 ITEM 28 WAS 5623981 E/N_S950 RPA 02-29-61 UPRAre ILCUSTRALION TU CURRENT ASSY, PROCEDURE G/N 6149 RPA 08-30-90 SEE SHEET I C/N 6207 RPA 10-03-00 SEE SHEET 1 C/N 6334 CLL 10-18-00 ADDED ASSY. AS C/N L148"01 RPA 04-16-01] SEE SHEET 1 CAN 1204-01 RPA OS-11~ot SEE SHEET T C/N 240-01 RPA 06-27-01 TO_ BENCH SHT, 3 pantera JS SHT. 3 TUCK DOWN TO THE LEFT OF DB, ITEM 15, <4 PLACES) ITEM 17, o}ni|atalal © }rjeloluy ITEM 26 GXIMETER’ CAB R’ CABLE ITEM 27 BARCODE) ORIGINAL To_J2 SHT, 3 | em cota ITEM 16 WA ITEM 14 aoe SIMS BCT, Inc. ITEM 3 SHT. 3 | DRNBY: — RJR CHK.BY: C,LANGE|ENG: P. ROPELLA ‘TO J12 SHT. 3 DATs: 10-12-98 [pate: 12-14-99 [DaTE: 12-14-99 L a SCALE: NTS DONOTSCALE PRINT _[QAs S. SEIB WieeS ano to feeweenut ice ‘THIS DOCUMENT CONTAINS CONFIDENTIAL AND/OR|DATE: 12-14-99 PROPRIETARY INFORMATION AND IS NOT TO BE RE- 7 : PRODUCED, DISTRIBUTED OR DISCLOSED wirHour |MFG. SANDERSON NOTES: PRIOR APPROVAL OF SIMS BCI, Ino at DATE: 12-14-99 | MATERIAL: TOLERANCE UNLESS: 1 ITEM 14 IS USED T2 HOLD ITEM 3 IN PLACE OTHERWISE SPECLFLED: 2. ITEM 15 IS USED TO HOLD THE CASE TOGETHER FINE ee _| UPON COMPLETION OF ASSEMBLY, THE: BWGNO Rav GENERIC ASM CAPNOCHECK II 8400 | 20650A AI=BCI, A2=OEM, A3=W/DIG. OXIMETRY BRD. |SHT. 2 OF 4 G&DWG NO: ITEM 5, SEE SHEET 4_ VALVE CABLE 20650A FOR FASTENING OF TAILS FROM SHT. 2 SRNNEST TOP KEVPAD Raydo eco PUMP CABLE 7 B [Paew ssa cu 9-9-99 FROM SHT. 2 ITEM 14 [PRODUCTION RELEASE «2 PLES) ee ue 1 ROM SHT. 2 © 3 SEE SHEETS 1 ‘AND z OXIMETER CABLE i a SE HEE ow ee 4 CN G07 vi 0 FROM SHT. 2 | Son Ses ct 10-18-00, SPEAKER CABLE re fi 6 (CATES RAR o4-10-01 ar > 7 ea Heb! PA 05-11-01 vekd 8 [GN tesi-0r ken o6-26-0 e . TUBING FROM TUBING FROM PUMP SHT, 2 VALVE SHT. 2 18 © ITEM 2 ° Of]! 7 ey) ORIGINAL J 7 / i MINT Yet 4 IMS BCI. Inc {|| ee SIMS ’ . DANBY: IR GH BY:_C. LANGE [ENG: P. ROPELLA DATE: 10-19-98 [Date 12-14-99 [Daye 12-14-99 CONNECT BOTTOM KEYPAD SCALE: NTS DONOTSCALEPRINT (QA: §, SEIB ee HonaTA mohuan wo RNer ONE Doe EE PRODUCED, DISTRIBUTED OR DISCLOSED WitHoUuT [MFG: SANDERSON PRIOR APPROVAL OF SIMS BCT, Ino. OR ITS DA 70.14.99 DESIGNATED AGENT. = MATERIAL: TOLERANCE UNLESS: OTHERWISE SPECIFIED: Ree 010 SOK: #005 ANGLES: 1° THLE: BWG NO; GENERIC ASM CAPNOCHECK II 8400 206504 AI=BCI, A2=OEM, A3=W/DIG. OXIMETRY BRD. [Su 3 OF >DWGNO: 20650A DESCRIPTION SEE SHEET 