Passport XG Service Manual
Passport XG Service Manual
Passport XG Service Manual
Datascope
Passport®
5-Lead, 5L, LT, XG
Foreword ......................................................................................................................................v
Warnings, Precautions and Notes ....................................................................................................v
Operation (5-Lead, 5L, LT and XG) .................................................................................... 1 - 1
Introduction (5-Lead, 5L, LT) .......................................................................................................... 1 - 1
Controls, Indicators and Connectors (5-Lead, 5L, LT) ........................................................................ 1 - 3
Front Panel........................................................................................................................... 1 - 4
Left Side Panel...................................................................................................................... 1 - 9
Right Side Panel ................................................................................................................... 1 - 11
Remote Color Display............................................................................................................ 1 - 12
Operation (5-Lead, 5L, LT) ............................................................................................................ 1 - 13
Setting-up / Turning Power On ............................................................................................... 1 - 14
Factory - Default Control Settings ............................................................................................ 1 - 15
Display................................................................................................................................ 1 - 16
Use of Menus ....................................................................................................................... 1 - 23
Initiation of NIBP Measurements ............................................................................................. 1 - 25
ECG Acquisition ................................................................................................................... 1 - 29
Invasive Pressure Acquisition .................................................................................................. 1 - 34
Sequence for Establishing SpO2 ............................................................................................. 1 - 34
Sequence for Establishing SpO2 with Nellcor® Pulse Oximetry ................................................. 1 - 39
Respiration Monitoring .......................................................................................................... 1 - 42
Gas Monitoring .................................................................................................................... 1 - 43
Alarms ................................................................................................................................ 1 - 49
How to Set the Clock............................................................................................................. 1 - 53
User Configuration Mode ...................................................................................................... 1 - 53
Recorder (optional) ............................................................................................................... 1 - 54
Status Messages ................................................................................................................... 1 - 57
Monitor Problem Solving........................................................................................................ 1 - 62
Connection to External Devices............................................................................................... 1 - 64
Menus ................................................................................................................................. 1 - 64
Introduction (XG) ......................................................................................................................... 1 - 77
Controls, Indicators and Connectors (XG) ....................................................................................... 1 - 77
Front Panel........................................................................................................................... 1 - 79
Left Side Panel...................................................................................................................... 1 - 87
Right Side Panel ................................................................................................................... 1 - 90
Rear Panel ........................................................................................................................... 1 - 91
Remote Color Display (optional) ............................................................................................. 1 - 92
Gas Module (Optional)- Front Panel ........................................................................................ 1 - 93
Gas Module (Optional)- Rear Panel......................................................................................... 1 - 95
Operation (XG) ........................................................................................................................... 1 - 97
Setting-up / Turning Power On ............................................................................................... 1 - 99
Factory - Default Control Settings ............................................................................................ 1 - 99
Display................................................................................................................................ 1 - 102
Use of Menus ....................................................................................................................... 1 - 109
Initiation of NIBP Measurements ............................................................................................. 1 - 110
ECG Acquisition ................................................................................................................... 1 - 115
Invasive Pressure Acquisition .................................................................................................. 1 - 118
Sequence for Establishing SpO2 ............................................................................................. 1 - 119
Sequence for Establishing SpO2 with Masimo® Pulse Oximetry ................................................ 1 - 124
Sequence for Establishing SpO2 with Nellcor® Pulse Oximetry .................................................. 1 - 127
Respiration Monitoring .......................................................................................................... 1 - 132
Mainstream CO2 Gas Monitoring........................................................................................... 1 - 134
Sidestream CO2 Gas Monitoring............................................................................................ 1 - 139
Gas Module Option .............................................................................................................. 1 - 146
Alarms ................................................................................................................................ 1 - 149
How to Set the Clock............................................................................................................. 1 - 153
User Configuration Mode ...................................................................................................... 1 - 153
Foreword
This Service Manual is intended as a guide for technically qualified personnel during repair
and calibration procedures for the Passport 5-Lead, 5L, LT and XG monitors. The information
has been divided into the eight main sections as listed in the table of contents. A detailed
table of contents of each section is also provided on the first page of each section.
This publication may have been updated to reflect product design changes and/or manual
improvements. Any such changes to this manual would be accomplished by supply
replacement pages and instructions for inserting them into the manual.
For Passport external communication protocols (Datasette revision T or greater) see Service
Manual Supplements: P/N 0070-00-0302, Bedside-to-VISA Communication Protocol; P/N
0070-00-0304, Accutorr Communication Protocol; P/N 0070-00-0306, Passport
Communication Protocol (EzEm) and P/N 00700-00-0307, Datascope Improved ASCII
Protocol (DIAP).
A CAUTION is provided to alert the user to use special care necessary for the safe and
effective use of the device. They may include actions to be taken to avoid effects on patients
or users that may not be potentially life threatening or result in serious injury, but about which
the user should be aware. Cautions are also provided to alert the user to adverse effects on
this device of use or misuse and the care necessary to avoid such effects.
Warnings
WARNING: The use of remote displays will enlarge all waveforms and
may alter aspect ratios depending on the remote device and
its set-up.
WARNING: Do not use the following 3-Lead ECG cables with Passport 5L
(P/N, 0998-00-0126-xx) and 5L-CE (P/N, 0998-00-0131-
xx): 0012-00-0620-05, -06, -07, -08; 0012-00-0722-05, -
06, -07, -08; 0012-00-0723-05, -06, -07, -08; 0012-00-
0724-05, -06, -07, -08. The above 3-Lead cables contain a
jumper wire which connects RL (right leg) to LL (left leg). As a
result, when you view aVR, aVL and aVF you will see the
appropriate ECG waveforms (even though you are using a
3-lead cable). However, there may be excessive noise on
these waveforms which can corrupt the heart rate
calculation. See Section 5 in the Operating Instructions for a
list of the proper ECG cables.
WARNING: The site should be checked at least every eight (8) hours
(every four (4) hours with the Adult re-usable finger sensor).
Ensure proper adhesion, skin integrity, and proper
alignment. Nail polish and fungus may effect readings.
Exercise extreme caution with poorly perfused patients.
Skin erosion and pressure necrosis can be caused when
sensors are not frequently monitored. Assess the site every
two (2) hours with poorly perfused patients.
WARNING: Do not use the following 3-Lead ECG cables with Passport
XG (P/N’s 0998-00-0133-xx, 0998-00-0134-xx and 0998-
00-0137-xx): 0012-00-0620-05, -06, -07, -08; 0012-00-
0722-05, -06, -07, 08; 0012-00-0723-05, -06, -07, -08;
0012-00-0724-05, -06, -07, -08. The above 3-Lead cables
contain a jumper wire which connects RL (right leg) to LL (left
leg). As a result, when you view aVR, aVL and aVF you will
see the appropriate ECG waveforms (even though you are
using a 3-lead cable). However, there may be excessive
noise on these waveforms which can corrupt the heart rate
calculation. See Section 5 in the Datascope P/N’s 0070-00-
397, 0070-00-0440, 0070-00-0503 of the Passport
Operating Instructions for a list of the proper ECG cables.
WARNING: The maximum sampling rate at the nasal cannula is 200 ml/
min. This device should not be used on patients whose
breathing could be impaired by this vacuum flow rate.
WARNING: The maximum sampling rate at the nasal cannula is 200 ml/
min. This device should not be used on patients whose
breathing could be impaired by this vacuum flow rate.
Cautions
CAUTION: Connection of non-isolated devices to the optional RS232
Connector on this unit may cause chassis leakage to exceed
the specification standards.
CAUTION: Only use the Abbreviated Operating Check List if you are
already familiar with this product. If not, please continue
with the remainder of this chapter, Detailed Operating
Instructions.
CAUTION: Do not use this special “Y” shaped power cable for any
devices other than the Passport and Gas Module II.
CAUTION: Using dark colored soaks may stain the cuffs. Test a single
cuff to ensure that no damage will occur. ETO sterilization
may also be used.
TABLE 1-1
PASSPORT 5L PASSPORT LT
A single action key provides one action each time it is pressed, regardless of how long it is
held.
A repeat action key provides the an action when pressed, then waits half a second before
repeating the action until the key is released.
A delayed action key provides an action, but only after the key has been held pressed for a
(key specific) period of time.
5 Datascope Passport
R TM
2121
D.C. INP UT
CENTRAL
FR EEZE DEFLATE M UTE TIM E
SILENCE
!
9
11 20
22 3 4 5 13 15
3 4 5 66 7
7 88 9 101011 12
12 17
13 1414 15 16 17 18
18 19 20
16 19
Introduction
The keys on the front panel of the Passport Monitor are classified as single action, repeat
action, or delayed action keys.
A single action key provides one action each time it is pressed, regardless of how long it is
held.
A repeat action key provides the an action when pressed, then waits half a second before
repeating the action until the key is released.
A delayed action key provides an action, but only after the key has been held pressed for
a (key specific) period of time.
NOTE: Only one key function will be recognized at any time. The
Passport will ignore multiple key selections.
All key actions are acknowledged by a key click, except for BEEP VOL and ALARM VOL. If a
key is not available a double key click will sound.
2. SELECT (Set-Up)
A repeat action key used to select the function or value indicated by the highlighted cursor.
3. END (Set-Up)
A single action key which causes the display to return to the main screen display (as
specified in the DISPLAY section). This key is always available.
5. LEAD (ECG)
A single action key which selects the ECG lead to be displayed. Each depression of the key
selects and displays the next ECG lead from the list. The list wraps around after the last entry
is selected. Choices are: I, II, III, aVR, aVL, aVF or V.
6. SIZE (ECG)
A single action key which selects the ECG size to be displayed. Each depression of the key
selects and displays the next ECG size from the list. The list wraps around after the last entry
is selected.
7. FREEZE (Screen)
A single action key which enables or releases the screen freeze function. The freeze key
stops or starts the ECG waveform (waveform 1), except when waveform 2 is used for
cascaded ECG. When this is the case, pressing the freeze key the first time causes the
currently displayed ECG waveform data to be transferred to waveform 2 and frozen.
Waveforms 1 and 3 continue to move. Pressing FREEZE again causes waveform 2 to return
to cascaded ECG.
When the key is pressed and held for 3 seconds, all set alarms will be suspended for 2
minutes. This is indicated by the Alarm Mute Symbol and the words All Mute displayed
above the menu selections.
When “Aud alm standby” is set to ON (in the User Configuration Menu), and the MUTE key
is pressed and held for 4 seconds, all alarms are indefinitely suspended. This is indicated by
the Alarm Mute Symbol in all parameter windows and the words Aud Alm Sby flashing
above the menu selections.
The All Mute and Aud Alm Sby modes can be exited by pressing the mute key.
NOTE: When “Aud alm standby” is set to ON and the unit is power
off and then on again, the unit will power up in the Aud alm
standby mode.
20. DC INPUT
A green LED used to indicate that the POWER Switch (33) is in the ON position.
ECG AREA
MENU PARAMETER
AREA AREA
MULTI-FUNCTION AREA
MESSAGE AREA
21. DISPLAY
The Display is used to present information which is divided into 5 graphic display areas.
They are:
NOTE: Only one key function will be recognized at any time. The
Passport will ignore multiple key selections.
Pres s to Open
SpO2 CUFF 24
24
To
25
25
10c m
26
26
22
22 ECG/EKG
E.S.I.S.
IBP 1
PI 1
28
28
IBP 2
BATT. PI 2
! 29
29
CO
2
23
23
!
30
30
24
24 25
25
Pres s to Op en
CUFF
SpO2
10 cm
To
22
22 26
26
ECG/EKG
E.S.I.S.
IBP 1
PI 1
28
28
IBP 2
BATT. PI 2
!
29
29
CO2
23
23
!
30
30
24. CUFF
A connector used to attach the NIBP cuff assembly to the monitor.
25. SpO2
An 8-pin DIN type or 9-pin sub miniature D (Nellcor) type female connector used to attach
the SpO2 sensor assembly to the monitor.
26. T (Temperature)
A standard three wire phone jack used to mate with either the YSI series 400 or 700*
temperature probes. The Passport automatically identifies which probe is connected.
31
32
33
34
31. DATASETTE
A user replaceable software cartridge used for installing updated software revisions.
33. J1
A communication interface connector used to connect the Passport to a VISA Central Station
Monitor, Remote Color Display, Nurse Call, DPD Defibrillator or other peripheral devices.
34. POWER
A recessed rocker switch which interrupts power to the main unit but does not prevent
charging of the batteries.
For instructions on mounting the remote display to a wall, refer to Operating Instructions.
WARNING: The use of remote displays will enlarge all waveforms and
may alter aspect ratios depending on the remote device and
its set-up.
A. Setting-Up
1. Set POWER switch to OFF.
2. Connect, if desired, peripheral equipment (i.e., Remote Color Display, P.C., etc.).
3. Attach power pack and/or install charged batteries as needed.
4. Set POWER switch to ON.
5. Using the menus and keyboard, set (when appropriate) the following:
--
C. Establishing SpO2
1. Select the appropriate sensor.
2. Attach sensor to SpO2 connector and apply to the patient.
3. Set either waveform 2 or 3 in the set-up menu to display the SpO2 waveform, if desired.
E. Recording Information
1. Select wave to be recorded through Record Menu or if desired to record tabular trend,
press TREND/RETURN.
2. Press Record to start recording function.
3. Press Record again to stop the recording function.
F. Temperature Measurement
1. Attach the desired temperature probe to the Temperature connector on the side of the
Passport. The Passport automatically detects which probe is connected, 400 or 700
series.
3. Attach the power pack to the DC POWER INPUT connector (32). If battery operation is
required, ensure that two fully charged batteries are installed.
Changes can be made and saved to these default settings. The default settings can also be
restored. Refer to “Setting-up / Turning Power On” on page 1-14.
* If your unit is equipped with Nellcor® SpO2, there is no pleth scale adjustment. This is replaced with operat-
ing mode options 1, 2, and 3.
** Farhenheit is the default setting for English units only. All other language units default to Centigrade.
1.3.3 Display
ECG AREA
MENU PARAMETER
AREA AREA
MULTI-FUNCTION AREA
MESSAGE AREA
MENU Display Area - displays the main menu selections available with the cursor and
select keys, the battery symbol and the mute categories.
ECG Display Area - displays the ECG trace, ECG information and pacer enhancement
status.
MESSAGE Display Area - displays messages relating to NIBP, SpO2, CO2 and recorder
operation.
The menu area displays the main menu selections available. These are accessed by using the
UP p and DOWN q arrow keys (1) and SELECT (2) set-up keys. One of the menu item is
always highlighted by the cursor. This window also contains the TIME, DATE, PATIENT SIZE
and MUTE CATEGORY (when active) information.
For each patient size available there are different choices within the menu selections.
Table 1-3 on page 1-18 indicates the choices for each menu set-up and also where there are
different selections for each patient size.
A list of all menus and the selections available is provided in Table 1-2 on page 1-15. For a
graphic representation of each of these menus, see “Use of Menus” on page 23.
NOTE: The “IBP”, “Recorder” and “CO2” menu items only appear
only on models equipped with these options.
MENU
LIST MENU ITEM CHOICES
Patient Size Adult, Pediatric, Neonate
Clear Trend Memory No, Yes
Pacer Enhancement On, Off
Setup Speed 12.5, 25, 50 mm/sec.
Resp Source Off, ECG, CO2
Resp Speed 3.125, 6.25, 12.5, 25 mm/sec.
Waveform 2 BP1, ECG casc., Pleth., Resp., CO2
Waveform 3 BP1, BP2, Pleth., Resp., CO2
Power up Settings No Change, Save Current, Restore Factory
Record Record on Alarm Yes, No
Wave Selection ECG, Pleth., Resp., ECG and BP1, ECG and BP2, BP1
and BP2, ECG and Resp., CO2
Record Destination Local, Remote Both
Alarm HR Low (Off, 30-100), High (Off, 100-250) bpm
SpO2 Low (50-99), High (Off, 80-100) %
IBP1 Sys Adult: Low (Off, 5 - 130), High (Off, 70 - 240) mmHg
Ped.: Low (Off, 5-130), High (Off, 40 - 180) mmHg
Neo.: Low (Off, 5-130), High (Off, 40 - 180) mmHg
IBP1 Dia Adult: Low (Off, 5 - 90), High (Off, 40 - 130) mmHg
Ped.: Low (Off, 5 - 50), High (Off, 50 - 100) mmHg
Neo.: Low (Off, 5 - 50), High (Off, 50 - 100) mmHg
NIBP Sys Adult: Low (Off, 50 - 150), High (Off, 70 - 240) mmHg
Ped.: Low (Off, 15 - 130), High (Off, 40-180) mmHg
Neo.: Low (Off, 15 - 130), High (Off, 40-180) mmHg
NIBP Dia Adult: Low (Off, 30 - 120), High (Off, 40 - 130) mmHg
Ped.: Low (Off, 10 - 50), High (Off, 50 - 100) mmHg
Neo.: Low (Off, 10 - 50), High (Off, 50 - 100) mmHg
IBP2 (Mean) Adult: Low (Off, 2 - 100), High (Off, 5 - 150) mmHg
Ped.: Low (Off, 2 - 50), High (Off, 5 - 100) mmHg
Neo.: Low (Off, 2 - 50), High (Off, 5 - 100) mmHg
Respiration Low (Off, 5 - 50), High (Off, 30 - 200) bpm
Apnea Delay Adult Off, 10 -40 secs.
Ped. Off, 10 - 30 secs.
Neonate 10 - 20 secs.
ETCO2 Torr: Low (Off, 5 - 60), High (Off, 20 - 100) %: Low
(Off, 1 - 8), High (Off, 2 - 11) kPa: Low (Off, 1.0 -
8.0), High (Off, 2.0 - 11.0)
NIBP Start Pressure Adult: 100-260 mmHg
Ped.: 60-180 mmHg
Neonate: 40-120 mmHg
IBP BP1 Scale Range 37.5, 75, 150, 300 mmHg
BP2 Scale Range 37.5, 75, 150, 300 mmHg
Resp Scale 1, 2, 3, 4, 5
HR HR Source Auto, ECG, BP1, SpO2
SpO2 Pleth Size 1, 2, 3, 4, 5
(Standard)
MENU
LIST MENU ITEM CHOICES
SpO2 Response Mode 1, 2, 3
(Nellcor)
CO2 CO2 Scale 40, 60, 100 Torr / 5, 8, 12 kPa / 5, 8, 12 %
(Capnostat)
Start Zero Calibration Yes, No
Start Adapter Calibration Yes, No
N2O Compensation On, Off
O2 Compensation 0, 21, 40, 60, 80, 100
The ECG Display Area contains the ECG waveform, the ECG size, scale, lead information,
Pacer Enhancement ON/OFF message, and when appropriate a message indicating there is
no ECG waveform available.
• ECG SIZE - The ECG size displays a vertical bar and a “1 mV” label. The vertical bar is
used as a reference to determine the size of the displayed ECG waveform. There are a
total of 6 size settings for the vertical bar. Five size settings are 0.25, 0.5, 1, 2, 3 cm.
The sixth setting is larger than the ECG waveform window and therefore the “1 mV” label
is removed. The size that measures a 1 cm signal on the display is indicated by small line
segments added to the top and bottom of the vertical bar (as shown above).
• ECG LEAD - The ECG lead display shows the current ECG lead selection. The lead
display options are I, II, III, aVR, aVF, aVL, and V.
• ECG WAVEFORM - The display shows the ECG waveform at a user selected speed.
This provides 4 seconds of data on the display (at 25mm/sec). The scale of the waveform
is determined by the ECG size selected.
• LEAD FAULT MESSAGE - The lead fault message box displays “ECG Lead Fault” and is
positioned over the area where the ECG waveform normally resides.
• PACER ENHANCEMENT - Factory default is “Pacer enh OFF” (pacer enhancement off).
The OFF setting allows any pacer to appear as it normally would on the ECG waveform.
When pacer enhancement is turned on via patient menu selection, detected pacers are
enhanced and appear as full scale, narrow square waves.
• ESU INTERFERENCE MESSAGE- When a large high frequency noise component is
present on the ECG waveform, the message “ESU Interference” is displayed. If both high
frequency and 60 Hz noise are present, the “ESU Interference” message has priority over
the “Interference” message to display. The “Artifact” message is also displayed in the
Heart Rate window.
• INTERFERENCE MESSAGE- When a large 60 Hz noise component is present on the
ECG waveform and the notch filter is enable, the “Interference” massage is displayed.
Check the patient electrode connectors and the cable for proper connection. The
message may be the result of using inappropriate 3-Lead cables. The “Artifact” message
is also displayed in the Heart Rate window.
A. Waveforms
B. Trend Lists
Waveforms
The waveform display is the normal display in the multi-function area. The waveforms occupy
the entire multi-function area.
This area is divided horizontally in two. These two areas are used for waveforms 2 and 3.
The options for each waveform are listed in Table 1-3 on page 1-18.
The scale information for invasive pressures consists of a 0 at the bottom of each window to
represent zero pressure level and the scale range value at the top of the window.
The waveform provides four seconds of data when the selected speed is 25mm/sec.
C. Trend Lists
Pressing the TREND/RETURN key (15) displays the trend lists, as shown above. The trend
lists take up the entire Multi-function area. To display additional parameters press the
TREND/RETURN key (15) again. Pressing this key a third time returns the screen to normal.
Pressing and holding the TREND/RETURN key (15) for 3 seconds will clear all trended data.
Each entry to the trend list is added to the bottom of list until the page is full. Eleven lines of
data can be displayed on each page. The trend data memory is large enough to contain
more than one page of data. When the most current page is full and new data is available,
the top line of data in the window is removed (but kept in memory), the other lines of data
are scrolled up and the new data is added as the last line of data in the window. To scroll
through the data that is in memory press the TIME UP p and TIME DOWN q trend keys
(16).
The trend lists display consists of a heading that includes the page #, the time, the
parameters with their units, and the listed data in columns under the appropriate heading.
If no data is available for a particular column, dashes (—-) are displayed. If an NIBP
measurement was attempted and a valid reading was unable to be obtained (xxx) will be
displayed in the NIBP column.
NOTE: The IBP1 column displays only in models that are equipped
with the invasive pressure option.
The Trend Trigger and Interval are set in the User Configuration Trend menu.
To clear the trend data, press and hold the TREND/RETURN key (15) for 4 seconds.
NOTE: Trend data will be stored in memory for 1 hour after the
unit has been powered down. After 1 hour the trend data
will be cleared.
The parameters display area contains the current values of the patient parameters. The
contents and the layout of the parameters area depends on how many invasive blood
pressure transducers are connected to the monitor. The example above is with two
transducers connected.
Within the NIBP parameter area the interval chosen is displayed and the elapsed time (ET)
since the last NIBP measurement was taken is displayed. If another NIBP measurement is not
taken within 15 minutes the ET and the NIBP readings will change to dashes.
An “Artifact” message is displayed in the Parameter area (under the ECG Heart Rate)
whenever 60 Hz noise or ESU Interference is present on the ECG waveform.
1. Using the UP p and DOWN q arrow keys (1), move the cursor to select the desired
main menu item.
NOTE: As the cursor is moved up and down the list of menu items,
view windows for each menu item are displayed.
2. When the desired menu item is highlighted, (in this case SET-UP has been chosen) press
SELECT (2) to enter into the change window.
When SELECT is pressed, the first item in the sub-menu will be
highlighted.
3. To change the highlighted item use the UP p and DOWN q arrow keys (1). The
choices available are listed in the CHOICES bar. Once the desired choice is displayed,
press SELECT (2) to enter it and move the cursor down to the next item in the sub-menu.
If no change is required to the highlighted item, press SELECT to move the cursor down
to the next item on the list. Keep pressing SELECT until the required item to change is
high-lighted.
1 mV
FIGURE 1-13
4. Press the END (3) key to return to the normal monitoring mode when all of the
sub-menu items have been set as desired.
END
END
FIGURE 1-14
LIMB
CIRCUMFERENCE DESCRIPTION / DATASCOPE PART NUMBER
(CM) CUFF NAME
Reusable Disposable
45 - 66 Thigh * 0998-00-0003-05
30 - 47 Large Adult 0998-00-0003-02 0683-07-0001-01
24 - 36 Adult 0998-00-0003-01 0683-07-0001-02
18 - 27 Child 0998-00-0003-03 0683-07-0001-03
16 - 25 Small Child 0998-00-0003-04 0683-07-0001-04
10 - 19 Infant 0998-00-0003-06
6 - 11 Newborn 0998-00-0003-07
11 - 17 Neonatal, Size 3 0683-03-0003-02
9 - 13 Neonatal, Size 2 0683-03-0002-02
7 - 10 Neonatal, Size 1 0683-03-0001-02
6- 8 Neonatal, Size 0 0683-03-0004-02
A cuff that is too narrow for the limb will result in erroneously high readings. The correct size
of the pressure cuff for a given patient has, among other considerations, a direct bearing on
the accuracy of the obtained NIBP measurements. Base your selection of the cuff size on the
limb circumference of the patient. Table 1-4 on page 1-25 indicates the available Datascope
cuffs for use with the Datascope Passport Monitor. The design dimensions of the cuffs and
their intended uses are based on recommendations of the American Heart Association.
The pressure on the limb may not fall to zero between measurements if the cuff is wrapped
too tightly. Therefore, assure that the cuff is properly applied.
The skin is sometimes fragile (i.e., on pediatrics, geriatrics, etc.). In these cases, a longer
timer interval should be considered to decrease the number of cuff inflations over a period of
time. In extreme cases, a thin layer of soft roll or webril cotton padding may be applied to
the limb in order to cushion the skin when the cuff is inflated. This measure may affect NIBP
performance and should be used with caution.
NOTE: The NIBP cuff should not be placed on a limb that is being
utilized for any other medical procedure. For example, an
I.V. catheter or an SpO2 sensor.
4. Select Patient Size through the PATIENT MENU as described in “Menus” on page 1-64.
Choices are ADULT, PEDIATRIC or NEONATE.
5. If necessary, enter the NIBP parameter menu to change the initial cuff inflation pressure.
Initial cuff inflation pressures depend on the PATIENT SIZE setting. The choices of cuff
inflation are:
TABLE 1-5 Cuff Inflations
NOTE: Inflate the cuff only after proper application to the patient’s
limb. Cuff damage can result if the cuff is left unwrapped
and then inflated.
The cuff begins to inflate to the selected cuff pressure. After reaching the selected value the
cuff begins to slowly deflate and the Datascope Passport Monitor collects oscillometric
pulsations.
If the initial cuff inflation is found to be inadequate, the unit retries with a higher inflation
pressure (+50 mmHg in the adult mode; +30 mmHg in the pediatric and neonate modes).
Have the patient remain still to avoid the introduction of unnecessary motion artifact. After the
cuff pressure drops below the diastolic pressure, the results of the measurement are
displayed.
If NIBP is the only parameter measured with the Passport, a heart rate can be derived from
NIBP. The HR source menu selection must be in the Auto mode (i.e., not selected for ECG, IBP
or SpO2) and no heart rate alarm limits are set. (see “Alarms” on page 1-49).
If NIBP is a selected trend trigger, then NIBP and heart rate values are stored in trend lists.
The NIBP and NIBP heart rate will be automatically removed from the display after 15
minutes have elapsed.
If another heart rate source is selected (ECG, IBP or SpO2)< before the 15 minute display
time has elapsed, the NIBP heart rate will be replaced by the heart rate from the selected
source.
6. Press INTERVAL (11) until the desired time displays. The choices are: OFF, continuous,
1, 2.5, 5, 10, 15, 20, 30, 60, and 120 minutes.
7. A measurement will be taken when the selected interval has elapsed. If an immediate
measurement is desired, press START (10).
The unit must be turned off and back on again to reset the overpressure switch before any
new measurements are taken.
1. For optimal skin contact, thoroughly prep patient skin for electrode placement by doing
the following.
• Shave hair from electrode sites.
• Cleanse skin thoroughly with alcohol to remove skin oils.
• Dry with a rough towel or gauze to remove dry skin.
• Attach electrodes to lead wire first before placing onto patient.
NOTE: Using more than one type of electrode on the same patient
should be avoided because of variations in electrical
resistance.
2. Use the ESIS choke cable if an electro-surgical device is to be used on the patient.
3. Plug patient cable into the ECG (27) connector.
An ECG waveform should now be present on the screen and the heart rate read-out
should now be functional.
4. Select desired lead setting by pressing the front panel ECG LEAD key (5). Lead II is
automatically selected at power-up.
5. Select desired ECG size by pressing the front panel ECG SIZE key (6). An ECG of 1cm/
mV is automatically selected at power-up.
6. If cascaded ECG is desired in waveform 2, use the Set-up menu, Section 1.3.4, to
choose this option.
7. Choose HR source for rate meter from HR menu. Choices are: ECG, BP1, SpO2, or
AUTO. AUTO selects the source from a hierarchy (ECG, IBP1, SpO2) of what is currently
monitored. If no HR source is found, then an alarm tone is sounded.Press BEEP VOLUME
(18) to set the volume of the systole beep.
• The Passport will display the message “Lead Off” to indicate when ECG monitoring is
inoperative.
• When ECG lead I, II or III is being monitored, a lead fault sensed by RA, LA, or LL will
cause the “ECG Lead Fault” message to display.
• When lead aVR, aVL, or aVF is being monitored, a lead fault sensed by RA, LA, LL, or RL
will cause the “ECG Lead Fault” message to display. When the specified 3-Lead cable is
used, the “ECG Lead Fault” message will display because the RL lead is not available.
• When ECG V lead is being monitored, a lead fault sensed on RA, LA, LL, RL or C will
cause the “ECG Lead Fault” message to display. When the specified 3-Lead cable is
used, the “ECG Lead Fault will display because the RL and C is not available.
WARNING: Do not use the following 3-Lead ECG cables with Passport 5L
(P/N, 0998-00-0126-xx) and 5L-CE (P/N, 0998-00-0131-xx):
0012-00-0620-05, -06, -07, -08; 0012-00-0722-05, -06, -07,
-08; 0012-00-0723-05, -06, -07, -08; 0012-00-0724-05, -06,
-07, -08. The above 3-Lead cables contain a jumper wire
which connects RL (right leg) to LL (left leg). As a result, when
you view aVR, aVL and aVF you will see the appropriate ECG
waveforms (even though you are using a 3-lead cable).
However, there may be excessive noise on these waveforms
which can corrupt the heart rate calculation. See Section 5 in
the Operating Instructions for a list of the proper ECG cables.
W hite Black
RA LA
Brown
V Lead
C ( any position)
Gr een
Red
RL LL
RA LA
V6
V1
V5
V4
LL
RL
V2 V3
FIGURE 1-16 V-Lead Electrode Placement
RA LA RA
Black Red
LA
LL
Red
LL
FIGURE 1-17 3-Lead Electrode Placement FIGURE 1-18 3-Lead Electrode Placement
(standard configuration) (for MCL)
• Place black electrode on left shoulder under • Place white electrode on left shoulder
clavicle. under clavicle.
• Place white electrode on right shoulder • Place black electrode on right sternal
under clavicle. border, 4th intercostal space.
• Place red electrode on lower left abdomen • Place red electrode on midaxillary line, 5th
under the sixth rib. intercostal space.
• Place lead select on lead II. • Select lead I for monitoring.
• For MCL, select lead II for monitoring.
White
LA Red
RA
Black
Lead placement on the neonate with a three lead set is directed towards obtaining the best
respiration waveform. The thoracic impedance is measured between the RA and LA
electrodes therefore, the electrodes must be placed across the chest from each other to
optimize measurement of chest movement.
After one second has elapsed, an audible click will sound, and the automatic zero
process is complete. The pressure display should indicate zeros.
NOTE: If the transducer offset should exceed 120 mmHg, it will not
be possible to automatically zero the transducer. Pressure
values will be —- and an “UNABLE TO ZERO” message
replaces the “TRANSDUCER NOT ZEROED” message.
5. Close the pressure transducer vent from atmosphere and check that the pressure
waveform is displayed on the screen.
6. Select the desired pressure scale in the IBP Menu. The choices are: 37.5, 75, 150, or
300 mmHg.
7. Flush arterial line at regular intervals per standard hospital procedure.
Guidelines for the selection of Datascope sensors are provided in the Table 1-7 on
page 1-38.
2. Plug the patient cable into the SpO2 Connector (25) on the left side panel.
3. Apply sensor and connect to cable.
4. The digital SpO2 values and SpO2 heart rate will be displayed in the SpO2 parameter
window.
5. If a pleth waveform is desired, enter the set-up menu as described in Section 1.3.4, Use
of Menus, to display it as waveform 2.
6. To change the size of the waveform displayed select the SpO2 menu and chose the
desired size. Choices are: 1, 2, 3 or 4.
7. Press BEEP VOLUME (18) to set the volume of the SpO2 beep.
The FLEXISENSOR® SD, available in five different sizes, provides both short-term and long-
term monitoring for large adults, adult ear, adults, pediatrics, infants, and neonates. The
FLEXISENSOR® SD is used when the DATASENSOR is not convenient or suitable.
A range of disposable bandages are available for use with the FLEXISENSOR® SDs. They
are available in 3 styles, SENSOR GUARD™ (used for large adults, adults and pediatrics),
Coban with SENSOR GUARD™ (used for infants) and LIGHTGUARD™ (used for neonates).
Use of the sensors does not cause any penetration of the skin, nor is there any electrical
contact or transfer of excessive heat to the patient.
The sensor is composed of a light emitting diode (emitter) and a photo diode (detector). The
emitter discharges two colors (wave lengths) of light into the patient’s extremity (finger, toe,
ear). The detector receives that amount of light not absorbed by the blood or tissue
components. The Passport then uses the relative absorption of the two light wavelengths to
compute and display SpO2 and Rate measurements
D. Sensor Inspection
Before use, always inspect sensors, cables, and connectors for damage, i.e., cuts and
abrasions. Do not use the sensor, cable or connector if damaged. Replace with a good
working sensor.
• Do not drop on the floor, or give other sharp shocks to the sensor(s).Between use, store
the sensors in the optional FLEXISENSOR® SD Organizer, accessory pouch, or coil the
sensor cable and store on the side of the Passport using the optional cable retainer. For
accessory part number information see Section 5 in the Operations Manual.
• Avoid running any cart, bed, or any piece of equipment over the sensor cable.
• Avoid strong pulls on the sensor cable (10 lbs/4kg).
• Watch for cracks in the DATASENSOR housing.
• Watch for cracks, cuts, rips, fogging, or signs of moisture in the FLEXISENSOR® SD.
E. Sensor Performance
For the BEST performance of all Datascope sensors:
• DO NOT PLACE any sensor on an extremity with an arterial catheter or blood pressure
cuff in place. Placement of an arterial catheter or blood pressure cuff on an extremity may
obstruct normal blood flow. False pulse rate information may result if the FLEXISENSOR®
SD is placed on that same extremity. Place the sensor on the limb opposite the site of the
arterial catheter or blood pressure cuff.
• Encourage the patient to remain still. Patient motion may affect the sensor’s performance.
If it is not possible for the patient to remain still, replace the sensor bandage on the
FLEXISENSOR® SD to assure good adhesion, or change the site of the DATASENSOR.
• Check the DATASENSOR site every 2 hours and check the FLEXISENSOR® SD site every
8 hours on adults and every 4 hours on neonatal patients for indications of skin
abrasions, sensor displacement, sensor damage, or circulation impairment. Check the
sensor site every 4 hours if the ear clip is used. If necessary, remove and reapply the
sensor. If any of the above mentioned indications occur, immediately remove the sensor
and find an alternate site.
NOTE: Check the sensor site more frequently on infant and active
patients.
• Incorrect placement can also reduce the acquired sensor signal, and therefore
compromise performance. Select an alternate site (toe) or use a FLEXISENSOR® SD if the
sensor can not be placed on the patient’s finger correctly or if the fingernails interfere
with the acquisition of a reliable signal.
• Use of the DATASENSOR is not recommended for long-term monitoring (4-6 hours). For
monitoring situations exceeding 4-6 hours, either reposition the DATASENSOR every 2-4
hours to a different site (finger/toe) or use a FLEXISENSOR® SD with its appropriate
bandage.
• Do not over-tighten the sensor bandages. Excessive pressure on the monitoring site can
affect SpO2 readings and may reduce readings below true SpO2. Excessive pressure can
also result in pressure necrosis and other skin damage.
• Sensor configuration provides uninterrupted monitoring in the following situations:
Electro-cautery Noise - ESU rejection is designed into the sensors.
Motion Artifact - The monitor’s software adjusts the “averaging period” increasing it
during motion and reducing it during inactivity. This decreases the number of monitoring
interruptions and false alarms.
Weak Peripheral Pulses - The monitor’s gain is automatically increased to track pulses on
patients with decreased peripheral perfusion.
• SpO2 measurements may interfere with Magnetic Resonance Imaging (MRI) procedures.
• SpO2 is calibrated to display functional saturation.
TABLE 1-7 Sensor Selections
LARGE
ADULT PEDIATRIC INFANT NEONATE ADULT DATA-
SENSORS (LA) ADULT (A) (P) (I) (N) EAR (AE) SENSOR
Approximate >80kg/>176 30 -90kg/ 10 - 40kg/22 4.5 - 10kg/ Up to 5kg/Up >40kg/>88 40+ kg/90+
Patient lbs 66 - 198 lbs - 88 lbs 10 - 22 lbs to 11 lbs lbs lbs
Weight
Where Used Fingers, Toes Fingers, Toes Fingers, Toes Feet, Palms, Feet, Palms, Adult Ear Fingers, Toes
Big Toes Heel,Calf
Long or Short Long and Long and Long and Long and Long and Long and Short Term
Term Short Term Short Term Short Term Short Term Short Term Short Term
Monitoring
ESIS Included Included Included Included Included Included Included
Reusable Yes Up to 20 Yes Up to 20 Yes Up to 20 Yes Up to Yes Up to 20 Yes Up to 20 Yes 6-Months
Uses Uses Uses 20 Uses Uses Uses
Bandage Adhesive, Adhesive, Adhesive, Non- Non- N/A N/A
Type Disposable Disposable Disposable Adhesive*, Adhesive*
Disposable Disposable
**Part
Numbers
0998-00- 0998-00- 0998-00- 0998-00- 0998-00- 0998-00- 0600-00-
Sensors
0076-06 0076-05 0076-04 0074-03 0074-04 0074-05 0026-01 (3"
sensor
cable)***
Bandages
0683-00- 0683-00- 0683-00- 0683-00- 0683-00- N/A N/A
0409-01 0409-02 0409-03 0415 0440
* Non-adhesive bandages are recommended for premature infants to minimize prenatal skin damage.
** See Accessories, Chapter 5, for more detailed information
*** Additional choices: 0060-00-0026-02 (10’ sensor cable) 0020-00-0071-01 (3’ sensor cable plus 7’ extension
cable)
Selecting a Sensor
Sensors are designed for specific sites on patients with designated weight ranges. To select
the appropriate sensor, consider the patient’s weight, level of activity, adequacy of
perfusion, which sensor sites are available, whether sterility is required, and the anticipated
duration of monitoring.
Performance Considerations
To ensure optimal performance, use an appropriate sensor, apply it as directed, and observe
all warnings and cautions.
If excessive ambient light is present, cover the sensor site with opaque material. Failure to do
so may result in inaccurate measurements. Light sources that can affect performance include
surgical lights, especially those with a xenon light source, bilirubin lamps, fluorescent lights,
infrared heating lamps, and direct sunlight.
If poor perfusion affects instrument performance, and the patient weighs more than 50 kg
(110 lbs.), consider using the OXISENSOR™ R-15 adult nasal oxygen transducer. Because
the R-15 obtains its measurements from the nasal septal anterior ethmoid artery, an artery
supplied by the internal carotid, this sensor may obtain measurements when peripheral
perfusion is relatively poor. For low peripheral perfusion, consider using the Nellcor® RS-10
reflectance oxygen transducer, which is applied to the forehead or temple.
All Nellcor® accessories and sensors must be purchased form Nellcor® Inc., 25495
Whitehall Street, Hayward, Ca. 94545. To contact Nellcor®, call 1-800-NELLCOR.
Each sensor is calibrated when manufactured; the effective mean wavelength of the red LED
is determined and encoded into a calibration resistor in the sensor plug. The instrument’s
software reads this calibration resistor to determine the appropriate calibration coefficients
for the measurements obtained by that sensor.
1. the default operating mode, uses a 5 to 7 second averaging time and is useful in
situations in which the patient is relatively inactive.
2. this mode uses a 2 to 3 second averaging time and therefore is more affected by patient
motion. It is useful for special applications that require a fast response time, such as
sleep studies.
