Фетальный монитор медиана fm 20 инструкция по эксплуатации на русском

Brand: Philips
|
Category: Monitor
|
Size: 16.44 MB

• Table of Contents

  3

• Introduction

  7

• Who Should Read this Guide

  7

• What to Do Next

  7

• Repair Strategy

  8

• Manufacturer’s Information

  8

• Passwords

  9

• Safety Information

  9

• Configuration Mode

  9

• Electric Hazards

  10

• Explosion Hazard

  11

• Liquid Ingress

  11

• Heat Exposure

  11

• Prohibited Environments

  11

• Alarms

  12

• Safe Installation

  13

• Safe Maintenance, Repair and Care

  13

• Site Preparation

  15

• Site Planning

  15

• Introduction

  15

• Site Requirements

  17

• Space Requirements

  17

• Environmental Requirements

  18

• Altitude Range

  18

• Safety Requirements

  19

• Electrical Requirements

  19

• Essential Performance

  19

• Connecting Non-Medical Devices

  21

• Mounting Options

  23

• Input Devices

  24

• Installation Instructions

  25

• Installation Checklist Fetal Monitor

  25

• Initial Inspection

  26

• Unpacking and Checking the Shipment Fetal Monitors

  26

• Electrical Inspection

  27

• Repackaging for Shipment or Storage

  27

• Mounting Instructions

  28

• Mounting the External Power Supply

  28

• Line Voltage Selection

  29

• Connecting the Monitor to AC Mains

  29

• External Power Supply Overview

  29

• Disconnecting the Monitor from AC Mains

  30

• Connecting the Monitor to Non-Medical Devices

  30

• Installing the Tympanic Thermometer

  31

• Mounting the Tympanic Thermometer

  33

• Tympanic Thermometer Biotech Mode

  33

• Before Using the Monitor

  35

• Checking and Setting Line Frequency

  36

• Checking/Setting Paper Scale

  36

• Checking/Setting Recorder Speed

  36

• Fetal Recorder

  36

• Configuring the Equipment Label

  37

• Configuring Smartkeys

  37

• USB/PS/2 Keyboard/Mouse

  37

• Theory of Operation

  39

• Monitor Hardware Overview

  39

• Power Supply

  40

• Connector Block

  40

• Bus Master Board

  40

• Main CPU Board

  40

• Bottom Housing

  40

• I/O Boards

  41

• Fetal Recorder (Thermal Printer Unit)

  41

• Recorder Adapter Board

  41

• Paper Sensor/Stepper Motor

  41

• LCD Display and Touchscreen

  42

• Noninvasive Blood Pressure Assembly

  42

• Spo2 Assembly

  42

• Input/Output Interface Boards

  42

• Transducer Hardware Overview

  43

• Functional Description of the Transducer CPU

  43

• Transducer Types

  43

• Toco Transducer Front-End

  44

• Ultrasound Transducer Front-End

  44

• Toco+ Transducer Front-Ends

  44

• Patient Module Front-Ends

  45

• Avalon CTS Interface Cable (TMIF)

  45

• Interfaces

  47

• LAN / RS232 Interface

  48

• Dual PS/2 Interface

  48

• MIB / RS232 Interface

  48

• Connection of USB Devices

  49

• Flexible Nurse Call Relay

  50

• Connection to a Network

  51

• Network Infrastructure Requirements

  51

• Data Privacy and Network Security Requirements

  52

• Connection Indication Messages

  52

• Broadcast

  52

• Unicast

  52

• Equipment Label and ob Tracevue

  53

• Intellispace Perinatal Fetal Monitor Domain Name

  53

• Data Export/ Data out Functionality

  53

• Configuring the LAN Data Export Setting

  53

• Configuring the MIB/RS232 I/O Board Data Export Setting

  54

• Testing and Maintenance

  55

• Terminology and Definitions

  55

• Introduction

  55

• Recommended Frequency

  56

• When to Perform Tests

  56

• Testing Sequence

  58

• Visual Inspection

  59

• Safety Tests

  59

• Power on Test

  59

• After each Service, Maintenance or Repair Event

  59

• Warnings, Cautions, and Safety Precautions

  60

• Electrical Isolation Diagram

  60

• Safety Test Procedures

  61

• Hints for Correct Performance of Safety Tests

  62

• General Test Setup for the Performance of Safety Tests

  63

• Safety Test Adapter Cable — Schematics

  64

• Detachable Power Cord Protective Earth Test

  65

• Sum of Functional Earth and Equipment Leakage Current Test

  66

• Applied Part Leakage Current, Mains on Applied Part

  68

• Measuring Circuit for the Measurement of Applied Part Leakage Current

  69

• Applied Part Leakage Current

  69

• System Test

  71

• What Is a Medical Electrical System?