1, ADDED. XGEW, SGWING FASTEN ING OF TAILS EAR# 3184 CLL 9-9-99 ITEM 1 ITEM 4 APPLY ONE OF ITEM 11 TO THE INSIDE OF THE BATTERY DOOR AS SHOWN, PRODUCTION RELEA: Gen Aco Cy So SEE SHEET CAN SoU hea 2-02-00 SEE Si @ EZ 3350 RPA 02-29-04 SEE EAN SEE SHEET 1 C/N 6207 RPA 10-03-90 SEE SHEET 1 C/N 6334 Cul 10-18-90 ADDED ASSY, AS CAN 1148-01 RPA 04-18-01} SEE SHEET 7 CAN 1204~« a RPA 0S. 0 SEE SUT en ea0-ot RPA 06-26-01 OR IGINAL Nee SIMS BCT, Inc. DRNBY: RUR CHK BY: C.LANGE _|8NG.: P. ROPELLA DATE: 10-12-98 |DATE: 12-14-99 DATE: 12-14-99 SCALE: NTS DONOTSCALEPRINT |QA.: §. SEIB THIS DOCUMENT CONTAINS CONFIDENTIAL AND/OR| DATE: [2-14-99 PROPRIETARY INFORMATION AND IS NOT TO BERE- PRODUCED, DISTRIBUTED OR DISCLOSED WITHOUT PRIOR APPROVAL OF SIMS BCI, Inc. OR ITS MEG: SANDERSON DATE: 12-14-99 DESIGNATED AGENT, RIAL: TOLERANCE UNLESS me QEADRWISE SPECIFIED; pee Re i 200s eee ANGLES 2 THLE: DWGNO: REV. GENERIC ASM CAPNOCHECK II $400 20650A 8 AI=BCL, A2=OEM, A3=W/DIG, OXIMETRY BRD. |=09-12-01 [10:46] SINGLE-LEVEL PRODUCTION BOMS (1) SIMS BCI, Tac. item Code Description EEfect. Net Quantity|un Date ‘actured Item GENERIC ASM CPNCK 2056351 CASE COMPLETE 8400 [09-30-98 1.0000] Ba 20681a1 ASM MAIN/DISP/SPO2 P}06-16-98 110000] Ba 2068601 COMPARTMENT ASM BATT|065-15-98 120000] #a 7082502 ELTR 17MM CAPCHK MoD| 10-14-98 iia000|za 2068381 KYPD 6400,BCI CAPNOC| 05-16-98 120000] A 2067481 PUMP ASM 8400 05-16-98 1:0000|za 2087281 SPEAKER ASH 8400 12-03-39 170000 | Ra 2017681 PAD FOAM .75 DIA x . 09-29-98 120000|za 2067731 PITTING 1/16" BoNDAB| 09-29-98 1:0000/za 2067882 EEPTING 1/16" TB 70 |09-29-98 120000] EA 3202633 SCREW TAP 4X1/4 TPE| 12-01-99 510000 | Ra 1202654 SCREW TAP 447/8 TYPE|09-29-98 410900| Ra, 7087581 SHPLN ASM NAF 1" 03-29-98 1lo000]Ra 6806181 TB TYGON B-44~3 .125|09-29-98 d:1000| er 31168a1 CBL ASM OVERMOLDED 5|10-14-98 120000/ER 3101785 GSKT DB9_RUBBER W/AD|12-01-99 110000) BA 450828 TAPE DOUBLE-BACK CLO|12-01-99 020100/RL 5721781 ADHSY NON-COROSTVE 'D|12-01-99 9:0000]za. 5783631 EPOXY 5 MINUTE DEV-T|i2-01-99 9:0000|7B 2055331 ADESIVE LOCTI'TE PRI|12-01-99 o:0000|Br 5406852 TIE CBL MICROMINI | [12-01-99 2:0000|RA 2054285 LBL THT-5-423-10 wHT| 12-14-99 0:0100| RE 5623981 TAPE DBL-SD FOAM 1/2/02-03-00 0.0400 Fr 5832681 GLUE HO? MELT *sH* [09-05-00 9/0000} cs 2016681 O-RING .037 ID X .08|10-03-00 210000 /BA 3100781 CLAMP CSL 06-08-01 10000 [EaPNG: 20652B1 (ON WITCH CHART ae ERATEN PER ATES FOR St C._ RESIGN CHANGES, See ait LL 7 SWITCH|ON[OFE| O PrymuerioN eee 1 | x 7-8-39 ReOrULATED TESTER 2 [x] : Sg. WAS EGRVOALuUP SEE CHART Sbeb ALTERNATE BN” 3 x weretcadac tera Ui, 4 X 1 RPGs eae ues 5 x RARE RolT BL 03-1553 6 X 2 AppED ITEM 406 AND IC/N S827 RPA 02-21-01 UPDATED DESIGNATER U2 3. (PAN kMeeeSectol-7 ITEM 401 (SEE SHEET 2) G/N etd Jak" 68-00 —ITEM 406 (SEE NOTE #5) | a3. | |—— APPLY ITEM 405 TO ta THESE COMPONENTS Set i ar y rn TOP VIEW Teo ORIGINAL MARK HERE WITH CURRENT REVISION SHT. 2 |S_"A” SIZE, SHTS. 3 THRU 6 ARE "V" SIZE. USING & PERMANENT MARKER, emt NO {i Ga SIMS BCI, Inc. 1, MANUFACTURER TO PLACE A ’MFD BY’ - - - IDENTIFICATION MARK ON BOARD, DRNBY: MER ____|CHK.BY: C.L. Lange _|ENG:M. Moritz 2, IF MANUFACTURER TESTS BOARDS, A TEST [DATE 8-19-98 [pars 7-16-99 RATE 7-15-99 STAM MUST BE PLACED ON THe BOARD |ScALE: NTS DONOTSCALEPRINT |QA: Sue Seib INDICATIN ASSED ALL TESTS. ; 3, THIS ASSEMBLY MUST MEET ALL REQUIREMENTS OF PROPRISTARY INSORMARON AND B NOL TOBE oe IPC-A~610, CLASS 1 (CURRENT REVISION) PRODUCED, DISTRIBUTED OR DISCLOSED WITHOUT [MFG: MLS. | SPECIFICATION, UNLESS OTHERWISE SPECIFIED. PROCEED CRT NS BCH kis. OR TES DATE: 7-15-99 4. VENDOR IS TO INSTALL SOFTWARE ASSEMBLIES MATERIAL: FOLRANGE UNLESS ITEM 402 AT U18, ITEM 403 AT U2l AND ITEM . oe OTHERWISE SPECIFIED: 404 AT UIS, ENG 38622 00s 5, DESULDER AND LIFT PINS #2 AND #7 FROM U2. i ANGLES: 1° SOLDER WIRE FROM U25 PIN #7 TO UIS PIN #12. TITLE: DWGNO: REV. PWB ASM A/T MAIN BOARD 8400 [2065281 _| 3 iT. 1 Gpsal orp Pitter s Mb wes BOTTOM INSERT ITEM 401 (PRESS IN FASTENER) FROM THE BOTTOM SIDE OF THE BOARD INTO THIS *0.154" HOLE, REV. THE FASTENER SHALL BE INSERTED FROM THE BOTTOM SO THAT IT IS FLUSH WITH THE TOP SIDE OF THE cBESIGN GANGES, SP BOARD AFTER INSERTION. ITEM 406, DWGNO: 20652B1 DESCRIPTION IPDATED_PER LATEST SHEETS 1 & 3 THRU EAR 433i cL 7-8-95 =o _ PRODUCTION RE-ERSS C/N Sit CLL 7-86-99 _| EE SHEET i 2 Rin Sebo ea 02-21-04 7N G14 JBK 6-8-00 oa SE T ORIGINAL SHT. 1. "8" SIZE. SHTS. 3-6 "V" SIZE. SIMS BCI, Inc. DRNBY: MER cucey: CL Lange ENG: __M. Moritz | Date 8-24-98 [DATE 7-16-99 [DATE 7-15.99 SCALE: NTS DO NOT SCALE PRINT |QA: Sue Seib “TIS DOCUMENT CONTAINS CONFIDENTIAL ANDIOR [DATE 7-16.99 Fee ae ONT AnON AND SNOT TO RE AE” PRODUCED, DISTRIBUTED OR DISCLOSED WITHOUT |MFG.: MS. Fuge rrtGvat cr sn Be. Ow 8 Ca MATERIAT: DRE TES TOE SE Srecin: ge NTE aE ; SHON: a PWB ASM A/T MAIN BOARD 8400 eA 113o69+-o1929 zooszr lasizivizrne zoralt shis 940, orsva 'b240 Lsenva zeenrowoa b010 USLVADLL-SOS 240 SOP LOHIA-NOa “p00 NogooLHtArnoa “b9s0 ML-SYOLONGOLYL BFL v9.40 DEMEDIHLATIOS 'b010 vesorze90ss020 be10 vaiwiissoeso80 840 ‘vaiwrozavssoa0 B10 wewoivzzoasoeo 340 OWuS¥ELPOSOBDO 940 por09sHiA-noa 340 ovusrols0809 0s 0uSFONZOI3SdL. 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SPECIFICATION, Sea =o UNLESS OTHERWISE SPECIFIED. PWB ASM MAIN 71552B1 BC SPo2 Sa era lePecciecce see) :eee seca ceca cee ace acee acca :eeelsceclsece scealsecaa cee a cee seal Gae saeelseea saaalsaaalseeaaeeanaeaaeaaaaaaaaal [BCTINTERNATIONAL Dwg No. 71552B1 PWB ASM Main BC SPO? Page 2 of 4 | Rev Date: 01-23-02 Rev. 7 | QTY DESIGNATORS 23 €3,05,c9, ¢10,c12, 013, 16,c17,c20, €21,€23,C25 627,C28,C34, €35,C36,C37, 38 ,¢39,C40, can ¢2,c4,c11, ¢22,c26 c6,C7 c8,cla,c200 cas cis cis 24,032,033, 29 €30,c31,c42 D1,D2,D4,D5 D3 #1, FB2, P53, FB¢, FBS, FB6, B10, F811, FB12 7, PBB, FBS 2 DESCRIPTION luF SOV +808-208 YSv 1uF isv TANT mM 3216 68pF NPO SOV 58 220pF NPO SOV 5t 0805 12u FILM 16v_ 58 1913 Or .12uF FILM lv 5% 3913 or .luF FILM 16V 58 coir 0805 1000pF NPO SOV 58 0805 LOpF NPO SOV +/-0.5pF 0805 4.70 TANTALUM 16V 3216 47uF ELECTROLYTIC 6.3V 5x5.5 DUAL-DIODE BAVSSLT2 sor-23 VRE LM¢040D1M3-2.5 soT-23 EMI-FILTER BIM21B222SPT 0805 EMI-FILTER BEMS1A01 1806 14P0S DUAL-ROW .1x.1 sur BEADER LOPOS DUAL-ROW .1x.1 sur HEADER 60S DI 2 HEADER MMBTOSLTI NEN DUAL N-CHANNEL MANUFACTURER/PART NUMBER Any ORIGINAL Any Panasonic ECW-U1C124JB9 or NIC NSFC124I16TRD: ‘or NIC NSPC104050TRD2 Panasonic ECH-ULA102IB5 or NIC NSPCLO2U507RAL ANY. ANY. Panasonic ECS-TICY475R or ANY Nic NACE470M6. 39 Motorola or ANY National Semi LM4040DIM3-2.5 Murata Erie BLM213222SPT $25.5 Murata Erie BLM41A800SPT. tec TSN-107-01-L-DV-A Samtec TSM-105-01-L-DV-A or ANY ‘Liconix St995SDr or Samsung SI9956DY or Diodes Inc DrD2003 DID2009 orBCI INTERNATIONAL Dwg No. 71552B1 ‘PWB ASM Main BC SPOz Page 3 of 4 Rev Date: 01-23-02 Rev. 7 QTY DESIGNATORS DESCRIPTION 1 93 DUAL EANNEL 4 RL,R2/RI6, 47 58 R23 5 R3,R4,R22, 2.15K 18 R42, R43 7 R5,R6,R9,RIO 11K 