3. this mode uses a 10 to 15 second averaging time and consequently is least affected by
patient motion. In this mode, pulse rate is not displayed and there is no pulse tone.
Choke blocks are electrical filters that may be used in electro-cautery environments where
ECG interference can be substantial. These filters remove the electro-cautery noise, but also
block the signal used by the Passport Monitor to measure respiration.
The filling and emptying of the heart chambers can interfere with the thoracic impedance
signal, so called cardiovascular artifact (CVA), such that the respiratory signal matches the
heart rate. The Passport warns the operator when the respiration value equals the heart rate
by displaying the CVA message.
If the patient’s airway is obstructed and the patient attempts to breath, then the chest wall can
move and create a respiratory signal even though no gas flow is occurring to the patient.
Adapter calibration needs to be performed each time the type of airway adapter is switched.
For example: if switching from using an adult to a neonatal or neonatal to an adult adapter a
calibration is needed (not if switching from an adult adapter to another adult adapter).
Adapter calibration should also be performed if the message “Check Adapter” displays.
1. Place the sensor and airway adapter away from all sources of CO2 (including the
patient’s and your own exhaled breath, and ventilator exhaust valves).
2. Choose Start Adapter Cal - Yes from the CO2 menu. (See “Use of Menus” on page 23.)
• Adult Airway Adapter (P/N 0103-15-0003). For use on patients with endotracheal tube
diameters greater than 4.0 mm.
• Neonatal Airway Adapter (P/N 0103-15-0013). For use on patients with endotracheal
tube diameters less than or equal to 4.0 mm.
1. Verify the windows are clean and dry. Clean or replace the adapter if necessary.
2. Snap the airway adapter into the Capnostat® sensor. Align the line on the bottom of the
airway adapter with the line on the bottom of the Capnostat®. Press the sensor and
airway adapter together until they “click”.
3. If necessary, perform an adapter calibration. See “Adapter Calibration” on page 44.
4. Place the Capnostat® / airway adapter assembly between the elbow and the ventilator
circuit wye.
To prevent “rain-out” and moisture from draining into the airway adapter, DO NOT place
the airway adapter in a gravity dependent position.
CAPNOSTAT R
CO 2 Sensor
To
Ventilator
To
Patient
5. Check that the connections have been made correctly by verifying a proper CO2
waveform (capnogram) on the monitor display.
6. The sensor cable should face away from the patient. To secure the sensor cable safely
out of the way, attach the sensor cable holding clips to the airway tubing, then connect
the sensor cable to the clips.
1. Verify the windows are clean and dry. Clean or replace the adapter if necessary.
2. Snap the airway adapter into the Capnostat® sensor. Align the line on the bottom of the
airway adapter with the line on the bottom of the Capnostat®. Press the sensor and
airway adapter together until they “click”.
3. If necessary, perform an adapter calibration. See “Adapter Calibration” on page 44.
4. Place the Capnostat® / airway adapter assembly between the elbow and the ventilator
circuit wye.
CAPNOSTAT R
CO 2 Sensor
To
Patient
To
Ventilator
For routine maintenance of airway adapter, separate the system between the endotracheal
tube and the airway adapter. Lavage and suctioning of the airway can then be performed
without fluids and mucous accumulating on the neonatal airway adapter window.
5. Check that the connections have been made correctly by verifying a proper CO2
waveform (capnogram) on the monitor display.
6. The sensor cable should face away from the patient. To secure the sensor cable safely
out of the way, attach the sensor cable holding clips to the airway tubing, then connect
the sensor cable to the clips.
To verify calibration:
1. Verify the Passport is turned on and the Capnostat® is connected and warmed-up.
2. Place the Capnostat® sensor onto the REF (reference) cell. The reference cell is the one
farthest from the side of the monitor. The sensor cable should face away from the
Passport.
3. The “Sensor on Reference Cal” message is displayed and the reference value is
displayed in the ETCO2 window. The value should be between 36 and 40 Torr.
o
R
E
F
Once a sensor is calibrated, the Passport can be turned off and on, the sensor can be
unplugged and reconnected, without having to recalibrate. However, if a second sensor is
connected in place of the original, the second sensor must be calibrated and if the original
sensor is used again, it too will have to be recalibrated.
1. Verify the Passport is turned on and the Capnostat® is plugged in and warmed-up.
2. Place the Capnostat® onto the ZERO cell.
3. The “Sensor on Zero Cell” message is displayed.
4. Select Start Zero Cal - Yes from the CO2 menu. The “Zero Cal in Progress” message is
displayed. The "Zero Cal Complete" message is displayed when complete and a 0
value is displayed.
5. Remove sensor from the zero cell and place onto the airway adapter.
o
R
E
F
1.3.12 Alarms
The Datascope Passport Monitor provides high and low alarm limits for heart rate (HR),
systolic pressure (BP1/NIBP Sys), diastolic pressure (BP1/NIBP Dia), mean pressure (BP2
Mean), respiration rate, ETCO2, and SpO2. An alarm for apnea delay is also provided.
2. Using the UP p and DOWN q arrow keys (1) and SELECT (2) keys (as described in
“Use of Menus” on page 23) set parameter limits as desired.
ALARM PARAMETERS
HIGH LO
PED/
PARAMETERS ADULT PED/NEONATE ADULT NEONATE
Heart Rate (bpm) Off, 100-250 Off, 100-250 Off, 30-100 Off, 30-100
IBP1 Sys (mmHg) Off, 70-240 Off, 40-180 Off, 5-130 Off, 5-130
+
IBP1 Dia (mmHg) Off, 40-130 Off, 50-100 Off, 5-90 Off, 5-50
NIBP Sys (mmHg) Off, 70-240 Off, 40-180* Off, 50-150 Off, 15-130
NIBP Dia (mmHg) Off, 40-130 Off, 50-100 Off, 30-120 Off, 10-50
Full Battery
IBP2 Mean Off, 5-150 Off, 5-100 Off, 2-100 Off, 2-50
Symbol (mmHg)
SpO2 (%) Off, 80-100 Off, 80-100 50*-99 50*-99
+
Resp Rate (rpm) Off, 30-200*+ Off, 30-200*+ Off, 5-50 Off, 5-50
* These alarm parameters may be set outside the accurate measurement range. Refer to the specifications,
Chapter 6, for accuracy ranges.
Low Battery
+ Respiration rate measurement range is limited to 2 - 150 rpm when Mainstream CO2 is selected as the rate
Symbol source. Values above 150 rpm will be displayed as 150 rpm..
ALARM PARAMETERS
HIGH LO
PED/
PARAMETERS ADULT PED/NEONATE ADULT NEONATE
Apnea Delay Off, 10-40 Off, 10-30 (Ped) / ETCO2 (Torr) Off, 20-80
(sec) 10 - 20 (Neo)
Off, 20-100 Off, 5-60 Off, 5-60 ETCO2 (%) Off, 2-11
Off, 2-11 Off, 1-8 Off, 1-8 ETCO2 (kPa) Off, 2.0-11.0
Off, 2.0-11.0 Off, 1.0-8.0 Off, 1.0-8.0
* These alarm parameters may be set outside the accurate measurement range. Refer to the specifications,
Chapter 6, for accuracy ranges.
+ Respiration rate measurement range is limited to 2 - 150 rpm when Mainstream CO2 is selected as the rate
source. Values above 150 rpm will be displayed as 150 rpm..
The ETCO2 alarm is available only in models that are equipped with the CO2 option.
NOTE: The heart rate alarm tone has a different pitch than other
alarms.
A. Parameter Alarms
An alarm condition exists if the parameter is equal to or is outside the high/low limit range.
When an alarm limit is violated, the following actions occur:
NOTE: Only the value displayed in the heart rate window is used
to determine heart rate alarm conditions.
C. Apnea Alarm
The Apnea Alarm is active when the respiration function is enabled. The Apnea Alarm is
violated when a breath is not detected for a longer period of time than the apnea delay
specified in the Alarm Menu. The alarm operation is the same as for a parameter alarm.
D. General Alarms
• ALARMS OFF - If alarms are not set on any one parameter, an alarm bell off symbol will
be displayed next to the numerical data for that parameter.
NOTE: Both the high and low alarm must be set for a particular
parameter for the bell symbol to go away.
When the battery charge is low, but not below the cutoff voltage, the low battery symbol will
display and a beep is generated every 3 seconds.
The operation of the menu system is the same as the operation of the menu system during
normal operation (See Section 1.3.4). To access normal operation when user configuration
is complete, either time-out (no Set-Up key pressed within 1 minute) or press the END (3) key
for 3 seconds. The following table describes the User Configuration Mode menu structure:
TABLE 1-10 User Configuration Menu List
USER CONFIG.
MENU MENU ITEM CHOICES
Date Year 0 to 99
Month 1 to 12
Day 1 to 31
Time Hours 0 to 23
Minutes 0 to 59
Trend Trigger Alarms, NIBP*, Interval, NIBP and
Interval, Interval and Alarms,
Interval and NIBP, Interval and
NIBP and Alarms
Interval 1, 2.5, 5*, 10, 20, 30, 60, 120
mins.
Temperature Scale Fahrenheit, Centigrade
CO2 Barometric Pressure 500 to 800 mmHg
CO2 Units TORR, kPa**, %
USER CONFIG.
MENU MENU ITEM CHOICES
HR SpO2 Size Size Change HR Large/SpO2 Small, HR Small/
SpO2 Large*
Alarm Audio Delay Delay Off*, 4, 6, 8 sec.
Audio Alarm Function Off*, On
Standby
Serial Output Type Protocol VISA*, ACCUTORR, Message,
DIAP
For a graphic representation of the configuration menus see sections 1.3.19.11 through
1.3.19.19.
The Trend Trigger setting is what causes new data to be stored in the trend memory. It may
be set to trigger whenever there is an alarm, an NIBP measurement is performed, the trend
timer expires (interval), or may be set to trigger at any combination of these items. The trend
interval is only used when trend is triggering on interval, and it is used to set the time
between interval triggers. The trend interval is independent of the NIBP interval.
The HR SpO2 size change option allows the user to select a large SpO2 reading compared
to HR or vice versa.
The Alarm Audio Standby allows the user to enable (or disable) this feature (see section
3.13.3).
The Serial Output Type allows the user to select the communication protocols for interfacing
with other specialized equipment: VISA, ACCUTORR (sends data the same way as an
ACCUTORR), message (for diagnostic purposes) with the Passport Monitor.
Once the unit is in the User Configuration Mode, the time and/or date can be changed using
the set-up keys as described in Section 1.3.4, “Use of Menus”.
When RECORD (19) is pressed to initiate a printing, a 16 second strip is printed. The 16
second strip consists of 8 seconds of prior and 8 seconds of post waveform from when
RECORD (19) is pressed. If a continuous printing is required, press and hold RECORD (19)
for 3 seconds (until a beep is heard). Press RECORD again to stop a real time printing.
NOTES:
• When the ECG is frozen and RECORD (19) is pressed, the recorder prints the frozen
displayed ECG.
• If the RECORD key (19) is pressed for 3 seconds while the ECG is frozen, the recorder
prints a continuous real-time ECG waveform.
• If the RECORD key (19) is pressed while List Trend is displayed (and the ECG waveform is
not frozen), the recorder prints the list trend report.
• See Section 4.7, in the Operating Instructions, of paper installation.
The upper and lower borders have the date, time and physiologic parameters currently
available as well as the ECG size and lead configuration the recorder is printing. All
parameters include their units.
The upper and lower borders are printed as for the single waveform.
NOTE: IBP1 and IBP2 data is printed only when models are
equipped with the invasive pressure option.
1.3.19 Menus
This section contains all the menus used in the Passport. A sample of each menu with each
menu item highlighted is provided. For each menu item highlighted, the Choices bar
indicates the available selections. The menu Instructions bar indicates the available actions to
take. See “Use of Menus” on page 23 for detailed instructions on menu operation.
Clear Trend Memory: Choosing “Yes” deletes all the stored trend data.
Pacer Enhancement: Set to ON to display the pacer signal as a full scale square wave.
CHANGE PATIENT
Size: Adult
Clear trend memory: No
Pacer Enhancement: OFF
Choices: ADULT, PED, NEO
= Adjust valve END = quit
SELECT = Enter/move
CHANGE PATIENT
Size: Adult
Clear trend memory: No
Pacer Enhancement: OFF
Choices: Yes, No
= Adjust valve END = quit
SELECT = Enter/move
CHANGE PATIENT
Size: Adult
Clear trend memory: No
Pacer Enhancement: OFF
Choices: enhance ON/OFF
= Adjust valve END = quit
SELECT = Enter/move
Resp Source: Set which source will be used for the Respiration information.
Powerup settings: Select save current to keep all configured items for the next time the
Passport is powered on. Select restore factory to return to the factory default settings.
Record on Alarm: Set to ON for a recording to be printed each time an alarm situation
occurs.
Record Destination: Set where the print out will occur. Local - from the Passport, Remote -
from the Visa, Both - from both the Passport and the Visa.
CHANGE RECORDER
Wave Selection: ECG
Record on Alarm: No
Record Destination Local
ECG, Pleth, Resp, ECG & IBP1, ECG &
IBP2, IBP1 & IBP2, CO2, ECG & RESP
= Adjust valve END = quit
SELECT = Enter/move
CHANGE RECORDER
Wave Selection: ECG
Record on Alarm: No
Record Destination Local
Choices: Yes, No
CHANGE RECORDER
Wave Selection: ECG
Record on Alarm: No
Record Destination Local
Choices: Local, Remote, Both
CHANGE NIBP
Start Pressure: 180 mmHg
Range: 100-260 mmHg
= Adjust valve EXIT = quit
SELECT = Enter/move
CHANGE IBP
IBP1 Scale: 150 mmHg
IBP2 Scale: 37.5 mmHg
Choices: 37.5, 75, 150, 300 mmHg
= Adjust valve EXIT = quit
SELECT = Enter/move
CHANGE IBP
IBP1 Scale: 150 mmHg
IBP2 Scale: 37.5 mmHg
Choices: 37.5, 75, 150, 300 mmHg
= Adjust valve EXIT = quit
SELECT = Enter/move
CHANGE RESP
Scale: 3
Choices: 1, 2, 3, 4, 5
= Adjust valve END = quit
SELECT = Enter/move
FIGURE 1-36 Resp Menu
1.3.19.8 HR Menu
Source - Select which source is used for the heart rate reading. The Auto selection uses a built
in algorithm to automatically choose the strongest heart rate source.
CHANGE HR
Source: AUTO
Choices: Auto, ECG, IBP1, SpO2
= Adjust valve END = quit
SELECT = Enter/move
FIGURE 1-37 HR/ECG Menu
Mode - Sets the scale of the plethysmograph waveform on units with Nellcor.
CHANGE SPO2
Pleth Size: 3
Choices: 1, 2, 3, 4
= Adjust valve END = quit
SELECT = Enter/move
CHANGE SPO2
Mode: 1
Choices: 1, 2, 3
= Adjust valve END = quit
SELECT = Enter/move
FIGURE 1-38 SpO2
Start Zero Calibration - Select Yes to initiate the calibration of the sensor.
Start adapter cal - Select Yes to initiate the calibration of the airway adapter with the sensor.
CHANGE CO2
CO2 Scale: 0-8%
Start Zero Calibration: No
Start adapter cal: No
N2O Compensation: OFF
O2 Compensation: 21%
Choices: Yes, No
USER CONFIGURATION
Press & hold the END key for 3 sec, to leave configuration mode.
USER CONFIGURATION
Press & hold the END key for 3 sec, to leave configuration mode.
Date
Time CHANGE TIME
Trend Hours: 16
Temp Minutes: 54
Hr SpO2 size
Alarm Audio delay
= Adjust valve EXIT = quit
Aud alm standby SELECT = Enter/move
Serial output type
CO2
Interval - Each time the selected time interval has elapsed, the parameter information is stored
in the trend memory.
Date/Ti m e
T rend
T em perature C HA NG E TR EN D
Hr S pO 2 S iz e Trigge r: NIB P
A larm Audio Delay Interval : 5 m in
A udio Alarm S tandby Ch oices: Interv al, NIB P , Al arm s or m ultiple tri ggers
S erial O utput Ty pe = A djust valve E XIT = quit
CO 2 S ELE CT = E nter/m ove
Co lor Setti ngs
Date/Ti m e
T rend
T em perature C HA NG E T R EN D
Hr S pO 2 S iz e T rigge r: NIB P
A larm Audio Delay Interval : 5 m in
A udio Alarm S tandby Range: 1 - 120 m i n
S erial O utput Ty pe = A djust valve E XIT = quit
CO 2 S ELE CT = E nter/m ove
Co lor Setti ngs
NIB P : Idle S PO 2
USER CONFIGURATION
Press & hold the END key for 3 sec, to leave configuration mode.
Date/Time
Trend
Temperature
Hr SpO2 Size CHANGE TEMP
Alarm Audio Delay Temperature Scale: Fahrenheit
Audio Alarm Standby
Choices: Fahrenheit, Centigrade
Serial Output Type
= Adjust valve EXIT = quit
CO2
SELECT = Enter/move
USER CONFIGURATION
Press & hold the END key for 3 sec, to leave configuration mode.
Date/Time
Trend
Temperature
Hr SpO2 Size CHANGE HR SPO2 SIZE
Alarm Audio Delay Hr SpO2 Size: HR small, SpO2 large
Audio Alarm Standby Choices: HR larger, smaller
Serial Output Type
= Adjust valve EXIT = quit
CO2 SELECT = Enter/move
USER CONFIGURATION
Press & hold the END key for 3 sec, to leave configuration mode.
Date
Time
Trend
Temp CHANGE ALARM AUDIO DELAY
Hr SpO2 size Alarm Audio delay:OFF
Alarm Audio delay
Choices: OFF, 4,6,8 sec
Aud alm standby
= Adjust valve END = quit
Serial output type
SELECT = Enter/move
CO2
USER CONFIGURATION
Press & hold the END key for 3 sec, to leave configuration mode.
Date
Time
Trend
Temp
Hr SpO2 size CHANGE ALARM STANDBY
Alarm Audio delay Aud alm standby: OFF
Aud alm standby Choices: ON/OFF
Serial output type = Adjust valve END = quit
CO2 SELECT = Enter/move
USER CONFIGURATION
Press & hold the END key for 3 sec, to leave configuration mode.
Date
Time
Trend
Temp
Hr SpO2 size CHANGE SERIAL OUTPUT TYPE
Serial output type: Visa
Alarm Audio delay
Aud alm standby Choices: Visa,Accutorr,Msg,Diap
Serial output type = Adjust valve END = quit
CO2 SELECT = Enter/move
USER CONFIGURATION
Press & hold the END key for 3 sec, to leave configuration mode.
Date
Time
Trend
Temp
Hr SpO2 size CHANGE CO2
Alarm Audio delay Barometric Pressure: 760 mmHg
Aud alm standby CO2 Units: %
Serial output type Range: 500 - 800 mmHg
USER CONFIGURATION
Press & hold the END key for 3 sec, to leave configuration mode.
Date
Time
Trend
Temp
Hr SpO2 size CHANGE CO2
Alarm Audio delay Barometric Pressure: 760 mmHg
CO2 Units: %
Aud alm standby
Serial output type Choices: Torr, %
Section 1.5 on page 1-77 and Section 1.6 on page 1-97 are included as a review of
instrument functions and operation, although the reader is encouraged to refer to the
Operating Instructions, P/N 0070-00-0397, for more complete details.
Refer to the paragraph and page numbers listed below for the location of specific controls
and displays.
Step-by-step instructions for operation of the monitor are provided in “Operation (XG)” on
page 1-97.
The following is a list of all the controls, connectors and indicators and their item numbers.
The item number refers to the call outs on the drawings within this chapter of the manual. If
looking for a particular item, locate it on this list and then use the table below to determine
the page where it can be found.
1 2
3 5 6
Introduction
The keys on the front panel of the Passport XG Monitor are classified as single action, repeat
action, or delayed action keys.
A single action key provides one action each time it is pressed, regardless of how long it is
held.
A repeat action key provides an action when pressed, then waits half a second before
repeating the action until the key is released.
A delayed action key provides an action, but only after the key has been held pressed for
a (key specific) period of time.
NOTE: Only one key function will be recognized at any time. The
Passport XG will ignore multiple key selections.
All key actions are acknowledged by a key click, except for BEEP VOLUME and ALARM
VOLUME. If a key is not available a double key click will sound.
2. SELECT (Set-Up)
A repeat action key used to select the function or value indicated by the highlighted cursor.
3. EXIT (Set-Up)
A single action key which causes the display to return to the main screen display (as
specified in the DISPLAY section). This key is always available.
7 10
8 9 11 12
7. LEAD (ECG)
A single action key which selects the ECG lead to be displayed. Each depression of the key
selects and displays the next ECG lead from the list. The list wraps around after the last entry
is selected. Choices are: I, II, III, aVR, aVL, aVF or V.
8. SIZE (ECG)
A single action key which selects the size of the displayed ECG waveform. Each press of the
key selects and displays the next ECG size which wraps around after the last size is selected.
A vertical bar is placed in front of the ECG waveform. This vertical bar is used as a reference
to determine the size of the displayed ECG waveform.
9. FREEZE (Screen)
A single action key which enables or releases the screen freeze function. The freeze key
stops or starts all waveforms, except when waveform 2 is used for cascaded ECG. When this
is the case, pressing the freeze key the first time causes the currently displayed ECG
waveform data to be transferred to waveform 2 and frozen. Waveforms 1 and 3 continue to
move. Pressing FREEZE again causes waveform 2 to return to cascaded ECG. The freeze key
is also used to enter the user configuration menu. See “User Configuration Mode” on
page 1-153 for further details.
16
15 17
14 13 18
13. START (NIBP)
A single action key which initiates an NIBP measurement. This function is not available if a
measurement is in progress.
When the key is pressed and held for 3 seconds, all set alarms will be suspended for 2
minutes. This is indicated by the Alarm Mute Symbol and the words All Mute displayed
above the menu selections.
When “Audio alarm standby” is set to ON (in the User Configuration Menu), and the MUTE
key is pressed and held for 4 seconds, all audio alarms are indefinitely suspended. This is
indicated by the Alarm Mute Symbol in all parameter windows and the words Aud Alm Sby
flashing above the menu selections.
21
23
20 19 22
24. DISPLAY
ECG AREA
MENU PARAMETER
AREA AREA
MULTI-FUNCTION AREA
MESSAGE AREA
The Display is used to present information which is divided into 5 graphic display areas.
They are:
27
27
Press to Open
SpO2 CUFF
25 To 28
28
25
29
29
ECG/EKG
E.S.I.S.
IBP 1
PI 1
31
31
2626 IBP 2
PI 2
PUMP
INPUT 32
32
CO2
33
33
!
34
34
27
27
Press to Open
CUFF
25 28
28
25 SpO2
o
T
29
29
ECG/EKG
E.S.I.S.
IBP 1
PI 1
31
31
26
26 IBP 2
PI 2
PUMP
INPUT
32
32
CO2
33
33
!
34
34
28
27
Press to Open CUFF
SpO2
25
25
To 28
27
29
29
ECG/EKG
E.S.I.S.
IBP 1
PI 1
31
31
26
26 IBP 2
PI 2
PUMP
INPUT
32
32
CO2
33
33
!
34
34
27. CUFF
A connector used to attach the NIBP cuff assembly to the monitor.
28. SpO2
An 8-pin DIN type, 9-pin sub miniature D (Nellcor) type female connector or 14-pin sub
miniature D (Massimo) type female connector used to attach the SpO2 sensor assembly to the
monitor.
29. T (Temperature)
A standard three wire phone jack used to mate with either the YSI series 400 or 700
temperature probes. The Passport XG automatically identifies which probe is connected.
35
35
36
36
DATASETTE
37
37
3939
38
38
J1 POWE R
Al i me nt a ti o n
! St r om
R ed
35. DATASETTE
A user replaceable software cartridge used for installing updated software revisions.
37. J1 (Optional)
A communication interface connector used to connect the Passport to a VISA Central Station
Monitor, Remote Color Display, Nurse Call, DPD Defibrillator, Gas Module, or other
peripheral devices.
NOTE: The VISA Central Station and Gas Module cannot be used at
the same time.
38. POWER
A recessed rocker switch which interrupts power to the main unit but does not prevent
charging of the batteries.
4040
For instructions on mounting the remote display to a wall, see Chapter 5 in Datascope P/N’s
0070-00-0397, 0070-00-0440, and 0070-00-0503 of the Passport Operating Instructions
Manual.
WARNING: The use of remote displays will enlarge all waveforms and
may alter aspect ratios depending on the remote device and
its set-up.
Datascope
R
46
42
45
NOTE: This Manual refers to the Gas Module II and the Gas Module
SE as Gas Module. All illustrations represent the Gas Module
SE. Any parts or descriptions unique to either product will be
identified as such.
47
55
54
53
50
52
48 49 51
CAUTION: Do not use this special “Y” shaped power cable for any
devices other than the Passport and Gas Module II.
A. Setting-Up
1. Set POWER switch to OFF.
2. Connect, if desired, peripheral equipment (i.e., Remote Color Display, P.C., etc.).
3. Attach power pack and/or install charged batteries as needed.
4. Set POWER switch to ON.
5. Using the menus and keyboard, set (when appropriate) the following:
B. ECG
1. Press LEAD to change viewed lead type (I,II, III, aVR, aVF, or V).
2. Press SIZE to change ECG waveform size.
3. Press the FREEZE key to freeze all waveforms. If the “Cascade ECG” waveform is
chosen as the second waveform, only the ECG waveform will be frozen.
E. Establishing SpO2
1. Select the appropriate sensor.
2. Attach sensor to SpO2 connector and apply to the patient.
3. Set either waveform 2 or 3 in the set-up menu to display the SpO2 waveform, if
desired.
G. Recording Information
1. Select wave to be recorded through Record Menu. Press PRINT to start Recording.
2. Press PRINT again to stop the recording in process.
3. If a printout of a tabular trend is desired, press DISPLAY followed by PRINT.
H. Temperature Measurement
1. Attach the desired temperature probe to the Temperature connector on the side of the
Passport XG. The Passport XG automatically detects which probe is connected, 400
or 700 series.
I. CO2, O2, N2O and Agent Monitoring with the Gas Module
1. Connect nasal cannula (non-intubated) or sample line (intubated) to the Patient.
2. Connect other end of nasal cannula or sample line to Gas Module.
3. Empty and clean water trap if more than half full or whenever changing Patients.
4. Set Waveform 2 or 3 to CO2, Agent or O2 or Auto Display CO2 to Waveform 2 or
3.
5. Set the Resp. Source to CO2/ECG.
J. Setting Alarms
1. To access the Alarms Limits menu press the Alarms LIMITS key.
2. Using the UP and DOWN and SELECT keys set parameter limits as desired.
Press SELECT key again to enter the chosen limits.
3. Press the LIMITS key again to access further alarm parameters (when the Gas Module
is installed).
4. Press the EXIT key to return to the main menu.
3. Attach the power pack to the DC POWER INPUT connector (36). If battery operation is
required, ensure that two fully charged batteries are installed.
4. Set the POWER switch (38) to ON.Internal self tests will run and the display will come
on. A “DIAGNOSTICS IN PROGRESS” message will display and once the self tests have
been completed a “SELF TEST COMPLETE” message will display. After these messages
the main screen is displayed.
If any failures occur, see “Status Messages” on page 1-158 for further instructions.
DEFAULT
MENU FUNCTION SETTINGS
Patient Size Current setting
Admit* No
Discharge* No
Full Disclosure* Off
Arrhythmia* Off
* This item only appears if the serial output type is set to Visa or Visa w/ Admit.
** These items only appear if the related function is installed.
DEFAULT
MENU FUNCTION SETTINGS
Pacer Enhancement Off
Set-up Waveform 2 Cascade ECG
Waveform 3 Pleth
Auto Display IBP1** Waveform 2
Auto Display IBP2** Waveform 3
Auto Display CO2** Waveform 3
Powerup Settings No change
Recorder Wave Selection ECG
Record on Alarm No
Recorder Destination* Passport
Alarms Alarms: Low High
HR Off Off
SpO2 85 Off
IBP1 Sys** Off Off
IBP1 Dia** Off Off
NIBP Sys Off Off
NIBP Dia Off Off
IBP2 Mean** Off Off
Respiration Off Off
Apnea Delay Off Adult, Off Ped., 10 sec
Neonate
ETCO2** Off Off
Alarms (Gas Module Resp Rate Off Off
only)
ET CO2 Off Off
INS CO2 Off
ET O2 Off Off
INS O2 Off Off
INS N2O Off
ET ISO Off Off
INS ISO Off Off
ET ENF Off Off
INS ENF Off Off
ET DES Off Off
INS DES Off Off
ET SEV Off Off
INS SEV Off Off
ET HAL Off Off
INS HAL Off Off
NIBP Start Pressure 180 mmHg Adult, 140 mmHg
Ped., 120 mmHg Neonate
IBP** IBP1 Scale Range 150 mmHg
* This item only appears if the serial output type is set to Visa or Visa w/ Admit.
** These items only appear if the related function is installed.
DEFAULT
MENU FUNCTION SETTINGS
IBP2 Scale Range 37.5 mmHg
Resp Resp Speed 12.5 mm/sec.
Scale 3
Resp Source CO2/ECG or ECG if CO2 not
installed
HR/ECG Trace Speed 25 mm/sec.
Source Auto
SpO2 (Datascope)** Pleth Size 3
Sensor-Off Audio On
SpO2 (Nellcor)** Response Mode 3
Sensor-Off Audio On
SpO2 (Masimo)** Sensor-Off Audio On
Sensitivity Mode Normal
Post Average Time (sec) 8
CO2** Scale 60 Torr
Start Zero Calibration No
Start Adapter Cal No
N2O Compensation Off
O2 Compensation 21%
ECG Lead II
Size 1
NIBP Interval Off
Gases** CO2 Scale 0 - 60 Torr
Resp Speed 12.5 mm/sec
Start Zero No
Start Calibration No
Restart Pump No
Agent Selection Auto
Agent Scale 10%
O2 Scale 18 - 30%
Volume Beep Off
Alarm 1
* This item only appears if the serial output type is set to Visa or Visa w/ Admit.
** These items only appear if the related function is installed.
* Fahrenheit is the default setting for English units only. All other language units default to Centigrade.
1.6.3 Display
ECG AREA
MENU PARAMETER
AREA AREA
MULTI-FUNCTION AREA
MESSAGE AREA
MENU Display Area - displays the main menu selections available with the
cursor and select keys, the battery symbol and the mute categories.
ECG Display Area - displays the ECG trace, ECG information and pacer
enhancement status.
MESSAGE Display Area - displays messages relating to NIBP, SpO2, CO2, Gas Module
and recorder operation.
The menu area displays the main menu selections available. These are accessed by using the
UP p and DOWN q arrow keys (1) and SELECT (2) set-up keys. See “Use of Menus” on
page 1-109 for details on using these keys. One menu item is always highlighted by the
cursor. This window also contains the TIME, DATE, PATIENT SIZE and MUTE status (when
active) information.
For each patient size available there are different choices within the menu selections. The
following table indicates the choices for each menu set-up and also where there are different
selections for each patient size. For a graphic representation of each of these menus see
“Use of Menus” on page 1-109.
The ECG Display Area contains the ECG waveform, the ECG size, scale, lead information,
Pacer Enhancement ON/OFF message, and when appropriate a message indicating there is
no ECG waveform available.
• ECG SIZE - The ECG size displays a vertical bar and a “1 mV” label. The vertical bar is
used as a reference to determine the size of the displayed ECG waveform. There are a
total of 6 size settings for the vertical bar. Five size settings are 0.25, 0.5, 1, 2, 3 cm.
The sixth setting is larger than the ECG waveform window and therefore the “1 mV” label
is removed. The size that measures a 1 cm signal on the display is indicated by small line
segments added to the top and bottom of the vertical bar (as shown above).
NOTE: Changing the ECG SIZE only changes the display scale not
the ECG amplitude.
• ECG LEAD - The ECG lead display shows the current ECG lead selection. The lead
display options are I, II, III, aVR, aVF, aVL, and V.
• ECG WAVEFORM - The display shows the ECG waveform at a user selected speed. This
provides 4 seconds of data on the display (at 25mm/sec). The
vertical scale of the waveform is determined by the ECG size selected.
• LEAD FAULT MESSAGE - The lead fault message box displays “ECG Lead Fault” and is
positioned over the area where the ECG waveform normally resides.
• PACER ENHANCEMENT - Factory default is “Pacer enh OFF” (pacer enhancement off).
The OFF setting allows any pacer to appear as it normally would on the ECG waveform.
When pacer enhancement is turned on via patient menu selection, detected pacers are
enhanced and appear as full scale, narrow square waves.
A. Waveforms
B. Trend Lists
A. Waveforms
The waveform display is the normal display in the multi-function area. The waveforms occupy
the entire multi-function area.This area is divided horizontally in two. These two areas are
used for waveforms 2 and 3.
The options for each waveform are listed in Table 1-4, page 1-23.
The scale information for invasive pressures consists of a 0 at the bottom of each window to
represent zero pressure level and the scale range value at the top of the window.
The waveform provides four seconds of data when the selected speed is 25mm/sec.
B. Trend Lists
Pressing the DISPLAY key (19) displays the trend lists, as shown above. The trend lists take up
the entire Multi-function area. To view additional parameters press the DISPLAY key (19)
again. Pressing this key a third time returns the screen to normal. Pressing and holding the
DISPLAY key (19) for 3 seconds will clear all trended data.
Each entry to the trend list is added to the bottom of the list until the page is full. Nine lines of
data can be displayed on each page. The trend data memory is large enough to contain
more than one page of data. When the most current page is full and new data is available,
the top line of data in the window is removed (but kept in memory). The other lines of data
are scrolled up and the new data is added as the last line of data in the window. To scroll
through the data that is in memory press the q and p trend keys (20).
The trend lists display consists of a heading that includes the page #, the time, the
parameters with their units, and the listed data in columns under the appropriate heading.
If no data is available for a particular column, dashes (—-) are displayed. If an NIBP
measurement was attempted and a valid reading was unable to be obtained (xxx) will be
displayed in the NIBP column.
NOTE: The IBP1, CO2 and Gas Module columns display only in
models that are equipped with these options. If CO2 is being
monitored, the CO2 trend will replace the Temp trend. All
Gas Module trends will be on a separate page.
The Trend Trigger and Interval are set in the User Configuration Trend menu. See “User
Configuration Mode” on page 1-153.
To clear the trend data, press and hold the DISPLAY key (19) for 3 seconds.
NOTE: Trend data will be stored in memory for 1 hour after the
unit has been powered down. After 1 hour the trend data
will be cleared.
The parameters display area contains the current values of the patient parameters. The
contents and the layout of the parameters area depends on how many invasive blood
pressure transducers are connected and whether or not the Gas Module option is installed to
the monitor. The example above is with two transducers connected and with the Gas Module
configured.
Within the NIBP parameter area the interval chosen is displayed and the elapsed time (ET)
since the last NIBP measurement was taken is displayed. If another NIBP measurement is not
taken within 15 minutes the ET and the NIBP readings will change to dashes.
An “Artifact” message is displayed in this area, under the ECG Heart Rate, whenever 60 Hz
noise is present on the ECG waveform.
FIGURE 1-65
FIGURE 1-66
1. Using the UP p and DOWN q arrow keys (1), move the cursor to select the desired
main menu item.
NOTE: As the cursor is moved up and down the list of menu items,
view windows for each menu item are displayed.
2. When the desired menu item is highlighted, (in this case SET-UP has been chosen) press
SELECT (2) to enter into the change window.When SELECT is pressed, the first item in
the sub-menu will be highlighted.
3. To change the highlighted item use the UP p and DOWN q (1) keys. The choices
available are listed in the CHOICES bar. Once the desired choice is displayed, press
SELECT (2) to enter it and move the cursor down to the next item in the sub-menu.
If no change is required to the highlighted item, press SELECT to move the cursor down
to the next item on the list. Keep pressing SELECT until the required item to change is
highlighted.
4. Press the EXIT (3) key to return to the normal monitoring mode when all of the sub-menu
items have been set as desired.
LIMB
CIRCUMFERENCE DESCRIPTION / CUFF
(CM) NAME DATASCOPE PART NUMBER
Reusable Disposable
45 - 66 Thigh * 0998-00-0003-05
30 - 47 Large Adult 0998-00-0003-02 0683-07-0001-01
24 - 36 Adult 0998-00-0003-01 0683-07-0001-02
18 - 27 Child 0998-00-0003-03 0683-07-0001-03
16 - 25 Small Child 0998-00-0003-04 0683-07-0001-04
10 - 19 Infant 0998-00-0003-06
6 - 11 Newborn 0998-00-0003-07
11 - 17 Neonatal, Size 3 0683-03-0003-02
9 - 13 Neonatal, Size 2 0683-03-0002-02
7 - 10 Neonatal, Size 1 0683-03-0001-02
6- 8 Neonatal, Size 0 0683-03-0004-02
Color Coded Cuffs**
46 - 66 Thigh - Brown 0998-00-0003-26
33 - 47 Large Adult - Grey 0998-00-0003-25
25 - 35 Adult - Tan 0998-00-0003-24
18 - 26 Child - Red 0998-00-0003-23
10 - 19 Infant - Green 0998-00-0003-22
6 - 11 New Born - Blue 0998-00-0003-21
A cuff that is too narrow for the limb will result in erroneously high readings. The correct size
of the pressure cuff for a given patient has, among other considerations, a direct bearing on
the accuracy of the obtained NIBP measurements. Base your selection of the cuff size on the
limb circumference of the patient. The table above indicates the available Datascope cuffs for
use with the Datascope Passport XG Monitor. The design dimensions of the cuffs and their
intended uses are based on recommendations of the American Heart Association.
* When using the thigh cuff, this product will not comply with AAMI accuracy standards.
** The limb circumferences of the Color Coded Cuffs adhere to the AHA guidelines for size.
The pressure on the limb may not fall to zero between measurements if the cuff is wrapped
too tightly. Therefore, insure that the cuff is properly applied.
The skin is sometimes fragile (i.e., on pediatrics, geriatrics, etc.). In these cases, a longer
timer interval should be considered to decrease the number of cuff inflations over a period of
time. In extreme cases, a thin layer of soft roll or webril cotton padding may be applied to
the limb in order to cushion the skin when the cuff is inflated. This measure may affect NIBP
performance and should be used with caution.
NOTE: The NIBP cuff should not be placed on a limb that is being
utilized for any other medical procedure. For example, an
I.V. catheter or an SpO2 sensor.
4. Select Patient Size through the PATIENT MENU as described in “Use of Menus” on
page 1-109. Choices are ADULT, PEDIATRIC or NEONATE.
5. If necessary, enter the NIBP parameter menu to change the initial cuff inflation pressure.
Initial cuff inflation pressures depend on the PATIENT SIZE setting. The choices of cuff
inflation are:
NOTE: Inflate the cuff only after proper application to the patient’s
limb. Cuff damage can result if the cuff is left unwrapped
and then inflated.
The cuff begins to inflate to the selected cuff pressure. After reaching the selected value the
cuff begins to slowly deflate and the Datascope Passport XG Monitor collects oscillometric
pulsations.
If the initial cuff inflation is found to be inadequate, the unit retries with a higher inflation
pressure (+50 mmHg in the adult mode; +30 mmHg in the pediatric and neonate modes).
Have the patient remain still to avoid the introduction of unnecessary motion artifact. After
the cuff pressure drops below the diastolic pressure, the results of the measurement are
displayed.
If NIBP is the only parameter measured with the Passport XG, a heart rate can be derived
from NIBP. The HR source menu selection must be in the Auto mode (i.e., not selected for
ECG, IBP or SpO2) with no heart rate alarm limits set. (See “Alarms” on page 1-149, for
details).
If NIBP is a selected trend trigger (see “User Configuration Mode” on page 1-153 for details
on user configuration), then NIBP and heart rate values are stored in trend lists. The NIBP and
NIBP heart rate will be automatically removed from the display after 15 minutes have
elapsed.
If another heart rate source is available, the NIBP heart rate will be replaced by the heart
rate from the selected source.
7. If desired, press DEFLATE (15) to interrupt a measurement. The cuff will deflate.
6. Press INTERVAL (14) until the desired time displays. The choices are: OFF, continuous, 1,
2.5, 5, 10, 15, 20, 30, 60, and 120 minutes.
7. A measurement will be taken when the selected interval has elapsed. If an
immediate measurement is desired, press START (13).
The unit must be turned off and back on again to reset the overpressure switch before any
new measurements are taken.
1. For optimal skin contact, thoroughly prep patient skin for electrode placement by doing
the following.