  71

• General Requirements for a System

  71

• System Example

  72

• System Installation Requirements

  73

• Required Protective Measures at System Installation

  74

• Case 1: Medical Device Combined with Medical Device

  75

• Enclosure Leakage Current Test

  75

• Case 2: Medical Device Combined with a Non-Medical Device

  76

• Case 3: Medical Device Combined with a Medical or Non-Medical Device

  79

• System Test Procedure

  81

• Preventive Maintenance Procedures

  82

• Noninvasive Blood Pressure Measurement Calibration

  82

• Tympanic Temperature Calibration

  82

• Fetal Recorder Maintenance

  82

• Performance Assurance Tests

  83

• Full Performance Assurance Test

  83

• Noninvasive Blood Pressure Performance Tests

  83

• Accuracy Test

  83

• Leakage Test

  84

• Linearity Test

  84

• Valve Test

  84

• Spo2 Performance Test

  85

• Expected Test Results

  85

• Measurement Validation

  85

• Multi-Port Nurse Call Connector Test (Flexible Nurse Call)

  86

• Reporting of Test Results

  87

• Test and Inspection Matrix

  88

• Evaluation of Test Results

  91

• Transducers and Patient Modules; Functional Tests

  91

• Ultrasound Transducer Electrical Check

  91

• Other Regular Tests

  91

• Toco Transducer Electrical Check

  93

• Testing the Patient Module/Toco+ Transducer: DECG Mode

  93

• Testing the Patient Module/Toco+ Transducer: MECG Mode

  94

• Testing the Patient Module/Toco+ Transducer: IUP Mode

  95

• Touchscreen Calibration

  96

• Disabling/Enabling Touch Operation

  97

• Checking the Fetal Recorder Offset

  97

• Setting the Fetal Recorder Offset

  97

• Fetal Recorder Selftest Report

  98

• Battery Handling, Maintenance and Good Practices

  99

• Checking the Battery Status

  99

• Battery Status on the Main Screen

  100

• Battery Status Window

  101

• Conditioning a Battery

  102

• Viewing Battery Details

  102

• Documenting Battery Status

  102

• What Causes the Conditioning Message on the Monitor?

