M8000/M9000 Patient Monitor Service Manual

Service Manual of
M9000/M8000 Patient Monitor

Guangdong Biolight Meditech Co., Ltd.

Address: Innovation First Road, Technology Innovation Coast, JinDing, Zhuhai, P.R.CHINA

Tel: +86-756-3399900 Fax: +86-756-3399989

http://www.blt.com.cn
J/M9000/M8000++-013-2009E1

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 Content
Chapter I Summary ............................................................................................................................... 3

1. About the manual ...................................................................................................................................... 3

2. Security information .................................................................................................................................. 3

3. Service information ................................................................................................................................... 4

Chapter II Introduction to Monitor ..................................................................................................... 2

1 Mainframe ................................................................................................................................................. 2

2. Inner Structure of the monitor ................................................................................................................... 3

3.Accessories................................................................................................................................................. 5

Chapter III Maintenance ...................................................................................................................... 8

1. User instructions........................................................................................................................................ 8

2. Cautions..................................................................................................................................................... 8

3. Maintenance of main unit of monitor ........................................................................................................ 9

4. Requirements for storage ambience ........................................................................................................ 10

5. Battery Maintenance ............................................................................................................................... 10

6. Maintenance of accessories ..................................................................................................................... 10

7. machine maintenance .............................................................................................................................. 12

8. Upgrade ................................................................................................................................................... 18

Chapter IV Testing .............................................................................................................................. 21

1. General Testing........................................................................................................................................ 21

2. Performance Testing ................................................................................................................................ 22

Chapter V Calibration ......................................................................................................................... 27

1. CO2 Calibration .................................................................................................................................. 27

2. NIBP calibration .................................................................................................................................. 28

Chapter VI Troubleshooting............................................................................................................... 30

Troubleshooting of Monitor ........................................................................................................................ 30

Chapter V Disassembling .................................................................................................................... 35

1. Disassembling ..................................................................................................................................... 35
2. Explosive view .................................................................................................................................... 43

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 Chapter I Summary

1. About the manual

(1) Users of the manual The maintenance manual is targeted to technicians and
maintenance workers of biomedical instruments. The users shall have a good mastery of
electronic technology (including simulation and digital electronics), and be familiar with
microcomputer.
(2) Scope of usage The maintenance manual serves as reference for professionals to
conduct installation, maintenance and repairing of monitors.
(3) Main contents The manual is composed of:
Chapter I Summary Gives an account of the users, scope of usage, main contents,
security information and service information of the maintenance manual.
Chapter II Introduction to Multi-parameter Monitor Specifies the composition,
appearance, interface and marks of the instrument.
Chapter III Maintenance Includes working out maintenance plan and cleaning.
Chapter IV Troubleshooting Gives an account of the testing and troubles of the
instrument and the ways of troubleshooting.

2. Security information

(1) Responsibilities of the manufacturer Our company is responsible for the security,
reliability and performance of the monitor under the following circumstances:
(1.1) Professionals authorized by our company conduct installation and operation, upgrading
of function, readjusting, modification and maintenance;
(1.2) The correct rules are followed during the electric installation of connected rooms;
(1.3) The instructions are followed to use the instrument correctly.
(2) Cautions
(2.1) Multi-parameter Monitor complies with the security requirements of IEC
60601-1:1988+A1:1991+A2:1995.
(2.2) Users of the monitor must be well-trained persons who can use the monitor correctly.
(2.3) The socket of AC power of Multi-parameter Monitor can only be connected with the
3-phase wires provided by Company, instead of common wires.
(2.4) Only the specified power of AC 100～240V, 50/60Hz can be used for Multi-parameter
Monitor.
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(2.5) Only the parts and accessories produced or recommended by our company can be used
to ensure the security of users.
(2.6) Connect the adaptor with an appropriate grounding socket to avoid the instrument using
the same socket with the equipment that switches between ON and OFF frequently, e.g.
air-conditioner.
(2.7) The monitor shall not be put in places tending to vibrate or shake.
(2.8) Leave sufficient space around the monitor to ensure good ventilation.
(2.9) Stable ambient temperature and humidity shall be guaranteed to avoid condensation
during the operations of the monitor.
(3) Classification
According to the IEC 60601-1:1988+A1:1991+A2:1995, the application of
Multi-parameter Monitor is classified as follows:
(3.1) According to the types of anti-shock: Type I equipment, with internal power source
(3.2) According to the degree of anti-shock: Type BF applies to EtCO2 and AG
Type CF applies to ECG, Resp, SPO2, TEMP,
NIBP and IBP.
(3.3) According to the degree of protection against harmful liquid: ordinary equipment
(closed equipment without protection against liquid).
(3.4) According to the security degree used when combustible anaesthesia gas mix with air,
oxygen or nitrogen monoxide: equipment cannot be used when combustible
anaesthesia gas mix with air, oxygen or nitrogen monoxide.
(3.5) According to the working system: continuous working
(4) Terms
The terms in the manual (e.g. Caution, Take Care, Attention) point out the hazard, and
inform users of the issues they should pay attention to during the operations according to
different degrees of severity. Here “hazard” means potential cause that will produce damage
to human beings.
Warning: means potential hazard or unsafe behavior that will cause death or serious
damage;
Caution: means potential hazard or unsafe behavior that will cause minor damage to
human beings or products;
Note: provides users with useful information and hints, and reminds users of
examination to ensure the monitor realizes its best performance.