• Shave hair from electrode sites.
• Cleanse skin thoroughly with alcohol to remove skin oils.
• Dry with a rough towel or gauze to remove dry skin.
• Attach electrodes to lead wire first before placing onto patient.
NOTE: Using more than one type of electrode on the same patient
should be avoided because of variations in electrical
resistance.
2. Use the ESIS choke cable if an electro-surgical device is to be used on the patient.
3. Plug patient cable into the ECG (30) connector.
An ECG waveform should now be present on the screen and the heart rate read-out
should now be functional.
4. Select desired lead setting by pressing the front panel ECG LEAD key (7). Lead II is
automatically selected at power-up.
5. Select desired ECG size by pressing the front panel ECG SIZE key (8). An ECG of 1cm/
mV is automatically selected at power-up.
6. If cascaded ECG is desired in waveform 2, use the Set-up menu (see “Use of Menus” on
page 1-109), to choose this option.
NOTE: Set the Auto Display for IBP1 and CO2 to either waveform 3
or Off. If either of these functions are set to waveform 2,
they will have a higher priority to display, if they are
detected.
7. Choose HR source for rate meter from HR menu. Choices are: ECG, BP1, SpO2, or
AUTO. AUTO selects the source from a hierarchy (ECG, IBP1, SpO2) of what is currently
monitored.
8. Press BEEP VOLUME (21) to set the volume of the systole beep.
WARNING: Do not use the following 3-Lead ECG cables with Passport
XG (P/N’s 0998-00-0133-xx, 0998-00-0134-xx and 0998-
00-0137-xx): 0012-00-0620-05, -06, -07, -08; 0012-00-
0722-05, -06, -07, 08; 0012-00-0723-05, -06, -07, -08;
0012-00-0724-05, -06, -07, -08. The above 3-Lead cables
contain a jumper wire which connects RL (right leg) to LL (left
leg). As a result, when you view aVR, aVL and aVF you will
see the appropriate ECG waveforms (even though you are
using a 3-lead cable). However, there may be excessive
noise on these waveforms which can corrupt the heart rate
calculation. See Section 5 in the Datascope P/N’s 0070-00-
397, 0070-00-0440, 0070-00-0503 of the Passport
Operating Instructions for a list of the proper ECG cables.
W hite Black
RA LA
RA LA
Brown
V Lead
C ( any position)
V6
V1
Gr een V5
Red V4
RL LL LL
RL
V2 V3
RA LA RA
Blac k Red
LA
LL
Red
LL
RA LA RA
Blac k Red
LA
LL
Red
LL
White
LA Red
RA
Black
Lead placement on the neonate with a three lead set is directed towards obtaining the best
respiration waveform. The thoracic impedance is measured between the RA and LA
electrodes therefore, the electrodes must be placed across the chest from each other to
optimize measurement of chest movement.
2. To establish a monitoring site introduce an arterial pressure catheter into the patient’s
artery in accordance with standard hospital procedures. “Best practice,” as determined
by the medical community, should be observed.
After one second has elapsed, an audible click will sound, and the automatic zero
process is complete. The pressure display should indicate zeros.
NOTE: If the transducer offset should exceed 120 mmHg, it will not
be possible to automatically zero the transducer. Pressure
values will be —- and an “UNABLE TO ZERO” message
replaces the “TRANSDUCER NOT ZEROED” message.
5. Close the pressure transducer vent from atmosphere. If an IBP waveform is desired, use
the Set-up menu (see “Use of Menus” on page 1-109), to assign a waveform window to
display IBP. If the Auto Display function is used to display an IBP waveform, ensure that
the Auto Display CO2 is not set to the same waveform as Auto Display IBP. The Auto
Display feature assigns a higher priority to the CO2 function than IBP. Also, IBP1 has a
higher priority than IBP2.
6. Select the desired pressure scale in the IBP Menu. The choices are: 37.5, 75, 150, or
300 mmHg.
7. Flush arterial line at regular intervals per standard hospital procedure.
4. The digital SpO2 values and SpO2 heart rate will be displayed in the SpO2 parameter
window.
5. If a pleth waveform is desired, enter the set-up menu as described in “Use of Menus” on
page 1-109, to display it as waveform 2.
NOTE: Set the Auto Display for IBP1 and CO2 to either waveform 3
or Off. If either of these functions are set to waveform 2,
they will have a higher priority to display, if they are
detected.
6. To change the size of the waveform displayed select the SpO2 menu and chose the
desired size. Choices are: 1, 2, 3 or 4.
7. Press BEEP VOLUME (21) to set the volume of the SpO2 beep.
8. Set the “Sensor -Off Audio”, in the SpO2 menu to the desired setting. Set to "OFF", the
Passport will not give an audio beep when the SpO2 sensor is off the patient. Set to
“ON”, the Passport will give a one time series of 5 triple beeps. Set to “CONT”, the
Passport will give a series of 5 triple beeps every 30 seconds.
The FLEXISENSOR® SD, available in five different sizes, provides both short-term and long-
term monitoring for large adults, pediatrics, infants, and neonates. The FLEXISENSOR® SD is
used when the DATASENSOR is not convenient or suitable.
An adult ear sensor is also available. It is intended for long-term adult monitoring.
A range of disposable bandages are available for use with the FLEXISENSOR® SDs. They
are available in 3 styles, SENSOR GUARD™ (used for large adults, adults and pediatrics),
Coban with SENSOR GUARD™ (used for infants) and LIGHTGUARD™ (used for neonates).
Use of the sensors does not cause any penetration of the skin, nor is there any electrical
contact or transfer of excessive heat to the patient.
The sensor is composed of a light emitting diode (emitter) and a photo diode (detector). The
emitter discharges two colors (wave lengths) of light into the patient’s extremity (finger, toe,
ear). The detector receives that amount of light not absorbed by the blood or tissue
components. The Passport then uses the relative absorption of the two light wavelengths to
compute and display SpO2 and Rate measurements.
2. Push the cable connector into the SpO2 Patient Connector (28). Confirm that the cable
connector is securely in place.
D. Sensor Inspection
Before use, always inspect sensors, cables, and connectors for damage, i.e., cuts and
abrasions. Do not use the sensor, cable or connector if damaged. Replace with a good
working sensor.
• Do not drop on the floor, or give other sharp shocks to the sensor(s). Between use, store
the sensors in the optional FLEXISENSOR® SD Organizer, accessory pouch, or coil the
sensor cable and store on the side of the Passport using the optional cable retainer. For
accessory part number information see Section 5 in Datascope P/N’s 0070-00-0397,
0070-00-0440, 0070-00-0503 of the Passport Operating Instructions.
• Avoid running any cart, bed, or any piece of equipment over the sensor cable.
• Avoid strong pulls on the sensor cable.
• Watch for cracks in the DATASENSOR housing.
• Watch for cracks, cuts, rips, fogging, or signs of moisture in the FLEXISENSOR® SD.
E. Sensor Performance
For the BEST performance of all Datascope sensors:
• DO NOT PLACE any sensor on an extremity with an arterial catheter or blood pressure
cuff in place. Placement of an arterial catheter or blood pressure cuff on an extremity may
obstruct normal blood flow. False pulse rate information may result if the FLEXISENSOR®
SD is placed on that same extremity. Place the sensor on the limb opposite the site of the
arterial catheter or blood pressure cuff.
• Encourage the patient to remain still. Patient motion may affect the sensor’s performance.
If it is not possible for the patient to remain still, replace the sensor bandage on the
FLEXISENSOR® SD to assure good adhesion, or change the site of the DATASENSOR.
• Check the DATASENSOR site every 2 hours and check the FLEXISENSOR® SD site every
8 hours on adults and every 4 hours on neonatal patients for indications of skin
abrasions, sensor displacement, sensor damage, or circulation impairment. Check the
sensor site every 4 hours if the ear clip is used. If necessary, remove and reapply the
sensor. If any of the above mentioned indications occur, immediately remove the sensor
and find an alternate site.
NOTE: Check the sensor site more frequently on infant and active
patients.
• Incorrect placement can also reduce the acquired sensor signal, and therefore
compromise performance. Select an alternate site (toe) or use a FLEXISENSOR® SD if the
sensor can not be placed on the patient’s finger correctly or if the fingernails interfere
with the acquisition of a reliable signal.
• Use of the DATASENSOR is not recommended for long-term monitoring (4-6 hours). For
monitoring situations exceeding 4-6 hours, either reposition the DATASENSOR every 2-4
hours to a different site (finger/toe) or use a FLEXISENSOR® SD with its appropriate
bandage.
• Do not over-tighten the sensor bandages. Excessive pressure on the monitoring site can
affect SpO2 readings and may reduce readings below true SpO2. Excessive pressure can
also result in pressure necrosis and other skin damage.
• Sensor configuration provides uninterrupted monitoring in the following situations:
Motion Artifact - The monitor’s software adjusts the “averaging period” increasing it
during motion and reducing it during inactivity. This decreases the number of monitoring
interruptions and false alarms.
Weak Peripheral Pulses - The monitor’s gain is automatically increased to track pulses on
patients with decreased peripheral perfusion.
• SpO2 measurements may interfere with Magnetic Resonance Imaging (MRI) procedures.
• SpO2 is calibrated to display functional saturation.
* Non-adhesive bandages are recommended for premature infants to minimize prenatal skin damage.
** See Accessories, Chapter 5, for more detailed information.
*** Additional choices: 0060-00-0026-02 (10’ sensor cable) 0020-00-0071-01 (3’ sensor cable plus 7’ extension
cable)
DISPOSABLE
SELECTION PART NUMBER PATIENT SIZE / REUSABLE
LNOP® - Adt Adult Disposable Finger 0600-00-0043-01 > 30 kg. Disposable
Sensor
LNOP® -Pdt Pediatric/Slender Digit 0600-00-0044-01 10 to 50 kg. Disposable
Disposable Sensor
LNOP® - Neo Neonatal Disposable 0600-00-0045-01 > 2000 gm. Disposable
Sensor
LNOP® - Neo Pt Neonatal Pre-term 0600-00-0046-01 < 2000 gm. Disposable
Disposable Sensor
LNOP® - DC1 Adult Reusable Finger 0600-00-0047 > 30 kg. Reusable
Sensor
LNOP® DCSC Adult Reusable Spot 0600-00-0077 > 30 kg. Reusable
Check Sensor
LNOP® YI Multisite Reusable Sensor 0600-00-0078 > 1 kg. Reusable
LNOP® EAR Reusable Ear Sensor 0600-00-0079 > 30 kg. Reusable
2. Attach the PC12 Patient Cable (P/N 0012-00-1099-02) to the sensor and plug the other
end of the patient cable into the SpO2 connector (28) located on the left side panel of
the monitor.
* This feature applicable only if available / installed in your unit.
NOTE: The PC12 Patient Cable is not used with the LNOPDCSC
Sensors.
WARNING: The site should be checked at least every eight (8) hours
(every four (4) hours with the Adult re-usable finger sensor).
Ensure proper adhesion, skin integrity, and proper
alignment. Nail polish and fungus may effect readings.
Exercise extreme caution with poorly perfused patients.
Skin erosion and pressure necrosis can be caused when
sensors are not frequently monitored. Assess the site every
two (2) hours with poorly perfused patients.
NOTE: Set the Auto Display for IBP1 and CO2 to either waveform 3
or Off. If either of these functions are set to waveform 2,
they will have a higher priority to display, if they are
detected.
5. Press the BEEP VOLUME (21) to set the volume of the SpO2 beep.
6. Set the “Sensor -Off Audio”, in the SpO2 menu to the desired setting. Set to "OFF", the
Passport will not give an audio beep when the SpO2 sensor is off the patient. Set to
“ON”, the Passport will give a one time series of 5 triple beeps. Set to “CONT”, the
Passport will give a series of 5 triple beeps every 30 seconds.
Selecting a Sensor
Sensors are designed for specific sites on patients with designated weight ranges. To select
the appropriate sensor, consider the patient’s weight, level of activity, adequacy of perfusion,
which sensor sites are available and the anticipated duration of monitoring.
Performance Considerations
To insure optimal performance, use an appropriate sensor, apply it as directed, and observe
all warnings and cautions.
If excessive ambient light is present, cover the sensor site with opaque material. Failure to do
so may result in inaccurate measurements. Light sources that can affect performance include
surgical lights, especially those with a xenon light source, bilirubin lamps, fluorescent lights,
infrared heating lamps, and direct sunlight.
In the event that you are unable to get any reading, or the reading you get is inaccurate,
consider the following:
• If your patient is poorly perfused, try applying the sensor to another site - such as a
different finger or toe.
• Check that the sensor is properly aligned.
• In electrosurgery, make sure sensor is not too close to ESU devices or cables.
• Check to make sure the site area is clean/non-greasy, clean site and sensor if needed.
Nail polish and fungus should be removed.
• Excessive patient motion can affect readings and may cause a “SpO2 Interference”
message to be displayed. Encourage the patient to remain still. If this is not possible try
moving the sensor to another site.
If patient movement presents a problem:
Each sensor is calibrated when manufactured; the effective mean wavelength of the red LED
is determined and encoded into a calibration resistor in the sensor plug. The instrument’s
software reads this calibration resistor to determine the appropriate calibration coefficients
for the measurements obtained by that sensor.
The Passport has the ability to change the averaging of the Saturation, Pulse Rate, and Signal
Strength measurements for SpO2. The post average time can be changed to 4,6,8,10,12,14
or 16 seconds.
2. Plug the sensor directly into the SpO2 connector (28) located on the left side panel of the
monitor or if necessary, use a Nellcor® EC-4 or EC-8 sensor extension cable.
NOTE: Set the Auto Display for IBP1 and CO2 to either waveform 3
or Off. If either of these functions are set to waveform 2,
they will have a higher priority to display, if they are
detected.
5. Press the BEEP VOLUME (21) to set the volume of the SpO2 beep.
6. Set the “Sensor -Off Audio”, in the SpO2 menu to the desired setting. Set to "OFF", the
Passport will not give an audio beep when the SpO2 sensor is off the patient. Set to
“ON”, the Passport will give a one time series of 5 triple beeps. Set to “CONT”, the
Passport will give a series of 5 triple beeps every 30 seconds.
* This feature applicable only if available / installed in your unit.
Selecting a Sensor
Sensors are designed for specific sites on patients with designated weight ranges. To select
the appropriate sensor, consider the patient’s weight, level of activity, adequacy of perfusion,
which sensor sites are available, whether sterility is required, and the anticipated duration of
monitoring.
Performance Considerations
To insure optimal performance, use an appropriate sensor, apply it as directed, and observe
all warnings and cautions.
If excessive ambient light is present, cover the sensor site with opaque material. Failure to do
so may result in inaccurate measurements. Light sources that can affect performance include
surgical lights, especially those with a xenon light source, bilirubin lamps, fluorescent lights,
infrared heating lamps, and direct sunlight.
If poor perfusion affects instrument performance, and the patient weighs more than 50 kg
(110 lbs.), consider using the OXISENSOR™ R-15 adult nasal oxygen transducer. Because
the R-15 obtains its measurements from the nasal septal anterior ethmoid artery, an artery
supplied by the internal carotid, this sensor may obtain measurements when peripheral
perfusion is relatively poor. For low peripheral perfusion, consider using the Nellcor® RS-10
reflectance oxygen transducer, which is applied to the forehead or temple.
1
In an unopened, undamaged package.
All Nellcor® accessories and sensors must be purchased form Nellcor® Inc., 25495
Whitehall Street, Hayward, Ca. 94545. To contact Nellcor®, call 1-800-NELLCOR.
Each sensor is calibrated when manufactured; the effective mean wavelength of the red LED
is determined and encoded into a calibration resistor in the sensor plug. The instrument’s
software reads this calibration resistor to determine the appropriate calibration coefficients
for the measurements obtained by that sensor.
1. The default operating mode, uses a 5 to 7 second averaging time and is useful in
situations in which the patient is relatively inactive.
2. This mode uses a 2 to 3 second averaging time and therefore is more affected by
patient motion. It is useful for special applications that require a fast response time, such
as sleep studies.
3. This mode uses a 10 to 15 second averaging time and consequently is least affected by
patient motion. In this mode, if SpO2 has been selected as the source for pule rate
information, pulse rate is not displayed and there is no pulse tone.
Choke blocks are electrical filters that may be used in electro-cautery environments where
ECG interference can be substantial. These filters remove the electro-cautery noise, but also
block the signal used by the Passport XG Monitor to measure respiration.
The filling and emptying of the heart chambers can interfere with the thoracic impedance
signal, so called cardiovascular artifact (CVA), such that the respiratory signal matches the
heart rate. The Passport XG warns the operator when the respiration value equals the heart
rate by displaying the CVA message.
If the patient’s airway is obstructed and the patient attempts to breath, then the chest wall can
move and create a respiratory signal even though no gas flow is occurring to the patient.
NOTE: Set the Auto Display for IBP1, IBP2 and CO2 to either
waveform 2 or Off. If any of these functions are set to
waveform 3, they will have a higher priority to display, if
they are detected.
3. Press the SELECT key (2), then the EXIT key (3).
4. Select RESP menu, choose RESP SOURCE and set to ECG.
5. Press the SELECT key (2), then the EXIT key (3).
Adapter calibration needs to be performed each time the type of airway adapter is switched.
For example: if switching from using a re-usable adult to a neonatal or neonatal to a re-
usable adult adapter, a calibration is needed (not if switching from a re-usable adult adapter
to another re-usable adult adapter). Adapter calibration should also be performed if the
message “Check Adapter” displays.
1. Place the sensor and airway adapter away from all sources of CO2 (including
the patient’s and your own exhaled breath, and ventilator exhaust valves).
2. Choose Start Adapter Cal - Yes from the CO2 menu. (See “Use of Menus” on page 1-
109.)
Adult (For use on patients with endotracheal tube diameters > 4.0 mm):
1. Verify the windows are clean and dry. Clean or replace the adapter if necessary.
2. Snap the airway adapter into the Capnostat® sensor. Align the arrow on the bottom of
the airway adapter with the arrow on the bottom of the Capnostat®. Press the sensor
and airway adapter together until they “click”.
3. If necessary, perform an adapter calibration. See “Adapter Calibration” on page 1-
135.
4. Place the Capnostat® / airway adapter assembly between the elbow and the ventilator
circuit wye.
CAPNOSTAT R
CO 2 Sensor
To
Ventilator
To
Patient
NOTES: For optimal results, DO NOT place the airway adapter between the endotracheal
tube and the elbow, as this may allow patient secretions to block the adapter windows.
Position the airway adapter with it’s windows in a vertical and NOT a horizontal position.
This helps keep patient secretions from “pooling” on the windows.
5. Check that the connections have been made correctly by verifying a proper CO2
waveform (capnogram) on the monitor display.
6. The sensor cable should face away from the patient. To secure the sensor cable safely
out of the way, attach the sensor cable holding clips to the airway tubing, then connect
the sensor cable to the clips.
1. Verify the windows are clean and dry. Clean or replace the adapter if necessary.
2. Snap the airway adapter into the Capnostat® sensor. Align the arrow on the bottom of
the airway adapter with the arrow on the bottom of the Capnostat®. Press the sensor
and airway adapter together until they “click”.
3. If necessary, perform an adapter calibration. See “Adapter Calibration” on page 1-
135.
4. Place the Capnostat® / airway adapter assembly between the elbow and the ventilator
circuit wye.
R
CAPNOSTAT
CO 2 Sensor
To
Patient
To
Ventilator
NOTES: For optimal results, DO NOT place the airway adapter between the endotracheal
tube and the elbow, as this may allow patient secretions to block the adapter windows.
Position the airway adapter with it’s windows in a vertical and NOT a horizontal position.
This helps keep patient secretions from “pooling” on the windows.
5. Check that the connections have been made correctly by verifying a proper CO2
waveform (capnogram) on the monitor display.
6. The sensor cable should face away from the patient. To secure the sensor cable safely
out of the way, attach the sensor cable holding clips to the airway tubing, then connect
the sensor cable to the clips.
To verify calibration:
1. Verify the Passport is turned on and the Capnostat® is connected and warmed-up.
2. Place the Capnostat® sensor onto the reference cell labeled REF.
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3. The “Sensor on Reference Cell” message is displayed and the reference value is
displayed in the ETCO2 window. The value should be between 36 and 40 Torr.
Once a sensor is calibrated, the Passport XG can be turned off and on, the sensor can be
unplugged and reconnected, without having to recalibrate. However, if a second sensor is
connected in place of the original, the second sensor must be calibrated and if the original
sensor is used again, it too will have to be recalibrated.
1. Verify the Passport XG is turned on and the Capnostat® is plugged in and warmed-up.
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WARNING: The maximum sampling rate at the nasal cannula is 200 ml/
min. This device should not be used on patients whose
breathing could be impaired by this vacuum flow rate.
The sidestream application has an inherent start-up delay. For situations where time to
waveform is critical the mainstream application is quicker.
The sidestream application has an inherent CO2 measurement delay caused by the time the
sample takes to travel from the monitoring site to the sampling airway adapter. The longer
and/or wider the sampling tube, the longer the delay.
NOTE: For sidestream operation, always set the apnea and CO2
alarms.
4. Connect the sampling tubing to the CO2 Pump Input connector (33).
Capnostat (Kit)
P/N 0600-00-0037
P/N 0103-00-0443-01
Sampling Airway
Adapter with
Tubing
P/N 0103-00-0444-01
5. Connect a disc filter (optional), nafion tubing (optional-recommended for high humidity
situations), and nasal cannula to the patient side of the airway adapter. This is the side
that has the Capnostat® name.
NOTE: Ensure all tubing connections are secure. Ensure that the
nasal cannula is away from all sources of CO2 (including the
patient’s and your own exhaled breath and ventilator
exhaust valves).
6. Press the CO2 PUMP key (12), then the SELECT key (2), to turn the sampling pump on
and to initiate a pump calibration. When the pump calibration is complete, the message
“CO2: Pump Cal Complete” displays. See “Sidestream CO2 Messages (on Passports
with Sidestream CO2 only)” on page 1-164 for additional CO2 messages.
7. After the pump calibration is complete, place the nasal cannula on the patient.
8. When the Passport XG has detected valid breaths, numbers will display for ETCO2,
Inspired CO2 and Respiratory Rate (if enabled for CO2 as source).
9. If not already set, use the Setup Menu, to select “Auto Display CO2”waveform to be
displayed on Waveform 2 or Waveform 3.
10. If desired, the CO2 waveform scale can be changed by entering the CO2 menu. See
“Use of Menus” on page 1-109” for details. The CO2 menu also has provisions for N2O
and O2 compensation.
When Sidestream is used to monitor CO2 in an intubated configuration, the aspired gas
within the intubation line is sampled and used to measure the CO2 level. This setup
procedure is described below.
1. Plug the Capnostat® CO2 sensor into the Passport XG CO2 connector (34). The “CO2:
Sensor Warming Up” message is displayed. The CO2 numeric dataand waveform will
not be available until the “CO2: Sensor Warming Up” message disappears.
4. Connect the sampling tubing to the CO2 Pump Input connector (33).
NOTE: The disc filter is not recommended for breath rates over 18
bpm, due to the increased dead space.
To Monitor
Sampling Inlet Straight Intubated Adapter
P/N 0683-00-0242-21
Sampling Airway Adapter
with Tubing Disc Filter
P/N 0103-00-0444-01 P/N 0103-00-0445-01 To Ventillator To Patient
9. Connect the sampling tube to the patient airway and observe the capnogram on the
monitor’s display.
10. When the Passport XG has detected valid breaths, numbers will display for ETCO2,
Inspired CO2 and Respiratory Rate (if enabled for CO2 as source).
11. If not already set, use the Setup Menu, to select “Auto Display CO2”waveform to be
displayed on Waveform 2 or Waveform 3.
12. If desired, the CO2 waveform scale can be changed by entering the CO2 menu. See
“Use of Menus” on page 1-109 for details. The CO2 menu also has provisions for N2O
and O2 compensation.
1. Plug the Capnostat® CO2 sensor into the Passport XG CO2 connector (34). The “CO2:
Sensor Warming Up” message is displayed. The pump calibration cannot be performed
until the “CO2: Sensor Warming Up” message disappears.
2. Press the CO2 PUMP key (12). A “Warning” message displays. Ensure that the sampling
tubing is correctly connected and that the nasal cannula is clear of all sources of CO2
(including the patient’s and your own exhaled breath, and ventilator exhaust valves).
Press SELECT to turn the sampling pump on and to initiate the calibration.
3. The “CO2: Pump Cal in Progress” and “CO2: Pump On” messages alternately display.
When the pump calibration is complete, the message “CO2: Pump Cal Complete”
displays and then the “CO2: Pump On” message displays. The “CO2: Pump On”
message will continue to display as long as the pump is on. See “Sidestream CO2
Messages (on Passports with Sidestream CO2 only)” on page 1-164 for additional CO2
messages.
1. Plug the Capnostat® CO2 sensor into the Passport XG CO2 connector (34). The “CO2:
Sensor Warming Up” message is displayed. The adapter calibration cannot be
performed until the “CO2: Sensor Warming Up” message disappears.
2. Ensure that the nasal cannula is away from all sources of CO2 (including the patient’s
and your own exhaled breath, and ventilator exhaust valves).
3. Choose Start Adapter Cal - Yes from the CO2 menu. (See “Use of Menus” on page 1-
109.)
To verify calibration:
1. Verify the Passport is turned on and the Capnostat® is connected and warmed-up.
2. Place the Capnostat® sensor onto the reference cell. The reference cell is labeled REF.
The sensor cable should face away from the Passport.
3. The “Sensor on Reference Cal” message is displayed and the reference value is
displayed in the ETCO2 window. The value should be between 36 and 40 Torr.
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Once a sensor is calibrated, the Passport XG can be turned off and on, the sensor can be
unplugged and reconnected, without having to recalibrate. However, if a second sensor is
connected in place of the original, the second sensor must be calibrated and if the original
sensor is used again, it too will have to be recalibrated.
1. Plug the Capnostat® CO2 sensor into the Passport XG CO2 connector (34). The “CO2:
Sensor Warming Up” message is displayed. The sensor calibration cannot be
performed until the “CO2: Sensor Warming Up” message disappears.
2. Place the Capnostat® onto the ZERO cell.
3. The “Sensor on Zero Cell” message is displayed.
4. Select Start Zero Cal - Yes from the CO2 menu. The “Zero Cal in Progress” message is
displayed. The" Zero Cal Complete" message is displayed when complete and a 0
value is displayed.
5. Remove sensor from the zero cell and place onto the airway adapter.
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WARNING: The maximum sampling rate at the nasal cannula is 200 ml/
min. This device should not be used on patients whose
breathing could be impaired by this vacuum flow rate.
1.6.14.1 Sequence for Monitoring Anesthetic Gases, O2, N2O and/or CO2
1. For non-intubated patients, apply the nasal cannula to the patient. For intubated patients
connect the sample line to the breathing circuit. Refer to instruction provided in the
packets.
2. Connect the other end of the nasal cannula or sample line to the Gas Module at the
Input Port (41). Refer to Figure 1-57 on page 93. Do not connect anything to Reference
Port (51), Figure 1-58 on page 95, on the rear of the unit. This port is used to monitor
the room air only. Ensure all tubing connections are tight.
3. Turn on the Gas Module and Passport XG, and configure the Passport XG to be used
with the Gas Module. Set alarms as desired.
4. Check for a clean water trap. If cleaning is necessary, “Safety Precautions” on page 4-1
for details.
5. Select CO2/Off or CO2/ECG as the Resp. Source in the Resp Menu.
6. Observe the capnogram on the monitor’s display. When the Passport XG has detected
valid breaths, numbers will display for CO2, O2, Agent, N2O and Respiratory Rate.
7. If not already set, use the Setup Menu, to select “Auto Display CO2” waveform to be
displayed on Waveform 2 or Waveform 3.
8. If desired, the Gases waveform scale and speed can be changed by entering the Gases
menu. See “Use of Menus” on page 1-109 for details.
NOTE: See “Gas Module Messages (on Passports with Gas Module
installed only)” on page 1-164 for more details on
messages.
Zero calibration is a single action command that compensates all gas channels for the effects
of offset drift. Zero calibration may be performed on command and also takes place
automatically at preset intervals. To manually perform a Zero cal, choose ‘YES’ from the Zero
calibration gas menu (refer to “Gas Module Menu” on page 1-182).
Span calibration is a set of prompted commands that enables the operator to align the gas
display(s) to specific gas concentration(s) within the Datascope Calibration Gas canister.
Span calibration can be initiated by the operator any time the gas module’s readings are
suspected to be inaccurate. Span calibration should be performed if after performing a Zero
cal, the gas readings do not display the accurate valves.
Always verify accuracy using a full canister of Datascope approved precision calibration
gas, after calibration is performed. Never use calibration gas that has expired, has a
different concentration, or a canister that is indicating low pressure. The pressure indicator
on the Datascope gas regulator must operate in the green zone during the entire calibration
session.
1. Select Start Calibration and “Yes” within the Gas Module Menu (refer to “Gas Module
Menu” on page 1-182). The menu shown on the next page will appear:
2. Select the calibration gas type from the choices, and “Yes” to start calibration.
3. If Mixture has been selected, the following window will appear:
CALIBRATION DATA
CO2:
O2:
N2O:
DES:
Zero In Progress
EXIT = Cancel Calibration
4. At the start of the calibration, the Gas Module will zero the gas channels. After a
successful zeroing, the Gas Module will request the calibration gas.
5. The message “Feed Calibration Gas” will appear. At this point, attach the calibration
gas canister to the regulator and turn it on. Increasing gas values will appear in the
window as the Gas Module samples the calibration gas.
6. When sampling is complete, a “Continue?” message will appear. If the values are
acceptable, press the SELECT key. If for any reason, it is desired to cancel calibration,
press EXIT to re-install the previous calibration values. The entire calibration must be
accepted as a whole or not at all.
7. The message “Calibration Complete” will appear when all the channel(s) have been
successfully calibrated. Any channel that has been adjusted will display “Adj”.
CALIBRATION DATA
CO2: 5.0% ADJ
O2: 33% ADJ
N2O: 55% ADJ
DES: 2.0% ADJ
Calibration Complete
EXIT = Quit
If any channel fails calibration, the gas value will be “XXX”. These channels will appear as
“XXX” in the normal run mode as well. Repeat procedure from step 1. If problems persist, call
for service.
1.6.15 Alarms
The Datascope Passport XG Monitor provides high and low alarm limits for heart rate (HR),
systolic pressure (IBP1/NIBP Sys), diastolic pressure (IBP1/NIBP Dia), mean pressure (IBP2
Mean), respiration rate, ETCO2, and SpO2. An alarm for apnea is also provided. If the
optional Gas Module is installed, a second and third page of alarm limits is added.
ALARMS
Depress the Alarms
Limits Key to access VOLUME
the Alarms Menu
LIMITS
MUTE
ALARM PARAMETERS
HIGH LO
Parameters Adult Ped/Neonate Adult Ped/Neonate
Heart Rate (bpm) Off, 100-250 Off, 100-250 Off, 30-100 Off, 30-100
IBP1 Sys (mmHg) Off, 70-240 Off, 40-180 Off, 5-130 Off, 5-130
IBP1 Dia(mmHg) Off, 40-130 Off, 50-100 Off, 5-90 Off, 5-50
NIBP Sys(mmHg) Off, 70-240 Off, 40-180* Off, 50-150 Off, 15-130
NIBP Dia(mmHg) Off, 40-130 Off, 50-100 Off, 30-120 Off, 10-50
IBP2 Mean (mmHg) Off, 5-150 Off, 5-100 Off, 2-100 Off, 2-50
SpO2 (%) Off, 85-100 Off, 85-100 50*-99 50*-99
Resp Rate (rpm) Off, 30-200* ® Off, 30-200* ® Off, 5-50 Off, 5-50
Apnea Delay (sec) Off, 10-40 Off, 10-30 (Ped) / 10 - 20 (Neo)
ETCO2 (Torr) Off, 20-100 Off, 20-100 Off, 5-60 Off, 5-60
ETCO2 (%) Off, 2-11 Off, 2-11 Off, 1-8 Off, 1-8
ETCO2 (kPa) Off, 2.0-11.0 Off, 2.0-11.0 Off, 1.0-8.0 Off, 1.0-8.0
* These alarm parameters may be set outside the accurate measurement range. Refer to the specifications,
Chapter 3, for accuracy ranges.
® Respiration rate measurement range is limited to 2 - 150 rpm when Mainstream CO2 is selected as the rate
source. Values above 150 rpm will be displayed as 150 rpm.
PARAMETERS HIGH LO
Resp Rate* Off, 20 - 60 Off, 5 - 40
ET CO2 (kPa or %) Off, 6.0 - 15.0 Off, 0.5 - 9
ET CO2 (Torr or mmHg) Off, 50 - 115 Off, 5 - 70
* This Alarm Limit is found on page one of the Alarm Limit Menus, since it applies whether the
Gas Module is configured or not. However, when the Gas Module is configured this Alarm
parameter will have different ranges and it will be saved separately.
PARAMETERS HIGH LO
INS CO2 (kPa or %) Off, 1, 2, 3
INS CO2 (Torr or mmHg) Off, 8, 16, 24
ET O2 Off, 40 - 100 % Off, 10 - 60 %
INS O2 Off, 40 - 100 % Off, 18 - 60 %
INS N2O Off, 82 %
ET ISO Off, 3.0 - 6 % Off, 0.5 - 4 %
INS ISO Off, 3.0 - 6 % Off, 0.5 - 4 %
ET ENF Off, 3.0 - 6 % Off, 0.5 - 4 %
INS ENF Off, 3.0 - 6 % Off, 0.5 - 4 %
ET DES Off, 8.0 - 20 % Off, 0.5 - 12 %
INS DES Off, 8.0 - 20 % Off, 0.5 - 12 %
ET SEV Off, 3.0 - 8 % Off, 0.5 - 5.0 %
INS SEV Off, 3.0 - 8 % Off, 0.5 - 5.0 %
ET HAL Off, 3.0 - 6 % Off, 0.5 - 4 %
INS HAL Off, 3.0 - 6 % Off, 0.5 - 4 %
* This Alarm Limit is found on page one of the Alarm Limit Menus, since it applies whether the
Gas Module is configured or not. However, when the Gas Module is configured this Alarm
parameter will have different ranges and it will be saved separately.
NOTE: The heart rate alarm tone has a different pitch than other
alarms.
A. Parameter Alarms
An alarm condition exists if the parameter is equal to or is outside the high/low limit range.
When an alarm limit is violated, the following actions occur:
NOTE: Only the value displayed in the heart rate window is used
to determine heart rate alarm conditions.
C. Apnea Alarm
The Apnea Alarm is active when the respiration function is enabled. The Apnea alarm is
violated when a breath is not detected for a longer period of time than the apnea delay
specified in the Alarm Menu. The alarm operation is the same as for a parameter alarm.
D. General Alarms
• ALARMS OFF - If alarms are not set on any one parameter, an alarm bell off symbol will
be displayed next to the numerical data for that parameter.
NOTE: Both the high and low alarm must be set for a particular
parameter for the bell symbol to go away.
AUDIO ALARM STANDBY MODE - This feature can only be enabled in the User
Configuration Menu. Refer to the table below for a description of the three choices
“OFF”, “ON”, or “ON and ACTIVE on Power up”. This feature allows alarms to be
suspended indefinitely by pressing and holding the MUTE key for 4 seconds. This is
indicated by a flashing alarm mute symbol in all parameter windows and a flashing
“Aud Alm Sby” message is displayed above the menu selections. When in this mode,
press MUTE to re-activate alarms.
AUDIO ALARM
STANDBY ENABLE INDEFINITE SUSPENSION POWER UP MUTE
SETTING OF ALARMS CONDITION
OFF No Audio Alarms Active
ON Yes Audio Alarms Active
ON and ACTIVE Yes Audio Alarms
on Power up Suspended Indefinitely
Full Battery
and a beep is generated every 3 seconds.
Symbol
NOTE: Less than 15 minutes of operating time remains depending
+ upon the number of functions that are operational when the
low battery symbol displays.
2. After the “DIAGNOSTICS IN PROGRESS” message is displayed, press and hold the
FREEZE key (9) until a second beep is heard (approximately 2 seconds). The User
Configuration Mode will display.
The operation of the menu system is the same as the operation of the menu system during
normal operation (see “Use of Menus” on page 1-109). To access normal operation when
user configuration is complete, either time-out (no Set-Up key pressed within 1 minute) or
press the EXIT (3) key for 3 seconds. The following table describes the User Configuration
Mode menu structure:
USER CONFIG.
MENU MENU ITEM CHOICES
Date/Time Year 0 to 99
Month 1 to 12
Day 1 to 31
Hours 0 to 23
Minutes 0 to 59
Trend Trigger Alarms, NIBP*, Interval, NIBP & Alarms,
Interval & Alarms, Interval & NIBP, Interval &
NIBP & Alarms
Interval 1, 2.5, 5*, 10, 20, 30, 60, 120 mins.
Temperature Scale Fahrenheit*, Centigrade
HR SpO2 Size Size Change HR Large/SpO2 Small, HR Small/SpO2
Large*
Alarm Audio Delay Delay Off*, 4, 6, 8 sec.
Audio Alarm Standby Function Off*, On, On and Active on Powerup
Serial Output Type*** Serial Output Type VISA*, VISA with Admit, Accutorr, Message,
DIAP, Gas Monitor
Accutorr Baud Rate 1200bps*, 2400bps, 4800bps, 9600bps
CO2 Barometric Pressure** 500 to 800 mmHg, 760 mmHg*
CO2 Units TORR, kPa, %
Color Settings ECG Color White*, Green, Red
NIBP Color White*, Green, Red
SpO2 Color White, Green*, Red
Gases Color White, Green*, Red
IBP1 Color White, Green, Red*
IBP2 Color White, Green, Red*
Resp Color White, Green, Red*
Temp Color White, Green, Red*
Gas Monitor*** CO2 Units TORR, mmHg, kPa, %
* Initial Factory settings
** On units with sidesteam CO2 capability, there is automatic compensation for barometric pressure.
*** Only applicable if J1 connector is installed.
The Trend Trigger setting is what causes new data to be stored in the trend memory. It may
be set to trigger whenever there is an alarm, an NIBP measurement is performed, the trend
timer expires (interval), or may be set to trigger at any combination of these items. The trend
interval is only used when trend is triggering on interval, and it is used to set the time
between interval triggers. The trend interval is independent of the NIBP interval.
The HR SpO2 size change option allows the user to select a large SpO2 reading compared
to HR or vice versa.
The Alarm Audio Standby allows the user to enable (or disable) this feature (see “* This
Alarm Limit is found on page one of the Alarm Limit Menus, since it applies whether the Gas
Module is configured or not. However, when the Gas Module is configured this Alarm
parameter will have different ranges and it will be saved separately.” on page 1-150).
The Serial Output Type allows the user to select the communication protocols for interfacing
with other specialized equipment: VISA, VISA with Admit from bedside feature, Accutorr
(uses the same data protocol as an Accutorr), message (for diagnostic purposes), Gas
Module (optional) with the Passport XG Monitor. The baud rate for the Accutorr protocol can
be set for 1200, 2400, 4800 or 9600 bps.
Once the unit is in the User Configuration Mode, the time and/or date can be changed using
the set-up keys as described in “Use of Menus” on page 1-109.
NOTES:
• When the ECG is frozen and PRINT (22) is pressed, the recorder prints the frozen
displayed ECG.
• If the PRINT key (22) is pressed for 3 seconds the recorder prints a continuous
real-time ECG waveform.
• If the PRINT key (22) is pressed while List Trend is displayed (and the ECG
waveform is not frozen), the recorder prints the list trend report.
• See “Recorder Paper Replacement” on page 8-5 for paper installation
The upper and lower borders have the date, time and physiologic parameters currently
available as well as the ECG size and lead configuration the recorder is printing. All
parameters include their units.
The upper and lower borders are printed as for the single waveform.
NOTE: IBP1, IBP2, CO2, and Gas Module data is printed only when
models are equipped with these options.
measurement.
• Do not place cuff on extremity that has an IV.
• Cuff should be at heart level.
1.6.19.5 Sidestream CO2 Messages (on Passports with Sidestream CO2 only)
MESSAGE REASON SOLUTION
CO2: PUMP ON The CO2 sidestream pump is on. Message will display at
all times when the CO2
sidestream pump is on.
CO2: PUMP CAL IN The CO2 sidestream pump is turned on and a Message will clear
PROGRESS pump calibration has been requested. when cal is complete.
