Integrated ECG Monitor Option

Replacement Instructions

for Mx8000 IDT

Brilliance CT 16/10/6 (water cooled), 16/10/6 (air cooled), 16 Power,
40 / 64-channel, Big-Bore Configurations

4550 193 09421

Revision A

This document and the information contained in it is proprietary and confidential information of Philips Medical Systems (“Philips”) and may not be reproduced,
copied in whole or in part, adapted, modified, disclosed to others, or disseminated without the prior written permission of the Philips Legal Department. Use of this
document and the information contained in it is strictly reserved for current Philips personnel and Philips customers who have a current and valid license from Philips
for use by the customer’s designated in-house service employee on equipment located at the customer’s designated site. Use of this document by unauthorized persons
is strictly prohibited. Report violation of these requirements to the Philips Legal Department.
This document must be returned to Philips when the user is no longer licensed and in any event upon Philips’ first written request.

© 2008 Philips Medical Systems

 Philips Medical Systems
© 2008 KONINKLIJKE PHILIPS ELECTRONICS N. V. ALL RIGHTS RESERVED.

Warranty Disclaimer
PHILIPS PROVIDES THIS DOCUMENT WITHOUT WARRANTY OF ANY KIND, EITHER IMPLIED OR EXPRESSED,
INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A
PARTICULAR PURPOSE.

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PHILIPS HAS TAKEN CARE TO ENSURE THE ACCURACY OF THIS DOCUMENT. HOWEVER, PHILIPS ASSUMES NO
LIABILITY FOR ERRORS OR OMISSIONS AND RESERVES THE RIGHT TO MAKE CHANGES WITHOUT FURTHER NOTICE
TO ANY PRODUCTS HEREIN TO IMPROVE RELIABILITY, FUNCTION, OR DESIGN. PHILIPS MAY MAKE IMPROVEMENTS
OR CHANGES IN THE PRODUCT(S) OR PROGRAM(S) DESCRIBED IN THIS DOCUMENT AT ANY TIME.
Symbol Descriptions

Attention symbol Radiation warning symbol

Laser warning symbol Biohazard warning symbol

Magnetism warning symbol Projectile warning symbol

Electrical warning symbol Do not touch

Revision History

ECO # Revision Date Comments

H3001387 A January 2008 New Release

This document was prepared by the CT BU Haifa Service Innovation Department.

For any additions, corrections, or suggestions, contact:
CT BU Haifa Customer Support Department
Email: [email protected]
Safety Information
To the User of This Manual
The user of this manual is directed to read and carefully review the instructions, warnings and cautions contained herein prior to beginning installation or service activities.
While you may have previously installed or serviced equipment similar to that described in this manual, changes in design, manufacture or procedure may have occurred
which significantly affect the present installation or service.

Installation and Environment

Except for installations requiring certification by the manufacturer per federal standards, see that a radiation protection survey is made by a qualified expert in accordance
with NCRP 102, section 7, as revised or replaced in the future. Perform a survey after every change in equipment, workload, or operating conditions which might
significantly increase the probability of persons receiving more than the maximum permissible dose equivalent.

Diagnostic Imaging Systems - Mechanical-electrical Warning

All of the moveable assemblies and parts of this equipment should be operated with care and routinely inspected in accordance with the manufacturer’s recommendations
contained in the equipment manuals.
Only properly trained and qualified personnel should be permitted access to any internal parts. Live electrical terminals are deadly; be sure line disconnects are opened and
other appropriate precautions are taken before opening access doors, removing enclosure panels, or attaching accessories.
Do not under any circumstances, remove the flexible high tension cables from the x-ray tube housing or high tension generator and/or the access covers from the generator
until the main and auxiliary power supplies have been disconnected. Failure to comply with the above may result in serious or fatal bodily injuries to the operator or those
in the area.