3. Service information
(1) Requirements Please observe the following requirements:
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(1.1) Only consult the customer service center of our company for after-sales service of the
instrument.
(1.2) Damage of the instrument caused by unauthorized maintenance is not within the scope
of guarantee for repair.
(1.3) Conduct regular maintenance to the monitor according to the preset plan; otherwise, the
instrument will have troubles, or even cause damage.
(1.4) During the lifespan of the instrument, regular maintenance is one of the necessary
measures to ensure the normal use of the monitor.
(2) Identification of the instrument: Each of the monitors produced by our company is
attached with a unique production serial number for identification and after-sales service.
(3) Consultation by phone
You have made the correct choice for buying Multi-parameter Monitor with high
standards of quality and reliability. Whenever you need help, feel free to dial the after-sales
service hotline of Company. Before dialing, please confirm:
① You have read the User’s Manual, and are sure that the operation is correct.
② You have read the installation instructions and answers to difficult problems in the manual,
and still cannot solve your problem.
③ Before dialing, be sure to get the following information ready:
-- Serial number of the monitor (the label is at the back of the monitor)
-- Type of the monitor (the label is at the back of the monitor)
-- Program version of the monitor
-- Troubles of the monitor

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 M8000/M9000 Patient Monitor Service Manual

Chapter II Introduction to Monitor

1 Mainframe
Connector panel Alarm indicator lamp Handle

LCD

Battery slot

On/off button Buttons Trim knob Recorder fitting area Network interface

 Diagram of the connector panel of parts

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 2. Inner Structure of the monitor

 Module distributing:

Alarm lamp
board

Backlight
Inverter LCD panel

Encoder
Keyboard
board

Connector
panel

I/O board &

main board
BM100A
module

Battery
slot Battery
interface board

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 I/O interface board and mainboard：

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16 15 14

1
13

12
2

11
3

8 9
4 10

5 6 7

No. Item Interface No. Item Interface

1 BM100A module connector J8 2 Network connector J30
3 Serial port connector J3 4 USB0 connector J14
5 SYC connector J28 6 A_N connector J31
7 Power input connector J18 8 Power indicator connector J11,J15
9 Keyboard connector J2 10 Power switch connector J10
11 Speaker connector J1 12 Power input connector J15
13 Recorder connector J16 14 Alarm lamp connector J12
15 Backlight inverter connector J6 16 Useless J37,J38
17 USB1 connector J4

 Framework map of Monitor’s interface

BM100A Wireless Serial

module Recorder Module port Speaker Alarm light

SMPS
IO interface board Keyboard

Backlight inverter

Main board CO2 Module

LCD

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Main functions module & part number：
Item PN Item PN
IO interface board 13-024-0003 Main board 13-100-0013
12.1’LCD (M9000) 14-100-0005 XG-1205A10B Inverter 16-100-0003
10.4’LCD（M8000） 14-100-0005
Keyboard 13-029-0002 Alarm lamp board 13-029-0001
Encoder board 13-029-0003 BM100A module 13-100-0001
SMPS (PS137B) 16-100-0011 Battery (12V/3.2AH) 12-100-0005
SMPS (PS139B) 16-100-0007 Battery (11.4V/ 4000mAh) 12-100-0006

3.Accessories

ECG cable NIBP cuff (adult, pediatric, neonate)

BLT-SpO2 sensor (adult, pediatric, neonate) Temperature probe (skin&rectal)

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IBP extension cable (UTAH) IBP extension cable (BD)

Transducer (UTAH) Transducer (BD)

Main stream CO2 sensor Micro stream CO2 sensor

Main stream AG sensor Micro stream AG sensor

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Rolling stand Wall mount

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 M8000/M9000 Patient Monitor Service Manual

Chapter III Maintenance

Caution: In case the hospital personnel doesn’t implement the maintenance plan properly,
the measurements of the monitor are inaccurate and it poses potential hazards
to the operators or patients, unless the two parties have otherwise signed an
agreement of maintenance, the manufacturer shall not be held responsible in
any way. All the liabilities shall be borne by the institute using this monitor.

1. User instructions

(1) The operations of the monitor must be conducted in accordance with the relevant
instructions of the User Manual; prior to use of this monitor, the operator should
carefully read the User Manual.
(2) For the breakdowns caused by the operating mistakes or improper repairs and
maintenance or human damage, Company or its agent shall not be held liable.
(3) During the course of use, in case Multi-parameter Monitor fails to function normally or
experience marked changes in performance; if the monitor falls off or damaged in other
ways, please contact Company or its agent.

2. Cautions

(1) Multi-parameter Monitor can only be used for monitoring of life symptoms and providing
reliable information for diagnosis, appraisal and prediction of the disease conditions as
well as the analysis of curative effects. It can not be used for diagnosis of diseases.
(2) Multi-parameter Monitor can only be used for monitoring of such parameters as ECG, HR,
Resp, Temp, Pulse, SpO2, NIBP, IBP, EtCO2, AG by hospital. It cannot be used for other
purposes other than the above designated functions, unless other functions are otherwise
added.
(3) Multi-parameter Monitor is only for use by medical personnel who have received
professional training and guidance. Prior to use of this instrument, the user must carefully
read this User Manual so as to fully understand the operations of the instrument.
(4) The monitor cannot be used in the process of MRI or CT examinations.
(5) In case the patient is wearing a pacemaker, the recorded HR may be the frequency of the
pacemaker and the alarm cannot be relied on the HR of the monitor.
(6) This monitor must not be used in the ambience of flammable anesthetic gases.

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(7) The monitor cannot be treated with hot pressure and cannot not be cleaned with oxane or
soaked in liquid for cleaning. Before cleaning or sterilization, the power shall be cut off.
(8) During the use and after use of various parts, attention must be paid to their maintenance;
avoid stretching, dropping, breaking and eroding the parts so as to lengthen their service
lives.
(9) Avoid placing anything on the electric wire or placing it to the location where there are
people walking back and forth. When plugging the wire from the socket, it is a must to
hold the plug and not pull the electric wire with force.

3. Maintenance of main unit of monitor

(1) Multi-parameter Monitor requires the power source to be properly grounded so as to

increase the use safety and anti-interference capacity of this instrument.
(2) Avoid placing and using equipment nearby electromagnetic disturbance so as to avoid
affecting the use of this system.
(3) There should be no source of overheating nearby.
(4) Avoid placing the system in humid ambience.
(5) Avoid strong direct sunlight.
(6) Avoid storing corrosive gases and liquids nearby.
(7) Keep the use ambience clean and well ventilated.
(8) The power source of the system should be stabilized.
(9) Avoid placing heavy objects on the instrument.
(10) The temperature of the use ambience should be kept between 5℃～40℃ (41℉～
104℉).
Caution: Avoid placing the monitor in sealed area so as to avoid poor heat
dissipation; the monitor should be located at least 10 cm from the wall and
a space of about 30 cm should be left above the monitor.