CO2: BREATHS Breaths are detected while the CO2 Move the sensor/
DETECTED...RETRY sidestream pump calibration is in progress or adapter away from any
an adaptor calibration is in progress. source of CO2.
CO2: PUMP CAL The CO2 sidestream pump calibration was Check sampling line for
FAILURE not completed successfully. The pump correct assembly. Retry
calibration could have been requested when calibration. If message
the sampling line was not attached correctly. persists refer to
technical service
personnel.
CO2: PUMP FAILURE The CO2 sidestream pump failed. Refer to technical
service personnel.
CO2: OCCLUSION- The CO2 hardware is indicating the sampling Check sampling line
CHECK SYSTEM pump line is blocked while the CO2 and filter for blockage,
sidestream pump is on. clear sampling line if
possible. Replace
sampling line and/or
filter if necessary. If
sampling cell is
replaced, perform a
pump calibration.
CO2: NO SSCO2 The patient size is set to Neonate and the Do not have the patient
ON NEONATE CO2 sidestream pump is on, or when the size set to Neonate and
patient size is set to Neonate and the user press the CO2 pump
presses the CO2 pump key. key.
CO2: PUMP CAL The pump calibration has been successfully Message will clear
COMPLETE completed. automatically.
1.6.19.6 Gas Module Messages (on Passports with Gas Module installed only)
MESSAGE REASON SOLUTION
GM: WARMING UP Appears when the system has been turned on, Wait for the message to
and the sensors have not reached their stable go away. It takes up to
operating temperature. two minutes for the
device to warm up.
GM: AGENT This message appears after the GM: Wait for the message to
WARMING UP WARMING UP message disappears. It go away. It takes ups to
indiactes that the Agent ID Bench is warming five minutes from power-
up and readings will not be available. up for the Agent ID
Bench to warm up.
GM: EXHAUST Appears when the system detects a blockage Remove waste gas
BLOCKED at the exhaust gas outlet, as indicated by an scavenging assembly,
increase in internal pressure. check if message
disappears. Check
exhaust line for
blockage and clear if
possible. If message
persists call for service.
• P/N 0012-00-0753-01 cable which is terminated with a Hewlett Packard (HP) 8 pin
round connector, commonly used for ECG input on HP defibrillators.
This cable attenuates the high level ECG waveform output from the Passport XG Monitor to a
low level output and is intended to provide a means to synchronize compatible external
devices with an ECG signal. An example of such a device is a defibrillator for cardioversion
synchronization.
1.6.22 Using the Passport XG with the Visa Central Station (optional)
The Passport XG must be connected, either through hardwire or telemetry, to the VISA
Central Station. This connection allows the Passport XG to communicate with the VISA to
ADMIT, DISCHARGE, SILENCE and PRINT. The serial output type in the User Configuration
Menu must be set to either “VISA” or “VISA WITH ADMIT”.
If set to “VISA”, the passport XG can be used to mute alarms and print waveforms on the
VISA. However, the ADMIT and DISCHARGE features will be disabled.
If set to “VISA WITH ADMIT”, the Passport XG can be used to help ADMIT and DISCHARGE
patients to and from the VISA, as well as mute alarms and print waveforms on the VISA.
The keys that are used on the Passport XG in conjunction with the VISA are: ADMIT (4),
DISCHARGE (5), SILENCE (6) and PRINT (22).
Admit (4)
When a new patient is being monitored by the Passport XG, press the ADMIT (4) key to
receive that patient’s information on the corresponding channel on the VISA Central Station.
A patient can also be admitted using the patient menu. The following “Warning” message
displays:
When you press SELECT to admit, the following “Warning” message displays:
Warning
Along with the ADMIT request the current settings for Full Disclosure and Arrhythmia are sent
to the VISA Central Station for processing. Full Disclosure “ON” requests that all patient data
be stored at the VISA. Arrhythmia “ON” requests Arrhythmia detection to be enabled at the
VISA. The newly admitted channel on the VISA Central Station will change color and a beep
tone will be generated every 30 seconds until the admit is confirmed on the VISA. To confirm
the admit on the VISA either click on the yellow tile with the mouse or tap on the tile if the
VISA has a touch screen.
Discharge (5)
To discharge a patient from the corresponding channel on the VISA Central Station, press the
DISCHARGE key (5). A patient can also be discharged using the setup menu. The following
“Warning” message displays:
Warning
Verify discharge at Central.
Warning
Admit from Bedside feature is not installed.
Silence (6)
Press the SILENCE key (6) to mute alarms that are initiated from the Passport and sent to the
VISA Central Station. The amount of time the alarms are silenced, is determined through the
VISA.
Print (22)
If the record destination in the record menu (see “Recorder Menu” on page 1-177) is set to
either remote or both, then pressing the print key will initiate a waveform printing on the VISA
central station.
1.6.23 Menus
This section contains all the menus used in the Passport XG. A sample of each menu with
each menu item highlighted is provided. For each menu item highlighted, the Choices bar
indicates the available selections. The menu Instructions bar indicates the available actions to
take. See “Use of Menus” on page 1-109 for detailed instructions on menu operation.
The following four options are available only if the Serial Output Type is set to “VISA with
Admit”:
Admit: Choosing “Yes” transmits an admit message to the VISA Central Station.
Discharge: Choosing “Yes” transmits a discharge message to the VISA Central Station.
Full Disclosure: If ON is desired, it must be selected prior to selecting Admit “YES”. Full
Disclosure “ON” requests that all patient data be stored at the VISA.
Pacer Enhancement: Set to ON to display the pacer signal as a full scale square wave.
Auto Display IBP1 / IBP2 / CO2: When these are set to waveform 2 or 3, and
information for these parameters is available, the waveform for the corresponding parameter
will automatically be displayed, regardless of what is chosen in “Waveform 2" and
”Waveform 3".
NOTE: If Auto Display for is set with two or more functions set on
the same waveform, CO2 takes the highest priority, then
IBP1 and then IBP2.
Powerup settings: Select “Save Current” to keep all configured items for the next time the
Passport XG is powered on. Select “Restore Factory” to return to the factory default settings.
Record on Alarm: Set to ON for a recording to be printed each time an alarm situation
occurs.
Record Destination: Set where the print out will occur. Passport - from the Passport XG,
Central - from the Visa, Both - from both the Passport XG and the Visa.
NOTE: Choices for Wave Selection only include the CO2, IBP1, IBP2,
and Gas Module selections when these items are installed
and configured.
CHANGE RECORDER
Wave Selection: ECG
Record on Alarm: No
Record Destination Passport
ECG, Pleth, Resp, ECG & IBP1, ECG & IBP2,
IBP1 & IBP2, CO2, ECG & RESP
CO2 & O2, CO2 & Agent
= Adjust valve END = quit
SELECT = Enter/move
CHANGE RECORDER
Wave Selection: ECG
Record on Alarm: No
Record Destination Passport
Choices: Yes, No
CHANGE RECORDER
Wave Selection: ECG
Record on Alarm: No
Record Destination Passport
Choices: Passport, Central, Both
CHANGE NIBP
Start Pressure: 180 mmHg
Range: 100-260 mmHg
= Adjust valve EXIT = quit
SELECT = Enter/move
FIGURE 1-96 NIBP Menu
CHANGE IBP
IBP1 Scale: 150 mmHg
IBP2 Scale: 37.5 mmHg
Choices: 37.5, 75, 150, 300 mmHg
= Adjust valve EXIT = quit
SELECT = Enter/move
CHANGE IBP
IBP1 Scale: 150 mmHg
IBP2 Scale: 37.5 mmHg
Choices: 37.5, 75, 150, 300 mmHg
= Adjust valve EXIT = quit
SELECT = Enter/move
FIGURE 1-97 IBP Menu
Resp Source: Sets the source of the respiration information. “CO2/OFF” sets the source to
CO2, if CO2 is present. If CO2 is not present, the Resp Source is OFF. “CO2/ECG” sets the
source to CO2, if CO2 is present. If CO2 is not present, the Resp Source is set to ECG. If
CO2 option is not installed, Resp Source choices are OFF or ECG.
Choices: 3.125, 6.25, 12.5, 25 mm/sec Choices: Off, ECG, CO2/Off, CO2/ECG
= Adjust valve EXIT = quit = Adjust valve EXIT = quit
SELECT = Enter/move SELECT = Enter/move
CHANGE RESP
Resp Speed: 12.5 mm/sec
Scale: 3
Resp Source: CO2/ECG
Choices: 1, 2, 3, 4, 5
= Adjust valve EXIT = quit
SELECT = Enter/move
Source: Select which source is used for the heart rate reading. The Auto selection uses a
built in algorithm to automatically choose the strongest heart rate source. The order of priority
starts with ECG, then IBP, then SpO2, and then NIBP.
CHANGE HR/ECG
Trace Speed: 25 mm/sec
Source: AUTO
Choices: 12.5, 25, 50 mm/sec
= Adjust valve EXIT = quit
SELECT = Enter/move
CHANGE HR/ECG
Trace Speed: 25 mm/sec
Source: AUTO
Choices: Auto, ECG, IBP1, SpO2
= Adjust valve EXIT = quit
SELECT = Enter/move
Sensor-Off Audio: Set to Off - no beep tone from the Passport. Set to ON - a one time
series of 5 triple beeps upon recognition of a SpO2 sensor off condition. Set to CONT - a
series of 5 triple beeps every 30 seconds.
Mode (Nellcor SpO2 only): Sets the averaging time of the plethysmograph waveform on
units with Nellcor. Scaling is automatic, refer to “Special Features” on page 1-131.
Sensitivity Mode (Masimo SpO2 only): Sets the sensitivity mode depending upon
signal quality.
Post Average Time (Masimo SpO2 only): Changes averaging time for Saturation,
Pulse Rate, and Signal Strength measurements for SpO2.
Datascope SpO2
CHANGE SPO2 CHANGE SPO2
Pleth Size: 3 Pleth Size: 3
Sensor-Off Audio: ON Sensor-Off Audio: ON
Choices: 1, 2, 3, 4 Choices: ON, OFF, CONT
= Adjust valve EXIT = quit = Adjust valve EXIT = quit
SELECT = Enter/move SELECT = Enter/move
Nellcor SpO2
CHANGE SPO2 CHANGE SPO2
Mode: 1 Mode: 1
Sensor-Off Audio: ON Sensor-Off Audio: ON
Choices: 1, 2, 3 Choices: ON, OFF, CONT.
= Adjust valve EXIT = quit = Adjust valve EXIT = quit
SELECT = Enter/move SELECT = Enter/move
Masimo SpO2
CHANGE SPO2 CHANGE SPO2
Sensor-Off Audio ON Sensor-Off Audio ON
Sensitivity Mode: Normal Sensitivity Mode: Normal
:Post Average Time (sec) 8 :Post Average Time (sec) 8
Choices: ON, OFF, CONT Choices: Normal, High
= Adjust valve EXIT = quit = Adjust valve EXIT = quit
SELECT = Enter/move SELECT = Enter/move
CHANGE SPO2
Sensor-Off Audio: ON
Sensitivity Mode: Normal
Post Average Time (sec) 8
Choices: 4,6,8,10,12,14,16
= Adjust valve EXIT = quit
SELECT = Enter/move
Start Zero Calibration: Select Yes to initiate the calibration of the sensor.
Start adapter cal: Select Yes to initiate the calibration of the airway adapter with the
sensor.
CHANGE CO2
CO2 Scale: 0-8%
Start Zero Calibration: No
Start adapter cal: No
N2O Compensation: OFF
O2 Compensation: 21%
Choices: Yes, No
Resp Speed: Sets the speed of the respiration waveform. This may be set either in this
menu or in the Resp Menu (see “Resp Menu” on page 1-179).
Start Zeroing: Select Yes to manually initiate re-zeroing of the Agent, CO2, and N20 Gas
Module parameters.
Start Calibration: Select Yes to initiate the Gas Module calibration routine. See “Gas
Module Option” on page 1-146 for more details.
Restart Pump: Select Yes to manually restart the Gas Drive Pump.
Agent Selection: Auto ID is the default. Manual override is allowed. If an agent other than
the one selected is detected, a message indicating an agent mismatch will appear.
The alarm menu provides access to change the settings for all available parameter alarms.
The following illustrates a sample of what may be displayed depending on the options
installed.
NOTE: IBP1, IBP2, Gas Module and CO2 are optional and will not
appear on menu if not installed.
NOTE: When the Gas Module is installed and configured, two more
pages with additional alarm limits become available, refer
to “Alarm Limits” on page 1-150 for complete details on
limits.
USER CONFIGURATION
Press & hold the END key for 3 sec, to leave configuration mode.
Interval: Each time the selected time interval has elapsed, the parameter information is
stored in the trend memory. The selections within the range are: 1, 2.5, 5, 10, 20, 30, 60 or
120 minutes.
U S E R C O N F IG U R A T IO N
P re s s & h o ld th e E N D k e y f o r 3 s e c , to le a v e co n fig u ra tio n m o d e .
D a te /T im e
T re n d
T e m p e ra tu re C H AN G E TR EN D
H r S p O 2 S iz e T rig g e r : N IB P
A la rm A u d io D e la y In te rv a l: 5 m in
A u d io A la rm S ta n d b y C h o ic e s: In te rv a l, N IB P , A la rm s o r m u ltip le trig g e rs
S e ria l O u tp u t T y p e = A d ju s t v a lv e E X IT = q u it
CO2 S E L E C T = E n te r/m o v e
C o lo r S e ttin g s
G a s M o n ito r
N IB P : Id le SPO2
U S E R C O N F IG U R A T IO N
P re s s & h o ld th e E N D k e y f o r 3 s e c , to le a v e co n fig u ra tio n m o d e .
D a te /T im e
T re n d
T e m p e ra tu re CHANGE TREND
H r S p O 2 S iz e T rig g e r: N IB P
A la rm A u d io D e la y In te rv a l: 5 m in
A u d io A la rm S ta n d b y R a n g e : 1 - 1 2 0 m in
S e ria l O u tp u tT yp e = A d ju s t va lv e E X I T = q u it
CO2 S E L E C T = E n te r/m o v e
C o lo r S e ttin g s
G a s M o n ito r
N IB P : Id le SPO2
USER CONFIGURATION
Press & hold the END key for 3 sec, to leave configuration mode.
Date/Time
Trend
Temperature
Hr SpO2 Size CHANGE TEMP
Alarm Audio Delay Temperature Scale: Fahrenheit
Audio Alarm Standby Choices: Fahrenheit, Centigrade
Serial Output Type
= Adjust valve EXIT = quit
CO2
SELECT = Enter/move
Color Settings
Gas Monitor
USER CONFIGURATION
Press & hold the END key for 3 sec, to leave configuration mode.
Date/Time
Trend
Temperature
Hr SpO2 Size CHANGE HR SPO2 SIZE
Alarm Audio Delay Hr SpO2 Size: HR small, SpO2 large
Audio Alarm Standby Choices: HR larger, smaller
Serial Output Type
= Adjust valve EXIT = quit
CO2 SELECT = Enter/move
Color Settings
Gas Monitor
USER CONFIGURATION
Press & hold the END key for 3 sec, to leave configuration mode.
Date/Time
Trend
Temperature
Hr SpO2 Size CHANGE ALARM AUDIO DELAY
Alarm Audio Delay OFF
Alarm Audio delay:
Audio Alarm Standby
Choices: OFF, 4,6,8 sec
Serial Output Type
= Adjust valve EXIT = quit
CO2
SELECT = Enter/move
Color Settings
Gas Monitor
USER CONFIGURATION
Press & hold the END key for 3 sec, to leave configuration mode.
Date/Time
Trend
Temperature
Hr SpO2 Size
Alarm Audio Delay CHANGE ALARM STANDBY
Audio Alarm Standby Audio Alarm Standby: OFF
Serial Output Type Choices: OFF, ON, ON & Active on Powerup
CO2 = Adjust valve EXIT = quit
Color Settings SELECT = Enter/move
Gas Monitor
The Serial Output Type allows the user to select the communication protocols for interfacing
with other specialized equipment: VISA, VISA with Admit from bedside feature, Gas Module
(optional), Accutorr (uses the same data protocol as an Accutorr), message (for diagnostic
purposes) with the Passport XG Monitor. The baud rate for the Accutorr protocol can be set
for 1200, 2400, 4800 or 9600 bps.
U S E R C O N F IG U R A T IO N
P res s & ho ld th e E N D k e y fo r 3 se c, to lea ve c on fig u ra tion m od e.
Date /T ime
T re n d
Temp era ture CH ANG E SER IAL O U TPUT TYPE
H r S p O 2 S ize S e ria l O utpu t T yp e : V is a
Alarm Audio Delay A c cu to rr B a u d R a te: 12 00 bp s
Audio Alarm Standby
C ho ic es : V isa ,V isa w ith A d m it, A c c uto rr,
S e ria l O utp ut T y pe M es sa g e ,D ia p , G a s M o nitor
CO 2 = A djus t v a lve EXIT = quit
C olor Se ttings S E LE C T = E n te r/m o ve
G as M o nitor
U S E R C O N F IG U R A T IO N
P res s & ho ld th e E N D k e y fo r 3 se c, to lea ve c on fig u ra tion m od e.
D ate /T im e
T re n d
Tem p era ture C H A N G E S ER IA L O U T P U T TY P E
H r S p O 2 S ize S erial O utp u t T yp e : V is a
Alarm Audio Delay A ccu torr B a ud R ate: 120 0 bps
Audio Alarm Standby
C ho ice s: 12 00 , 2 4 00 , 4 80 0, 9 60 0 b ps
S e ria l O utp ut T y pe
CO2 = A d jus t v a lve E XIT = quit
C olor S etting s S E L E C T = E n te r/m o ve
G as M o nitor
NIBP : Idle SP O 2
U S E R C O N F IG U R A T IO N
P r e s s & h o l d t h e E N D k e y f o r 3 s e c , t o le a v e c o n f i g u r a t i o n m o d e .
D a t e / T im e
T re n d
T e m p e r a tu re
H r S p O 2 S iz e
A la r m A u d io D e la y CHANGE CO2
A u d io A la r m S t a n d b y B a ro m e tr ic P r e s s u re : 760 m m Hg
S e ria l O u tp u t T y p e C O 2 U n it s : %
C o lo r S e tt in g s = A d ju s t v a lv e E X I T = q u it
G a s M o n it o r S E L E C T = E n te r /m o v e
N I B P : Id le SPO2
U S E R C O N F IG U R A T IO N
P r e s s & h o l d t h e E N D k e y f o r 3 s e c , t o le a v e c o n f i g u r a t i o n m o d e .
D a t e / T im e
T re n d
T e m p e r a tu re
H r S p O 2 S iz e
CHANGE CO2
A la r m A u d io D e la y
B a ro m e tr ic P r e s s u re : 760 m m Hg
A u d io A la r m S t a n d b y
S e ria l O u tp u t T y p e C O 2 U n it s : %
C h o ic e s : T o r r, k P a , %
CO2
= A d ju s t v a lv e E X I T = q u it
C o lo r S e tt in g s
G a s M o n it o r S E L E C T = E n te r /m o v e
N I B P : Id le SPO2
The Theory of Operation provides block diagrams, an overview of each board, and a
detailed circuit description of each board. The circuit descriptions are included to assist
service personnel while repairing the printed circuit board on a component level. Refer to the
schematic diagrams in Chapter 2 when reading the Detailed Circuit Descriptions.
J5
NELLCOR SPO2
MODULE J21
J34
0012-00-0883
P J J
P
TEST POINTS PUMP
1 1 TEST PTS. TEST PTS.
3
JP1 J22 PNEUMATICS BD. J
2
P
2
9 9 0119-00-0116
670-00-0477
0670-00-0605 (CE/LINEAR BLEED)
J30
OR P21 0012-00-0658 P30
50 PIN 0012-00-0656
20 PIN
670-00-0375 3 P
T
Spo2 S
Daughter .
0012-00-1009
Board. 0012-00-1007 J21 J27
TEST PTS. TEST PTS.
USE IN CE COMPLIANT UNIT
0670-00-0619
J24 J22 (J2)
P27
NIBP MODULE
0012-00-0593-02
ONLY. 0997-00-0293
0670-00-0576 INTERCONNECT BD. 0997-00-0915-01 (CE)
0670-00-0615 HP 26 PIN
0670-00-0561-08
J63 J68 . 0012-00-0829
P63 P68
0012-00-0659
50 PIN
0012-00-0744 LCD Version Only
40 PIN
TEST PTS. P57 To CPU BD.
P71
J56 J57
J71 P68
0012-00-0744
J0 POWER SUPPLY
PLANAR EL DISPLAY BD.
KEYPAD 0012-00-0257-01
To Keypad / Overlay
AC CABLE &
CONNECTOR
PART OF EXT.
0160-00-0009 SET-UP ECG IBP NIBP ALARMS TRENDS SPEAKER
TREND BEEP
MAINS POWER SUPPLY
BRN. 1 J54
SELECT LEAD ZERO 1 START VOLUME
RETURN VOLUME
0012-00-0676
EXTERNAL 3
RED
ORN.
2
3
J3
END SIZE ZERO 2 INTERVAL
CHECK
TIME 18 PIN
RECORD
4 P53 J53 RETURN
0012-25-0001
POWER 4
1
YEL.
BLU. 5 0670-00-0449
1
BATT. CLIP
1 0012-00-0735
2 VIO. 6 0670-00-0621 (CE) 146-00-0043 FREEZE DEFLATE MUTE TIME
+ 3
SUPPLY 1=12VDC .35A 0012-00-0662 J51 P51
2 BATT 1
dc input
J23
SPO2 INTERFACE BD.
0670-00-0557 P23
P5
J5
NELLCOR SPO2
MODULE
J21
NELLCOR SPO2 SENSOR 0671-00-0007
J34
OR P21 50 PIN
0670-00-0605 (CE/LINEAR BLEED)
J30
P30
0670-00-0482 20 PIN
P31
J21 50 PIN NOT USED
670-00-0375 3 P
USE IN EMC COMPLIANT UNIT J24
J22 (J2) T
ONLY. S
.
CO2 INPUT J27
J J J J
0012-00-0733 2 2 9 9
P P27
J606 0 0 0012-00-0743 9
1 4 2 1
PRESSURE 1
P1
5 LEAD
0012-00-0674 P64 ON BD. BATTERY 146-02-0001
DATASETTE EQUIPOTENTIAL
P2 0670-00-0624-01 (CE)
J61
50 CONNECTOR
0670-00-0624-02 HP (CE) P81
PRESSURE 2 TEST PTS.
0012-00-0673
J43 P67 J67
16 PIN
0670-00-0561-08
J63 J68
0012-00-0829
P63 P68
0012-00-0659 0012-00-0721
50 PIN 40 PIN
0012-00-0734
20 PIN
14 PIN
0012-00-0257-01
SPEAKER
KEYPAD
AC CABLE &
CONNECTOR
PART OF EXT. J0 POWER SUPPLY
MAINS POWER SUPPLY BRN. 1 J54
SET-UP ECG IBP NIBP ALARMS TRENDS
EXTERNAL 3
RED
ORN.
2 PLANAR EL DISPLAY BD. SELECT LEAD ZERO 1 START VOLUME
TREND
RETURN
BEEP
VOLUME
3 0160-00-0009
4 P53J53
0012-25-0001
POWER 4
1
YEL.
BLU. 5 1
BATT. CLIP
1 J3 CKECK
146-00-0043 END SIZE ZERO 2 INTERVAL TIME RECORD
2 VIO. 6 +
SUPPLY 1=12VDC .35A 0012-00-0662 J51 P51
3 2 BATT 1 RETURN
J1 OVERLAY
1 4 E.L. WITH IBP 331-00-0064-01
4 1 PLANAR EL DISPLAY E.L. W/O IBP 331-00-0064-02
0160-00-0009 BLANK LABEL FOR NO
RECORDER OPTION: 334-00-0973
640 X 200
CENTRAL SILENCE LABEL
VISA OPTION 0334-00-1197
PUMP 0104-00-0019
P1 SpO2 INTERFACE BD. (OPTIONAL)
0012-00-1052
NELLCOR
0012-00-0883 (CE) JP1 0670-00-0665-01 MS-1 J34
J P J
Nellcor SpO2 P 0012-00-0885 0670-00-0665-02 Nellcor
Module P 2 2 TEST POINTS
5 14 PIN INTERFACE CONNECTION
0671-00-0007 5 3 3 (OPTIONAL) ONLY ONE SpO2 PNEUMATICS BD.
(FLEX) OPTION CAN BE INSTALLED,
J21 P21 0670-00-0447
0012-00-1099-02 0012-00-1204 DATASCOPE, MASIMO,
PC12 Cable (12 PIN) 0012-00-0885 P J OR NELLCOR.
J P CE/Linear Bleed
2 2
Ferrite J Masimo MS-1 3 3 14 PIN 0670-00-0605-01 VR1-Over Pressure Set
3 3
1 SpO2 Module J NOTE: The 0997-00-0469-01 NIBP Module
P J
0671-00-0126 J P 0012-00-1102 Pwr. In 2 P29
2 2
2 2
J24 9
uses the 0670-00-0657 board.
3 PIN 5 5
0600-00-0047-01 - LNOP-DCI Adult Sensor J30 The 0997-00-0468-01 NIBP Module
0108-00-0076 P24
P30
uses the 0670-00-0375 board.
J204
Cable Part Pump Cal.
J606 10 PIN
of 118 Bd. 0671-00-0118 J94 0012-00-0593-04
8 pin HP defibrillator interface cable 0012-00-0753-01
0671-00-0120 (CE) To J24
J93 8 pin HP defibrillator interface cable (CE) 0012-00-1027
W i th Main Stream Adapter 665 Bd.
Intubated Patient A
P103 H B
1 2
P93 F C
RED BLK/RED E D
OR
50 PIN
0103-00-0453 Exuast Port
P65 26 PIN
0103-00-0450 Tubing
Pressure nurse call cable 0012-00-0981
RT. Back Housing
Vacuum J65 P62 to bedside nurse
0103-00-0448 Pump Input SSCO2 RS232 call panel
Pump J62
0104-00-0017 CONTROL MODULE (PCM) INTERFACE 6 pin aami defibrillator interface cable 0012-00-0732
Sample Flow J1 6 pin aami defibrillator interface cable (CE) 0012-00-1026
J66
LT. Side Panel 0670-00-0631 (998-134) F A
Back Housing Filter Assy - 0103-00-0446-02.
W ith Sidestr eam Adap ter 0670-00-0651 (CE, 998-137) E B
Non-Intubated Patient Filter - 0103-00-0452 D C
0012-00-0701 FRONTEND BD.
Interconnect
Gnd W ire
0670-00-0620-01 ON BD. BATTERY 0146-02-0001 (BR2325)
TEMP 10 PIN 10' video
0670-00-0620-02 (HP) P64 J64
(400/700) J42 P42
0012-00-0674 cable
Video interface cable 0012-00-0983 0012-00-0994-01
P3 0012-00-1064
20 Pin
ECG J68
P1 J1 P1 J1 P1 J61 50
0012-00-1100 P81
P67 J67 Terminator Bd.
PRESSURE 1 0670-00-0648 (CE, 998-137)
P2 J71 J68
J63 DATASETTE
TEST PTS. 0670-00-0574-09 - Masimo, GMII, Color, SSCO2, (998-134, TP)
PRESSURE 2 P63 P68
0012-00-0659 0670-00-0574-08 - (CE Units, 998-137, TN)
J43 Cable is behind recorder Non- CE Units 0012-00-0744
0012-00-1067 50 PIN
INTERCONNECT BD. Cable above recorder Used on CE Units 40 PIN
0670-00-0628 16 PIN
0670-00-0629 (HP ECG & P1/P2) 12:12 Lead H R B PM SPO2% HR 56BPM
II
08-02-96
TEST PTS. P57 P71
ECG
56
Adult
(AR42) 1mV 56
NIBP 1mV
683-00-0441 IBP
RESP
IBP1
INTERNAL: 5 ET: min
15 96.5
J52 P52 NIBP: Idle SPO 2:
PART OF EXT.
Thumb Screw BRN. 1 10 PINS 1mV 56 SELECT ADMIT LEAD ZERO 1 START VOLUME DISPLAY
BEEP
VOLUME
0012-25-0001 (US) P/N 0211-00-0138
POWER SUPPLY RED 2 Patient
HOLD 3 SEC. TO CLEAR
Recorder ECG
0012-25-0003 (UK/Ireland) 4 YEL. 4 P53 J53 0159-12-0021 Alarms
NIBP 1mV SILENCE FREEZE DEFLATE MUTE
CO2 PUMP
1 BLU. 5 BATT. CLIP IBP
- +
ECGRA
Transient Voltage
ECGLA Suppression RRA
ESU Filter
RLA
ECGLL
RA
ECGRL
ECGC LA
CShield LL
Transient Voltage
Suppression
RL
+IN
-IN C
+OUT P1 +IN
-OUT P1
+OUT P1
Shield
-OUT P1
Transient Voltage +OUT P2
Suppression
+IN -OUT P2
-IN
+OUT P2 -IN
-OUT P2
Shield
Shield
TIP
Transient Voltage
RING
Suppression SLEEVE
Controlled
TIP High Voltage
Discharge
RING Path
SLEEVE
Detail
Refer to the block diagram (Figure 2-5 on page 2-8), and complete circuit schematics, while
reading the following operation description.
The Interconnect Board can be viewed simply as the hardware connection between the
monitors external patient connectors for ECG, respiration, invasive pressure, and
temperature, and the internal signal processing circuitry. As it does this, it also provides high
voltage transient suppression.
ECG
Connection to the patient is made by ECGRA, ECGLA, ECGRL, ECGLL, and ECGC, via P3, a
standard ECG connector. Transient high voltage suppression is provided by R1, R2, R3, R9,
R10, CR1, CR2, CR3, CR10, and CR11. The resistors act as current limiting devices, while
the bidirectional transorbs limit the output signal voltages of RA, LA, RL, LL, and C, to 200
volts differential to “Shield” potential. “Shield” is ultimately connected to isolated ground on
the Front End Module.
After the high voltage suppression stage, each ECG leadwire’s signal enters a separate RC
filter to attenuate electro-surgical frequencies, as well as the respiration carrier generated on
the Front End Module. The five RC filters are R11-C6, R6-C9, R8-C7, R5-C10, and R7-C8.
Respiration
Connection to the patient is made by ECGRA, and ECGLA, via J3. High voltage protection,
up to 6000 volts differentially, is provided by capacitors C1 and C2. The patient signal is
finally routed to the Front End Module as RRA and RLA, via J1.
Pressure
This monitor incorporates two invasive pressure transducer channels. Connection to the
patient for the P1 channel is via connector P1, and for the P2 channel, connector P2. Voltage
excitation for the transducers is provided by the +IN and -IN signals which is a 5v supply (-IN
is connected to isolated ground on the Front End Module). Transducer output is carried
differentially on the +OUT and -OUT (P1 and P2) signals to the Front End Module. High
voltage electrostatic discharge protection is provided by suppressors CR8 through C12.
Temperature
Both Series 400 and Series 700 type sensors can be connected to the monitor using the
connector jack J4. The input signals are protected by transient voltage suppressor CR9. EMI
and RFI suppression is provided by common mode choke L1, and C3, C4, and C5. TIP,
RING, and SLEEVE signals are sent to the Front End Module via J1.
The ECG channel has five lead capability. It has an analog gain of 390, incorporates pacer
detect/reject processing, and electrosurgery interference detection function.
The dual invasive pressure channels each provide for a linear input range of -20 to +300
mmHg and can reject up to 120 mmHg of offset. The P1 channel systolic trigger level is fixed
at approximately 18 mmHg.
The temperature preamplifier is capable of measuring with either 400 or 700 series
thermistor sensors. Measurement is valid over the range of 15 to 45 degrees C. Integral
calibration is provided internally at an equivalent temperature of 37.5 degrees C.
The Frontend Module creates its own isolated power from the system’s bulk power source,
which is either an unregulated 11 to 18 volt supply, or a battery supply of 11 to 14 volts. The
power conversion is implemented with a switch mode forward converter, to provide an
isolated supply of approximately 8 volts. Regulated +5 volts for circuitry and pressure
transducers is accomplished using series linear regulators.
Daughter Board
The daughter board connects to the front end board at the existing J41 header, and also at a
new connector installed in the location formerly occupied by multiplexer U3. The J41 header
was the original attachment for the interconnect board in the 3-lead version. The respiration,
pressure and temperature signals simply pass through the daughter board from the
interconnect board to their original pins on J41. The ECG signals, however, are intercepted
to provide the 5-lead functions. Certain signals not available on J41, such as power and the
lead selection lines, are obtained from the connector installed in place of U3.
Each of the leadwires RA, LA, LL, RL and C, is brought from the interconnect board through
J2. The active leads (RA, LA, LL and C) are passed through an ESIS filter, consisting of two
cascaded R-C stages. For RA, this consists of R2-C1 and R19-C5, while identical circuits are
provided in the remaining leadwires. Each signal is then buffered by one section of quad
opamp U1, which is connected as a voltage follower. The buffer amplifier is used to provide
a bootstrapped lead bias for lead fault detection. Again using RA as a example, the series
connected diode pair CR1 and resistor R26 produce a level shifted version of the buffered
RA signal. This level shifted signal will always track two diode drops, or about 1.2 volts,
more negative than the RA signal. Bias resistor R1 is connected from this level shifted signal
to the RA lead input. Therefore, regardless of the voltage at the RA input (within range) a bias
current equal to (1.2 volts)/R1, or about 55 nA, flows as the lead bias. This bias current is
negative, meaning that the buffered lead signal will assume a strong negative voltage (near
the negative supply rail) when the leadwire is disconnected. Each of the active leads has an
identical circuit.
The RL lead has a different circuit, because it is used only as a drive lead, and never as an
active (input) lead. When displaying any lead except, I, II or III, a 5-wire cable is needed,
and RL is the drive lead. However, to allow compatibility with 3-wire cables when displaying
leads I, II or III, the LL, LA and RA wires (respectively) are used as the drive. The selection of
the drive lead is performed by multiplexer IC U4. Resistor R32 is used to attenuate the drive
signal (supplied from the front end board) so that it cannot exceed the +5 volt supply rail of
U4. Were this to occur, U4 would malfunction, and lead fault would not be reliably detected.
The buffered active lead signals are applied to a conventional Wilson network, consisting of
resistors R11, R13, R16, R17, R21, R23, R24, R27 and R29. These resistors provide the
weighted leadwire signals when displaying leads aVR, aVL and aVF, as well as the “Wilson
Central Terminal” (WCT) for display of lead C. For example, lead aVR is defined as 50%
each of the LL and LA signals taken as one ECG amplifier input, and RA as the other.
Resistors R11 and R17 perform the 50% weighting of signals LL and LA. Similarly, the C lead
is defined as the voltage on the C leadwire, measured against the average of the RA, LA and
LL voltages, known as the WCT. Resistors R13, R21 and R27 develop the WCT voltage. The
correct points for each lead display are picked off of the Wilson network by multiplexers U2
and U3. The outputs of these multiplexers are called ECG+ and ECG-, corresponding to the
positive and negative inputs of the ECG amplifier on the front end board. They are carried to
the front end board on pins 4 and 10 of J1, which mates with the connector installed in the
former site of U3 of the front end board. On the front end board, jumpers installed in position
U4 carry these signals to lines F and G, which are the inputs of ECG differential amplifier
U33.
The lead select multiplexers, U2 and U3, as well as the drive multiplexer, U4, are controlled
by three select lines, which select one of 7 leads or the ECG calibrate function. The lines
LSEL0 and LSEL1 correspond to the original LS0 and LS1 lines used in the 3-lead version. An
additional line, LSEL2, has been added to allow selection of the added leads. The network
R14-C11 in this line provides isolation between the microcontroller and the ECG
multiplexers, and is identical to the networks found in the LS0 and LS1 lines on the front end
board.
Lead fault detection is performed by measuring the DC voltage of the ECG+ and ECG-
signals. Resistors R33 and R34, together with diodes CR5 and CR6, select the lower (more
negative) of the two voltages on these points, and routes it to signal A, which is passed to the
lead fault comparator on the front end board. The operation of the lead fault detection takes
into account simulators which may short the ECG and pressure circuits together. The Passport
will not show a spurious lead fault with most such simulators, although it may fail to detect
certain lead faults when the pressure is connected to the simulator. Since this is a different
operating mode than the original Passport lead fault detection, the lead fault comparator has
been modified, as is discussed below.
The drive amplifier signal is attenuated, as discussed above, by R32 on the daughter board,
and R12 on the front end board. To restore the drive gain to a higher value, R160 has been
increased to 30.1 K. To facilitate the new lead fault detection scheme, the bias point of the
drive amplifier has been changed slightly be changing R161 and R162. The lead fault
sensing voltage arrives from the daughter board by pin 5 of the connector installed in place
of U3. The signal is buffered by voltage follower U34, and then processed by the lead fault
comparator, U24. Lead fault is indicated when this signal becomes too negative. Therefore,
the comparator, which was originally configured as a window comparator, has been
modified to detect only negative voltages. When a simulator having a connection between
the ECG and pressure is used, the lead fault voltage is driven in a positive direction, and will
therefore not indicate lead fault. The modification of the comparator consists of omitting
diode D30 and resistor R166. A noise filter has been constructed by installing a 22.1 k
resistor in place of D37, and a 0.1 uF capacitor in place of R165. The threshold voltage of
the comparator has been adjusted by changing R168 and R214. When the leads are
attached, the voltage applied to the comparator is roughly -0.4 volts. When lead fault
occurs, this voltage becomes more negative, passing the approximately -1.3 volt threshold
set by R168 and R214.
Because the lead fault is detected from the output of the lead select multiplexer, only those
leadwires actually involved in producing the displayed lead are monitored for lead fault.
Therefore, only RA, LA and LL are considered in lead I, II or III; additionally RL is considered
in aVR, aVL and aVF; and all leadwires are considered in C. However, because the aVR,
aVL, aVF and C lead selections involve averaging the voltage on two or three electrodes, the
lead fault indication is less strong on these lead selections. This is because the bias voltage of
the disconnected lead may become averaged with the voltage of a lead which is still
attached. Therefore, the lead fault comparator will see a voltage nearly equal to the negative
supply rail if a fault occurs in leads I, II or III, but will see a voltage as little as -2 volts if one
of LA, RA or LL is detached in lead C.
RESP
RRA RESP. OFF/O N
DATA OUT
PRE AMP HI Z
RLA
I/O CLOCK
115KHZ
ADDRESS
SELECT
RESP FLT
RESP RESET
+ OUT P1
- OUT P1 PRESSURE PRESS 1
PRE AMP P TRIGGER DATA IN DATA IN
+ IN
+5T
- IN
ECG Pre-Amp
5
ESIS ESIS 4
Stage 2 Stage 3 Wilson Lead CR6
RA U1 Select
LA Network
U1 Mux CR5
LL U1
U2,U3 10
C U1
14
RL 16
Lead Buffers
SHIELD 1
Drive
8
Mux
U4
Respiration
In Fig. 2-8, the connection to the patient is made through two leads marked RRA and RLA,
which ultimately become RA and LA on the body. A 114 KHz, 500 microamp RMS sinewave
is applied to the patient through the electrodes (which are positioned more to either side of
the chest than usual while doing a 3 lead ECG). The signal is applied to the electrodes
through a small isolation Transformer (T2) and the respiration signal is reflected back through
this same transformer. The purpose of the isolation is not for patient safety (that barrier is
elsewhere) but to eliminate other stray return paths for the signal and thus an error in the
signal.
RRA
RLA
Respiration
Pre Amp
Transformer T2
Squarewave Rectifier
to
Sinewave U11 U13 U14 Resp
Generator
U18,U11
Patient Drive
Amplifier
114 kHz
Capacitor Resp
RESPEN* Reset Reset
U18
Comparator
U13 HI Z
Hi-Impedance
Indicator
Generation of the patient drive starts at U18, which chops between a 5 volt reference and
ground to produce a 114 kHz square wave of a precision amplitude with respect to the
analog to digital converter (i.e., the same 5 volt reference is used for the A/D reference).
The respiration drive can be disabled by a logic high on the RESPEN* signal, which inhibits
U18. A second order Bandpass Filter, U11 and associated parts, transforms this square
wave into an approximation of a sinewave, approximately 4 volts peak to peak, centered on
0 volts. This sinewave drives the inverting input of U11, the Patient Drive Amplifier, through
R91. Thus, the current in Transformer T2’s primary (being in the feedback loop of U11) is
constrained to be the sinewave voltage divided by the value of R75, resulting in
approximately 500 microamperes. The secondary signal, which is the same as the primary,
because the transformer has a 1:1 winding ratio, is applied to the electrodes via resistors
and capacitors on the Interconnect board. The capacitors behave as a short to the 114 kHz
sinewave carrier, but as a very high (greater than 5 megohms at 10 Hz) shunting impedance
to the ECG electrodes so as not to attenuate the ECG signal.