Electrical-grounding Instructions
The equipment must be grounded to an earth ground by a separate conductor. The neutral side of the line is not to be considered the earth ground. On equipment
provided with a line cord, the equipment must be connected to properly grounded, three-pin receptacle. Do not use a three-to-two pin adapter.

Diagnostic Imaging Systems - Radiation Warning

X-ray and Gamma-rays are dangerous to both operator and others in the vicinity unless established safe exposure procedures are strictly observed.
The useful and scattered beams can produce serious or fatal bodily injuries to any persons in the surrounding area if used by an unskilled operator. Adequate precautions
must always be taken to avoid exposure to the useful beam, as well as to leakage radiation from within the source housing or to scattered radiation resulting from the
passage of radiation through matter.
Those authorized to operate, participate in or supervise the operation of the equipment must be thoroughly familiar and comply completely with the current established
safe exposure factors and procedures described in publications, such as: Subchapter J of Title 21 of the Code of Federal Regulations, "Diagnostic X-ray Systems and Their
Major Components", and the national council on radiation protection (NCRP) no. 102, "Medical X-ray And Gamma-ray Protection For Energies Up To 10 Mev-
equipment Design and Use", as revised or replaced in the future.
Those responsible for planning of x-ray and gamma-ray equipment installations must be thoroughly familiar and comply completely with NCRP no. 49, "Structural
Shielding Design and Evaluation For Medical Of X-rays and Gamma-rays of Energies Up to 10 Mev", as revised and replaced in the future. Failure to observe these
warnings may cause serious or fatal bodily injuries to the operator or those in the area.
Add additional safety information as needed
 Table of Contents

Contents
Integrated ECG Monitor and Cart Replacement Instructions 1-1

Overview .................................................................................................................................................................. 1-1

Tools and Materials............................................................................................................................................. 1-1
Replacement Procedures......................................................................................................................................... 1-1
Replacing the M3 ECG Monitor .......................................................................................................................... 1-2
Replacing the External ECG Cable..................................................................................................................... 1-5
Replacing the MP5 ECG Monitor........................................................................................................................ 1-6
Replacing the MP5 Cart and Accessories .......................................................................................................... 1-7
Replacing the ECG Cable and Cable Clips ................................................................................................... 1-7
Replacing the Utility Basket........................................................................................................................... 1-8
Replacing the Pole and the Roll Stand Base................................................................................................. 1-11
Replacing the Cart Caster ............................................................................................................................. 1-12

© 2008Philips Medical Systems Confidential and Proprietary Information 1

Integrated ECG Monitor Replacement Instructions Overview

Integrated ECG Monitor and Cart Replacement Instructions

Overview
This manual describes the replacement procedures for the ECG Monitors and Monitor Carts.
Type A Cart is supplied with the M3 ECG Monitor, and type B Cart is supplied with the MP5 ECG Monitor.

Tools and Materials

• Standard FSE tool kit

Replacement Procedures
This section describes the following procedures:
Replacing the M3 ECG Monitor on page 2
Replacing the External ECG Cable on page 5
Replacing the MP5 ECG Monitor on page 6
Replacing the MP5 Cart and Accessories on page 7

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Integrated ECG Monitor Replacement Instructions Replacement Procedures

Replacing the M3 ECG Monitor

Replace the M3 ECG Monitor as follows:
1 DIsconnect the Power and Data cables from the Monitor.

2 Release without removing the two plastic

knobs located underneath the Monitor shelf
(see Figure 1).

Figure 1: Plastic Knobs

3 Pull the Monitor bracket towards the rear of the

Cart (see Figure 2).

Figure 2:

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Integrated ECG Monitor Replacement Instructions Replacement Procedures

4 Release and remove the four phillips screws

and washers that secure the Monitor to the
mounting bracket (see Figure 3).

Figure 3:

5 Lift and remove the Monitor from the Cart as shown in the following sequnece from left to right (see Figure 4):

Figure 4:

6 Insert the new Monitor from the rear of the Cart (with the Monitor screen facing towards the front of the Cart), as
shown in Figure 4 above, from right to left.