(11) For cleaning the monitor, the most commonly used hospital detergents and
non-corrosive detergent can be used, but pay attention that many types of detergents
must be diluted before they can be used, and please use the detergents according to the
instructions of their manufacturers.
(12) Avoid using alcohol base, amino-group or acetone base detergents.
(13) The casing and screen of the monitor should be kept free of dust contamination; they can
be moped with soft cloth or sponge soaked with detergents. During the process of
cleaning, be cautious not to pour the liquids onto the instrument and ensure no other

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 liquids will enter the instrument. There are various kinds of cable sockets on the side
panel of the monitor, so special cautions must be taken when mopping and ensure no
water will permeate into the instrument.
Warning: Glass detergent or detergent fluids cannot be directly sprayed onto the
display screen.
It is banned to use medical detergents for cleaning.
(14) It is banned to use such grinding materials as steel wire brush or metal polishing agent,
because such materials will cause damage to the panel and screen of the monitor.

4. Requirements for storage ambience

(1) In case the monitor is not in use temporarily, the instrument should be covered with
anti-dust cover or well packed.
(2) The instrument should not be stored in ambience with high humidity.
(3) The ambient temperature should be kept between -20℃～+50℃ (23℉～122℉).

5. Battery Maintenance

A rechargeable and maintenance-free battery is designed for Patient Monitor, which

enables continuous working when AC power off. Special maintenance is not necessary in the
normal situation. Please pay attention to the followings in using for more durable usage and
a better capability.
(1) Operate the patient monitor in the environment according to the instruction.
(2) Recharge the battery sooner when it is off. The volume of battery will not be charged
to what it should be, when the battery has not been charged for a long time.
(3) Avoid moist, dust and erosion from acid gas.

Warning: Please don’t disassemble the battery, neither put it into fire nor make it
short circuit. So it may burn, explode or leak that leads life hurt.

6. Maintenance of accessories

6.1 Maintenance of ECG cable

(1) When cleaning the ECG cable, it can be cleaned with soft cloth soaked with soap water or
alcohol liquid (70%).

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(2) To avoid prolonged harm to the cables, it is advised that the user only pasteurize or
sterilize the product only when it is rendered necessary in accordance with the hospital
regulations that you follow.
(3) It is advised that the cables be cleaned prior to pasteurization and sterilization.
(4) Do not clean and reuse disposable electrodes.

6.2 Maintenance of SpO2 sensor

(1) The casing, light emitting tube, etc. of the sensor can be cleaned with cotton balls or soft
cloth dipped with medical alcohol.
(2) The sensor cables can be cleaned and sterilized with hydrogen peroxide (3%) or
isopropanol (70%).
(3) It is banned to put the SpO2 sensor in high-pressure container for sterilization or directly
soak the sensor into liquid.

6.3 Maintenance of Temp sensor

(1) It is banned to sterilize or reuse the disposable TEMP sensor.
(2) It is only allowed to clean and sterilize the sensor with detergents containing alcohol and
soft cloth. Avoid using steam sterilization.
(3) The TEMP sensor can only tolerate temperatures between 80~100℃ and their heating
should not exceed 100℃.

6.4 Maintenance of NIBP cuffs

(1) The cuffs can be sterilized by such methods as the conventional high-pressure sterilizer,
gas and radiation sterilization in hot air, and soaking in detergent. But prior to sterilization,
the rubber bags should be removed.
(2) The cuffs cannot be dry-cleaned and they can be machine washed or hand washed; prior
to wash, the rubber bags should be removed; after cleaning, when the cuffs are
completely dried, reinsert the rubber bags.
(3) Disposable cuff can only be used for one person.
(4) Make sure water and detergent fluids do not enter the linking parts of the cuffs and the
monitor.

6.5 Maintenance of CO2 sensor and reusable airway adapters

(1) CO2 Sensor:
The outside of the module or sensor may be cleaned and disinfected by wiping with 70%
isopropyl alcohol, a 10% bleach solution, or mild soap. After cleaning, wipe with a clean,
water-dampened cloth to rinse. Dry before use.
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 (2) Reusable airway adapters:
Reusable airway adapters may be cleaned by rinsing in a warm soapy solution, followed
by soaking in a liquid disinfectant such as 70% isopropyl alcohol, a 10% bleach solution,
Cidex® or System 1® (refer to the disinfectant manufacturer's instructions for use).
Adapters should then be rinsed with sterile water and dried.
Reusable airway adapters may also be pasteurized or autoclaved. Autoclave at 121℃
(250℉) for 20 minutes, unwrapped.
Before reusing the adapter, ensure the windows are dry and residue-free, and that the
adapter has not been damaged during handling or by the cleaning process.

6.6 Maintenance of AG sensor

(1) Cleaning:
Use a piece of clean cloth moistened in water or mild soap solution to clean the sensor.
(2) Disinfection:
Use a piece of clean cloth to wipe the surface of the sensor with a 70% ethanol or 70%
isopropyl alcohol.

7. machine maintenance
Enter MENU->Monitor->System Setup->Machine->enter the password 125689 .
Note: The operations should be done by qualified service technician.

Maintenance Click and open the dialog of system maintenance

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 Factory Manufacturer maintenance is not an operation option for users and it must be
operated by the technical and maintenance personnel authorized by
manufacturer. If you want to enter the factory maintenance to turn on the
optional function, correlative information should be provided to the factory by
the service technician (for instance, machine serial number and so on), to
apply corresponding maintenance password.

Upgrade Click and open the dialog of upgrade setting.

CO2 function Click and open the dialog of Midstream CO2 calibration.
Fun. Select Click and open the dialog of function selection.
Alarm setup Click and open the dialog of alarm limit setup

HUM Select the frequency of the AC power supply and options are 50Hz and 60Hz.

It is mainly configured according to the frequency of local power supply.