The patient’s resistance variation due to respiration (.05 ohm to 5 ohms, out of 50 ohms to
2K W unmodulated impedance) reflects back through the transformer and results in a
voltage variation at Patient Drive Amplifier U11 pin 7 of approximately 69 microvolts to 6.9
millivolts. This modulated voltage sits on a carrier of approximately 3 to 8 volts. The above
modulation and carrier values assume zero cable capacitance shunting the patient
impedance. For typical cable capacitances (325 pf for 10’ patient cable) and reasonable
patient impedances of less than 1 kilohm, this attenuation is not appreciable, nor is any noise
created by moving the patient leads. Even for the smallest of modulated signals (about 70
microvolts), the carrier amplitude at the output of U11 is sufficient (about 3 volts p-p, centered
around 0 volts) to forward bias rectifier CR35. After halfwave rectification, the signal
amplitude is roughly 700 microvolts per ohm. The carrier portion of the signal ranges from
approx. +0.9 to +3.4 volts (which is half the voltage less a .6 volt diode drop). Differenced
with +2.5 volts and amplified by DC Amplifier U13, this yields a carrier range of -2.2 to
+4.2 volts at U13 pin 1. Increased cable capacitance would serve to make these values
more negative. With as much as a 500 pf cable capacitance (325pf +/-25% is more
realistic), the largest patient impedance of 2000 ohms will receive the greatest attenuation
resulting in a carrier at U13 pin 1 of -1.5 volts. At the other extreme, a patient impedance of
200 ohms, the same cable yields approximately -2.2 volts.
The signal from U13 pin 1 is AC coupled at approximately 0.1 Hz by C5 and R176, then
amplified with a gain of 580 by AC Amplifier U44 for a net gain of 1 volt per ohm (at zero
cable capacitance). This amplifier rolls off at about 4 Hz. Combined with the high frequency
cutoff of the demodulator and the AC Amplifier, this results in an overall low pass corner
frequency cutoff of about 3Hz.
Comparator U13 compares the voltage at U13 pin 1 with a 2.3 volt reference in order to
generate a “ Hi Impedance ” or “lead off” indicator signal, causing a Capacitor Reset to be
initiated by an analog switch in U18 and R103. This speeds up the signal’s return to within
the active range of the opamps. After being clipped to 5 volt level by CR41, the indicator
signal is delayed by resistor R184 and C11 just long enough for C5 to sample and capture
the proper voltage following restoration of an open lead. The lead off threshold is set just
beyond the maximum patient impedance, or approximately 2200 ohms at the leads
(assuming zero cable capacitance; greater with shunting capacitance).
The impedances of capacitors on the Interconnect Board connected to the RRA and RLA
wires, along with the clamping of CR32, CR38, and shield in T2, protect U11 from
defibrillator discharges.
Pressure
The Pressure Preamplifier (Figure 2-9 on page 2-17) is comprised of two channels of
identical Differential Amplifiers. The P1 channel amp is comprised of U20 and associated
components. The amp has a gain of 195 at DC, a bandwidth of approximately 15 Hz (the -
3 dB point), an output biased of 1.8 volts. This biasing is necessary to allow for transducers
that have positive or negative offsets as large as 120 millimeters of mercury (mmHg). Full
scale output is limited to 300 mmHg positive pressure, relative to atmosphere, and is scaled
at 4.88 millivolts (one A/D lsb) per mmHg, assuming a transducer scale factor of 5
microvolts per volt excitation per mmHg.
Differential Amplifier
+ OUT P1
U20 P1
- OUT P1
- IN
U21 U21 P Trigger
Pressure
Pre Amp
Differential Amplifier
+ OUT P2
U20 P2
- OUT P2
This amplifier will accept, as an input, a standard invasive pressure transducer which
appears as a resistive bridge, with each leg being approximately 350 ohms, excited using
+5 volts and ground. This excitation voltage is provided via the +IN and -IN wires, while the
transducer output is input to the amplifier via the +OUTP1 and -OUTP1 wires at
approximately a +2.5 volt common mode voltage. Sensor disconnect indication, a
permanent full scale output, is created by the input resistors R13 and R21 when no
transducer is attached.
The operation of the second channel, P2, is identical to the above description of P1 (with
different input and output labels), using U20 and associated components. The P1 and P2
signals are measured by the analog to digital converter, U21.
The P1 channel output is used for generating a systolic trigger, for heart rate measurement
purposes. The P1 pressure signal is fed through a Bandpass Filter, comprised of U21 and
associated components, to remove the mean pressure level and noise, and to set the
appropriate amplitude detection scaling. The signal is then measured by the Pulse Detect
comparator, U21, which has a minimum threshold of 189 mmHg, set by the hysteresis
created by R133 and R148. Its output, P-Trigger, is a variable duty cycle square wave whose
rise and fall is coincident with the systolic and diastolic portions of the pressure waveform.
This systolic trigger “logic” is detected by the microcontroller and communicated to the
Control Module.
Temperature
The temperature channel is designed to measure temperatures from 15°C to 45°C using
Yellow Springs series 400 or series 700 thermistor probes. The probes exhibit temperature/
resistance characteristics described by the relation 1/T = a+b(Ln R) + (Ln R)3 where T is
given in degrees Kelvin. The constants a, b and c are unique for each probe series. The
channel measures the probe resistance by a ratiometric method described below. The CPU
then determines the temperature by evaluating the given equation.
Sleeve
Temperature
R68
Pre Amp
Q3
TC
Q2 R66
TB
TA
Q1
Tip
Current Summing Voltage
Amplifier Amplifier
Q4,U9A TD
Programmable
Current Source
Comparator
Ring T flag
U9B
The voltage output of U48B is proportional to the resistance placed in the feedback loop of
U48A. By turning on one of the switches Q8, Q9, or Q10 the resistance selected will be
either the probe or one of the resistors, R2 or R3. These are precision resistors used as
standards for accurate determination of the probe resistance. Resistor R2 is used with probe
series 400. Its value, 3539 ohms 0.025% is equal to series 400 probe at 15ÉC (bottom of
measuring range). Similarly, R3 is used with probe series 700. The CPU “knows” which
probe is plugged in (explained later) and selects the appropriate standard resistor. Following
is the measuring sequence for probe series 400. The probe is selected, by signal TA and Q8,
resulting voltage Up4 at the output of U48B. The voltage is digitized by the 12 bit A/D
converter (U21) and stored by the CPU. Then the standard resistor R2 is measured by turning
Q8 off and enabling Q9 with TB, resulting in voltage Us4. The CPU then calculates the probe
resistance: Rp4 = R2 ! Up4/Us4. Assuming that the circuit gain and measuring current are
stable through the brief measuring period, accuracy of the probe resistance determination is
limited by the A/D conversion process. Using a 12 bit converter, accurate to ½ LSB, worst
case error in terms of temperature is 0.12°C.
Series 700 probes have two thermistors, Th1 and Th2. The first one is used to measure the
temperature, in the same way as described for series 400. The second thermistor is used to
determine which probe series is plugged in as follows: Op-amp U47B compares the voltage
on the ring terminal of the input jack with a threshold of 0.7 volts, from R193 and R177.
When a series 400 probe is plugged in, the ring is shorted to the sleeve contact, which in
turn is tied to the output of U48A. With the switches Q7, Q8 and Q9 off and Q10 on, the
ring voltage is about 1.2 volts and the output of U47B is high. When a series 700 probe is
connected, thermistor Th2, connected between the ring and the sleeve, forms a voltage
divider with R152 at the positive input of U47B. With the switches in the same state as
before, the ring voltage is 0.5 volt or lower and the output of the comparator is low. The
probe type information is used to select the correct set of constants for the temperature
calculation, correct standard resistor and for the selection of the probe measuring current.
The current is adjusted to approximately 330 microamps for series 400 and to 125
microamps for series 700, by means of switch Q7, activated by signal TD. This is done for
optimal utilization of the A/D dynamic range.
The probe jack, located off board, is arranged to short the tip and sleeve terminals when the
probe is unplugged. This provides a zero A/D converter reading as an indication of sensor
disconnect. Primary ESD protection is in the form of a zener diode located at the jack.
Additional protection is achieved by the R106 and C92, as well as the 100 ohm damping
resistors on the gates of Q7-Q10. Because the probe cable capacitance is present at the
summing node of U48A, C7 is used, in conjunction with resistors R92 and R120, to provide
local AC feedback to isolate U48A from the capacitance and ensure stability.
Calibration of the circuit is performed by measuring the two precision resistors R2 and R3 for
equivalent temperature determination. R2 replaces the probe and R3 serves as the standard.
Resulting ratio is R2/R3 = 3539/9428 = 0.37537. Nominally this ratio corresponds to
37.48ÉC. Assuming worst case errors, this number will be 37.5, ±0.1°C.
VDC
Q9 T1 L1
+7.5I
Pulse
Width
Modulator VDC
U47 L2
Q8 -7.5I
PGND Regulator
+5D
+7.5I
U49 +5V
Non-isolated
Tracking Regulator
U50A +5T
U48
U50B +2.5v
Isolation Power Supply
Power Supply
The Frontend Module is essentially an electrically isolated data acquisition system. The only
portion of this module that is directly connected to the host system is the non-isolated part of
the optoisolators (U15, U17, and U18) used for communications, and the switch mode,
forward converter, isolated power supply.
The isolated power supply (Fig. 2-11) is built around a switch mode converter integrated
circuit, U11. This device outputs two pulse width modulated signals (at pins 11 and 14) to
drive the power transformer T1 with FETs Q1 and Q2. Each of the pulses occurs during its
own respective half cycle of one full period. The half cycle timing is set by R178 and C83.
The modulation of the FET drive pulses is executed by comparing the bulk power voltage
VDC, with a percentage (set by R138 and 179) of the reference voltage on U11 pin 16. In
short, the modulator outputs wide ( 83% of a half cycle) pulses for low VDC values, and
narrow (35% of each half cycle) pulses for high values of VDC. The range of VDC is
specified at 9 volts minimum to 18 volts maximum. The voltage being switched across the
primary of T1 (pins 1, 2, and 3) is transferred to the secondary windings (pins 4, 5, and 6),
and filtered to a DC voltage by components CR30,31,33,36, L1 and L2, and C169 and
C171. The isolated DC voltage will vary between approximately 7.1 volts and 9.3 volts,
depending on VDC and the secondary load current requirement.
This isolated voltage is used as is to supply the analog portion of the module. The digital
circuitry is provided with +5 volts (+5V) generated from the “+7.5" using a simple regulator,
U14. This voltage is also used to produce a +2.5v voltage, created by U13B, R19, and R34,
which is used as a reference throughout the module. The pressure transducer +5T excitation
voltage is generated by a tracking regulator, comprised of U13A, U12, and associated
parts. This voltage ”tracks" the +5v used as the reference voltage for the analog to digital
converter. As a result of doing this, variations of the reference and excitation voltage do not
impact the gain sensitivity (and therefore the measurement) of the pressure transducers,
because the conversion process of the analog to digital converter is linked ratiometrically to
it.
Isolated Microcontroller
For clarity, the isolated microcontroller block as well as the A/D converter and signal
isolation blocks, have been drawn together in the detailed block diagram of Fig. 10. This has
been done because of the close interaction of these blocks. The isolated microcontroller
block on the detailed block diagram consists of a 68HC05 device designated U22. This
device is entirely self-contained, requiring only power, clock and reset for operation. A
3.686 MHz clock is derived from crystal Y2, bias resistor R46, and loading capacitors C46
and C59, together with the internal oscillator circuit in U22. The internal processor clock is
actually this frequency divided by two. The crystal frequency is made available to other
devices on the board. The processor has an internal power-on reset circuit, although its
action is augmented by an external reset. The external reset signal is passed through the
isolation block. The microcontroller can drive its own reset input pin with an internal open-
drain device. This must be kept in mind when monitoring reset (pin 1 of U22). In this
application, the processor will attempt to drive the pin low when the internal reset circuit is
activated, which will occur for a brief time after power is applied. Internal detection of
certain failures can also cause the pin to be driven. However, the current software has these
detection mechanisms (COP and clock monitor) disabled.
The device has no external bus, but does feature four general purpose I/O ports. Of these,
port A is programmed as all outputs, and generates the temperature and ECG control lines.
Port B is set to all inputs, and samples the signals supplied by the level shift block. Port C is
set to six outputs and two inputs. The four uppermost bits control the respiration function.
The lower 2 bits are dedicated to the ADC interface. Because all of the on-chip peripherals
are enabled, none of the lines in port D are used for general purpose I/O. Four of these
lines, designated MISO, MOSI, SCK and SS comprise the synchronous serial interface
known as the SPI, which is used to communicate with the A/D converter. Two of the lines,
IRXD and ITXD, carry the serial data received from and transmitted to the isolation block.
Isolated
Microcontroller Data Acquisition Subsystem
Level
Shift Respflt
7
6 Resprst
E Trigger 0 5 Respen*
P Trigger U36 1 U38 Input
A/D Converter
Lead Fault 2 Networks
Hi-Z 3
Port C
Port B
T Flag 4 ECGVA
ESU Noise 5 ECGII
6 Select ECGI/II/III
Analog Inputs
1 +5
7 0 I/O Clock +5/-7.5V TEST
2.5v Test
U39 Temp
SCK
Level Mux Press 2
MISO
Address Press 1
Shift MOSI Data
SS
Resp Mon
ARST U37 4 +7.5v Test
Port D
Filter 5
Lead Sel 0 7
Port A
Lead Sel 1 TXDA
6
Opto-Isolators
TDO U42
TD 3 Buffer
TC 2 Buffer
Q10,U36 RXDB
TB 1 RDI
U43
TA 0 Q11,Q13
RESET*
Reset U44
Divider
Buffer
U40 1.84MHz Q12 NON-ISOLATED
Port A Function
The outputs in port A are controlled by the software. The software supports a command
format in which groups of 4 bits can be changed. The lower four bits of port A contain all of
the temperature mode control lines. When a temperature mode control command is received
by the microcontroller, the four bits of data imbedded in this command are asserted on the
lower 4 bits of port A. These four signals are then used by the temperature block to control
analog switches. The upper 4 bits of port A support the ECG function. Upon receipt of an
ECG mode control command, the microcontroller asserts the 4 data bits contained in the
command on the upper 4 bits of port A. The lead select lines pass directly to the ECG block,
while the reset and filter lines are level-shifted, without inversion, by dual comparator U37
and associated pullup resistors, which provide a nominal rail-to-rail swing between the +7.5
and -7.5 volt supplies. The +2.5 volt supply, which is at the midpoint of the logic swing, is
used as the comparator’s reference. Diode D41 allows ORing of the reset signal originating
at the microcontroller with that generated by the ECG subsystem internally. Resistor R249
provides isolation between the comparator and the 2.5 volt supply.
Port B Function
The inputs in port B are read each time a data pocket is sent by the microcontroller, at a
nominal 286 Hz rate. Not all of the signals to be sampled are at proper CMOS logic levels.
Therefore, a level shift network is employed. This consists of a 47K resistor network RN2 and
CMOS inverting buffer U36. The series resistance of RN2 allows this protection network to
clip the input signals, which may swing between the 7.5 volt rails, to a level acceptable to
the buffer. The input protection network will then carry a current of about 150 A, which is
well below the level needed to induce latching. The output of the buffer is then a clean 0 to 5
volt swing.
The software inverts the data at port B, to compensate for the inversion of the level shifter. The
bits are then transmitted in raw form in a data byte known as STATUS within each packet.
The E-trig signal is additionally subject to special processing. The software detects a rising
edge of this signal and reports it in a separate bit in STATUS.
Port C Function
All bits in port C are configured as outputs. The upper three bits support control of the
respiration function. When the microcontroller receives a respiration mode command, the
upper three of the four data bits associated with the command are asserted on the upper
three lines of port C. These three lines control analog switches in the respiration circuit
providing the off/on, reset and filter control functions. The lower two lines of port C are used
as part of the A/D converter interface, and will be discussed in conjunction with the SPI.
A/D Converter
The data interface to the A/D converter has been described above, in conjunction with the
microcontroller SPI. The data output line of the A/D converter (U39) is provided with a pullup
resistor (R88) because it becomes tristated whenever the A/D chip select in inactive. In
addition to the digital signals required by the data interface, a clock signal is required for the
actual conversion process. This is obtained from CMOS counter U40, which divides the
microcontroller oscillator by 2, providing a clock of nominally 1.84 MHz. The counter also
provides the oscillator frequency divided by 32. This signal, at nominally 115 KHz, is used
by the respiration block for developing patient RF drive.
The analog inputs are selected by an internal multiplexer. Only eight of the eleven possible
channels are used, with the remainder being grounded. This configuration allows pin-
compatibility with a 12 bit converter IC. Five of the inputs monitor the patient ECG,
respiration, temperature, and the two pressures. The blocks supplying these signals can
swing beyond the 0 to +5 volt input range of the A/D converter, and must therefore be
limited to prevent malfunction or even destruction of the device. This is provided by a series
of diodes which are connected between each of these signals and both +5 and ground.
These diodes clip the signals to the safe levels. The signal sources have series resistors of
2.2K or greater, which satisfy this requirement.
The A/D converter is of the successive approximation charge redistribution type. It features
an internal capacitor ladder network which is charged from the signal source when the
multiplexer samples a signal.
The three remaining A/D converter inputs are used for self-test functions. Input 0 is connected
to a 2:1 ratio voltage divider (R10 and R11) which monitors the +7.5 volt supply, providing
a nominal 3.75 volt test point. The software monitors this input for a low supply condition (-
10%) only. The -7.5 volt rail is monitored with a divider, consisting of R8 and R9, connected
from the +5 volts to the -7.5 volt rail. This provides a nominal +.83 volt test point, which is
monitored by A/D converter input 7. The software is designed to sense a 10% drop in the -
7.5 volt rail. Both of these A/D converter inputs have diode protection, and are furnished
with small capacitors to filter any transients. The +2.5 volt supply is directly connected to
input 6, and is tested by the software for both high and low conditions. The A/D converter
also generates an internal, half-scale, test voltage, which is similarly monitored. A failure of
any of these supply voltage tests is reported in the STATUS field of the data packets. Because
extreme accuracy is not needed in these measurements, the software checks only the upper 8
data bits. Significant measurement uncertainties can result from the resistor tolerances,
converter input leakage current, input charge, and reference (+5 volt supply) tolerance.
These factors are taken into account in the setting of the limits, to prevent false reporting of
errors. Additionally, a supply fault must be detected by the software on two successive tests
before it is reported.
The A/D converter has a pipelined structure. Each time the SPI communicates with the
converter, it writes the multiplexer address for the next conversion to the converter, and reads
the result of the previous conversion. The next conversion starts as soon as the address is
written. The software then engages in other activities while waiting for the conversion to
finish. Thus, the data read from the A/D converter lags one sample behind the current
multiplexer address. The software takes this delay into account when formatting the data.
The A/D converter has two +5 volt and two ground connections. Although these eventually
connect to common points, they are run on separate traces to minimize noise and errors due
to trace impedance and interaction with other loads. Operating power for the A/D
converter, on pins 10 and 20, is supplied from the digital branch of the +5 volt rail, and
returned via the digital portion of the ground plane. Capacitor C 120 directly bypasses these
points. The reference voltage, at pins 14 and 13, is supplied from the analog branch of the
+5 volt rail and the analog ground plane half. The same reference is used excite the pressure
transducer bridge. The temperature function makes use of the ratio of two A/D converter
readings and is thus independent of the exact reference value.
Serial data originating at the Control Module CPU is connected to J42 pin 4. Transistor Q13,
R235, and R238 are used to invert this data, which is then buffered and inverted again by
Q11. The collector circuit of Q11 contains the LED of optocoupler U43 and current limiting
resistor R234. Note that U43 is driven in the same way as U42, described above. On the
isolated side, the open collector output of U43, together with pullup resistor R231, produce a
CMOS compatible signal, which is connected to the RDI input of the microcontroller, U38.
The Control Module CPU can cause a reset of the front end microcontroller by asserting a
logic high level on J42 pin 5. Via R237, this signal will saturate Q12. The collector circuit of
Q12 contains the LED of optocoupler U14 and current limiting resistor R236. Thus, the
optocoupler is turned “on” when the reset signal is asserted. On the isolated side, the
optocoupler transistor then pulls the RESET pin of the microcontroller low, against pullup
resistor R232. When the Control Module CPU returns J42 pin 5 to a low level, the RESET pin
will go high and microcontroller operation will begin.
A pulsatile arterial saturated oxygen monitor detects the oxygenation level of the blood in the
body’s arterial circulation. It is used to continuously monitor the effectiveness of the
pulmonary system (lungs). Specifically the device, within limits, determines the fraction of
hemoglobin molecules carrying oxygen from the lungs to the body cells. Termed % SPO2,
this fraction is normally about 97 percent.
The device measures the relative attenuation of two specific wavelengths of light (red and
infrared) by the arterial blood. A sensor from the instrument contains two sets of LED’s to
illuminate a portion of the body (e.g., a fingertip), and a single photo-detector to sense the
amount of light which exits. The two sets of LED’s are alternately pulsed so that the circuitry
can discriminate the infrared light. Each time the heart pulses arterial blood into the finger,
the photo-detector’s signals return to their original level. The electronic instrumentation
processes only this changing portion of the photo-detector’s outputs.
The determination is based upon the assumption that hemoglobin and oxyhemoglobin are
the only two significant attenuators of light in the arterial blood. The device exploits the
difference in their optical attenuation characteristics. But since the detector’s signal is
sensitive to the combined attenuation of both molecules, the device must use two different
wavelengths to discriminate their individual contributions, and thus their relative
concentration.
ISA BUS
DIGITAL SECTION
J21 SRCE*
SRWR* SRAM
PARALLEL MA0..19 MA0..16
I/F U44
RD0..7
MA15
DA15..19
U31
MA0..2, 15..16
RSTDEV
MEMW
ADDRESS
CONTROL
MEMR
DATA
SROE*
U37
SRCE* SR U40
SRWR* SWR*
ISA-WR-OF *
ISA-RD-OF*
ISA-RD-CK*
MD0..7
E
RD0
Q
TSC SW R*
ED
SROE* SROE* OE*
CLOCK E 63C09 TO SRWR* DIR
Q
GEN TSC ANALOG
ED
SYSCLK* I/F
SYSCLK
Y1 U41
CLKSEQ
U46 U45
APOUT0 *
APOUT1*
APOUT2*
D0..7
INTERF*
COMP*
SEQUENCER
IR0, IR1, RED0, RED1
CONTROL ANALOG SECTION
IR DRIVE REGISTER
RUN*/CAL
RED DRIVE
U24 RUN/CAL* U17
DIAG
CHNLMUX
GAIN I CONTROL
GAIN II CONTROL
S/H
S1. .6
DAC D0.. 11
J23 18 HZ
FRONT PANEL
4 3
2 5 CURRENT DEMULTIPLEXER REMULTIPLEXER PROGRAMABLE SUBTRACTION PROGRAMABLE SAMPLE
1 7 FILTER U8A GAIN II AND
6
TO GAIN I
HOLD
8
3 13 VOLTAGE
7 14 PREAMP U4 18 HZ
U10A U11A U11B U11B U13
U1A FILTER U8B
Analog Section
The operation of the analog section is controlled by the digital part of the board by:
Control register provides data for the DAC and sets gain values of dc gain (DCG0, DCG1) ,
ac gain (ACG0, ACG1), and current to voltage pre-amp (IR0, IR1, RED0, RED1) stages.
Wide gain range gives the board enough flexibility to acquire signals from fingers spanning
a wide range of thicknesses or alternatively from other sites of the body such as ears, noses
or toes. It also controls the remultiplexer (CHNLMUX) and provides calibration signal
RUN/CAL, which is used by the sequencer to determine the operation mode, and test signal
DIAG, which supplies a fixed voltage source at demultiplexer input for circuit diagnostics.
Again because control register can synchronously control the remultiplexer and gain values
for ac and dc gain stages, different gain settings can be selected for red and infrared
signals.
Interference detector monitors the output of current to voltage preamp for voltages less than -
7.2 V in amplitude. This information is sent to the digital section through INTERF* signal.
The probe patient signal enters the board as current pulses in the range of .48 - 64 A. After
signal goes through current to voltage preamp stage it is separated by the demultiplexer
circuit, which steers each voltage pulse to one of two signals A and B. In addition, the circuit
sends a negatively amplified version of the signal level between LED pulses to both channels.
This residual signal is caused by ambient light on the photo-detector and offset voltages from
the preceding circuitry. The negative amplification sets-up cancellation of the extraneous
effect of the residual signal by the filter circuits that follow.
Signals A and B are then filtered identically by two parallel and matched filters. Filters also
reduce the effect of any noise source, which might interfere with the measurement, such as an
electro-surgical unit.
After going through filter blocks red and infrared signals and are alternately selected by the
remultiplexer for further processing. Next signal is amplified by the dc gain stage. Having
the ability to apply a different gain to the two components, this block functions as a coarse
equalization of the multiplexed signal.
An offset voltage, determined by the DAC, is then subtracted by the subtraction circuit. The
plethysmographic waveform consists of a small component varying along with the
physiological pulse, sitting on top of a larger pedestal. Subtraction circuit pulls off most of
this pedestal. Subtraction circuit also helps to maintain the resultant signal in the amplifier
linear region.
The residual multiplexed signal is once again processed through a microprocessor controlled
ac gain block. One of a few discrete gains is chosen for each of the two components, such
that the peak to peak size of the physiologically varying components is large enough to be
digitized with sufficient resolution.
After going through the ac gain stage the signal is sampled by sample and hold and held for
amplitude digitization. The digitization is performed under the microprocessor control of the
digital to analog converter. The DAC voltage is successively altered by the microprocessor
until it zones in on the signal being digitized. Comparator then compares signal and DAC
voltages and sends COMPOUT signal to the digital section.
The DAC thus performs a dual function. It is used in both the subtraction and the comparator
blocks. Every 1/240 of a second, the circuit’s control functions are flipped to process the
alternate component of the multiplexed signal. The multiplexer switches signals, the two
microprocessor controlled gains are changed, if necessary, and a new digital code is sent to
the DAC for use in the subtraction circuit. After settling to it’s new value, the signal at the
input of the comparator is frozen by sample and hold circuit. The DAC is now available to be
used in the digitization. At the next 1/240 second interval, all the control signals revert to the
previous values.
Digital Section
Digital section of the board performs two distinct functions: analog section control and ISA
bus interface.
First is based on 63C09 microprocessor. Analog section is accessed by writing data into
control register. Address decoding for generating control register strobes APOUT0,
APOUT1, and APOUT2 is done by 63C09 to analog interface. The same interface is also
responsible for monitoring status lines COMPOUT* and INTERF*. 63C09 can observe the
status of these lines by reading RD0 from the assigned memory location.
ISA bus interface allows an external processor to access SRAM and to halt and clear the
63C09 processor. Shared SRAM control is achieved by allowing 32Kx8 SRAM to be
accessed by 63C09 as well as an external processor through ISA Bus. Address bus is
shared by using 63C09 TSC signal. TSC (Tri-State Control) causes 63C09 address, data,
and R/W* buffers to assume a high-impedance state. When a valid ISA bus access cycle is
detected it is synchronized using ISA IOCHRDY signal. Because ISA access cycle is
synchronized to 63C09 clock, 63C09 always has SRAM access priority over ISA bus cycle.
ISA bus processor can control 63C09 operations by accessing CLR* (63C09 reset), HALT*
(6309 halt), and FIRQ* (63C09 fast interrupt request) signals. These signals are set by
writing to an assigned address location and reset by reading from the same location (See ).
Although hardware assures proper powerup conditions of these signals, they should still be
initialized by external processor software.
Control Register
Control Register consist of three 74C374 octal D flip flops (U17, U18, and U19). When
data is written into corresponding memory address space one of three strobe signals
(APOUT0, APOUT1, or APOUT3) is activated and data is latched to the output control
signals. Only 63C09 processor can access the control register. Table II, and Table III show
how data lines are mapped to the control register outputs.
Sequencer
The primary function of the sequencer is to synchronize the LED drive signals with those that
control the sequential demodulation of the photodetector’s amplified output.
The sequencer also directly controls the switches U3A, U3B, and U3C, which set the current
to voltage preamp gain. Since the gain required for the transmitted red light may differ from
that required for the transmitted infrared light, synchronization of the gain control switches
with the drive signals is also required.
Finally the last function of the sequencer is to cancel the residual signal and any low
frequency signal noise. The sequential demodulation process for each wave-length subtracts
from the detector’s signal when the LED is activated, the residual signal that exists when the
LED is not activated. This cancellation process works only for residual signals at frequencies
significantly lower than the drive frequencies of the LED’s (about 1.3 kHz). The interfering
signals it works against are primarily:
The sequencer is composed of an EPROM U24, a counter U23 and a latch U25. The eight
bits of the counter are fed to the eight least significant address bits of the EPROM. The
microprocessor provides the five most significant address bits trough the control register.
The five control signals are changed infrequently but the counter increments every 16 s at the
falling edge of the CLKSEQ clock. Thus the EPROM may be thought of as containing 32
(25) sequencer programs. The one chosen by the five microprocessor signals is cycled in a
continuous loop.
The program length would be constrained to be 256 steps if not for the counter reset logic
(U26A and U26D). Counter is reset whenever address bit 5 and red drive are both active.
Reset logic allows flexibility in the choice of cycle length.
The outputs of the EPROM are the control signals for the LED drivers (RED DRV and IR
DRV), sequential demodulation process in the preamp (S3, S4, S5, and S6), and the gain
setting for the current to voltage preamp (S1 and S2). They are latched by the rising edge of
the CLKSEQ clock signal for precise timing relationships.
LED Drive
LED Drive circuit interfaces TTL LED drive signals (IR DRV and RED DRV) to red and infrared
LEDs. It consists of two circuits: LED voltage source and LED driver switch.
LED voltage source provides voltage to anodes of both LEDs and acts as intermittent short
circuit protection device. Under normal operation Q1 is “ON” and Q4 is “OFF”. When a
short circuit condition occurs higher current will cause larger voltage drop across the resistor
R24. This will turn Q4 “ON” and Q1 “OFF”, cutting off the voltage supply to the sensor.
LED driver switch consists of two similar circuits one for each red and infrared LEDs. TTL
pulses are limited to 3.35V by combination of CR5/R29 (CR6/R30). This is done to assure
undeviating LED current. Signal is then AC coupled by C18 (C19) and is used to switch Q2
(Q1). Transorbs CR10 and CR11 are used to provide ESD protection.
Demultiplexer
Under sequencer’s control, demultiplexer separates the signal into red and infrared
components and subtracts DC offset and low frequency noise from the signal. Switches U5A
and U5D route the direct and inverted output of current to voltage preamplifier into red
channel (A). Switches U5B and U5C perform the same function for infrared channel (B). U6
and U7 are configured as integrators, which average inverted and noninverted signals.
Matched 18 Hz Filters
Two identical low pass filters, based on U8 and U9, provide noise rejection for LED and
demultiplexer switching noise (f1.366 KHz) and ESU noise (f500 KHz). Each filter consists
of two equivalent dual pole low pass filters, which when cascaded, provide 80 db per
decade roll off with f018.9 Hz.
Remultiplexer
Remultiplexer is controlled by 63C09 processor by toggling the CHNLMUX signal (See ).
This signal regulates switches U10A and U10D, which steer either red or infrared signals
into Programmable Gain I stage.
Comparator
Comparator is based on U14. It compares the signal held by sample and hold to the output
of the DAC. Output of the Comparator is a signal COMPOUT* (See). 63C09 processor
writes a value into the DAC and then checks the status of this signal. The procedure is
repeated until signal is digitized with the acceptable resolution.
Interference Detector
Interference Detector monitors the output of Current to Voltage Preamp. U2A configured as a
comparator, which detects voltage levels more negative than -7.2 V. When this level is
detected INTERF* line goes “low”. 63C09 CPU monitors this line to detect when Current to
Voltage Preamp is saturated.
Clock Generator
Clock Generator consists of 11.0592 MHz crystal oscillator Y1 and five D flip-flops U42,
U43, and U47. 11.0592 MHz OSC clock is divided in half by U47A, which outputs two
complementary clock signals: SYSCLK and SYSCLK*. These two clocks are used as a
baseline for digital section timing.
Parallel Interface
Parallel Interface consists of input buffers U31, U32, U33, and U34, output buffer/register
U35, and Q6. It’s function is to buffer the signals to/from ISA bus connector J1. Tri-state
signals of ISA address buffers U31 and U32 are controlled by the signal SROE, data input
buffer U34 is enabled by ISA-WR-OE*, and data output buffer/register is enabled by ISA-RD-
OE* and clocked by ISA-RD-CK*. All of these signals are generated by ISA Bus Interface.
• CLKSEQ Counter
CLKSEQ signal is used by the Sequencer. To generate this signal E clock divided by 22,
which produces CLKSEQ frequency of 62.836 KHz. Signals BIT0, BIT1, BIT2, and BIT3 are
used internally for the counter.
When a valid ISA access occurs (MEMW* or MEMR* active during a valid address)
IOCHRDY signal is asynchronously disabled. Access is then synchronized to system clock
and, when busses are available, ISA address buffers are enabled (using signal SROE).
SRAM (SRCE* and SROE*) and data bus buffer (ISA-RD-OE*, ISA-RD-CK*, and ISA-WR-
OE*) control signals are generated next. Finally IOCHRDY is enabled, completing ISA
access cycle.
Static RAM
32 K x 8 Static RAM is shared by 63C09 and external processors. Software code for 63C09
processor is downloaded into SRAM via ISA bus. Static RAM is then used by 63C09
processor to fetch instructions, store data, and communicate with the external processor.
63C09 CPU
Main function of 63C09 CPU is supervision of analog signal processing and digitization.
This is accomplished by manipulating gains of C/V, AC, and DC amplification blocks and by
controlling Sequencer, DAC, Remultiplexer, and Sample and Hold sections, while monitoring
COMPOUT* and INTERF* outputs. Control of the blocks mentioned above is achieved
through Control Register.
An overall block diagram of the PM/NIM is shown above. Bus interface logic, consisting of
a programmable logic device, an octal register, and an octal buffer, connects to the
Passport’s pseudo-ISA bus. This bus is shared with the CO2 module. Therefore, bus resources
have been allocated to avoid conflicts. This interface logic implements two read-write
registers, one for data and the other for control or status. A 68HC705 microcontroller
operates as an intelligent, buffered UART. The serial port of the microcontroller provides the
data interface to the SpO2 Module. All microcontroller data and control lines interfaced to
the SpO2 Module are opto isolated. Power to the SpO2 Module is isolated by a DC-DC
converter module with its input coming directly from the Line/Battery Supply Module.
When serial data is received from the Oximeter Modules, the microcontroller buffers the data
until a complete packet has been received. The packet is then validated by means of a
checksum. If valid, the microcontroller makes the first byte available to the bus interface
logic, and interrupts the Passport CPU. The Passport responds by reading the first byte. A
flag indicating the availability of data (first and subsequent bytes) is provided in the status
register. By polling this flag bit in a tight loop, the CPU is able to read the subsequent bytes.
The CPU is able to identify the packet’s byte count based on the first byte read, and therefore
knows how many additional bytes to read by polling.
A similar procedure is used to transmit serial data. The CPU polls a busy flag in the status
register. When this flag is clear, one byte of data is written to the PM/NIM. The busy flag
becomes immediately set. As soon as the microcontroller accepts and buffers this data, the
busy flag is cleared by the microcontroller, so that the CPU can write the next byte. This
process continues until an entire packet has been written. When an entire packet has been
written, the PM/NIM validates the packet by means of the checksum, and proceeds to
serially transmit it to the SpO2 Module.
It is possible to assert or remove reset to the microcontroller by writing to the control register.
Whenever the ISA bus signal RESETDRV is active, the microcontroller reset will be asserted,
and will remain asserted after RESETDRV is no longer active. Internal power-on-reset logic in
the EPLD asserts reset in a similar way. . As the microcontroller passes from the reset to the
active state, it activates the SpO2 Module reset line and enters a data echo mode. Only
after receiving a command from the host will it exit the echo mode and release the SpO2
Module reset. This insures a coordinated start-up of the PM/NIM and SpO2 Module.
Read-Write Logic
The figure below shows the portion of the EPLD, U4, which provides the read and write logic.
The four most significant ISA address lines, SA16..SA19, are decoded. Two ports are
needed, one for control and one for data. The selected port addresses are at ISA 80000
hex for data and ISA 90000 hex for control/status. These correspond to 900000 hex and
920000 hex, respectively, in the Passport CPU address space. The address assignments are
unique to allow the Passport to easily determine on bootup which modules are connected to
the ISA bus. The Passport software accomplishes this by attempting to address the module.
If it is not present, a bus exception occurs indicating the absence of a working PM/NIM.
When an OEM SpO2 module is used in the Passport a Software command is used to
determine whether a Masimo SpO2 Module or Nellcor SpO2 Module is present.
When a write is made to the status port address, the inverted state of D0 is latched in flip-flop
F/F 3 inside the EPLD, U4 (Figure 2-14 on page 2-35).
The output of F/F 3 drives the microcontroller’s active-low reset line. Thus, if D0 is high
during this write, the microcontroller will be placed in reset. Conversely, if zero is written,
microcontroller operation will begin. This flip-flop is also cleared by RESETDRV as well as the
EPLD’s internal power-on reset logic. Thus, at power-up, the microcontroller will be held reset
until zero is written to the status port, allowing an orderly start-up. The RESETDRV signal is
filtered by R3 and C11 to minimize the possibility of false triggering due to ESD events.
When a write is made to the data port, a decoded write pulse (CK/IRQ) clocks U2, latching
the data from the bus. This same pulse also interrupts the micro-controller (U1), telling it that
new data has arrived. Also, flip-flop F/F 1 inside U4 becomes set (see figure on previous
page). The Q output of F/F 1 can be read on data bus line D1 when a read is made to the
status port address. When the microcontroller responds to the interrupt, it clears F/F 1 by
pulsing CACK* low. Thus, bit D1 at the status address acts as a “busy” flag, which becomes
set immediately after data is written, and is cleared when the microcontroller has assimilated
the data.
When the microcontroller has data to be transferred to the ISA host, it presents the data via
port A to the tristate buffer U3. It then pulses the line STRB* low, setting F/F 2 in U4. The Q
output of this flip-flop can be read in bit position D0 of the status port. Thus, the ISA host can
poll to determine when data is available. A 1K resistor, R2, limits the current when the CO2
module drives the line high.
When the host polls the D0 bit and finds it active, it then reads the PM/NIM data address.
The EPLD decodes this into a read pulse (OE*) which enables the tristate buffer, U3, driving
the data on the bus. This action also clears F/F 2, so that IRQ 5 (were it enabled), as well as
the data available bit in the status port, are immediately dropped. The data available flag is
also available to the microcontroller as BFULL, which is connected to port C. After the
microcontroller asserts new data, it waits for the BFULL line to become low, indicating that the
host has accepted the data, before asserting the next byte.
IOCHRDY Logic
The pseudo-ISA bus in the Passport differs from a true ISA configuration in the implementation
of IOCHRDY. In the Passport, a rising edge must appear on IOCHRDY while SMEMR* or
SMEMW* is active in order to complete the bus cycle. A steady high level is not sufficient.
The EPLD contains the logic shown in figure below for generation of IOCHRDY.
SA16 DECODER
SA17
SA18 BOARD SELECTED
SA19
68HC05
CLOCK
The address lines SA16..SA19 are decoded to generate a signal whenever either port (data
or control) on the board is selected. The D input of F/F 4 is high whenever a read or write
occurs and the board is selected. Before a bus cycle begins, the outputs of F/F 4 and F/F 5
are both low. These flip-flops are clocked by an on board crystal oscillator, at 3.6864 MHz.
Microcontroller
The microcontroller manages the flow of data between the host and the SpO2 Module. It
consists of a 68HC705 single chip microcontroller. It operates at an oscillator frequency of
3.6864 MHz, obtained from an on board crystal oscillator. The oscillator also provides
clocking for U4.
When it is brought out of reset, an internal self test is performed, which verifies the PROM
contents and RAM operation. During this self test period, lasting several ms, bit 4 of port C,
SRST*, is configured as an output and driven low. This asserts reset to the SpO2 Module.
The PM/NIM then enters a data echo mode.
Any data written to the PM/NIM data port is accepted by the microcontroller on port B.