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Integrated ECG Monitor Replacement Instructions Replacement Procedures

7 Position the Monitor on the mounting bracket

until the four holes on the mounting bracket
and the Monitor are aligned (see Figure 5).

Figure 5:

8 Insert and tighten the four phillips screws and

washers (see Figure 6).

Figure 6:

9 Push the mounting bracket towards the front of

the Cart (see Figure 7).

Figure 7:

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Integrated ECG Monitor Replacement Instructions Replacement Procedures

10 Tighten the two plastic knobs located

underneath the Monitor shelf (see Figure 8).
11 Connect the Power and Data cables to the
Monitor.

Figure 8:

Replacing the External ECG Cable

Replace the external ECG cable as follows:

1 Disconnect the BNO connector of the ECG

cable from the Gantry.
2 Open the rear doors of the M3 Monitor Cart. Cable Connector

3 Release the cable from the cable holder located

at the Cart base (see Figure 9).
4 Disconnect the BNO connector of the ECG
cable from the Cart (see Figure 9).
5 Route the new external ECG cable between the
Gantry and the M3 Monitor Cart.
6 Connect the BNO connector of the ECG cable
to the Cart (see Figure 9).
7 Secure the cable to the cable holder located at
the Cart base (see Figure 9).
Cable Holder
8 Close the rear doors of the M3 Monitor Cart.
9 Connect the BNO connector of the ECG cable
Figure 9:
to the Gantry.

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Integrated ECG Monitor Replacement Instructions Replacement Procedures

Replacing the MP5 ECG Monitor

Replace the MP5 ECG Monitor as follows:
1 Hold the Monitor, and then release and remove the two M6 x 12 mm screws (see Figure 10 below).

Figure 10: Securing the ECG Monitor to the Mounting Bracket

2 Remove the Monitor from the Mounting Bracket.
3 Position the new Monitor on top of the Mounting Bracket so the mounitng holes are aligned.
4 Insert and secure the two M6 x 12 mm screws through the bottom of the Mounting Bracket and the Spacer, into the
mounting holes of the ECG Monitor (see Figure 10 above).

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Integrated ECG Monitor Replacement Instructions Replacement Procedures

Replacing the MP5 Cart and Accessories

Replacing the ECG Cable and Cable Clips

Replace the ECG cables and Cable clips as follows:
1 Disconnect the ECG cable connectors from the Gantry and from the MP5 Monitor.
2 Detach the three cable Clips from the Pole.
3 Detach the cable from the two cable Clamps on the Cart assembly base.
4 Dispose of the ECG cable according to local regulations.
5 Route the new ECG cable between the Gantry and the ECG Monitor.

6 Route the cable along the Pole and secure it by

attaching the cable Clips to the Pole, over the cable
(see Figure 11).

Figure 11:

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Integrated ECG Monitor Replacement Instructions Replacement Procedures

Replacing the Utility Basket

Replace the Utility Basket as follows:

1 Remove the ECG Monitor (see Replacing the MP5 ECG

Monitor on page 6).
2 Release and remove the three Mounting Bracket Adapter
phillips screws (see Figure 12), and remove the Bracket.

Mounting Bracket Adapter

Figure 12:

3 Release without removing the two

10/32 x 9/16” Cart Handle screws.
4 Slide the Handle over the Pole and place it in a safe
place.
5 Detach the three cable Clips from the Pole.
6 Release without removing the two
8/32 x 1.5” Utility Basket screws.
7 Slide the Basket over the Pole and place it in a safe place.
NOTE If you are replacing the lower Utility Basket,
Figure 13: Securing the Handle
first remove the upper basket from the Pole
and then remove the lower Basket.