7.1 System Maintenance

Trend Setup Click and open the dialog of trend display configuration. Conduct
configurations of trend diagrams and trend tables.

Color Click and open the dialog of color configuration and configure colors of
parameters and waveforms.

Network Setup Click and open the dialog of network configuration. Conduct network
configurations.

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 Over-press Initiate NIBP over-pressure test

Manometer Initiate NIBP manometer test.

NIBP reset Reset NIBP module.

Recorder cali. Conduct speed calibration of the recorder. This operation must be
conducted when the recorder is changed.

 Trend Setup
The user can define various trend display info according to needs or use the display
configuration for default trend.

 Trend Graph1 Configuration of trend diagram.

There are a total of three pages of trend diagrams and on each page trend diagram can
be configured for six regions, and options are Off, HR, SpO2, NIBP, PR, Resp, CO2, T1,
T2, AA, N2O, O2, P1, P2, ST, HR+SpO2, SpO2+PR, Resp+CO2, PR+CO2, T1+T2,
IBP1+IBP2, AA+CO2 ,N2O+O2 and C.I.. It is possible to have self-configurations on
the contents of the trend diagrams and at least one page of trend diagrams shall be
configured.

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 Trend Table Configuration of trend tables
There are a total of three pages of trend tables and on each page trend table can be
configured for six regions, and options are HR, SpO2, NIBP (S/D), NIBP (M), IBP1
(S/D), IBP1 (M), IBP2 (S/D), IBP2 (M), Resp, PR, T1, T2, CO2, AA, N2O, O2 ,ST and
C.I.. It is possible to have self-configurations on the contents of the trend tables and at
least one page of trend tables shall be configured.

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7.2 Color Setup

Enter the interface of color configuration, the colors of various parameters and waveforms
can be configured.

7.3 Network Setup

In the interface of network configuration, such items as IP address, Net mask, Gateway,
Machine number can be configured. The configuration is mainly necessary when the
monitor connecting to the Central Unit.

7.4 CO2 Function

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 CO2 Cal Mode Open or close the CO2 calibration mode. When conducting calibration
on sidestream CO2, set the CO2 cal mode to ON.

CO2 Gain Cal Conduct gain calibration on the sidestream CO2 module. This function
is only valid on sidestream CO2 and when the sampling pump has been
started.

CO2 Flow rate Input the CO2 flow rate

7.5 Function select

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8. Upgrade
Monitor software can be upgraded through the network (only for the version after 2.0.6).
Preparing for upgrade: The upgrade need two straight network cable, one HUB. Connect the
computer to the monitor with HUB and cable. If the network cable is crossover cable, you
can connect the computer with the monitor by the cable directly.
The details are as follows:
1. Be sure there is a folder named tftpdroot in disk C:, if not please create a new folder
named tftpdroot.
2. Put the monitor software which needs to be upgraded in the folder C:\tftpdroot.
3. Rename the software as bse-rootfs. Pay attention to that there is no space among them,
and bse-rootfs are all lowercase.
4. Install a tftp server such as Cisco TFTP server.
5. Open the tftp software in your computer, enter the page of “check->option” set TFTP
server’s root to C:\tftpdroot, as follows:

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6. Set your computer’s IP address: Details are like these “Network Neighborhood->Right
Click Properties-> Local Connection-> Right Click Properties ->Left double-click the
Internet Protocol (TCP/IP)”, settings are as follows:

Note: The IP address of the computer just in the range of 192.168.0.XXX is ok.

7. Turn on the monitor, enter “MENU->Monitor->System Setup->Machine->enter the

password 125689->Maintenance->Network”, check the IP address of the monitor, insure
that the IP address of the monitor and that of the computer are in the same net range of
192.168.0.xxx. Set the gateway of the monitor to 192.168.0.1.

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8. Enter “MENU->Monitor->System Setup->Machine->enter the password 125689->
Upgrade”, set the “server IP” to your computer’s IP (pay attention to that your computer’s
IP should be in the same net range of the monitor, for instance, they are all in the range of
192.168.0.xxx), set ”Target” to “Program”, click “Upgrade” to upgrade the monitor’s
software. During this process, please don’t operate the monitor, the upgrade will cost 30
to 50 seconds. Please observe the prompt message carefully, the upgrade will be finished
with the helping message flashing and the prompt message “Upgrade OK, Trun off or
reboot the machine.” appearing on the screen. Please restart the monitor after the upgrade.

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 Chapter IV Testing
In case the users or the engineers of the hospital have handled the instrument according to
the following methods and still are unable to have the trouble fixed on their own, please
timely notify Company or agent and our professional technicians will cater to your service.

1. General Testing

(1) Visual Check

Visual check is mainly for overall appearance check on the monitor, and if the monitor has no
obvious physical damage, visual check is qualified.
Check items are as follows:
1. Whether the host monitors’enclosure, display screen or keys have any physical damage.
2. Whether the accessories have any physical damage.
3. Whether external cable has any wear or tear, whether the connector pins have any
loosening or distortion.
4. Whether the peripheral interface of the monitor has any loosening or pin distortion.
5. Whether the safety labels or name plates are legible.
(2) Startup Testing
Startup test is used to verify whether the monitor can be normally started to work, and if the
monitor can accomplish startup according to the following procedures, the startup test is
qualified. The procedures are as below:
1. Connecting AC power to the power socket of the monitor and turn on the power of the
monitor. Check if the power indicator lamp is light (green),and the monitor shall
automatically recharges the battery, the charge lamp are light(yellow), the unit is now ready
to be turned on.
2. Remove the power wire ,the AC indicator lamp and charge lamp shall be off . but as long
as the battery still has electricity, the unit is ready to be turned on, and the power indicator
lamp shall turn into orange .
3.Trun on the monitor ,the alarm lamp light together with the sound “DU”, then the monitor
shall display the opening logo ,and enter to the main screen ,then monitor turn on is
completed.
Warning:
If the monitor is mechanically damaged, or if it is not working properly, do not use it for any
monitoring procedure on a patient. Contact your service personnel.
Caution:
The monitor does not have mains switch. The monitor is switched completely only by
unplugging the power cable from the AC power source. In order to unplugging and plugging
it, the socket on the wall must approximate to monitor.
For measurements in or near the heart we recommend connecting the monitor to the
equipotential grounding system. Use the green/yellow equipotential grounding cable and
connect it to the terminal labeled with the symbol .