Data to be sent to the host is asserted on port A. Communications with the SpO2 Module
take place by a CMOS level asynchronous serial link in J23. The parameters are 8 data
bits, even parity, one start bit, one stop bit, with the data having “true” polarity. The baud
rate is selectable under U1 software control as 9600 baud.
SCTS* on port C bit 5 is used to enable the Flash Programming voltage on the Interface
board. To allow the in-system programming for the MS-1 SpO2 Module this signal should be
set High. SCTS* on port C bit 5 also allows U1 to suspend transmissions from the Nellcor
Module.
Power Supplies
The Power for the OEM SpO2 module and Interface board is derived from a combination of
the system +5V and the Switch_Bulk_OUT supply. The isolated voltages for the OEM SpO2
board is derived from the Switch_Bulk_Out supply, this bypasses one DC/DC convertor and
its associated inefficiencies. The power consumption of the OEM SpO2 board and Interface
board should be similar to that of the Datascope SpO2 module.
The Masimo SpO2 module requires four isolated voltages: +5V, +/-15V, and +12V.
The Nellcor Module requires four isolated voltages; +5 volts, +/-15 volts and -6 to -15 volts.
The latter voltage is tied directly to the -15V supply on the PM/NIM by connecting J23 pin 6
and 7. This prevents the need for jumper JP4 on the Nellcor Module which would otherwise
accomplish the same task. Also, the additional power needed to drive this voltage with -15
volts versus -6 volts (if it were available) is negligible since the maximum current needed for it
is only 5.3mA.
The isolated +5 voltage is generated and isolated by DC-DC converter, VC1. The +/-15V is
derived from the isolated +5V convertor and is generated by a Boost Switching regulator. A
N-Channel Mosfet controls the +5V voltage level seen by the SpO2 board. The Gate of the
Mosfet is connected to the +15V Regulator and the +5V is connected to the Drain. This
allows the +/-15V source to always lead the +5V by at least +0.3V as required by the
Nellcor Module power supply sequencing requirements. An additional 5K ohm load was
added to the +15V to assure that the +/-15V switching regulator will stay in the continuous
mode when lightly loaded by the Nellcor module.
Additionally there is a +12V switched capacitor supply on board to supply the Flash
programming voltage and current required for in-system software updates for the Masimo
SpO2 module. The +12V supply derives its input from the isolated +5V supply. The +12V
supply is controlled by the SCTS* output of the micro-controller. This voltage should normally
be turned off to give added protection against the flash memory being overwritten, and to
eliminate load and noise from this supply. In order to disable this supply voltage, the SCTS*
line must be taken to a logic level Low.
Signal Isolation
The interface signals to and from the Oximeter Modules are isolated by five optocouplers,
U7 through U11. The low duty cycles of the signals holds the power requirements to
reasonable levels.
Schmitt trigger inverters are used at the optocoupler outputs due to the slow rise and fall times
of the couplers. This provides a clean output edge with no bouncing and reduces timing
skew. The U11 output requires no such Schmitt buffer due to debouncing hardware built into
the U1 microcontroller. Other inverters are used in the circuits to provide the necessary
inversions for proper signal polarity and to force the optocouplers normally off.
All of the U1 signals to and from the Nellcor Module to be normally high with the exception
of CTS*. This signal should be normally active low and only become inactive if Nellcor
Module data transmissions must be suspended.
CPU
Device U1 is an MC68302, which contains a 68000 core CPU and much of the peripherals
used in the Passport PCM board. The CPU contains a 24-bit address bus and a 16-bit data
bus. Along with Y1, and a resistor/capacitor network, U1 shall operate at a clock speed of
16.5888MHz. This clock rate is the highest clock rate that the MC68302 can operate while
being a multiple of the baud rate of 115.2Khz for Front End communications.
There are 4 programmable chip select/wait state control groups. They are listed in below.
Datasette
The Datasette provides program memory and data storage for the main CPU module in the
Passport.
The Datasette contains two 512Kx8 FLASH ROM ICs and two 128Kx8 Static RAM ICs. They
are accessed by the host CPU via two chip select lines; even (CSL*) and odd (CSH*). Both of
these chip select signals should be decoded for the first 4 megabyte of the host’s memory
address space. The host module must decode the A0 address line to generate the even and
odd chip selects. Further decoding is provided by U5. The address space which is allocated
by the host CPU module consists of 2x2 megabyte regions. The first region (000000-
0x1FFFFF) is allocated for ROM use. Only one megabyte of FLASH ROM is used, therefore
the ROM is mirrored in the first and second megabyte of the address space. The upper 2
megabyte region (0x200000-03FFFFF) can be subdivided into 8x256K or 4x512K regions.
The 256K of RAM on the Datasette is decoded to respond in the upper half of each of the
512K regions.
A jumper, J1 has been added to the module to allow for use in a commercial PROM
programmer. Most PROM programmers have the capability of obtaining manufacturer and
device IDs from the device. This is possible by applying a higher than normal voltage at the
input address pin, A9. This voltage may be alright for the FLASH ROMs on the Datasette, but
it will cause damage to the static RAMs on the Datasette. To prevent this possible damage
from occuring the jumper J1 was added. When J1 is installed the address signal A10 is
connected to the A9 input pin of the SRAMs. This is necessary when the Datasette is
operating inside a Passport. This jumper must be removed if the Datasette is to be used in a
PROM programmer.
The CPU module operating at 16.5888Mhz will necessitate the use of 1 wait state to access
SRAM and 0 wait states to access FLASH ROM.
Non-Volatile RAM
This memory made up of two 128Kx8 120 nsec. SRAMs, U2 and U3. The memories are
non-volatile due to the circuitry of Micromanager U21, Battery BT1, R17, and D4. The initial
start address of the RAMs is at 400000H and is mapped to a 2M byte space. Chip select
line 1 is used by the CPU, and will have a wait state of one cycle. Initially only 256K bytes
should be enabled.
Video RAM
The video memory consists of a 32Kx8 120 nsec. SRAM, that is initially mapped to 64K
bytes starting at 600000H. Only the lower byte of the video memory is used (8 bit bus
mode). The LCD is a 640x200 display that will be supported with the current memory size.
The memory can be expanded to a maximum of 128K bytes for larger size displays.
This memory is dual-ported to the CPU and the display controller. A variable number of wait
states will be inserted because of the asynchronous nature of the CPU accesses to video
memory. The SCT bit in Bank Address 23H, data bit D7 of the display controller should be
set to a 1 to minimize wait time.
Display Controller
The display controller, U5, is a Yamaha V6366. The clock is provided by U38, an
11.0592MHz oscillator. The LCD that is being used on the Passport project can
accommodate a 4-bit parallel data bus. Therefore, U5 is set up for 4-bit display operation.
At the clock rate, and parallel data transmission, a transaction will last for 361 nsecs., which
will meet the minimum LCD cycle time of 330 nsecs.
The display controller outputs, CSY, BLA*, BST, AC, LD.0 are used to drive a 640x200 LCD.
The display interface signals can be disabled by the LDEN* signal (port B bit 1, U1-109).
On power-up or reset, this bit is default to an input, which will automatically disable the
display, thus preventing unorganized or old data to be displayed.
Another signal BLEN* (port B bit 2, U1-110) is provided to disable the LCD bias voltage,
VEE. This signal should not be active (low) until the display controller has been initialized,
assuring proper timing signals for the LCD. This signal works similarly to the LDEN* signal,
in that on power-up or reset, the LCD is automatically disabled. Upon a power-up/reset
situation, the display controller should be initialized as soon as possible.
The display controller outputs VSY, HSY, and LD.4 are also connected to the external
interface connector , but are not used at this time.
Interrupt Controller
The interrupt controller is controlled by addresses 812H to 81CH within the 4K peripheral
control block. In addition to the 16 on-chip interrupt sources (on priority level 4), 3 external
interrupts are supported (on levels 7,6, and 1). The external interrupts should be
programmed to be dedicated level-triggered mode interrupts. Currently IRQ1* is used (for
the AR-42 Recorder error line); IRQ6* and IRQ7*, which is non-maskable, is not used. The
interrupt acknowledge and autovector mode feature is not used; the interrupt controller
should be programmed to provide the interrupt vector. The upper 3 vector bits can be
programmed to anything other than 000 and 001, such that the interrupts are mapped into
user interrupt vector space.
The output of the 8-bit D/A converter is multiplexed to two outputs: the external analog output
and the volume control voltage. The multiplexing is controlled by two sample and hold
control signals: ANEN* and VLEN*, controlled by port A bits 4 and 5 of the CPU
respectively. A zero in those bits will sample the voltage from the D/A converter and a one
will hold that voltage at the sample and hold.
Analog Output
The external analog output is used to output the ECG waveform. It is biased to be a bipolar
signal (+/-5V) by U36, U33, and R16/C78 bias network. A 00H code would output -5V
and an FFH code would correspond to +5V. The update rate should be 286Hz. The 10-bit
ECG sample from the front end should be scaled down to 8-bits (truncating the lower order
two bits) and output directly to the D/A. In order for the voltage at U34-6 to reach the 8 bit
lsb accuracy of the D/A, the switch should be held closed for at least 20 usecs. No other
writes to the D/A should occur within 20 usecs. Since the ECG is updated at a rate of 286
Hz (3.5 ms), there should be no problem from this half of the converter.
An analog simulation of the circuitry shows that it shall meet the specification of .5 to 40 Hz
@ -3db.
Speaker Driver
The volume voltage is unipolar. A 00H code would be lowest volume (silence) and FFH
would be highest volume. The loudness perception is not necessarily linear and some trial
and error may be needed to yield the corresponding sound levels desired for presets.
The digital switch for the speaker driver circuitry shall be held closed for at least 912 usecs.
in order to get the accuracy as discussed earlier.
• Turn off both sample and holds (ANEN* and VLEN* high)
• Output volume value to D/A converter
• Turn on volume S/H (VLEN* low)
• Wait at least 912 usec
• Turn off volume S/H (VLEN* high)
• Output ECG value to D/A converter
• Turn on analog output S/H (ANEN* low)
• Wait at least 20 usec until starting again (S/H can be left on)
The EXEN* signal, controlled by port B bit 0, controls whether an exponential decay exists
on the volume signal (0 to enable decay). This mode is used only in beeps where an
exponential decay is desired. In this mode, the volume signal is enabled only at the start of
the beep and the volume will be allowed to decay by not updating the sample and hold.
Keypad Interface
The keypad interface consists of a matrix of 8 output lines and four input lines. A maximum
of 32 keys can be supported with this arrangement. The 8 output lines, KD.0, are connected
to the upper byte of the data bus. Their address can be set to 740000H for byte access.
The four input lines, KI.0, are also connected to the upper byte of the data bus.
During the scanning of the keypad, a marching 0 is shifted through the 8 normally high
output lines. When a key on the active low output line is pressed, a corresponding 1 (note
inversion) on the normally low input lines would be generated. All key presses need to be
debounced in software.
The keypad interface can be programmed to function in an interrupt driven mode. The KPS*
signal (port B bit 8 line) is active when there are any keys pressed. This is generated by the
use of the PAL, U24. This bit can be programmed to generate an interrupt to the
microcontroller. The operation should be as follows:
Recorder Interface
The recorder is a General Scanning AR-42. Detailed programming information is contained
in the AR-42 user’s manual.
The RERR signal is recorder error. It is pulled up (RP3-5) and inverted by U11 to form RERR*.
This signal is then connected to U1-97, which is interrupt 1. Anytime RERR* is active, the
program should service the interrupt and determine what action to take. This can be an error
or this can determine if a recorder is not available. A read of the recorder status lines at
740000H will determine what case it is. The recorder interface is a 16-bit parallel interface
mapped to 760000H. In writing to the recorder, the lower byte contains the data. The lower
5 bits of the upper byte contains the address for combination commands. The recorder can
operate in either a header command/data mode when the address bits are all one’s, or a
combined command/data mode in which the address bits indicate which command is to be
performed. When possible, the combined commands should be used to minimize data
transfer.
In writing to the recorder, the processor should check the SYNC* and WRRDY* lines from
the recorder to make sure that the recorder is ready to accept data.
In reading from the recorder, the lower byte contains readback information from the
recorder.
There are two operation modes of the recorder: a trace mode and a graphics mode. In the
trace mode, the recorder prints at a fixed rate (e.g. 25mm/sec). And it will request data at its
own rate. If no data is supplied, the previous points will be repeated by the recorder.
Since the recorder needs data at a fairly high rate in trace mode, (up to 800 points per
second), the data rate will be controlled by the CPU. In other words, the CPU will only send
data to the recorder when it so chooses. The recorder will repeat points when it does not
receive data. In trace mode, the CPU should output data to the recorder at the front end
sampling rate: 286Hz.
Due to the relatively slow response time of the recorder (several microseconds), the IDMA
controller can be set up to control the writing of the recorder on a cycle steal basis. The
WRRDY* line is wired to the DREQ* line of the micro-controller. In other words, a DMA cycle
would be requested every time the recorder is ready to accept new data. When the
programmed number of transfers are complete, any further request from DREQ* would be
ignored. Note that the software must keep track of how much actual print data the recorder
can accept in text or graphics mode. This information is contained in the RSYNC* line (buffer
empty). In other words, the recorder interface software can only print on a line by line basis
via DMA.
The RCRST signal is used to reset the recorder. On power-up or reset, the signal would by
default put the recorder in a reset state.
The analog front end is programmed to transfer a burst of analog data to the CPU at a
sampling rate of 286Hz. This rate is chosen to be a even multiple of the screen waveform
update rate (71.5 samples per second to give 25mm/sec). This sampling rate should be high
enough to capture the details of the ECG waveform.
Optionally, an RS-485 interface can be installed. (A cut on the board is only necessary to
disconnect the RS-232 receive line.) The differential RS-485 lines are connected via a
bidirectional transceiver as a party line. The receiver is always enabled; the transmitter is
enabled by SEREN (port B pin 7). This line should normally be low to disable the transmitter.
Most of the inputs are used for diagnostic purposes. In diagnostic mode, all the power supply
levels will be read and displayed. In run time, some of these voltages would also be checked
for proper operation (especially +/-15V). The run-time check should be very robust in that it
should not generate false alarms due to noise or other transients (e.g. ESD episodes). A wide
tolerance with probably some form of averaging would be performed.
The raw DC voltage can be checked for whether unit is running on battery (if the voltage is
greater than a certain threshold). When the unit is running on battery, the raw DC voltage
would indicate the battery voltage. A low battery condition exists when the voltage is below
a certain threshold. The proper levels and cutoffs are yet to be defined.
The DAC voltage input can be used to check the operation of the DAC. The ADC diagnostic
voltage can be used to check the operation of the ADC.
Timers
Timer 1 is designated as the system timer.
Timer 2 is used to generate the variable tone frequency to the audio circuit. The frequency
ranges from 500Hz to 1500Hz. The operation of the audio circuit should be that when no
tone is desired, timer 2 should be turned off (rather than just setting volume to be zero).
EEPROM Interface
A serial 1K bit EEPROM, U4, organized as 64 x 16 (ICT93C46) is connected to port A bits
14, 15 and port B bits 5 and 4. The interface signals are data in (EEDI), data out (EEDO),
clock (EESK), and chip select (EECS). All data clocking and shifting will be performed in
software. Consult the 93C46 data sheet for interface information.
RTC Interface
The RTC is a Dallas DS1202, U20. The RTC has a bidirectional data line (EEDI), a clock
(EESK), and a reset (RTC) line. The data line and clock line are shared with the EEPROM
interface (port A bit 14 and port B bit 5). An active high signal RTC (port B bit 10) is used to
enable the RTC for interface. Watch crystal, Y2, is a 32.768KHz clock that is connected to
inputs X1 and X2 of U20. This provides the necessary accuracy for time and date.
SpO2 Interface
A parallel interface similar to the ISA bus is implemented. The parallel interface is only 8 bits
wide. It is attached to the lower byte of the data bus. The 8-bit ISA address space is
1Mword addressable. Thus 2M bytes address space are needed to access this space. This
is mapped into address space starting at 800000H. Currently this parallel interface is only
used to access the SpO2 module. The SpO2 module appears as a block of shared memory
to the CPU. Port B, bit 11 is currently connected to the SpO2 module. Consult the SpO2
module documentation for interface information.
A defib sync output DSYNC (port A bit 11) is used to provide the external defib sync signal.
This signal should be normally high. The E trigger obtained from the analog front end should
be output to this signal as soon as possible.
• Selects “raw” DC power from either an external regulated line supply of 17V, or from two
sealed 12V lead acid batteries. The order of selection is A) 17V external power, B) Two
12V batteries, C) One 12V battery.
• Generates +15V @ 250 mA, -15V @ 250 mA, and +5V @ 1.5A.
• Allows the charging of lead acid batteries to occur.
• Monitors “raw” DC battery power and turns off system when battery voltage drops below
10.5V.
• Provides the battery voltages, the charging voltages and the external +17V for the Battery
Charging LED function on the VGA/EL Panel Board. The Battery Charging LED function
compares the battery voltage to the charging voltage. When the batteries are charging,
no matter what position the power-on switch is in, the green LED is lit.
Once the batteries discharge to a level of approximately 11 volts (for more than 20
seconds), the unit is automatically shut OFF with enough hysteresis that the main power
switch must be cycled to re-initiate a turn-ON. The hysteresis is necessary because when the
system load is removed from the battery, the terminal voltage of the battery will float back up
to the voltage of a charged battery. After the cutoff circuit is activated, a load greater than
100K (@ 12 volts) remains on the battery to avoid excessive discharge and therefore
sulfation of the battery. The low battery cutoff comparator controls a small oscillator that
generates an isolated voltage. This voltage is capacitively coupled via a full wave
rectification circuit. This “floating” supply controls the gate of a very low ON resistance
power FET. This FET controls power to the switching supplies to generate system voltages.
Q3
CR9
OSC/
+17 CHG J54
PUMP SW BULK OUT
U2B
BAT CHG A
CR11
BAT CHG B
20 SEC DELAY
J52
+17 C7
Power Module
BAT CHG A
BAT CHG B +5V
Battery A LOW
Battery B VOLTAGE +15V
J51 SHUT
DOWN -15V
Battery A
U1
Battery B GND
GND CV1
UNIPOINT
Detail
The reader should refer to the Line/Battery block diagram , sub-circuit diagrams, and
complete circuit schematics while reading the following operation descriptions.
CR8
Vline
2.5A
17+-1V
F1
USD945
Vbattery
12V CR9
4A FPSW
F2
BAT CHARGER
R10 USD945
100K
CR10
4A
R13 USD945
100K
Vbattery
12V
Diode - “OR”
Immediately upon entering this module, the three voltage sources are fused. The 17V line
input is tied to fuse F1 which is rated for 2.5 A and is a slow-blow type fuse. Fuses F3 & F4
are 4 A fuses and are also slow-blow type fuses. The selected fuses are a common 5 X 20
mm size and are approved for both Domestic and International use.This block provides
power entry selection where the line voltage will always be selected before battery power is
selected. The “OR-ing” function is provided by diodes CR8-CR10. These Schottky diodes
are used because of their low forward drop. If the line voltage is available (+17V), CR8 will
forward conduct and CR9 and CR8 will be reversed biased. When line power is removed,
a smooth transition will be made to battery power through CR9 and CR10. The output from
the diode OR (system power) exits this module and returns through the main power switch.
When the system is off, diodes CR11 and CR12 allow a charging path from the battery
charger to each battery. Resistors R10 and R13 provide a path to ground, to bleed
accumulated charge from CR11 and CR12.
This circuit employs a low power OP-AMP U1(LM4250) as a voltage comparator. This OP-
AMP allows the designer to operate the amplifier at a unique operating point established by
R6. In this application, R6 biases the comparator at 1Ua. This equates to approximately
10Ua of supply current drain at 10V. Another low power device, the LT1004-1.2 (CR1) is a
zener diode used to develop a precision voltage reference at the negative terminal of the
comparator. This device is specified to “zener” at 1.2V with only 10Ua of current. The
10Ua zener current is provided by R3. A precision resistor divider consisting of R1, R2, and
R4 apply the appropriate voltage to the positive input terminal of the comparator. If the
supply voltage is greater than 10.5 V, the divider voltage will be greater than the reference,
and the output will jump towards the positive rail. When this occurs, CR2 will forward
conduct causing the combination of U2C and U2A to turn Q1 (2N7000) “ON” In turn, Q2
(2N7000) will be forced OFF to eliminate R4 from altering the divider circuit. This state is
the normal state for proper operation. However, if the supply dips below 10.5 V , the
following events happen.
The positive input to the comparator will be less than the reference. This will cause the
comparator output to jump towards the negative rail. When this occurs, CR2 will reverse
bias and the rail voltage on C7 will discharge through R12. If the supply does not rise above
10.5 V in a period of time greater than approximately 15 seconds (exponential decay of C7
and R12 to the trip point of U2C) Q1 2N7000 will turn OFF. Q2 the 2N7000 transistor will
now turn ON causing R4 to modify the resistor divider and force the divider input voltage to
fall further below the reference. The circuit will remain in this state until the power switch is
toggled or the supply voltage exceeds 15 V.
Turn On:
Capacitor C1 and R8 forces Q1 to turn “ON” and Q2 to turn “OFF” during power-up. This
is to insure that the hysteresis resistor R4 will not be connected during power up, to establish
the proper state for normal operation.
VIN
R8
R3 C1
R5 R1
3 7
6 CR2 8 11
LM4250 10
2 9 U2
U1 12
8 C7 R12 13
4 CD4093BE
R6
CR1
LT1004-1.2 20 Sec Delay
Q2
2N7000
Q1 COMPARATOR CIRCUIT
2N7000
CR7 clamps the input to U2 from going higher than the supply rail. This component offers
protection to the IC U2. R9 bleeds charge off of capacitors C5 and C6 to shut off the FET
when the oscillator is disabled. R14 limits current to the FET gate when the FET is initially
turned “ON”.
SWITCH
TP1
IRFZ40
VIN
IN914 CR7 Q3
.01UF
OSCILLATOR C5
CHARGE PUMP
FIGURE 2-21 Oscillator/Charge Pump Circuit
Power Module
This module is a “self contained” 15W DC/DC converter that provides three regulated
outputs. This module will accept input voltages ranging from 9V DC to 18V DC and
produces outputs of 5V (@1.5A), 15V (@250ma) and -15V (@250ma).
1 GND +5
15 W -15
+17 POWER
MODULE COM
N/C +15
T2 R 11
C R 8 -10 to
CPU BD
C V 1.1
C hg A J3- 5
J3 - 6 d io de s
C hg B
C V 1.3 J2- 14 J2- 9 + 15 V
+ 15 V
cr 11,12
C V 1.6 J2- 9,1 0 J2 - 1,2 -5V
+ 5V
Detail
This flyback converter runs at 100 KHz and generates +12 volts (to power loads with large
step load changes) and -23.5 volts (a low current supply for the display). A 2843 PWM (U1)
drives a power fet (Q1) which switches the primary of the flyback transformer (T1). C9 and
C10 are low esr aluminum electrolytics which provide the instantaneous pulsitile power
required locally by the input of the converter. L1, L2 and C8 filter converter high frequency
(100 KHz) noise from the input power line. CR1,C11 and R10 snub energy stored in the
primary leakage inductance of T1. L5 and L6 are lossy ferites which damp high frequency
(10’s of MHz) oscillations in the primary switching loop. CR6 does not function in normal
coarse of operation of the converter, but clamps voltage spikes which might occur at the
drain of Q1 for short circuit conditions of the converter’s main output. Likewise, CR5 does not
function in the course of normal operation, but clamps any abnormal voltage spikes which
might couple thru Q1’s drain gate capacitance. CR4 decouples Q1’s gate from the
capacitance of CR5 so as not to slow down the switching time of the fet. R9 keeps the fet
turned off for times when U1-6 is not active. C18 and R8 provide a high speed, yet damped,
switching path between U1-6 and the gate of Q1. R3 and R4 form a feedback voltage
divider from the 12 volt output back to the inverting input (U1-2) of the error amp in the pwm.
R5, C14, and C13 provide compensation for the voltage feedback loop. C12 and C16
locally decouple Vcc and Vref of the pwm respectively. R6 and C15 are the timing
components for the internal oscillator of the pwm. T2 provides primary current mode
feedback to the pwm. The positive going current ramps are passed by CR2 and scaled by T2
and R7 to give a corresponding voltage waveform of roughly .12 volts / amp in the primary.
C17 filters leading edge spikes from the reconstructed current waveform due primarily to
discharge of Q1’s drain capacitance. CR3 allows enough voltage backswng to reset T2’s
core and yet clamps the voltage so as not to destroy Q1.
On the secondary side, CR9 and C1 and C2 rectify and filter the 12 volt output. Likewise
CR10 and C3 rectify and filter the -23.5 volt output. L3, L4 and C4 provide additional
filtering. R1 and C5 damp energy in the 12 volt secondary leakage inductance. Likewise R2
and C6 damp energy in the -23.5 volt secondary leakage inductance. U3, R12 and R13
make up a linear regulator for the -23.5 volt output (input to the regulator is typically about 3
volts higher than the output). Q3, R14, Q4, R16 and R15 are used to gate power into the
linear regulator via a 5 volt logic control signal.
R11 senses the current in the 12 volt secondary. R17,C19,R8,R19, and C20 filter this signal
prior to sense by comparitor U2B. The 5 volt reference of U1, R8 and R19 offset the input of
the comparitor such that it will trip at approx. 1.9 amps. CR8 and C21 add hystersis and a
“hiccup” time constant to the comparitor. U2A buffers the output of U2B prior to resetting the
soft start circuit R24 and C23. Q2 functions as a follower which buffers the soft start RC prior
to pulling down the output of the pwm error amp (U1-1).
Functional Description
The LEDs provide two indicating functions: power on - green, alarm on - red.
When activated, the alarm LED is flashing at a 3 Hz rate and 50% duty cycle. The speaker
produces all the required tones (i.e. heart rate beeps, alarm and alert tones). The alarm LED
control and the speaker signals are generated on the CPU board.
A 40 lead ribbon cable from the CPU brings the required voltages and logic signals for the
EL panel, the indicators and the keyboard. Four lines control and provide data for the EL
panel. Eight output and four input lines interconnect the 8 by 4 keyboard matrix. Detailed
description of the signals and power leads is given in Chapter 3 on page 3. The DC/DC
converter generates the power for the EL panel.
4 Control/Data Lines
EL Buffers EL C/D
+5V +5V
+12V +12V
GND P GND P
GND D
PWR ON
DO LED Drivers
ALARM
SPK
Keyboard
KI/KD J7 5 Interface
Speaker J72-12 Pin
EL Panel Circuits
The EL panel board circuit consists of signal through lines, data line buffers, and a LED drive
circuit. The display is a 30fL pixel, electroluminescent flat panel. It has a display matrix of
640 by 200 addressable pixels. The data lines and supply voltages are connected to the
EL’s DC/DC converter through J74. The supply voltages (+12V and +5V) come from the
microprocessor board via J71 on the panel board. The supply voltages are then converted
to the voltages used by the EL panel.
Keyboard Interconnections
The four input lines K10 through K13 and the eight output lines KD0 through KD7 provide the
interconnection between the CPU board and the 8 by 4 keyboard matrix.
Speaker Interconnections
The speaker signals for alarm and beep tone are interconnected between the CPU board and
the loudspeaker.
Overview
An overall block diagram of the CIM is shown in figure. Bus interface logic, consisting of a
programmable logic device, an octal register, and an octal buffer, connects to the Passport’s
pseudo-ISA bus. This bus is shared with the SpO2 module. Therefore, bus resources have
been allocated to avoid conflicts. This interface logic implements two read-write registers,
one for data and the other for control or status. A microcontroller, type 68HC705, operates
as an intelligent, highly buffered UART. The serial port of the microcontroller provides the
data interface to the Mainstream and Sidestream CO2 control modules. The Mainstream
CO2 requires 5 volt and dual 15 volt power for operation. The Sidestream CO2 requires 5
volt and dual 12 volt power supplies for operation. The 5 volt power is supplied directly from
the pseudo-ISA connector. However, the dual 15 volt and 12 volt requirements exceed the
capabilities of the Passport power converter, due to the presence of large pulsations in load
current. Therefore, the CIM contains an additional DC-DC converter to supply these
requirements from the bulk supply. A filter is used to assist in handling the pulsatile load
component. Due to even more stringent power supply requirements, the Sidestream CO2
control module requires an additional cleaner -12 volt supply (-12V capnostat on the block
diagram).
Microcontroller
The microcontroller manages the flow of data between the host and the Novametrics
Capnostat. It consists of a 68HC705 OTP single chip microcontroller. It operates at an
oscillator frequency of 3.6864 MHz, obtained from the network including crystal Y1, bias
resistor R1, and loading capacitors C1 and C2. The oscillator also provides clocking for U4.
When it is brought out of reset, an internal self test is performed, which verifies the PROM
contents and RAM operation. During this self test period, lasting several ms, bit 4 of port C is
configured as an output and driven low. This asserts reset to the Capnostat. At the conclusion
of the self test, this pin is reconfigured as an input, releasing the Capnostat reset, which is
designed for an open-collector interface. The start-up of the Capnostat and CIM are thus
synchronized.
Any data written to the CIM data port is accepted by the microcontroller on port B. Data to
be sent to the host is asserted on port A. Communications with the Capnostat take place by a
CMOS level asynchronous serial link in J92. The parameters are 9600 baud, 8 data bits, no
parity, and one stop bit, with the data having “true” polarity.
Two locations for optional jumper links are provided. They can be read on bits 6 and 7 of
port C. Jumper JP2 is reserved for future options. If JP1 is present a special test code is
invoked immediately after reset.
Power Converter
The CIM also supplies operating power to the Capnostat. Power connections are made via
J92 and J94. The +5 volts and digital ground obtained from the ISA bus are used to supply
logic power. The +5 rail used to power the Capnostat II through a dropping resistor R2, also
powers a heater in the Capnostat. The Capnostat II and III also requires dual 15 volt and 12
volt supplies respectively. However, it draws large transient currents from these rails, making
it undesirable to operate the Capnostat from the host’s 15 volt analog supplies. Therefore, the
CIM includes a commercial DC-DC converter module, VC1, which supplies these
requirements. The converter is powered from the raw bulk supply, obtained from J93.
Capacitor C10 reduces the reflected load transients. A converter capable of supplying the
peak Capnostat load currents would be quite large. For this reason, the converter is sized
closer to the average requirements, with a filter consisting of C9 and L2 providing smoothing
of these peaks. The Capnostat III also requires a -12V linear supply. This is derived from a -
12V regulator, U5.
Interface Connectors
The CIM is capable of interfacing to either a Capnostat II or III. Unfortunately, the 2 modules’
interface connector have different signal definitions. In order to prevent the possibility of the
wrong module being plugged into the CIM, 2 connectors were specified. One is for the
Capnostat II (J92) and one is for the Capnostat III (J94). They differ in that the Capnostat II
uses a 15 V supply and also has a separate 5V heater supply, while the Capnostat III uses a
dual 12V supplies.
Overview
The NIBP module consists of two boards interconnected by a 20 pin cable: the control board
that contains most of the electronic circuitry ; and a pneumatic board that contains all the
pneumatic parts.
The CPU
The electronics are built around a 16 bit microcontroller (80C196). Built into the 80C196, in
an 8-channel 10-bit A/D converter, five 8-bit I/O ports, pulse width modulators, high-speed
inputs and outputs, an UART, a watchdog timer, and two 16-bit counter/timer.
The non-maskable interrupt, NMI, of the 80C196 is used to detect the overpressure (OVPR)
condition. A low to high transition on the OVPR signal will cause the microcontroller to sense
the overpressure condition. The OVPR signal is also connected to the high speed input bit 1
of the microcontroller for it to verify the overpressure condition.
The BUSWIDTH input is tied low since the eight bit data bus mode is used for external
memory access. The EA/ pin is tied low since external EPROM and static RAM are used for
program and data memory.
Address Decoder
The 80C196 address decoding is controlled by an EP320 EPLD (U7). Two different decoding
is possible, depending on the state of the signal PIB (OPT2). In the module mode, PIB is high.
In the module mode, (module mode = DSBP module used in any product other than
ACCUTORR 3/4) when the bank bit BANK, (U5 pin 33) is set high, the lower 32K bytes (0-
32K) are mapped to the on-board EPROM; the next 8K bytes (32K-40K) are mapped to non-
volatile RAM; the next 16K bytes (40K-56K) are not used; and the last 8K bytes (56K-64K)
are mapped to I/O, the only I/O available being the quad DAC, U9.
When the bank bit is set low, the lower 8K bytes (0K-8K) are still mapped to the on-board
EPROM; but the next 24K (8K-32K) bytes are mapped to nonvolatile RAM; the remaining
RAM and I/O space remain the same.
The address decoder EPLD, U7 also disables the pump when the overpressure condition
OVPR is set and buffers the reset signal to the 80C196 microcontroller.
The pulse channel signal is obtained by AC coupling and amplifying the pressure signal
(U13B-7). The pulse channel output can be reset by activating the CLEAR signal. This signal
can be activated when there is disturbance at the pulse output during pneumatic switch-overs
or severe motion artifacts. There are two gain switches controlled by U8A and U8B,
implementing four possible gain settings. The nominal gain settings for the pulse channel are
about 28, 56, 111, or 222. The default gain for adult mode is 28 and the default gain for
neonate mode is 111. The pulse signal is connected to the 80C196 A/D channel 5.
Reference voltages +5VR and -5VR are generating by amplifying a 2.5V reference generator
U12 by a factor of 2 and -2 respectively.
The pump is controlled by a pulse width modulated output from bit 1 of the high speed out
put section of the 80C196 (U5 pin 29). In adult mode, the pump runs at full speed; in
neonate mode, the pump is pulse width modulated to moderate the pump speed. The pump
signal is active high and the high speed outputs reset to a zero state. On power-up, the pump
is turned off.
An overpressure switch will close when the pressure in the cuff is 375 mmHg +/-5%. This will
set the latch implemented by U17A and U17B which cause the OVPR signal to go high. This,
in turn, will force VALVE 0 to open and the pump to stop. This condition can only be reset by
resetting the entire module. This is done by power-cycling the unit.
The pump control is provided by the MOTOR signal, generated on the companion control
board and routed to the pneumatic board through connector J30. Power to the motor is
supplied by means of a decoupling network L2/C12 from the host’s +12 volt bus. A common
mode coil, L1, provides further attenuation of the motor brush noise.
The dump valve is controlled by the DVEN signal. This signal drives MOSFET Q1, which
switches the valve coil voltage. This is a normally vented valve, meaning that air flow occurs
from the manifold to the atmosphere while blocking the pump when the coil is de-energized.
This corresponds to a logic low on the DVEN signal. Should an overpressure condition occur,
the valve defaults to the vented state. The DVEN signal is gated in U3 to protect against a
single fault failure which would cause the dump valve to remain in the energized (non-vented)
state. In order for the dump valve to be energized, two dump valve enable signals must
agree. One signal is generated by the microprocessor on the companion control board, and
the other from microcontroller U1 on the pneumatics board.
The overpressure circuitry identifies two separate patient types; adult and neonatal. The
neonatal mode is inferred from the existing conditions during pump-up. If the motor is running
and a valve is open, then the neonatal mode is identified and NEO is set low by U1. The
over pressure comparator in U6 compares the output of the overpressure transducer with the
output of a voltage divider. If the pressure transducer voltage is higher than the output of the
voltage divider, OPS is brought low. A single overpressure trip point can be exactly
calibrated by adjusting potentiometer R1, presumably the neonatal point. This reduces any
error caused by resistor tolerances and inexact transducer readings. NEO is compared to a
threshold by a second comparator in U6, and if low, resisterR15 is shunted across resistor
R25. This reduces the effective resistance in the grounded resistor in the voltage divider,
causing a lower overpressure trip point in the neonatal mode.
Display Data(7:3)
+17V Res.
BAT_A+_F WI(8:1)
Network Frame
Buffer A(8:0) VRAM
Res. Interface RAS 256K x 8
BA_CHG_A CAS
Network Control WB
Res. DT
BAT_CHG_B
Network
Data Input Clock
RES. VideoDataU(3:0)
BAT_B+_F
Network
VideoDataL(3:0)
Scan start-up
SW_BULK_OUT Power Supply PS12V
12 Volt output
BULK_GND 15 Watts BULK_GND
PS12v
BULK_GND
+5V A5V
Overview
The Front Panel Board contains a frame buffer converter that takes a video data stream
formatted as 640x240 at 60Hz and converts it to a 640x480 format at 120Hz. The single
video bit stream is also converted to a dual scan LCD type 8-bit parallel interface required by
the EL panel. Appropriate timing signals are also generated to control the EL panel.
An optional alternate interface circuit is included to drive an alternate color LCD panel. Three
color signals (RGB) at 640x240 format at 60Hz and I signal are double scanned using a
video line buffer memory to drive the color LCD panel with a 640x480 format at 60Hz.
Monochrome EL Interface
The monochrome EL panel interface (0670-00-0617-03) consists of two control EPLD’s
(U1,U2) and a dual-port VRAM. The two EPLD’s in essence perform the functions of a simple
video display controller. The input video data is written into the video memory; the output
video data is simultaneously accessed and sent to the EL panel.
The parallel access port of the VRAM is used to write the input video data into memory. As
such, the parallel data port is used only in the write mode. On the other hand, the serial
access port is used only in the read mode to access the video output data. To simplify the
video output logic and timing, the input video data is formatted appropriately before it is
written into the VRAM, while the output video data is clocked directly from the VRAM to the
EL panel.
Only 640x240 bits of memory storage is required, so very little of the much larger available
VRAM is actually used. Refresh of the memory that is being used is automatically performed
as the video data is constantly being written to.
The VRAM parallel access address is controlled by the input horizontal and vertical video
counters. The horizontal counter counts the 912 columns of the display format (640 of which
are displayed data, the remaining columns are used for horizontal retrace). The horizontal
counter is used to drive the column address of the VRAM. The horizontal counter is clocked
by the video dot clock VCLK/ and cleared by the rising edge of the input horizontal sync
signal.
Since the 8-bit input data is formatted as 4 bits for the upper split screen and 4 bits for the
lower split screen, only 4 bits of input video data is written to the VRAM in each access.
Since the video data is written in 4-bit chunks, the lower two bits of the horizontal counter is
not sent to the VRAM address.
Depending on whether the input video data is from the top 120 lines or the bottom 120 lines,
the input video data is written to the lower 4 bits or the upper 4 bits of the 8-bit VRAM input
data path respectively. Since the input video format is single bit serial, a 4-bit shift register is
used to convert the input video data to a 4-bit parallel format. An 8-bit multiplexer directs the
4-bit shift register (double-buffered to accommodate the VRAM timing) to the appropriate half
of the VRAM parallel data input.
The write-per-bit feature of the VRAM is used to mask the appropriate 4-bits of the VRAM
parallel data input such that only the corresponding 4-bits of video information is being
written. A mask of either 00001111 or 11110000 is used depending on whether the input
video data is from the upper screen or the lower screen. The mask is written to the VRAM on
the following edge of RAS/ during the block write cycle. This mask data is selected by the
same 8-bit multiplexer that controls the VRAM parallel input data.
Since the VRAM may not necessarily power up in the correct mask mode, a CBR (CAS/
before RAS/) refresh cycle needs to be performed periodically to reset the VRAM in the
default masking mode (new mask mode) for the mask data to work properly. This is done at
the beginning of every input horizontal scan line. If a output start line address clock cycle is
not needed, then a CBR cycle is initiated in its place, before the pixel data of the horizontal
scan line is written into the VRAM.
The lower 3 bits of the horizontal counter actually forms a state machine that controls the
VRAM memory cycles. The first 3 states (S0,S1, and S2) are used to strobe in the
appropriate row address of the output video stream when the need arises (the data transfer
signal DT/ and the write control signal WB/ are changed accordingly). The last 5 states are
used to write two 4-bit chunks of input video data into the VRAM.
The vertical video counter is used to count the 262 rows of the display format (240 of which
are displayed, the remaining are used for vertical retrace.) The vertical video counter is
clocked by the rising edge of the input horizontal sync and cleared by the input vertical sync
signal. The vertical video counter wraps at count 120, which demarcates the upper and
lower halves of the screen. This is used to toggle the signal TOP/, which indicates which half
of the screen the video data is in. The vertical counter is used to drive the row address of the
VRAM.
Because of the timing requirements of the EL panel, the vertical line timing of the output video
need to be different than the input line timing. To accommodate this, a separate horizontal
and vertical output counters are used to determine when the appropriate row address should
be strobed into the VRAM to initiate another row of output video data. After this row address
is strobed in the VRAM by the RAS/ signal, the CAS/ signal strobe in the column start tap
point, which, in this case, is always zero. An address multiplexer is used to select the
appropriate input and output row and column counters respectively.