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Integrated ECG Monitor Replacement Instructions Replacement Procedures

8 Remove the Utility Basket from the packaging, and insert

one Nylon Clip at an angle, between the center Basket
wires.
9 Rotate the Clip until it is horizontal to the Basket wires.
10 Push the Clip to the top of the Basket, so it touches the
top horizontal wire.
11 Insert the second Nylon Clip, as described in Step 8 and
Step 9, above.
12 Push the Clip to the bottom of the Basket.

Figure 14:

13 Slide the Basket Clips over the Pole and position the
Basket at the required location.
14 Secure without tightening the two 8/32 x 1.5” phillips
screws and nuts.
NOTE If you are replacing the lower Utility Basket,
repeat Step 13 above for the upper Basket.
15 Slide the Handle over the Pole and position it in the
desired location.
16 Secure the two 10/32 x 9/16” Cart Handle phillips screws.

Figure 15:

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Integrated ECG Monitor Replacement Instructions Replacement Procedures

17 Position the Mounting Bracket using the pattern shown in

Figure 16.

Mounting Bracket Adapter

Figure 16:

18 Secure the Mounting Bracket Adapter to the top of the

Pole using three 10/32 x 7/8” phillips screws.

Mounting Bracket Adapter

Figure 17:

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Integrated ECG Monitor Replacement Instructions Replacement Procedures

19 Adjust the Mounting Bracket tilt resistance by tightening or

releasing the two Allen screws shown in Figure 18.
20 Install the MP5 ECG Monitor as described in Replacing
the MP5 ECG Monitor on page 6.
21 Connect the ECG cable as described in Replacing the
ECG Cable and Cable Clips on page 7.

Figure 18:

Replacing the Pole and the Roll Stand Base

Replace the Roll Stand as follows:
1 Remove the ECG Monitor as described in Replacing the MP5 ECG Monitor on page 6.
2 Remove the cable Clips and the ECG cable as descirbed in Replacing the ECG Cable and Cable Clips on page 7.
3 Remove the Mounting Bracket, the Handle and the Utility Baskets as described in Replacing the Utility Basket on
page 8.

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Integrated ECG Monitor Replacement Instructions Replacement Procedures

4 Lay the Base assembly on its side and release the

5/16” bolt, one split lock washer and one flat washer to Pole 5/16” Bolt and washers
remove the Pole (see Figure 19).
5 Detach the Pole from the Base assembly.

Base assembly
Figure 19: Securing the Pole

6 Insert the Pole into the Base assembly.

7 Secure the Pole to the Base using one 5/16” bolt, one split lock washer and one flat washer (see Figure 19 above).
8 Position the Base assembly on its Castors.
9 Install the Utility Baskets as described in Replacing the Utility Basket on page 8.
10 Install the cable Clips and the ECG cable as descirbed in Replacing the ECG Cable and Cable Clips on page 7.
11 Install the ECG Monitor as described in Replacing the MP5 ECG Monitor on page 6.

Replacing the Cart Caster

Replace the Caster as follows:
1 Remove the ECG Monitor as described in Replacing the MP5 ECG Monitor on page 6.
2 Remove the cable Clips and the ECG cable as descirbed in Replacing the ECG Cable and Cable Clips on page 7.

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Integrated ECG Monitor Replacement Instructions Replacement Procedures

3 Remove the Mounting Bracket, the Handle and the Utility Baskets as described in Replacing the Utility Basket on
page 8.

4 Lay the Base assembly on its side and manually pull

the faulty Caster from its socket (see Figure 20).
5 Install the new Caster by pushing it into the Caster
socket.

Figure 20: Detaching the Caster

6 Position the Base assembly on its Castors.

7 Install the Utility Baskets as described in Replacing the Utility Basket on page 8.
8 Install the cable Clips and the ECG cable as descirbed in Replacing the ECG Cable and Cable Clips on page 7.
9 Install the ECG Monitor as described in Replacing the MP5 ECG Monitor on page 6.

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