2. Performance Testing

Testing tools: simulator, accessories

(1) ECG testing

Testing tool: ECG simulator

1. Use the ECG lead cable to connect simulator and monitor.

2. The setting of the simulator is as follows: HR 80 bmp, gain selection is 10mm/mV.
3. Observe whether the monitor displays correct ECG waveforms and HR.
4. Adjust the ECG gains and HR values and verify whether the monitor’s ECG waveforms
and HR values have relevant changes.
5. Check whether all the ECG leads have ECG waveforms and are free of noise disturbance;
6. Adjust the ECG gain to 20mV and observe whether the displayed ECG waveforms have
relevant changes;
7. Unplug the RA lead of the ECG cable and observe whether the alarm of Lead Detachment
appears on the display screen;
8. Reconnect the RA lead;
9.Click open the ECG marker option in the ECG setting menu and observe whether a vertical
coordinating line corresponding with the gain appears on the utmost left side of ECG

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waveform;
10. ECG testing is completed.
(2) Resp testing

Testing tool: ECG simulator

1. Connect the simulator with the monitor using the ECG lead wire.
2. The setup of the simulator: base resistance is 1000 Ω；variable resistance is 1Ω；Resp rate
is 0 rpm,15 rpm,30 rpm,60 rpm
3. Observe whether the Resp waveform displayed by the monitor is normal. Resp value shall
not exceed ±2 rpm, and the monitor shall display relevant alarm information
4. change the scanning speed of Resp and observe the changes in the scanning speed of Resp;
5. unplug the ECG cable and the Resp testing is completed.
(3) TEMP testing

Testing tool: resistance box

1. Connect the two sockets of any of TEMP socket of monitor two sides of the resistance box
using two wires.
2. The setup of resistance box to YSI:7317.0Ω (the corresponding TEMP value is
0.1℃),2252.0Ω(25℃),1354.9Ω (37℃), 983.7Ω(45℃)
3. Observe the monitor’s display value shall not exceed ±0.2℃ ,and whether display
alarm information “TEMP too high” or “TEMP too low ”
(4) SpO2 testing

Testing tool : SpO2 simulator

1. Plug the SpO2 extension cable tightly into the SpO2 socket of the monitor.
2. Connect one side of SpO2 probe to the SpO2 extension cable, and connect the other side
with the SpO2 simulator.
3. The parameter setup in the simulator is as follows: SpO2 is 96%; pulse rate is 80 bpm.
4. Observe whether the monitor displays correct SpO2 waveforms and pulse rate.
5. Unplug the SpO2 connecting cable and the SpO2 testing is completed.
(5) NIBP testing

Testing tool: resistance box

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1. Insert the cuff extension tube plug into the NIBP socket of EMS module and make the plug
and socket in good contact.
2. Connect the other side of the cuff extension tube with the simulator, and the simulator’s
configuration: preset: 120/80 (93), cuff: internal Adult. Then measure blood pressure; observe
whether there is a big deviation between the measured value and the set value of the simulator.
(Generally within 3mmHg)
3. Change measure object: simulator’s configuration: preset: 35/15 (22), cuff: internal
Neonate. Then measure blood pressure; observe whether there is a big deviation between the
measured value and the set value of the simulator. (Generally within 3mmHg)
4. Testing leak rate: simulator’s configuration: PRESSURE LEAK, CUFF: NEONATE;
Monitor setting, enter “maintenance menu” menu—monitor—system
setup—machine—125689—Maintenance) select “Manometer”, press “START” button in
simulation, then observe whether the “leak rate” is normal or not (generally within 3.0).
5. Testing over pressure: configuration: Setpoint: 380mmHg, Measure:-1mmHg;
Monitor setting: enter “maintenance menu” menu—monitor—system
setup—machine—125689—maintenance) select “Over pressure”, press “START” button in
simulation, then observe whether the values of over pressure is in a normal range or not .
Adult : 315±10mmHg
Child ： 265±10mmHg
Neonate ： 155±10mmHg
(6) IBP testing

Testing tool: IBP simulator

1. Connect the simulator with the IBP socket of the monitor.
2. Set the monitor’s static pressure p= 200mmHg.
3. The display value of the monitor shall not exceed 200±4mmHg. In case the error exceeds
±4mmHg, conduct calibration on the IBP parameter module.
4 Set the simulator to zero pressure. Enter IBP menu select “zero” to conduct zero calibration
of IBP parameter.
5 Set up the simulator IBP as 120/80,120/25,120/0, 25/0, and observe whether the waveforms
and data displayed by the monitor are correct.
(7) Recorder testing
24
1. Open DEMO mode.(password :888888)
2. Press the “Record” button on the recorder to start the recorder;

3. Print the ECG waveform, the recorder shall print normally and the printing is clear and
consistent.
4. In case of such failures as paper lack or paper jam, the screen shall have relevant indication
and after restoration, it shall work normally.
5. Conduct the alarm printing of various parameters, turn on the alarm record switches of the
various parameters, set up different alarm limits, and in case of a parameter alarm, there shall
be the relevant printout of the parameter alarm.
6. Press the “Record” button of the recorder to terminate the recording.
(8) Mainstream CO2/Microstream CO2 Testing

1. Connect the sensor, put the sensor in front of the mouth and breathe, observe whether CO2
waveforms and values appear on the screen, and then put the sensor still in the air, and in 10s,
the alarm info of “CO2 RESP suffocation” is generated.
2. Remove the sensor, and the screen displays “CO2 sensor off”.
(9) Sidestream CO2 Testing

1. Enter CO2 menu, select “START” to start CO2 measurement.

2. Listen to the module and check whether there is a sound of motor rotation and the CO2
scanning lines appear on the screen.
3. Enter CO2 menu, select “START” to stop CO2 measurement, then the module motor sound
stops, and the relevant data of CO2 on the host monitor’s screen disappear.
(10) AG testing

1. Connect the sensor, observe whether the module indicator lights up and then observe
whether the screen of the host monitor displays the scanning lines and then the AG parameter
zone.
2. Remove the module, and the screen displays “AG sensor off”.
(11) Network testing (it can be tested only on provided with central unit system)
After the monitor and the central monitoring system are networked, check whether the
waveforms and values of various parameters are properly displayed on the central monitor.