The EL panel timing is such that the input video clock of 14.318MHz is divided by 2.5 to
generate the output video clock. A new vertical sync is generated at 120Hz, as well as a
new horizontal sync.
A 910x8 bit video line memory buffer is used to temporarily store each incoming video line
and clocked out twice as fast to double the video line. The input video clock of 14.318MHz
is doubled by a clock doubler circuit. The input horizontal sync signal is doubled simply by
feeding it to the video line buffer and clocking out twice as fast. The RGBI input color video
signals are also fed directly into the video line buffer and clocked out twice as fast directly to
the EL or LCD panel.
The main function of the PAL is to fit the 912 input columns into the 910 bit video line buffer
by effectively deleting two input clock cycles. It also generates miscellaneous control signals
required by the video line buffer.
Alarm LED
The Alarm LED is a high intensity red LED. It is driven by a FET, a 2N7000 which is controlled
by the signal LED0 from the CPU.
Speaker Interconnections
The EL/LCD Panel Board provides connection from the CPU board to the speakers.
Keyboard Interconnections
The four input lines KI0 through KI3 and the eight output lines KD0 through KD7 provide
interconnection between the CPU board and the 8 by 4 matrix keyboard. A jumper on line
KI3 to KD3 and KD4 is used to indicate which display is being used.
DC/DC Converter
The power supply on the Panel Board is a DC/DC converter. The input voltages to the power
supply is from the Line Battery Board which improves the power management of the system.
The input voltage range for the DC/DC converter is 9 to 18 Volts. The power supply provides
a +12V @ 1.250 Amps Max. for the monochrome EL display.
P68 J71
31 31
5 VDC
32 32 5 VDC
33 DGND
DGND 33 34
34
40 SHIELD
FIGURE 2-29 Termination Board Choke Assembly
Termination Resistors
Series 75 ohm termination resistors were inserted on the nine highest frequency EL/LCD
data, clock and sync signals. This was necessary because these signals are generated from
high speed CMOS logic devices whose outputs are under damped and ring. This is shown
in Figure 2-30 below:
Display Sensitivity: 0.25, 0.5, 1.0, 2.0, 3.0, 4.0 cm/mV ±10%
Defibrillator Overload
Protection: Withstand Lown and trapezoidal or Edmark
waveform up to 400 joules applied to 100
ohm load and electrode at 20 second
intervals. As per ANSI/AAMI EC13-1983
par. 3.2.2.2.
• IBP
Range to Digital Display Systolic/Diastolic/Mean -20 to +300 mmHg
Pressure Transducer
Measurement System Accuracy: 3 mmHg or 2% whichever is greater
Pressure Transducer
Measurement System
Accuracy: ±3 mmHg or ±2% whichever is greater
from 20 to 250 mmHg (ANSI/AAMI
SP10-1992)
• Temperature
Scale: Selectable ºC or ºF
Range: 15 ºC to 45 ºC
59 ºF to 113 ºF
Drift: None
• Recorder
Speed: 50, 25, 12.5, 6.25, 3.125 mm/sec ± 5%
Chart Size: 50 mm ± 2 mm
Run Time:
(XG) 2 hours from full charge of new battery
at 25 °C with SpO2, 1 NIBP every 15
minutes, no recorder, with color display only.
Number of Batteries: 2
Power Requirements: The RTC keeps time whether the rest of the
system has power or not. A dedicated
battery provides stand by power for the
clock circuit.
** For Sidestream Intubated configurations, the in-line disc filter must be removed for breath
rates above 18 bpm. The increased dead space could compromise the accuracy specification.
• CO2 - Mainstream (all units except for 0998-00-0134-XX and 0998-00-
0137-XX)
Range: 0 - 76 TORR
Mainstream / Sidestream
(Non-Intubated) Accuracy: ±2 TORR (0-40 TORR)
±5% (41-70 TORR)
±8% (71-100 TORR)
Sidestream
(Intubated) Accuracy*: ±5 Torr (0 - 40 Torr)
±13% (41 - 100 Torr)
Operating Temperature: 10 °C to 35 °C
The Passport 5L-CE and XG-CE are designed to comply with the following industry standards:
EN60601-1-2: 1995
The Passport 5L, 5L-CE and XG, XG-CE are registered with the following agencies:
UL-USA
CSA-Canada
The Passport 5L-CE and XG-CE comply with the requirements of the medical device directive
93/42/EEC.
4.1 Introduction
This chapter of the Service Manual provides the necessary technical information to perform
repairs to the instrument. The most important prerequisites for effective troubleshooting are a
thorough understanding of the instrument functions, as well as an understanding of the theory
of operation. Therefore, if necessary, refer to the Operating Instructions (P/N 0070-00-0324
for 5L units or P/N 0070-00-0397 for XG units) which describes the instrument functions and
features, and refer to Chapter 2 of this manual which provides a theory of operation.
The cause of the symptom can now be further isolated by referring to Chapter 2. Section
2-5 contains a listing of specific circuits or areas in the instrument, each of which is
dedicated to provide a specific function. Once the operation of that circuit is
understood, trouble-shooting can be completed by making measurements in that circuit
to determine which component(s) is at fault.
2. Avoid Shorting Component Leads. During repair procedures, it can become
tempting to make a series of quick measurements. Always turn off the power before
connecting and disconnecting test leads and probes. The accidental shorting of
component leads can easily over stress components, resulting in a second unnecessary
failure (aside from creating a possible safety risk).
3. Use The Proper Equipment. This equipment listed in “Equipment and Special Tools
Required” on page 4-3 is suggested to fulfill a wide range of troubleshooting
requirements. Use a soldering iron the appropriate wattage for a given job. For
example, use a pencil-type iron (25 watts max.) for repairs to printed wiring boards and
a pistol-grip (75 watts) for repairs requiring this much power. Do not use the high
powered iron to repair the printed wiring boards as the conductors will lift from the
board under the extreme heat, thus ruining it.
4. Clean The Repair Area. After soldering operations, clean off the repaired area with
alcohol and a stiff hair brush. This will remove residual solder flux, making the repaired
area more visible for inspection and returning the instrument to its original, neat
appearance. Removal of the flux will also facilitate making electrical measurements in
the affected area.
Exchange Program
Datascope offers an exchange program for certain assemblies in the instrument. In many
cases, replacement of the complete assembly will result in the most expedient repairs. See
“Exchange Program” on page 6-2 for details concerning the exchange program.
NOTE: Special care should be taken to insure that the front panel
and glare screen are not scratched.
2. Remove the eight screws (31) from the back housing (30).
3. Turn the Passport over, and slowly lift the front housing up and forward.
4. Disconnect the 40 pin ribbon cable (10), J71 from the Panel Board (16) mounted in the
front housing.
NOTE: The E.L. assembly consists of the E.L. display (121) and The
E.L. Power Supply Board (121).
1. Place the front housing, with the E.L. display down on a protective surface.
2. Unfasten the four captive screws at the corners of the shield (128).
3. Lift the shield (128) from the front housing assembly. Disconnect the cable connectors
J77 and J78 from the Panel board (16). Remove the keypad ground screw (39) from the
panel board. Disconnect the cable assembly J72 connector from the Panel board and
place the Panel board assembly aside.
4. Remove the four screws (138) that secure the left (145) and right (146) brass brackets to
the front panel assembly. Remove the assembly from the casing.
5. Disconnect the cable assembly from the High Voltage Power Supply (153)mounted to the
front housing. remove the four screws (39) from the four corners of the LCD Color
Display assembly (131). Lift the LCD Color Display (131) and remove.
1. Remove the protective coating from the back of the keypad (do not remove protective
cover from the front side of the keypad).
2. Insert P72 and the ground strap through the cutout in the front housing (3) and stick the
keypad in place.
3. Remove the protective coating from the front of the keypad.
4. Place the correct overlay onto the keypad being careful to align printed graphics to the
membrane switches.
1. Remove the two screws which secure the sub-assembly to the rear housing (30).
2. Disconnect P62, 63, 64, 65, and 67 from the PCM Board (52) and the ground wire
from the board frame.
NOTE: P63 has side locking tabs. To remove, apply pressure from
the side of the plug while pulling towards the top of the
Passport. J65 has side locking tabs. To remove, push the
locking tabs to the side, then pull plug toward the rear of
the Passport. When reinstalling P65, insure locking tabs are
in the locked position. P63 is self locking.
3. Remove the Datasette door (77) and remove the Datasette (51).
4. Lift the sub-assembly up far enough to disconnect the NIBP hose and P93 from the CO2
Interface Board. Lift the sub-assembly up and out of the rear housing. The right side
panel (69) stays with the rear housing and the left side panel (19) comes out with the
sub-assembly.
a. Removal of the CO2 Control Board (98)
1. Disconnect P201 and P204 from the CO2 Board.
2. Remove the four screws at the corners of the CO2 Board.
3. Remove board.
6. Remove the six screws holding the IBP and ECG connectors and the one nut
securing the temperature connector. Remove board from the left side panel.
i. Removal of the Front End Board
1. Remove the four screws securing the Front End cover (42) to the board frame
(48).
2. Remove the four screws (26) at the corners of the Front End Board.
1. Remove the four screws (39) securing the Front End cover (42) to the board
frame.
2. Remove the cable from the Interconnect Board at P3, lift board upward and
remove.
A. Removal of the Power Supply, Line Battery and +12/-23 Volt Boards
(75&76)
1. Remove the board sub-assembly.
2. Disconnect P51 (35) and P53 (32) from the Line Battery Board (76).
3. Lift both the line battery and the +12/-23 Volt Board out of the rear housing. The two
boards can be pulled apart by disconnecting J54/P58.
4. When reinstalling the Power Supply Boards check the following
• The two boards are placed in the rear housing card guides.
• The foam block, that holds the top of the power supply, located on the board frame, is
in place.
A. Removal of the NIBP Module (B)
1. Remove the board sub-assembly (A).
2. Remove, the four snap rivets (57) holding the NIBP module (25) to the module brackets
(18 & 19).
3. Slide the module towards the top of the Passport and lift to remove.
a. Removal of the Control Board (51) from the NIBP Module
1. Use a small flat blade screwdriver to lift the center pin of the four snap rivets.
2. Lift the Control Board up and remove P31 (61) and the transducer hose from the
transducer.
b. Removal of the Pump Assembly (60) from the NIBP Module
1. Remove the Control Board.
2. Disconnect P29 from the Pneumatic Board.
3. Disconnect the hose from the pumps pressure port.
4. Turn module over and punch out pump assembly by tapping pump mounting
plate. Do not force screwdriver between the black velcro.This will damage the
velcro and reduce holder strength.
c. Removal of the Pneumatic Board (65) from the NIBP Module
1. Remove the Control Board.
2. Remove one screw (39) located near J34.
3. Slide and lift the Pneumatic Board from the chassis.
2. Locate the two screws behind the recorder door (towards the back).
3. Loosen the two screws and slide the recorder out of the rear housing.
4. Disconnect the ribbon cable (33) from the recorder and remove recorder.
8. To prevent the optical surfaces from attracting dust, dirt, and scratches, we
recommend that the backlight replacement be performed in a dust free
environment.
9. Customers replacing the backlight do so at their own risk. Datascope will not
assume any liability, and will not warrant any displays which have been modified
by the customer, including replacement of the backlight, even when the following
procedure is used and all of the necessary precautions have been taken.
Replacing the backlight can cause a lowering of the quality (performance). Even if
the replacement work is performed in accordance with the following procedure,
Datascope can not guarantee the resulting quality.
1. Perform the steps outlined in “Removal of the Passport XG LCD Color Display” on
page 4-4.
2. Taking care not to scratch the front of the display, place it face down on the flat static
free work surface.
3. Looking at the back of the display, locate the metal backlight holder by following the
high voltage wires to the side of the backlight tube.
4. Using round tipped tweezers, or an equivalent tool, release the backlight holder by
carefully pressing down on the small plastic tab that latches it in place. See Figure 1,
Detail “A” Side View.
5. Slowly, gently, and in a straight line pull the backlight and holder out of the side of the
display. If the fluorescent lamp was broken inside the display, carefully pull out the
backlight. If pieces of the glass remain inside the display, carefully remove them.
6. Once the old backlight and holder have been removed, slowly, gently, and in a straight
line push in the new backlight (P/N 0149-00-0009) until the small plastic tab latches it
in place.
7. Reassembly of the display into the Passport is the reverse of the disassembly.
.
Figure 1.
Bottom
NEC
Backlite
Assembly Detail "A"
Detail "A"
Side View
1. Secure the hook mount (P/N 0436-00-0062) to the rear of the Passport using four #8-
32 x .38 flat head screws (P/N 0212-14-806).
2. Place the Passport over any bedrail with a diameter of less than 1.25".
1. Secure the mounting plate (P/N 0386-00-0156) to the rear of the Passport using four
#8-32 x .38 flat head screws (P/N 0212-14-0806).
2. Place the two lower clamps (P/N 0343-00-0064) into the slots at the bottom of the bed
mount (P/N 0997-00-0297) and secure using the two knobs (P/N 0366-00-0080).
3. Place bed mount over lower bedrail and secure in place by positioning the lower clamps
against bedrail and tightening the two knobs.
1. Secure the mounting plate (P/N 0386-00-0156) to the rear of the Passport using four
#8-32 x .38 flat head screws (P/N 0212-14-0806).
2. While pulling down on the spring lock, slide the holding bracket into the swivel head of
the rolling stand or the wall mount.
3. Place the Passport into the slots in front holding bracket.
1. Secure the Mounting Plate (P/N 0386-00-0156) to the power supply bracket (P/N
0406-00-0544) using the four #8-32 x .38 flat head screws (P/N 0212-14-0806).
2. Insert the line cord into the cable clamp (P/N 0343-00-0101-06). Close the cable
clamp, then position it between the mounting tab on the power supply and the power
supply bracket (P/N 0406-00-0544).
3. Secure the power supply and the cable clamp (P/N 0343-00-0101-06), with the line
cord, to the power supply bracket (P/N 0406-00-0544) using the two #6-32 x .5 pan
head screws (P/N 0212-12-0608). Ensure that when the cable clamp is secured to the
power supply bracket the line cord can be put into a service loop approximately 2
inches (5 cm) in diameter.
4. Place the power supply into the slots in the back of the holding bracket.
FIGURE 4-1 Rolling Stand FIGURE 4-2 Bedrail Hook Mount FIGURE 4-3 Bed Mount
0040-00-0121-02 0040-00-0121-04
Rem o te C o l o r
D i sp la y
C RT M o u n ti n g
Br a c ke ts
C RT M o u n ti n g
Pl a te W a ll
M o unt
A r m M o u n ti n g A r m Pl a te
Pl a te
+
10'- 3"
1
4 6 5 1
8
2
5 7
3
Case 9 6
DIN D-SUB
YEL YEL
1 1
RED R1 RED
2 6
ORN ORN
4 2
WHT WHT
3 4
BLK BLK
7 5
Inner shield
5 9
R2 BLU - N.C. N.C.
6 7
BRN - N.C. N.C.
8 3
GRN GRN
Case 8
Resistor
R1:; 22.1 W 1 %, type RN55D. Refer to Datascope P/N: 0309-00-22X1.
Resistor shall be located inside DIN plug and connected in series with Pin 2 and the RED
wire. The splice between the red wire and resistor shall be mechanically secure and suitably
insulated.
Resistor shall be located inside DIN plug and connected between Pin 6 and Pin 8. Resistor
shall be mechanically secure and suitably insulated.
Bed Clip: Each cable assembly shall include a bed clip, Datascope P/N: 0343-00-0042.
Pin 1
Pin 1
Key
Designation
1 YEL YEL
2 BLK BLK
3 ORN ORN
4 BLK BLK
5 RED RED
6 BLK BLK
7 WHT WHT
8 BLK BLK
GRN GRN
9
10 BLK BLK
BRN BRN
11
BLK BLK
12
BLU BLU
13
BLK BLK
14
GRN GRN
15
16 RED RED
* This version cable is exactly the same as the other except it also has a ferrite on it for CE approval.
* This version cable is exactly the same as the other except it also has a ferrite on it for CE approval.
P1 P2
F A
E B
View A-A
P1
N.C. P2
1-3
AGND A
4
AGND
5
N.C. 10
6-8
ECG B
9
N.C.
10 - 16 10 k C
N.C. D
NOTE E
* This version cable is exactly the same as the other except it also has a ferrite on it for CE approval.
Terminal 1
P1 A P2
H B
J
F C
View A-A
P1
N.C. P2
1-3
AGND A
4
AGND
5
N.C. 10
6-8
ECG
9 H
N.C.
10 - 16 10 k B
D
SEE NOTE 1
* This version cable is exactly the same as the other except it also has a ferrite on it for CE approval.
5
9
6
1
+
8' - 1"
P1 P2
P1 P2
1 N.C. N.C. 1
2 2
3 3
4 N.C. N.C. 4
5 5
6-16 N.C. N.C. 6-9
* This version cable is exactly the same as the other except it also has a ferrite on it for CE approval.
P1
9 J1
4-40 JACKPOST
+
18 .25
-
P1 CABLE SHIELD
C1
.1 uF
Q1
13 2N4401
J1
R1 RED 1
220 2
R2
3
120
4
Q2
12 2N4401 5
6
R3 7
GREEN
8
220 R4
9
120 10
Q3 11
11 2N4401 12
13
R5 14
BLUE
15
220 R6
120
SHELL
R7
16 VSYNC
120
15 R8 HSYNC
120
SHELL SHIELD
C D
B E
A F
.900 Dia
See CONNECTOR
WHT (RED)
A RA
BLK (YEL)
B LA
RED (GRN)
C LL
D N.C.
N.C.
E
E
D F
C A
B
.870 Dia
See CONNECTOR
A WHT (RED)
RA
B BLK (YEL)
LA
C RED (GRN)
LL
D N.C.
E N.C.
AHA CONVENTIONAL
STANDARD IEC CONVENTIONAL STANDARD
E
D F
C A
B
.870 Dia
See CONNECTOR
RESPIRATION
WHT (RED)
A RA
B BLK (YEL)
LA
C RED (GRN)
LL
D N.C.
E N.C.
Right Angle ECG Patient With Internal Resistors And Choke Block -
0012-00-00993-XX (A)
LENGTH-+ 3"
C D
B E
A F
.900 Dia
See CONNECTOR
RESPIRATION
WHT (RED)
A RA
B BLK (YEL)
LA
C RED (GRN)
LL
D N.C.
E N.C.
AHA CONVENTIONAL
STANDARD IEC CONVENTIONAL STANDARD
0.6"
1.35" +
LENGTH- 6"
P1 Connector Shield P2
4 4
5 5
10 10
11 11
12 12
13 13
14 14
1 1
6 6
2 2
7 7
3 3
8 8
Cable Outer Shield
Parts Listing for circuit board contained within nurse call cable:
CAPNOSTAT R
CAPNOSTAT
Serial Number
XXXXXX
Non-Intubated Adult
3 6 4
5
Intubated Adult
7
1
2
Masimo/Nellcor
Interface
MASIMO/
CO2 NELLCOR
CPU 12/23.5V INTERFACE INTERFACE
1 1 — — Brown +5
2 2 — — Red +5
3 3 3 — Orange D Ground
4 4 — — Yellow D Ground
5 5 — — Blue P Ground
6 6 — — Violet P Ground
7 7 — — Gray +12
8 8 — — White +12
9 9 — — Black +15
10 10 — — White/Brown A Ground
11 11 4 — White/Red -15
12 12 1 — White/ Sw/Bulk
Orange
13 13 — — White/Yellow BLEN
14 14 — — White/Blue -23.5
15 15 — — —- KEY
16 16 — — White/Violet —-
—- —- 2 — —- Spare
—- 12 — 1 White/ SW/Bulk
Orange
—- 3 — 2 Orange D Ground
Schematic drawings and accompanying assembly drawings of printed circuit boards are provided in the
remainder of this chapter.
The following is a list of the drawings and the corresponding drawing number (if available) and the page where
it can be found.
FIGURE 5-30 Front End Board FIGURE 5-31 Front End Board
0670-00-0560-03/04 (5L-CE) 0670-00-0624-01/02 (5L-CE)
FIGURE 5-69 VGA/EL Panel Board/VGA/LCD Panel Board Display Interface Assembly (XG)
0670-00-0617-02
0670-00-0617-03
FIGURE 5-70 VGA/EL Panel Board/VGA/LCD Panel Board Display Interface Assembly (XG)
0387-00-0617-02
0387-00-0617-03
Sheet 1 of 2
FIGURE 5-71 VGA/EL Panel Board/VGA/LCD Panel Board Display Interface Assembly (XG)
0387-00-0617-02
0387-00-0617-03
Sheet 2 of 2
Lin
6.1 Introduction
This chapter of the Service Manual provides information necessary to identify the
replacement parts and assemblies of the instrument.
Many circuit boards make extensive use of multilayer technology and high density
packaging. Individual component replacement is not recommended on these boards unless
the technician is properly equipped to repair multilayer circuit boards.
Circuit boards, returned as parts of the exchange program, that show evidence of improper
repair techniques and are damaged in the process are not considered for exchange.
Damaged boards will be invoiced at full value and no exchange credit will be applied.
NOTES:
Many components are described with sufficient detail to permit procurement through local
commercial channels. This applies to hardware, such as screws and fasteners, as well as to
certain electronic components, such as resistors, capacitors, certain integrated circuits and
transistors. However, in some cases, components are selected by Datascope to meet special
performance criteria above and beyond the component manufactures specifications. This
may apply to solid state components, relays and batteries. The use of other than Datascope
components in these applications may result in degradation of reliability or instrument
performance characteristics.
6.7 Abbreviations
The following abbreviations may appear in the parts listings which follow and/or through the
manual.
ABBREVIATION TERM
A/D Analog to Digital
AMP Amplifier
BUF Buffer
CAP Capacitor
CC Carbon Composition
CER Ceramic
CERM Ceramic
CNTR Counter
CONN Connector
CONT Controller
CONV Converter
CPU Central Processing Unit
DCDR Decoder
DIFF Differential
DIA Diastolic
DIO Diode
D/A Digital to Analog
ELEC Electrolytic
EPROM Erasable Programmable Read Only Memory
FXD Fixed
I.C. Intergrated Circuit
INT. CKT. Intergrated Circuit
KYBD Keyboard
LED Light Emitting Diode
MF Metal Film
MONO Monostable
MYLR Mylar
NTWK Network
OP Operational
PB Push Button
PIA Peripheral Interface Adaptor
POT Potentiometer
PRESS Pressure
PWR Power
RAM Random Access Memory
REC Receiver
STG Stage
STK Stacked
SUP Supply
ABBREVIATION TERM
SW Switch
SYST Systolic
TANT Tantalum
TRANS Transistor
TRANSIS Transistor
VAR Variable
VIA Versatile Interface Adapter
XDCR Transducer
XFMR Transformer
XSTL Crystal
XSTR Transistor
FIGURE
NO. DESCRIPTION PART NO.
1 Label, Keypad Overlay, 5L & LT 0331-00-0064-XX*
1 Label, Keypad Overlay, XG 0330-00-0017-XX*
N/S Label, Amber Mute Overlay Key 0334-00-1347
N/S Label, Blank, (Used w / no Recorder option) 0334-00-0973
2 LCD Filter Glare Screen 0378-00-0033
2 E.L. Filter Glare Screen 0378-00-0035
2 Color LCD Filter Glare Screen 0378-00-0038
3 LCD Front Housing (LT,5L) 0380-00-0187-02
3 E.L. Front Housing (LT,5L) 0380-00-0205-02
3 XG, Front Housing 0380-00-0298
3 XG, Front Housing (0998-00-0134-83-84-95-96)
0380-00-0298-02
3 XG, Front Housing (CE) 0380-00-0332-01
4 Label, Front Housing Logo (5 Lead) 0334-00-1341
4 Label, Front Housing Logo (LT) 0334-00-1354
5 Cable Assy., SpO2 patient Connector 0012-00-0431-06
5 Cable Assy; SpO2 patient connector (CE) 0012-00-1009
5 Cable Assy; SpO2 patient connector (Nellcor) 0012-00-1052
6 Cap, CO2 plug (CE) 0200-00-0311
7 PCB, Interconnect Bd. 0670-00-0576-01
7 PCB, Interconnect Bd. H/P Style 0670-00-0615
7 PCB, Interconnect Bd, (CE) 0670-00-0628
7 PCB, Interconnect Bd, HP (CE) 0670-00-0629
N/S Standoff, Pcb, 3/16"lg. 0361-41-0001
N/S Standoff, Pcb, 3/8" lg. 0361-41-0002
8 LCD Display 0160-00-0007
9 Cable, LCD to Panel bd. 0012-00-0676
10 Cable, CPU to Panel Bd. 0012-00-0744
11 Plastic Mesh 0349-00-0173
12 Cable, Speaker 0012-00-0257-01
13 Tape, Self Adhesive 0348-00-0152
14 Screw, #4-40 x .312 Lg. Pan Hd. 0121-04-0405
15 Bracket, Speaker 0406-00-0561
16 Panel Bd. (LCD Version, 5L & LT) 0670-00-0546
16 Panel Bd. (E.L. Version, 5L & LT) 0670-00-0500
16 VGA/EL Panel Bd. (XG) 0670-00-0617-01
16 VGA/LCD Panel Bd. (XG-Color LCD) 0670-00-0617-02
16 VGA/EL Panel Bd. (XG-CE) 0670-00-0617-03
17 Knob, Panel Board 0366-00-0079
N/S = Not Shown
* See tables on page 6-26 for the part numbers of various versions of the keypad overlays.
** This cable is part of the Daughter Bd. for all other versions other than XG-CE.
FIGURE
NO. DESCRIPTION PART NO.
19 Panel, Left Side 0380-00-0207-02
19 Panel, Left Side (Nellcor input) 0380-00-0254-02
20 Battery (single battery) (2 req.) 0146-00-0043
21 Door, Battery 0370-00-0016-02
22 Latch, Battery Door 0105-00-0075
22A Strap, Battery Door 0346-00-0033
23 Recorder 0683-00-0441
23B Label, Loading Recorder's Paper 0334-00-1431
23C Door, Filler Plate (No recorder Version) 0370-00-0017-02
24 Cable, Assy., NIBP Module to CPU Bd. 0012-00-0593-04
25 NIBP Module Assy. 0997-00-0469
25 NIBP Module Assy. (5L-CE) 0997-00-0915-01
25 NIBP Module Assy. (XG-CE) 0997-00-0468
26 SCR, #6-32 x .312 lg. PN HD 0212-12-0605
27 Handle (1 piece) 0367-00-0052
28 Bracket, NIBP, Left 0406-00-0543
28 Bracket, NIBP, Left (SSCO2) 0406-00-0721
28 Bracket, NIBP, Left (CE) 0406-00-0703
29 Bracket, NIBP, Right(CE) 0406-00-0704
29 Bracket, NIBP, Right 0406-00-0541
30 Back Housing English / French 0380-00-0186-02
30 Back Housing English (Sidestream) 0380-00-0186-03
30 Back Housing German (5L) 0380-00-0236-02
30 Back Housing (XG-CE with Sidestream) 0380-00-331-01
30 Back Housing (XG-CE without Sidestream) 0380-00-331-02
31 SCR, #6-32 x .50 lg PN HD 0212-12-0608
N/S Label, Caution (top under handle) 0334-00-1428
N/S Clamp, cable, Adhesive Backed 0343-05-0002
N/S Label, Inside Datasette Door 0334-00-1429
N/S Label, Serial Number (blank number) 0334-00-1358
32 Cable Assy, Line Battery 0012-00-0662-02
to Power Connector And Switch
32 Cable Assy, Line Battery 0012-00-1008
to Power Connector and Switch (5L-CE)
32 Cable Assy, Line Battery 0012-00-1070
to Power Connector and Switch (XG-CE)
33 Cable Assy, Recorder to CPU 0012-00-0659
33 Cable Assy, Recorder to CPU (XG-CE) 0012-00-1067
34 Plate, Luer 0386-00-0162
35 Battery Holder Assy. 0997-00-0292
N/S = Not Shown
* See tables on page 6-26 for the part numbers of various versions of the keypad overlays.
** This cable is part of the Daughter Bd. for all other versions other than XG-CE.
FIGURE
NO. DESCRIPTION PART NO.
36 Cable Assy., CPU to +12/-23.5 V Supply Bd. 0012-00-0673
37 Cable Assy., SpO2 to CPU Bd. 0012-00-0658
38 Cable Assy., Frontend to CPU Bd. 0012-00-0674
39 SCR #4-40 x 1/4 lg. PN HD Mach. 0212-12-0404
40 Insulator Front End Board 0349-00-0140
41 Keypad, Switch Membrane (5L & LT) 0331-00-0068
41 Keypad, Switch Membrane (XG) 0331-00-0092
41 Keypad, Switch Membrane (XG-Color LCD) 0331-00-0098
42 Cover, Frontend 0200-00-0284
43 Label, w/Datascope SpO2 0334-00-1044-XX*
43 Label, w/Nellcor SpO2 0334-00-1161-XX*
43 Label, w/Masimo SpO2 0334-00-1457-XX*
44 SCR, #8-32 x 3/16 lg, Set Hex 0212-05-0806-21
45 Pin, Handle 1/8" Dia. (2 required) 0226-00-0015
45A Washer, .03 Thick White Rubber (2 required) 0221-00-0116
46 Washer , Lock Internal Tooth 0210-09-0006
47 Nut, Hex 6-32 (used to secure cable to Interconnect Bd.) 0223-00-0006
47A Cable Interconnect GND 0012-00-0701
48 Frame, Board Mount 0426-00-0061
49 Screw, #4, 5/16 lg. PH Self Tapping 0213-09-0405
49 Screw, #4-40 x 7/16 Lg. PH Self Tapping 0213-08-0407
49A Spacer, Nylon 0361-09-0004
50 Washer, Internal Tooth #4 0210-09-0004
51 Datasette, (Table 6-1 on page 6-17) 0670-00-0561-XX
51 Datasette, (Table 6-1 on page 6-17) 0670-00-0574-XX
52 CPU Bd. Assy. (0998-00-0126-XX, 0998-00-0133-XX, 0670-00-0591
w/o battery)
52 CPU Bd Assy. (0998-00-0131-XX, 5L-CE 0670-00-0623
w/o battery)
52 CPU Bd Assy. (0998-00-0134-XX, 5L, XG 0670-00-0631
w/o battery)
52 CPU Bd Assy. (0998-00-0137-XX, XG-CE 0670-00-0651
w/o battery)
52 CPU Bd. Assy. (0998-00-0134-XX, 5L, XG 0670-00-0688
w/o battery) 5L-S/N 10000 and above, XG-S/N 15000
and above
52 CPU Bd. Assy. (0998-00-0137-XX, XG-CE 0670-00-0689
w/o battery) S/N 15000 and above
52A Termination Bd. (loc. J68 on CPU Bd), XG-CE 0670-00-0648
53 Cable , Clamp (White) 0343-00-0066
54 PCB, Front End Bd. 0670-00-0560-03
N/S = Not Shown
* See tables on page 6-26 for the part numbers of various versions of the keypad overlays.
** This cable is part of the Daughter Bd. for all other versions other than XG-CE.
FIGURE
NO. DESCRIPTION PART NO.
54 PCB, Front End Bd. H/P option 0670-00-0560-04
54 PCB, Front End Bd (5L-CE) 0670-00-0624-01
54 PCB, Front End Bd HP (5L-CE) 0670-00-0624-02
54 PCB, Front End Bd (XG-CE, 54A not used) 0670-00-0620-01
54 PCB, Front End Bd HP (XG-CE, 54A not used) 0670-00-0620-02
54A Daughter Bd. 0670-00-0611
54A Daughter Bd (5L-CE) 0670-00-0627
56 Tape, Closed Cell Vinyl 1.8" thick 0215-00-0093-01
57 Rivet, Snap 0225-00-0001
58 PCB, Control Board 0670-00-0375
58 PCB, Control Board 0670-00-0657
59 Standoff, Hex MF Nylon #4-40 0361-32-0250
60 NIBP Pump, w/o Cable Assembly 0119-00-0116
60 NIBP Pump, w/o Cable Assembly (used with 0104-00-0019
0997-00-0468 & 0469 NIBP Modules)
61 Tubing, Silicone 1/8" ID x 1/4" OD 0008-10-0408
62 Filter, 43uF 0378-02-0002
63 Tape , Interconnecting 0215-08-0001
64 Chassis, NIBP Module 0441-00-0067
65 PCB, Pneumatic Assy. 0670-00-0447
65 PCB, Pneumatic Assy. CE (Linear Bleed) 0670-00-0605-01
66 Tubing, Silicone 1/16" ID x 1/8" OD 0008-10-0204
67 Standoff, Hex Metal #4-40 (CE) 0361-30-0437
67 Standoff, Hex Nylon #4-40 0361-32-0500
68 Cable Pneumatic Bd. to Control Bd. 0012-00-0656
69 Panel, Right Side (Power Input) 0380-00-0184-02
70 Label, Power Input 0334-00-0968
70 Label, Power Input w/o J1 conn. 0334-00-0968-04
(0998-00-0134-83,-84,-95,-96)
71 Insulator, Frame (for interconnect Bd.) 0349-00-0132
72 Switch, Curved Rocker 0261-00-0139-02
75 PCB, +12/-23.5 V Supply Bd. 0670-00-0450
76 PCB, Line Battery Supply Bd. 0670-00-0449
76 PCB, Line Battery Bd (5L-CE) 0670-00-0621
76 PCB, Line Battery Bd (XG) 0670-00-0626
76 PCB, Line Battery Bd (XG-CE) 0670-00-0656
77 Door, Datasette 0370-00-0015-02
78 Screw, #4-40 x .437 lg. Captive 0217-00-0005
N/S Washer, Captive Split, #4 0221-00-0114
79 Battery, CPU Bd. 0146-02-0001
N/S = Not Shown
* See tables on page 6-26 for the part numbers of various versions of the keypad overlays.
** This cable is part of the Daughter Bd. for all other versions other than XG-CE.
FIGURE
NO. DESCRIPTION PART NO.
80 Shield, Mylar 0349-00-0122
81 Plate, Pump (used with 0997-00-0468 and 0997-00- 0386-00-0225
0469 NIBP Modules)
81 Plate, Pump 0386-00-0154
82 Muffler 0103-00-0329
83 Filter, 5um 0378-02-0001
84 Check Valve 0103-00-0457
85 Screw, Mach, Metric Flat Hd. Cross Recessed 0211-27-0001
M4 - 0,7 x 8 Lg
86 PCB, SpO2 Bd. (Datascope) 0670-00-0482
86 PCB, SpO2 Interface Bd. Nellcor 0670-00-0557
86 PCB, SpO2 Interface Bd. (MS-1) 0670-00-0665-01
86 PCB, SpO2 Interface Bd. (Nellcor) 0670-00-0665-02
N/S Bumper (3 req. on back of bd.) 0348-00-0154
87 Wire, 18 ga. 0006-02-1854
N/S Ring Terminal 0210-19-0006
88 PCB SpO2 Daughter Bd. (CE) 0670-00-0619
89 Pneumatic fitting, Luer Male(w/ washer & nut) 0103-00-0223
90 Insulator Cover 0349-00-0131
90 Insulator Cover (XG-CE) 0349-00-0289
91 Spacer, P/S Bd 0361-00-0153
92 Clamp, Cable, 3/16, Self Adhesive 0343-00-0007
93 Ault Power Supply (External Power Supply) 120V, 5L-CE 0014-00-0027-22
Units only
93 Ault Power Supply (External Power Supply) 220V, 0014-00-0027-23
3L, 5L, LT
93 Ault. Power Supply, 3L, 5L, LT 0014-00-0173-01
93 Ault. Power Supply, XG 0014-00-0173-04
N/S Line Cord (Domestic) 0012-25-0001
N/S Line Cord (Europe) 0012-25-0002
94 CO2 Interface Bd. (0998-00-0126-XX, 0998-00-0131- 0670-00-0497
XX,0998-00-0133-XX)
94 CO2 Interface Bd. (0998-00-0134-XX, 0670-00-0632-02
0998-00-0137-XX)
95 Cable, CPU to +12/-23v Bd. to CO2 Interface Bd.(5L-CE) 0012-00-0738
95 Cable, CPU to +12/-23v Bd. to CO2 Interface Bd. (XG) 0012-00-1053
95 Cable, CPU to +12/-23v Bd. to CO2 Interface Bd. (XG- 0012-00-1071
CE)
95 Cable, CPU to + 1/2v/-23v Bd. To CO2 Interface Bd. 0012-00-1100
And SpO2 Interface Bd.
96 Cable with CO2 Left side Connector 0012-00-0733
96 Cable with CO2 Left side Connector (5L-CE) 0012-00-1006
N/S = Not Shown
* See tables on page 6-26 for the part numbers of various versions of the keypad overlays.
** This cable is part of the Daughter Bd. for all other versions other than XG-CE.
FIGURE
NO. DESCRIPTION PART NO.
96A CO2 Left side Panel Connector 0131-00-0243
96B CO2 Left side Panel Connector (XG-CE w/GND) 0131-00-0244
97 Cable, CO2 Control Bd. to CO2 Interface Bd. 0012-00-0743
97 Cable, CO2 Contr. Bd. to CO2 Interface Bd. (XG) 0012-00-1046
98 CO2 Control Module (0998-00-0126-XX, 0671-00-0001
0998-00-0131-XX,0998-00-0133-XX)
98 CO2 Control Module (0998-00-0134-XX) 0671-00-0118
98 CO2 Control Module (0998-00-0137-XX) 0671-00-0120
99 Plate, CO2 Mounting (Nellcor SpO2, 5L-CE) 0426-00-0052
99 Plate, CO2 Mounting (5L-CE) 0386-00-0221
99 Plate, CO2 Mounting (Nellcor SpO2, SSCO2) 0386-00-0230
99 Plate, CO2 Mounting (XG-CE) 0386-00-0230
99 Plate, CO2 Mounting (XG w/Nellcor, Masimo) 0386-00-0234
100 Standoff, #4-40 x .43 Lg Hex 0361-30-0180
101 Insulator, Spo2 Bd. 0349-00-0141
101 Insulator, SpO2 Interface Bd. 0349-00-0300
102 Cable, CPU to CO2 Interface to SpO2 Bd. 0012-00-0737
103 Clamp, CO2 Connector 0343-00-0070
104 Screw, #2-56 x .375 Mach FH 82 Degree 0212-16-0206
105 Bumper 0348-00-0161
106 PCB, Nellcor, Pulse Oximetry Module 0671-00-0007
107 Bracket, Connector Nellcor 0406-00-0635
108 Door, Connector, Nellcor 0307-00-0021
109 Nut Fastener Nellcor 0220-07-0002
110 Screws 0212-04-0403
111 Cable Assy, SpO2 Interface/Nellcor 0012-00-0885
112 Terminal, Equipotential 0124-00-0104-01
113 Washer, German Green-Yellow 0124-00-0104-02
114 Washer, 1/4 Lock 0124-00-0104-03
115 Nut, M6 x 1.00 Thread 0124-00-0104-04
116 Cable Assy., German Ground 0012-00-0829
117 Screw, #6-32 x 1 1/2" LG (German ver, Only) 0212-14-0624
118 Spacer, Round Nylon (German Ver. Only) 0361-08-0014
119 Thumb Screw 0211-00-0138
120 Shield, E.L. Display (CE) 0337-00-0098
121 E.L. Display w/ Power Supply Bd. (Planar) 0160-00-0009
122 Cable, Power Supply to E.L. Display 0012-00-0735
123 Cable, Power Supply to E.L. Panel Bd. 0012-00-0734
123 Cable, Power Supply to E.L. Panel bd. (CE) 0012-00-1007
124 Mylar Insulator, E.L. Power Supply 0349-00-0172
N/S = Not Shown
* See tables on page 6-26 for the part numbers of various versions of the keypad overlays.
** This cable is part of the Daughter Bd. for all other versions other than XG-CE.
FIGURE
NO. DESCRIPTION PART NO.