  103

• After Installation, Testing, or Repair

  104

• Conditioning Batteries

  104

• Troubleshooting

  105

• Replacement Level Supported

  105

• Who Should Perform Repairs

  105

• Checking Revision Information

  106

• Trace Header

  106

• Hardware Revision Check

  106

• Checks for Obvious Problems

  107

• Obtaining Replacement Parts

  107

• Troubleshooting Guide

  107

• Checks before Opening the Instrument

  108

• Checks with the Instrument Switched On, AC Connected

  108

• Checks with the Instrument Switched On, AC Connected, with Battery

  108

• Individual Parameter Inops

  108

• Initial Instrument Boot Phase

  109

• How to Use the Troubleshooting Tables

  109

• Boot Phase Failures

  110

• Screen Is Blank

  111

• Touchscreen Not Functioning

  112

• General Monitor INOP Messages

  112

• Battery Related Problems

  113

• Keyboard/Mouse Not Functioning

  114

• Network Status Icons

  114

• Alarm Tones

  115

• Fetal Recorder

  115

• LAN / RS232 Troubles

  118

• MIB / RS232 Troubles

  119

• USB Troubles

  119

• Tympanic Temperature Problems

  120

• Flexible Nurse Call Relay Troubles

  120

• No Video on Remote Display

  121

• Transducers Troubles

  121

• Status Log

  123

• Troubleshooting with the Support Tool

  124

• Troubleshooting the Individual Measurements or Applications

  124

• Parts List

  125

• Monitor

  125

• Transducers

  126

• Patient Modules

  127

• Interface Cables

  127

• Mounting Hardware

  128

• Tympanic Thermometer Part Numbers

  128

• Assembly and Kit Contents

  129

• Bottom Housing Assembly

  129

• Power Supply Assembly

  130

• Contents

  130

• Top Cover Housing

  131

• Stepper Motor Assembly

  132

• Paper Sensor Assembly

  132

• Drawer Assembly

  133

• Display Assembly

  133

• Battery Assembly

  134

• Transducer Cable Assembly

  135

• Belt Button Kit

  135

• FM Small Parts Kit — Plastic Parts and Labels

  136

• FM Small Parts Kit — Screws and Cables

  137

• Repair and Disassembly

  139

• Tools Required

  140

• Serial Numbers

  141

• Top Cover Disassembly/Reassembly

  141

• Removing the Top Cover Assembly

  141

• Removing the Display Assembly

  146

• Replacing the Display Assembly

  150

• Recorder Disassembly

  158

• Removing the Drawer Assembly

  159

• Replacing the Drawer Assembly

  161

• Removing the Recorder Chassis

  162

• Replacing the Recorder Chassis

  170

• Removing the Thermal Line Printhead (TLPH)

  172

• Removing the Paper Sensor Assembly

  174

• Replacing the Paper Sensor Assembly

  174

• Removing the Recorder Adapter Board

  174

• Removing the Stepper Motor

  177

• Replacing the Recorder Adapter Board

  177

• Replacing the Stepper Motor

  180

• Replacing the Top Cover Assembly

  180

• Bottom Cover Disassembly/Reassembly

  183

• Removing the Power Supply Assembly

  183

• Replacing the Power Supply Assembly

  184

• Removing the Battery and the Battery Assembly

  185

• Replacing the Battery and the Battery Assembly

  188

• Removing the Noninvasive Blood Pressure Assembly

  188

• Replacing the Noninvasive Blood Pressure Assembly

  192

• Removing the Spo2 Assembly

  195

• Connectors

  195

• Replacing the Spo2 Assembly

  197

• Removing the Interface Boards

  197

• Removing the Main CPU Board

  199

• Replacing the Main CPU Board

  201

• Removing the Front End Assembly

  202

• Replacing the Front End Assembly

  203

• Disassembling the Front End Assembly

  204

• Exchanging the Bus Master Board

  206

• Exchanging the Fetal Socket Connector Block

  206

• Reassembling the Front End Assembly

  206

• Exchanging the Noninvasive Blood Pressure/Spo2 Sockets

  207

• Exchanging the Loudspeaker

  207

• Transducer Disassembly/Reassembly

  208

• Exchanging the Transducer Cable

  208

• Exchanging the Transducer Belt Button

  212

• Upgrade Options

  213

• Installing Upgrade Options

  215

• Software and Firmware Upgrades

  222

• Environmental Specifications

  223

• Physical Specifications

  224

• Battery Specifications

  226

• Interface Specification

  226

• Connectors

  226

• Performance Specifications

  227

• Fetal / Maternal Specifications

  228

• Noninvasive Blood Pressure

  233

• Tympanic Temperature

  236

• Recorder Specifications

  238

• Recorder Symbols

  238

• Safety Tests Fetal Monitor — Warnings

  242

• Electromagnetic Compatibility (EMC)

  242

• EMC Testing

  243

• Reducing Electromagnetic Interference

  243

• System Characteristics

  244

• Electromagnetic Emissions and Immunity

  244

• Electromagnetic Immunity

  245

• Radio Compliance Notice

  246

• Finding Recommended Separation Distances

  247

• Recommended Separation Distances from Other RF Equipment

  249

• Environment

  250

• Monitoring after a Loss of Power

  250

• ESU, MRI and Defibrillation

  250

• Cardiac Pacemakers and Electrical Stimulators

  251

• Symbols on the System

  251

• Fast Transients/Bursts

  251

• Index

  255

• Troubleshooting 107 , 108 , 111 , 112 , 114 , 115 , 118

  256

• Monitor

  256

• Power Supply 40 , 130

  256

• Stepper Motor 41 , 132

  256

• Belt Button

  256

• Changing

  256

• Kit Contents

  256

• Interface

  256

• Main CPU

  256

• Failures

  256

• Transducers

  257

• Recorder Adapter

  257

• Nibp 42 , 83

  257

• Example

  257

• Password

  257

• Stepper Motor 41 , 132

  257

• Disassembly

  257

• Ecg

  257

• Transducer

  257

• Calibration

  257

• Alarm

  258

• Troubleshooting 107 , 108

  258

• Display

  258

• Touchscreen

  258

• Transducers

  258

• Transducer

  258