After all the above-mentioned tests are completed, turn off the power of all the testing
instruments and the monitor, and move the testing instruments away from the monitor.
(12) Electrical safety test
25
 Electrical safety test can check whether the monitor has potential electrical hazards to the
patients or the operators. In order to establish a systemized repairs and maintenance scheme,
we suggest conducting all the safety tests introduced in this Chapter and properly making
records at the time when the instrument is accepted, every two years or when the casing of the
instrument is opened for repair.
Caution:
In case the hospital personnel doesn’t implement the maintenance plan properly, the
measurements of the monitor are inaccurate and it poses potential hazards to the operators or
patients, the manufacturer shall not be held responsible in any way unless the two parties have
otherwise signed an agreement of maintenance. All the liabilities shall be borne by the institute
using this monitor.

26
 Chapter V Calibration

1. CO2 Calibration

Note: User may only calibrate the device under the instruction of the technical
personnel authorized by company. Moreover, wrong calibrating procedure may
result in false reading.
Please carry out gain calibration and manual offset calibration, when the following
conditions happened:
1. The module has been used for between half a year and one year.
2. The precision of EtCO2 reading has been doubted by clinical physician.
3. After the latest calibration, atmospheric pressure or height above sea level varies
evidently.
The apparatus has already been calibrated before leaving factory. User can directly apply
it to measuring in normal conditions, to the exclusion of the previous conditions.
Gain calibration and manual offset calibration must be carried out if the previous
conditions happened. The following procedures must be observed:

1. Select <Menu>→<Monitor> → <System Setup>→<Machine>, please set <CO2 Cal

Mode> ON;

2. When the monitor has been run for 30 minutes, one end of the sampling tube has been
connected with the module, the other end has been exposed in the undefiled atmosphere，

27
please adjust <OFFSET CAL> to MANU（Manual）in the 【CO2 setup】 dialog, and press
the button of <OFFSET CAL> to start offset calibration.
3. Please connect the adjusting device according to Gain calibration sketch map.
While the standard gas of pressure CO2 5.0%（38.0mmHg）getting across the sampling
tube, observe pressure measuring apparatus carefully to ensure that the pressure
of standard gas is one standard atmosphere (the range of error is ±5%). Then
select <Menu>→<Monitor> → <System Setup>→<Machine>，press the <CO2 GAIN
CAL>,and input 5% in the popped up window. Select<OK>to start gain calibration.
About 5 seconds later, the reading having calibrated will be shown in the screen.

Note: When use sidestream CO2 module, the following options may appear.

Start Press this button to start the sampling pump to initiate the measurement
of CO2。
Stop Press this button to switch off the sampling pump and terminate the
measurement of CO2。
Offset cal Select the mode of drift calibration. Options are Cancel, Automatic
and Manual. During the common measurements, please remain the default
configuration as Automatic. Only when it is necessary to conduct gain
calibration should this option be configured as Manual.

2. NIBP calibration

a) Option 1
Calibrate tools: Simulator（FLUKE ProSim 8）

1. Plug the air pipe plug of cuff into the connector (NIBP) of monitor until the plug and
socket contact well
2. Tie the cuff to a metal cylinder.
3. Setting the simulator: enter menu 【NIBP】→【Test】→【Pressure Source】，then set the
value to 200mmHg.

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 4. Enter menu “【Menu】→【Monitor】→【System setup】→【Machine】→125689→
【Maintenance】→【NIBP Setup】→【Manometer】→【Adult】”
5. Check the value on the screen, the pressure showed by monitor and simulator, can’t
be over 3 mmHg, if not, enter 【NIBP Calibration】 menu, and set it to 200 mmHg, then
back to previous menu to save the setting.
6. Repeater step 3 and step 4, check if the pressure showed by monitor and simulator in a
same value or less than 1mmHg, then calibration complete.

b) Option 2
Calibration tools: 3 way connector, pipe, roundness pump, metal container (500±25 ml), standard
manometer (Calibration already, precision over 1 mmHg)

1. Connect monitor, manometer, roundness pump and metal container as follows.

2. Reading of manometer should be 0 before deflate, if not, cut the connection until it return to
zero.
3. Select 【Menu】→【Monitor】→【System setup】→【Machine】→125689→【Maintenance】
→【NIBP Setup】→【Manometer】→【Adult】.
4. Turn up pump output pressure to 150 mmHg, the pressure showed by monitor and consult
manometer can’t be over 3 mmHg, if not, setting【NIBP Calibration】for 150 mmHg, then
back to previous menu to save the setting.

29
 Chapter VI Troubleshooting

Troubleshooting of Monitor

M9000/M8000 adopts LINUX OS，its main parts include: power supply module、BM100A
multi-function module、ARM mainboard、I/O board and display（LCD and background light
driver），so, the normal malfunctions(problems) come from those parts. Below are detail
normal malfunctions and how to solve them.
1. Power supply
M9000/M8000 uses a high stability switching power supply which fewly causes problem.
Furthermore, a plug-in DC rechargeable battery is used。
Malfunctions：
1)、Machine can’t start , power indication lamp does not work; power fan does not work;
2)、When AC supply is cut off and using battery supply, monitor alarms low power voltage
and then shut down automatically, and the battery cannot be recharged。
3), The machine can start and work ,but cannot be shut down.
Solutions：
1)、 Check whether the power cable is well connected to the power socket of monitor, if there
is no problem with the connection, change another fine power cable to confirm whether the
power cable is fine. If the power cable is fine, then check the fuse.If fuse is also ok, open the
monitor and use a multimeter to check whether the outputs of power supply is right. If they
are not right, the switching power supply board is out of order, needs to be changed.
2)、Check whether the green battery nip is off, then check the output of the battery, if the
voltage between its positive and negative pole is lower then +10V(normally 12V), then it is
out of order, replace it with a new one.
3). The switching power supply board is out of order, needs to be changed.
2. BM100A multi-parameter module
BM100 multi-parameter module is core module of M9000/M8000 ， the monitor
datas,including ECG、SPO2、NIBP、TEMP、RESP and IBP , are processed in it.
Malfunctions：