125 SCR # 4-40 x 1/4 Lg. PN HD Mach. 0212-12-0404
126 Mylar Insulator, CO2 Frame (Masimo) 0349-00-0268
126 Mylar Insulator, CO2 Frame (Nellcor, CE) 0349-00-0284
127 Washer, Nylon 0210-07-0004
128 Bracket, XG Screen 0406-00-0694
128 Bracket, XG-CE Screen 0406-00-0726
129 Feet 0348-00-0182
130 Insulator, XG Front Panel Bd. 0349-00-0266
131 XG E.L. Display 0160-00-0044
131 XG Color LCD Display 0160-00-0028
N/S Backlight, Color Display 0149-00-0009
132 Bracket, XG Speaker 0870-00-0038
133 Gasket, Display 0348-00-0181
134 Clamp, Cable 0343-05-0001
135 Cable, Monochrome 20 Pin 0012-00-1005
136 Cable, Speaker 0012-00-0257-01
137 Insulator, Plastic Mesh 0349-00-0173
138 Scr #6-32 x 1/4 Lg. Pan Hd 0212-12-0604
139 Scr #4-40 x 3/16 Lg. Pan Hd 0212-12-0403
140 Scr #2-56 x 3/16 Lg. Pan Hd 0212-12-0203
141 Shield, EMC, EL Display (XG-CE) 0337-00-0109
142 Tubing, Heat Shrink (CE) 0008-01-0009
143 Connector 0012-00-1012
144 Label, Passport XG, Central Silence 0334-00-1381-01
144 Label, Passport XG, Central Silence (Spanish) 0334-00-1381-02
144 Label, Passport XG, Central Silence (German) 0334-00-1381-03
144 Label, Passport XG, Central Silence (French) 0334-00-1381-04
144 Label, Passport XG, Central Silence (Italian) 0334-00-1381-05
144 Label, Passport XG, Admit/Discharge/Silence 0334-00-1382-01
144 Label, Passport XG, Admit/Discharge/Silence (Spanish) 0334-00-1382-02
144 Label, Passport XG, Admit/Discharge/Silence (German) 0334-00-1382-03
144 Label, Passport XG, Admit/Discharge/Silence (French) 0334-00-1382-04
144 Label, Passport XG, Admit/Discharge/Silence (Italian) 0334-00-1382-05
144 Label, Passport 3L and 5L, Central Silence 0334-00-1197
145 Mounting Rail, Left 0436-00-0179
146 Mounting Rail, Right 0436-00-0180
147 Bracket, Cable 0406-00-0795
149 Bracket, Board Mtg 0406-00-0700
150 Scr #6-32 x 3/16 Lg. Pan Hd 0212-12-0603
N/S = Not Shown
* See tables on page 6-26 for the part numbers of various versions of the keypad overlays.
** This cable is part of the Daughter Bd. for all other versions other than XG-CE.
FIGURE
NO. DESCRIPTION PART NO.
151 Cable, Assy DC/AC Inverter 0012-00-1040
152 Cable, Assy Signal Driver 0012-00-1039
153 High Voltage Power Supply Bd. (XG- Color LCD) 0014-00-0177
155 Tubing, Input Fitting to Filter 7.25” 0103-00-0450
155 Tubing, Filter to Pump Inlet 2.25” 0103-00-0450
155 Tubing, Pump Output to Exhaust Fitting 0103-00-0450
156 Luer, Female Input (bent) 0103-00-0447
156 Luer, Female Input (straight, XG-CE) 0103-00-0448
157 Nut, 1/4 - 32 NEF-2B 0220-00-0089
158 Filter Housing Assembly 0103-00-0446-02
(includes items 159,160 and 161)
159 Filter 0103-00-0452
160 O-Ring 0354-00-0050
161 Cap 0200-00-0318
162 Pump, Assembly 0104-00-0017
163 Screw, Shock Mount 0217-00-0010
164 Shock Mount, Grommet 0348-00-0184
165 Bracket, Pump Assembly 0406-00-0719
166 Coupling Panel Mount 0103-00-0453
167 Label, Service Diagram For Internal Tubing 0334-00-1413
168 Nut, Exhaust Coupling 0220-00-0090
169 Nut Plate, Exhaust Coupling 0386-00-0229
170 Label, Filter 0334-00-1407
171 Label, Pump Exhaust 0334-00-1408
172 Insulator, Front end Bd. 0349-00-0287
173 Cable, Interconnect to Front End Bd. (XG-CE) 0012-00-1064**
174 Insulator, SpO2 ESD Bd. 0349-00-0273
175 Screw, 4-40 X .375 PN HD 0212-12-0406
176 Cable, SpO2 Daughter Bd. to SpO2 Bd., 16 pin 0012-00-1007
177 Inductor, Split Core (XG-CE) 0108-00-0088
178 Tie wrap 0125-02-0001
179 Bracket, CO2 Input Cable 0406-00-0725
180 Insulator, CPU Board 0349-00-0296
181 Tie Wrap 0125-01-0004
182 Screw, Pan Hd, 4-40 x 7/16 0212-12-0407
183 Washer, #4 0221-00-0004
184 Insulator 0432-02-0001
185 Clamp, Hose 0343-00-0067
186 Masimo Set Label 0334-00-1466
187 Cover, CO2 Connector 0200-00-0311
N/S = Not Shown
* See tables on page 6-26 for the part numbers of various versions of the keypad overlays.
** This cable is part of the Daughter Bd. for all other versions other than XG-CE.
FIGURE
NO. DESCRIPTION PART NO.
188 Cable, Masimo SpO2 0012-00-1204
188a Ferrite (for Masimo SpO2 cable) 0108-00-0076
189 Cable, Masimo (J2) 0012-00-1102
190 PCB, Masimo MS-1 Board 0671-00-0126
191 Screw, #4-40 x .375 Lg. NYL 0212-01-0406
192 Spacer, Retainer 0361-00-0440
193 Tie wrap 0125-01-0003
194 Screw, Metric (M 2.5 x 5) 0211-00-0140
195 Panel, Left side Masimo 0380-00-0336
196 Screw, 4-40 x . 563 Long PNHD 0212-12-0409
N/S Cable, Tie with Screw Hole 0125-00-0018
197 Bracket, cable Mount (Panel Bd) 0406-00-0752
198 Screw #4-40 x 1/4 Lg 82 Flat Head 0212-14-0404
199 Cable, CPU to +12 V/-23 V Bd. To 0012-00-1380
SpO2 Interface Bd. (Non-CO2 units)
N/S = Not Shown
* See tables on page 6-26 for the part numbers of various versions of the keypad overlays.
** This cable is part of the Daughter Bd. for all other versions other than XG-CE.
ITEM
NO. PART NUMBER DESCRIPTION REFERENCE
1 0108-00-0058 CHOKE L1, L2, L3, L4, L5
2 0124-00-0064 TERMINAL TURRET TP1, TP2
3 0134-07-0004 CONN HDR 4P PC J22
100CX120H
4
5 0136-01-1018 IC SOCKET 18 PIN XU20
6 0136-01-1020 IC SOCKET 20 PIN XU41
7 0136-01-1028 IC SOCKET 28 PIN XU24, XU44
8 0136-01-1040 IC SOCKET 40 PIN XU40
9 0136-24-1014 CONNECTOR 14 PIN J24
10 0136-24-1016 CONNECTOR J23
HEADER, 16 PIN
11 0136-57-0044 SOCKET, 44 PIN XU37
12 0136-64-0050 CONNECTOR PC, J21
HEADER, STRAIGHT
13 0151-00-0037 XSTR 2N3645A Q5
14 0151-00-0061 XSTR 2N2222A Q4
15 0151-00-0086 XSTR 2N5308 Q1, Q2, Q3
16 0151-00-0115 MOSFET, 2N7000, N Q6
CHANNEL
17 0153-00-0010 DIODE ZENER 9.1V CR8
1N5239B
18 0153-00-0014 DIODE IN 914/4148 CR1, CR5, CR6, CR9,
CR12
19 0153-00-0085 DIODE IN6263 CR7
20 0153-00-0091 DIODE ZENER IN-6275 CR10, CR11
21 0153-00-0093 DIODE AD580/ U29
SG3503T
22 0155-00-0059 IC CD4011AE U26
23 0155-00-0107 IC, VOLTAGE U14
COMPARTOR LM 311N
24 0155-00-0129 IC TRI-STATE OCTAL U17, U18, U19, U25
74C374
25 0155-00-0151 IC TL082 U1
26 0155-00-0159 IC, PRECISION OP-AMP U6, U7
27 0155-00-0166 IC LM 337T U28
28 0155-00-0194 IC LM317T U27
29 0155-00-0210 IC CMOS DUAL 8I U23
CMTR 74HC393
30 0155-00-0392 IC LOW NOICE PRCN U4, U21
OP-AMP OP-27
31 0155-00-0393 IC 12 BIT MULTI. DAC U20
AD7541
ITEM
NO. PART NUMBER DESCRIPTION REFERENCE
32 0155-00-0394 IC BI-FET SMP-HLD U13
LF398N
33 0155-00-0591-02 IC CMOS U40
MICROPROCESSOR
63X09E
34 0155-00-0404 IC DG201 QUAD SPST U3, U5, U10, U12
ANALOG SW
35 0155-00-0498 IC HEX INVERTER U30
74HCT04
36 0155-00-0590-02 IC 32KX8 STATIC RAM U44
37 0155-00-0438 IC 74HCT245 DIG, U45
OCT. BUS XCVER
38 0155-00-0473 IC., 74ACT74 U42, U43, U47
39 0155-00-0515 OCTAL BUFFER & LINE U46
DRIVERS
40 0155-00-0526 74HCT393 IC., U39
41 0155-00-0625 IC FLIP-FLOP 74HCT374 U35
42 0155-00-0426 IC OCTAL BUFFER U31, U32, U33, U34
74HCT244
43 0155-90-0061 EPROM ASSY, U24
SEQUENCER,
ACCUSAT
44 0155-90-0161 U41 PLD ASSY U41
45 0155-90-0162 U37 PLD ASSY U37
46 0158-05-0002 CRYSTAL, CLOCK Y1
OSCILLATOR
47 0215-03-0002 FOAM TAPE 3/4 XU27, XU28
48 0283-04-0104 CAP.,CERM.,.1UF C1, C8, C9, C11, C12,
C14, C15, C18, C19,
C27, C29, C30, C36,
C37, C48, C51, C52,
C53, C54, C55, C56,
C57, C58, C60, C62,
C63, C64, C65, C66,
C67, C68, C69, C82
49 0283-04-0474 CAP .47 UF 50V 10% C7, C10, C38, C43, C46
CER
50 0283-05-0101 CAP 100PF 200V 10% C33
CER
51 0283-05-0102 CAP., CER., .001UF, C70, C71, C72, C73,
10% 200V C74, C75, C79, C80,
C83, C84
52 0283-05-0103 CAP .01 UF 100V 10% C13, C16
CER
53 0283-05-0220 CAP 22P 200V 10% C5, C6, C31, C34
CER
54 0283-05-0221 CAP 220-PF 200V 10% C3
CER
ITEM
NO. PART NUMBER DESCRIPTION REFERENCE
55 0283-05-0470 CAP 47 PF 200V 10% C4
CERM
56 0283-05-0471 CAP 470 PF 100V 10% C32
CER
57 0285-08-8201 CAP .0082MF C35
58 0285-15-0104 AP., .1UF 50V 2% C20, C21, C24, C25
59 0285-15-0223 CAPACITOR .022 UF C22, C23, C26, C28
60 0290-01-2220 CAP 22 UF 25V 50% C47
ALUM
61 0290-02-1226 CAP 22 UF 20V 20% C17
TANT
62 0290-02-2106 CAP 10 UF 25V 20% C41, C42, C44, C45,
TANT C49, C50, C76, C81,
C85
63 0307-06-2102 RES. NET 1K ,10 PIN RN4
64 0307-06-2103 RESISTOR NETWORK, RN3, RN5
10K OHM
65 0307-06-2562 RES. NETWK 5.6K RN1, RN2
66 0309-00-1002 RES 10K 1/W 1% MF R70, R71, R72, R73
67 0309-00-1003 RES. 100K 1/8W 1% R17, R21, R45, R47
FXD
68 0309-00-1243 RESISTOR 124K 1/8W R40, R42
1%
69 0309-00-1333 RESISTOR 133K 1/8W R4
1% FX
70 0309-00-1472 RES. 14.7 1/8W 1% R57
MF
71 0309-00-1502 RESISTOR 15K 1/8W R67
1% FX
72 0309-00-1503 RESISTOR 150K 1/8W R37, R38, R39, R41, R43
1% FX
73 0309-00-1621 RESISTOR 1.62K 1/8W R61, R62
1%
74 0309-00-1652 REX 16.5K 1/8W 1% R20
MF
75 0309-00-2004 RES. 2M 1%, 1/8W R6
76 0309-00-2320 RESISTOR 232 OHM R59, R60
1/8W 1%
77 0309-00-3013 RESISTOR 301K 1/8W R44
1% FX
78 0309-00-3241 REX 3.24K 1/8W 1% R48
MF
79 0309-00-3923 RESISTOR 392K 1/8W R18, R63
1% FX
80 0309-00-4752 RESISTOR 47.5K 1/8W R58
1% FX
81 0309-00-4753 RES. 475 K 1%, 1/8W R19
ITEM
NO. PART NUMBER DESCRIPTION REFERENCE
82 0309-00-5111 RES. 5.11K 1/8W 1% R66
FX
83 0309-00-6653 RES 665K 1% 1/8W R5
84 0310-00-0100 RES. 10 OHM 1% R24
85 0315-00-0100 10 OHM 1/4W 5% R65, R68, R69
86 0315-00-0102 RES. CF 1K 1/4W 5% R1, R2, R29, R30, R53,
R55, R77, R78, R84
87 0315-00-0103 RES. CF 10K 1/4W 5% R11, R14, R22, R23, R56,
R76
88 0315-00-0104 RES. CF 100K 1/4W R12, R27, R28
5%
89 0315-00-0106 RES. CF 10M 1/4W R64
5%
90 0315-00-0204 RES. CF 200K 1/4W R8
5%
91 0315-00-0205 RES. CF 2M 1/4W 5% R7
92 0315-00-0220 RES. CF 22 1/4W 5% R26
93 0315-00-0270 RES. CF 27 1/4W 5% R25
94 0315-00-0393 RES. CF 39K 1/4W 5% R13, R75
95 0315-00-0472 RES. CF 4.7K 1/4W R74, R79
5%
96 0315-00-0473 RES CF 47K 1/4W 5% R3
97 0315-00-0820 RES., CF 82 1/4W 5% R80, R81, R82, R83
98 0320-00-1002 RES. METAL FILM, 10K., R15, R16, R46, R49, R54
.1%, 50PPM
99 0320-00-1004 RES., 1 MEG., .1% 1/ R52
8W. MF
100 0320-00-2913 RES. 291K. .1%, 1/8W R51
MF
101 0320-00-5302 RES. 53.OK, .1%, 1/ R50
8W, MF
102 0388-00-0482-A PCB
103 0432-01-0002 BASE TRANS MTG PAD XU29
TO-5
104 0155-00-0572 IC, DUAL JFET OPAMP, U2, U8, U9, U11, U22
TL032C
105 0214-00-0074 INSULATOR BEAD
106 0320-00-1243 RES. MF 124K 0.1% R34, R36
50PPM
107 0320-00-1503 RES. MF 150K 0.1% R31, R32, R33, R35
50PPM
108 0290-02-3106 CAP,10 MF 35V 20% C77, C78
TANT
NIBP Diagnostics Pneumatic Test Motor Pump Test Pump to 250mmhg < 16.0 sec
Bleed Rate Test Fixed Orifice NIBP
Orifice #1: 5.6 - 11 mmHg/sec
Orifice #2: 1.0 - 1.9 mmHg/sec
Orifice #3: 0.5 - 0.9 mmHg/sec
Orifice #4: 50 mmHg or greater
Offset Noise
Pulse Channel Test Gain 1: 1.5 -1.83 <30mv
Gain 2: 1.5 - 1.83 <60mv
Gain 3: 1.5 - 1.83 <90mv
7.1 Introduction
The following procedures are provided to verify the proper operation of the Passport 5 Lead/
5L/LT Monitor. Service diagnostics provide the capabilities of diagnosing problems in the
Passport hardware in the field. A menu driven interface, with the same “look and feel” as
that of the online Passport user interface, is used to execute all tests. The Diagnostic Menu
Tree (located on page 7-3) is provided for reference once familiar with these procedures.
7.4 Inputs
User input is provided through the following keys:
• UP ARROW
• DOWN ARROW
• SELECT
• END
• RECORD (only when printable test results are displayed)
• DEFLATE (for NIBP diagnostics only)
SERVICE DIAGNOSTICS
Monitor Version:x.x.x:xxxx Thu May 14 13:07 1992
PCM Version:x.x.x:xxx SpO2 Version:x.x.x:xxxx NIBP Version: x.x.:xxxx
NIBP
Error Journal
Exception Stack Frame
Communications
Recorder
Voltlage
Display
Keyboard
SpO2
3. One of the items will be displayed in reverse graphics. When the ARROW KEYS are
pressed the cursor moves up and down in the Service Menu, and when the SELECT key
is pressed the selected diagnostic test is performed. If the END key is pressed and held
for three seconds when the Main Diagnostics Menu is displayed, the diagnostic mode is
ended, and the unit goes into a normal monitoring mode.
SERVICE DIAGNOSTICS
Monitor Version:x.x.x:xxxx Thu May 14 13:07 1992
PCM Version:x.x.x:xxx SpO2 Version:x.x.x:xxxx NIBP Version: x.x.:xxxx
Move the cursor to the desired menu option and press SELECT to perform that function. Press
END to return to the Main Menu.
SERVICE DIAGNOSTICS
Monitor Version:x.x.x:xxxx Thu May 14 13:07 1992
PCM Version:x.x.x:xxx SpO2 Version:x.x.x:xxxx NIBP Version: x.x.:xxxx
NOTE: The NIBP hose with a safety leak fitting cannot be used,
otherwise the test results are invalid.
a. Connect the dummy cuff/test chamber to the side panel luer fitting.
NOTE: The dummy cuff/test chamber must be used for this test,
otherwise the test results are invalid.
b. Highlight the Motor Pump Test option and press the SELECT key to start the test. The
pump will start and inflate the chamber to 250 mmHg, then pressure is released.
During the inflation/deflation cycle the current pressure is displayed in the pressure
window. The time required to reach the target pressure will be displayed in units of
xx.x seconds as shown in Figure 7-4.
Specification
Pump to 250 mmHg < 16.0 seconds
SERVICE DIAGNOSTICS
Monitor Version:x.x.x:xxxx Thu May 14 13:07 1992
PCM Version:x.x.x:xxx SpO2 Version:x.x.x:xxxx NIBP Version: x.x.:xxxx
a. Connect the dummy cuff/test chamber to the side panel luer fitting.
NOTE: The dummy cuff/test chamber must be used for this test,
otherwise the test results are invalid.
NOTE: The NIBP hose with a safety leak fitting cannot be used,
otherwise the test results are invalid.
b. Highlight the Bleed Rate Test option and press the SELECT key to start the test.
Selecting this option causes the pump motor to inflate the test chamber to 170
mmHg. The largest orifice is then opened. The time required for the pressure to drop
from 150 mmHg to 130 mmHg is counted. The test is repeated for the middle and
smallest orifice. The chamber is then inflated to 250 mmHg. This time the dump valve
is opened and the time required for the pressure to drop from 250 mmHg to 20
mmHg is counted. The pressure is then released and the bleed rate for each orifice is
displayed in units of xx.x mmHg/sec. The current pressure is displayed in the
pressure window during the entire test. The format for displaying the test results is
shown in Figure 7-5.
a. Connect the dummy cuff/test chamber to the side panel luer fitting.
NOTE: The dummy cuff/test chamber must be used for this test,
otherwise the test results are invalid.
NOTE: The NIBP hose with a safety leak fitting cannot be used,
otherwise the test results are invalid.
b. Highlight the Leak Test option and press the SELECT key to start the test.
The chamber is inflated to about 200 mmHg. After waiting five seconds for the
pressure to settle, the pressure is noted and then held for one minute. The ending
pressure is noted and then the pressure is released. The current pressure is displayed
in the PRESSURE window during the entire test. The total pressure drop during the
one minute holding period is displayed as the leak rate as shown in Figure 7-6.
b. Highlight the Overpressure Test Option and press the SELECT key to start the test.
NOTE: The NIBP hose with a safety leak fitting cannot be used,
otherwise the test results are invalid.
a. Highlight the Pulse Channel Test option from the NIBP DIAGNOSTICS menu and
press the SELECT key to start the test. The test results will be displayed as shown in
Figure 7-8.
b. Press the RECORD key to obtain a printout of the test results
c. Press the DEFLATE key and then the SELECT key to repeat the PULSE CHANNEL TEST,
or press the DEFLATE key to quit the test and return to the NIBP Pneumatic Test Menu.
a. Connect the dummy cuff/test chamber and manometer as shown in Figure 7-9. (If a
test chamber is not available, an adult cuff wrapped around a towel may be
substituted to perform the pressure calibration.)
b. Highlight the Pressure Calibration Test Option for the NIBP Diagnostics Menu and
press the SELECT key. The NIBP Diagnostics Menu is covered by the Pressure
Calibration Menu. This menu contains three items: Low Range Calibration, Mid
Range Calibration, and High Range Calibration.
c. Highlight one of the options and press the SELECT key to start the test.
The dummy cuff/test chamber (cuff) will inflate approximately to the target pressure
(50 mmHg for low, 150 mmHg for mid, and 250 mmHg for high). During the test
the pressure will be displayed in the pressure window and the message “Press
DEFLATE to End Test” will be displayed. After the target pressure is reached, the
pump will turn off and the pressure will be held until the user presses the DEFLATE
key.
d. Compare the pressure window display on the unit under test with the reading on the
manometer for each of the pressure ranges. If the readings do not match, adjust VR1
on the NIBP Control Board. Adjust the calibration tolerance as listed below.
Calibration Specification
+/-3 mmHg - Low Range
+/-3 mmHg - Mid Range
+/4 mmHg - High Range
NOTE: The next two items (Error Journal and Exception Stack
Frame) are not intended for interpretation in the field. There
are hundreds of different messages which could be
recorded, and the messages vary with software revision.
Also, not all recorded messages indicate an error. If you
suspect a problem with the unit, the error journal and
exception stack frame should be printed out to the recorder
(if installed) and forwarded to a Datascope Service
Representative or Datascope Technical Support department.
SERVICE DIAGNOSTICS
Monitor Version:x.x.x:xxxx Thu May 14 13:07 1992
PCM Version:x.x.x:xxx SpO2 Version:x.x.x:xxxx NIBP Version: x.x.:xxxx
The results of the power up internal loop test for the front end communication
channel on the CPU Board are displayed. This test consists of putting the front end
communication channel into a loop mode and transmitting data, and verifying that
the correct data is read back.
Internal Loop Test Specification
The communication channel on the Front End Board is placed in the echo mode and a test is
run which sends an ASCII character to the Front End, and verifies that the character echoed
back is the same character which was sent. The test is repeated for the entire ascii character
set.
The results of the power up Internal Loop Test for the external communication channel on the
CPU Board are displayed. This test consists of putting the external communication channel
into the loop mode and transmitting data, and verifying that the correct data is read back.
Data is transmitted to the external communication channel while in the normal operation
mode. Since pins 2 to 3 are shorted, the data is transferred back for reading and
verification.
The results of the power up internal loop test for the NIBP communication channel on the CPU
Board are displayed. The test consists of putting the NIBP communication channel into loop
mode and transmitting data, and verifying that the correct data is read back.
7.5.5 Recorder
1. Highlight the Recorder Test from the Main Service Menu and press the SELECT key to
start the test.
When this test is selected a recorder request is sent to the recorder, causing it to print out
a test pattern as shown in Figure 7-11.
5L, LT XG
3
All pixels are "ON" for the entire display
X
a. Highlight the Pixel Test from the Display Tests Menu and press the SELECT key to start
the test.
b. Pressing the SELECT key advances to the next available pattern.
c. Press the END key (5L, LT), EXIT key (XG) to return to the Display Tests Menu.
PATTERN DESCRIPTION
Green
Red
OR
CH1 CH1
U30-16 U30-16
CH2 CH2
U30-9,7,5,3 U30-9,7,5,3
a. Highlight the Video Controller Test from the Display Tests Menu and press the SELECT
key to start the test. The vertical bars will either fill the entire screen or half the screen
dependant upon the version of software installed.
b. Connect an oscilloscope, channel 1 to U30 pin 16 and channel 2 to U30 pin 9 of
the CPU board. Set the scope for 10usec/div, sync on channel 1. The waveforms
are shown in Figure 7-12.
c. Confirm that the correct signals are present on the four bits LCD0-3 as shown in
Figure 7-12.
d. If the above signals are not present, disconnect the display cable J68. If the signals
are now present the display is possibly loading the signals, otherwise the CPU Board
is possibly defective.
e. Press the END key (5L, LT), EXIT key (XG) to return to the Display Tests Menu.
SERVICE DIAGNOSTICS
Monitor Version:x.x.x:xxxx Thu May 14 13:07 1992
PCM Version:x.x.x:xxx SpO2 Version:x.x.x:xxxx NIBP Version: x.x.:xxxx
a. Highlight the Accuracy Test from the SpO2 Diagnostic Menu and press the SELECT
key to start the test.
b. Shortly after the sensor is placed on a finger the SpO2 value is displayed along with
the operator’s pulse rate.
a. Connect an oscilloscope to J24 pin 5 of the SpO2 Board. The signal should appear
as shown in Figure 7-14. Make sure the saw signal is smooth and does not jump or
drop suddenly which would indicate a fault DAC bit.
b. Press the END key to return to the SpO2 Test Menu.
CH1
J24 pin 5
2V/DIV 5 sec/DIV
NOTE: This test erases the normal operating code that was
downloaded to the shared RAM that enables the other SpO2
tests. After performing any of the memory tests the unit
must re-power the Run, the Accuracy, Sensor, or DAC tests.
Memory Test 1 (Basic RAM Test): The main processor will perform the basic write/read test
to each memory location with data pattern 0 and 0xFF to verify the integrity of the RAM.
Memory Test 2 (Databus Test): The main processor will write a bit pattern of walking one’s
(8-bit) to each memory location and read it back to verify that the data bus is not cross
talking.
Memory Test 3 (Address Test): The main processor will write the entire memory address to
their corresponding memory location, then read them back to verify that the address bus is
not cross taking.
a. Highlight one of the memory test from the SpO2 shared RAM test menu and press
the SELECT key to start the test.
b. Each test is continuously performed until the END key is pressed. The completion
pass number is constantly updated on the display. The test is halted when a failure
occurs and address and write/read data patterns are displayed.
c. Press the RECORD key to obtain a printout of the test results.
d. Press the END key to return to halt the test.
The Masimo Diagnostic Journal is not intended for interpretation in the field. There are
hundreds of different messages which could be recorded, and the messages vary with
software revision. Also, not all recorded messages indicate an error. If you suspect a problem
with the unit, the Masimo Diagnostic Journal should be printed out to the recorder (if
installed) and forwarded to a Datascope Service Representative or Datascope Technical
Support department.
Selftest Complete
• At the end of the download, verify unit sets up display screens for signal inputs.
9. Set the ECG simulator to ECG QRS waveform. Set rate to 252 bpm.
Set the Passport to PRINT ON ALARM, install paper in recorder and set LO HR ALARM
to 50 bpm and HI HR ALARM to 120 bpm.
• Verify that the “ALARM MUTE” symbol is displayed next to HR display on the LCD display
and the alarm is silent.
Decrease the ECG HR to 45 bpm. The ALARM should sound. Then set the ECG HR to 60
bpm and verify the alarm condition is canceled.
Press the TREND/RETURN key and examine the trend data. The high heart rate value should
be in reverse video indicating the high HR alarm was violated.
Set the Passport to display IBP 1 in WINDOW 2 and IBP 2 in WINDOW 3 using the
SETUP menu. Set the pressure scale to 300 mmHg for both IBP 1 and 2.
2. Zero IBP 1 by pressing the ZERO 1 key. Verify that the systolic, diastolic, and mean
display changes from “dashed lines” to zero +/- 1 mmHg within 2 seconds and the
“TRANSDUCER NOT ZEROED” message is removed. Zero IBP 2 and verify proper
operation.
3. Apply 50, 150 and 300 mmHg and verify that the following parameters SYS/MEAN/
DIA agree.
Verify that the reading in the IBP 1 window is 120/80 mmHg +/- 3 mmHg and 60/20
mmHg +/- 2 mmHg in the IBP 2 window. Verify the correct waveforms are displayed on
the LCD display.
Adapter calibration needs to be performed each time the type of airway adapter is switched.
For example: if switching from using a re-usable adult to a neonatal or neonatal to a re-
usable adult adapter, a calibration is needed (not if switching from a re-usable adult adapter
to another re-usable adult adapter). Adapter calibration should also be performed if the
message “Check Adapter” displays.
1. Place the sensor and airway adapter away from all sources of CO2 (including the
patient’s and your own exhaled breath, and ventilator exhaust valves).
2. Choose Start Adapter Cal - Yes from the CO2 menu. (See “Use of Menus” on
page 109.)
To verify calibration:
1. Verify the Passport is turned on and the Capnostat® is connected and warmed-up.
2. Place the Capnostat® sensor onto the reference cell labeled REF.
o
R
E
F
3. The “Sensor on Reference Cell” message is displayed and the reference value is
displayed in the ETCO2 window. The value should be between 36 and 40 Torr.
Once a sensor is calibrated, the Passport XG can be turned off and on, the sensor can be
unplugged and reconnected, without having to recalibrate. However, if a second sensor is
connected in place of the original, the second sensor must be calibrated and if the original
sensor is used again, it too will have to be recalibrated.
1. Verify the Passport XG is turned on and the Capnostat® is plugged in and warmed-up.
o
R
E
F
1. Plug the Capnostat® CO2 sensor into the Passport XG CO2 connector (34). The “CO2:
Sensor Warming Up” message is displayed. The pump calibration cannot be performed
until the “CO2: Sensor Warming Up” message disappears.
2. Press the CO2 PUMP key (12). A “Warning” message displays. Ensure that the sampling
tubing is correctly connected and that the nasal cannula is clear of all sources of CO2
(including the patient’s and your own exhaled breath, and ventilator exhaust valves).
Press SELECT to turn the sampling pump on and to initiate the calibration.
3. The “CO2: Pump Cal in Progress” and “CO2: Pump On” messages alternately display.
When the pump calibration is complete, the message “CO2: Pump Cal Complete”
displays and then the “CO2: Pump On” message displays. The “CO2: Pump On”
message will continue to display as long as the pump is on. See “CO2 Messages (only
units equipped with Capnostat CO2)” on page 60 for additional CO2 messages.
1. Turn power switch to the on position and wait for the unit to power up in the normal
operating mode.
2. Assemble the CO2 Sidestream pump calibration parts as shown in Figure 7-13 and
attach to the Passport monitor.
3. Verify zero cc/min, ±1 cc/min on flow meter before turning the CO2 pump on. Press the
CO2 pump key and measure the flow rate of the pump. Allow at least two minutes for
the flow meter to settle before any adjustment is made.
4. Adjust VR2 on the CO2 Control Module P/N 0670-00-0118 to achieve a flow rate of
180 cc/min, ±20 cc/min. Refer to Figure 7-14.
Occlusion Test:
1. To simulate an occlusion, take a pair of Hemostats and crimp the tubing at the intake
port. An OCCLUSION message should appear in the lower left window.
1 3
TOPASSPORT PUMPINPUT
FLOW
VR1
J103
J202
J201
VR2
IC3
IC10
IC12
IC1
Y1
IC2
IC13 IC11
IC5
IC7 IC9
IC4
Y2
1. Plug the Capnostat® CO2 sensor into the Passport XG CO2 connector (34). The “CO2:
Sensor Warming Up” message is displayed. The adapter calibration cannot be
performed until the “CO2: Sensor Warming Up” message disappears.
2. Ensure the nasal cannula is away from all sources of CO2 (including the patient’s and
your own exhaled breath, and ventilator exhaust valves).
3. Choose Start Adapter Cal - Yes from the CO2 menu. (See “Use of Menus” on
page 109.)
o
R
E
F
Calibration can be verified at anytime and should be verified at least once a week.
To verify calibration:
1. Verify the Passport is turned on and the Capnostat® is connected and warmed-up.
2. Place the Capnostat® sensor onto the reference cell. The reference cell is labeled REF.
The sensor cable should face away from the Passport.
3. The “Sensor on Reference Cal” message is displayed and the reference value is
displayed in the ETCO2 window. The value should be between 36 and 40 Torr.
Once a sensor is calibrated, the Passport XG can be turned off and on, the sensor can be
unplugged and reconnected, without having to recalibrate. However, if a second sensor is
connected in place of the original, the second sensor must be calibrated and if the original
sensor is used again, it too will have to be recalibrated.
1. Plug the Capnostat® CO2 sensor into the Passport XG CO2 connector (34). The “CO2:
Sensor Warming Up” message is displayed. The sensor calibration cannot be
performed until the “CO2: Sensor Warming Up” message disappears.
o
R
E
F
A. Source Current, Chassis Case to Ground Leakage (Test 1 on Model 431 Dempsey).
1. Connect the ground wire from the safety analyzer to the SpO2 ground ring.
2. Connect the power module to the Passport’s DC input.
3. Perform the test under the following conditions, with the Passport ON:
a. Case Grounded:
1. Polarity Normal
2. Polarity Normal with open neutral
b. Case Ungrounded
1. Polarity Normal
2. Polarity Normal with open neutral
3. Reverse Polarity
4. Verify the current reading for any test is less then 100uA.
C. Lead to Ground - Sink Current patient circuit (Test V on Model 431 Dempsey; patient
leakage with line voltage on leads)
1. Connect the ground wire from the safety analyzer to the SpO2 ground ring.
2. Connect the ECG cable from the safety analyzer to the Passport.
3. Connect the power module to the Passport’s DC input.
4. On the Safety Analyzer depress the “APPLY 115VAC” button and note the reading.
5. Repeat the test for normal and open ground and reverse polarity combinations. Verify
the current reading for any test is less then 20uA.
Check unit for any obvious signs of physical damage, (e.g., bent/cracked frames or
scratches) and replace as required.
2. The front panel should be cleaned carefully in order to prevent scratches. Dust, dirt
particles, finger-prints and stains may be removed by using a soft cloth. Do not wipe a
dry screen. Do not use alcohol or chlorinated hydrocarbon solvents. Inspect the front
panel for scratches and other physical damage, replace if required.
3. Check all panel hardware for looseness and panel clearance.
4. Check line cord for wear, damage and proper strain relief.
5. Check all graphics and labeling for wear and scratches.
1. Power the unit on and wait for the normal power up procedure to be completed.
2. Once in the operating mode press and hold the HIDDEN KEY located as follows:
a. Between the FREEZE and DEFLATE keys on all 3L/5L/LT units
b. Between the EXIT and SIZE keys on XG units with Rev Y.04 software
c. The exit key on XG units with Rev TB or higher software
Release the HIDDEN KEY when the Special Options Menu appears on screen.
SPECIAL OPTIONS
Screen Blank: OFF
Notch Filter: Enabled
ESU Filter: AUTO
Pump Status: 0x2 0000000
Pump Current: 0.0 mA
Bar. Press: 770 mmHg
Choices: ON, OFF
= Adjust value EXIT = quit
SELECT = Enter/move
Screen Blank:
1. The first menu that appears in reverse graphics is the Blank Screen Menu. Press the UP
or DOWN arrow key to turn the Blank Screen Menu on or off. Press the Select key to
choose the selection. when the Blank Screen Menu is turned on, the display will be blank
until a key is pressed or power is cycled.
Notch Filter:
1. Press the Select key to get to the Notch Filter menu. Press the UP or DOWN key to
enable or disable the Notch Filter. when the Notch Filter is disabled the 50 hz or 60 hz
frequency filter is not active.
ESU Filter:
1. Press the Select key to get to the ESU Filter Menu. Press the UP or DOWN key to disable
the ESU Filter or place the filter in the Auto mode. When the ESU Filter is disabled the
Electrosurgical Unit filter is not active.
Pump Status (XG Sidestream units only):
1. This menu is non-selectable. Pump Status displays the status of the Sidestream CO2 in
Bytecode.
1. This menu is non-selectable. Pump Current displays the amount of current drawn by the
Sidestream CO2 pump assembly when activated.
Barometric Pressure (XG Sidestream units only):
1. Outercase, AC and DC Line Cords, External Power Supply, Rolling Stands, Wall
Mounts.
2. Interface Cables (Visa, Defib. Sync, Interpreter, External Power Supply, Remote Color
Display).
3. Patient Interface Connections (ECG, IBP, Temp, SpO2, CO2, NIBP).
The Passport XG Monitor is designed for stable operation over long periods of time and
under normal circumstances should not require technical maintenance beyond that described
in this section. However, it is recommended that routine maintenance calibration and safety
checks be performed at least once a year, or more often as required by local statutory or
hospital administration practice.
To prevent scratches on the front panel display screens, blow or carefully brush dust and dirt
particles with a soft sponge moistened with cleaner solution; or a fine, soft-hair brush. DO
NOT use abrasive cleaning materials. Fingerprints and stains may be removed by using a
liquid lens cleaner and a soft cloth. DO NOT wipe a dry screen or use alcohol or chlorinated
hydrocarbon solvents.
• Daily, check the sensors and cables for signs of damage. Replace as required.
• Check for proper operation of the spring mechanism on the DATASENSOR.
• The sensors should be cleaned before and after each patient’s use.
• Clean and disinfect the sensors. Wipe the patient contact area using a soft cloth with mild
soap and water solution or isopropyl alcohol. Hydrogen peroxide can be used to remove
dried blood on all accessible surfaces.
• Let the sensor completely dry before using.
Equipment Needed:
60 cc Syringe 0103-00-0026
Tubing (2) 4" BY 1/8" ID 0103-00-0450
Slip type Luer Fitting 0103-00-0451
1/8" Barb Connector 0103-00-0454-02
Distilled Water
Sodium Hypochlorite (5.25% by weight)
1. Shut off the monitor and disconnect the external power supply.
CAUTION: Using dark colored soaks may stain the cuffs. Test a single
cuff to ensure that no damage will occur. ETO sterilization
may also be used.
Hand washing will enhance the service life of the cuff. Remove the latex bag and hand wash
the cuff in warm, soapy water; then rinse thoroughly. Allow the cuff to air dry, then insert the
latex inflation bag.
Battery Maintenance
Due to the self-discharge characteristics of this type of battery, it is imperative that it is
charged after 6 to 9 months of storage (or unit not in use). If not, permanent loss of capacity
may occur as a result of sulfation. Charge retention at 20oC is 6 months to 83%.
The batteries used in the Passport XG Monitor are of sealed lead acid construction. This
battery type may be subject to local regulations regarding disposal. At the end of the battery
life, dispose of the batteries in accordance with any local regulations.
1. Open recorder door by pressing the paper eject button (upper right corner with paper
roll icon on it).
• Ultraviolet Light
We recommend storing the recordings in a filing cabinet within a few days of printing. Long
term exposure to natural or artificial U.V. sources may be detrimental.
• Solvent Reactions
Do not store the recordings in plastic bags, acetate sheet protectors, and similar items made
from petroleum products. These products emit a small amount of vapor which will, over a
period of time, deteriorate the image on the chart paper.
• Adhesive Tape
Never place adhesive tape over recordings. The reaction between the adhesive compound
and the Chemical/Thermal paper can destroy the image within hours.
• Archives
We recommend that if long term archives are required, make a photocopy of the recordings
as back-up. Under normal office filing conditions the recordings should retain acceptable
image quality for about 5 years.
Mindray Medical Netherlands B.V.• P.O. Box 26 • 3870 CA Hoevelaken • The Netherlands •
Tel: +31 33 25 44 911 • Fax: +31 33 25 37 621
Mindray (UK) Limited • 3 Percy Road • St. John’s Park • Huntingdon • Cambridgeshire PE29 6SZ •
United Kingdom • Tel: 01480 416840 • Fax: 01480 436588
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94035 Créteil Cedex • France • Tel: (0)1.45.13.91.50 • Fax: (0)1.45.13.91.51
Mindray Medical Germany GmbH • Zwischen den Bächen 4 • 64625 Bensheim • Deutschland •
Tel: +49.6251.17524-0 • Fax: +49.6251.17524-20
Mindray Medical International Ltd. • 2813 Office Tower, Convention Plaza • No 1 Harbour Road •
Wanchai • Hong Kong • Tel: +852 2793 5596 • Fax: +852 2344 8824
Medstar Importação e Exportação Ltda • Av. Vereador José Diniz, 3300 • São Paulo, SP • CEP
04804-000 • Brazil • Tel: 55 11 2872-3385 • Fax: 55 11 2872-3385
0070-00-0420 Rev T April 13, 2011