18 R11, R20,R21 7 RT RB, 249K 18 R14,R17,R16, R27, R29 1 R12 499K 18 1 R13 24.9K 18 1 RIS 49.9K 18 2 Ro 270 58 2 R25, R24 15 18 7 R26,R32,R33, 180K 58 R34,R35,R36, R37 1 R28 200K 18 3. R36,R39,R41 1K 58 1 R40 10 58 2 Rad, RAS 820K 5% 2 TP7,7P8 TESTPOINT CIP 1ouL 'TLC2272CD DUAL OP-AMP 1 v2 OP -aMP 1 03 AD822AR DUAL OP-AMP 4 TLC272CD DUAL OP-AMP 1 us AL COMPARATOR 1 v6 DG308ACY QUAD SPST SWITCH 1 v7 AD8402M 1 va LICL286CS8 12-BIT ADC 1 v9 HD64180RF8X PROCE: 1 010 SOCKET 32P0S PLCC 1 27C256-20/L EPROM 1 ul 6264 @kx8 SRAM ADM705AR uP-SUPERVISOR 8-BIT ADDR- PKG so-8 0805 0805 080s 0805 0805 0805 80s, 0805 0805 0805 805 0805 0805 0805, 1206 so-8 s0-8 30-8 s0-8 s0- s0-16 MANUFACTURER/PART NUMBER Siliconix sr9953p¥ or Samsung SSD2005 Texas Instruments TPS1120 Diodes Inc 200! International Rect-IRF7104 ORIGINAL | Any any Any aay Any any Any Any I Any Any KOA Speer Electronics RCW Texas Instruments TLC2272CD (Preferred) National Semiconductor LMG132BIM, or Analog Devices ADS22AR Anslog Devices ADE2ZAR Preferred gLe2272ACD Alternate ts TLC272cD aductor IM393M Siliconix or Maxim DG30ACY Analog Devices ADB402AR10 | Linear Technology LTc1286cs8 Hitachi BD64180RFex AMP 822498 EYUNDAT BY6264ALJ-10 or any Analog Devices ADM70SAR Mot or Any Motorola MC74HC259D or Any La MC74HCL39D |WOVOUSOR™ CONNECTOR wt POWER AND COMMUNICA No_coNNecT &No = GSB. I OGReser ineur Bis herr SSY picrra. input Tone : EP i OXINS ESCH EN TANA-SV ORINSIESCH | spout PRe—DeT veMaePaUcT 0 PRODUCTION RELEASE: DRWG NO: aoe St REV, CRIPTION. C/N 4136 NER 8: SEE SHEET 3 LCN 6174 RPA 07-18-00 2 [SEE SHEET 3 C/N 6237 JBK . 00 th i ro we | BCI INTERNATIONAL DRAWN BY: MER [cHK. BY: ENG. APPR [DATE: | 0_NoT THS DOCUMENT CONTAIN ROPR MATION ee Disc IDE NOT TO_BE JONAL OR ITS ITIAL_AND/OR ED WITHOUTTORWG NO: 7155281 = Ey tone a 3 1 lem Z4-BB8 07-18-10) wie @ [See SHEET 3 zeetou al 2 —= C/N 6257 JBK 9-17-00 2 Fx 3. os : ORIGINAL @2q) "0 INTERNATIONAL DRAWN BY: MER [CHK. BY: PROPELLA ENG. APPR: GEISLER =37 _ (DATE: 8-14-97 QA APPR: DAS SCHEMATIC, B DIGITALee, L DRWG NO: N° 715521 REV.| DESCRIPTION [9 PRODUCTION RELEAS E/N 4136 MER 8 [7q anne ceno, zw Li Ener’ eea o “PAN FOR UE Was Ti 2 en 'see7 Sex TWNISINO <5) BCI INTERNATIONAL INTERNATIONAL CHK. BY:P, ROPELLA ENG. APPR: GEISLER sal MFG. APPR: MS. SCHEMATIC, BC SPO2 ANALOG SECTION 8-14-97