30
1)、No ECG、RESP waveform and data，NIBP star measuring but no result displayed，other
functions are normal；
2)、No SpO2 waveform and data，other functions are normal；
3)、When measuring NIBP, can not start inflation, other functions are normal；
4)、When measuring NIBP, monitor displays error informations,such as” Movement”、
“leakage”、“signal saturation”, other functions are normal；
5)、All parameters are fail to be measured.
Solutions：If all the relative accessories are ok, then BM100 multi-parameter module must be
out of order. Change it.
3. Main board
Main board is the main control board of the monitor, software and LCD driver are stored in
it, so its malfunction can be easily judged
Malfunctions：
1)、Stay in the initial LOGO screen and can not get in to working screen after switching on.
2)、System time can not be saved；
3)、LCD screen becomes abnormal or white
4)、System halted sometimes
Solutions：
1)、Reburn the main program to the mainboard，if the working screen still can not be entered,
then the mainboard is out of order, change it;
2)、Check the battery voltage of the mainboard, if it is lower then +2.5V，change it or change
the mainboard；
3)、If the LCD is ok, then mainboard needs to be changed；
4)、If power supply is ok, then mainboard needs to be changed.
4. I/O interface board
I/O interface board is used to connect main board and BM100A multi-parameter module，for
data buffering and transferring.
Malfunctions：1. System halted; 2. The keyboard doesn’t work.
Solutions：Check the crystal Oscillator on the I/O interface board, if it is abnormal, change it
or change the whole I/O interface board.
5. Display
31
The display part contains LCD screen and background light driver. The background light
driver supply power voltage to the background lamp. The LCD data cable connects directly to
the mainboard.
Malfunctions：
1)、LCD becomes black；
2)、Abnormal screen or white screen；
3)、LCD screen keeps winking.
Solutions：
1).Check whether the LCD is OK or not ,if LCD is OK ,then the background light driver
(inverter) is out of order , change it ;
2) &3). check whether the LCD data cable is well connected，if it is, then possibly the LCD is
out of order，change it.
6. Common troubleshooting
Breakdown Solutions
Check if the power line is connected, the power socket switch is turned on,
No display on the LCD screen
the power indicator light is on and power is switched on..
Only display of HR/PR, no sound Check if HR volume in the (operation) menu is set to be 0.
No sound for alarm Check if the alarm volume in the (operation) menu is set to be 0.
Only alarm and no print, or no
Confirm if the recorder and the proper print paper are equipped, if the
print out in real time or periodic
respective print out switch of the related function parameters is turned on.
print.
1. Check if the NIBP unit and measurement mode are properly set, if the size
of the cuff is appropriate and the cuff is properly placed.
2 The patient must not move during measurement. The patient is speaking or
not calm during the measurement. The cuff is pressed by the patient or
external objects.
Inaccurate NIBP 3. Check if there is a leakage in the cuff, air pipe or connector.
4. Check if the physical status of the patient affects measurement result.
When the patient is in shivering, convulsion, shock, low body temperature,
the measurement result will be inaccurate.
5. Try measuring repeatedly for several times, or make a measurement on the
other limb, or replace another cuff.

32
 1. Test the grounding of the monitor casing.
2. Inaccurate HR caused by great interference of the ECG occurs when the
diagnosis mode is selected for the ECG monitoring mode.
3. The HR of the patient with pacemaker is inaccurate.
4. Observe if the ECG cable and the patient move, the electrode is properly
Inaccurate HR connected.
5. Observe the ECG on the display screen to check if there is abnormal QRS
comprehensive wave.
6. Observe the ECG waveform on the display screen to check the monitor
gives out a pulse sound when there is R wave.
7. Try to display HR by use of pulse rate of pleth first.
1. Check if the ECG mode is correct. It should be set in surgery mode
during monitoring of surgery, and may be set in monitoring mode during
ordinary monitoring. If the ECG waveform of the patient has big shift
while in monitoring mode, it should be set in surgery mode.
2. Check if the ECG electrode is placed firmly and the position is correct.
ECG waveform shift or big Before placing the electrode, the skin of the patient should be cleaned
disturbance and the grease or sweat on skin should be wiped off with alcohol. If
necessary, shave off the hair at the place where the electrode is to be
placed, abrade the stratum corneum of skin of the patient, and clean with
alcohol.
3. Check if the power socket protection is properly grounded. For big
disturbance, equal-potential ground wires should be connected.
1. Check if the SPO2 probe is fully cut in or disconnected, the sensor of the
SPO2 probe is broken or disconnected.
SpO2 could not be measured. 2. The patient moves, or the SPO2 probe and BP cuff are placed on the same
limb.
3. Try to move and place the SPO2 probe on the different places.
Display is normal during the
switch on and self-testing, but it
could not enter the master screen. Switch off the monitor immediately, plug up the power plug, and contact the
The LCD screen could not display after-sales service department or the authorized distributor of Company.
function modules.
Dark display, the others are Switch off the monitor immediately, plug up the power plug, and contact the
normal. after-sales service department or the authorized distributor of Company.
No display on one part of the
LCD, the other is normal.
Other abnormity occurs.

7. If the following error indications occur during BP measurement, the following

methods may be followed:
Error indication Cause of the breakdown Solutions

Start up and measure once again. If the

SELF-TEST FAILED Transducer or other hardware failure.
same error occurs, please contact us.

33
 Cuff is completely unwrapped, The cuff is
LOOSE CUFF not connected, or adult cuff is used in Check if the cuff is properly connected.
children or neonate mode.

Check if there is leakage in the air circuit,

re-connect or replace the cuff. If the
AIR LEAK Air leak in pneumatics, hose, or cuff.
aforesaid methods don’t work, please
contact us.

AIR PRESSURE Unable to maintain stable cuff pressure, e.g.

Check if the air circuit is blocked up.
ERROR kinked hose.

Very weak patient signal due to a loosely Re-fasten the cuff tightly, or replace the
WEAK SIGNAL wrapped cuff. The pulse of patient is too cuff with the children or infant cuff.
weak.

RANGE The patient’s urgent sneeze or colliding of Use the stethoscope to check if there is true
EXCEEDED the cuff may cause this measurement error. exceeding, if not, measure once again.

Frequent movement or strenuous vibration Check if the patient has HR abnormity

EXCESSIVE
of the patient during the measurement, or through the ECG waveform. Keep the
MOTION
the patient has irregular PR, e.g. arrhythmia. patient calm during the measurement.
Cuff pressure exceeds the specified upper
safe limit, the limit for the adult is Remove the strenuous vibration and
OVERPRESSURE
297mmHg, for the child is 252mmHg, for collision, start up and measure once again.
SENSED
the neonate is 147mmHg. Could be due to If the error occurs again, please contact us.
rapid squeezing or bumping of cuff.
Keep the patient calm and measure once
Caused by using the children or infant again, or replace with another cuff of same
SIGNAL
modes to measure the adult, or movement or size or remove the extension line of the
SATURATED
shivering of the patient. cuff to try again, start up and measure
again.
Check if the cuff is broken, the connection
of tube and NIBP socket is too loose.
There is air leakage in the air system of
AIR SYSTEM LEAK Validate the connection is reliable, then
measurement.
check the air leakage again. If the same
error occurs, please contact us.
Start up again. If the same error occurs,
SYSTEM FAILURE NIBP module running failure
please contact us.
Check if there is air leakage, replace the
Measurement took more than 120 seconds cuff or remove the extension line of the cuff,
TIME OUT
in adult, 90 seconds in neonate mode. start up and measure again. If the same error
occurs, please contact us.
Use the appropriate cuff and measure
CUFF TYPE ERR Neonate cuff is used in adult mode
again.

34
 Chapter V Disassembling

1. Disassembling

1.1 Prepare:
Tool: cross screw driver, wire cutter
Note: before disassembly, please unplug the power code and remove the battery from the monitor.

1.2 Procedure:
1. Remove the screws which fix the front panel, and then open the monitor;

2. Unplug the relative wires, and then separate the front panel;
Note: remove the screw which the LCD cable, then unplug the LCD cable.

35
3. Unplug the relative cables, and remove the screws which fix the (Multi-parameter module) BM100A
module, and then take out the BM100A module;
Note: press the six-way pipe by the thumb, and then pull out the NIBP tube.

36
 BM100A module

4. Unplug the wires and remove the screws which fix the main board, and then take out the main bord
set;

Main board

IO interface board

37
5. Remove the screws which fix the main bracket, and then pull out the main bracket;

6. Remove the fan cable, and then separate the main bracket from the rear case;

7. Unplug the relative cables, and remove the screws which fix the power supply module, and then take
out the power supply module;

38
 SMPS

PN Item PN Item
1 1.11.22-0213004-91 Keyboard wire 2 1.11.28-0105001-01 Power switch wire
3 1.11.23-0103001-01 Power indicator wire 4 1.11.23-0103001-01 Power indicator wire
5 1.11.28-0104001-01 Network communicate 6 1.11.22-0207006-91 7PVH Power supply
wire wire

8. Remove the screws which fix the connector panel, and then take out the connector panel;

Connector panel

39
Disassembly the front panel of M8000A:
9. Remove the relative cables;

PN ITEM
1 1.11.15-0440005-03 LCD cable
2 1.11.22-0104002-01 Inverter wire
3 1.11.27-0206001-01 Encoder wire

10. Remove the screws which fix the inverter, and then take out the inverter;

Inverter

11. Remove the screws and then take out the LCD panel;

12. Removed the screws and separate the LCD, LCD fixing bracket, and LCD fixing plate;

LCD fixing
bracket LCD

LCD fixing plate

13. Remove the screws and take out the alarm board, encoder board and keyboard from the front case;
40
 1

4
5 2 3

PN Item PN Item
1 2.29-0002-01-00 Keyboard 2 1.19.31-000003-0-1 Knob
3 2.29-0003-01-00 Encoder board 4 2.29-0001-01-00 Alarm lamp board
5 —— 3*6 tapping screw 6

Disassembly the front panel of M9000A

14. Remove the relative wires and the screws which fix the inverter, and then take out the wires and
inverter;

1
2

5
PN ITEM PN Item
1 1.11.15-0440005-01 LCD cable 2 1.11.22-0104002-01 Inverter wire
3 1.11.27-0206001-01 Encoder wire 4 1.15.08-0022-01-00 Inverter
5 —— Screw

15. Remove the screws and then take out the LCD panel;

41
16. Removed the screws and separate the LCD and LCD fixing plate;

LCD fixing plate 12.1’ LCD

17. Remove the screws and take out the alarm board, encoder board and keyboard from the front case;

3 4
5 2

PN Item PN Item
1 2.29-0002-01-00 Keyboard 2 1.19.31-000003-0-1 Knob
3 2.29-0003-01-00 Encoder board 4 2.29-0001-01-00 Alarm lamp board
5 —— 3*6 tapping screw 6

42
2. Explosive view

No. Item No. Item No. Item

1 Rear case 2 Recorder 3 SMPS
4 Main bracket 5 Main board & IO board 6 LCD
7 Front case 8 BM100A module 9 Battery
10 Battery cover plate 11 Connector panel 12

43
Product name: Patient Monitor
Product type: M9000/M8000
Address: innovation First Road, Technology Innovation Coast, Jingding, Zhuhai, P.R.CHINA
Tel: +86-756-3399900
Fax: +86-756-3399989
Post code: 519085
Toll-free consultation hot line: +86-800-830-1016

PN: 22-015-0006

44